EjaikreTheViper:
That's what you may see when you are a citizen of a country with failed government

This is not about the failed government (which we have by the way), it's about our behaviour as a people. For example the government is not the one sending us to do illegal things at home and abroad, and paint our country in bad light.

Another way to look at it is that the government is a reflection of us as a people. The average Nigerian doesn't have a good mind and wants to cheat his/her way. Until we change, we will neither have a good government, nor better opportunities with our country on the international scene.

MisterKennedy:
Good evening dear Nairalanders.

I've been having swelling on my anus since 2014. I saw a pharmacist and he prescribed Anusol for me to buy. After taking the Anusol, I felt better for some days and the swelling reduced but it came back few day later.

Now being almost 8 years ago. January 2022 will make it 8 years that I've been having this pile.

I've gone to University hospital in my State here in Jos and the woman also suggested Anusol for me. I've taken the Anusol but I'm still stock where I am. No difference at all.

Please has anybody ever experienced pile?
How did you get rid of yours?

The worst part now is that the pile comes with pain now. It almost feels like there's pepper in my anus.

Somebody please help me. Please don't just read and ignore me. Please see me as your brother or your son. Please help me fam.

Please go back to the hospital. DO NOT SELF MEDICATE OR GO TO A PHARMACY.
There are next steps of treatment, just because the first line prescribed by your doctor didn't solve the problem completely, doesn't mean it's the end if the line.

081087n:


you can't go wrong with both.personally I'll go for for the tec out out my love for it and due to sentiment ....but you can't go wrong either way.....sumec firman has proven itself over time for it rugedity and consistency...same as tec.

Thanks so much for taking the time to reply!

Hello,

Please I need a 6.5kva gen. Which brand is better between TEC and Sumec Firman?

Thanks

[quote author=Rakiticbarca post=96523143][/quote]

Are these still available pls?

Dell Latitude 7380 Ultrabook - 13.3"
Core i7-7th Gen 2.8GHz
8GB RAM
256GB SSD
Backlit keyboard
Thunderbolt 3




Dell Inspiron 13 7000 7370 Laptop
13.3" Touchscreen IPS FHD (1920x1080),
8th Gen Intel Quad-Core i5-8250U
256GB SSD
8GB DDR4,
Backlit Keyboard,
Type C Port

Rawlingsko:
DELL LATITUDE 7480
Intel Core i7vPro-7th Gen.
2.8Ghz Base Frequency
16gb RAM
512gb NVMe SSD
FHD Display
Backlit Keyboard
Intel HD 620 Graphics Card
USB Type C with Thunderbolt
Windows Hello Enabled Camera
Smart Card Reader
Long Battery Life
Mint Condition
TLC 172k
Shipped
SOLD

When will you have similar coming in again?

Hello all,

Please does anyone have experience with Scanfrost generators? What is the quality and endurance like??

Thank you.

Good evening all,

Please does anyone have any experience with Scanfrost generators?

Thank you.

nwaozzugwor:
[sup][/sup]


Sumec

@nwaozzugwor Pls is this in response to my question abt the brand of 6kva generator posted earlier?

Thank you?

Hello,

I would like to get a 6.5kva generator. Please which brand would you advice?

Thank you

noakchukibadan:
Hello,

Please no ethnic banters. One of us is from Ekiti, and the other is from Benue. I am married for 8 years with 2 kids. It has been one problem to another.
......

So I am stuck with no one to help call the both of us and resolve the issue. .......

No need to divorce her, that's tantamount to throwing away the baby with the bath water. Just marry another, better wife. That way you balance the equation.

