THE PIRATE KING💀👑

Eat! Sleep! Conquer! Repeat!!

[THE PIRATE KING💀👑 @Proffahad2005]

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[THE PIRATE KING💀👑 @Proffahad2005]

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[THE PIRATE KING💀👑 @Proffahad2005]

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[Borderlands @Borderlands]

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Contest ends Feb. 25 at 9 a.m. PT.
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[THE PIRATE KING💀👑 @Proffahad2005]

@Borderlands @Alpha_Bybit

[Dr Mohammad Usman Suleiman @mohagirei]

_*WHEN IS TOO MUCH REALLY TOO MUCH*_
_*what we should all be worried about*_

I write this with great constraint, sadness and a profound sense of loss of faith.

In the last one (1) month, three doctors lost their lives. Three members of NARD lost their lives.
1. Dr. Salome Oboyi, A Senior Registrar in the Obs and Gynae department of BHUTH Jos
2. ⁠Dr. Jamila Umar Danhassan, A Registrar in Community Medicine Department of AKTH Kano
3. ⁠Dr. Akinjobi Carrington, A House Officer in LASUTH Lagos.

It would interest us all to know that this brings the number of Resident Doctors who lost their lives in the last four and a half (4 1/2) months to (10) ten.

It would interest you to also know that a Resident Doctor also tested positive (and eventually tested negative for Lassa Fever) in the last 2 weeks.

Will it not baffle your imagination to know that a Resident Doctor is battling for her life in a hospital in Enugu following a road traffic accident?

I am angry, I am scared, I am afraid I may be next, I am awake to my own thoughts these days and a prisoner to it. Nigeria, what have we done wrong as Doctors?

Life is just moving on in Nigeria as if nothing has happened.

Of the 9,000 resident Doctors at the federal level and another 1,000 at the state level, 10 have lost their lives in less than 5 months.

We have lost over 10,000 Resident Doctors over the last 10 years to Migration and we are on course to loose another 10,000 in the next 10 years with a net deficit of about a thousand (1,000) doctors per year.

New recruitment into Residency Training has dropped by more than 40% in the last few years.
Attrition rate out of Residency Training has also increased with over 4,600 doctors leaving the shores of Nigeria in 2024 alone.
I am sure, Nigeria did not produce more than this number of Doctors from our medical schools in 2024.

We now have more Senior Registrars than Registrars, more Senior Registrars than there are House Officers in Nigeria.

Add these (now regularly regular) deaths to the statistic, we are surely heading in the wrong direction.

Ten (10) is a few too many, especially in Nigeria where these 10 Doctors by population are suppose to cover at least 100,000 Nigerians with a doctor to patient ratio approaching 1:10,000. WHO recommends 1:600 to 1,000.

We have approximately 25,000-30,000 Doctors currently actively practicing at various levels and strata of patient care in Nigeria. To cover our entire population, we need over 300,000 Doctors.

What the above statistics mean is this. 30,000 Doctors are doing the Job that should be done by 300,000 Doctors. And off the 30,000, Resident Doctors are less than half of that.

When doctors die, or any health care professional die, it is a source for worry and panic.

Is this not a national crisis?
Doesn’t this deserve our attention?
What is killing our Doctors?

What may be responsible? (not in order of priority);
1. Excess work load.
2. ⁠Lack of Motivation and under appreciation.
3. ⁠Poor Remuneration and excess outstanding monetary arrears.
4. ⁠Challenges in career progression.
5. ⁠Lack of Job satisfaction.
6. ⁠Epidemiological and natural distributions of disease entities.
7. ⁠Security challenges.
8. ⁠Inability to afford services in Nigerian Hospitals.
9. All of the above?
10. ⁠etc

10 care givers gone.
10 healers gone when they were needed the most.

Why am I worried;
1. I can be next and the whole country would just move on and I become a statistic.
2. ⁠These hospitals would simply replace them with anyone alive, available and willing. And work will just continue as if…
3. ⁠The Nigerian Health Sector will just continue in its march to decline, silently.
4. ⁠Their families will never be whole again.
5. ⁠The Nigerian Government simply cares little or nothing. The next election is more valuable to Government, certainly.
6. ⁠The Nigerian People are simply too unaware, too poor, too distracted to even notice.

