₦airaland Forum

It's about to go down.

I hope this action doesn't mess up the whole situation completely.

danilmo:
that was the bloody pharm D dispenser I gave 5 preclinical cases last week in one other thread, if the guy will answer 1, that will b tomorrow...

I mean common anatomy questions I and my colleague normally use to ginger our self after class

he told me to DM him , I did, we only greeted,
after the greeting I kept on waiting for answer..

he was lucky sha coz I planned to upload his mumu answer online

he say him na pharm D . = Medical doctor without surgery

That dude is a charlatan.

frankpro27:
Loooosers

Quack dispenser

frankpro27:
Lol. As a Pharm. D holder. I do everything a doctor does in the hospital aside surgery. Wat can u say about dat? I make nothing less than a million every month. Nd doctors don't knw anything about drugs, aside name Nd usage. Most of dem don't even knw the dosing, not to talk of side effect, mechanism of action Nd interactions. I personally ve a photocopying machine for all d blunders I receive as prescriptions from doctors. This war is just starting

This is the height of delusion. What is the everything a doctor does that you do oga dispenser

rottentomatoes:
PRESS CONFERENCE DELIVERED BY THE CHAIRMAN OF NIGERIAN MEDICAL ASSOCIATION (NMA), FCT CHAPTER, DR. CHIEDOZIE JUDE ACHONWA TO STATE THE POSITION OF THE NMA WITH RESPECT TO THE ONGOING STRIKE ACTION BY JOHESU AT THE CONFERENCE HALL OF FEDERAL MEDICAL CENTRE, ABUJA ON TUESDAY,22ND MAY 2018.
Protocol
It is no longer news that JOHESU has been on strike for over a month now over sundry demands which include among others equal pay with medical doctors, headship of our public hospitals. Since the strike commenced, the Nigerian Medical Association (NMA) FCT has been following up on matters arising from it. We would ordinarily have ignored JOHESU as it concerns her ongoing strike but we are at the moment constrained to respond and put the record straight to debunk JOHESU’s deliberate peddling of falsehood, twist of facts, misinformation and manufacture of non-existent figures just to hoodwink and get the sympathy of the innocent and unsuspecting public who may tend to believe their propaganda if we keep quiet. While unionism and activism is encouraged, it must not be carried to the extreme with the delusion that the system can always be brought to its knees for unreasonable, baseless and reckless demands to be acceded to. The NMA wishes to state clearly that the ongoing JOHESU strike is essentially against medical doctors in particular, and the peace-loving Nigerians in general. The unnecessary strike, we must let Nigerians know, is centered on quest for equal pay with Medical doctors as well as leadership (clinical governance) contestation in our hospitals.
Naturally when a sick person visits the Hospital, it is to see a medical doctor to get cured of his/her ailment. In getting the patient cured, several other factors come into play between the doctor and the patient. It is within these factors that the allied healthcare professionals play their supportive roles. It must however, be emphasized that these support staff only act upon the instruction or directive of the doctor. This is the standard practice world over, and is the concept of governance in clinical practice which Nigeria cannot be an exception. Apart from the fact that the training of a medical doctor is all encompassing (it covers all the fields of other healthcare professionals in addition to the core patient care and management), it is the doctor that is held accountable should anything go wrong in the overall management of the patient. Nigerians can therefore, be the judge as to who qualifies to be the leader of the health team.
While NMA appreciates the supporting roles being played by members of allied healthcare professionals and considers them important stakeholders in the health team, it is, however, in the best interest of this country for everyone to stay within their roles as team players. Nigerians need to understand that the Hospital is structured in such a way that every treatment/instruction must be directed from the medical doctor. No patient receives anything in the Hospital unless the doctor says so. The reason is not far-fetched. It is in the best interest of the patient so that he/she is not mishandled. The outcome is better imagined when a doctor gives instruction on patient’s management and the other healthcare workers also give separate and possibly conflicting directives on the same patient. It is akin to the proverb ‘’too many cooks spoil the broth’’. The unwarranted leadership contest in the health sector by JOHESU in recent years has led to several untold hardships on our patients with attendant avoidable loss of lives in some of our public health institutions. Comparison of Nigeria health indices between the remote past and recently shows that we fared better in the former when there was orderliness, strict observance of roles, and obedience of doctors’ command with respect to patient care. Questions must be asked while this unfortunate scenario doesn’t play out in private or public-private Hospitals. The answer is obvious; everybody knows his/her boundary and must conform to laid down rules and organogram.
Concerning the quest by JOHESU to earn equal pay with doctors, it must be reiterated that NMA has never been against any wage or salary increase or adjustment for health workers. Rather, NMA has, in her numerous engagements, severally advocated for wage or salary increase for all Nigerian workers. It must be emphasized that what JOHESU is asking for is not necessarily increment in salary per se, but equal pay as doctors. They want government to pay them exactly the same amount as paid to doctors. Is a court clerk paid the same wage as a judge, or an air hostess as a pilot? The answer is definitely NO. It should be expected, therefore, that NMA will never allow JOHESU to use subterfuge and backdoor approach to become doctors. The universities are out there with clearly spelt-out guidelines for anyone who wishes to study Medicine and Dentistry. We wish to encourage JOHESU to take advantage of that rather than employing this back door approach to become ‘’doctors’’.
