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HealthRe: Ask The Pharmacist (If you have any questions,(FEEL FREE TO ASK ME) by ziga: 11:29am On Jul 16, 2014
sisiafrika: If anybody wanna commit suicide, I have ropes and other galenicals. @phantom,ziga,drcakes and the other imbecilic I.m.beciles.
Typical Nigerian mentality.

Why don't you be true to yourself?

That is the biggest problem with Nigeria.

And it cuts across all sectors. Doctors, Nurses, janitors, Politicians, Lecturers. etc.

If you were held accountable for your actions for example - giving medicine that would result in somebody's death, can you say you did so under best practices?
HealthRe: Does It Really Mean That There Is No Cure For Staphylococcus? by ziga: 3:05am On Jul 16, 2014
Stop wasting your money!!!
HealthRe: Ask The Pharmacist (If you have any questions,(FEEL FREE TO ASK ME) by ziga: 2:05am On Jul 16, 2014
zeezahbee: Mr ziga, so the doctors on NL that give prescriptions,counsel and advice did they do any assessment, oooo sorry spiritual assessment, you did E-scan and E-test for them , tell me. Kindly go to their thread and read, all you guys come here and criticize. I choose to ignore you ok. Since the pharmacists can't do it right then the doctors should come and reply people questions here.
Mrs zeezahbee.

You are a professional. Or at least you claim to be. So, do the right thing.

Not everybody who says he is a Doctor or Nurse or Pharmacist on Nairaland is telling the truth.

If you are really a professional, you will understand what I am talking about.

You can't prescribe correctly when you don't even have a diagnosis. You don't know whether the person you are asking to take a medication even has working kidneys or a liver.

Don't be a quack!!! You should be a voice on Nairaland to promote what is right. If you really are in the health sector.
HealthRe: Ask The Pharmacist (If you have any questions,(FEEL FREE TO ASK ME) by ziga: 8:23pm On Jul 15, 2014
Prescribing without a full patient assessment is wrong practice.

Also, anybody can claim to be anything on Nairaland.

If you can do it, a quack can come out next week to claim he is a Professor of pharmacology and destroy the lives of poor Nairalanders/Nigerians.

There is no way to verify your qualifications.

Let us stand for what is right and not destroy the medical practice in Nigeria any further.

With all due respect, I think it is wrong to tell people to buy medications that are dangerous and would normally need a prescription.
HealthRe: Nma Strike, The Nurses' Perspective. by ziga: 12:06am On Jul 14, 2014
Rilamaka: And I know as a Nigerian living in Nigeria (as it seems) you may not be able to understand the full implications of company policies. But if you do that makes my job easier as a result I can't go about spilling my hospital's director's name on social media just because I want to prove a point.
Google baby and you will improve your existing knowledge.
Rilamaka: Embrace Google baby...
You really got jokes.

Why should I be the one to embrace google. I would tell you that CMD stands for Chief medical Director, and they are always MDs.

But you seem to know something that I don't.

And I know that nobody has all the knowledge, so I humbly ask you to guide me, so that I may upgrade my knowledge.

And it is extremely ignorant of you to think that everybody who is on this forum is in Nigeria or to think you can bully your way through discussions.

This is an almost anonymous forum dear. Anybody could be anywhere. Maybe you just walked past me in the ghettos of Lag city wink
HealthRe: Nma Strike, The Nurses' Perspective. by ziga: 10:25pm On Jul 13, 2014
Rilamaka: Yes the hospital I work in, a nurse is the Medical Director. Lol! In England everything is about equality as long as you have the skills and prove that you are competent to take up the position the sky is your limit men.

Don't sound surprised Nigeria is a very very stereotypical country so I am schooling you darling.

That's why you see me arguing with you every step of the way, anything is possible with the right skills, training and experience, someone's background shouldn't hold them back. That's how things are been done in progressive areas.

I hope I have made myself clear.

