DrO22

[NTANetwork @NTANewsNow]

Gov Peter Obi pays N1.2bn to Anambra pensioners making it N33bn committed to clearing arrears owed since 1996

[DrO22 @sugarsherrie]

@WalashBaba1 😭😭😭😭

[Panashe @NasheCeezet_zw]

We started joking he must be a robot because nothing ever stressed him. Until last week when he didn’t show up at all.

Turns out his own mother had been admitted at a local hospital the night before. He had spent the whole night sleeping on the hospital floor so he could be there when she woke up.

When he finally came back two days later, the first thing he said was “Sorry for the delay, the food will be on me today.” We all felt like trash.

[Mafeng Maigari @Real_Maffy]

Yeah, that's my mom lying down there after a successful surgery at the Plateau State Specialist Hospital and that's my sister by the door and I was behind her waiting to receive my Mom from the nurses.
My Mom is diabetic and lost her first leg (amputated) in 2023, and yesterday,

[Saira @AiWithSaira]

MY FRIEND IS STILL PAYING FOR GMAIL STORAGE.

I told him to do this before.
He went from 14.9/15 GB to 6 GB in a single afternoon.

Hope this helps you ↓

[EGHO²³¹ 💛 @EGHO231]

The government needs to treat Neolife like a terrorist organization. It’s bad, really bad.

[Adam Bruggeman, MD @DrBruggeman]

2/

The Inverted Pyramid

What is happening in contemporary Spanish healthcare is a phenomenon worthy of anthropological study: the pyramid of authority has been inverted while the pyramid of responsibility remains intact.
Doctors are required to answer to the judge, to the professional college, to hospital management, to the patient, and to society for every clinical decision. When something goes wrong — and in medicine, things go wrong with a measured and inevitable statistical frequency — the doctor stands alone facing the disciplinary file, alone facing the lawsuit, alone facing the newspaper headline.

Yet, that same professional has been systematically stripped of the corresponding authority. A nurse questions an order in a prosecutorial tone. An orderly decides that a transfer can wait and walks away. A technician refuses to take an X-ray because “the indication is not clear.” And the doctor, who has just weighed fifteen differential diagnoses, must justify themselves to someone who lacks the training to understand the complexity of what is being decided.

The most egregious example comes from the administrative level. The manager who prohibits the use of a certain implant because there is a cheaper one, without understanding that the cheaper one has a failure rate three times higher. The protocol that limits monthly MRIs, as if pathology should adapt to the budget. It happened with shoulder arthroscopy in its early days, banned because “the instruments and implants were very expensive”: the decision on which surgical technique to use was left in the hands of someone who could not distinguish an arthroscope from an otoscope.

The message is devastating: your clinical judgment is subordinate to my economic judgment. Your knowledge is worth less than my Excel spreadsheet.

And there is the degradation of the medical signature. Everything is signed: reports, requests, reports, consents, invoices. This leads to a loss of value in the signature; it banalizes it. But it is a selective banalization: when the signature implies responsibility, it is demanded rigorously; when it should imply authority, it is ignored. The doctor signs a surgical indication and the manager postpones it. Signs a material request and the administrator rejects it. The signature serves to condemn you, not to make them obey you.

The pattern is invariable: the doctor signs, answers, bears the consequences. But does not decide, does not command, does not have the final word in.

Next installment: “The Perverse Framework”

Subscribe to continue reading

(Original source: https://t.co/ZTUKs0aGaA)

[Adam Bruggeman, MD @DrBruggeman]

I translated this into English for everyone to read. This is written by an orthopedic surgeon colleague in Spain, but I know my American colleagues will appreciate the text an similarities to challenges we face here

1/
The Asymmetry in Medicine in Spain: Responsibility Without Authority (I)

Opinion

Francisco J. Guitián Lema

The Asymmetry in Medicine in Spain: Responsibility Without Authority (I)

“There is irrefutable empirical proof of this asymmetry: the doctor can replace anyone; no one can replace the doctor,” states Francisco J. Guitián Lema, a Vigo-based traumatologist specializing in orthopedic surgery

There is a truth so elementary that it feels uncomfortable to state it: a hospital exists solely and exclusively to cure the sick. It is not there to provide jobs or to justify organizational charts. Nor to feed bureaucracies or to experiment with organizational theories. It exists so that a sick human being leaves it less sick or, at the very least, having received the best possible treatment.

From this premise follows a logical consequence that the Spanish healthcare system seems determined to ignore: in that healing process, there are only two absolutely indispensable figures. The patient, who is the reason for the entire structure’s existence, and the doctor, who possesses the knowledge to guide that process. Everything else — and this is not disdain, but taxonomy — is support structure. Necessary, valuable, often heroic, but auxiliary.

The doctor is the only professional capable of performing the core act that justifies the hospital’s existence: diagnosing the disease and establishing the treatment. Without a diagnosis, there is no possible direction. Without a therapeutic indication, there is no meaningful action. An orderly transports the patient, but it is the doctor who determines where and why. A nurse administers medication, but it is the doctor who decides which, how much, and when. A technician performs a test, but it is the doctor who orders it and interprets its result.

