worlexy:
please give me the link to download this stuff. is this the yayale they've been talking about

I have it on my fone in PDF format.I don't know how I can send it

All the wicked people in Nigeria, every single one of them - May Almighty God save us from their evil.

I never see this type of greediness in my entire life .If JOHESU are trying to get equal pay as medical doctor ,then,I think they need their brain to be examined and cross check by a psychiatrist. Don't they have fathers and mothers before they were born?From the day you are conceived as a human being to the time you grow gray hair and die,you have some one you call your father. So,in any medical set up,like it or hate it, the doctors remain your father. Simple logic! if you want to be same in everything as a medical doctor, then follow due process and become father and leader like them in that same medical line .No need to fight over nothing that you are not up to!.Yeah! the health workers knows what I am saying because I work among them but not as a qualified doctor, consultant or a neurosurgeon. JOHESU!JOHESU!!JOHESU!!!. How many time did I call you? Be warn and imbibe some respect for your fathers if not,the opportunity,Previledge and sense of decency you have as health workers will be taken away from you .Instead of the promotion and upgrade you are fighting for,you will surely get demotion and downgraded with total disrespect and humiliation."NONSENSE AND INGREDIENT "

Marsnizz:
I never see this type of greediness in my entire life .If JOHESU are trying to get equal pay as medical doctor ,then,I think they need their brain to be examined and cross check by a psychiatrist. Don't they have fathers and mothers before they were born?From the day you are conceived as a human being to the time you grow gray hair and die,you have some one you call your father. So,in any medical set up,like it or hate it, the doctors remain your father. Simple logic! if you want to be same in everything as a medical doctor, then follow due process and become father and leader like them in that same medical line .No need to fight over nothing that you are not up to!.Yeah! the health workers knows what I am saying because I work among them but not as a qualified doctor, consultant or a neurosurgeon. JOHESU!JOHESU!!JOHESU!!!. How many time did I call you? Be warn and imbibe some respect for your fathers if not,the opportunity,Previledge and sense of decency you have as health workers will be taken away from you .Instead of the promotion and upgrade you are fighting for,you will surely get demotion and downgraded with total disrespect and humiliation."NONSENSE AND INGREDIENT "

Please, try to get yourself informed before coming to post rubbish. It's very easy. Use Google or go back and read the previous pages.

Jukinom:
PLEASE TAKE A LOOK TO OLD COMESS AND OLD CONHESS BEFORE YOU BELIEVE NMA

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.

Compare and and contrast. You guys are always first to quote UK n US. Oya check

Jukinom:
PLEASE TAKE A LOOK TO OLD COMESS AND OLD CONHESS BEFORE YOU BELIEVE NMA

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.

All the ignoramuses posting rubbish above should please come and read this and stop misleading the public.

OgaInnocent:


Compare and and contrast. You guys are always first to quote UK n US. Oya check

Doctors are ALWAYS the first to quote USA and UK. It's noteworthy to point out that all health workers earn much more than the average household salary in the aforementioned countries. And the quality of life is definitely NOT the same. I don't know why we should be quoting meaningless figures.
Are you aware that doctors In Canada recently asked for a reduction in their salaries, and an increment in that of health workers? Can this ever happen in Nigeria?
Call a spade a spade please.

Unlimited22:

Doctors are ALWAYS the first to quote USA and UK. It's noteworthy to point out that all health workers earn much more than the average household salary in the aforementioned countries. And the quality of life is definitely NOT the same. I don't know why we should be quoting meaningless figures.
Are you aware that doctors In Canada recently asked for a reduction in their salaries, and an increment in that of health workers? Can this ever happen in Nigeria?
Call a spade a spade please.