PS: I was very very very surprised the day I found out that my hospital director was a Nurse because like every other Nigerian I was thinking that he was a doctor. You can imagine the shock... It's not anybody's exclusive reserve to lead the hospital.
Can you please give us the name of the "CMD" nurse.

I like to learn new things.
HealthRe: Salaries Of Doctors And Other Health Workers In Some Countries by ziga: 8:20pm On Jul 13, 2014
Sagamite: It seems you are too thick to even comprehend sarcasm.

If I call you a dunce will you say "Yes, Sir"?
I'm sorry sir :-)
HealthRe: Salaries Of Doctors And Other Health Workers In Some Countries by ziga: 5:06pm On Jul 13, 2014
Stop arguing about how intelligent anybody is or how long it takes to get through school or pass rates etc.

At the end, all that doesn't matter.

A doc is a doc and a nurse is a nurse etc, a pharmacist is a pharmacist.

What is important is the roles we play during health care delivery to our patients.

Also very important is the structure of the health care system. Players have to concentrate on playing their individually important roles without envy or disrespect.

And every structured organization should have a team leader. And the Doc is the team leader in the clinical/hospital setting.

The salary should be competitive, to reflect the roles and responsibilities that we undertake.

If the Govt is concerned about improving the health care of Nigerians, it is very important for the salary to be competitive and for them to have a system of paying for this.
HealthRe: Salaries Of Doctors And Other Health Workers In Some Countries by ziga: 2:49pm On Jul 13, 2014
Bitcoin: This is a funny post, I know nurses who make over $240,000 a year in NY, now bear in mind they have two jobs and work several hours of overtime.
Please hit me up quick and tell me where.

I have a few nurse friends in Maryland here that will like to get paid like that.
HealthRe: Salaries Of Doctors And Other Health Workers In Some Countries by ziga: 2:30pm On Jul 13, 2014
Sagamite: Abeg, no dey talk opata!

Improve what?

If you are not happy, call your lawyers and sue! grin grin grin

Your child na the first to die? Would he be the last to die? So what is your problem, you bloody slave of the British Credit System? grin grin grin grin grin
I can see children dying means absolutely nothing to you.

And this reflects the mindset of a few selfish Nigerians, as well as the mindse of the people who lead us!!!
HealthRe: Salaries Of Doctors And Other Health Workers In Some Countries by ziga: 2:29pm On Jul 13, 2014
Sagamite: Abeg, no dey talk opata!

Improve what?

If you are not happy, call your lawyers and sue! grin grin grin

Your child na the first to die? Would he be the last to die? So what is your problem, you bloody slave of the British Credit System? grin grin grin grin grin
I can see children dying means absolutely nothing to you.

And this reflects the midset of a few selfish Nigerians, as well as the mindse of the people who lead us!!!
HealthRe: Salaries Of Doctors And Other Health Workers In Some Countries by ziga: 2:03pm On Jul 13, 2014
carefreewannabe: Of course the cost is shared by all working people in Germany. This is what makes it cheap and affordable for a single person. And yet, they will ask you if you are ok with the quality of a hospital.
That is what happens in places where their leaders care about the health of their people.

Well... In the past, cars didn't even have seatbelts. But these days you have cars with 16 airbags.

Nigeria's health system is still in the stone ages because the health system clearly is run by people who have no interest in improving the quality of life for Nigerians.

In Nigeria, we can't be bothered with quality of care yet when we don't have enough Docs and the few we have are being enticed by foreign countries that appreciate them.

Our children are dying from malaria and disabled by polio and our mothers are dying in childbirth.
HealthRe: Salaries Of Doctors And Other Health Workers In Some Countries by ziga: 1:57pm On Jul 13, 2014
prettyprettywow: NMA starts at level 12 after NYSC, tell me any civil servant that starts at that? so what other relativity are we talking about? Until you start paying higher fees than others in school, then DO NOT TALK!!
And what is wrong with that?