At the end of the whole show the national universities commission will be the one to blame for the chaos in the health sector in Nigeria. The commission seems to be in an unholy alliance and covenant to destroy the health sector in Nigeria. Their modus operandi is two fold

1. License non value added degrees and programs in the health sector. First they accredited the upgrading of optometry from B.Sc. to Doctor of Optometry. These are doctors whose job is only to prescribe you glasses but have been elevated to a status beyond their service. Next they accredited the upgrading of Medical Laboratories Science to Bachelor degree. The consequences of the upgrading is still ripping the health sector apart till date. Now these same people are proceeding to Doctor if Medical Laboratories Science and nobody can stop then but NUC itself. The Bachelor of Pharmacy degree is now upgraded to Doctor of Pharmacy. So far no value has been added to service delivery in the health sector but rather more rivalry, bickering and poor patient care. Sure we will soon have doctor if nursing, doctor if dental therapy, doctor if Physiotherapy, doctor of radiography. The NUC chaos doesn't stop there. They are busy approving and accrediting Bachelor of Environmental Health Sciences( which later will become doctor if environmental health sciences), Bachelor of Public Health(with no professional training in any health care delivery. These degrees build something on nothing). While the veterinarian graduates with the doctor of veterinary medicine, the real doctor of medical sciences graduates with a bachelor if Medicine and Surgery. The NUC concerns itself with approving degree programs that have no relevance to our peculiar health sector needs or precedence in saner climes. The real number one enemy of the health of the people is the national universities commission.

2.The agency second strategy is to battle to whittle down the status of the Bachelor if Medicine and Surgery degree and by extension the professional fellowship We seems to be winning in the fellowship war front, but u bet you the foe doesn't give up like that.
Our number two enemies are the court of law. Don't be surprised if more court judgements are awarded against the doctors status.

Finally we have the West African health organisation. Pray what is the need for a professional fellowship in nursing? And in Pharmacy? Soon we shall have professional fellowship in medical laboratory sciences. My question is what value will these fellowship add to patient care? Does a hospital need a laboratory scientist or a laboratory technologist! Are scientists health practitioners or researchers? Does a hospital need a researcher or a practitioner? What value does consultant nurse or consultant scientist add to patient care?

Great strides are made in clinical care in EKO hospital, Reddington, First consultants, St Nicholas and Zankli in Abuja. Do these hospitals use or need these consultants to perform? My take is that all these professional upgrading are unnecessary and a waste if national resources.

My suggestions
1. There should be laws specifying what NUC can license. I believe NUC is becoming a danger to the nations health sector and needs to be put in line.
2. There us a need for a health summit to discuss what level of skills are needed in our health sector and what length of training are required. It us evident we can't leave this decision to professional associations as they all have demonstrated irresponsibility and are driven by personal interests. The civil society should be called upon to take decision and chart the way forward. Enough of these shenanigans.

#copied

Never ending health crisis

GL 1
GL 2. CONHESS 1
GL 3. CONHESS 2
GL 4. CONHESS 3
GL 5 CONHESS 4
GL 6 CONHESS 5
GL 7. CONHESS 6
GL 8 CONHESS 7
GL 9 CONHESS 8
GL10 CONHESS 9 CONMESS 1
GL12 CONHESS 10 CONMESS 2
GL13 CONHESS 11 CONMESS 3
GL14 CONHESS 12 CONMESS 4
GL15 CONHESS 13 CONMESS 5
GL16 CONHESS 14 CONMESS 6
GL17 CONHESS 15 CONMESS 7

For the benefits of those asking us what is really happening currently in the tertiary health sector. The conflict centres around MONEY and LEADERSHIP positions which in turn is link to money. Other confounders are gross indiscipline, ego, lack of job description, failure of supervision and conflict of interest. As a whole, it is a systemic failure needing urgent, radical and wholistic repair to prevent complete collapse.

There are currently two salary structures in the public tertiary hospitals in Nigeria. They are called CONMESS for medical doctors and CONHESS for all other hospital workers including those in the administration and accounts. CONMESS was born on 29/09/2009 via the circular SWC/S/04/S.410/220 while the CONHESS was born on 08/12/2009 through the circular SWC/S/04/S.410/Vol.II/349 of National Salary Income and Wages Commission (NSIWC) respectively. Both the two salary structures are consolidated and derived from the traditional grade level (GL) system as shown above. Note that there is no GL 11 in the traditional grading system for all civil servants which is taken care of in both CONMESS and CONHESS, hence the APPARENT lack of level skipping in them.

The States and local government councils are still using the traditional grading system and pay less than the FG. To my knowledge only Yobe State has just started paying health workers exactly as the FG!

I will be using the traditional grade level system for ease of understanding. Very very few people including those in the Accountant General of the Federation's office easily comprehend the interrelationship of the 3 salary scales.

