Dr. Barn (@RealDoctorBarn) header
Dr. Barn (@RealDoctorBarn) profile picture

Physician | Public Health | Digital Health & Healthcare Innovation | Founder, BarnMD | Health Education & Access to Care.

Joined December 2010
Photo by Dr. Barn (@RealDoctorBarn)Photo by Dr. Barn (@RealDoctorBarn)Photo by Dr. Barn (@RealDoctorBarn)Photo by Dr. Barn (@RealDoctorBarn)Photo by Dr. Barn (@RealDoctorBarn)Photo by Dr. Barn (@RealDoctorBarn)Photo by Dr. Barn (@RealDoctorBarn)Photo by Dr. Barn (@RealDoctorBarn)Photo by Dr. Barn (@RealDoctorBarn)Photo by Dr. Barn (@RealDoctorBarn)
Dr. Barn retweeted
He wrote an erroneous tweet and has been trying to make up all sorts of funny reasons to defend it.
Replying to @OtemaJames
Before you know now, they will tell that they don’t trust generic drugs that is why they are dosing b.d.
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The patient is the one who takes the real credit when we catch an error together and the one who suffers if we don’t. In practice, the doctor still owns the prescription, and the pharmacist owns the final check. That’s not rivalry; that’s how the safety net is supposed to work. Document the intervention, call the doctor calmly, and protect the patient. Ego can wait. The rivalry exists, but every time we choose the patient over the profession, it gets a little quieter.
If a doctor makes a clear prescription error that could harm a patient, and the pharmacist catches it, who takes credit if the patient recovers—and who takes the blame if it goes wrong? Why is the inter-professional rivalry between doctors and pharmacists in Nigeria so fierce?
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Replying to @RealDoctorBarn
Let’s keep pushing discourses like this so that we change.
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Replying to @RealDoctorBarn
As pharmacists, it’s our job to verify if the medications prescribed is for the right patient, at the right dose, right frequency and so on. We check to see if the prescribed dose is safe for the patient or not, we don’t just hand out medications (that’s what most Nigerian doctors think or want us to do). We should just go on and hand out whatever they prescribe without questions. In the video, the prescriber’s contact is always on prescriptions so that the pharmacist can always reach the doctor. This comes to play when the patient isn’t getting the medication in the hospital, they getting it from a community pharmacy. Calling a prescriber to verify a prescription is normal practice…
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Replying to @RealDoctorBarn
I pray so Doc. We need to have these discussions so that we shift the minds of all our professionals, especially the older ones. They’re the ones who usually fight against these DIGITAL systems.
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Replying to @RealDoctorBarn
Exactly. 👍🏽 In these facilities, you find that they still use paper and pen for patient records. They only use computers to generate bills and sometimes send prescriptions. I’d be in the pharmacy and I’ll receive a prescription with no idea what the physician is managing the patient for. I’d have to ask the patient certain questions to be able to know what’s going on. Even with that, it still isn’t enough, we need to know the entire history to be able to do our jobs effectively.
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If a doctor makes a clear prescription error that could harm a patient, and the pharmacist catches it, who takes credit if the patient recovers—and who takes the blame if it goes wrong? Why is the inter-professional rivalry between doctors and pharmacists in Nigeria so fierce?
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Dr. Barn retweeted
Happy new month to all my mutuals🎉
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Pregnancy is a normal physiological process, not a DEATH SENTENCE. A “death sentence” implies near-CERTAINTY of death. Global maternal mortality is roughly 200 deaths per 100,000 live births (about 0.2%). Most pregnancies end with a LIVING mother and baby. 1/2
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Less than 3 hours and X found me clean! I am sure she has gotten the update for her report too. You cannot put something on nothing and expect it to stand.
After I corrected someone on the timeline for threatening to report physicians to the GMC over minor disagreements in opinions, she turned around and reported my account to X. Clearly, some people will file reports just to be vindictive. Safe to say her point backfired.
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Dr. Barn retweeted
Twitter is so toxic these days. It baffles me how people cannot disagree respectfully without insults and calling names. Very disgusting behavior
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Dr. Barn retweeted
Replying to @RealDoctorBarn
Thank you Dr 🙏☺️
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Replying to @RealDoctorBarn
We need to hold the regulatory bodies and the pharmacists responsible for stocking and selling substandard drugs. No one should be selling for patient consumption any grade of generic drugs below AA and AB ratings.
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Other professions tend to view the doctor’s authority as an attempt to degrade their profession's value. However, in high-stakes environments, you can’t run patients’ care by debates. Someone must have the final authority to weigh inputs, make the call, and absorb the liability.
Doctors will fight pharmacists. Doctors will fight nurses. Doctors will fight radiographers. Doctors will fight physiotherapists. Doctors will fight scientists. Doctors will fight chemists. Doctors will fight nutritionists. Doctors will fight anatomists. Doctors will fight even porters. A small-minded, ego-driven, and problematic profession. And mind you, none of these professions is interested in taking over their roles. Yet, you'll find doctors everywhere trying to take over other professions' roles and suppress their growth. And then you wonder why healthcare is suffering in Nigeria.
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Dr. Barn retweeted
The point.
I see no reason why generic medicines SHOULD NOT be prescribed over branded ones. Pharmacies just need to stop stocking up on substandard drugs.
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Dr. Barn retweeted
You are right. The National Drug Policy recommends prescription of generics anyway.
I see no reason why generic medicines SHOULD NOT be prescribed over branded ones. Pharmacies just need to stop stocking up on substandard drugs.
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Dr. Barn retweeted
This is my stance. Our Regulatory bodies have to do their work too.
I see no reason why generic medicines SHOULD NOT be prescribed over branded ones. Pharmacies just need to stop stocking up on substandard drugs.
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Thissssss>>>
I see no reason why generic medicines SHOULD NOT be prescribed over branded ones. Pharmacies just need to stop stocking up on substandard drugs.
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And not just private pharmacies Private hospital pharmacies
I see no reason why generic medicines SHOULD NOT be prescribed over branded ones. Pharmacies just need to stop stocking up on substandard drugs.
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