Suggestion

[Yemi Johnson]

Dear members,
The recent high profile cardiac deaths that occurred recently have highlighted some of the deficiencies in our health care delivery system. This unfortunate set of circumstances presents us with an opportunity.
What I am proposing is that the NCS sets up some guidelines for hospitals to be certified as centers for cardiac emergencies and strokes. The guidelines should take into consideration the facilities and expertise available in our country.
Once the guidelines/ criteria are well defined we have to ensure that our facilities meet these criteria .
The next step will be to educate our colleagues and set up a certification program where public and private hospitals can now be certified as having met the criteria to be designated a cardiac emergency or stroke center by the NCS

Yemi Johnson

[Yemi Johnson]

Some preliminary thoughts on criteria

Cardiac center criteria

 24/7 availability

Personnel with ACLS training

Capability to perform ECG within 10mins of patient presentation

capability to have ECG interpreted by qualified cardiologist within 30mins

Availability of cardiac drugs (adrenaline, atropine, heparin, enoxaparin, lytics etc)

[bayo.o...@yahoo.com]

Certainly, this is the way forward.

Sent from my BlackBerry wireless device from MTN

---

From: Yemi Johnson <ye...@firstcardiologyconsultants.com>

Sender: nigerian-car...@googlegroups.com

Date: Thu, 31 May 2012 23:44:30 +0100

To: nigerian-car...@googlegroups.com<nigerian-car...@googlegroups.com>

ReplyTo: nigerian-car...@googlegroups.com

Cc: Nigeria cardiac society<nigerian-car...@googlegroups.com>

Subject: Re: Suggestion

[ogah okechukwu]

I suggest we limit to cardiac care as Neurologists will start making trouble.

ogah

 

--------------------------------------------------------------------------

Dr O.S Ogah. MBBS, Msc, FWACP

Consultant Physician/ Cardiologist,

Division of Cardiology

Department of Medicine,

University College Hospital Ibadan

PMB 5116, Ibadan , Oyo State , NIGERIA

Tel. +234 806 77 47 121

Fax (Electronic). +1215-975-6817

Email: osoga...@yahoo.com  OR   osoga...@gmail.com

 

AND

Office of the Honourable Commissioner for Health 

Ministry of Health, UMUAHIA

P.M.B. 7215 UMUAHIA

ABIA STATE

NIGERIA

---

From: "bayo.o...@yahoo.com" <bayo.o...@yahoo.com>
To: "nigerian-car...@googlegroups.com" <nigerian-car...@googlegroups.com>
Sent: Thursday, May 31, 2012 11:48 PM
Subject: Re: Suggestion

[ogah okechukwu]

Thanks . Dr Johnson. We need to put up a small team ( from our Lagos group) to come up with this guideline.

This we will then send to CMDs and our members as minimum standard in our emergence cardiac care service.

Pls as the co-ordinator for Lagos zone, can you help out.

ogah

 

--------------------------------------------------------------------------

Dr O.S Ogah. MBBS, Msc, FWACP

Consultant Physician/ Cardiologist,

Division of Cardiology

Department of Medicine,

University College Hospital Ibadan

PMB 5116, Ibadan , Oyo State , NIGERIA

Tel. +234 806 77 47 121

Fax (Electronic). +1215-975-6817

Email: osoga...@yahoo.com  OR   osoga...@gmail.com

 

AND

Office of the Honourable Commissioner for Health 

Ministry of Health, UMUAHIA

P.M.B. 7215 UMUAHIA

ABIA STATE

NIGERIA

---

From: Yemi Johnson <ye...@firstcardiologyconsultants.com>
To: "nigerian-car...@googlegroups.com" <nigerian-car...@googlegroups.com>

Cc: Nigeria cardiac society <nigerian-car...@googlegroups.com>

Sent: Thursday, May 31, 2012 11:44 PM
Subject: Re: Suggestion

[Yemi Johnson]

Certainly 

Sent from my iPad

[ogah okechukwu]

Thanks.

Please can you suggest those you can work with so that i write them officially.

We can also have a small discussion group on this at the Sango Ota meeting

Ogah

 

--------------------------------------------------------------------------

Dr O.S Ogah. MBBS, Msc, FWACP

Consultant Physician/ Cardiologist,

Division of Cardiology

Department of Medicine,

University College Hospital Ibadan

PMB 5116, Ibadan , Oyo State , NIGERIA

Tel. +234 806 77 47 121

Fax (Electronic). +1215-975-6817

Email: osoga...@yahoo.com  OR   osoga...@gmail.com

 

AND

Office of the Honourable Commissioner for Health 

Ministry of Health, UMUAHIA

P.M.B. 7215 UMUAHIA

ABIA STATE

NIGERIA

---

From: Yemi Johnson <ye...@yemij.com>
To: "nigerian-car...@googlegroups.com" <nigerian-car...@googlegroups.com>
Cc: "nigerian-car...@googlegroups.com" <nigerian-car...@googlegroups.com>
Sent: Thursday, May 31, 2012 11:57 PM
Subject: Re: Suggestion

[kka...@yahoo.co.uk]

Ogah,
My advice on matters concerning the Association, please allow the NCS Congress to take decisions in a formal meeting before you act.

