Wednesday, 30 March 2016

Quote of the Month!!

At the formal inauguration of Alliance Hospital in Abuja earlier this month, Edo State Governor, Adams Oshiomhole, blamed doctors for part of the crisis in the nation’s health sector.

Oshiomhole said, “(Nigerian) doctors spend more time on strike than they spend in the theatre, every excuse is always settled with a strike." (Please permit me to laugh at this comment).

He added, “Many things have to change; it is not just a factor of equipment. If the human factor and orientation is inappropriate, facilities and equipment cannot translate into good health outcomes. There is a need to get doctors to reinvent their Hippocratic Oath. It is unacceptable that Nigerian doctors go on strike over minor issues.”

He also called for an overhaul of the reward system in the public service, saying hard work and excellence should be rewarded; and lazy doctors should not earn as much as excellent and competent doctors.

Do you agree with him?

MDCN Reviews Practising Fees



Public Notice on Review of Practising Fees

The Medical and Dental Council of Nigeria hereby informs ALL MEDICAL PRACTITIONERS AND DENTAL SURGEONS that annual practising fees have been reviewed as follows:

a.  Practitioners of less than 10 years post graduation will pay N10,000.00 (Ten  thousand naira) only, as their annual practising fee.

b.  Practitioners of 10 years and above 10 years post graduation will pay  N20,000.00 (Twenty thousand naira) only, as their annual practising fee.

This review takes effect from renewal for 2017 annual practising license.

The Medical and Dental Council of Nigeria, by this public notice, reminds ALL MEDICAL PRACTITIONERS,  DENTAL SURGEONS AND THEIR EMPLOYERS that the Medical and Dental Practitioners Act Cap M8 Laws of the federation of Nigeria, 2010 requires that all practitioners pay their annual practising fees before  the beginning of each year to be eligible to practice legally.

Failure to comply with this requirement is a contravention of the Law for which the doctor concerned and his employer would be liable to prosecution.

Doctors are to pay their practicing fees into the Treasury Single Account (TSA) through the Council’s website (www.mdcn.gov.ng after they must have updated their records on the Council’s Registration portal.

Dr. A.A. Ibrahim, DSc., mni

Registrar.


Fuel Scarcity Cripples Medical Services Nationwide


Our country is currently in the throes of a fuel crisis and like many businesses, medical services in have been affected too.

According to a report by PUNCH, apart from paying more to get fuel from black market operators, hospital owners said they had to turn patients back in cases of emergency due to the fuel crisis.

The Medical Director, Healing Springs Medical Centre, Yaba, Lagos, Dr. Tunde Atunrase, said  he could not transfuse and admit a road accident victim over the weekend due to lack of fuel to power his generators.

He said, “I could only dress the wounds and stabilise him because his condition required a surgical operation to be performed. I needed to take his blood samples and do some tests before we could transfuse him. Unfortunately, the laboratories around the area also did not have electricity to carry out these tests.

A pharmacist, Mr. John Ali, complained that he had to dispose of some vaccines and drugs that were spoilt due to lack of electricity to power the drug store.

Owners of some diagnostic centres, also said they had not been able to process many medical results due to lack of fuel to power their equipment.

Hopefully, the Minister of State for Petroleum, Ibe Kachikwu, will make the queues disappear by April as promised.


Monday, 28 March 2016

Quote of the day!

UITH Resident Doctors Suspend Strike

The University of Ilorin Teaching Hospital (UITH) Association of Resident Doctors (ARD) has called off its two weeks old strike following an agreement between the union and management of the hospital.

A statement issued by the Public Relations Officer of the UITH, Mrs. Olufunmilayo Omojasola, stated that the doctors resolved to defend their 'Hippocratic Oath' by saving lives rather than shunning duties just as the management has decided to critically review some of the issues that prompted the strike.

Thursday, 24 March 2016

Read This Before You Judge Nigerian Doctors


You really need to read this article before you fault any doctor for refusing a patient treatment before payment is made. 

It was written by a doctor under the name Sofadj on Nairaland and although it's quite lengthy, I found it absolutely worth the read.

