Friday, September 14, 2007

I spared a mother further sleepless nights

One mother came in to see specialist. Her child also took medicine from a GP. Came to my bench and I went thru her child's current meds and asked if the child is taking any other meds.

She was wise enough to draw a list. I went through with her the drugs and which not to take together. Saw triprolidine plus pseudoephedrine (Actifed). Pointed to her that when child takes this, child may not go to sleep easily.

She looked at me, then look at the child then gave a face and said ,"Doctor never told me."

Then told her to give it to child 3-4 hours before bed time.

Adventures in Coamoxiclavunate and Amoxicillin

Scene 1:
Doctor came in to fill own prescription due to an Infection. MO currently in paed round.

Dosed self with a very high (1250mg BD x 7/7) regime for Augmentin. My PT recommended to go down to the regular adult 625mg BD

Script sent in for typing and packing. I got to dispense it. Then the doc pulled out Frank Shann then point to dosing .... That's the problem with paed MOs trying to dose themselves - they forgot that they are adults and there's a different dosing regime. If doc gets 1250mg BD, I congratulate doc for making doc's potty doc's second home for at least 7/7

Scene 2:
Patient came in with prescription.
Can't see the weight clearly and called the patient. Thought 7.3 kg, turned out to be 73kg (for a 9 yo!!!)
Doc wrote Augmentin 500 mg TDS 14/14. Thought he must have confused with amoxi and augmentin. So called up and ask whether want to change to adult dosing for augmentin - 625mg BD. He gives ok.
Patient called. "Hi, got any drug allergy?" "Amoxicillin" @@
Called doctor, "Hi did the patient tell you he's allergic to amoxicillin?" "He neber tell. So what's the matter? "He's allergic to amoxicillin and you prescribed augmentin." "Augmentin corect loh" @@
Later changed to clarithromycin 500mg BD

Scene 3:
Doc wrote script for self. I got to dispense. I saw Amoxicillin 500mg TDS 10/7. Got worried because of compliance issues and doc doesn't look so bad. I asked doc whether wan to continue with such a long course - doc shoots back "I will keep the rest of the meds when I feel better. I AM A DOCTOR!!!" But I think this doc doesn't behave like one - problems with sitting in clouds tsk tsk. But then got meet one super nice doc, only thing is that doc not ready *sad sad*

Monday, September 10, 2007

First day with PS

The paperwork siao4 one?! No wonder the people at purchasing so stressed up at times

I already missed dispensing to patients face to face

Tried to make microwave cake today - semi sucessful. If not made properly, may turn out to be chocolate kueh

1 cup chocolate unsweetened 70%
1 cup milk
1/2 cup sugar
3 eggs
vanilla
1/2 cup cooking oil
1 cup SR flour

Today last day to burn paper - tomorrow surely CEP flooded with chewren who kena nebbed.