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HealthRe: Should Non-doctors Head health Institutions? by ziga: 12:27pm On May 04, 2013
frednest@yahoo.:
its like u dnt have knowledge of coronary heart disease or coarctation of aorta,so in that case u should go bck to skol. The consultant was treating symptom and ignoring the root.
Please, stop exposing your ignorance!!!

Stop it!!!
HealthRe: Should Non-doctors Head health Institutions? by ziga: 1:09am On May 03, 2013
frednest@yahoo.:
Medical lab scientist tells Doctors wat to do. Imagine a case of an innocent patient with high BP met a consultant dat prescribed drugs for her,but she insisted for a test but he turned it down,but the woman was not satisfy and went straight to d lab and got tested and her result shows dat she has hyperlipidaemia,and went to dat same hospital but unfortunately she didn't meet d consultant but met d Reg. In fact,the Reg almost fainted and apologize on his behalf and tell her to cancel dat drug that d consultant wrote and prescribed another drug. So tell me who is now supreme in patient diagnosis? Who is now saving lives? Doctors claim dey know laboratory cos they did it skol common interpretation of lab result they cannot,now they are sending Resident doctors in pathology to come and learn how to do lab test from med lab scientist. Med lab scientist said no unless they go back to skol and read med lab science,they said dey are going on strike. Do your profession and leave others profession alone,jack of all trade but master of none.
Cityguy: OK, what drug did the resident prescribe? The statins? And that brought the BP down? Tell us what followed as this is not enough. If I happen to be the said consultant, that resident will repeat his rotation over and over again till he knows his position in the scheme of things!!!
I read Mr. Lab scientist post and it made absolutely no sense... Hyperlipidemia turns into Hypertension through a lab test. Chai, Super story!!!

I think Mr. lab scientist will do better at writing Nollywood scripts.
HealthRe: Should Non-doctors Head health Institutions? by ziga: 3:36pm On May 02, 2013
frednest@yahoo.:
Everybody in medics are all medically inclined enough for one group to say they are jack of all trade. For God sake! Wat is medicine and surgery in health institution? Every dept in skol of medical science cut across each oda,that why everybody in different dept in medical skol pass through the core course of medicine and surgery,which is:physiology,biochemistry and anatomy which is the basic and core couses in medical skol, Clinicals are modification of these courses. If not for laws for each profession in health,if given the chance can't an Anatomist perform surgery?if a medical lab scientist can diagnose and and also know the specific drug so I wonder why doctors will say they know it all? When our hospitals were run by health administrative nigeria hospitals were competing then in Africa because the system were working. But now strike everyday,misdiagnoses,wrng prescription and death. Nigeria health is now ranked 52 in africa. Let health admin take over so that harmony will come to our health system.
You clearly don't know what you are talking about. For you to be thinking that Anatomy, physiology, biochemistry is the core of medicine.

In that case anatomists should be able to practise at least a 1/3 of medicine.

In actual fact, a lot of the Anatomy, biochem and physiology that are taught in Nigerian med schools are unnecessary for the practice of medicine.

Nigeria's health system is where it is because people are not playing their roles, and everybody is going beyond his scope of training.

Leave the DOc's job to DOctors alone, and do yours.

