th (4)We making moneeeey…we making moneeeeyyy…we making money this year, we making money this yeaaarr,no matter what dem do, things’ll be better this year…this yeaaarrr…this yearrr…. I know you are wondering, what is this guy up to this morning, but that is just my ring tone, an inspiring song by jaywon, every intending or future big boy or girl, must have this as a ring tone. Now, back to the matter.

As checked the caller, it was one of my aunties’ I picked,..helloo, chijioke ke kah imere, she inquired, anyi na anwa,I replied and then we chatted for a while. Now the reason she called among other things was that one of my favorite cousin was sick recently, that it even went to the extent that she took injection and drip. So what was wrong with her and where was she treated ( I expected a particular answer and I was not disappointed), the nurse came to the house to treat her, she informed me, they had to call the nurse because, she has been trying my line to no avail.

This injection and drip issue has become an anomaly in our society, Nigerians just have this feeling that, it is only injection that is effective, some even go to the extent of saying, nothing works on them besides injections. Personally, I cannot recall the last time I took injection(S). This annoying, but ignoramus trend is mostly propagated by quack nurse and so called matrons (I stand to be corrected). If you have worked in a community setting, especially a whole sale outlet, you would have noticed the trend of their (nurses) purchase, it will always be chloramphenicol, Bcomplex,athemeter,hyoscine and rarely,amoxil injections. Recently, I decided to do a little research, I visited a place I had worked before I went for my internship, and interviewed few nurse as they came for their drugs. I discovered that most of them use gentamicin and Bcomplex to treat malaria and typhoid and of course the almighty drip. I became frustrated, I even spoke with some pharmacist and one or two medical doctors who, though cautiously toed the line of the nurses, if doctors say that, no problem, at least I knew they trained most of them, so it is understandable, but a pharmacist!!!…ahhhhhh!!!. However, I was a relieved when a medical doctor voiced his frustration over this stupid trend recently, and I quote him

“On Thursday, I met a nurse who had a day-case surgery & was rightly placed on oral post-op medications but she opted for parenterals. She was on her way home as she had been discharged home immediately after the surgery but she insisted that she would have an IV cannula inserted for her & her medications converted to IV & IM. I asked her for her reason & she said that IV medications were more ‘powerful’ than oral medications. Well, I don’t understand that concept but I’ve heard the same statement from health professionals, mainly nurses. I’m not trying to slander nurses but every single person that I know has opted for parenterals when they’re supposed to be on orals has been a nurse. We’re supposed to educate the public concerning rational drug use (including routes of administration) & not add to the ignorance’’.

I tell you, this write up by doctor peter Adeosun, brought so much joy to my heart, it brought back the dyeing hope of professionalism at all cadres,I really love that writ up, and it summed up what I have been thinking. For the records, oral medications are neither less potent or more faked than parenterls, parenterals are supposedto be given to people who are unable to take oral forms or for drugs that are not available in oral dosage forms like insulin. I think, like Dr. Adeosun rightly said, we all are supposed to educate the public,not just he public, but also the nurses,when a nurse is being trained in a private hospital,the doctor should endeavor to tell them that:

  1.  Every patient must not take drip and injections.
  2. B comp is not used for malaria and typhoid and arthemeter is not better that arthemether lumefanthrine, in fact it is the other way round
  3. Lexotan is not for hypertension, but for anxiety
  4. Vasopri is necessary for a hypertensive patient but itself not an anti-hypertensive drug .

They need to know these things, because ignorance is a disease

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  1. I agree with you, but if you do not give them injection, even if it is injection water, they might never come back to you and may not even want to pay you, so it is only through injections one can make his or her money, I do not blame though

  2. Right on point honourable colleague, we really have great work to do as regards sensitizing the public in view of the injections matter. Not a bad idea though but the education is bad for the public. Its well, Eldorado’s close by man.

  3. I must commend ur great work.its really an issue,can you imagine a nurse telling a mother that syrs doesn’t work for a baby of 1 yr.i had to take time to educate the lady abt dosage forms.we really need to educate them whenever we have an opportunity.

  4. Well, in as much as iwant to agree with you, I believe professionalism should not be sacrificed at the door of money

  5. Pharmacist prince, I hope when are ready to go public fully with these education,c you will be willing to work with us

  6. Thank you so much, we are encouraged, educating them whenever the opport arises is a way to begin

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