Friday, September 07, 2007

head tilted down

Just feel so down down down

I know got a few peeps comprening I neber update this space for some time already. Was disappointed with myself, very disappointed with myself these past weeks for a bug boo boo that I made.

Unlike some other place of practice, even the OP setting is like intensive care - things can go wrong due to teeny weeny mistakes. It's life and death situations like they call it. One mistake and you wished that you were strangled at birth and do not wish to see the light of day. It can be that bad. I want to be the best there can be and any spot I trip over really is a very painful fall. But then like our chief pharmacist of Singapore had said, "Competence before confidence"

Reminder to self and to everyone else:

Chewren onco and prevalence of diseases are very different from the adult meds that we were taught in skool:

Dexamethasone + ranitidine used as lymphocyticide in ALL c.f. most adult onco use for N/V purposes.

Very disappointed in self.

Saw one person whom I liked, even though saw oni twice. Check if attached, the person was set to go, but then for some reason, dinner was turned down. Boh pianz, at this timing, I also cannot commit - but then I find that person ideal for me, but can I reciprocate?

Lidat, got more excuse to squat in DDMS to go thru' case notes - never knew a 40 DAY old kid can have 7 volumes to go thru'.... YYY pharmacist dun have time allocated like the loooh goons to do research one - the irony of having better research backgrounds but not being able to practice it.

Last day at OP today. Next week start at PS, then CIP with the viva in between. Can believe my OP ic soooo evil - give one tablet/ capsule and have to ID. @@

I think recently got a lot of changes in MOs ? HOs as I had to call new numbers to do interventions. Some got confuse over chewren and adult doses until they wan to dose themselves like big chewren @@ overdose liaoz. Should I call one or 2 of the time to hang out ? May be not. WE are all too busy.

I like peds because of the challenge of handling the chewren of today but then hor, the auntiez easy to talk to. Poly pharmacy can be prevalent in our setting as our patients visit use as the last resort after seeing a chain of private GPs or other centres such as NHC before having their gyane problems inspected her. Verli the scary. I really appreciate the patients who lug the drugs to my bench to let me go through to check for duplicates.