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European Football (EPL, UEFA, La Liga) / Re: Fc Barcelona Fan Thread: "més Que Un Club" by phaamsaam: 11:37am On Jul 07, 2018
Sommyroy10:
Long time Bro
Yea na hustle cause am jare, how every
Education / Re: Ekiti Moves From 1st To 23rd Position As WAEC Releases May/June 2018 Results by phaamsaam: 10:43am On Jul 07, 2018
TundeBricklayer:
, Exam malpractices in West is higher than east, from report released by exam ethics marshal EEM, in southern region, southsouth top the list on exam malpractices followed by southwest, the least in south is southeast.
North should be on top big time
European Football (EPL, UEFA, La Liga) / Re: Fc Barcelona Fan Thread: "més Que Un Club" by phaamsaam: 5:47am On Jul 07, 2018
airmark:


But he didn't forget how to dive bro.

#barcadivers


Helearnt from opunaldo aka penaldo, the best sea diver

1 Like 1 Share

European Football (EPL, UEFA, La Liga) / Re: R36L Madrid - Most Successful & Greatest Champ15ns of Spain, Europe & W8rld by phaamsaam: 10:05am On Jul 06, 2018
KinzyeWriter:

Just try and do a little research na, or you shut up grin
When you have little comprehension skills... They only announced it after, took advantage of the moment, I never expected you to understand easily
Health / Liberation From Eye Conditions by phaamsaam: 10:03am On Jul 06, 2018
Greetings friends, please if you have any relative with Eye issues or conditions such as cataract, glaucoma, diabetic retinopathy, keratitis blurred vision,long/short sightedness etc kindly refer, they would be eternally grateful you did that referral.. Thanks
You can Pm or send a mail to pharmsam2015@gmail.com
European Football (EPL, UEFA, La Liga) / Re: R36L Madrid - Most Successful & Greatest Champ15ns of Spain, Europe & W8rld by phaamsaam: 4:51am On Jul 06, 2018
Miremoses1:
Happy Birthday to the greatest player in Real Madrid history, one of the founders of this historic club:

Alfredo Stéfano Di Stéfano Laulhé
He is Argentine grin
European Football (EPL, UEFA, La Liga) / Re: R36L Madrid - Most Successful & Greatest Champ15ns of Spain, Europe & W8rld by phaamsaam: 4:50am On Jul 06, 2018
KinzyeWriter:
Serie A football action will return to SuperSport from the start of the upcoming 2018-19 season, starting August 19.

G.O.A.T effect
Was already happening even before before rumors linked ronaldo to madrid... Delushion effect
European Football (EPL, UEFA, La Liga) / Re: Fc Barcelona Fan Thread: "més Que Un Club" by phaamsaam: 9:23am On Jul 02, 2018
Antoine Griezmann on Uruguay: "They'll take their time, fall over and harass the referee. That's their game & it's what we do at Atletico. We will have to adapt, because the match will be frustrating."

2 Likes

European Football (EPL, UEFA, La Liga) / Re: Fc Barcelona Fan Thread: "més Que Un Club" by phaamsaam: 9:21am On Jul 02, 2018
BykeLaByke:
Lmaooooooo...Madrid fans are a special breed of morōns. grin
Modric: “If I could add any eliminated player to our team? Messi. With him added to what we have, we would bring the World Cup to Croatia for sure! (laughs)”

Wonder why he didn't mention the god of Madrid? �

5 Likes

European Football (EPL, UEFA, La Liga) / Re: Fc Barcelona Fan Thread: "més Que Un Club" by phaamsaam: 6:40am On Jul 02, 2018
Ibime:


When did you tell Barcelona to buy him?

How is he underrated at £160m?
Mbappe wouldnt feet at barcelona, we all hope dembele matures and can wreck havoc when there is no space or faces a bus team, mbappe needs lots of space to wreck havoc, he would do well for a klopp or mourinho team
European Football (EPL, UEFA, La Liga) / Re: Fc Barcelona Fan Thread: "més Que Un Club" by phaamsaam: 7:27am On Jul 01, 2018
naija01:


Ronaldo's leadership n effort including team's efforts helped portugal reach this the 2nd round.

We see Messi repeatedly puts his head down showing his bitterness which many of us understands why but this is football, he should gladly retire.

