the pharmacist oncall

1. 29/12/08 (13.30pm) ICU DrLee asked for more noradrenaline. (DrLee very polite i likey!)
Solution: called up ShoenChuen in satellite to help settle.
2. 29/12/08 (19:15pm) ICU asked for IV Nexium.
Solution: hands trembling,braved myself and went to the hospital alone.dei,ward supply's like just next to the morgue ok shesh...


3. 30/12/08 (22:00pm) Ward 4 asked for IV Atropine for organophosphate poisoning.
(22.15pm) ICU asked for IV Atropine for organophosphate poisoning as well.o.O?!
Solution: dragged dad along.Gave Ward 4 300ampoules IV Atropine and another 400ampoules for ICU.Told them to share if needed.Hopefully will at least last through tonight ba...Ward Supply low stock liao > <"


4. 31/12/08 (06:00am) awaken by one of my worst nitemares...Ward 4 has ran out of IV Atropine.
Solution: dad again..drove to the hospital half awake.after confirming with ICU that they have sufficient supply,I gave the leftover 200ampoules to Ward 4.
came back 7am>breakie>poo-ed>bathed>8-5 in OPD *yawns*
5. 31/12/08 (11.30pm) felt asleep on the coach and was awaken by a call from ward 7. they requested for T.chlorpromazine. The nurse claimed that the patient insisted on having his medication wor. for non-pharmacist readers,the medication they wanted..is a psychiatric drug.I was so pissed that I practically cursed my way to the hospital.give him sleeping pills la..or locked him up for the night la wth > <"
Solution: searched high and low but couldn't seem to find T.chlorpromazine.Called up "the satellite specialist" MrLee and he told me satellite has no T.chlorpromazine.(actually got lor ish..) got the medication from OPD in the end.


6. 1/1/09 (12am) "hi,pharmacist on-call?Happy New Year!Ini dari A+E..nak indent orphenadrine..."
-___________-" not funny lor haiz..was half way settling the T.chlorpromazine case when I got the call from A+E.
Solution: rushed to Ward Supply and luckily the solution was written on the notice board (or else I gonna have to call up the seniors and wished them happie new year wth).Orphenadrine's substituted with Inj.Kemadrin.Gave them the pathetic 4 ampoules and hopefully don't ask me for more.
7. 1/1/09 (12pm) volunteered to pay ShoenChuen a visit in the satellite pharmacy,sambil checked whether all the departments have enough medication.Gave ICU another extra 800ampoules of IV Atropine to last them til tomorrow noon.Ward 4 claimed to have enough IV Atropine as Dr's tapering down the dose for that patient.Hopefully no Sitiawan-ians decide to kill themselves using pesticides anymore la...hanya tinggal 200 pathetic ampoules IV Atropine left in the whole hospital now. > <"

8. 1/1/09 (5pm) A+E called.Asked for Rabies vaccine.
Solution: Checked and got the vaccine from Ward Supply.wanted to double confirm the amount the Dr wanted and the Dr himself wasn't sure o.O?!!! and in return asked me back "eh normally how you all give the vaccine wan ah?" <<--- this...is EXACTLY how his sentence sounds like lor!hahaha I know I'm bad but it really sounded so funny that I nearly fainted.gosh..i seriously hoped it's the correct one lar..patient's a 9yr old kid!

being the oncall pharmacist as well as a pharmacist in OPD..I can feel the depression slowly seeping in... T_T


9. 2/1/09 (7pm+) A+E called informing that the medications we Sedekah-ed pinjam-ed from Hospital Ipoh and Hospital Teluk Intan had arrived.
Solution: picked up the phone with my fish-smelled hand(was halfway eating dinner!) and told them I'll collect it tomorrow(if no more oncalls tonight)
10. 2/1/09 (8.30pm) Ward 9 called asking for IV Rocephin, IV Azithromycin and T.Azithromycin.
Solution: Mum decided to tag along as well. Went to the Satellite Pharmacy this time to get the medications. Decided to collect the medications from A+E after that and kena commented by the MO that I looked like a patient instead of a pharmacist because of my attire -___-
"eh the big big IMU logo on my shirt cannot see izzit? ish..."
oh it was the MO who asked me about the antirabies vaccine previously!