HER BLOOD IS NOT ON MY HANDS - THE TRAVAILS OF A NIGERIAN MEDICAL DOCTOR

"I own a hospital in Southwest- (not Osun state Nigeria ...lol). I currently have about 17 patients on my ward each of whom I have admitted at several occasions through emergency. None of these patients has paid up to 30% of his/her bill. Some of them have stayed up to 7 weeks on the ward. I admitted and attended to them based on the fact that their conditions were life-threatening as at the time they came. I made their bill known to them - and they signed before they were treated. But there is a common trend, as soon as they felt relief and became stable they pleaded for their bills to be reduced - this I vehemently refused.

About 4 weeks ago a woman was rushed in with Eclampsia having just convulsed while pregnant and she was unconscious. I promptly took her straight to the theatre without collecting a dime though i had informed the relatives of the charges - #120,000 for her operation and medications. They signed and I carried out the surgery successfully. Mother and baby survived. Within the following 6-days they paid a total sum of #12,000 and they began pleading to go home for the child's christening ceremony. I looked at them with disdain. Till now, they have only managed to pay a total sum of #14,000.

Another man who was managed for strangulated hernia has only paid 20,000 out of 75,000 bill. And the list goes on. Their failure to pay has made it difficult for the hospital to replace consumables and medications needed to manage other people's condition.

In the early hours of today 1:30am, a woman was rushed into the hospital following delivery at the referral centre. Blood had refused to stop gushing out. I did a quick assessment and realised she would need more materials than the hospital pharmacy currently had in store. I could have my staff get from a nearby pharmacy too. However, the husband said he had no money on him and so did the numerous relatives that accompanied. It was indeed a familiar pattern. I decided to let them go. I referred her to a government hospital. Of course they pleaded for me to help but there was nothing I could do. Few minutes after they left - just few metres from my hospital gate, she collapsed. She had lost a lot of blood. I rushed there and rigorously tried resuscitating her right there outside the hospital 2am early morning, but all efforts proved abortive. A young woman of 28years had just died after having her first baby. Screams, wails, cries ensued. I felt bad - this is not why i became a doctor. But her blood is not on my hands.

Her blood is on the hands and heads of all the patients on the ward who can afford to pay but refused to - on the grounds that - "What will they do?. Her blood is on the hands and heads of the government officials past and present who have made it difficult and impossible for workers to get paid for their work. But the government officials are not the target of this my narrative. It is aimed at those who take hospital healthcare and medical doctors for granted. Those (including myself) who emphasise that doctors should not put money first before treating emergency conditions. In emergency cases, relatives would go to any length through any struggle to get money. As soon as the situation becomes calm, they relax and then they refuse to pay.

Last year a distant relative of mine was delivered of her baby via Caesarean section (in a hospital in Lagos- not mine). They were billed #180,000 which they accepted before the operation. After the surgery, her husband called me and asked how much I charge and i told him. He then began pleading with the management of the said hospital to review his bill. They declined. The husband being who he is, paid #120,000 and absconded with his wife and his newly born son. How he did this, I do not know, but i know that at the christening ceremony a week later, he had two cows slaughtered to celebrate the birth of his first son.

Many times we complain of doctors who ask for charges before treating patients but no one has ever bothered to ask the doctors why they do? Doctors are humans too, we need to pay bills. This is our trade, our profession, our means of livelihood. We have needs too. We can not go to the market place with the ID showing that we're doctors and hope to get food items on credit. We need to pay our children's school fees, we need clothes , shelter etc just as you. Everywhere in the world healthcare is expensive, both services and materials are expensive. Well we understand that you may not have money. The government should find a way. The government should find a way/policy that ensures that we get our money back after we have rendered our service. In the UK there is the National Health Scheme, in the United states they have health insurance schemes too in addition to Medicare, Medicaid. In Nigeria we have the barely effective, poorly regulated and massively corrupt National Health Insurance Scheme.

Well i have decided to change the modus operandi of my institution. The previous one has not benefited anybody. Henceforth if any one comes to my emergency room without a dime. I will not attend to. If such a person dies, the blood is not on my hands, its on the hands of those who have received treatment in the past and failed to pay afterwards."
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In my opinion, Government can put a stop to the needless waste of lives in emergency situations (like Road Traffic Accidents (RTA) by providing emergency health insurance to all Nigerians so we can receive the care we need when the need arises.