You have not adressed the issue. What is the salary difference among US/UK health workers? And what is the salary difference among Nigeria counterparts?? Because you are busy quoting conmess and conhess

.

thorpido:
Don't be like the average ignorant medical doctor.
Johesu members do NOT want the same thing doctors have.They DO NOT(as ignorantly broadcast everywhere) want the SAME salary as doctors.
They however WANT to advance their careers and ask for opportunities to do so.In developed countries,there are opportunities to become specialists/consultants in the allied health professions.There are consultant pharmacists abroad for example.
The clamour will set up postgraduate colleges that will provide postgraduate trainings that can enable health workers attain consultancy/specialist status.No one will become a consultant while doing youth service!
No confusion will come in the health sector.It has worked abroad,it can work in Nigeria too.Specialists can work as a team with each individual member making contribution to the team.There will be a leader who is still the doctor.

The NMA actually feel Johesu is going to drag positions with them and feel threatened. Not necessarily.It is a team work.
Erroneously,many doctors feel nurses,pharmacists,lab personnel etc work FOR THEM.No!Everyone contributes to patient care.There just must be a leader.

You even tried sef, he is a doctor, jealousy runs in their blood. They are getting disappointed already

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.

Nurses also go for resisdency,a program killed by the NMA and FG.

https://ukhealthcare.uky.edu/medical-professionals/nursing/residency-program

Do you know that there are nurse consultant in the UK
Do you know that nurses in the urgent health care team are allowed to diagnose patient with small to medium health issues(check urgent care team on line).

Please do your research before coming here to type what you are not grounded in.

ozo13:
I have it on my fone in PDF format.I don't know how I can send it

worlexy@yahoo.com
Please send it to my email. Thanks

eendy:
It baffles me how a group of folks would come together with the aim of making unrealistic demands... Some commenters above are arguing ignorantly about the strike not being financially motivated... You want to be paid same salary as the doctors in your level, where in this world is that practicable... You work in shifts get numerous nights off and in turn want to earn same as the man whose call hour runs from hours to days mostly at the detriment of his family and loved ones...

now they've been granted consultant nursing and consultant lab technicians, just to cause more strife within themselves...

All I see is some inferiority complex plagued individuals struggling for titles for which they are ignorant of the meaning

You are a mannequin, a dummy. Did you go to school at all because if you did you'd have taken your time to read and have a first hand idea of what JOHESU is clamouring for. If you are indeed learned, pls behave as one... Read... Google is your friend

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.

another doctor with ego shebi u guys can run hospital all alone, for your information the surgeon General of United State is a Nurse, so cut the crab and pocket your ego, you guys are not superior to any health workers, you are all team of health workers, and you are all professionals, for the fact that doctors salary has been increased 3 times over a period of four years while others salary especially Nurses remains stagnant.

Danaire:


Don't be an ignoramus by ur comment. Why did you further ur education from primary to tetiary level, if you did? Why did ur older sibling(s), that is if you're not the oldest, not stop you from becoming a graduate like them so they only can be called & reffered to as the only graduates of ur father's children, that is if you are? When you make demands about ur education to ur father, do you stop ur older or younger sibling(s) from making their demands just so that urs only must/will be met?
Think well with ur brain. JOHESU's demand is not somuch as about the monetary value only but it is all encompassing.

I have thought very well with my brain, it's you that should do the same. what will be the job of a pharmacist consultant in the hospital, is it to continue dispensing drugs like he has always done or does he want to start attending to patients and prescribing his own drugs? Will that not be the beginning of anarchy in the hospital? Your doctor writes drug A for you and your pharmacist changes your drug to B just because he feels he is a consultant too, will that not bring about problems. Go to most pharmaceutical shops outside the hospitals now you will see them attending to patients and prescribing drugs, is that how it is done in sane environment? And if you say they won't be changing doctor's prescriptions if they become consultants then why do they want to become consultants if the only job they do in the hospital is to dispense drugs? They should go and become consultants in pharmaceutical and research industry where they can use their knowledge to formulate new and effective drugs. Cos as it is today, pharmacy technician can effectively do the job of dispensing in the hospitals

Jukinom:
PLEASE TAKE A LOOK TO OLD COMESS AND OLD CONHESS BEFORE YOU BELIEVE NMA

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.

