Adk

citizen of Africa
#ARSENALFC

[Adk @_adinkra]

@__theSeyram Proper low block Premier league football

[Adk @_adinkra]

@__theSeyram Proper low block Premier league football

[Adk @_adinkra]

Stupid coach

[The Touchline | 𝐓 @TouchlineX]

🚨🗣️ Luis de la Fuente: "We had chances, we showed determination. It was a difficult game, but we have to keep going like this."

[Adk @_adinkra]

@TweetByWale France

[Adk @_adinkra]

The ignorance in this country is unimaginable especially from people who think they know too much; who are the actual managers he's referring to?

[GHOne TV @ghonetv]

Hospitals should be managed by actual managers, not medical staff... - Kwame Jantuah (Member, CPP)

#GHOneNews #EIBNetwork
#GHOneTV #NewsAlert

[Adk @_adinkra]

@addotwista Gabriel will start ahead of Juan

[Adk @_adinkra]

@OchiengGeraldd 💀

[Adk @_adinkra]

@cagiago_ 🤣🤣🤣🤣

[Adk @_adinkra]

He will always be remembered as a pornstar, drug addict and a criminal

[Leading Report @LeadingReport]

George Floyd passed six years ago today.

[Adk @_adinkra]

Why do you need french when tge whole world speaks english

[Omar El Fares 🇵🇸 عُمَر الفارس @3lfares]

Why do English-speaking Canadians refuse to learn French? Genuinely weird

[Adk @_adinkra]

Arsenal is still 🔥 without ucl

[Adk @_adinkra]

Lehmann is better than Raya

[DailyAFC @DailyAFC]

🗣️ Jens Lehmann to David Raya on the Champions League final: “Do us a favour & play 90 minutes, do NOT get sent off! If you win it, you are giving something back to the fans which we couldn’t. I didn’t deliver because I got sent off.” ❌🟥

[Adk @_adinkra]

@KwabenaOA Is it wrong? Then teach us tge right thing

[WhoScored @WhoScored]

Arsenal in the Premier League this season:

🥇 Most points (85)
🥇 Most wins (26)
🥇 Most goal difference (+44)
🥇 Most clean sheets (19)
🥇 Most clean sheets in a row (4)
🥇 Most set-piece goals (23)
🥇 Most headed goals (16)
🥇 Most WhoScored MOTM awards (29)
🥇 Fewest losses (5)
🥇 Fewest goals conceded (27)
🥇 Fewest shots conceded per game (8.2)
🥇 Fewest yellow (51) and red cards (0)

Champions 🔴⚪️🏆

#AFC | @Arsenal

[Adk @_adinkra]

@afcbournemouth We love you Cherries 🍒 ❤️

[Pitchpulse @Pitchpulse16079]

@ArsenalN7

[BOAKYE EMMANUEL @BOAKYEEMMA10987]

It is not true that there are no beds in Accra. There are a lot of empty beds at Bank Hospital, Maritime , UGMC. These are hospitals built with public funds or by state institutions but are too expensive for the average Ghanaian. The deposit alone will kill you first #Newsfile

[Adk @_adinkra]

This strike is due to failure on the part of the employer; it's not the job of employees to determine their job description, scope or work or place of work, it's the duty of the employer which in this case is the ministry of health.

[Dr. Banda Khalifa @dr_bandak]

Honestly, I would have preferred a different way of handling this.

A strike over laboratory access feels like an overreach, especially in a national referral hospital where any disruption immediately affects patients.

But the strike is not the real story.

The real story is how we got here.

Is this a leadership battle, or a territorial battle?

If you believe the laboratory should be reserved only for medical laboratory scientists, that is not consistent with how modern diagnostic systems work.

If you also believe the laboratory must be led only by laboratory physicians, that is equally incomplete.

Those are the two extremes.

A serious health system should be able to find a workable middle ground between them.

—-

The reason this conflict feels so intense is that the laboratory is the center of modern diagnosis.

It determines cancer diagnoses, antimicrobial choices, transfusion safety, and clinical decision-making.

That is why leading teaching hospitals treat laboratories as diagnostic systems rather than professional territories.

——-

Medical laboratory scientists protect the technical reliability of results.

They manage testing systems, sample processing, quality control, method validation, instrumentation, accreditation, and workflow.

Their core question is:

Is this result accurate and reliable?

If a test is technically unreliable at Korle Bu, the mere presence of laboratory physicians will not automatically correct that failure.

That is why this debate should not be reduced to a vague claim about “validating results.”

—-
I have also noticed that a few people don't seem to understand what laboratory medicine is about.

Laboratory medicine is a well-established specialty. (The history of infectious diseases is one of my favorite topics)

Laboratory physicians bring a different function.

They connect laboratory findings to diagnosis, specialist reporting, treatment decisions, and complex patient care.

Ghana’s own specialist training pathway recognizes laboratory medicine in anatomic pathology, chemical pathology, hematology, and medical microbiology.

Their core question is:

What does this result mean for the patient?

——-

The term “validation” must be separated into at least two levels.

Medical laboratory scientists confirm that the sample is acceptable, the instrument worked, quality control passed, and the result is analytically sound.

In other words, “Technical Validation.”

Laboratory medicine physicians provide clinical validation for a select # of specialist cases.

It is worth noting that not every result needs a laboratory physician's sign-out/validation.

Most are released through technical validation and approved procedures/protocols.

But some tests are different.

For example;

A biopsy can diagnose cancer.

A bone marrow report can diagnose leukemia.

Genomic results can shape major clinical decisions.

These sometimes require clinical correlation.

In most established systems, this is mostly done by laboratory physicians
—-

If this dispute is mainly about who leads the laboratory, then a better model would be structured co-leadership.

A laboratory physician can lead the clinical domain.

A medical laboratory scientist should lead the technical and operational/administrative domain.

This is what is done in major hospital labs.

Then again, I hope this is not merely about “who heads the lab.”

And I will be more disappointed if it's also about “ACCESS”

——

Healthcare should be organized for patient outcomes and higher standards of care.

We can achieve that only through collaboration.

Not competing for professional dominance.

—-
In Johns Hopkins & other major hospitals, laboratory services sit within departments of pathology and laboratory medicine.

They have a medical director (usually a laboratory physician/pathologist) and an administrative director (usually a medical laboratory scientist)
——-

But what do you think the real issue is?

I would love to hear from both sides

[Adk @_adinkra]

Government facilities are subjected to a lot of regulations even on how to spend internally generated funds; so to support public health and other activities

[Adk @_adinkra]

CHAG facilities operate under different guidelines and are not subject to government regulations like government facilities, their accounts are not even audited by the auditor general. This give them room to do a lot of things including sometimes taken loans

[elvis🇬🇭 @elvis_quajo]

They have run our hospitals down in all areas. Their counterparts who head the various hospitals under the Christian Health Association of Ghana (CHAG), who aren’t necessarily doctors but have the requisite managerial skills, are doing a much better job. You are more likely to receive quality healthcare in a CHAG hospital than you will in a Ghana Health Service hospital where doctors are head. The level of professionalism and discipline among health professionals in CHAG hospitals is so impressive. In a typical Ghana Health Service hospital your health is at the mercy of rude and unprofessional health workers because there is no leadership.

[Adk @_adinkra]

CHAG facilities charge high top ups besides the NHIS and are not subject to political interference from the NHIA and politicians like the government facilities