The concept of wage relativity is used in wage management to ensure that only equal job of equal value attract equal pay. This was succinctly and clearly stated in the judgement of National Industrial Court of Nigeria in 2006 and affirmed by same in 2013 in matters involving JOHESU. Relativity exists between the salaries of healthcare workers in the hospitals and their counterparts in other agencies and parastatals of government. Engineers, administrators and accountants in hospitals (members of JOHESU) earn between 2 to 3 times the salaries of their counterparts in the core public service. Whether this is deserved is not the question, but for the purpose of this conference, is it not contradictory, deceitful and ironical that the same healthcare workers who on one hand accepted an advantaged salary over their counterparts outside the health sector on same levels and steps will turn around to reject salary difference with the doctor who does a superior and different job from them?
Historical trend of salary award/adjustment and relativity:
Pre-independence to 1974: Practitioners of Medicine and Dentistry (medical and dental practitioners) were grouped in Senior Service Scale A which was the apex for remunerating public officers. The relativity between the salaries of medical doctors and graduates of other health sector was 1:1.58 at the entry point and 1:1.65 at the terminal point
1975: Udoji committee eroded the relativity in the health sector, and the ratio dropped to 1:1.27 at the entry point and 1:1.07 at the terminal. The NMA protested which led to the setting up of the Justice Atanda Fatai-Williams presidential committee to look into the complaints in 1990.
1991: Due to the findings of that committee, circular 1, 1991 containing two separate salary structures in the health sector was released. This was following the approval of the memorandum by the Federal Executive Council at its 11th meeting in 1990. It was an attempt to correct the distorted relativity. These were:
Medical System Scale (MSS) for consultants and below
Medical System Super Scale (MSSS) for consultants Special Grades I and II.
(A and B were contained in a single circular).
Health System Scale (RUSS/HSS) for other health care workers.
The relativity at the entry point was 1:1.28 and 1:1.2521 at the terminal.
1993: The 45% award on salaries for public officers in 1992 was implemented on the 8th of February 1993 for doctors to restore the relativity between MSS/MSSS and other salary structures.
However, on the 9th of February 1993, a 15% award was applied to other salaries through circular CND.26/S.5/Vol.IV/380 without corresponding application to MSS/MSSS. This brought down the relativity at the entry point to 1:1.1 and 1:1.94 at the terminal.
1995: The industrial arbitration panel award of professional allowances eroded the relativity. Consequently, NARD/NMA demanded for the restoration of 1:3.33 ratio prior to the award. In response government did a comparative analysis of salary/wages worldwide and found a relativity range of 1:2 to 1:2.7. Government eventually signed an agreement with NARD on a relativity of 1:2.5
1998: The Federal government carried out harmonization of salaries. The MSS/MSSS were harmonized into HATISS for doctors in tertiary institutions and HAPSS for those in regular public service. The NMA and NARD protested to the Federal Government on what they called ‘’drop in salary’’ for those who were paid HATISS. The Association rejected the HATISS structure and asked government to pay her members with HAPSS pending a possible correction of the error they observed in HATISS. This was approved by government.
NARD complained of a distortion in relativity as a result of the harmonization of salaries. The National Salaries, Income and Wages Commission(NSIWC) did half-hearted correction of the observed errors in the conversion of MSS/MSSS into the HATISS structure. These corrections were rejected citing inadequate address of the relativity problem observed. The relativity at the entry point was 1:1.2, at all other grades it dropped to 1:1
2001: The relativity of 1:2.5 (4:2:1.7) for call duty allowance was sustained.
2006 and 2013: JOHESU went to court to seek pay parity with Doctors at the NICN but that wasn’t granted.
2014: The NMA persistent protest led to the setting up of the Alhaji GoniAji presidential committee to look into her complaints in 2013. Consequently, the Federal government signed an agreement with the NMA on relativity at each grade level with CONHESS as the reference. A circular on the correction was issued on the 3rd of January, 2014. Relativity was 1:1.2 to 1:1.5
In all it dropped from 1.58 to 1.2 for fresh doctors, and from 1.65 to 1.5 for consultant Special Grade 1 and or a Professor of Medicine on full appointment in a Hospital.
We wish to, at this juncture, remind the government that NMA will not accept any attempt to further distort or erode the existing relativity as agreed and signed in the collective bargaining agreement of 2014. It is important to note that this agreement was reached with a lot of comprise and sacrifice already on the part of Nigerian doctors. It is worthy of note that members at the recently held NMA ADM unanimously resolved to utilize every means legitimate to forestall any attempt to disregard or breach the said agreement. It must be placed on record that NMA has put before government issues that border on universal health coverage, improvement of health facilities and equipment as well as issues regarding conditions of service. It is our hope that government, while engaging in dialogue on these matters with a view to making progress, will not precipitate another crisis by bowing and acceding to pressure from JOHESU.
Doctors in the FCT have been going about their legitimate duties in all public health facilities. They have had to go extra miles to cover for the absence of the allied health professionals in order to ensure service delivery to patients. Management of our public health institutions have been visited and encouraged to create an enabling environment for doctors to carry out their duties and we are very much satisfied with their cooperation. We wish to seize this opportunity to call on patients who may have mistakenly fallen for the propaganda of JOHESU that the entire health institutions have been locked down by their strike to visit and access care from our Hospitals.
We urge the allied health professionals to be reasonable in their demands, suspend their strike, return back to work to join the doctors to continue the good work for the benefit of the masses.
Dr. Chiedozie Jude Achonwa Dr. Abdullahi Nasiru
Chairman, NMA-FCT Secretary, NMA-FCT