Whether he wins a world cup or not, football lovers have witnessed one of the finest footballer in our time.

Ronaldo is a fighter, always looking at every opportunity to get d ball inside d net.

Kudos to these legends of the game.

Mpape looking stronger by the day. We need a new generation of talents like him.

Hope the best team wins the World cup not the luckiest.

Mbappe needs space to operate, in the group games against defensive teans he was anonymous, in the ucl against madrid who control the game better he also flopped, yes he scored two goals that was gifted by Mercado and Fazio defensive frailties
Car Talk / Re: Maintenance Tips For Honda Cars by phaamsaam: 11:44am On Jun 07, 2018
Greetings house, I use a Honda Eod 2005, need to scan the car and repair the Ac, any good mechanic / Ac repairer in ajah lekki axis.. Especially Ajah. Thanks
Car Talk / Re: Car Gurus Come In Here...gazzuzz Et All...your Professional Advice Is Key by phaamsaam: 11:42am On Jun 07, 2018
Hello everyone, any good Honda mechanic and ac repairer in ajah or lekki environ.. I use a v6 Eod 2005 thanks in anticipation of a response
Health / Re: JOHESU Agrees To Suspend Strike June 1 by phaamsaam: 7:52pm On May 30, 2018
https://twitter.com/SPNigeria/status/1001882039732359168

The Govt cannot continue with this propaganda transmission style... We are winning the war... Aluta continua... Hoping the health sector gets revamped and we get close to international best practices

2 Likes

Health / Re: Group Asks Court To Jail JOHESU Officials For Failing To Suspend Strike - Punch by phaamsaam: 11:09am On May 25, 2018
#THEY_RUINED_OUR_TEAM
NB: Long post

When we were admitted into the university, some of us were in Nursing Sciences, Optometry, Medical Laboratory Science, Medicine and Surgery, Physiotherapy, Dentistry, Pharmacy, Radiology etc.

We were subjected to general studies (GST,GSS).
We were taught by mathematicians, Education teachers, physicists and philosophers.

Since they knew little or nothing about the slight differences in our course of study, they addressed us by a general name: Medical and Health Sciences.

We made friends amongst one another.

" What's your department? " I'd asked.

" Nursing sciences. "

" Wow! I 'm in Medicine and Surgery. Meet my friend, she's in Pharmacy."

That way, we became bound by the cords of friendship, and we read at the Medical Laboratory Science block.
We had one common goal: to pass our exams.

We put our heads together in solving the past questions for that semester.

Bunmi my Pharmacist friend, was good at Mathematics.
Ekene the Nursing guy, was a wizard in Chemistry.
I loved Biology, and Ahmed my Optometry friend taught us Physics.

Together, we solved the past questions, taught and complimented each other.
Now towards our third Year in school, things started to go sour, and South. Bunmi would pass and just wave. Ekene barely would talk to me, and whenever Ahmed picked my calls, I 'd feel like I owed God a testimony.

Each of us had the key to our respective classes and we locked them against every other student that wasn't in our department. The center could no longer hold - things fell apart:

" They should have considered it a privilege to be associated with me."

" Oh, I didn't tell you? "

Towards our third year in school, we had new lecturers with entirely different mindsets , behaviors and speech. They were our seniors in the profession.
They'd availed themselves so we could be taught.

Pharmacists taught the Pharmacy students.
Doctors taught the student Doctors.
Scientists taught the student Scientists.
Matrons taught the student Nurses.

Every thing went fine, until we were introduced to a strange course; a course not found in the curriculum. But we learnt it. It was injected into us, and it went straight into our heads and our minds absorbed them.
They were injections of words.

We were told to uphold our disciplines with great esteem and never to accept any humiliation from anybody.

They told us that we were superior to other departments. Student laboratory scientists were told that without the laboratory, the hospital is handicapped. The Nursing students were told that they were indispensable. The student Doctors were told that they were general overseers. The Pharmacists assumed the appellation ; Bedrock of Medical Practice.

These may not be entirely false, but the next words injected in us triggered the hatred, ego rise and envy.
We were told of how other departments in the same medical field hated us; of the need to stand up and uphold the fight because other departments are jealous of ours and wants to humiliate us. We were told that medical doctors were arrogant and hence we'd give them no room for such display. We were told that nurses were insulting, hence, all relationships with them should be kept at a highly official level and with great consciousness of our ego; that the medical laboratory scientists were poke - nosing into our territory, so we must annihilate them as possibly as we can.
We were taught to esteem our ego and defend our profession against our 'foes' in the same field.