As long as the wages he deserves corresponds to the wages earned by a Level 12 officer, there is nothing wrong with that.

Or would you prefer, that they be paid at level 1?

If that happened, do you think there will be any Doctors left practicing in the Nigerian health system?

Let us try to be non-sentimental about our judgement.
HealthRe: Salaries Of Doctors And Other Health Workers In Some Countries by ziga: 1:52pm On Jul 13, 2014
carefreewannabe: Did you really think I do not know how the health system and health insurance works in the country where I live?

I pay for the insurance every month and you think I am not aware of how it works?
Well, you sounded really impressed with the service and you also gave the impression that you paid little for that service.

Although, you did not do it yet, a lot of people seem to think that they are getting better service for cheap compared to Nigeria.

So, I was trying to stress that the good service was in fact not cheap, but the cost was shared by all Germans who pay for health insurance.
HealthRe: Salaries Of Doctors And Other Health Workers In Some Countries by ziga: 1:45pm On Jul 13, 2014
carefreewannabe: A relative was released from a German hospital on Friday. The hospital management gave us an evaluation sheet to rank the staff, doctors and nurses, cleanliness, friendliness, treatment and so on and so forth. We were even asked to make suggestions as to what can be done better in the future. And all this even though we didn't pay anything except for the monthly insurance, which is quite cheap.
Well... you didn't pay much, but some other people did. All the other Germans that have money taken out of their salaries monthly.

That is how insurance works. Healthcare is not free or cheap.

Nigeria's system is dependent on the FG who are busy chopping the money that should go into Healthworkers salaries and proper healthcare delivery like you received in Germany.

Better soup, na money dey make am.

Where the FG has failed, maybe we will have success with privatization.
HealthRe: Salaries Of Doctors And Other Health Workers In Some Countries by ziga: 1:41pm On Jul 13, 2014
emmaliver: . you have just shown how ignorant you are. and please shut ur stinking mouth.... Any MBBS holder is a fully qualified doctor and is capable of practising unsupervised and carry out all treatments( including surgeries) withing the limits of his skills In this country and in any other country where he/ she has passed their board certifying exam. Going further to do residency and become a specialist. is a post graduate qualification n if the person desires to go deeper into a clinical specialty.....when next u open or gory mouth to talk. check your facts.
You are the one who has just spewed BS.

The fact that you have a MBBS allows you to practice in Nigeria but that does not give you the right to even qualify to take any board exams in many countries.

Board certification is not just about writing an exam, you have to spend time in the practice of that specialty before you qualify to write the exam.

What prettyprettywow stated was correct!!!
HealthRe: Salaries Of Doctors And Other Health Workers In Some Countries by ziga: 1:25pm On Jul 13, 2014
prettyprettywow: Consultants are paid fairly well compared to other health workers in Nigeria. that is the main reason why NMA does not want consultancy status for others. Unless you are saying that they deserve to be paid like US Drs. If you agree with that of the resident Drs, then let's introduce that into nigeria. Imagine resident Drs that are still under training going on strike. Only in Nigeria.
Nigeria's health system is structured different from the US. In the US, Docs generally can't practice until they have gone through a residency. Their first year in residency is regarded as their internship year.

Nigeria's system is fashioned after the British system. You only do 1 year of Internship (mini-residency if you may call it). For better delivery of healthcare and Doctor training in Nigeria, especially with how difficult it is to get into residency programs, I think our health system will benefit from maybe 2 years of post graduate training for all Nigerian Docs. However, that is not the current issue at hand.

The fact that a Doc hasn't gone through a residency or has not become a specialist in Nigeria does not in any way diminish his responsibilities when he works in the capacity of a Doc. Specialists have responsibilities in a specialized field and the non-specialists have responsibilities in a general field. Therefore, they should be remunerated for their efforts.