No more..no less

Crowniey:
what are you saying Mr, everybody has the right to read whatsoever he or she desires. I choose to be a Nurse because I want to not because my brain capacity could not cope with medicines. I can assure you that I will as well pass in medicine if i choose to. so stop saying what you don't know. it's still the same five credit we both use during our admission process Mr.

5 credits for where
Dey there dey deceive yourself.
Nah same jamb and post utme cut off too abi

Amarabae:
You read Microbiology/Biochemistry.
I know your issue,
You thought that you will compete with Medical laboratory scientists in hospital laboratory but got a big shock.
So you are out to attack Johesu especially med lab scientists out of bitterness.
.
Tell me one johesu profession that your microbiology or biochemistry is better than!
Show some respect.
.
And about your issue of answering doc,
What do you call a non medical doctor with PhD?
So why making noise?
If someone who has no PhD neither is he a medical doctor is seen answering doctor, then it's wrong.
Don't generalize.

This is the same hypocrite who is fond of complaining about how doctors look down on everyone.
But the bitter auxilliary nurse is here thrashing microbiology and biochemistry.

By the way, scientists from the basic medical sciences such as biochemistry, biology and physiology are pioneering all the recent advancements in medicine .

E.g the guys that won nobel prize in medicine for their findings about the molecular mechanisms controlling circadian rhythm.

Lastly, doctors won't form cool cats anymore. We won't allow you charlatans to get via the backdoor what we toiled for with our sweat and blood.

xreal:
Just read your comment again, does it sound right?

Is Radiology a specialty in medicine like Opthalmology, O&G, paediatrics and so on?
If so, pharmacy should then be a specialty in medicine.

Back to your comment, if Radiologist and Radiographers are of different Unions, then something is wrong.

Supposed workers if same profession in different union.

Let me stop here.

Get your facts.

Listen to correction. Radiologists are specialist doctors.

nobilis:
LOL.

First of all, you quoted the wrong post to say this your rubbish.

See how you are just feeding yourself and your followers with deliberate misinformation.

Maybe you need to go and consult your pharmacy professors in school.

In Nigeria, pharmacists are not allowed to prescribe medications.
Only doctors are allowed to prescribe medications.

You can carry your head and hit it on the wall as many times as you please.
That is how it is.

You've not finished doing your own job and duty and you're trying to claim one of the duties of doctors.
Tomorrow you guys will say doctors are suppressing you when it is obvious that you guys are the ones overstepping your boundaries.

God bless you for your submissions so far.
Imagine those charlatans blaming doctors despite the fact that they are the major culprits.

The recent documentary by bbc was an eye opener. The dispensers dispense opoids and other control drugs without prescription just for pecuniary gains.

Their cups would be full very soon.

Losers

Amarabae:
Watch your emotions boy,
Uncontrolled emotions leads to rage and usage of foul language.
It makes someone to have a poor sense of humor and it breeds sadistic nature.