No wonder we now feel insecure amongst ourselves - the injection really worked.

Sadly, as I bleed in my heart writing this, I recalled our first years, when our minds were like virgins. We were together and we all had one mind and one goal - The Exam.

Now we are faced with a bigger goal - The patient.

But, we aren't together.

So,

How can we Pass?

They've ruined our team.

Written by Isaiah Ugochukwu Obialor (Student Medlab Scientist)
Reviewed by Iruke Kingsley Chukwuebuka
(Student Optometrist)
Edited by Wisdom Ngumoha
(Student Doctor)
Fore worded by Ogechi Blessing Godwin
(Student Nurse)
And Arugo Wisdom
(Student Pharmacist)

Nigerian Medical Sector
There's no "I" in TEAM
Health / Re: Group Asks Court To Jail JOHESU Officials For Failing To Suspend Strike - Punch by phaamsaam: 7:13pm On May 24, 2018
worlexy:
Back your claim with figures, the causes of death in Nigerian hospitals. The havoc you people cause to the Nigerian population is overwhelming especially to the youths who simply walk up to any pharmaceutical shops without prescriptions and you sell drugs like Codeine, Tramadol, Pentazocin to them thereby increasing the rate of drug abuse and mental illness in Nigeria. BBC findings even showed one you on camera selling cartons of codeine -containing cough mixtures in packs without prescriptions and even boasting about how he sells thousands of cartons in few weeks. Now, is that how you guys plan on improving the health indices of Nigeria? oh I forgot, when things go wrong you blame the doctors and absolves yourselves of blames but when things go right you start boasting that it's because of your input. You know how you guys who are not groomed in the art of making diagnoses are "diagnosing " patients in your shops and stores and doling out antibiotics like pure water thereby causing drug resistance?
Like I said before, go and learn and also focus on your field of training which is to formulate new drugs and improve on the existing ones rather than lying to the public that you're physicians with skills of making diagnoses and when they call you doctors erroneously, you feel on top of the world impersonating what you are not!
Drug abuse in history in Nigeria has been traced to physicians, it was all over the Internet few days back... I saw medicine before opting for Pharmacy.. I simply correct my patients and clients with sagacity and a calm tone to address me as a pharmacist, little wonder physicians wanna delve into Drug funds, HIV/Aids programme, open pharmacies in all the cronies and hospitals with pharmacies running without a pharmacist... Simply tell the FG to honor signed agreements just like they did in three weeks last year and we move forward
Health / Re: Group Asks Court To Jail JOHESU Officials For Failing To Suspend Strike - Punch by phaamsaam: 12:58pm On May 24, 2018
worlexy:
Rubbish. Drug interactions is the easiest and simplest thing a medical student knows, oh it's a big thing to you guys. That's why high IQ is a requirement to study medicine
Little wonder patients are killed on an hourly basis in our hospitals due to little medication and regimen errors from I know it all physicians. Seriously we have a long way to go to achieve adequate and standard health care delivery in Nigeria

1 Like

Health / Re: Group Asks Court To Jail JOHESU Officials For Failing To Suspend Strike - Punch by phaamsaam: 10:39am On May 24, 2018
sogodihno:


can u just shut up! is it only dispensing they do? what about reviewing of those drugs before they are dispense,(pharmacy techinician will do that too) only God know the number of patient that would have die, if not for pharmacist that review this drugs and check for unfavourable reactions, of course u won't know, because they won't come to the media to blast it at your face. ignoramus. SMH!
Help remind the ignorant fellow of the paradigm shift, pharmacist today migrated from drug dispensing to pharmaceutical care, intentionally leaving dispensing to the technicians.. There is a whole lot of work to be done by the pharmacist other than simply dispensing

3 Likes

Health / Re: Group Asks Court To Jail JOHESU Officials For Failing To Suspend Strike - Punch by phaamsaam: 10:37am On May 24, 2018
Freddonance:



who is a well trained pharmacist & who is a poorly trained pharmacist!? what is drug indication?
if u do not know a pathology how will you be able to modify concentration to affect the pathology??