This functional hierarchy is not a social convention or an inherited privilege: it is a direct consequence of training. Six years of medical school plus four or five years of MIR specialization produce a professional capable of integrating knowledge of anatomy, physiology, pathology, pharmacology, and a thousand other disciplines into a diagnostic synthesis that no other healthcare professional is trained to perform.

There is irrefutable empirical proof of this asymmetry: interchangeability. A doctor can, in case of need, perform the functions of any other hospital professional. They can push a stretcher, insert an IV line, draw blood, take vital signs — in Germany, doctors routinely perform these functions. The reverse is not true. An orderly cannot diagnose pneumonia. A nurse cannot order a surgical intervention. The doctor can replace anyone; no one can replace the doctor.

Recognizing this reality does not imply disdain toward anyone. Nursing care is essential. The orderly’s work ensures that hospital flow does not stop. Everyone deserves respect and fair compensation.
But respect for personal dignity cannot be confused with functional equivalence. In an operating room, the surgeon is not worth more as a human being than the assistant; but their function is irreplaceable in a way that the assistant’s is not.

This distinction, obvious in any other field, has become taboo in Spanish healthcare. The prevailing egalitarianism has managed to make an evident functional truth be perceived as a moral offense.

[Nevermind @BigItohan_]

If you order a ride and you see him, please cancel. He’ll pretend something is wrong with his car and park so his gang can rob you

[Friendly Neighborhood Doctor @Okizle]

A medical consultation is a meeting of two experts.
The doctor - An expert in the disease condition. Ideally ought to know how the disease starts, progresses and treatment.

The patient - An expert in their own condition. They know what's happening and how they feel. They identify their own health priorities.

In many cases, what's priority to the patient does not necessarily mean it's priority to the Doctor. A patient could come to you with low back pain hindering their day to day and just needs a pain relief but you as the Doctor, you have identified possible multiple myeloma.

So the meeting of Experts is a collaborative approach aimed to tailor care by incorporating both professional guidance and patient autonomy, resulting in a therapeutic alliance and shared decision-making.

[Rory Ovedje | Tech Lawyer @ovedjerory]

I don't know why no one talks about this in Nigeria.

If you've sent money to a scammer, go to a lawyer ASAP.

For amounts under 500k, visit your nearest High Court and apply for an order directing the scammer's bank to reverse the transfer.

#ScamAlert #Fraud

1/2

[Jobs with Aramide @AramideOyekunle]

LIST OF 44 CONFIRMED FAKE JOB VENUES

1. Plot 5, Voda Paint plc, University Press House, Fumec Bus stop off Adeniyi Jones Ogba Lagos

2. 3rd floor, 8 Thomas Salako Street, Ogba Bus Stop, Ikeja Lagos

3. No 2, Sunday Street, off Ikorodu , Palmgrove, Lagos

4. 65c Opebi Road, Opposite glass house by salvation Bus stop, Opebi, Ikeja, Lagos

5. HYINSCO Office. No. 4, 2nd floor, upward sanitas outlet, Alara sStreet, off commercial avenue, Onike, Sabo Yaba, Lagos

6. Plot 5, university press building, along industrial road, Ogba, Lagos

7. 4B, Ogungbeye street Oppt African Shrine by Cadbury bus stop, Agidingbi Ikeja, Lagos

8. Plot 14, Block A, Voda Paint, Surulere House, off Fumec bus stop, Surulre industrial road, Ogba, Lagos.

9. No 4, Ahl Ogungbeye Street off Amaraolu road, Opp Mega chicken bus stop by first gate, Agidingbi, Ikeja, Lagos.,

10. 1, Olabisi Close, Mende, Maryland (Lagos Resident only) HR 08074645567

11. 32, Olufemi Road, off Ogunlana Drive, Surulere Lagos, YDNJI.

12. Ajumobi Street, Off Acme Road, Mega Chicken bus stop, Ikeja, Lagos.

13. 6, Deji Oyenuga Street, opp Kehinde Odusote Estate, Anthony Village.

14. WESTCORP SERVICES LTD. 6, Deji Oyenuga Street, Opposite Kehinde Odusote Estate, Anthony bus stop, Lagos.

15. SOAR GROUP, Suite 2, Ikosi Road, Oluyole bus stop, Oregun ikeja, Lagos

16. Boat House, 21, Ogunnusi Road axis bus stop, Ogba, Ikeja, Lagos

17. 8, Bisi Ogabi Street, Balogun Awolowo Way, Ikeja. or 8 Bisi Ogabi St, off Allen Busstop behind watercress hotel,Ikeja, Lagos.

18. BSM premise, No 4, Kareem Ogungbeye Estate Agidingbi first gate bus stop.

19. 9, Oremeji Street Isolo, Heathstream Alliance and Wellness Homes, Beside Sunrise Microfinance Bank, Gbagada.