There are other problems in the Nigerian health sectors. For example, lack of facilities for training as well as healthcare delivery makes Specialists work in the most rudimentary way, thereby blurring the lines between specialists and non-specialists.

Bottom line, the Nigerian health system is in pieces, but unfortunately, all these bickering and competition with Docs will continue to make things worse.
HealthRe: Salaries Of Doctors And Other Health Workers In Some Countries by ziga: 1:12pm On Jul 13, 2014
bumfem: Awesome!!! Pls let us always feed the public the truth, nothing but the truth.

The guy has posted the salary of of consultant physician in the US in comparison with entry level grads. Doctors out of schl never earn up to sonographers. We all know this .
In what part of the world does that happen?
HealthRe: FG Challenges NMA To Public Debate. by ziga: 9:30pm On Jul 12, 2014
prettyprettywow: when we achieve privatization, then drs will have to pay for their residency training like they do abroad and not expect to be paid to be students, Then we will see how they will demand for #100,000 hazard allowance from their employer
Dude.

Most developed countries pay their resident Doctors almost as much as so called consultants earn in Nigeria.

They value human life there, and they take care of the people who care for the sick.

Nigeria doesn't offer the health system as a whole nothing (not just Doctors)

Privatization will be good. People will be paid based on productivity and not seniority or "level 1 - 20"

You either make yourself useful or you get out!!!
HealthRe: NMA Vs JOHESU Vs FG Vs Patients........ Why the hatred for doctors??? by ziga: 3:14pm On Jul 12, 2014
kmariko: New california law on pharm.Ds

Section 4052.6 is added to the Business and Professions Code, to read:
(a) A pharmacist recognized by the board as an advanced practice pharmacist may do all of
the following:
(1) Perform patient assessments.
(2) Order and interpret drug therapy‐related tests.
(3) Refer patients to other health care providers.
(4) Participate in the evaluation and management of diseases and health conditions in collaboration with other health careproviders.
(5) Initiate, adjust,or discontinue drug therapy in the manner specified in paragraph (4) of
subdivision(a) of Section 4052.2.
(b) A pharmacist who adjusts or discontinues drug therapy shall promptly transmit written notification to the patient’s diagnosing prescriber or enter the appropriate information in a patient record system shared with the prescriber, as permitted by that prescriber. A pharmacist who initiates drug therapy shall promptly transmit w ritten notification to, or enter the appropriate information into, a patient record system shared with the patient’s primary care provider or diagnosing provider, as permitted by thatprovider.
(c) This section shall not interfere with a physician’s order to dispense a prescription drug as written, or other order of similar meaning.
(d) Prior to initiating or adjusting a controlled substance therapy pursuant to this section, a pharmacist shall personally register with the federal Drug EnforcementAdministration.
(e) A pharmacist who orders and interprets tests pursuant to pa ragraph (2)of subdivision
(a) shall ensure that the ordering of those tests is done in co ordination with the patient’s
primary care provider or diagnosing prescriber,asappropriate, including promptly
transmitting written notification to the patient’s diagnosing prescriber or entering the
appropriate information in a patient record system shared
Thank you for the info.

These are the duties of a clinical pharmacist. And I have worked with a few excellent ones.

Their role is not supposed to compete with the roles of a Medical Doctor. Rather, it is complimentary. The Doctor is still the primary care giver and that is why everything still has to go through him from what I can read up there.

And as long as the patient's well being is the ultimate goal, and people practice within the scopes of their practices, everything works fine.

Also in developed countries, people are judged and held responsible when they go beyond their responsibilities.

In Nigeria, we don't even know if the so called Doctor is a real Doctor. We haven't fixed basic problems yet.

Nigerian Docs feel like a lot of other professions are encroaching into their duties. And this is very true.

In Nigeria, anybody can walk into a pharmacy and pick up so many potentially harmful drugs without even being diagnosed.