11. 3/1/09 (9.30am) Ward 7 called asking for IV Labetalol 3mg/hr
Solution: the weather was soooooooooooo goood for sleeeeping mygosh...grr!
dragged my butt to the hospital anyway.After the Atropine case,frankly I'm quite paranoid with cases involving hourly dosing. Was relieved when I saw the sufficient amount of ampoules in WS. the nurse sounded sooo distress in the phone ok.."urgent la,patient BP dah tinggi nih..200 lebih dah..nak bagi STAT dose.."
my foot!I waited for nearly 1hr okie..ish..if really urgent,I think what's left will only be a big pool of blood (BP too high explode dy ma *roll eyes*)
So not long after I reached home..JasMin called up.I couldn't make out what exactly she wants me to do...it was a blur.Something like ward X needs me to go back to supply something but no oncall forms available.I told her that I'll need a proper call from them,and of course..the oncall form.

she called me again when i was half having lunch.sounded slightly annoyed when she realised that I was still home.To tell u the truth..I was equally annoyed.
Why on earth she insisted me to supply her medications without an oncall form?!WHAT EXACTLY SHE WANTS?

I gave in anyway and told her I'll be there.
12. 3/1/09 (11am+) received a call from Ward 8 asking for Guff. !@##$%^
Solution: whaa..?I was halfway searching for parking then...told to meet at the Ward Supply straight.Searched high and low for Guff.Vigamox while the attendant looked at me impatiently.I felt like an idiot.Told the "pakar mata" Guff.Vigamox was not available..and replaced with Guff.Ciloxan instead.
13. 3/1/09 (1pm) ICU wanted IV Cloxacillin 500mg.
Solution: ICU knew the existence of "satellite call pharmacist".So not waiting to disturb the pharmacist on-call,they decided to get it from the satellite pharmacist instead...yea the one which JasMin tried to tell me over the phone.blur case..can't blame her,considering she was doing her satellite call with..erm..the snake queenXD

the pharmacist on-call had to come..anyway.I'm undispensable LOL.
14. 3/1/09 (3pm) Ward 4 wanted to fill up their tablets supplies,IV Dopamine and IV Vitamin K 10mg.
Solution: Vitamin whaa..?!great...now I have to pinjam ubat from the hospitals nearby.but how?!!-__- armed with Ong's "oh very ma fan lo..u need to call their pharmacist on-call" as well as a few SOS calls to ShoenChuen,I phoned up HAT and HTI.

was so haaapppieee when HAT called back with a "Yes"!told me that they have already leave the medication at HAT's A+E...whoever it is..I LOVE YOU muah~*

managed to typed out the surat pinjam ubat,filled up the ambulance form and dashed to A+E to arrange for transport.
"ubat ni urgent ye..nak cepat"

half way back to the ward supply,I heard ambulance sirens..LOL!

I waited for an hour for the medication..and another 30min for the attendant from ward4 to collect it from me.tell me about urgency...X)

It was already 6pm when I reached home. I was still pretty proud of my performance when my phone rang again > <"!!!
15. 3/1/09 (7pm) Ward7 called up for IV Labetalol.
Solution: EHHH!!the amount I gave can last till monday riiite!!how come?!!
The nurse sounded apologetic,telling me that they lost the medications.LOL XDXD
laugh die me laugh die me...
but hor..I'm thinking otherwise.Considering that the Dr asked me about the strength,as well as the dilutions hehe.
ohwell...what can I do wo?get my butt to the hospital and gave them the medications...praying hard that they won't lose it this time XD

First time where Monday seemed like heaven and Sunday felt like forever. Sunday was surprisingly peaceful...no calls.Only occasional texts from friends,either congratulating me,or just checking whether was I still alive *smirks*

but yes..got number 16 -____-"

16. 5/1/09 (12.30am) Ward 9 called for IV Rocephin and IV Flagyl.
Solution: Went to the Satellite to get the medications.the hospital's like..SO COLD at night la brr. gave the wrong amount > <" only realised when I was already half asleep on the bed..ended up dreaming being buried by medication chart X)

and a good night sleep to mark the end of my 1st oncall experience. tralala~

and...if there's something I wanna change right now,it will be my hp ringtone XD.

(to be continued...)

another December baby =)

she's like the122435845th December13 baby!XD

seriously!

anyway...hApPie bUrfdAy Shi Mun!

beautiful cake bought by ShoenChuen.

