Hypocrites

I remembered once we had this particularly problematic patient who refused to budge from the front counter, even though we told her that her supply of medication has not arrived yet. She is the only person on that particular medication (an expensive one, mind you), so we had to buy it for her. And when it did arrive, she wanted two months supply because she had to go Singapore or dunno whatever country she was gadding about to.

What ensue was a long argument between her and my colleague. I was wisely keeping my mouth shut because if I was pulled into the argument, I would have asked her to get her supply from a hospital across Singapore, and then calculate the cost of her medication vs. the cost of transportation yada yada yada. Yes, I am a straight to the point, and I would have probably gotten a letter for saying that.

Anyway, the point of this post was, we found out what she worked as. That bitch, work as a pharmacy technician at a private hospital. Do you get why I am so irritated? She works in the same field as us. So she should understand, how the process works. She should bloody know how much is her medication which is probably why she is taking it from a govt clinic instead of her own private hospital. AND SHE SHOULD KNOW THAT ALL OUR MEDICATIONS ARE FREE AND THAT IS WHY WE CAN'T BLOODY AFFORD TO GIVE HER TWO MONTHS! WE SHOULDN'T EVEN BE BUYING THAT MEDICATION FOR HER WHEN THERE ARE GENERICS AVAILABLE ALREADY.

Yes we have no money. Our money is used for incredibly stupid stuff. Do you think that you patients are the only ones frustrated? I am frustrated with telling everybody, "sorry, we really don't have the stock yet but do please come back on so and so".

Gah!

Middle week rant

I am annoyed.

Medical assistants in my place anyways, are allowed to prescribe drugs for diseases such as hypertension, diabetes and so on and so forth. The person in charge agreed to it. Of course the doctors will be checking. They will counter-sign the prescription afterwards. Here is my problem. Say the MA give a supply of 3 months, the prescription will only be counter-signed after three months. Because that's when the pharmacy collects the scripts and send it to the doctor to be counter-signed.

Secondly, the drugs that the MA are prescribing are like Ticlopidine and Simvastatin. They are List B items. No shit.

Thirdly, I know the reasoning that person in charge give would be because the patient is stable and the MA is probably writing the same thing that patient had previously. But dude, how can ticlopidine 250mg become 25mg. You are not even copying it right. Like wtf. You can't even copy something word for word right. Seriously. Something is wrong with you.

I know the patient load is a lot. But here's an idea. Maybe if we start charging those pesky school kids that come to the place by the truckload even though they are not even sick. Then these damn kids will stop coming. Charge them five bob each time. Seriously. And if you think I am being unsympathetic, just hear this scenario out.

5 school kids come to the counter to collect their prescriptions.

Kid no.1 has constipation.

Kid no.2 has diarrhoea

Kid no. 3 has cough

Kid no.4 just went for a visit to the dentist

Kid. no 5 has conjunctivitis

So you mean to tell me, all these school kids who happen to be friends at the same time, had to come and see the doctor for different ailments. Shit. I say you shut down the school and call it a day. Because the school area should be closed down. Too many people are getting sick from going to school.

OMG seriously

Recap of the week

The lessons I learnt this week:

1. Patients are a selfish bunch of assholes

Give them two month's supply of drugs, and they angrily tell you that the doctor said to give them four. And then you tell them that we don't have enough medication to give all patients like that. And they screamed to the whole pharmacy that we ONLY, read ONLY give them two. OMGWTF dude. SOME PATIENTS ARE GETTING ONLY 1 MONTH. AND ASSHOLES LIKE YOU ARE GETTING TWO MONTHS. And is it me, or do you notice, it's only the chinese patients who does this? I am getting so fucking annoyed at it. AND these patients look rich! It's bad enough that they are getting these drugs for free. Seriously.