Between 1998-2013, doctors and any other hospital worker of equivalent level had identical basic salary while between 2009-2013 they had identical basic salary, hazard and teaching allowances. The differences were in call allowances where doctors earned higher and specialist allowance to medical consultants or specialists on GL 15-17 only. Note that doctors on GL 15-17 that are not specialists are not PAYED specialist allowance. In 2014 relativity was restored where the basic salary of doctors became 20-50% higher than equivalent levels of other hospital workers from GL 13-17 only. There had always been differential pay relativity between doctors and other health workers from 1960 to 1998 at various ratios. In the years 1998-2013 that was when relativity was lost. When it was restored in 2014, the conflict resolution compromise was to forgo 25 years of arrears.

After graduation from medical school, a doctor practices for 12 consecutive months under supervision of a specialist or a very senior doctor of no less than GL 15 before given licence to practice independently. These group of doctors are called house officers. Pharmacists, degree nurses and medical lab scientist have similar program and they are called interns. They are employed at GL 10 for doctors and GL 9 for the other 3 until around 2013-2014 except for degree nurses that started internship around 2016-2017. Both earn salary for one year only because of the services they offered, but they are not regular staff and hence not the entry points in to civil service.

The entry points (post NYSC) for doctors in to civil service were GL 12, pharmacists GL 10, medical laboratory scientists GL 10, degree nurses GL 9 and non degree nurses GL 8 in the tertiary public hospitals. In contrast entry point for degree holders in other ministries is GL 8. In 2013 the National Industrial Court of Nigeria (NICN) passed a judgement for skipping of GL 12 for health workers on CONHESS ie any other hospital worker except doctors. So the entry point of pharmacists, medical lab scientists (and degree nurses around 2017-2018) still remains GL 10 with skipping of GL 12 around 2013-2014. In view of this, the entry point of doctors now shifted to GL 13 between 2016-2017. Other health workers are variously employed at GL 8-9.

Medical doctors can pursue their post graduate studies through Residency Training Program (RTP) or traditional postgraduate degrees of MSc and PhD otherwise they join the public service like any other degree holder. Doctors that join the RTP in tertiary and teaching hospitals are called Resident doctors. They gain entry only after passing an exam with a pass rate of 35-45% and average waiting time of 2-4 years. They are doctors under training to become specialists. They are temporary staffs throughout the training and get promoted only after passing exams, 2-4 years after starting the program in the first stage and 3-5 years in the second stage. This is a privilege enjoyed by 15-25% per exam. The specialist exams are conducted twice a year in Ibadan and Lagos. Other health workers including specialist medical doctors are permanently employed in the hospital. The latter are also University lecturers for teaching, research and supervision of undergraduate and postgraduate students including non doctors.

Medical doctors with first degree in the University are employed as Lecturer II similar to PhD holders while every other degree holders are employed as Graduate Assistants, in the military doctors occupy the rank of equivalent of army Lieutenant and 2nd lieutenant in others, DSP and ASP in police, in Custom and Immigration same, SIO1 and SIO2 in DSS respectively.

The other aspect is that of leadership.

a) At present both the substantive and State ministers are medical doctors (prerogative of Mr President).

b) The following are departments in the Federal Ministry of Health (FMOH), ii, iii and iv are headed by medical doctors http://www.health.gov.ng/index.php/department/84-departments.

i) Department of Procurement with two divisions; capital and recurrent.

ii) Department of Family Health with five divisions; Child Health, Gender adolescent school and elderly care, Health promotion, Nutrition and Reproductive Health.

iii) Department of Health Planning Research and Statistics.

iv) Department of Public Health with eight divisions; Non-communicable diseases, Neglected Tropical diseases, Occupational health and safety, Port health services, National Tuberclosis and Leprosy Control Programme, National Malaria elimination programme, HIV AIDS and Epidemiology services.

v) Department of Finance and Accounts.

vi) Department of Human resources.

vii) Department of Food and drug services.

c) The following are agencies under FMOH http://www.health.gov.ng/index.php/department/79-the-ministry. Agencies i, iii and iv are headed by medical doctors.

i) National Primary Health Care Development Agency (NPHCDA).