It was actually a pretty last minute plan,seeing that a few of them wasn't around.But with ShoenChuen around,I guess things just fell into place =) fully equipped with lighter and a pack of tissue paper lol.

wanna cry dy wanna cry dy...T_T

Angelic smile =)

My new found friend!first got to know her in OPD,when I was terribly lost and she was one of those few who was patient enough to guide me and showed me the location of drugs one by one.Sorry for spilling the DD tho..=P I like her smile...innocent =)

The UM's 25% male pharmacy grad 2008 XD

Lastly, a groupie.
Thanks Dr.KC =D

A birthday celebration in Ward Supply as a PRP.meaningful aye?=D
I hope none of the U44s/U48 reads my blog XDXD

I met a boy in ICU today.

So small for a 14-year old...
there were tears at the corner of his tightly closed eyes.
how I really wished to know enough to help.

A burfday celebration

Finally!something to blog about =D


we knew each other since ages but I only got to know 02/12's ur burfday few days ago...ya i know,i'm such a lousy fren.blah..

surprisingly,tricking her for a gathering was easy.=D had a wee dinner at Bread Forest but lots of good laughs over lame and brainless jokes thrown in which left me with aching belly and sore cheeks.such a blessing to have them =)

oh did I mention 01/12 was the first oncall day for us PRP?and MrChoong was so "Ong" that he got called like..1hr after 5pm?XD

A BIG Happie burfday to you dear! =)

I hope u didn't wish for getting 1st place?XD (oh did I mention Shoen Chuen was always the top1 or top2 during secondary school?*salute*)

All smiles =)

Syok sendiriXD

pretty brainy girls.I envy *pouts*

a PRP family potrait.
minus lil' girl JasMin,Ashikeen(?) and Syidah(?)

p/s: sorry for the blur photos.I laughed so hard I could hardly stand straight and hold the phone steadily.

"You know tooo much....hahahahahaha!!lol."

Tupperware bottles.

Theirs...

mine.

hahaha...

week 1.

Sunday 2/11: was so afraid that I would end up late and get sent to SLIM RIVER..so i made a trip down to Ipoh just to be 100% sure where's Jabatan Kesihatan Negeri...and I got excited over the Big Apple and Mng and Espirit and Guess outlet in Ipoh Jusco lol. bleh jakun XD oh and had my 1st Big Apple experience...beats Krispy Kreme three hands down (bleh sue me..lala).

Monday 3/11: the kiasu-ness continued.I reached JKN about 7.30am...even earlier than the keraniXD supposed to start at 8 but we ended up sitting in the bilik mesyuarat till about 9am(say wanna wait till everyone was there).but eventually attendance not full also -__- listened to an ex-estate manager talk crap for a full 1.5hr...kerani ramping came in,called our names and we got our posting letters.DEI!i thought we get to choose if we reach there early?!#@#$$^!% both JasMin and me got "Hospital Seri Manjung/Tapah". o.O?!! and just coz we were posted to the same place,we had to share ONE.SATU.一.yat.posting letter.-____________-|||

nebermind...so we headed down to the Lembaga Farmasi Negeri,and found out that the person in-charge was "sibuk" and "boleh balik lagi 3 petang?" !@#$#%%^&#$

NEBERMIND!had Ipoh hor fun with dad,drove round and round Ipoh and ended up in Ipoh Jusco cinema watching My Best Friend's Girl. > <"

finally made it to the Lembaga at 3.listened to the foxy lady talk for another 1.5hr...and kena shoot because I was too sexy. "nanti kena sexual harassment jangan nangis.." bleh go die far far lah!

reached Sitiawan at 6.Hopefully my pay starts today or else.......haih can't do anythin also T_T

Tuesday 4/11: had dad sent both JasMin and me to Tapah.3hrs to-fro.filled up tonnes of "maklumat peribadi" forms and found out that the pengarah went to play golf and we couldn't sign our surat aku janji and we had to make another trip back Tapah again.-___- health report got tendang balik because no "tiada kanabis dan dadah dalam kencing" cop.blaaaaaaardy heeell...u think my car use water wan izzit?!

made a trip back to Sitiawan's klinik kesihatan for that cop and kena shoot kao kao by the nurses because they don't have it and it was the 1st time their report tidak diluluskan.
"kalo tak puas lagi panggil dia call sini!" deng..should have asked the nurse for her name and handphone number!o.O!!

being a good garmen servant,we decided to report ourselves to SeriManjung although it was already 3pm.filled up tonnes of "maklumat peribadi" forms again and was directed to meet with the Farmasi head and was told that all U41 and above was not around.-__________- dumped to OPD.felt useless.felt like as if I was "interupting the earth from spinning".