Educate yourself my man!!!
HealthRe: Should Non-doctors Head health Institutions? by ziga: 3:26pm On May 02, 2013
sinie: Its no more generalisation and definitely not Minute if its constant. I have worked in a teaching hospitals and don't even let me start on the mistakes I see EVERYDAY else we won't leave here. Your fellow doctors come into my pharmacy and ask ME what to write in their prescription. And YES I change doctors prescription ALL THE TIME. And if I feel the drug is wrong and the doctor refused to change it I DO NOT dispense it. Am not going to be responsible for causing a patient harm because of a doctor's arrogance. Am not going to say the name of the hospital I work cos of the anonymity of this forum but we pharmacist go to your clinical meetings to TEACH u guys HOW to write prescriptions. The clinical presentation from companies is just pharmacits teaching doctors about new drugs and advancements in medicine. When I worked in OnG pharmacy I TELL some ignorant doctors EVERYDAY what drugs and antibiotic a woman for CS should take. And yes if a doctors gives me a prescription that's wrong I tell him to change it. I don't care if his 'consultant' was the one that wrote it. Then he should tell his 'consultant' to change it.
Now all these is deviating from the issue which is 'should non doctors head hospitals' and the answer is a big yes. Don't confuse us with wikepidea entries. No one expects a nurse to be a Chief medical Officer or a doc to be a Chief Nursing officer. But who should he the hospital administrator. The 'CEO' of the hospitalhuh? the answer? Anyone with good administrative and managerial training. Shikena!!
Well... from what you have admitted to here. Nigeria clearly has a lot of problems, and YOU ARE one of them.

With everybody trying to be a doctor, you are clearly the same as the quacks that come to you asking "what to write"

Naija is a mess. And the advise I give to anybody out there is to make sure you know the credentials of whoever is writing you a prescription. Human life means absolutely nothing there.

Back to the order of the day. I'm happy you have seen the light and now, you admit that the CMD should be a doctor.

Any smart organization can create a chief administrator/CEO position. As long as there are no duplication of responsibilities,and duties are clearly designated as per the person's training, that shouldn't be a problem
HealthRe: Should Non-doctors Head health Institutions? by ziga: 3:05pm On May 02, 2013
sinie: Excuse me. I know PLENTY about the medical field and I will say it again and again. If not for pharmacist's intervention most patients will go home with the drugs prescribed for the and 'poison' hemselves. If the pharmacist should document ever medication Error the doctors make in his. prescription. Ranging from wrong drug to wrong dose and interactions, I swear nobody will ever take a drug prescribed by a doctor without a pharmacist's advice. Just yesterday my sister was just talking casually about the drug she was placed on and I noticed that she taking the same drug both IV and tablet. I asked her to ask the doctor when he was giving her both IV and tablet @ the same time and when she asked him he said it was a 'mistake'. If that hospital was a standard hospital with a pharmacist on duty will such a 'mistake' have been made? That's just one out of millions of examples of ways pharms help doctors prevent 'mistakes' everyday. And you are claiming they are more knowledgeable aboùt drugs than pharms. Don't display your ignorance...
D
Mr Sinie...

By trying to clarify what you perceive as medication errors, you are performing your responsibility as a pharmacist.

The health team should work together, and every member of a health team is responsible for catching med errors. Pharmacists administer wrong pills to patients, nurses give wrong doses and meds too.

All members should work together, and with every team, there has to be a leader. And the Doc is the head of the team...
HealthRe: Should Non-doctors Head health Institutions? by ziga: 2:57pm On May 02, 2013
sinie: Excuse me. I know PLENTY about the medical field and I will say it again and again. If not for pharmacist's intervention most patients will go home with the drugs prescribed for the and 'poison' hemselves. If the pharmacist should document ever medication Error the doctors make in his. prescription. Ranging from wrong drug to wrong dose and interactions, I swear nobody will ever take a drug prescribed by a doctor without a pharmacist's advice. Just yesterday my sister was just talking casually about the drug she was placed on and I noticed that she taking the same drug both IV and tablet. I asked her to ask the doctor when he was giving her both IV and tablet @ the same time and when she asked him he said it was a 'mistake'. If that hospital was a standard hospital with a pharmacist on duty will such a 'mistake' have been made? That's just one out of millions of examples of ways pharms help doctors prevent 'mistakes' everyday. And you are claiming they are more knowledgeable aboùt drugs than pharms. Don't display your ignorance...
D
It is ignorant that you will generalize based on your minute experience. If the argument is about who makes more mistakes , please lets start another thread.

We are talking about responsibilities here.

