Wednesday, 14 July 2010

You gave me the wrong drug.

"You gave me the wrong drug!"

When I heard that, my heart just dropped to my stomach, and I panicked for a little while.

"Are you sure?"

"Yes, you told me to take half a tablet but the doctor said one tablet."

I read the doctor's snide writing.

Patient is on 25 mg ABC not 12.5mg ABC. Told by pharmacist to take 12.5.

Then I got incredibly irritated.

I took out both strength of drugs and asked the patient to identify it for me. Surprise surprise. We gave him the 50 mg strength of ABC. Well duh! 1/2 tablet of ABC is 25 mg, No?

Then I wrote back on his case notes and gave the patient a hard time about not even knowing his medication. Gave him an earful before I finally let him go back to the doctor.

Patients are idiots. That's why doctors shouldn't listen to them.


Saturday, 3 July 2010

i'm so boreeeed. with the job. anticoagulation is a narrow spectrum in more ways than one.

diabetes. is not much better. when 80% of dm patients are more concerned about diet than medicine DO I LOOK LIKE A DIETICIAN TO YOU.

by the way. can anyone find out whether monavie juice ('a mouthwatering blend of 19 body-beneficial fruits and AçaVie—the purest, most potent form of açai available.') helps cure diabetes. cos i was having a discussion with a patient whose blood glucose went up after taking one glass daily so she cut it down to half a glass. and she still thinks it will cure her diabetes and i said ok i'll read up on it and no, direct selling testimonials are not part of ebm. how? visit 2 is next week. i'm not trained for this shit.

hornbill texted me this week to say there's an anticoagulation mtac course in kch the week after perhentian and that she's going. thing is, my westmalaysianmalay boss, after sending let's say, the paeds clinical pharmacist to a 2-week dmtac course, and a store opd ppf to a 6-month aseptic formulations course, among others, and was made fun of at the state management meeting for his management style, now thinks state-trained courses are stupid and ineffective and not worth the time/ money, and is waiting for the penang anticoagulation clinic course to open, whereby he will send the female medical clinical pharmacist for it.

and the nadi course? how at every meeting we ask him who he's going to send, and he keeps not answering, and really, it's getting so obvious that he's going to send himself. which would be fine, too, because he's the boss and we could all hope for him to come back and do dmtac himself, but ha ha.