And by the way, you are the first medical student I know that sleeps on social media,
It looks suspicious.
Be careful before it turn into an addiction and affect results.
That's an advice from me.
.
I will not be brought back to this thread.
This is the final note.
.
Signs Out!

And our resident auxilliary walks away with her tail between her legs

MrBigiman:
Bros make she enjoy am oh. I am a very peaceful somebody.

No allow Hippocrates turn for him grave oo
We must not allow charlatans like her have their way !!

Amarabae:
You are still a kid yet to graduate and know what the world is talking about.
I am sure that the "malaria and typhoid specialists " jibe pepper una for body especially that WesleyPepper that is earning peanut in private hospital.
My weekend soup money is equivalent to his monthly salary
.
Auxiliary ke, Artillery ni.

My bold presence hit you peoples nerves.
It's understandable.
All graduate nurses are bold and smart and don't tolerate nonsense.
It's in the blood.
Ask your seniors who are practicing.
.
Continue to train quacks and keep deceiving them.
Stop dragging me back to this thread

Your weekend soup money indeed ..
see this empty auxilliary forming kingkong on nairaland.
Bold presence kwa... you meant your bold BMI??

Auxilliary Amara wey no doctor apart from surgeons sabi reach.. Hahahahahahahahaha

MrBigiman:
U know much more than any physician except surgeons. They should make u a consultant already.

Enjoy!

Make an auxilliary nurse a consultant

danilmo:
Nurse amarabae,

is either ure daft, ignorant, crazy, joking , that I don't know ,
but am sure ure not normal with this..

but could it be that a post graduate nurse is ignorant as per medical facts?, (I don't wana belief)

or could it b just a joke?
no , what ll she gain with that joke, not in a case like this

maybe crazy,
hmm , neurons can misfire sometimes sha, don't wana rule this out..verdict..

spite on this,,,

Oga..you fall my hand sha.
That simpleton you quoted is not a post graduate anything. She's an auxilliary nurse

Johesu cry me a river !!
Heard one fat matron was one of the victims

Jman06:
These NMA guys are so shameless!!!

There is no residency training in clinical pharmacology anywhere in the world!!!

The qualification for the position of clinical pharmacologist is a PhD in clinical pharmacology and the individual must not necessarily be a medical doctor. Even a BSc pharmacology graduate that has done a PhD in clinical pharmacology can hold that position. The role is to give a guideline and coordinate clinical trial of drugs.

Btw, there is no conflict between the role of a consultant pharmacist and that of a clinical pharmacologist.

Lmao...the above piece is riddled with ignorance.

Johesu playing the ostrich as usual

Qasaforlife:
Am a female. I think they just want the government to increase their salary because of the high cost of living at least a top up .

Topping up their salaries without topping up doctors salaries would erode relativity. And that is not acceptable .

FreeConCiencE:
You guys are stooping so low by dignifying all these mere drug dispensers with brilliant answers. See the questions that put them off balance. Leave all these dispensers alone. You guys are far ahead of them. Their problem is inferiority complex. They don't even know that pharmacology is just an integral part of the voluminous work of a doctor. Yet, they are still being put off balance in pharmacology. Pharmacists are as useless in these country as P in psychology. Chemists are doing better than some of them. The only thing they know how to do best is rubbing shoulders with doctors. Lab scientists are more important than them. They will now start competition for space and job with chemists.

Sentiment apart, Pharmacists are very useless in this country. I would rather encourage people who may not be interested medicine/Dentistry to consider medical lab science than encouraging them for pharmacy just because, unless the person plans to relocate to another country, they are valueless and useless. Diligent lab scientists in the house.... I 'm proud of you guys even though there are few rogues among you guys too. I hold you guys in high esteem for brilliant test results from you guys. Come to think of it, why would I encourage someone to go and spend 4or5 yrs in the University and at the end of day, he will now start competition with chemists. The lucky ones that get dispensing jobs in the government hospital will now be rubbing shoulder with doctors due to low self-esteem and inferiority complex. Imagining going to the ward to review a patient that you are not invited to come and review and at the end of the day whatever you do doesn't make any difference or affect the line of treatment. Yoruba call it '' more gbo, mo ya ''. Shame on the Nigerian Pharmacists. No doctors will go and review a patient unless he is invited.

The nurses too, will claim they are the owners of the patients and they can do whatever any doctor can do apart from surgery. I pity you guys. what they know how to do best is to put their big butts in a very tight white gown and be tempting doctors and the patients with there laps and butts and then start gossip in their cubicles while patients need their attention. Many auxiliary nurses are more skilful and with high sense of mannerisms than our big-butted self acclaimed skilled nurses. Let me stop here for now.

