Showing posts with label pharmacy. Show all posts
Showing posts with label pharmacy. Show all posts

Monday, 23 March 2009

Allergies....

A patient, 11.2 kg, about 2 months old perhaps?? (was roughly estimating her age).....

Suffer pretty severe allergic Rxn from taking Cefaclor and Clarithromycin....

Her mom described it as rashes and swelling on her face.... also exacerbation of URTI

Went to her regular GP (the same bitchy GP I talked about in my other post)

GP prescribed prednisolone and ERYTHROMYCIN

By the time you read this you must have known something went wrong there.... (obviously with such a huge font size and distinct colour =p)

Newai Erythromycin and clarithromycin belong to the same drug class i.e Macrolides Antibiotics.

Now the quetion is if the patient is allergic to macrolide, why would the doctor prescribe another macrolide?

So, Mr Pharmacist gave the doctor a call and explained the problem here

Guess what the doctor said......

I am happy with that....


How cool was that????

Haizzzz Somehow I feel this doctor is really intimidating.....
I mean Face the reality..... He/She was putting the patient and Himself/Herself in trouble yet He/She still insisted to keep on going......

Anyway the parent was really worried and was thinking of bringing her child to RMCH..... so we dispensed only the prednisolone, told her to closely observe her child condition and let her know about the antibiotic issue.....

Hope the patient is doing well....


Namo Bhaisajyaguru Buddha

I LOVE Chemistry....

Couldn't believe I've got such a huge and passionate love for chemistry.....

Such that I've buried it deep down inside of heart.....

So that noone can ever steal it away from me.....

Even I myself CANNOT reach onto it.....

Sigh.......

Who would have guessed First year organic chemistry is so important....

Time to start all over again I guess......

Viel glück, Herr Apotheker!!!!!!
Alles Gutes zum Ihrem Studium!!!!

Tuesday, 3 March 2009

Where to....

I think I've made up my mind......


I know exactly!!!!


Where my degree would take me to....


What I'll end up doing.....


And sure enough I shall achieve the goals I've set initially....


Thx Mr Pharmacist. You are the man! Learnt a lot from you =)


Namo Bhaisajyaguru Buddha

Thursday, 4 December 2008

Doctors....

Went through a "Hillarious" Night in the pharmacy....

Guess What.....
A doctor prescribed Movicol half for a kid which DOES NOT have any constipation but experience pain when he wees....

I think even the shop girl would question what Movicol have to do with painful urination?

So after talking with the kid's mom.... I let Janice know and she called the doctor...

Guess how did the doctor respond?????

She was extremely RUDE and Told her that we pharmacists are questioning her diagnosis.... and hung up immediately.....
So Janice told what happened to the mother..... and let her know that Movicol is used for constipation relief and if the child is not constipated at all it wouldn't do anything....

Afterwards the mom actually left the store and SURPRISINGLY......
That doctor called back.....

She complained for THREE minutes non-stop.... How amazing was that? She didn't even gasp for breath......
We were there turning on the speaker and let her babbled for the AMAZING THREE minutes....

Guess what she said....

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You pharmacists do not respect me!!!!
You questioned my diagnosis!!!!!
If it were a wrong dose, Fine let me know that's your area and I respect that!!!!
But what do you know about the patient history?
You don't respect me!!!!
If I gave out a prescription you are supposed to give out the medications!!!!
I am a professional and I know what I am doing!!!!!
You might have all those knowledge about pharmacology and I acknowledge that!!!!
But what do you know about Diagnosis?
What do you know about Medicine?
You don't respect me!!!!

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That's roughly what she said and the best part was.... she said Thank you and hung up afterwards....

Janice and I were laughing..... when she complained......
Couldn't believe she had so much free time.... ha6
I mean like what's the point of calling back and yell at us????

Newai what I to let that doctor know (and those of you doing MBBS, if you read my blog...)

We are PHARMACISTS and we are PROFESSIONALS as well....
Yes we don't do much of diagnosis.... BUT we are NOT dumb...
We know about our stuffs and therefore the indications....
And therefore it is our role and obligation to find out your reasoning if we think that the medicine is not used appropriate....
By the end of the day it is the patient's outcomes that matters!!!!!


We NOT only do Pharmacology we also do clinical applications of medicines and Quality Use of Medicines (QUM), which I believe you know very little about, amongst others....
We are Pharmacist NOT Pharmacologist!!!!! See the difference?
Dose? You think we are Calculators or something?
We don't spend our FIVE years calculating doses or dispensing medications....
Even the SHOP GIRLS can do that within weeks if training is provided!!!!


You are a proffesional.... True!!! But you don't act like one.... do you?
Ask yourself is that how a professional behave?


We DON'T know about medicine...
Excuse me.... But correct me if I am wrong....
We are the MEDICINE EXPERT!!!!!
How could you ask us what we know about MEDICINE????


What do you know about MEDICINE?????
Do you know what Movicol is? It's PEG miss doctor....
Do you have any idea what will happen if a normally functioning bowel is given such large amount of water retention agent? Not to mention that the boy is only FOUR years old.....


Please Miss Doctor (and all the future doctors if you read this)....
We are health professionals and we should work together....
We are not inferior to you and neither are you.....
As I mentioned previously.... It's for the Patient's Sake!!!!!

Sunday, 16 November 2008

He is Back.....

Again he came back this afternoon....

The man I talked about last Friday....

So ciaklat....

Today he's got script for 1 mg Xanax..... after FIFTY tablets of 2 mg Xanax TWO DAYS AGO....

Haizzz..... Why so desperate???

What a pity.....

Saturday, 15 November 2008

Sigh....

Was working from 4-9 just now.....

All good except for....


Junkies


A person came in around 7 pm.... definitely a drug addict!!!! So obvious..... even one of the customer told me that he is a bit off his mind when I gave out her medications....><
Newai he kept on asking me for Xanax..... the way he said it like "Ai si bei si" so "loyo"....

Have you got Xanax 2mg? the 50 one?
Is it long shape?
It's not round is it?
Can I take a look if they are the same with the one I usually had? - NEVER!!!! As if I am going to let you see and smuggle it away......
What about Kalma? The 2 mg 50 tablets.....
Have you got a script?-"Mr Pharmacist"

It sure is annoying...... he kept on babbling and babbling for about 20 minutes I guess.....
Until a girl, an acquaintance of him I guess, came and talked to him.... he dropped in his script...

sigh.... Pity him.... For a mere Xanax..... his life seems to be in a mess..... Is Xanax more important than his life? or is Xanax actually his life?
Can't imagine what kind of hardship he went through......
Hope he would realise how worthy his life is....
And turn away from drug addiction....

Friday, 17 October 2008

Yeah!!!!

OK.... Confirm not going back to Indo during the holidays....

Found myself something good to do....

Just won a PROJECT!!!!!

"Effectiveness of Topical Therapy in the Long Treatment of Open Angle Glaucoma"

Hope it's fun and rewarding.....

Thx to Boon in the first place =)