Go and tell those countries abroad who have modeled their health sector properly, all this back and forth, the poor, many patients in Nigeria bears the brunt when the reverse with great collaborative effort should be the case
Health / Re: Group Asks Court To Jail JOHESU Officials For Failing To Suspend Strike - Punch by phaamsaam: 10:35am On May 24, 2018
PLEASE TAKE A LOOK TO OLD COMESS AND OLD CONHESS:

COMESS 3 (which is the starting point for doctors) #260,865.58
CONHESS 7 (which is the starting point for some health workers like accountant etc) #118,765.
(difference of #142,100.00) 120% difference.

CONHESS 9 (which is another starting point for health workers eg pharmacist etc) #161,670.33.
(difference 99,195.25) 61% difference.

NOW LETS STILL COMPARE THE SALARY OF A NEWLY EMPLOYED DOCTOR ABOVE WITH A HEALTH WORKERS THAT HAVE SPENT 6 TO 9 YEARS IN SERVICE WHICH IS CONHESS 11.

CONHESS 11:#223,345.58 (difference of #37,520.00) 17% difference.

ABOVE IS FOR OLD CONMESS AND OLD CONHESS....

TAKE A LOOK AT THE NEW CONMESS AND PROPOSED CONHESS BY JOHESU, PLS SIR I WILL STILL WANT YOU TO COMPARE THIS NEW CONMESS WITH THE OLD CONHESS THAT JOHESU IS PRESENTLY RECEIVING NOW....

NEW CONMESS 3 :# 312,944.83.

PROPOSED CONHESS 7: #165,541.08
(difference of #147,403.75)
89%difference.

PROPOSED CONHESS 9: #190,227.25 (difference of #122,717.58)
65% difference.

PROPOSED CONHESS 11:
#255,184.83.
(difference of #57,760.00)
23% difference.

I WANT TO ALSO WRITE THAT OF THE ZENITH OF BOTH PROFESSION :

OLD CONMESS 7: #704,209.08
OLD CONHESS 15: #476,855.00
(DIFFERENCE #227,354.08)
48% DIFFERENCE.

NEW CONMESS 7:
#999,698.50
PROPOSED CONHESS 15:
#697,024,42.
(difference of #302,674.08)
43% Difference

now did NMA see the parity they have been singing with

I TOOK OUT MY PRECIOUS TIME TO HIGHLIGHT THIS FIGURES OUT because WHEN I AM TALKING I LIKE WORKING WITH FACT because THE TRUTH CAN'T BE HIDDEN.
Health / Re: Group Asks Court To Jail JOHESU Officials For Failing To Suspend Strike - Punch by phaamsaam: 9:43am On May 24, 2018
DrAdonis:
This whole JOHESU thing is tiring. They are just fighting an unjust battle which is an eternally lost one. They just want to further destroy the healthcare in Nigeria.

Let me just explain one or two of what they are clamouring for to those that are not very medically inclined

1. Just because doctors are appointed consultants, they want same. Let us examine who a consultant is in the hospital setting and his responsibilities.

A consultant is a medical doctor who finished medical school, did housemanship and NYSC then writes an exam called primaries which is very tough and competitive with an average pass rate of 20% (not cause majority fail but they choose the top scores as pass) then work as a medical officer for varying years (some more than 10 years) before starting residency. The residency is the postgraduate studies to be come consultants in various specialities like neurosurgery, plastic surgery, Paediatrics etc.
The residency training is a rigorous one and the resident doctor works for no less than 68 hours in a week, runs the emergency, clinics, do ward rounds, teach medical students and even nursing and other students. The resident doctor also does case and seminar presentations carries out researches, writes academic papers and does a thesis (all these and more are necessary prerequisites to become a consultant). This residency takes 6 to 12 years depending on the specialty and it also incorporates very tough specialty exams.

Also take note that a doctor that does not do residency but has 20 years of work and surgical experience is not decorated a consultant.
So for a pharmacist, nurse or medical record personnel to just wake up and say because they have 10 years experience they should be decorated consultants is very laughable and shows myopia, greed and the entitlement mentality that defines JOHESU.