We are all responsible for the mess, but we need leaders who can lay down rules for us to follow. Unfortunately, they are the ones that have muddled things up and allowed the encroachment which has led to this mess.

In Nigeria, everybody is a "Doctor" in his own right.
HealthRe: Seriously, Doctors Are Small gods - Funke Egbemode (Sun News) by ziga: 2:37pm On Jul 12, 2014
franklininu: its so annoying when dr claim they know and can do the work of other health professionals.. stop trying to fool public. The first Dr i worked wit in a private hosital, he is a nice man and respect him alot. but the sad thing is that He was using his trained nurses to run test in his lab. Some of these nurses didnt even finish secondary school but they are there giving out unimaginable results. I then look at one slide prepared by these nurses for malaria parasite under the microscope. I then ask them pls show me the malaria parasite, they end up showing me red blood cells. I was like really? They said thats what the Dr taught them. So i went to call the Dr to clearify things. To my greatest surprise he was pointing crenated red blood cell as malaria parasit which resulted from poor fixing.I didnt border to correct him bc pride factor may follow. This is just simple malaria. I also know what i pass through trying to show another dr how to identify the organism that causes TB under the microscope bc he is finding hard to spot them and at the end of the day he end up say "these things can only be identify by trained eyes". Thes are just some of the simple things in lab yet... if one of these dr is here they wil be the first to say they can do the work of a nurse, medical lab scientist, pharmacist etc
your good in ur feild but dont over do it.

Dr The world is big enough to contain everybody.
Ok. You have just told us about a Doctor that YOU believe doesn't know how to identify MPs.

The solution should be to have an agency that governs how any lab should run and periodically verify their lab results to make sure it is adequate.

I don't think it is connected to the issues surrounding the strike. At least not directly.

If we continue to argue emotionally, without putting the lives of Nigerian citizens first, the problem of recurrent strikes will never end.

Leave your sentiments out of this.
HealthRe: Seriously, Doctors Are Small gods - Funke Egbemode (Sun News) by ziga: 2:28pm On Jul 12, 2014
Hearme: St Gerald Hospital is run by an administrator. Its a big hospital in Kaduna in which many consultants and other health professionals do work. We only have a weak law here in Nigeria. That an issue has been legitimate for a thousand years does not make it right. We as individuals must embrace change. What I expect the NMA to do is not to begin to antagonize but as intellectuals think well to fight a good cause for their members. E.g Technologist in the universities fought for an upgrade of their Hazard allowance they got it, but a science lecturer who is involved in the practicals and research does not earn that hazard allowance because his union did not fight for that thus all lectures irrespective of the position earn 4K as hazard per annum which is equivalent to about 333.33 naira montly. NMA should think deep and act like the senior union rather than arguing and quarrelling. Remember ASUU fought during the strike but what was released was for all unions even though it was only the salaries of ASUU members that were stopped.
I see what you are saying, but the big problem is with our dubious people and Government.

What is with all these "shady" allowances? This is why strikes will never end in Nigeria.

That is how politicians earn millions for doing nothing. "Furniture allowance, standing allowance, talking allowance"

Can't employees just have a pay package without all these hidden allowances?

That is the ploy that allows people to request for what they don't deserve!!!

Also how can level 1 to 16 or whatever they call it be how you determine a worker's remunerations?

What level is the President? or Governor or Senator? Did they skip level 12 too?

Abeg privatize everything joor and let people who are concerned about the progress of their business run thing.
HealthRe: Seriously, Doctors Are Small gods - Funke Egbemode (Sun News) by ziga: 2:17pm On Jul 12, 2014
InvertedHammer: @ziga:
Read phantom's response.

I will not engage you any more. You lack basic reading and comprehension skill.

@phantom:
Pay attention to my previous statements which included this subtle clarification, "not that these guys are not intelligent..."

In summary, doctors should be the only medical consultants in a hospital.
I read your post. And my response was to your post and not to phantom's post.