ii) National Agency for Food & Drugs Administration and Control (NAFDAC).

iii) National Health Insurance Scheme (NHIS).

iv) National Institute of Medical Research (NIMR).

d) All the chief executives of tertiary hospitals are specialist medical doctors (Act of the National Assembly). There are 13 Federal Specialty Hospitals, 21 Federal Medical Centres and 22 Federal Teaching Hospitals http://www.health.gov.ng/index.php/department/83-parastatals.

e) The following are directorates in the tertiary hospitals

i) Director of Clinical Services and Training/Chairman Medical Advisory Committee headed by specialist medical doctor. There are divisions like 2 deputies headed by specialist medical doctors, (deputy) director nursing headed by a nurse, (deputy) director pharmacy headed by a pharmacist.

ii) Director of Administration headed by an administrator with divisions that include establishments, account and supply, audit, expenditure, works, nutrition, kitchen, laundry, security, etc.

f) Headship of clinical departments, clinical and training laboratories in the tertiary hospitals for teaching, training and research of undergraduate and postgraduate students. They are all headed by specialist medical doctors/unversity lecturers and in the laboratories they are also called Pathologists with units headed by optometrists, radiographers, medical scientists, technicians etc.

In my opinion the solutions to the unending crisis in the health sector are mainly,

1. Implementation of the Presidential Committee of Experts on Inter-Professional Relationship in the Public Health Sector report by Yayale Ahmed committee submitted to FG on 19/12/2014.

2. Invitation of "foreign" experts like PricewaterhouseCoopers and Agenda for Change for proper job evaluation and placement.

3. Consideration for law amendments and the movement of all tertiary hospitals under affiliated universities. They also have their issues, but they seem to be relatively more stable. There is high academic loss in the current setting.

4. Strengthen and make wholistic coverage the National Health Insurance Scheme (NHIS), and then privatise all tertiary hospitals. Both LGA, States and FG shall concentrate in primary and secondary health care services especially the former. In my limited opinion, this is the best long term solution to our low quality health care services in Nigeria. There shall also be active support for purely private investments in health. The investors will decide who heads or leads who, what, which and how.

5. Positions of leadership in the FMOH, parastatals and its agencies can be tackle by the FG as it deems fit.

You can correct me where I erred. May God forgive my mistakes.

Aknowledgement: Dr N.L. Orhue, my friends in other climes.

ibrahim Toli
doctoli@gmail.com

"NUC" AND CURRICULUM REVIEWS: CAREER PROGRESSION OR CARICATURE OF MEDICINE:
"DOCTORING" NIGERIANS TO DEATH!

By DR. KAYODE O.V.

"The world is a dangerous place not because of those who do evil, but because of those who look on and do nothing" (Albert Einstein).

It was about few years ago when I went to one of the pharmacies in town to get some drugs. There were so many people on the queue including Nursing mothers and their apparently ailing children (that is what is in vogue now, mothers with very ill children parading drug stores instead of hospitals).

I had just finished paying when I realized the woman behind me was carrying a grunting child (the child was having laboured breathing) while still asking for more medications. In her words: "the child never get better o, infact he still dey cough and no dey sleep well at night. Na so so 'hun - hun' he dey do". I moved away as if I was leaving the store but I realized the attending shop owner (a Pharmacist by the way) was trying to give another rounds of bottled drugs. I was unsure of what to do. This is Nigeria where any attempt to introduce yourself and help as a doctor is perceived as pride so I tried to move on.

Here is a child who needs supplemental Oxygen and intravenous antibiotics at the least, being stuffed with oral drugs. No one tries that in developed climes selling antibiotics on the counter without prescription. Yet we want to copy those concepts that soothe us from UK or US while ignoring what made those novel ideas work.

Going further, I managed to slow down momentarily at the second thought and quickly made a side turn towards the woman while her child drugs were being put together. " Madam, I said , take this child to the hospital, he needs serious medical attention."
What a joke I was. She didn't move an inch, instead looked at me for a split of seconds and then turned to pay for her drugs.

And of course, the shop owner was so displeased that he was trying to get my identity. That is the kind of health system Nigeria operates. No regulation whatsoever and you are wondering why we still lead the mortality packs? And that is the fault of the doctors?