People will not take their time to read the above... Lailai they'll rather prefer to spill trash than to be informed. And an average Nigerian doctor will not react also to this because they know its the truth but they'll rather continue to mislead the unsuspecting and ignorant citizens. JOHESU isn't asking for equal pay. It can not happen and will never happen. Stop misleading the public.

worlexy:

If that is the case then there's anarchy in the health sector if their request is granted but if I were the FG I will do either of these
1. Do some findings on how things are done in the US and in the UK and follow suit, those two countries are the si unit of how things should normally run

2. if johesu insist on being consultants because of the monetary gain attached to the title consultants then they must be responsible for their actions/inactions as the case may be. The patient will be well educated and given the options to choose which consultants they want to be attended to by and any consultants they choose is responsible for the success or failure of their treatment

3. Doctors that didn't go through Residency should be appointed as consultants too as soon as they spend a specified number of years in service, the ones that went through residency should drop the title "consultants " for every other person, they should simply be bearing the name of the field of their specialty like Gynecologist, Paediatrician, Surgeon, Neurosurgeon and so on

4. People should be paid based on the number of hours they work and importance of their jobs. if you're a neurosurgeon that works and operate for hours, you should earn higher than the man that only sits down in the hospital to dispense drugs instead of working in big pharmaceutical companies to be researching and producing drugs that will help treat diseases. One thing that baffles me till date is how someone will spend many years in the University only to graduate and start dispensing drugs in the hospital. Some category of people simply don't know their worth.

You were making sense until the last paragraph of your post where you displayed a gross lack of knowledge of the roles of pharmacists in healthcare delivery!

You should have just done a little research on the roles of pharmacists in those two countries you cited as focal points and in other developed countries of the world.

For your information, Pharmacists do not only dispense drugs in those countries, they are involved in direct patients contacts through ward rounds and counseling. They check physicians' prescription errors, drug-drug interactions, drug-food interactions, drug-disease interaction, and other possible interactions that could occur in the course of pharmacotherapy.
Ever asked yourself why Nigerian healthcare system remains abysmally poor despite government's investments and medical doctors being at the helm of affairs since Some of the reasons can be traced to other healthcare professionals like pharmacists not being allowed to put in their bests in patients care. How i wish that Nigeria could make autopsies compulsory before those who died in hospitals are interred. That will reveal so much about how Nigerians die avoidable deaths from drug errors and improper use of drugs when they go to hospitals.
Take a scenario such as this: An epileptic patient who is suffering from lower respiratory tract infection at the same time, he goes to the hospital and the physician prescribed a combination of erythromycin (an antibiotics for his infection) and then carbamazepine (an anti epileptic). Assuming there is no pharmacist around to correct such wrong combination, do you know that the patient would come down with carbamazepine toxicity with the resultant organ failures leading to his death This is just a tip of the iceberg!! Several of these interactions occur both in inpatient and outpatient settings and has led to the death of many!

Haven't you heard of cases where a man left his house to the hospital just to get treated of minor ailment only to die in the hospital following administration of some drugs prescribed by the physician Drugs are very dangerous substance that can either save a man if judiciously used, or KILL him if wrongly used. Pharmacists know drugs and their actions better than physicians as a matter of fact.
Knowledge of pharmacology which physicians have is not enough to make rational drug decisions since the important concepts of pharmacokinetics and pharmacodynamics are not discussed in details in most pharmacology textbooks, hence pharmacists study them further in clinical pharmacy. Some physicians i.e clinical pharmacologists may have some knowledge in this regard, but mainly for the purposes of research and teaching, besides they are very few.
So, the role of Pharmacists in hospitals cannot be overemphasized. If not, the developed nations you cited in your post wouldn't recognize them as key stakeholders in their hospitals to the extent of appointing them as CONSULTANTS.