Hasty decisions "are trouble makers".
Personally, I support Dr Yemi's idea.

Karaye

Sent from my BlackBerry® Smartphone, from Etisalat. Enjoy high speed internet service with Etisalat easy net, available at all our experience centres

---

From: ogah okechukwu <osoga...@yahoo.com>

Sender: nigerian-car...@googlegroups.com

Date: Thu, 31 May 2012 16:01:44 -0700 (PDT)

To: nigerian-car...@googlegroups.com<nigerian-car...@googlegroups.com>

ReplyTo: nigerian-car...@googlegroups.com

Subject: Re: Suggestion

[abiodun adeoye]

I agree with Dr Karaye but at the same time nothing is wrong with shortlisting now just awaiting confirmation during our meeting. Dr Johnson idea is a good one that must be allowed to cool down. Cardiovascular events like Mi and stroke that reach hospital should not end as it  currently happen in most centers. Systemic failure agreed but is there anything we are missing out? can we use the current situation as  a form of advocacy with government?

This can further be ratified in our meeting since i don't think it is a constitutional matter.

 

DR MOSHOOD ABIODUN ADEOYE. MBBS,FWACP
CONSULTANT CARDIOLOGIST
DIVISION OF CARDIOVASCULAR MEDICINE
DEPARTMENT OF MEDICINE
UNIVERSITY COLLEGE HOSPITAL IBADAN
OYO STATE, IBADAN, NIGERIA

---

From: "kka...@yahoo.co.uk" <kka...@yahoo.co.uk>
To: NCS group <nigerian-car...@googlegroups.com>
Sent: Friday, June 1, 2012 6:18 AM
Subject: Re: Suggestion

[deji adebayo]

Thanks Dr Adeoye, I think this is also an avenue for the association to  impact the society at the same timegenerate funds by registering to offer CME classes on acute care of myocardial infarction and other cardiovascular emergencies in the different regions. Since that is now required for registration by MDCN for all practitioners in the country Dr Adebayo --- On Fri, 6/1/12, abiodun adeoye <adeoye...@yahoo.com> wrote:

[abiodun adeoye]

Dear Dr Adebayo

 Greetings are you back?

 

DR MOSHOOD ABIODUN ADEOYE. MBBS,FWACP
CONSULTANT CARDIOLOGIST
DIVISION OF CARDIOVASCULAR MEDICINE
DEPARTMENT OF MEDICINE
UNIVERSITY COLLEGE HOSPITAL IBADAN
OYO STATE, IBADAN, NIGERIA

---

From: deji adebayo <akbay...@yahoo.com>
To: nigerian-car...@googlegroups.com
Sent: Friday, June 1, 2012 1:57 PM
Subject: Re: Suggestion

[Okechukwu Ogah]

Dear Dr Karaye,

As far as what we are discussing is not constitutional matter, I do not thing there will be problem acting on things that will move the society or cardiac care forward.

ogah

--

Dr O.S Ogah. MBBS, Msc, FWACP

Consultant Cardiologist,

Division of Cardiology
Department of Medicine,
University College Hospital Ibadan

PMB 5116, Ibadan, Oyo State, NIGERIA

Tel. +234 806 77 47 121

Fax. +1215-975-6817
Email: osoga...@yahoo.com  OR osoga...@gmail.com

[Katibi Ibraheem]

Dear members,
Dr Yemi Johnson's suggestion should be viewed with all the seriousness and patriotism it deserves. For too long, we have not been exerting the expected impact on the government and people of Nigeria as it relates to the practice of cardiology and its policy/guideline formulation. Far too often, we have concentrated our energy and resources towards issues hovering around internal cohesion, administration and annual rituals such as Conferences which are at best, suboptimal in execution.

One in every four African is a Nigerian but unfortunately, our Society has not been able to play that leadership role among brother African Cardiac Societies. A comparative cursory look, even as you read this mail, at the websites of the American College of Cardiology(ACC), British Cardiovascular Society(BCS), European Society of Cardiology(ESC), South African Cardiovascular Society and Nigerian Cardiac Society would lay further credence to this assertion.