Whereas you cannot get a dose of antibiotics in US or UK unless prescribed, you can have dozens on the counter here in Nigeria just by naming the drugs verbally at any chemist or pharmacy stores. And who cares?

That is the country that wants to empower more non-medically qualified as consultants.

My country now has decided to offer Medical laboratory scientists: Doctor of Medical laboratory science (MLS -D) as a 6 - year undergraduate course! Magical!

Even in Britain, Ireland and USA which we always like to "copy copy" as an example of international standard, MLS - D is a postgraduate degree.

More than 10years ago, MLS was a 4- year course and then within few years of starting this degree of a course that used to be a diploma, it was "updated" to a 5 - year course. See career progression o!

And May this year, MLS is now a 6- year course with more courses from Medicine and Surgery being added to their curriculum! More Pharmacology and therapeutics, more Embryology and more dissection in gross anatomy as an undergraduate of MLS!

National Universities Commission (NUC) - U na weldone o! Is this a Medical student curriculum or what? I read that document and I knew Nigeria has missed it again!

Prof. Abubakar Rasheed of the NUC sir, creating a pseudo - medical degree in the name of curriculum update in a country that loves empty titles and quackery is the worst thing to do for humanity in this part of the world. This is a major blunder sir and I don't know which global University you are copying sir.....How did you get this job sir?

Every health allied course now strives to do internship and to upgrade their curriculum thus extending their years in Schools in the name of career progression. It is highly noted.

No one becomes a medically qualified doctor by wishes, it is by going to a medical school. Neither, does the number of years one spends in a particular school equate the knowledge acquired in that school to practicing medicine.

Otherwise, Catholic Priests would have been the most qualified for the job of practicing medicine, spending 9 straight years learning Philosophy, Theology and doing Pastoral work. Albeit they are doctors of souls, Priests like that know their self - worth and what they have been called to do!

Prof Rasheed Abubakar should be ready to upgrade other allied health sciences in the nearest future really:

Undergraduate students of Nursing, Physiotherapy, Radiography, Pharmacy, Generator technicians and students studying Transport management with love for hospital work should get ready to have 1 or 2 extra years without having carry- overs, it is a year of career progression!

It is interesting to note that doctoral programme in clinical laboratory in UK is just becoming popular as a postgraduate degree! (You can search the web please). Here Nigeria is starting a doctorate undergraduate degree....incurable madness. Who cursed this nation? Oh Flora, oh Lugard: you did more harm than good really!

Ours is faulty amalgamation.

What else?

The politicians are so happy presently, they have given us something to chew for a very long time. At this time when we should be scouting for better leadership, we are cocooned into myriads of requests on career progression: Consultancy, Postgraduate fellowship like a a sandwiched programme, curriculum extension, equity. Only in this already asphyxiating health care sector? Incredible.....

Should Britain have been operating full of flaws like this, President Buhari and his political appointees would have stayed behind from London Doctors!

Or is it the London Scientists Doctor they were seeing? Very inundating I must say.

While we praise and salute the courage of those Nurses, Pharmacists, Technicians and other respected health care workers who have travelled far and near. Who are exposed to international practice of appointments and promotions, who understands the ethics and formidable roles they play without being undermined as part of the health team, we would not allow pretentious individuals pass their unfounded claims as the truths uncontrollably!

Therefore, for all those vituperations and absurdities I have read and witnessed since this JOHESU brouhaha started, I have these to say:

While exposure level to international practice by various individuals determines their responses to different posts on the social media and other public domains, such responses also reflect the cerebral complacency and one's neuronal maturation dictated by circumstances of birth vis-à-vis: severely jaundiced or not; asphyxiated or well oxygenated at birth?

Some experience both disasters at birth and thus making further engagements on issues like this a tempestuous calamity.

Never argue with an inept!

What meaningful discussion can one hold with an autistic child who is always in his or her own world: fantasizing and conjuring! If you know, you know!

There is also the theory of redefining terms as ingredients or part of this career progression attempts or is it elongation?

Such attempt of redefining known language or terminologies is similar to someone with waves of ideas as occurs in neologisms of cerebro-vascular accident or of frontal lobe lesions in central nervous system tumours or hysteria of "transmission transmission" aetiology! Such people can thus go to any length to discredit facts but that does not invalidate the truth!