True !! Boss.
I ll stop henceforth.
I think that big butt is a prerequisite for studying nursing

DABMarkNig2019:
I could equally have used google there and for you to be okay with those answers i gave shows the nature of dr you are . They typical nigerian type who knows nothing of individualised therapy. All they know is following a particular protocol once a patient presents with signs and symptoms of what they think they've handled before. who does that anymore?
I'm not a toxicology pharmacist...I'm not even in the clinical environment and believe me if you should meet with one who's in the same area of specialty as you and though he wouldn't be doing everything like you do cos of job description and division of labour, there's nothing you know that he doesn't have the knowledge of and he'll match you bumper to bumper if not even better than you...Could that be the reason NMA is fighting specialisation in pharmacy practice? saying subtly that we should concentrate on drug discovery and production. The health field is an evolving one with lots of innovations coming out weekly...naija drs should try to evolve too. The way NMA fought pharm.D then was like these guys are going to be trained to do drs stuff. That shouldn't be your fears as we know our areas of expertise and job description and as I will always say you guys should accept the fact that the dispensers of yesterday are today's clinicians. Our scope of practice keeps on expanding by the day. In climes where things works even though the dr leads the team he alone cannot reach conclusion on clinical matters. it's not only medical care that gets the patient well, there're other types of care too. It's a joint and team effort not this thing in Nigeria where the dr is all knowing.

This wannabe thing is another thing i can't understand. who brainwashed you guys to think that everyone in health sciences wanted to study medicine? for God sake medicine was my second choice and if you want evidence i can upload it here. I still have my jamb registration slip and result...i would have studied medicine if I had wanted...it's inglorious to me so stop hyping empty nonsense.

There was no point arguing further. I knew you used google.
The clinical question gave you away.

I honestly don't care about the rest of your rant
Peace !!!

Restroom:
.

How can I understand, when a neurosurgeon is asked to go and manage pregnant women at the antenatal clinic, because nurses and midwives are on strike?

How can I understand , when from your silly analogy of a neurosurgery doctor asking an O n G doctor about malaria in pregnancy, you advertise your crass understanding of ur own field?
]
What does n-e-u-r-o-s-u-r-g-e-r-y got to do with O & G in the antenatal clinic?

Is there any relationship between neurosurgery and O & G?

I just tested it statistically with Chi square and SPSS statistical tool and from my findings, it says, there is NO RELATIONSHIP.

You see the quality of your response?

That is why the health sector in Nigeria is in deep shit, because of 'Duck A' like you who know more about POLITICS than the practice of MEDICINE.

Answer these question: Is it standard procedure worldwide for a neurosurgeon to be in antenatal clinic attending to pregnant women?

Is it normal for a neurosurgeon to be in antenatal clinic treating pregnant women?

Does a neurosurgeon deal with malaria patients?

You mumu sha!

That is why I told you, that from your response, your IQ is below 90, the average IQ of majority of people.

You speak as if the symptoms of malaria in pregnancy, is a big deal.

That s something nursing and midwife students can tell you without thinking about it for 2 seconds.

The point of my article is this: many of you 'Duck A' are scams. Half baked quacks put in charge of managing human life in government hospitals.

The most painful aspect of quacks like you, is that, the public thinks you guys inside teaching hospitals are real experts. They do not know that many quacks like you are as ignorant about medicine as the lay man in the street.

Of course, back to your silly analogy, how can a neurosurgeon know the symptoms of malaria, when he has been instructed to go to antenatal clinic to go and help out?

It is not his specialty

He won't, so naturally he will corner the real Obstetrist and Gynaecologist, for deep insight. Expo of course.

But the innocent women at the antenatal clinic won't know they are dealing with a Brain doctor, instead of an O n G doctor.

So if you think I don't know what you are talking, think again, you are.I get your drift.

I am only amazed at your myopic response and how proud you are of your medical ignorance as a doctor, here on NL.

May God save us from 'Duck A' ignoramus like you, who think it is normal for neurosurgeon to be caring for pregnant women in antenatal clinic.

That is why I am pained, unknowlegdeable people like you hiding under the NMA and NARD umbrella as Doctors, running federal government health institutions nationwide, where thousands of unnecessary deaths occur monthly as a result of the grand incompetence and carelessness of Duck TOrs.

I stopped reading this poo half way. I thought you said you overheard the convo at ARD secretariat.

I knew before hand that my analogy would be beyond what your single digit IQ could decipher. Alas! I wasn't dissapointed.

By the way, there's no way a neurosurgery resident would help out in an ante natal clinic. Don't be foolish.