Also, and more importantly, the consultant is the person in charge of patient care and determines what tests, what drugs, what nursing care the patient needs and is indisputably the head of the team. He plays a vital central lead role and he determines who needs to see a pharmacist or a nurse or a lab technician. This comes with its challenges too, for instance, if any thing goes wrong in patient care, it is the consultant that carries the medicolegal burden. So of what use is the consultant pharmacist or nurse in this setting? The patient will only suffer and the standard of care will further depreciate as there will be confusion due to the many unnecessary captains of the ship who can do nothing more.


2. The want equal pay. This is in no way reasonable to any right thinking person as doctors don't do same work or add same value as any other person in the health sector. Is it in the emergency room, theatre or even laboratory?

Let me paint a scenario here. A 55year old doctor with say 25years experience that is a neurosurgeon, for instance, will frequently stand long hours doing very complex surgeries despite his rank, age and status. But a nurse, pharmacist or lab person with similar age and experience will just sit in the ward, pharmacy or lab bossing and tossing the younger ones about, doing absolutely nothing. They add little to no value and are no match in competency or ability but want same pay and remuneration, what an irritating greed and entitlement mentality. All these can only happen in Nigeria

Attached is a comparison of the ratio of the average earnings of healthcare professionals in different countries. In most cases, doctors earn x2 of what pharmacists and others earn but because of a difference of 20 - 50k naira at different levels, they keep going on strike.
After writing shit here, first let me correct you a consultant isn't only a physician... Use your dictionary... Explain why surgeons dropped the Doc prefix in Nigeria, also explain why the government has refused to implement signed agreements of 7months ago... You have suddenly gone brain dead when last year NMA went on strike for increment, and in three weeks government acceded... Selfish beings... The same Canada, UK you are quoting, rich and famous persons run overseas due to inadequate and porous health care system we have in Nigeria

1 Like

Career / Re: Breaking: Lagos State Government Approves Consultancy Cadre For Pharmacists by phaamsaam: 10:50am On May 22, 2018
Osak Uwubanmwen from Canada