You clearly don't understand your duty as a pharmacist. You can NOT change a doc's prescription. because it is HIS prescription with HIS signature, and in most instances, you CAN NOT write a prescription as a pharmacist because your training is not enough in that aspect of medicine. If you have a problem with something that a doc wrote, you call him to clarify.

What you are practicing is the same reason for this argument. People do not stick to where their responsibilities end!!! You want to prescribe, Go to medical school. SIMPLE.

I don't know what kind of rules apply in the neck of the woods where u live!!!

If you are knowledgeable enough, you will know that sometimes medication doses are different depending on what you are trying to treat. But the pharmacist doesn't know what the prescription is for.

The level of ignorance on this thread is astounding!!!
HealthRe: Should Non-doctors Head health Institutions? by ziga: 2:29pm On May 02, 2013
Hospitals can have administrative chiefs/CEOs or whatever you want to call it.

But the CMD/CMO position is occupied bu a Medical doctor.

Sometimes both positions are combined if the CMD/CMO has enough administrative capabilities/experience.
HealthRe: Should Non-doctors Head health Institutions? by ziga: 2:23pm On May 02, 2013
mintyx: Im enjoying this thread. Its filled with intelligent people, the ignoramus, the arrogant etc. I just want say something about a post by @Ziga that claims that doctors know more than druggist! I see that as a lie from the pit of hell!
A druggist researches on an ailment, mixes chemicals to produce a drug, tests the drug on laboratory animals and humans and based on his findings, he formulates the right dosage the drug can be used to achieve maximum result, the doctor uses it and the credit goes to him! Yeah i dont have a problem with doctors getting the credit but im just wondering how arrogance can blurr some folks vision not to see that a difference exist here. Im not a druggist though!
Lets not get into arguments about how drugs are made. If you know your info well, you should know that medics are involved during the development and in the interpretation of results.

I'm not about down-playing the importance of any profession.

All i am saying is that we have parts to play in the health of a patient, but the ultimate responsibility rests on the doc. The doc is responsible for prescribing, but not the "druggie". In developed societies,this happens SOMETIMES with the help of a "druggie", BUT the doc is ultimately responsible for what the patient gets, and whenever anything goes wrong, the doc is the one who is called and he is the one who will take most of the responsibility because his signature goes on file as the prescriber.

This only applies in places where rules are followed, and not in societies where everybody is trying to take up the responsibility of Doctor... Which explains why our health system is in shambles.
HealthRe: Should Non-doctors Head health Institutions? by ziga: 12:51pm On May 02, 2013
I don't understand why Nigerians always want to create their own version of reality!!!

Chief Medical Officer
From Wikipedia, the free encyclopedia
Chief Medical Officer (CMO) is the title used in many countries for the senior government official designated head of medical services, usually at the national level. The post is held by a physician who serves to advise and lead a team of medical experts on matters of public health importance.[1]
The post of Chief Medical Officer dates back to Victorian times.[2] The equivalent title may go under different names across countries, for example known as the Surgeon General in the United States and the Chief Public Health Officer in Canada.
sinie: So what you are saying is doctors know about drugs than the drug experts themselves. That's just plain arrogance....
If you knew anything about the medical field you wouldn't say this. Haba!!!

Samdurance: Hahahahahahahahaha Best brain indeed. Doctors this days are pushed either by money or influence. Emdex is the Doctors Guide this days. Please don't make me laugh again. Doctors these days are really not capable of their jobs. Instead they lay their incapability to the Nurses and Lab. Scientists. So Bad.
Arrogance and ignorance combined in your post here...

So, what is wrong with having a reference to ensure that your patient gets the best care. Those books are made for a reason. It is reasoning like this that always sets us back.

Everybody wants to be "the Oga at the top" Even person wey no sabi wetin he dey talk.

Nigeria is obviously crumbling with the kain mentality wey dey there...
HealthRe: Should Non-doctors Head health Institutions? by ziga: 3:01am On May 02, 2013
speedyboi: Godbless you.



Pathetic! So this one is even using movies. Mtcheew.