N:B, I'm a pharmacist in training and my interest is not in hospital pharmacy but in pharmaceutical manufacturing industry. However, the truth has to always be stated regardless of our biases.

worlexy:
I have thought very well with my brain, it's you that should do the same. what will be the job of a pharmacist consultant in the hospital, is it to continue dispensing drugs like he has always done or does he want to start attending to patients and prescribing his own drugs? Will that not be the beginning of anarchy in the hospital? Your doctor writes drug A for you and your pharmacist changes your drug to B just because he feels he is a consultant too, will that not bring about problems. Go to most pharmaceutical shops outside the hospitals now you will see them attending to patients and prescribing drugs, is that how it is done in sane environment? And if you say they won't be changing doctor's prescriptions if they become consultants then why do they want to become consultants if the only job they do in the hospital is to dispense drugs? They should go and become consultants in pharmaceutical and research industry where they can use their knowledge to formulate new and effective drugs. Cos as it is today, pharmacy technician can effectively do the job of dispensing in the hospitals

So if someone wakes up and start feeling sick, he goes to a private medical laboratory where they for instance will be diagnosed with malaria and typhoid.
He takes the test results to a private big pharmacy and the pharmacist there look at the test result and prescribe drugs for him.
What's wrong with that?
Doctors arrogance is the root cause of all this mess in the health sector,
N.M.A attempts to rubbish the pharmacy profession will continue to fail,
I see it as insecurity,
Yes pharmacists prescribe and treat non complicated health cases in their pharmacy,
Hug a transformer if you want.

Amarabae:

So if someone wakes up and start feeling sick, he goes to a private medical laboratory where they for instance will be diagnosed with malaria and typhoid.
He takes the test results to a private big pharmacy and the pharmacist there look at the test result and prescribe drugs for him.
What's wrong with that?
Doctors arrogance is the root cause of all this mess in the health sector,
N.M.A attempts to rubbish the pharmacy profession will continue to fail,
I see it as insecurity,
Yes pharmacists prescribe and treat non complicated health cases in their pharmacy,
Hug a transformer if you want.

Now I see how ignorant you are and that's the problem we have in this country, when ignorant people think that they know it all. Now lemme educate you, fine the person may be positive for malaria like you said but was any physical examination done on him, was he checked for anemia, jaundice, he is having an ailment that can mimick or coexist with malaria. What test did they do to confirm that he had typhoid, Widal test? Widal is not a useful test, even you not having typhoid or typhoid symptoms will have those titres in your body. There's a normal sequence that treatment should follow, doctor to lab to doctor to pharmacy. In developed worlds your license as a pharmacist will be revoked for prescribing antibiotics without a doctors prescriptions.
Lastly, if you've not learnt anything today learn this: You don't treat a lab result, you treat the patient (after a thorough clerking, physical examination, making a diagnosis and having differential diagnosis in mind, then to the lab to either confirm your differentials or rule it out, then you prescribe drugs)

Jman06:
You were making sense until the last paragraph of your post where you displayed a gross lack of knowledge of the roles of pharmacists in healthcare delivery!

You should have just done a little research on the roles of pharmacists in those two countries you cited as focal points and in other developed countries of the world.

For your information, Pharmacists do not only dispense drugs in those countries, they are involved in direct patients contracts through ward rounds and counseling. They check physicians' prescription errors, drug-drug interactions, drug-food interactions, drug-disease interaction, and other possible interactions that could occur in the course of pharmacotherapy.
Ever asked yourself why Nigerian healthcare system remains abysmally poor despite government's investments and medical doctors being at the helm of affairs since Some of the reasons can be traced to other healthcare professionals like pharmacists not being allowed to put in their bests in patients care. How i wish that Nigeria could make autopsies compulsory before those who died in hospitals are interred. That will reveal so much about how Nigerians die avoidable deaths from drug errors and improper use of drugs when they go to hospitals.
Take a scenario such as this: An epileptic patient who is suffering from lower respiratory tract infection at the same time, he goes to the hospital and the physician prescribed a combination of erythromycin (an antibiotics for his infection) and then carbamazepine (an anti epileptic). Assuming there is no pharmacist around to correct such wrong combination, do you know that the patient would come down with carbamazepine toxicity with the resultant organ failures leading to his death This is just a tip of the iceberg!! Several of these interactions occur both in inpatient and outpatient settings and has led to the death of many!