What's your opinion?

Wednesday, 23 March 2016

Nigerian Doctors Based In The US List Conditions To Return Home

Nigerian medical practitioners based in the United States of America under the aegis of the Association of Nigerian Physicians in the Americas on Tuesday said they were determined  to relocate to the country if the Federal Government could provide  incentives for them.

The doctors, led by their National President, Nkem Chukwumerije, stated this in Abuja when their executive officers paid a courtesy call on the Chairman,  Senate Committee on Health,  Senator Lanre Tejuosho,  at the National Assembly complex.

Chukwumerije listed  poor remuneration, inadequate modern equipment  and a  lack of low interest loans for those who want to set up medical facilities in Nigeria as some of the impediments to their homecoming.

He said, “The major barrier preventing the relocation of medical doctors back to Nigeria is incentive. Every human character and behaviour is linked to incentives. Some of the incentives to get back the medical doctors abroad to Nigeria are not in place.

“Another thing is a lack of proper equipment to work with. Most people abroad honestly want to come back. But to physically relocate,  we will need the right financial incentives."

In short, if the pay is not good enough, they are not coming back --forget Hippocratic oath (lol).

Source- PUNCH

Friday, 11 March 2016

LAUTECH Resident Doctors Plead For 5month Salary Arrears

On Friday, resident doctors at Ladoke Akintola University of Technology (LAUTECH) Teaching Hospital, Ogbomosho, made a public appeal to officials in Oyo State Government to pay up the five-month salaries owed them.

The doctors in a statement signed by the President of the Nigerian Association of Resident Doctors (NARD), Oyo State Chapter said, “We want a full completion and installation of infrastructure and equipment, payment of our entitlements as resident doctors. We also call for the payment of our salaries as members no longer have funds to come to work, feed, continue unusual self sustained residency training and social responsibility.”

The  doctors complained they had not been paid for exactly five months despite rendering essential services to life. "If we are being owed November and December 2015 salaries in March 2016, we cannot even project when we shall begin to receive 2016 salaries", the statement read in part.

“Asking us to continue to discharge our service with maximal effort without being paid is like flogging a dead horse so as to move it on by force.”

I sincerely doubt the state will heed their appeal until the doctors threaten/start a strike action.


Monday, 7 March 2016

Man Contracts HIV Despite Taking Anti-HIV Pill


A gay man has become the first person ever to contract HIV despite taking PrEP (pre-exposure prophylaxis) regularly for two years, noted a Canadian scientist at the Conference on Retroviruses and Opportunistic Infections last month in Boston.

As you may already know, PrEP is a way for people who don’t have HIV but who are at very high risk of getting it to prevent HIV infection by taking a pill every day.

The man was on Truvada, a highly effective PrEP (containing tenofovir and emtricitabine) which was known to lower the chances of getting HIV by 92 percent.

In his presentation, Dr. David Knox noted the patient was a 43-year-old gay man, a regular at the Maple Leaf clinic who regularly got tested for HIV. In April 2013, following a suggestion he start PrEP, the man began the regimen. According to Knox, the patient's HIV-positive partner was on antiretroviral therapy with "undetectable" levels. Yet the man also reported “multiple acts of anal receptive sex with casual partners without the use of condoms” occurring within two to six weeks of testing positive for HIV.

The patient insisted he was adherent to his medication and both pharmacy records and dried blood spot analysis indicated “consistent dose-taking in the preceding one to two months, said Knox.

“Failure of PrEP in this case was likely due to the transmission of a PrEP-resistant, multi-class resistant strain of HIV 1,” said Knox.

No doubt, this case will spark more questions and concerns about the efficacy of Truvada.

Quote of the Day!

The quote below is from one of my favourite movies "The Counsellor" and it's really deep.
“The world in which you seek to undo the mistakes that you make, is different from the world where the mistakes were made. You’re now at the crossing. And you want to choose, but there is no choosing. There’s only accepting. The choosing was done a long time ago.” 

Cord blood: The blood "miracle"

Did you know how important cord blood is? I'm guessing no but in the next couple of years, it will be much more popular than it is no...