20. PSIS HR BOARD, L’monarch Towers, 65, Opebi road opp Glass House by Salvation Bus stop Ikeja, Lagos. 07010616106

21. 6, Remilekun Street Off Falolu Road, by Akerele Road Surulere. HR Matrixglove 07080403158

22. 6, UBIAJA CRESCENT GARKI 2, ABUJA, 08159694497

23. Global Resources, 19 Bode Thomas Road, Awoyokun/Onipanu bus stop.

24. Dream Land Enterprises Limited, No 114, Ijiolu Close, Elekahia Road Portharcourt, River State. REF NO(GS/SD/70)

25. Ground floor, No 2, Akin Osiyemi Street 0pp sterling bank bus stop, Allen Avenue, Ikeja, Lagos

26. LS-RESOURCE, 3rd floor Crownet LPaza Idris Gidado Street Wuye, Abuja.

27. 129, Okota Rd, Atinuke Plaza, beside Rainoil filling station, Cele bus stop, off Oshodi-Apapa Exp. Lagos. 08130902820

28. 23 ogunleti street, off Ogudu road Ojota Lagos.

29. Schleez Nigeria Limited, first floor, left wing, No 49, Olowu Street, Off Mobolaji Bank, Anthony Way, Ikeja, Lagos.

30. 1st floor Xpress House, Beside Ostra Hotel and Halls off Otunba Jobifele way, Central Business District (CBD) Alausa Ikeja, Lagos.

31. 13 Ajumobi Olorounje Street, off acme road, firstgate bus stop, Agidingbi Ikeja.

32. 7, Obasa road, Chemline building, behind forte oil filling station, Oba Akran, Ikeja

33. M.H.S, 4b Toyin Street, opposite victory Home School before unity b/stop, Ikeja, Lagos.

34. 3rd Floor, 240 Herbert Macaulay Street, besides Sweet Sensation, Alagomeji Bus stop, Yaba, Lagos

35. 150b Oba Oguniyi road, Ifako-Agege Pencinema beside Pythagoras College.

36. 3, Orishigun str Iyana-school b/s Ketu Lagos

37. 34, Abeokuta Street, off Anifowoshe Community, Ikeja

38. Building 25, Ajayi Road, besides Olatunbosun street, Oke-ira Ogba. Lagos State

39. 1 Olatunbosun close, beside Adidde supermarket, Ajayi road, Ogba

40. 4 Toyin Street, Ikeja

41. No. 3, Orishigun street (Lapo Bank Building 2nd Floor) Opposite The Apostolic church grammar school Kosofe Ketu Lagos.

44. Abeokuta road by Prognosy pharmacy opposite Lagos cooperation, scheme 1 bus/top oko-oba, agege

42. 36 Yaya Abatan Ogba besides nationwide filing station or 36, Yaya Abatan Road, Ogba, Lagos.

43. 03, Francis Aghebo Close Ojodu Berger Bustop, beside Rainoil Filling Station.

44. 3, Orishigun street (Lapo Bank Building 2nd Floor) Opposite The Apostolic church grammar school Kosofe Ketu Lagos.

[NEFERTITI @firstladyship]

Nigeria’s founding fathers were a bunch of failures, no exception. When you look at the founders of America, you see a clear vision.

The Vision that is Greatness.

Every conquerer must have a ‘dream.’

You must know what to do with the power (when you finally get it). The founders of Nigeria had no broad-based idea of the type of Nigeria they wanted. They simply wanted to self-govern. It was a competition of “who gets what?” When you look at the Nigeria of today, one is quick to agree that “The-Niger-Area’s” Independence was premature.

One could call it a Failed Project.

1. There is no unity of purpose.
2. The state is completely unsecured.
3. You have economic horrors everywhere.
4. No children are guaranteed a future.
5. They took you past, your present & future.

The labor of your heroes past is in vain.

But there was no labor, zilch!! There was no dream that was Nigeria. Your founders only wanted independence, but didn’t know what to do with it. Theirs’ was a lost cause. The significance of their intentions died with them.

[NIMC @nimc_ng]

This is the NIMC Official online platform to modify your NIN data.

Kindly ignore other platforms asking you to modify your data.

[DrO22 @sugarsherrie]

@Tha_real_Kaizen You could have kept this to yourself, you know.🙄

[DrO22 @sugarsherrie]

@thedaredean I think it is

[Ryan @Jojoveeve]

This Sandwich looks very simple n tasty

Would you try some for breakfast ?

(IG: @Kevotwofivefour)

[DrO22 @sugarsherrie]

@Tha_real_Kaizen 😁

['Fisayo Soyombo @fisayosoyombo]

Nigerian Scholar Who Conducted Breakthrough Research on Alzheimer's and Parkinson's About to Be Forced Out by Australian University https://t.co/FsGdEDl7b4

[JBS GERONTOLOGY CENTRE @jbsgerontology]

Actress Joke Silva - “JBS Gerontology Centre was my husband’s saving grace”
Full video here: https://t.co/LOJSz2wd50