Haven't you heard of cases where a man left his house to the hospital just to get treated of minor ailment only to die in the hospital following administration of some drugs prescribed by the physician Drugs are very dangerous substance that can either save a man if judiciously used, or KILL him if wrongly used. Pharmacists know drugs and their actions better than physicians as a matter of fact.
Knowledge of pharmacology which physicians have is not enough to make rational drug decisions since the important concepts of pharmacokinetics and pharmacodynamics are not discussed in details in most pharmacology textbooks, hence pharmacists study them further in clinical pharmacy. Some physicians i.e clinical pharmacologists may have some knowledge in this regard, but mainly for the purposes of research and teaching, besides they are very few.
So, the role of Pharmacists in hospitals cannot be overemphasized. If not, the developed nations you cited in your post wouldn't recognize them as key stakeholders in their hospitals to the extent of appointing them as CONSULTANTS.

N:B, I'm a pharmacist in training and my interest is not in hospital pharmacy but in pharmaceutical manufacturing industry. However, the truth has to always be stated regardless of our biases.

So you feel a Doctor does not know that erythromycin is a cytochrome P450 inhibitor?? Again, Do u think a doctor will prescribe Carbamazepine to a patient having seizure simply because it is an antiseizure drug?? Do u know there are various types of seizure(what u called Epilepsy)? Do u know antiseizure drugs are classified so u can als give Carbamazepine to a patient having absence seizure too??
No need correcting u as that's what u are told in ur pharmacy school.

Freddonance:


So you feel a Doctor does not know that erythromycin is a cytochrome P450 inhibitor
No need correcting u as that's what u are told in ur pharmacy school.

I stated that as an example. Besides, it's easy to do a google search on just that. There are many more interactions!

Please nairalanders help me, Am dying through hunger. I have begged many nairalanders through their various Mails but no positive response. 2108205688 UBA. USMAN

MrRhymes101:
Pay them abeg! Why force them to call it off?? But this health workers took an oath to save lives na... Wedding MC

It is not all that took an oath to save lives.. an association comprising of cleaners, accountants, ordeals, mortuary attendants, generator engineers can 't be about saving lives rather an accountant wants to held a hospital . They are saying that a cleaner also derserve to held a hospital, why will they not think this way since hazard allowance is 5000 naira for both the doctor, nurse, pharmacist, accountant, record staff but when Ebola and lassa came , more than 10 doctors died ( even though they represent 5 percent of hospital work force) and no member of JOHESU has been reported to have died except a nurse during the Ebola outbreak. Please Health sector should just be privitised all this aggitations will stop at once.

Jman06:
I stated that as an example. Besides, it's easy to do a google search on just that. There are many more interactions!

So you feel a Doctor does not know that erythromycin is a cytochrome P450 inhibitor?? Again, Do u think a doctor will prescribe Carbamazepine to a patient having seizure simply because it is an antiseizure drug?? Do u know there are various types of seizure(what u called Epilepsy)? Do u know antiseizure drugs are classified so u can also give Carbamazepine to 10yr old having akinetic seizure?
No need correcting u as that's what u are told in ur pharmacy school.

Jman06:
I stated that as an example. Besides, it's easy to do a google search on just that. There are many more interactions!

That's rude bro... Google search? for something I have much knowledge than u do?