For better understanding of these tirades: How do you explain that someone defining medical students as all students who attend the faculty of health sciences namely, the Nursing students, the Pharmacy students, the students of Radiography and other what have you.

Lumping Medical students who study medicine to become physicians with allied health sciences is the height of delusion. At this age when Google or Wikipedia is so handy, may such ailing souls receive healing soon enough!

This is all in the name of rewriting the history to sell the "equity theory". " Ko joo o" Frog and toads are different, just drop it.....

If we had decided to let go of all the frenzies about equity of pay and not equality of work. How a generator technician should have pay parity with the Pharmacists or the gatemen with the hospital legal team is what I have not been able to wrap around my torso. It doesn't worth my brain really.

But how do you then reconcile the NUC curriculum update of MLS -D with international practices of Universities worldwide?

When there are increasingly less doctor - patient ratio in Nigeria, NUC decided to give us more Dr of Medical laboratory sciences. What a home goal!

"Itsorite" By the time we finish our politics and sentiments in the health sector, government hospitals would be a very good monument!

Every silence is a consent, we are done keeping it cool therefore!

For the more we had kept mute, the more we have been "jostled by the buncombe, and deafening gobbledygook of information persistently flooding our screens, it is time we spoke for posterity's sake.

After all, it is the era of self reporting journalism as we shift from our primary roles of caring for the sick masses to inflicting further pains on already drained citizens. The citizens too cannot feign ignorance of these caricature of a health system or it will be fatal.

For the Medically qualified ones, stand tall and maintain your ethics. Be happy you are being copied....no one copies an idiot! But guide the profession well to the admiration of the Ancestry Hippocrates!

Meanwhile, Kudos to the selfless team of Irrua Doctors who saved the 19 victims of road crash. Either JOHESU members were there or not, no human life is worth loosing. You guys have further corroborated that medicine is more of empathy than spineless emotions. Thank you.

In closing, the political quandary and quagmires of the present Nigeria's clinical state cannot be sorted out even by the best of hands working tirelessly in the best ICU, yet the only song that has filled our ears has been creating parallel promotions and alternatives to studying Medicine in dissimilar fields.

No sensible homo sapien is against career progression because human minds abhor monotonous. But requesting for such career progression must never be by using entirely divergent career templates. That is to say the least ambiguous, fraudulent, chaotic unfounded and counter productive.

The Federal government must rise up against all these multi - hydra requests and caricature of career progression and equity or Nigeria slips further down the line in health indices!

But apparently, its may be none of the FG business; German and London doctors are waiting!

By that time we are done keeping quite, Codeine and tramadol abuse will be the least of our problems that time; antibiotics resistance from proliferation of quacks will be small compare to Ebola hemorrhagic disease!

Abeg! Call me the Consultant HOSPITAL driver with all due respect I need to leave this place NOW!

@jboixxx
Thanks for info!

DJperdurabo:
Kinda surprised. Ordered a phone on Aliexpress. Phone was shipped on 23rd, was told the usual phone would arrive Nigeria within 25-30 days. Forgot about the issue considering the time only to get a mail that my phone has reached Nigeria.......

Pls were you charged any customs duties or fees apart from tge shipping you paid Aliexpress?

Thanks!

There are a myriad of opportunities, esp here in Sokoto. alot of ppl come to serve (NYSC) and stay on. What did you major in uni? Where did you serve? These info can help in giving you suggestions on what to do.

Please kindly help me check this to fahddeen@gmail.com:
WDDHF8JB3EA806776
Many thanks and kind regards!

Barywhyte:
I once requested for people to send me study materials for this NNPC test and no one even attempt to do me that favor and that was on this thread. Well, I want to do some people favor here tonight. Just five email addresses will do. I will send nnpc test questions conducted 3 years to those addresses. This is not GMAT or KMAT or whatever MAT. This is real thing just as it was conducted that very year. First five addresses will get it. 120 questions. Hurry Now!

shldncooper@gmail.com

[quote author=goksman007 post=28630443]

shldncooper@gmail.com

Nokia su-33w receiver fairly used for sale, location Abuja, price negotiable...