Wednesday 5/11: start working in OPD!without having a clue!had fun memorizing that Buscopan=Hyoscine untuk muntah.Maxolon=metoclopramide.Maalox=Al/Mg antacid.Marvelon=female hormones.Voltarol and Voltaren are different stuff and paracetamol is given 2tabs tds.
and I failed my pP3 countless times because of MST/Sevredol/complicated paed doses.bleh...
3.5yrs of education down the longkang infront of the OPD.T_T

Thursday 6/11: noticed some of the pembantu farmasi/pharmacist seniors were not that helpful anymore coz we couldn't seem to remember anything and kept asking the same question.X) and the other prps didn't call us for lunch break...felt so...forgotten T_T and when I was trying to help one of the prp on DD,I spilled quite abit of it T_T aih why like thiiiiisssss...

Friday 7/11: still trying hard to break into the UM/USM group of prps.made myself proud today by helping up a little in the dispensing because the patient only speaks foochow and I was the only foochow pharmacist lol.starting to get the flow...less questions asked.in charge of counting+checking the DD.felt better coz i seemed to be...useful XD oh today I hurt myVi-zhai T_T on my way sending him for the 1000km service summore...how irony. haih...

mie TGIF?tomorrow still need to be there at 9am for dunno-what kursus la isssssh...*yawns*

开工大吉！

旺啊！发啊！eh...

ahGirl's photoshoot

*pats*cough*cough*away*cough*accumulated*dusts*cough cough*

daily updates in Glasgow,monthly or even bimonthly updates once graduated+return home. I guess this is tradition...^^")

lots of tiny weeny bits of bloggable stuff,but I guess my laziness beats all of them hands down.bla.

anyway,here are shots of our new(okla,almost half a year dy) family member,ahGirl.

nomnomnom...

emo-ing...

"jie jie where's my food?"

emo-ing again...
"oooo..you like mah sexeh chest haaair?"
"mie si?!"
"mm oi yeng ngor laaaa *blushed*"

how old's she?human year's about 6months old,so i guess that made him 3.5 doggie year old?? enlighten me please.

hahaha..lame dao ah..XD

geddit?geddit?geddit or not jek?*whistles*

I effin' hate forwarded emails/messages..

BUT theese......


eh..there was this movie looong time ago...a big flying dog with kids sitting on him one..remember?remember?
this reminds me of my AhGirl!no?hehe...smiley =)

AhGirl!after digging holes in daddy's garden.lol!

seriously seriously made my day!whee~^^
thanks XinYin!

Scottish affairs-LochNess.Pollok House.

despite being able to visit many countries,part of me regretted for not being able to spend time appreciating what Scotland has to offer.only a day trip to the famous Loch Ness and a short visit to the Glasgow Pollok House to wrap up my short 1year adventure to the west.

wanted to make it a road trip initially but ohwell,nobody had the balls to drive so...

GBP28 for a daytrip to LochNess-Inverness.no time,so can't complain...


I could have stood a whole day there emo-ing ok...ish,but no time.> <"

Urquhart Castle.the scenery was gorgeous!I could have sat there sunbathing/emo-ing 1whole day also...instead of rushing through the whole place in 30min.-___-"

fake Nessie spotted.not kyuute also ceh.
what we did mostly...-___-""

with only a few more days left in Scottish soil,I was ddddying to meet him!the guys were only interested in DOTA(boo!) while the gals were only interested in filling up their luggage spaces with cheap ZARAs/TopShops/MissSelfridges...so it was down to only the 2 of us again!

the random partner!Fionna...(gosh,that fugly tan...> <")

him!him!love!love love!finally..!

ber-bonding with the Scottish highland cow ('heilan coo' in Gaelic)

Pollok House and the garden.we need to pay a whooping GBP 8 to enter the upper floor of the house,which the friendly guard whispered to us "there's actually nothing much to see..juz a house." lol.




for nature lovers(boo!to building lovers hehe) u'll definitely love it here!what's more..it's free entrance.perfect for cheapskate Asian student like me.X)

snippets of AhGirl.

On Raya eve,we were chatting outside the house,with AhGirl next to us.She was panting as usual(you knoe,the "heh heh heh" with tongue sticking out).

I put my head next to her and randomly mimicked her panting.

AhGirl: o.O?*insert wtf expression*

hahahahahaha.....lol!both mum n me laughed till our belly hurts!her expression...priceless can!

something like that...with 1 ear up and 1 ear down.and minus the cat part.AhGirl's a dog. X)

2 months difference.