Copied from his facebook post

ONE FINAL SOLUTION TO THE INCESSANT MEDICAL HEALTH WORKERS STRIKE IN NIGERIA (LONG POST).
Today I have decided to write on a topic I have avoided for a very long time, the incessant medical health workers strike in Nigeria, and I do this with no apology to anyone but rightfully so. First, as a concerned Nigerian and a trained pharmacist living in Canada, My elder brother is a physician with two fellowships in the United Kingdom. Our last born in my family is an optometrist with a Doctor of Optometry degree (OD) in U.K too, and my spouse is a trained Canadian Nurse with specialty and additional certification in Dialysis. The reason I make this declaration is I come from a medical family with all intent and purpose. We, (my brothers) and I got our medical or healthcare degrees from the University of Benin, and we all went to school almost at the same time close to one another. I can say medicine, pharmacy or optometry are hard degrees to earn, they all are and have their peculiarities and challenges. All medical degrees are hard and this is true. One is not talking about a diploma equivalent, I mean an MBBS,
a B. Pharm, a BSc Nursing and an OD. It will also include a degree in medical laboratory or physiology. In all these courses statistically less than half of the class would graduate and earn the degree. In pharmacy school, about one hundred and forty of us started, and just forty-two of us graduated. Some of my classmates were even asked to withdraw after the fourth year when they would at least be getting a degree in many other faculties. It is wrong for anyone to claim that one medical degree is harder than the other. The city I live, Calgary and a neighboring city Edmonton medicine is a three-year degree course, and you only qualify like pharmacy and dentistry after the first degree, and you can have your first degree in any subject area. I am spending the time to disprove some myths so that people can see where I am coming from. When I took the joint admission and matriculation examinations my first choice was pharmacy, my second choice was pharmacy, and my third choice was pharmacy, but the only difference was I also chose Obafemi Awolowo University Ife and the University of Ibadan as new universities of choice if the University of Benin did not admit me. The head of all medical or clinical works should be a doctor (physician) as the doctor owns the patients this is a universal practice and same in Nigeria and Canada, he takes the final decision with the consent of the patients too. But I have unlimited access to these patients as part of inter-collaborative care and network. The patients also give me consent to have assess to medical information relating their diagnosis, medical history including all medications, test, no matter what was done and requested by the physician be it Laboratory work, MRI, X-ray, Ultrasound I can assess and they know this is in the best interest of the patients. I work with the doctors, nurses, laboratory scientist, chiropractor, physiotherapist, the dieticians, etc. to care for these patients. The doctor cannot question my right to assess these patients, and he cannot prevent it, this is how we work and whatever intervention I need to carry out in the best interest of the patient I must inform the owner of the patient the doctor (physician). There is also an advisory intervention(s) that one can only make through the doctors (physician), These I communicate in clear terms to the lead physician and giving clinical reasons why I think this will be in the best interest of the patient. These are all documented the patients would be informed and the physician consequently written to that effect this is often medication and disease based. The physicians love these collaborations and would have it no other way. They see me as a trusted partner, and the healthcare laws recognize these functions and duties protecting everyone. As an Alberta pharmacist, I can write prescriptions sometimes for minor ailments and sometimes for more complex cases like adding a prescription for a lipid-lowering agent to a patient at risk of cardiovascular complications if diabetes or high-risk cardiovascular patient. I have a LAB ID and can request some laboratory test directly. Some of the minor prescriptions I may write are common antibiotics and sometimes medications for cold sore or eye infections. In Canada like America pharmacy has a residency program to specialize in any area of pharmacy of interest like psychiatry, oncology, cardiovascular, nephrology, radio-nuclear pharmacy, transplant pharmacy or others and after the four to six years they become a consultant pharmacist. Many pharmacists run clinics with their physicians who are very busy, most of the prescriptions I see from the anticoagulation clinics are from pharmacists written on behalf of the lead physician who is the head of the team. Pharmacists or nurse clinicians are running many diabetes clinics on behalf of the lead physician who now has time to attend to more complex clinical and complicated medical problems. All these are within the Canadian healthcare setting in my province Alberta. All residents in training in any institution or hospital settings are trained by clinical staff be they physicians, pharmacist or nurses. A sad event I was informed recently was the physicians in a university teaching hospital in Nigeria refused the Doctor of Pharmacy students assess to their patients and thus the ward, sad can only happen in Nigeria. A hospital headed by a physician released a circular to this effect to truncate the Doctor of Pharmacy degree program rotation, sad again. Remember that a poorly trained member of the healthcare team under any specialization becomes a clinical burden to you as head and lead clinician and your citizens. The physician is the head and the others are the neck and body just like any good marriage neither can function well without the other. In the University of Benin pharmacology department is under the school of pharmacy and rightfully so and some of the lecturers are not even pharmacists but pharmacology experts. How would you feel if the pharmacology department under the pharmacy school refused to train the MBBS students or would be graduates in pharmacology a precondition required for an MBBS graduation? The problem of health aggregation and turbulence was created by Professor Ransom Kuti of blessed memory under Babangida regime based on the brain drain of Nigerian trained physicians to Saudi Arabia, United Kingdom, and United States of America etc. but the truth is all healthcare professions in Nigeria is adversely affected by this syndrome. In my class of forty-two graduates over twenty of us are overseas, there are over ten thousand Nigerian pharmacist graduates of Nigeria practicing outside Nigeria, know that there used to be only six pharmacy schools in Nigeria. The nurses are worse off there are more than fifty thousand Nigerian nurses outside Nigeria. In fact, many nurses in psychiatry in Nigeria just use the institutions as a training ground before they move to Australia and United States of America. So, what is the solution let these specializations, all healthcare workers come together and fight the common enemy the government in their divide and rule game? If they come together government would be forced to run health as it is supposed to as done in many countries like even Rwanda. Let each and everyone go negotiate what they think they deserve and none should interfere with another. If you are talking of no parity is that before 1984 of Ransom Kuti or after, please go back and see what was before Ransom Kuti. Since Ransom Kuti left there has not be any peace in our healthcare system. In football a striker can earn more than the team coach based on perceived productivity, wages or salaries should be individualized a transplant or neurosurgeon is the highest earning medical professional I know and not the medical director or clinical director. Today it is ARD, next it is NMA and then JOHESU all strike, strike and, strike. The Nigerian government hospitals operate only six months a year and that has been the case in the last ten years or more. The question is a doctor that graduated ten years ago should earn more than a pharmacist or nurse agreed but should a doctor that graduated ten years ago earn more than a pharmacist or nurse of twenty-five years in the hospital one a consultant and the other a director of nursing or pharmacy services. The position of medical director and head of clinical services should be occupied by doctors yes. However, the head of the hospital should be called Head Hospital Administrator that everyone including the chief medical director will report and answer to too. The Head Hospital administrator different from the head of administration as it is now should be one that specialized in hospital administration with a Ph.D. He or She will work to create a conducive environment for all to function and thrive optimally. At the start of the year, he would ask all that they need, the medical director, the head of the pharmacy, head of nursing, the head of the laboratory, the head of the laundry the head of catering, and others what would they need, and the Head Hospital administrator would put a budget for everything and everyone including quality food served to all worker on call be they physician, pharmacist nurse or laboratory scientist. The opinion that the medical director should be a doctor yes but be dealing with medical and clinical issues only, not funds, money or budget execution. The focus should be on quality delivery like we want a new theatre for renal and liver transplant and the Head Hospital administrator will go raise the fund from government and private sector to provide one. We need that number of a new oncologist or transplant surgeon and the Head Hospital administration go around through a medical recruitment agency to get them the best, only the best. We need support for residency for resident doctors and pharmacists in training and the head hospital administrator gets the budget form them and link with people all over the world to provide quality resources persons. Finally, the minister of health can be anyone that understands how health care works not necessary a physician as this is more a political position and for party members look at the developed countries and tell us how many physicians there are as minister of health? Very few if any, we need their clinical skills in the hospitals and research and not being a political minister. I have seen many good hospitals rise to the occasion headed by a physician and have also seen many hospitals ruined by a physician as head too, so, the fact that a physician is the head of the hospital in real Nigerian terms means nothing and can only be one way to self-preserve and cause accretion in these facilities. Last' year Nigerians spent about one billion dollars on medical tourism and going by these facts as soon as Togo, Benin, Niger, and Ghana get their acts together there may be no need for medical or healthcare workers in Nigeria, this may be exaggerated but a set reality. Today it is India, and as soon as it is near home, people will go across for a holiday and get the world-class treatment they may need and can afford. Wake up Nigeria, and Shalom.#copied#