@channelstv @seunokin @ARISEtv @tvcnewsng

[Dr Mohammad Usman Suleiman @mohagirei]

Marching forward, shut down loading…

Make FG try drop these things, or else…

1. Remaining 25/35%
2. ⁠Promotion/Salry Arrears
3. ⁠HO Salaries/Arrears
4. ⁠SA this month
5. ⁠PAT this month
6. ⁠PAT Arrears after budget is passed
7. ⁠Entry level letter to CMDs
8. ⁠Let us get all the documentation’s do STHIs/PTHI can also get there’s
9. ⁠CBA, ataśa…
10. ⁠Doctor Directors and Perm Secs to retire after 8 years

Civil service in Nigeria to Doctors:
“If you want to be Directors and Perm Secs, OTILO 😝”

Doctors:
“😭”

Lassa Fever:
“Where them health workers?”

Angel of Death:
“Where them Doctors”

Me:
“When we are serious, we will solve this ASAP”

I dey suspect say na FG write that song for Davido with Doctors in mind

“Them go feel it”

NARD to FG
“shut down loading ASAP”

If you don’t gerrit 4getabourit…

[Dr Mohammad Usman Suleiman @mohagirei]

URGENT APPEAL TO AVERT A LOOMING NATIONWIDE NARD STRIKE (TICS 2.0)

Dear Esteemed Leaders and Respected Elders of the Medical Profession,

I write to you at a critical moment for Nigeria’s health sector and the medical profession. As revered elders, past and present leaders, and custodians of the values that have long sustained our noble calling, your voices carry unmatched moral authority and national weight.

The Nigerian Association of Resident Doctors (NARD) stands on the brink of another nationwide industrial action— Total and Indefinite Comprehensive Strike TICS 2.0 triggered by the failure of the Federal Ministry of Health and the Federal Government to honour the Memorandum of Understanding (MoU) freely entered into with NARD. This development is deeply distressing, not only because of its implications for healthcare delivery, but because it represents a breakdown of trust, sincerity, and good faith in government–professional relations.

For clarity, the sequence of events over the past few months underscores NARD’s patience and restraint:
• Following the suspension of the warning strike, NARD issued a two-week ultimatum, which elapsed without any meaningful response from the FMOH or the Federal Government in the last AGM.
• This ultimatum was subsequently extended by 30 days as a form of goodwill, again without response.
• A further seven-day extension was granted, still without response.
• Consequently, TICS 1.0 commenced, prompting limited engagement that culminated in the signing of an MoU with clear timelines.

Today marks the 31st day after the signing of the MoU, yet there has been no visible or substantive progress on its implementation. In this context, it is only fair to state that resident doctors should not be blamed if industrial action resumes, having repeatedly demonstrated patience while government obligations remain unmet.

It is important to emphasise that NARD has shown uncommon restraint and patriotism. Strikes were suspended, timelines were extended, and multiple conciliatory meetings were honoured, all in the hope that commitments made by the government would translate into concrete action. Regrettably, most of these commitments remain unfulfilled, while agreed deadlines have been ignored without explanation.

Distinguished elders, resident doctors form the backbone of service delivery in Nigeria’s tertiary hospitals. They are overworked, continue to experience breakdowns, and are increasingly demoralised. When agreements addressing our welfare endorsed by the Federal Government are treated with levity, it sends a dangerous signal that sacrifice, dialogue, and professionalism no longer count.

We therefore humbly but urgently appeal to you to prevail on the Federal Ministry of Health, and by extension the Federal Government, to take immediate and visible steps to honour the MoU with NARD. Your timely intervention can still avert this looming crisis, restore confidence, and prevent yet another avoidable disruption to healthcare services across the country.
History has shown that when respected medical elders speak, governments listen. This is one of those defining moments where your intervention can preserve industrial harmony, safeguard patients’ lives, and protect the integrity of our profession.