30/06/2008

23/08/2008

sigh.you say die or not?slap me please..make me exercise!T_T

I iz from NanHwa.

an AhPek told a mutual friend of mine...

refering to Sitiawan-ians, "those that are not from ACS never study wan(boh tak cek)".


yala.

"be careful.I might eat you.I'm a non-ACS barbarian."

baaaah...if I ever got Sri Manjung,better not let me see u ah uncle.

Spain-Portugal

I know..this post is loooong overdue. but you don't piss me now ah I tell you..I'll slap whoever's asking me about my posting again(perak!I was happily jumping around and the next thing I know some dumbASS decided to cancel it due to "some changes need to be made".and HE has the balls to tell us to call back AFTER 20/10!! to confirm again!)wtf.

partly I no longer have the mood to recall,partly also coz it has already been soooo long ago..so I'll just put up photos n add pathetic bits that I remembered lah.dammit I'm still pissed ok.shesh..
I can't remember where was this...don't even remember whether it's in Spain or Portugal ^^") guess this is the downside when you're following a tour...you just follow,you don't use your brain X)
oh this one i remember..Salamanca. quite a happening place I would say,was interested to explore but we were only given less than 2hours here.

and the less than 2hr duration,was used for...

ok-ish Spanish Sangria...fuh,liquor under scorching sun..-__-"""

ok-ish but pricey seafood paella(pronounced as 'pa-eh-ya' according to tour guide david).

I say "a little bit of spicy will do this some good."
mum say "give me 100bucks and I can cook better than that!"
dad say "eh,angmo really dunno how to cook rice hor?"

this one...can't remember also..> <" I only remember walking up narrow steps with a few of the US tourmates just to visit the library(or was it medical university?). haha semangat...but I had quite a good chat while on our way down..=)

Fatima.a smaller+modern version of the Vatican City.but the crowd was equally spectacular...oh and I like the hymns sung!oh see the crowd behind?even with so many people around,it was silent and solemn.nice =)

but there's something I don't understand tho...
According to our guide,catholics in the old times used to cut the bodies of saints into pieces and distribute them all over the world as sacred pieces.

yea..i was like o.O? any catholics out there can enlighten me?


Lisboa!that guy behind me's from Iraq i think.heh..imagine having a whole bus load of Americans+Aussies...plus 1 very quiet Iraqi.lol.
"whoa I better go befriend him,tell him we from M'sia...good fren good fren."

lol.


some seafood thingy that we shared...24euros if I'm not mistaken.
I say " eh,not badlar..."
mum say " give me 100bucks...." lol.
dad say" ......"

well yea...basically if it's curry/tomyam rather than a bland tomato base it would be better.

inside a castle or something..can't remember where.i only remember eating a 1euro small kaya puff and 1euro Portuguese egg tart. -___-""

Sevilla!
Sevilla's cathedral converted into a museum.the entrance was 7euros for adult,but 2euros for student.lol.so my parents decided to just rest outside while i made use of my international student card. =P
It's quite worth the money la..even if it's 7euros.they claim to house the remains of Christopher Columbus.
centre piece..not the Christopher Columbus tomb.XD

and I climbed up the bell tower..thinking that it was an easy task. > <"


*squint squint* see the batang thingy at the top right?the people of Sevilla nicknamed that bridge...Viagra Bridge. lol.actually name-Alamillo Bridge(ok I wikipedia-ed this.)


Spanish ____??!! I can't even remember whatz the name of this place...shesh.I was all alone there because mum and dad simply refused to go under the scorching sun.

Cordoba.and don't get me started on the Cordoba optional! trip..shesh...

machiam circus....I like!heh..one of the few church convert to mosque/mosque convert to church buildings.So you get both crucifixes and onions in one building. =P

Madrid!not many shots of Madrid partly due to(okla fully due to) the big ass ZARA they have+rolls and rolls of shops with 'rebajas' surrounding it.

the bullfighting ring.ok I'm totally against bullfight...why not have it the other way round?that will be more interesting I'm sure.

part of the tourgroup.Most of them are either Americans/Aussies..yea I know they don't look like one.lol.westernized...bleh.

Madrid City Hall.no price for guessing where i got the info from..lol.
the loooooooong queue for iPhone.sweat rite?sweat!don't understand.....aircon ZARA just down the street la.
forgot dy laaa...I remembered we were making fun of its name tho.

okfinish...bai.