3 Likes

European Football (EPL, UEFA, La Liga) / Re: Fc Barcelona Fan Thread: "més Que Un Club" by phaamsaam: 9:41am On May 21, 2018
THIS IS INSANE, THIS GUY ISN'T HUMAN, HOW CAN YOU DOMINATE MOST ASPECTS OF THE GAME LIKE THIS GUY DOES.. INCREDIBLE LITTLE MAN

6 Likes

European Football (EPL, UEFA, La Liga) / Re: Fc Barcelona Fan Thread: "més Que Un Club" by phaamsaam: 6:50am On May 21, 2018
You cules here are the ones giving Francodrid asses relevance, simply ignoring them, they would run back to their caves
European Football (EPL, UEFA, La Liga) / Re: Fc Barcelona Fan Thread: "més Que Un Club" by phaamsaam: 6:48am On May 21, 2018
homesteady:


Damn, I'm almost in tears! cry cry
I handled lot of big players retiring or leaving fcb in the past, including that of Iniesta without tears, but I am very sure I would cry the day LIONEL MESSI RETIRES OR STOPS WEARING BARCA MATCH JERSEY OR TRAINING KIT FOR MATCH DATS AND TO TRAINING RESPECTIVELY... I DREAD THAT DAY
European Football (EPL, UEFA, La Liga) / Re: Fc Barcelona Fan Thread: "més Que Un Club" by phaamsaam: 10:45am On May 14, 2018
TalabiAudu:
IaPULga, phaamsaam just disappear like the famous fart of a leprous witch
I didn't, been more busy with work and my patients these dats, money must be made now bro
European Football (EPL, UEFA, La Liga) / Re: Fc Barcelona Fan Thread: "més Que Un Club" by phaamsaam: 6:54pm On May 13, 2018
"Everyone can win trophies with Messi, Xavi, Iniesta."

"Bundesliga is a farmers league. Anyone could win it with Bayern."

"Anyone can win it with money."