Nigeria’s patients, our colleagues, and the future of the nation’s health system are counting on you.

Yours faithfully,

SHUAIBU IBRAHIM
Secretary General
Nigerian Association of Resident Doctors (NARD)

[NARD @nard_nigeria]

STATE OF IMPLEMENTATION OF THE MoU BTW NARD AND FG viz-a-viz NARD TICS 2.0: NO IMPLEMENTATION, NO GOING BACK

Dear Nigerians,

Medical Elders and Leaders,

Distinguished NARDites,

The National Executive Council of NARD has summoned the NOC under this Leadership to submit a report of the state of the Implementation of the Memorandum of Understanding signed with the FG on 27th November 2025 at the Conference Room of the FMOLE.

1. FTH LOKOJA-5: The House of Representative Committee on Tertiary Health Institutions Directed their reinstatement. The FMOH&SW Committee recommended their reinstatement, Both back to FTH Lokoja and even with payment of backlog of pays. The MoU agreed that the Committee’s recommendation shall be fully implemented within two weeks. They aren’t still back in FTH Lokoja.

2. Promotion and Salary Arrears: The submissions have been completed by all Chief Executives. The FMOH&SW is yet to transmit this to the FMOF and the BoF.

3. Specialist Allowance: The FMOH&SW wrote the OHCSF seeking guidance on reintroduction and implementation. The response was clear, with no ambiguity. What remains is for the Ministry and the NSIWC to meet and strategize on implementation.

3. CBA: It remains without any resumption date. It is likely to last up to 6 months when it resumes. We are still waiting.

4. Skipping/Entry Level: The response from the OHCSF has resolved this issue. FMOH&SW is yet to officially communicate the Chief Executives and IPPIS, appointment letters and IPPIS capturing are still reflection lack of implementation.

5. Corrected Professional Allowance Table: Despite successfully fighting for its release, NARD is worried about its lack of capture in the 2026 budget and implementation. The FMOH&SW is yet to communicate its capture in the budgeting process from CEOs and the Budget Office. Its implementation too hasn’t been acted upon.

6. House Officers: It is disappointing and disheartening to see that HOs across Federal Institutions have 1-6 months of full salary arrears despite still working. They still endure 2-3 weeks delays in their monthly salaries, for those that get. This is unacceptable.

7. Locum and Workhour Committees: These were to be set up and had a timeline of 2 months to submit its reports. Over a month later, both haven’t been set up.

8. Membership Certificate Categorization: This issue has taken a major nosedive. 😔Details to follow soon….

9. 25/35% CONMESS Review Arrears: Failed Payment and Omissions have been resubmitted back to IPPIS for payment. 30-40% of our members are yet to palpate this arrears.

10. Other Issues in the MoU. These other issues in the MoU signed have largely remained at the same points and levels they have been.

The NMA, in its wisdom, called for agitations from its affiliates in order to press home these demands to their respectful FINALITY. NARD took on the batton in order to ensure TOTAL DELIVERY.

This method will be carried to its logical conclusion in order to restore the confidence of members.

May I call on well-meaning and Distinguished Nigerians, Medical Elders and Leaders in the Profession, Kindly intervene!!!

The NEC shall review these events and give a direction that is clear. As the Militant-In-Chief of the NARD Assembly, My only part is to ensure total compliance with the ruling of the NEC of NARD.

Yours Militantly
P-MUS of NARD
29:12:2025

[THE PIRATE KING💀👑 @Proffahad2005]

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[THE PIRATE KING💀👑 @Proffahad2005]

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[THE PIRATE KING💀👑 @Proffahad2005]

@channelstv Õ

[THE PIRATE KING💀👑 @Proffahad2005]

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[THE PIRATE KING💀👑 @Proffahad2005]

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[THE PIRATE KING💀👑 @Proffahad2005]

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[THE PIRATE KING💀👑 @Proffahad2005]

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[THE PIRATE KING💀👑 @Proffahad2005]

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[THE PIRATE KING💀👑 @Proffahad2005]

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[THE PIRATE KING💀👑 @Proffahad2005]

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