2. Everybody is looking out for themselves, so you have to take care of yourself first.

I dunno how the system works in your hospital, but we usually take turn dispensing. That was back in JB. I would do 3 hours and then somebody else would do 3 hours. But here, nobody cares. If you are the unlucky one who went first and sat in front of the dispensing counter, then you will be dispensing the whole day! At first when I started here, I would usually forgo breakfast so that I could help with the dispensing up front. But since everybody is a selfish asshole. I am choosing to ignore them even if it is super busy, and force myself to have some breakfast first. Hey, they do it to me. And then after that now, they changed the oncall list and now we have oncall once a month. I really did the oncall last week. It was three freaking days. And they wanted to put me oncall again this week and I put my foot down. No way! If I spend another week here withought going back KL, I will shoot myself.

3. K'tan is full of assholes.

Someone scratched my car! Seriously. I didn't park my car in any way that was obstructing another vehicle, or obstructing your house. But I am suspecting my neighbour. There is this parking space that both houses share, when I am early I get it, when I am running a little late, he gets it. But hey, that's no reason to scratch my car. It's a public parking space. It works just fine with me.

SIGH.

so today i went back to the shrink and it was so pointless. or maybe it was just me. i certainly dont feel like cooperating. i certainly wanted to be anywhere else but there.

so this is how it feels like to be on the other side of the counter... everyone just wants to cure you, and starts getting impatient when you dont get cured. it's all your fault. why cant you try harder.

well i dont know how it is to try harder. i dont know what to try harder at. i know i'm wasting your precious (sincerely said, cos i know you're all very busy) time, but i dont know how to get better enough to suit you. and this is why you see me hiding things from you. it's because i'm confused with what constitutes improvement, and what doesnt.

give up on me. please. let me be. i think i can get better that way. transfer me out if you must. not like i know where to go or what to do, it's so ironic how you make that sound so simple, look here, we're giving you 8 days mc to think about properly, what you want. it's not like i can get what i want, right. what's the point in thinking what i want. just makes for more frustrated hope. HOPE IS A STUPID BITCH.

3 more years of this shit. if what you say is correct, that i'm medically incapable, then what am i fit to do? you're the one who tied me down for this long. am i just going to be shuffled from department to department, hospital to klinik, etcetera to etcetera? you dont know what to do with me, therefore you want to get rid of me.

shrink says i should face up to my weaknesses, and stop blaming other people. I BLAME YOU. I BLAME YOU FOR CONVINCING ME THAT I'M INSANE.

i loved my job. i loved helping people, finding out the small things that could make the difference. i'm one of the best at talking to patients, only you never see that. i'm only like this because you took it all away from me.

i'm on leave again. fuck.

maybe i'm crazy maybe i'm a danger to medication safety maybe i should be relieved from my post due to health reasons.

fuck.

i'm not depressed. i'm fucking pissed off.

do we have to wait til we finish 3 years to do that continuation course, formerly jaybeep? cos i want out of this country now.

kajian kepuasan pelanggan farmasi

click to enlarge

most people at the hospital are sick so keep the place silent - you people keep quiet la.
sediakan bahan bacaan - you know you will have a long wait so bring your own la.

upgrade entertainment system??!!!! - you pay for it la! you come hospital for treatment or entertainment?? obviously the hospital is boring. bring your own entertainment la.

my goodness some of these patients. and keep asking us to smile more. how to smile the whole day la. they don't even smile at us.

and you probably can't see, but some of those green comments actually talk abt 1malaysia and the pm's vision. omg, dunno if some of these comments are serious or just too bored coz no entertainment.

Lately everything has just been overwhelming.

Not work. I am just bored off my ass in work.

This is my calculation. I am already sort of in my second year. So I will finish govt service in 2012 around Oct right.

Then say I get to start straightaway in UK doing that continuation program, I will finish in 2013.

After 2013, I probably have to do the pre-reg there which is one year, and then I will take the RPSGB exam in 2014.

OMFG. Do you know how many years that is?

I will be 28 that time. OMG. And how the bloody hell am I going to get married too at the same time.

*cries.

You know who I blame?

I BLAME IMU! Fucking IMU. Money sucking institution.

:'(

And I am starting to feel everything is not worth the effort. I don't know what the hell I am doing.