Pray tell the relationship between ARD secretariat and antenatal clinic You are a shameless liar!!

Now, run along and go choke on your hate !!!

emekatheo:
Mumu you and your team of quack doctors can not still tell me how hepatotoxicity in paracetamol poisoning occurs. Doctor! Doctor!! Almost 48hours and you and you team of 6 quack doctors couldn't come up with an answer. Shame on you and that you useless mbbs that has no other value outside the 4walls of your consulting cubicle. You mentioned Radiology, neuroscience, psychiatric, paediatric ,surgery , pathology, O&G which are areas in your field, what if I take you round in Pharmaceutics, Pharmaceutical Technology, Pharmaceutical microbiology, Pharmacognosy, Nanomedicine and Technology, Pharmaceutical chemistry, Drug design. If you are not a Pharmacist, you can never be a Pharmacist.

Waillers!!
Doctors are already stooping low according to you with their mbbs to come and study Pharmacy.
Jealousy and envy will continue to kill you.

If you are not a Pharmacist hide your face or go pick the next jamb form or DE form and apply with ur mbbs and start 2nd year.

See this loser with a single digit IQ.
You are still ranting about paracetamol.
We already thrashed that out here and even went ahead to discuss the morbid anatomy and GI medicine.

If you are still in doubt, I could give you the contact of a part 4 medical student so he could lecture you on NAPBQI , p450 , Gluthatione and the role of alcohol in acetaminophen toxicity.

Bye chemist !!!

Germanpoison1:
Yes, I said it no doctor knows it all, that is why there are specialties, subspecialties and even superspecialties in medicine.Like I said earlier, it takes an initiated to understand the dynamics of medical practice. Patients like you should also learn to present to the hospital in time and not coming to wake me up at night at very odd hours after jumping from prayer house to chemist to nursing home to a lab before finally coming to die in my hands so that you will get a death certificate.Patients like you should also comply with requests for very complex investigations I need to wrap up my diagnosis and not expecting me to do magic with the doctored laboratory results you get from a one store roadside laboratory technologist, patients like you should also be ready to move to the next referral centre once I discover that your case is beyond what I can handle in my facility and not dragging your feet because of money. I agree that there is no organisation without bad eggs, there are proud lawyers, there re proud nurses, there are proud engineers, there re very proud celebrities.Listen, pride has to do with the nature of the individual, there re proud doctors and there are also very humble doctors, so many of them.the problem with you is that you already have it programmed in your skull that virtually every nigerian doctor is proud and you move around with that mentality, these drs re also human beings with there own so much personal challenges and when you meet one especially one that has been chronically fatigued, because of ur mindset, you start developing inferiority complex and as i said later, wen you do so the person automatically develops superiority complex.
The problem with Nigerians like you is that you think the drs are your problem, and you dissipate all your energy insulting doctors, yet these guys have little or nothing to work with, the government has failed woefully in healthcare, basic facilities can't be found in government hospitals, and the private hospitals that manage to get those things are in for business and wnt render it at a cheaper rate, an average Nigerian cannot comfortable afford a standard health care, sometimes you watch your patient die in agony simply because you are handicapped, its so depressing, some drs go as far as helping out patients with there own personal money.But foolish people like you think doctors are the problem.What a country!!!As that your relative abroad that's if there is actually any, and he will tell you that some investigations that is seen as luxury here llke ct scan, MRI are just basic investigations over there, yet, some people can hardly afford to do E/u/cr here as fast as possible for you to take more decicions on there head, yet when they die, the relatives will blame the doctor.Now, when you come to government hospitals everybody expects the doctor to work diligently and effuciently yet when you walk into an immigration office to get your passport or frsc office to get your driving license it wil take donkey years to move your file from one office to another.As for your collaboration with other health workers, let me not delve into that matter because I am not used to such argument, you seem so far away from the reality so delving into that with you will tantamount to jumping steps.

Too much sense will not kill you sir

aribisala0:
.



Does government buy equipment for lawyers, accountants,engineers.butchers or vet doctors?

Must doctors be government employees? Have they always been ,must they always . Oponu ni awon obi re ni ile ti akoti abo

Improve your English




The Nigerian doctor needs to grow up, master separation anxiety and learn to live without government

Wetin person no go read for nairaland.
So, doctors should provide modern hospital equipments for government hospitals

You are not only ignorant but unreasonable as well.

danilmo:
oh, ur cry now is not about their ego
its now about how they should use their money to fix equipment in public hospital,
asshh, !! this ur level of reasoning is aching ...

in ur small head now pilot too should use his money to improve comfort in an aircraft
Drivers of those transport company should use their money to fix those buses they drive


u for kuku ma say doctors should start treating for free naw since they took the medical oath

no clinical importance dey ur brain..spit..

