god i'm turning into a government servant. sorry kimi i know you're not for taking the almighty's name in vain, but there are times gosh just sounds like a disney cartoon character. right now i just want to be struck by lightning.

i have come to realise (ever since another pharmacist got pulled into our so-called mtac and is now handling diabetes which means 3/4 of my work is cut out) that warfarin patients only come at 10-11, then 3-3.30 and that is all at one go. so i run around like crazy for about half an hour and the rest i sit around reading pamphlets (the thyroid treatment book was pretty enlightening). doing queries, well, i mean, i could find out the price of one vial of rituximab (rm3500 thereabouts) or i could guess my way through as the resident translator (but oh, bless these little upm medical students who are probably older than me).

so anyway. today i was handed my first three warfarin referrals for the day and in between filling in my forms and calling them out, i went to have coffee.

in the middle of running from patient to doctor to patient (inr 1.12, previously 4.51, now to increase dose again) regarding how she lives 5 hours and 3 cross-your-fingers-hope-they-come bus rides away + some walking and how well you can prescribe 2 weeks medication for me but i sure am only gonna come in 3 months for the next inr check, and back to dr who didnt want the responsibility of a bleeding/stroke patient on his hands, and i just decided, screw this shit and just write, dear opd colleagues, kindly supply 3 months medication for this noncompliant patient who stays in ulu.

then again i didnt come up with that myself. to quote dr s, alright then just give her tca 3/12, and we all pray nothing happens to her in between, woo hoo! now please go away i want to finish the cards quick quick.

and then i happily forgot about it and was mildly annoyed when opd called to query. what, you dont trust my judgement?

when i see an inr squeezing into the little range of 2-3 (i also accept 3.04's) i call them out, ask them for bleeding tendencies, and tell them to go collect their medication.

all i wanna do nowadays is sit down and stare blankly into space. should get the t4/tsh checked. the presence of the new mtac girl is making me feel slightly bashful about the underperforming but ultimately i cant be half-arsed. it's hard to be when your u44 (pemangku) tells you that she doesnt want to key in your QAP cos she doesnt trust the data. whatever. sorry for spoiling your beautiful statistics.

actually i should have taken that as a challenge and worked harder to prove her wrong. but malaslah. god i'm becoming this country. i'm wasting taxpayer's money. and this rant is absolutely all over the place i have no skill.