Excuses keep on changing and he keeps on winning. PEP GUARDIOLA.
� PREMIER LEAGUE RECORDS BROKEN �

100 points
32 wins
16 away wins
18 successive wins
106 goals
+79 goal difference
19 points gap to second

#CENTURIONS #mancity

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European Football (EPL, UEFA, La Liga) / Re: Fc Barcelona Fan Thread: "més Que Un Club" by phaamsaam: 6:20pm On May 13, 2018
stinkmeaner:

38 draws...unbeaten .. grin grin
Lol, that guy no well, Valverde isn't as bad as we all project, he is just not smart, but I don't for one day doubt Valverde.... Apart from the Rome result, he has done better than last season with lesser team quality, hoping we win today against Levante, and the unbeaten dream would rest on 90mins vs soceidad
Career / Re: Breaking: Lagos State Government Approves Consultancy Cadre For Pharmacists by phaamsaam: 6:08pm On May 13, 2018
Jman06:
A pharmacist can't take orders from physicians on drug related matters rather a physician should take orders from pharmacists on ISSUES RELATING TO DRUS AND DRUG ADMINISTRATION. That's international best practices!
The way we are going about this, our patients would bear the brunt, it's a pity because of our environment, our laws, even our regulatory bodies have contributed one way or another to these brouhaha... Health care should be seen as a collaborative effort, it's a pity doctors are fighting Pharmacists, Nurses, MED LAB scientists and vice versa... Wish the younger generation stops all these fightings, position juggling, hatred and work together to build a better Health system in Nigeria for Nigerians. Thanks.. Pharm Sam

1 Like

Career / Re: Breaking: Lagos State Government Approves Consultancy Cadre For Pharmacists by phaamsaam: 5:49pm On May 13, 2018
dokxavi:
Lol. Lol. Compete for treating cases? So funny.



What is this one spewing? (Somebody give me that meme).

Obviously, if he is a medical personnel,he has never worked in a hospital.Roles never coalesce,everybody on his lane.

A trained pharmacist will never accept a prescription from another pharmacist or medical laboratory scientist or physiotherapist or nurse,for instance.Drugs are poisons and as a good pharmacist knows,it could be the end or rescue of a patient's life,without even considering the presenting illness.A pharmacist will not admit a patient with a nurse for treatment. Only doctors and nurses can write prescriptions. A pharmacist can offer a doctor better alternatives via superior knowledge not by ego.I repeat some doctors can embarass a pharmacist in terms of knowledge of drugs and formulations.


Roles vary. Stay in your (consulting)pharmacy, stay in your (consulting) laboratory, Lol.


Doctors will be in the consulting rooms or surgical theatres with their nurse colleagues and will seek your pharmacist input if necessary for the good of the patient.This obtains already.It's like any other workplace, the shortest route to social isolation at work is offering unsolicited advice. You be God.


Doctors have homes they go to after work as they know hospitals is not the beginning and end of their lives.They earn what they earn to take care of life and living just like others.

I Beg to differ, when it comes to drugs, regimen, dose, interactions, etc, doctors have a myopic knowledge, infact the reverse is the case, many doctors have been embarrassed, they all run to take shelter in their clinical meetings.... Only humble and exposed doctors who are actually smart keep pharmacists and med lab scientist as close friends with great relationship, because they know they can confirm stuffs, discuss, argue objectively without hate or strife from these other professional friends whenever the need arise

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Career / Re: Breaking: Lagos State Government Approves Consultancy Cadre For Pharmacists by phaamsaam: 5:42pm On May 13, 2018
[quote author=Ang88 post=67529087][/quote]
Collaboration is the word, no one is seen as a know it all, Health care shouldnt be left in the hands of doctors only, infact they won't be able to pull it off alone, patients sadly would be at the recieving end, lots of minute medication/medical errors, inadequate SOPS have sent many to their early grave in this part of the world.
Career / Re: Breaking: Lagos State Government Approves Consultancy Cadre For Pharmacists by phaamsaam: 5:33pm On May 13, 2018
MrBigiman:
I weep for this Country. Consultancy for what?, for getting old and close to retirement. Patients will be further Decieved and will die like fowls. A Pharmacist sees a naïve patients, instead of claiming to be a pharmacist, will say I am a consultant, the gullible patient, thinking he means medical specialist may end that session is morbidity or mortality. Shame really, but we are in a confirmed shit hole though.
Consultancy is an English word, I don't want to school you further, please do more research on the various meanings of the word consultant... Don't talk like an illiterate

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