[b]on another note, Doctors are just one overhyped people in Nigeria and that has given them their overbloated ego. If you ask me, nurses are one of (if not only) irreplaceable tools in the hospital (my findings) and I think they are much more important than these Doctors. Why? Most of Doctors' role can be played by a Nurse or any other medical practitioner (except surgery; which can also be done by a Nurse practitioner when Surgeons are not readily available. And besides, the readily available Physicians can't perform major surgeries as well). A nurse can't be replaced (and that's why they get higher pay abroad unlike this our Nigeria).

Has anyone noticed that whenever doctors are on strike in Nigeria (which happens quite often), the hospital still operates normally and patients don't feel the absence (though other health practitioners will feel it Cos they will be stressed)? But one time that I witnessed Nurses' strike, all Government hospitals turned into a ghost town grin. That's when I began to value the roles of Nurses higher than all these 'DOCTORS'[/b].-----Before anyone quote me, note that its just something I noticed. And that's my view. Ciao
I know say your mind is too shallow to understand "complex" connections like the one I made above.

Nurses are great. They can't function without docs. Docs are great too, and they cant function without nurses.

But that will NEVER change the fact that the doctor is the head of any medical team.

A lot of this discussion seems to be filled with senseless bias.

Dude, and the next time you or any of your family sick, take them to the neighborhood nurse for diagnosis and prescription.

Why do we support mediocrity such as this, we try to assign important duties to people who are not qualified and we expect things to be good... That is the story of our Nigeria!!!
HealthRe: Should Non-doctors Head health Institutions? by ziga: 1:31am On May 02, 2013
kalokalo: This is not true. The current US Secretary of Health and Human Services, Kathleen Sebelius, is NOT a medical doctor. She is a politician who was a former governor in the State of Kansas. She studied Political Science and has a Masters in Public Administration. Hospitals in the US are usually headed by health administrators who are NOT doctors.
The US secretary of HHS is more of a political position. And Political positions are not necessarily all about merit and qualification.

Just like saying anybody can be Senator/Governor/President regardless of your educational qualifications.
HealthRe: Should Non-doctors Head health Institutions? by ziga: 1:23am On May 02, 2013
Chief Medical Officer
From Wikipedia, the free encyclopedia
Chief Medical Officer (CMO) is the title used in many countries for the senior government official designated head of medical services, usually at the national level. The post is held by a physician who serves to advise and lead a team of medical experts on matters of public health importance.[1]
The post of Chief Medical Officer dates back to Victorian times.[2] The equivalent title may go under different names across countries, for example known as the Surgeon General in the United States and the Chief Public Health Officer in Canada.
http://en.wikipedia.org/wiki/Chief_Medical_Officer

I no know where these people dey take bring BS from.

Naija politics and I too know.

That is our ruin.

O ma ga ooo.
HealthRe: Should Non-doctors Head health Institutions? by ziga: 1:21am On May 02, 2013
kalokalo: This is not true. The current US Secretary of Health and Human Services, Kathleen Sebelius, is NOT a medical doctor. She is a politician who was a former governor in the State of Kansas. She studied Political Science and has a Masters in Public Administration. Hospitals in the US are usually headed by health administrators who are NOT doctors.
Which US abeghuh

U dey work for US hospitalhuh

I don't believe all this BS wey people just dey spill for here.
HealthRe: Should Non-doctors Head health Institutions? by ziga: 9:46pm On May 01, 2013
Ochek: Who ignorant pass you?
According to ur post : Some nurse practitioners work in clinics without doctor supervision.
Others work together with doctors as
a joint health care team.
What else are you trying to prove? Try reason well abeg.
You don smoke igbo abi? or you are just demented?
HealthRe: Should Non-doctors Head health Institutions? by ziga: 9:45pm On May 01, 2013
If Doctors, Nurses, Pharmacists, Lab scientists, Dentists have additional degrees in hospital management, the most qualified professional for the position of CMD will be the Doctor.

He is the head and coordinator of the health team. And since when did people require degrees in administration to be managers/heads?