So forgive me if I am not going to read phantom's post.

And I think you shouldn't engage me any more!!!
HealthRe: Seriously, Doctors Are Small gods - Funke Egbemode (Sun News) by ziga: 1:46pm On Jul 12, 2014
InvertedHammer: Are you just typing for the heck of it?

They handle life-threatening situations. Yes.
How well they handle the situations calls for debate. This could be attributed to many factors such as lack of equipment, poor training, etc.

I hope you get the true picture now.
No I don't. I'm trying to tie your multiple statements together and they are contradictory.

So, because you think Doctors already get what they deserve, then the Nigerian people get what they deserve, and they deserve lack of equipment, poor training of the Docs supposed to treat them?
HealthRe: Nma Strike, The Nurses' Perspective. by ziga:
ignis: Are medical practitioners supposed to even embark on strike?
I thought the major driving force to the profession is passion to save lives.
Yes, they can strike.

People in the health sector are expected to have the passion to save other people's lives while they are at work.

Doctors on duty have a legal commitment to their patients based on their oaths. But you are not a Doc all the time. Other times, you are a mother, a friend, a daughter, etc.

So, when they are off duty or they are on strike, they are not bound by these legal responsibilities. They are citizens, just like you.

Or would you like it if you can't share your matrimonial bed at night with your "passionate" medical Doctor husband who is never around for you and your children.

For example, even the most passionate banker will not open vault for you when the bank has closed or the most passionate taxi driver will not take you anywhere when there is no fuel in his car.

Bottom line, no matter how much passion you have for your job, there are factors that sometimes make it impossible like Government policies, family, other competing responsibilities.

The Government is responsible for providing what it thinks is important for its people, and if our Government doesn't think an organized healthcare is important, then we are all in trouble.
HealthRe: Seriously, Doctors Are Small gods - Funke Egbemode (Sun News) by ziga: 1:20pm On Jul 12, 2014
InvertedHammer: Yes. That's what they deserve. Doctors in Nigeria put in more work hours and handle more life-threatening situations sometimes more than other professionals. Their remunerations are not bad either.
No one gives what he/she has not. The doctors can only practice within their knowledge spectra which regrettably is very abysmal. Not that these folks are not intelligent. But the curricula on which their trainings are based are incomplete.
Your statement is filled with contradictions. Doctor face and handle more life threatening situations, yet their scope of knowledge is abysmalhuh

So, therefore. Nigeria's women and children deserve to die from Malaria, Pneumonia and other preventable or treatable medical problems in the hands of these Nigerian Doctors.

If that is your stand, i know you do not speak for the people of Nigeria and I pray you are not involved in making Nigeria's decisions.
HealthRe: NMA Vs JOHESU Vs FG Vs Patients........ Why the hatred for doctors??? by ziga: 1:02pm On Jul 12, 2014
dakotchic: Justin
Thanks for all that info.

The big reason besides pay differences for not duplicating titles to avoid confusion for patients and others.

In developed worlds, you have to identify your function to every patient - Doctor, nurse, nurse assistant, physician assistant, nurse practitioner etc.

Even Pharm. Ds do not identify themselves as Doctors because of the potential for confusion. The ones that have clinical roles will tell patients that they are pharmacists.
But the envy and the love of titles in Nigeria is just unbelievable.

Also duplication of all these names will encourage quackery. And by the way, why do we need more "consultant" titles. The only thing I can see is for increased paychecks or aspiration towards some benefits for medical consultants.

The consultants we have haven't even cured malaria. It is still the biggest killer of children in Nigeria. Women die like chicken from childbirth!!! Simple preventable things we never do!!!
HealthRe: NMA Vs JOHESU Vs FG Vs Patients........ Why the hatred for doctors??? by ziga:
kmariko: Sir I beg to disagree, In california Pharm.Ds with advanced training can see patients not just drugs ( a new legislation )

Secondly, a doctor does not have to countersign a prescription written by a physician assistant. Some physician assistants own their clinic and a collaborative MD ( who are just there on paper).

