a small pharmacist in a small hospital...

in a zapp...i spent a month in Hospital Gerik...really fast...

there are definitely major differences between working in a big state hospital compared to a humble district hospital...

a humble district hospital with 4 wards...only

but talking about "pharmaceutical care" that the lecturers kept repeating millions of times back in the university...i have more opportunity to practise here...perhaps it has nothing to do with the hospital...just that i'm no longer a very very lazy PRP but just a lazy FRP...

in Ipoh...it's either
i see their case and counsel them in ward...
or...fill their in-patient medication...
or...prepare their cytotoxic medications...
or...prepare their Parenteral Nutrition bags...
or...analyse and interpret their serum drug level...
or...find information for their attending doctors...
or...purchase their medication...
or...lastly...dispense medicines to them before they go back home...
its either...or...

at best we can do 2 of the above at one time...or 3 if we happen to dispense to the same patient we see in ward when relieve at the pharmacy counter...

here at this tiny little hospital...
i see their case and counsel them in ward...
and...check their in-patient medication...
and...find information for their attending doctors...
and...dispense to them at the counter
and...lots of time to counsel (i.e chit chat with) them at the counter before they go home...if i do the same thing at HRPB...definitely will be flooded by trays and medicines...

and...interpret their serum drug level...
tests were done in HRPB...and results do come with recommendations...but i'm no longer a PRP...so i can choose not to agree with them...heheheh

in short...here i can give one dragon service from beginning till the end...

the good thing here?
lots of time to learn and study...
time to pick up...again...the knowledge lost somewhere along the way...

the bad thing?
the other day i was following a case...until he had an acute exacerbation and transferred out to Ipoh...
there is a limit to what we can do here...thus a limit to what i can see in the ward...
but then...at ipoh...u can only see the patient during and after the attack...
here i can see before...still something different to learn...

but still...
no matter how hard we complaint about the chaotic large hospitals...
no matter how hard we bragged about the the peaceful small hospitals...
deep down we do want to return...because that is where we are from...Ipoh...

in case i have the opportunity...i want to return as a better me...