What kind of mentality is that? Which other industry requires administration degree for you to be head?

Our C-in-C get administrator degree? Or your bank manager or MTN chief?

Leadership has nothing to do with having a degree in administration, however, the position of a doctor which already involves every aspect of a patient's care gives the broadest view and understanding of a patient's condition.

Therefore Doctors are heads of their medical units in some way or another.

Granted, there are times when organizations will have a non-medical administrator as an adjunct. And they work with the MD.

I wonder whats with Nigeria and politicization of everything.
HealthRe: Should Non-doctors Head health Institutions? by ziga: 9:37pm On May 01, 2013
ziga: At least if you never travel overseas... Dem dey show Scrubs, House, Gray's anatomy on top DSTV.

Go watch am to see whether dem CMO na Doctor or Babalawo.

Shior. Kelebe.
Ochek: I truely wonder why one should be using a movie as a basis of his points. It's like saying that, at every hour, american security is on the chase of a terrorist about to let one bomb go off on the american soil as in season 24.
And thanks for pointing out to those who know nothing about the medical hierarchy. In that movie, a surgeon was and that contradicts their basis.
If una no fit read, I quote am again for those people wey never travel abroad wey dey claim say CMD's for yankee no be Doctor.

Unlike our Nollywood, they try to portray some form of reality. The story might not be true, but they try to make all else as believable as possible.

Naija is just so ignorant!!!
HealthRe: Should Non-doctors Head health Institutions? by ziga: 7:55pm On May 01, 2013
hairyman: You may do well to research before you make any statement. Quite a lot of departments at john hopkins are managed and have been managed by non-physicians
Yep, I bet you a lot of departments are headed by non-physicians. Like dietary department, house keeping, Pharmacy, Engineering etc.

But not Endocrinology, Surgery, Medicine or CMD.
HealthRe: Should Non-doctors Head health Institutions? by ziga: 7:47pm On May 01, 2013
At least if you never travel overseas... Dem dey show Scrubs, House, Gray's anatomy on top DSTV.

Go watch am to see whether dem CMO na Doctor or Babalawo.

Shior. Kelebe.
HealthRe: Should Non-doctors Head health Institutions? by ziga: 7:45pm On May 01, 2013
Too much ignorance in this post.

Nigerians always claim too know pass people wey invent something sef.

A lot of people quoting duty of CMD from the back seat of okada.

People talking about what happens in the developed countries from inside shalanga because they don port on top dem BB.

I laugh in Nairaland.
HealthRe: Should Non-doctors Head health Institutions? by ziga: 1:28pm On May 01, 2013
speedyboi: See question. Why not? That's how it is in other countries. Not like a country filled with backward people called Nigerians where Doctors and their overbloated ego are seen ås ontop of the world (funny enough, most of them know nothing). Medicine is just like everyother courses in health & Clinical sciences; they shouldn't have any special rights.
But, Nigerians are full of stereotypes anyways


@Bolded, So is Nursing.
Which countrieshuh People talking what they don't know.

See below and tell me which one of these people are not MDs. And that is from the website of american medical directors.

AMDCP Board of Directors

Board members serve a three year term. Terms expire in the year noted in parentheses.
Bruce Robinson, MD, CMD (2014) Chair

Thomas Edmondson, MD, CMD(2014) Vice Chair

Sabine Maria von Preyss-Friedman, MD, CMD(2015) Secretary/Treasurer

Rebecca L. Ferrini, MD, MPH, CMD (2013)

M. Rosina Finley, MD, CMD (2013)

Melinda Henderson, MD, CMD (2015)

Robert G. Kaplan, MD, CMD (2014)

Thomas S. Lehner, MD, CMD (2013) Immediate past chair Randolph E. Schumacher, MD, CMD (2015)
SportsRe: Nigeria’s Supporters Club To Acquire A Private Jet – Rafiu Ladipo by ziga: 3:48am On Mar 20, 2013
Make dem go form church.

