Saturday, August 04, 2007

Ang Gu Kueh

Solli no pic of the AGK from my favourite stall near the car workshops in AV. Zoomed over there after buying a pair of pair of NB shoes from QW. Didn't know NB got workshoes - very comfy. Got another pair of trekking shoes for standby. Slurged a bit on the shoes but I don't really mind as NB shoes are super long lasting - not like R or N - the tongues start to come out in 6months.

By the time We went to the AGK stall, oreadi queue nong nong - not like our student dayz where there's nobody around - now I know why some people reminisence the student dayz. In the end got 2 of each of the 4 flavours left let my M and P try try. I really like the melt in your mouth skin. Then the rest of my classmates came but everything sold out =p

I got lucky yesterday when I saw someone I missed a lot. Neber seen in 6 years. Every time I take MRT past the station, I really hoped that person would just hop on it. But anyway got the name card already, anytime can fix a date =).

We had a beeching session amongst the cliche after the talk at AH - makes me feel so fortunate about where I am now. Although the distance is far, the staff really makes the difference and I feel very grateful for that. Everyone has his or her own short comings but these are minor if tolerable.

Wednesday, August 01, 2007

Testing

Kena audit the other day - people compren I no smile enuff.

I look serious if I need to treat you stat.

What's creepy is that I was audited by 3 people at one go. Verli suay kia. But the review was OK just that I felt the reviewer should have done some homework before she decided to kena me - she decided to call it quits after i asked 3 questions. Dun @#$ with OJ.

I wonder if there 's a recent change in MOs or HOs or not? There seems to be a tonne of intervention to do until the patient had to wait wait wait. Then the poor dispensing pharmacist had to kena big time some time.

Had to correct doses, sometime they any how shoot one drug onto the script. Some time they forgot to sign or chop or follow some part of the legal requirements for the script. Some times they never ask the patient enough about their current state of health - only when the patient comes to the dispensing bench then we had to correct and the patient wait some one.

May be this is the value for pharmacist - we are the guardians of the medicine cupboard. But we need patients to be their namesake - patient.

Pre-reg is a very testing time:
- your speed
- your alertness
- your pharmacology
- your pharmacotherapeutics
- your communication skills
- your Hokkien
- your Teochew
- your Malay
- your Sign Language (I had a couple of audio-impaired patients and I oni know a little bit of American sign - so ended up very grateful to some drug company for its very nice gift of scribble pads)
- your Mandarin
- your Canto
- your charm
- your negotiation skills
- your luck

blah blah blah

Happening

Despite being a specialised practice, the hospital is a rather happening place as the most unusual people concentrates there.

Missy Day is today but the day before and yesterday, my best pre-reg pal and I went out to pass all the Missies their gift from our department. Must remind meself to send a thank you e-mail to the plant wholeseller. Now pots of African violets are spewed thru' out the hospital. The one thing that the misses found verli amusing was the Plant Info Leaflet. Apparently my best friend found pollen rather allergenic to him and he had to do a sing out for Missy's day. He's so going to be the singing DI Pharmacist of the hospital.

Didn't get to eat any of the spread for Missy's Day. By the time I finish off at OP - can only jiak hong nia. The servers already packing up halfway - fulfillment of my PP's prophecy.

Nearly forgot to gif the homecare nurse a pot for missy day - so had to buy over from one of my PT's who made a personal order. Luckily she allowed it or else hor, I'm at loss. Home care nurser verli important - verli few people know about palliative care. If not for these people, many will stay in the emotionally sterile midst of a hospital for a nong nong time.

I had a run in with a few patients who treat the pharmacy like shopping centre - this includes a few healthcare professionals who remain very much naïve about the roles and origins of a pharmacist.

I had to smile and inject sarcasm into a counselling for a nurse when she came in for some long term medications on a limited budget. I had to request that she stop treating us as a supermarket and bear in mind that we are there to help them manage her disease. She rudely reach over to the dispensing bench and starts fingering with the medicine packets tossing them about like a shopper tossing fish around at a fish monger's stall saying which she wants and do not want. It was not courteous and it undermined the profession. So I had to nicely remind her where she stands and I went through the medication wrt their use instead by their names.

A patient's husband helping her pick her long list partial supply of long term medication told me to make it quick as "(he) knows everything already" as she had been taking the medication for a long time. Well, the patient wants to be the pharmacist and wants to relieve me of my duties so be it - he's not allowing me to discharge responsibilities. May be I should pull the trigger and refuse to dispense without proper drug counselling. Or may be he thinks I'm MacDonald's waiter or a cashier at a supermarket. Before he left he gave a passing remark that may colleague was talking too much with a patient. For goodness sake lah! You not a pharmacist what do you know?! The patient is on a new drug for a very odd indication of course the counselling will take time. If anything happens don't you dare say "the pharmacist never tell me" because you dun wan to listen what.

Got also another patient who requested a couple of ear medication from the doctor which she wants to self medicate for her daughter's eyes. I had to call the ENT doctor check and he clarified that the medication is only meant for the ears which he examine. Had to tell the patient that if she wants to use for the eyes, it's at her own risk and we are not held responsible. She looked annoyed and ask for the dose of the eyes - I can only tell her I usually see one to two drops but reminded her it's at her own risk.

Today is neurology day and a hell day indeed. I actually sweated like mad in the aircon pharmacy. Scripts poured in like the rain outside. And my 2 TKNs are not in!!! Got my first psychiatric patients at normal queue and I just wonder how my IMH classmates are doing when I already felt a bit queasy with the few depressed patients I saw. I can't really judge whether they understood what I was saying or not. The understaffed staff were so whacked out that a couple of them started laughing for no reason.

Sunday, July 29, 2007

Going thru and fro to work can be BORING

So I've to listen to some good music

Currently in my play list:

Madazulu by Deep Forest



marta's song by Deep forest



Boheme by Deep Forest

http://youtube.com/watch?v=OLhjpThXG2g

Pacific by deep forest