More than ever before, there is URGENT need to have that paradigm shift in our focus, operational modalities, priorities and values. I believe and I am cocksure for that matter, that it is not about lack of money or poverty of resources but about poverty of ideas and technical competence to execute them. This brings to the fore the imperativeness of employing technically competent full time administrative officers to run the Secretariat of NCS. Of course, closely linked or related to this is the urgent need to have a physical rather than an electronic Secretariat for the NCS. We do not need to wait until we are able to build a HEART House before this could be accomplished. One of the many cardiovascular outfits in Abuja or Lagos (Private or Public) would feel honored to host such a Secretariat until such a time that the Society has matured enough to be weaned off that arrangement. Such a physical secretariat shall serve as the engine room to drive the sort of thing being proposed by Dr Yemi Johnson amongst several others.

Rather than throw the baby away with the bath water, it is the realization of this simple deficiency that propelled the brains behind the setting up of the Association for the Advancement of Cardiovascular Surgery and Science. The point must however be made that no organization or body can replace the NCS in the discharge of its own responsibilities because the composition is unique and the nomenclature or convention is universal.

Our Elders, my Dear brothers and Sisters, Let this be a mid year thought-provoking message for all of us to reflect on. IT IS TIME FOR ACTION!

Regards,
Ibraheem Katibi.

KATIBI Ibraheem Adeola, MBBS(Zaria), MBA(Ilorin), MD(Glasgow), FWACP(W.Afr), FACC(USA).
Professor of Medicine and Consultant Cardiologist.
Chair, Research and Ethics,
University of Ilorin Teaching Hospital,
College of Health Sciences, University of Ilorin.
Ilorin. Kwara State. 240001. Nigeria.
Tel:+2348033804004.
iaka...@unilorin.edu.ng. Website:www.uith.org/prof%20katibi.html

On May 31, 2012, at 11:36 PM, Yemi Johnson <ye...@yemij.com> wrote:

[Okechukwu Ogah]

Dear Prof Katibi,

Thanks a lot.

Good write up.

We need men and women who will rise up in WORDS AND DEEDS to move NCS to the next level.

ogah

[deji adebayo]

No, I shall be back in August Deji

[Katibi Ibraheem]

Dear President,

I think this old mail of mine that was first posted on the blog about two years ago is still relevant and I would like to forward it to you as my own intellectual contribution towards the success of your administration. I have elected to insert some additional details in black ink as a form of adaptation to current reality.

Dear members,

For too long, we have not been exerting the expected impact on the government and people of Nigeria as it relates to the practice of cardiology and its policy/guideline formulation.

   # Courtesy call/Advocacy visit to Mr President, Federal Republic of Nigeria.

   # Courtesy visit/Advocacy visit to Hon Minister for health.

   # Courtesy call/Advocacy visit to Hon Minister of the Fed Cap territory for Land allocation.

   # Courtesy call/Advocacy visit to Hon Minister for National planning.

   # Courtesy call/Advocacy visit to Exec Sec, NHIS.

   #.Courtesy call/Advocacy visit to Exec Sec, Pry Health Care Dev Agency.

   # Courtesy call/Advocacy visit to Exec Sec, Millennium Dev Goals.

   # Adopting committee approach in getting many policy/Guideline documents enacted and adopted borrowing a leaf from the submission of one of the elders in Paediatric Cardiology at both the Annual lecture and AGM. However, for efficiency and operational logistics, it might be better to constitute such committees amongst members from contiguous centres (Ibadan, Ilorin, Ogbomoso, Osogbo, Ife together for example). This helps to minimize cost to attendees and guarantees attendance at such committee meetings for robust discussion.

   

Far too often, we have concentrated our energy and resources towards issues hovering around internal cohesion, administration and annual rituals such as Conferences which are at best, suboptimal in execution.

   # I think the Conferences have been so tightly packed that there is little or no room for specific group meetings and socials like city tour. 

   # The state of the art lectures are better allocated 30mins each, even if it means having fewer no of them to allow for indepth presentation.

   # There is no point presenting works that are already published and in public domain at our Conferences as we can all go and read them into greater detail to save time.

   # I took time off to spend few hours at the Le Meridian Hotel and Golf course just before leaving Uyo. I still do not agree with anybody that the Society should have met anywhere else but in that befitting edifice. I personally will have to come back there one day!

   # Preparation for the 2015 Ife Conference must start this week. All the new air-conditioned buses to convey participants flying into Lagos and Ibadan airports do not have to come from University of Ife as they may not have more than one. LUTH, LASUTH and UCH can also arrange such befitting buses for airport pick-ups on behalf of the Ife LOC.

One in every four African is a Nigerian but unfortunately, our Society has not been able to play that leadership role among brother African Cardiac Societies. A comparative cursory look, even as you read this mail, at the websites of the American College of Cardiology(ACC), British Cardiovascular Society(BCS), European Society of Cardiology(ESC), South African Cardiovascular Society and Nigerian Cardiac Society would lay further credence to this assertion.

     

 NCS now has an improved and functional website. There is still room for improvement though.