Donations go come quick quick.
PoliticsRe: Nigerians Vandalise Their Embassy In Senegal (Video) by ziga: 12:53pm On Mar 06, 2013
This is just horrible.

And I see so many small/retarded minds supporting this act.

Well, this will only happen in Naija. I don't know too many countries with barbaric individuals like this that have absolutely no regard for human life and property.

And this is the same stupid attitude that led to the Alu deaths. I hope you all saw the embassy staff that was being terrorized.

Anyhow, I hope they got what they went there for. Idiotas.
PoliticsRe: What Is Stopping Nigeria's Disintegration. by ziga: 12:18pm On Mar 04, 2013
alfaman2: It seems to me that everybody (maybe not the yorubas) want to be on their own. Northerners want their own country with their sharia laws. Easterners had always wanted independence and have even fought a bloody war for that. Even the so called minorities are clamouring for self determination. MEND, Middle belt youths, etc.
So why are we still together? Is the yorubas holding everybody to ransom or are there some other forces that I don't understand?
The Yorubas must be so strong to be holding all these other groups together.
PoliticsRe: Ziga Family Christmas Card - Beautiful by ziga(op): 5:41pm On Dec 24, 2012
Front page Pls!!!! grin grin grin
PoliticsZiga Family Christmas Card - Beautiful by ziga(op): 4:27pm On Dec 24, 2012
PoliticsRe: Ideas For Solving Traffic Congestion In Lagos by ziga: 2:37pm On Nov 14, 2012
tunapawizzy: DEVELOP SATELLITE SETTLMENTS.....DO ANYTHING TO ENCOURAGE PEOPLE MIGRATING OUT OF LAGOS....WORK IN SYNERGY WITH NEIGHBOURING STATE GOVERNORS......THE PROBLEM IS OVER POPULATION, PEOPLE SHOULD MOVE OUT AND FOR THAT TO HAPPEN, AN ALTERNATIVE MUST BE PROVIDED
Great suggestion/solution.

No matter how well you improve the road service network, nothing will work becoause more people will troop into Lagos to overload them.

Extend the development into surrounding states... Decentralize!!!
TV/MoviesOriginality - Naija's Got Talent by ziga(op): 4:22am On Oct 29, 2012
PoliticsTest by ziga(op): 6:55pm On Oct 27, 2012
XX
CrimeRe: Teen Mother Caught On Camera Suffocating Her Baby by ziga:
Kay-Dee:
[size=13pt] Funny !!! when you install a camera for monitoring, your eyes are not fixed on the TV every single minute of the day, that's why they had alarms (sound) too. [/size]
CrimeRe: Teen Mother Caught On Camera Suffocating Her Baby by ziga: 12:18am On Sep 15, 2012
Fake!!!

So the people who installed a camera where also guilty of negligence.

The mother was suffocating the baby for over a minute and they kept on watchinghuh

Na wa for internet ooo.

And the commentator na from which news station?

Abi na only dem news station get exclusive right to the videohuh

Abeg people... Shine ur eyes.
HealthRe: 40 And Bedwetting by ziga: 5:03pm On Jul 05, 2012
Go see a doctor.

It could be due to a treatable medical condition. Look out for Diabetes Mellitus. It is more common than we think.
Foreign AffairsRe: Hosni Mubarak In Full Coma by ziga: 8:12pm On Jun 11, 2012
hamsky: The topic of this thread is very misleading "Former Egyptian President Hosni Mubarak is suffering from problems with his breathing and blood pressure but is not in a coma, an interior ministry spokesman has told the BBC."

Read more here: http://www.bbc.co.uk/news/world-middle-east-18398143
Thanks for the clarification to the stupid post.

Coma na emergency - It is basically "quarter to die", so he no fit dey coma and they would be talking about moving him to a hospital.

They will move him instantly, or he would be dead in a matter of minutes!!!

Abeg make moderators correct the original post wey dey frontpage, or else you would just be propagating worthless rumors.

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