No... Nurse practioners are not the only ones that can replicate doctors,. they do not replicate doctors but function within the limitations of their training just like doctors.

It will be nice if you can read up on each states specific laws.... they are not uniform.

Lastly, it does not matter the field a lot of work is required in training in any professional field, it is not limited to health care.

thanks
Well, we learn everyday, and I have tried to search for the new legislation that makes pharmacists able to see patients in California. If you have the link to that info, I wouldn't mind to be educated on this.

And within certain limits, and also with additional training, I think it is reasonable for pharmacists to be able to prescribe certain things. However, in countries where that can happen, there has to be a way of enforcing laws to make sure they do not go beyond their scope of practice and that patients are protected.

In Nigeria, you don't even know if the person claiming to be a Doc in front of you is adequately qualified. Adding to that mess will definitely be a problem. Nigeria's health sector has a lot of problems and it is the people who suffer.

PAs (physician assistants) can not bill by themselves. If I said they can't prescribe, I apologize. They definitely have limited prescriptions rights.
About owning a clinic, anybody can own anything, but you have to operate within the limits of the law and as a PA, you always need to have a supervising physician.

4. Change without regulatory effect amending subsections (c)-(d) filed 8-7-2013 pursuant to section 100, title 1, California Code of Regulations
(Register 2013, No. 32).

1399.545. Supervision Required.
(a) A supervising physician shall be available in person or by electronic communication at all times when the physician
assistant is caring for patients.
(b) A supervising physician shall delegate to a physician assistant only those tasks and procedures consistent with the
supervising physician's specialty or usual and customary practice and with the patient's health and condition.
(c) A supervising physician shall observe or review evidence of the physician assistant's performance of all tasks and
procedures to be delegated to the physician assistant until assured of competency.
(d) The physician assistant and the supervising physician shall establish in writing transport and back-up procedures
for the immediate care of patients who are in need of emergency care beyond the physician assistant's scope of
practice for such times when a supervising physician is not on the premises.
(e) A physician assistant and his or her supervising physician shall establish in writing guidelines for the adequate
supervision of the physician assistant which shall include one or more of the following mechanisms:
(1) Examination of the patient by a supervising physician the same day as care is given by the physician assistant;
(2) Countersignature and dating of all medical records written by the physician assistant within thirty (30) days that the
care was given by the physician assistant;
(3) The supervising physician may adopt protocols to govern the performance of a physician assistant for some or all
I just copied a part of the PA(physician assistant) code of conduct from California.

It is true that each state might have slightly different rules, but the backbone is always the same with variations from state to state.

The only people besides MDs who have limited ability to diagnose and treat are Nurse practitioners and they are adequately trained for that role, with limitations, and they do NOT parade themselves as doctors or compete to earn Doctors wages.

That being said, it only makes sense that if you increase a Nurse practitioners wage, you have to also increase a Doctors wages appropriately.
Our Government or whoever is making these decisions is the one causing all these problems. If you increase JOHESU, you have to increase CONMESS.

They tried separating them, but they are tied together.
HealthRe: NMA Vs JOHESU Vs FG Vs Patients........ Why the hatred for doctors??? by ziga: 2:24am On Jul 12, 2014
kmariko: That is UK, in some other climes, A nurse practioner, a Physician assistant or and advanced Pharm.D or Nurse can see you first before the MD... It is the choice of the patient not the doctor who the patient sees first...
Medicine is a product and like any product it is the patients to choose and not be forced into a choice they dont have to make.
You don't really understand the rules.

Healthcare over there is wholistic and cooperative.

A pharmacist will see a patient to discuss his medications, make sure he is taking them right and also to make sure there are no potential drug-drug interactions or errors.