More than ever before, there is URGENT need to have that paradigm shift in our focus, operational modalities, priorities and values.

  For the next two years, let our priorities be;

1.) Building our corporate image through physical office, administrative staff, hitting the ground for the National Heart house and 

2.) National impact through the development of country-specific Guidelines/policies on Cardiovascular diseases as well as improved community mobilization and engagement on preventive cardiology.

2.) A coordinated approach towards the sustenance of the good wind of open heart surgery blowing around the country. Three or Four good, running and predictable Open Heart Surgery Centers, to which we can all refer and in which we all can visit to operate are better than Ten ego-driven epileptic ones.

I believe and I am cocksure for that matter, that it is not about lack of money or poverty of resources but about poverty of ideas and technical competence to execute them.

  The Society needs to organize more technical meetings amongst groups where ideas can be ventilated and harnessed. What we have now is annual paper presentations during which ideas are thrown around like grains but no consensus is built or conclusions are drawn. They remain the opinion of the individual rather than the stand of the Society. The time has come to have a single document from the NCS submitted to Mr President of Nigeria or the Hon Min for Health as her own "WAY FORWARD FOR SUSTAINABLE OPEN HEART SURGERY IN NIGERIA" or "WAY FORWARD FOR SUSTAINABLE INTERVENTIONAL CARDIOLOGY IN NIGERIA" or "WAY FORWARD TO REDUCE BY HALF, THE BURDEN OF CARDIOVASCULAR DISEASES IN NIGERIA"

This brings to the fore the imperativeness of employing technically competent full time administrative officers to run the Secretariat of NCS. Of course, closely linked or related to this is the urgent need to have a physical rather than an electronic Secretariat for the NCS. We do not need to wait until we are able to build a HEART House before this could be accomplished. One of the many cardiovascular outfits in Abuja or Lagos (Private or Public) would feel honored to host such a Secretariat until such a time that the Society has matured enough to be weaned off that arrangement. Such a physical secretariat shall serve as the engine room to drive the sort of thing being proposed by Dr Yemi Johnson (Registration of hospitals for emergency services and having established bench marks or minimum standards) amongst several others.

   # National secretariat in Lagos or Abuja: Temporarily in LUTH or LASUTH(Certainly, our                       member, Prof Wale Oke and LUTH CMD will be happy to accommodate us). The Cardiorenal Centre, First Cardiology and Reddington Multispecialty clinics are other viable options for space.

While all of these are going on, efforts should be stepped up to get a permanent land for the Society both in Lagos and Abuja on which to build our National Secretariat, probably through a Build, Operate and Transfer arrangement (BOT) as suggested at the Uyo Conference by one of the Surgical elders who even volunteered to help drive the initiative. I have no doubt in my mind that the combination of the two of you can get anything desired by the Society.

Rather than throw the baby away with the bath water, it is the realization of this simple deficiency that propelled the brains behind the setting up of the Association for the Advancement of Cardiovascular Surgery and Science. The point must however be made that no organization or body can replace the NCS in the discharge of its own responsibilities because the composition is unique and the nomenclature or convention is universal.

Our Elders, my Dear brothers and Sisters, Let this be a mid year thought-provoking message for all of us to reflect on. IT IS TIME FOR ACTION!

  The secretariat has indeed stepped up. Now is the time for the presidency as well. Prof Mbakwem, our new President is certainly up to the task.

   Once again, Congratulations, best wishes and I will be delighted to facilitate any of these suggestions.

Regards,
Ibraheem Katibi.

[kka...@yahoo.co.uk]

This is well-thought out, Prof Katibi! I support your ideas.

KM Karaye

Department of Medicine

Bayero University/Aminu Kano Teaching Hospital 

Kano, Nigeria 

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[Muhammad Sani]

Prof katibi has thrown the ball into our six yard, it is therefore up to our elders and us to take up these suggestions and be used positively for the benefit of of all. It is high time for NCS to take a giant stride and I think the way forward in achieving this is outline in his message. Our new officials please take up the challenge and start to push us in going forwards. Once again my congratulations to the president and all. Isa MS FWACP Associate Professor /Consultant Physician & Cardiologist ABUTH Zaria Sent from Yahoo Mail for iPad

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From: kkaraye via NIGERIAN CARDIAC SOCIETY <nigerian-car...@googlegroups.com>;
To: nigerian-car...@googlegroups.com <nigerian-car...@googlegroups.com>;
Cc: amba...@hotmail.com <amba...@hotmail.com>;
Subject: Re: Suggestion
Sent: Mon, Sep 22, 2014 7:25:04 PM

[Basil Okeahialam]

Talking about the ball in the six yard box suggests that people who understand soccer are at work or play. dO WE Have soccer stars  in the exco? That is not taking anything away from Prof Katibi's ideas. Brilliant I must admit.

Basil Okeahialam