The guy you quoted is a clown who pretends to know a lot . He's so empty and ignorant.

TempoJames:
You haven't answered my questions. I think you are afraid to expose your incompetence.

Were u ever taught that in the first 3 days of administration that warfarin has thrombotic tendency and should be given along with another anticoagulant like I.v heparin for the first 3 days? No ...u just cram nonsense.

Look at you ...what a show of complete nonentity.

In the first place r all acute febrile illness malaria? Stupidity! That is how a pharmacist tx a 12yr old girl with menigitis as resistant malaria untill the girl came down with cranial nerve 8 palsy(sensorineural deafness).





You think I framed up those questions? Those are typically what a doctor is faced with. Not just drug-drug interactions. How many px have died by combining ciprofloxacin with paracetamol? But dare give digoxin to a px with heart failure secondary ishemic hrt dx the patient is as good as dead.
I don't expect a good clinical acumen from a pharamacist afterall you guys know nothing about pathology. You think microbiology is pathology?
Have you ever been to a morbid pathology, chemical pathology or hematology class?
Only a doc with good knowledge of hematology can answer my first question.
only a doc with good knowledge of morbid pathology can answer my third ?
Unlike a pharmacist, a medical doc's knowledge pf pharmacology doesn't end with just drug use,moakinetics n dynamics n indications/c-indications n sideeffects.....a doc studies step by step how a drug can modify, alleviate or even worsen a pathology.
A pharmacist can't make a diagnosis...ofcourse a pharmacist knows nothing abt pathology.



I have just teach you the answer to my no.2 question now answer no1 and 3 and prove to me you are not a total duns.

Don't kill the mumu nah.
In my school, the pharmacy guys only have clinical posting in basic Medicine 1 for about 6 weeks in their final year and they are only required to come 3 times in a week. I had friends there.

Imagine people like that claiming to know more than a physician because he did a watery 6 weeks posting learning the difference between signs and symptoms.

Isn't that laughable

The knowledge gap is just too wide. The JOHESU charlatans can keep deceiving themselves on nairaland but the fact is sacrosanct.

DABMarkNig2019:
ideally i shouldn't have given a response to this but just to put everything in the right perspective i it's needful to give you an answer although I'm surprised that you're being taught this at postgraduate level in medical sciences since you're a resident dr.
I will answer your questions one after the other.
1. The commonest route of administration of NAC is the intravenous route because onset of action is fastest through this route. IV route is also preferred because patients with PCM toxicity are always unconscious. If there is some levels of consciousness activated charcoal should be administered too.
2. The usual time to act after pcm toxicity is between 8 to 10 hrs but even at that anytime such a patient present to the hospital he should still be given NAC so late presentation should never preclude it's administration.
3. The site of the liver mostly damaged is the centre lobular because its a highly perfused part. The metabolic enzymes for pcm metabolism are are also found in high concentration there too so the most affected part.
4. Type of necrosis is fulminating hepatic necrosis.
5. signs of toxicity usually occur in four phases. If you are a good you should know.
6. Those signs are majorly encephalopathy, cerebral edema, raised intracranial pressure and of course jaundice.
I can't answer all your questions now...i just got back from work. I'm hungry but shocked that this what you're being taught in your so called post graduate studies...If you meet with a postgraduate clinical pharmacist you'll be ashamed of yourself.
Next time ask questions that are evidence base not this academic one.
No matter how you try to present yourself from research to health care the pxcist is your Lord

This mumu go copy google.
Wannabe doctor.. my last question gave him away.

Clowns who can't even lace the shoes of a pre clinical medical students

emekatheo:
Olodo answer my question and tell us how the hepatotoxicity occurs and stop peeing on your pant when a pharmacist is talkin. I already mentioned some of the answers to your fellow quack. It took you up to 24hours with the help of Google and your dumb colleagues to respond to a simple question on a simple and so common drug as paracetamol. Doctor! Doctor!! Relax and learn from a pharmacist, you errand boy and apprentice. Keep doing copy and paste of you consultant work from page to page and from folder to folder.

If you are not a pharmacist, hide your face.

Lmao.. The anonymity of the internet provides everyone the opportunity to say thrash and get away with it.

There's nothing to learn from you intellectually inadequate dispensers.
I'd rather learn from an experienced matron .

You folks are just one of the many things wrong with the country. You want to lay claim to what you are not. Smh

Bloody dispenser with a single digit IQ

Freddonance:
They always comment on what they know nothing about. He did not even read to comprehend the post

No mind the mumu guy nah

Restroom:
As I walked into ARD secretariat yesterday, around 11am, I overheard someone asking another person, what are the symptoms of malaria in pregnancy?