Unlimited22:

Doctors are ALWAYS the first to quote USA and UK. It's noteworthy to point out that all health workers earn much more than the average household salary in the aforementioned countries. And the quality of life is definitely NOT the same. I don't know why we should be quoting meaningless figures.
Are you aware that doctors In Canada recently asked for a reduction in their salaries, and an increment in that of health workers? Can this ever happen in Nigeria?
Call a spade a spade please.

your brain is paining you, you want nigeria to be like the developed countries but you don't want what is obtained there to happen here.. Get your head tested dear. It can't happen in Nigeria? Yet you want the consultancy title happening for some professions there to happen here..you brain definitely needs testing.

Jman06:
You were making sense until the last paragraph of your post where you displayed a gross lack of knowledge of the roles of pharmacists in healthcare delivery!

You should have just done a little research on the roles of pharmacists in those two countries you cited as focal points and in other developed countries of the world.

For your information, Pharmacists do not only dispense drugs in those countries, they are involved in direct patients contacts through ward rounds and counseling. They check physicians' prescription errors, drug-drug interactions, drug-food interactions, drug-disease interaction, and other possible interactions that could occur in the course of pharmacotherapy.
Ever asked yourself why Nigerian healthcare system remains abysmally poor despite government's investments and medical doctors being at the helm of affairs since Some of the reasons can be traced to other healthcare professionals like pharmacists not being allowed to put in their bests in patients care. How i wish that Nigeria could make autopsies compulsory before those who died in hospitals are interred. That will reveal so much about how Nigerians die avoidable deaths from drug errors and improper use of drugs when they go to hospitals.
Take a scenario such as this: An epileptic patient who is suffering from lower respiratory tract infection at the same time, he goes to the hospital and the physician prescribed a combination of erythromycin (an antibiotics for his infection) and then carbamazepine (an anti epileptic). Assuming there is no pharmacist around to correct such wrong combination, do you know that the patient would come down with carbamazepine toxicity with the resultant organ failures leading to his death This is just a tip of the iceberg!! Several of these interactions occur both in inpatient and outpatient settings and has led to the death of many!

Haven't you heard of cases where a man left his house to the hospital just to get treated of minor ailment only to die in the hospital following administration of some drugs prescribed by the physician Drugs are very dangerous substance that can either save a man if judiciously used, or KILL him if wrongly used. Pharmacists know drugs and their actions better than physicians as a matter of fact.
Knowledge of pharmacology which physicians have is not enough to make rational drug decisions since the important concepts of pharmacokinetics and pharmacodynamics are not discussed in details in most pharmacology textbooks, hence pharmacists study them further in clinical pharmacy. Some physicians i.e clinical pharmacologists may have some knowledge in this regard, but mainly for the purposes of research and teaching, besides they are very few.
So, the role of Pharmacists in hospitals cannot be overemphasized. If not, the developed nations you cited in your post wouldn't recognize them as key stakeholders in their hospitals to the extent of appointing them as CONSULTANTS.

N:B, I'm a pharmacist in training and my interest is not in hospital pharmacy but in pharmaceutical manufacturing industry. However, the truth has to always be stated regardless of our biases.

Your last paragraph sum it up that you're in training so I pardon your ignorance. First in the case of Erythromycin and carbamazepin that you cited. A 400L medical student knows the basic things about enzyme inducers and inhibitors and drug interactions so what gibberish are you talking about?
second you said a patient was given a drug in the hospital by physicians and the patient died, so you don't know about Adverse drug reaction, or anaphylaxis which can happen to anybody as a reaction to drug, don't people have natural atopy and allergic reaction like asthma that has killed them? Some people even have food allergy.
if Adverse drug reaction is not a possibility with some medication why did NAFDAC bring about pharmacovigilance form?

Like I said, I pardon your ignorance because you're still a student. Study hard, I wish you the best

Juhesu is an irrelevant servants of medical doctors dt wants same pay as their masters, idiotic group, govt shld sack n replace all.

Without a doctor a hospital doesn't exist, he is d one patients go to see.