A physician assistant has to work with a Doctor. Everything they do has to be supervised and countersigned by the MD. They see patients first so that healthcare can be cheaper and the Doctor only has to oversee and would only spend time on very sick patients who need a lot of care.

Nurse practitioners in certain situations are the only ones that can replicate the duties of a doctor in a very limited capacity. It is all about reducing cost. It is easier to employ 2 doctors and 1 nurse practitioner than 3 docs.

A lot of work goes into the training of a Nurse practitioner, and this system works only in a place where people know their limits and laws are enforced. Not in a place like Nigeria where a quack nurse is parading himself as a Doctor and killing poor Nigerians.

Nigerias health system just like most systems run by the FG is totally crap. PRIVATISATION!!!
HealthRe: NMA Vs JOHESU Vs FG Vs Patients........ Why the hatred for doctors??? by ziga: 2:17am On Jul 12, 2014
warrior01: Hate doctors? The fact is those people in Nigeria that parade themselves as Doctors, don't know what it really means to be a mreal doctor. No ethics, no compassion and no proffessionalism. All we have is a bunch of greedy people that is full of unnecessary pride. If you doubt me, why do our people rush to India for proper treatment?
Ask those that go to India how much they pay the Doctors over there for the care they receive.

You can't break the laws of life.

Soup wey sweet... Na something dey inside am?

Ask your Government to do the right thing.
HealthRe: FG Challenges NMA To Public Debate. by ziga: 2:01am On Jul 12, 2014
DebateNigeria: Debate is good news.
First of all, health managers should take charge of our hospitals, that will put an end to this fracas. The doctor should be second in the hierarchy while others follow.
We are currently having a debate in the previous NMA thread. I am yet to see any hospital in the USA where a laboratory scientist or a pharmacist or a nurse is made head over a medical doctor. Most times they make health managers head of hospitals, these are people with vast knowledge on management, they are business minded and goal oriented. It's not enough for a medical doctor or any other health worker to work for several years and automatically earn the position meant for managers. Doctors should be made head of clinical services while managers, economists et al head the hospitals.
Don't mind how people react based on emotions and mix a lot of things up.

In developed countries where they have hospital management, their responsibilities are totally managerial and they do not make clinical decisions without consulting with the appropriate clinical specialties.

And the overall head of the clinical team is the chief medical director, who is always a MD.

I don't care about managers being employed to head hospital managements in Nigeria, as long as they make good management decisions and improve quality of life for Nigerians.

Doctors in Nigeria are grossly underpaid, that is why Doctors are trained for cheap in Nigeria and the leave the country for more competitive jobs in developed countries where they are appreciated.

I don't understand how Nigerians are clearly being robbed by their own leaders and they don't see.

Well... we get the leaders we deserve.
HealthRe: Seriously, Doctors Are Small gods - Funke Egbemode (Sun News) by ziga: 1:13am On Jul 12, 2014
Being a Doctor is a job. Just like being an Engineer, a Farmer or an Actor.

If people are reasonable, you all know that a Doctor can't be your job all the time.

You have responsibilities towards your patients while you are at work.

But when you are not at work, you have responsibilities towards your wife, children, relatives, friends.

Some of those responsibilities involve paying bills, giving them your time and your love.

The Strike is an unfortunate situation and only reflects a failure of our leadership in Nigeria.

However, Doctors have a right to strike to press home their demands just like every other union in the country.

Being a Doctor is a calling, a job, a responsibility while you are on duty. But when you are not on duty you have a responsibility towards other people in your life.

When a Doctor is not on duty or is on strike as the case maybe, as harsh as it may sound, he is only responsible for whatever he chooses to be responsible for.

The Government and the people who we vote for are the ones responsible for ensuring adequate healthcare for Nigerians.

The big picture is that a human life means nothing to our Government and by extension, to most Nigerians. So, the amount of money that is put into the health sector is a reflection of the value that our Government places on Nigerian lives.

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