With style, information from his colleague, who was not on uniform.

It then occurred to me, that this ignorant Nigerian doctor, who earns nothing less than 250k every 30 days from the federal government, must be among the hoards
of doctors presently attending to pregnant women at the antenatal clinic where all nurses and midwives are on strike!

This is why the rate of patients deaths at the hands of ignorant and materialistic (NMA and ARD) doctors in UBTH is very high.

After 6 years studying medicine and now, probably on residency, this Nigerian doctor does not know the symptoms of malaria in pregnancy!

What a disgrace!

No wonder they refer to themselves as 'DUCK A'

Everyday, you see many UBTH 'Duck A' carrying big foreign textbook up and down! They ride SUVs and move about with electronic gadgets.

They don't know anything on their own, except their salary and how to quickly open their private clinics. Some will even open google in your presence and be browsing for prescription to write for you, when you visit the hospital.

Ask many patients about the speed UBTH 'Duck As' will write prescription for you before you finish complaining about your health concern.

And if you want to know how proud and ignorant 'Duck As' in UBTH are, ask the pharmacists in the hospital who regularly cancel wrong prescriptions given to patients by dumb ass doctors.
If not for pharmacists and even nurses, the rate of patients deaths would higher than what obtains presently, prior to the strike.

Even before the strike, students doctors on residency are among those in charge of UBTH. All the wards and clinics, including GPC are colonized by students doctors. The consultants are hardly around. The vast majority of patients who need consultants services are attended to by students doctors of all categories.

That is why the 'Duck A' above, who obviously has not spoken with the consultants assigned to him for a long, had no choice but to ask his colleague about the symptoms of malaria in pregnancy.

So, please nairalanders, make una help me educate this Nigerian 'Duck A' for UBTH on this question:

What are the symptoms of malaria in pregnancy?

Any information or advice will be highly appreciated.

So UBTH 'Duck A', I don't care what your name is: stay glued to nairaland for a few days as they teach you what you didn't learn in medical school for six years about malaria in pregnancy.

In the meantime, doctors like you and your colleagues are the reasons why there so many unnecessary deaths at the hands of quacks NMA and ARD doctors.It goes to show that you and many of your colleagues are scammers, milking the FG in the name of practicing medicine.

Living human beings have become live cadavers to be sent to their early graves, because you didn't have any to use in medical school. UBTH is now the real medical school to experiment with the practice of medicine with human lives.

For your information, death walk around UBTH every seconds or minutes through the carelessness and ignorance of many doctors in this hospital. To the point where even many doctors are scared of allowing their loved ones to come to the hospital for treatment.Others who have no choice, monitor their loved ones closely, because they know their colleagues kill a lot of patients carelessly.

Thank you.

The pain written over this piece of sh*t is palpable.
See this mumu dispenser.

Let me assume for a second that what you wrote up there is the truth. There's no harm in asking stuff from a colleague.

Perhaps that noble man is a resident in Neurosurgery asking a colleague who is a resident in O and G.

You don't expect anyone to know as much as an O and G specialist when it relates to the management of malaria in pregnancy..

By the way, I don't expect your single digit IQ to decipher what I wrote.

Ochek:
Facebook Post by a JOHESu leader ISTH...

There was an accident of a group transiting to Auchi from Benin. They were rushed to our A/E at Irrua.
There were no deaths, but minor bruises and cuts. But some have mandibular distortions and other degrees of fractures that may need some days in hospital and scans to be done. But they are all stable.
We swung into action trying to call some of our nurses, and store officers and union members to go help out, we didn't really ask who they were initially, and we didn't want to argue while accident victims suffer. They are all there now helping with the treatment of the injured as it was very clear that the Doctors were helpless at a point. I have called the HOD of general stores to help with treatment items. The HOD of Pharmacy has been on ground helping with pharmaceuticals, the Nurses have arrived as their chairperson mandated and we have the situation under great control.
After putting the anxiety to rest, we decided to really find out who the victims were and found out they are cleaners in UBTH not JOHESU members as being erroneously circulated in social media against the striking unions. A call to SSA chair, UBTH confirmed they are cleaners in UBTH & all outsourced staff and belong to no union in UBTH.
Well, we are happy to relax our strike a bit for the injured and we are happy to prove that treatments are difficult without JOHESU members. We are also happy to prove that we have a largely humanitarian mindset.
That's the summary of what happened.
...........JOHESU ISTH

See judas johesu betraying her members because of hospital politics.