Come to think of it juhesu pay currently compared to other civil servants is too high n shld be reduced

eendy:
It baffles me how a group of folks would come together with the aim of making unrealistic demands... Some commenters above are arguing ignorantly about the strike not being financially motivated... You want to be paid same salary as the doctors in your level, where in this world is that practicable... You work in shifts get numerous nights off and in turn want to earn same as the man whose call hour runs from hours to days mostly at the detriment of his family and loved ones...

now they've been granted consultant nursing and consultant lab technicians, just to cause more strife within themselves...

All I see is some inferiority complex plagued individuals struggling for titles for which they are ignorant of the meaning

Are you actually stupid? or just pretending to be. what part of these people don't want equal pay with doctors don't you understand? They're fighting for their own rights. Equity is different from parity!.

worlexy:

Now I see how ignorant you are and that's the problem we have in this country, when ignorant people think that they know it all. Now lemme educate you, fine the person may be positive for malaria like you said but was any physical examination done on him, was he checked for anemia, jaundice, he is having an ailment that can mimick or coexist with malaria. What test did they do to confirm that he had typhoid, Widal test? Widal is not a useful test, even you not having typhoid or typhoid symptoms will have those titres in your body. There's a normal sequence that treatment should follow, doctor to lab to doctor to pharmacy. In developed worlds your license as a pharmacist will be revoked for prescribing antibiotics without a doctors prescriptions.
Lastly, if you've not learnt anything today learn this: You don't treat a lab result, you treat the patient (after a thorough clerking, physical examination, making a diagnosis and having differential diagnosis in mind, then to the lab to either confirm your differentials or rule it out, then you prescribe drugs)

You don't understand my point,
We are in Nigeria where there is no strict regulation,
I was talking about simple malaria and typhoid with NO COMPLICATIONS.
I wrote it up there.
Are you telling me that Many Nigerians who treated themselves of malaria and typhoid went to a hospital and met a doctor?
They only go if after buying drugs from pharmacy and it didn't go.
Many Nigerians when sick love to patronize private medical laboratory and then head to a pharmacy with the test results,
They find it cheaper.
Pharmacists are no novice when it comes to health issues, they are treating people and prescribing in their pharmacy,


And it is working well for some people.

Pharmacists know their boundary, that's why they always say that after taking a drug, if symptoms persist after 3days,see your doctor.


That's my point

Freddonance:


So you feel a Doctor does not know that erythromycin is a cytochrome P450 inhibitor?? Again, Do u think a doctor will prescribe Carbamazepine to a patient having seizure simply because it is an antiseizure drug?? Do u know there are various types of seizure(what u called Epilepsy)? Do u know antiseizure drugs are classified so u can also give Carbamazepine to 10yr old having akinetic seizure?
No need correcting u as that's what u are told in ur pharmacy school.

I cited an example and you are now trying to twist my points into an unnecessary argument. I know there are different types of seizures and i also know the different classes of drugs used in their management.
Like i stated before, there are many different types of drugs in use today and they all have their interactions. The pharmacists know these interactions better!
The problem with Nigerian physicians is that they think they know it all and with such mindset they kill many Nigerians. That's my concern!

worlexy:
Your last paragraph sum it up that you're in training so I pardon your ignorance. First in the case of Erythromycin and carbamazepin that you sight. A 400L medical student knows the basic things about enzyme inducers and inhibitors and drug interactions so what gibberish are you talking about?
second you said a patient was given a drug in the hospital by physicians and the patient died, so you don't know about Adverse drug reaction, or anaphylaxis which can happen to anybody as a reaction to drug, don't people have natural atopy and allergic reaction like asthma that has killed them? Some people even have food allergy.
if Adverse drug reaction is not a possibility with some medication why did NAFDAC bring about pharmacovigilance form?

Like I said, I pardon your ignorance because you're still a student. Study hard, I wish you the best

Unfortunately, that's what they are taught in pharmacy school. They are taught to believe that doctors do not know much about drug