BP 200+/100+
Na:LOW
K:LOW
Creat:250 and increasing, ie. CrCl:<30ml/min

and you insisted

HCTZ 50mg od (instead of prazosin/methyldopa "because I don't feel like it")
N/S 4pints/24hr
ORS 2packs qid
Slow K 2tab od
Mist KCl 30ml tds

you were basically over flooding the patient and then draining them again.

is your ego really that important?or is it simply because you defaulted your appointment with HBUK?

Mr Cassidy a/l Devarajooh

I'm addressing you as Mr because I personally DONT'T respect you as a Doctor.

I was the one who insisted to stop giving perindopril and do a BUSE/Creat as patient's serum creatinine was increasing.

I was the one who discovered the "bilateral renal arterial stenosis" scribbled in the patient's appointment card and informed you immediately.

You were the one who insisted that it's necessary to increase patient's perindopril dose from 2mg to 8mg and that "I don't give a damn about doing another BUSE/Creat"

You were the one who shouted "fcuk!fcuk!fcuk!why did they write it in an ortho appointment card?!!!" when i told you about it.

You were the one who went around later on telling others that it was "the pharmacist" who told u it's okay to give perindopril 8mg to a bilateral renal arterial stenosis patient.

and today,

You claimed that "if i myself did any mistakes,i'll definately admit."

yea rite.

MyChristmasWishList

1.
2.
3.

I'll rather have No.3 without the other two...sigh.

Merry Christmas.

I had a whole bowl of chicken soup rice as dinner.

When i was still back in HSM OPD...a junior passed this to me.

sorry dude.whoever you are...I'm no longer in HSM. > <"

so I'm posted to Hospital Tapah.about 1.5hr drive from home.(shit MrTan better not read my blog lor)

Hospital Tapah,a hospital with 5 Medical Officers(including the pengarah herself),4 wards(male/female/paed/wad bersalin),A&E and a stor integrasi. oh not forgetting the non-functioning Dewan Bedah.no surgeons ba...how to bedah?
1MO to 1ward including the A&E.
5 pharmacists so also the same.haha no la just joking not funny hor.

I find this photo funny..yet meaningful.
quite stupid tho...they built a bigass highway-like bridge showing "jalan terus,teluk intan" but the bridge ends abruptly with "jalan mati" XD

the OPD...100Rx max/day. anyone wanna join me here?
shit i better not jinx the OPD..

random flowers infront of my room in Tapah.
it has been sometime since I was once obsessed with macro shots of plants n flowers eh?


yea confirm is my room.registered trademark on the bed =D

Just chunked everything available on the tree and voila..not bad hor?
ceh but christmas won't be around also.

the current Boss at home.

BOO!

I asked.I got my answers.and I decided.
I'll be going Cambodia for Christmas.

Tapah

been telling myself..加油！repeating it as if trying to hypnotize myself.remind me if i forgets will you?

I wonder...

If my <3 reaches you?

A week and counting...

I miss you.

red.green.yellow.

just noticed those are the colours of traffic lights too.

in HSM,

Red is to record your next appointment with the Dr (TCA),
Green if u're on "Ubat Pakar" a.k.a expensive medicines, and
Yellow if the amount of medicines you are consuming > the amount of food you are consuming.

oh and Blue..which is given if u're taking long term of syrup form medicines.

and the other day when i was dispensing to a patient with Yellow card,i spotted some scribblings at the corner of her card...

牙罗卡

told JasMin(yea..the IMU one) about it and she finds it terribly funny.

Thats why i'm blogging about it.

hm..i wonder what will happen if we asked "ada kad kuning?" instead of "ada yellow card?" during her visit to the dispensary next time.

Dear God,are You there?

I met her at the beach one evening
and that was my last time seeing her.

She met with an accident less than 24hrs later.

her youngest daughter is only 11yo.

I first met him near Buchanan Gallery.
and he was there for his sister's graduation.
Met him again near the laundry
and he told me he had fun touring around Europe.

He was found dead after not returning from a marathon.

He was only 22yo.

She cried out "Lord please help my brother"
were You listening?

我叮咚的弹奏着故事里那首儿歌
缤纷的音乐盒木马还旋转着
我叮咚的弹奏着童年的纯真快乐
亲爱的这时刻有梦就大声唱歌

我们迎着风边走边唱
边坚定来自于远方那坚定的信仰
沿着那溪边走有水车的声音
我走着看着风中摇曳可爱的蒲公英

经过凉亭我们穿越竹林
看着山顶如棉花糖的白云
面对着阳光就不需要那阴凉
拥有不同心境相信你会看到更特别的风景

闭上眼睛静静聆听
屋檐那串轻脆的风铃
许愿要找个流星
幸福就要彼此互相扶持互相关心

Oh他们说玫瑰象征着爱情
那插满一把玫瑰花的花瓶
是否证明不是不笃定
是不是真的有童话这件事情Hey

我叮咚的弹奏着故事里那首儿歌
缤纷的音乐盒木马还旋转着
我叮咚的弹奏着童年的纯真快乐
亲爱的这时刻有梦就大声唱歌

我们手牵手一直的走
紧紧的相依的努力攀过吊桥绳索
在脚下经过的一条蜿蜒小河
心里面联接的是满满友情难以割舍

整个山坡苹果树已红透
还有干净泉水大口畅饮
橘子也成熟田里面还有泥鳅
真的快乐却是好多朋友陪着我们一起走

闭上眼睛静静聆听
屋檐那串轻脆的风铃
许愿要找个流星
幸福就要彼此互相扶持互相关心

Nahey---爱让我更自由
Nahey---一起大声说出口
跟我一起手牵手真心到永久
这就是爱的生活

我叮咚的弹奏着故事里那首儿歌
冰棒呢配可乐爆米花还温热
我叮咚的弹奏着童年的纯真快乐
开着车遥远了回到最初的选择

我叮咚的弹奏着故事里那首儿歌
冰棒呢配可乐爆米花还温热
我叮咚的弹奏着童年的纯真快乐
开着车遥远了回到最初的选择

我叮咚的弹奏着故事里那首儿歌
冰棒呢配可乐爆米花还温热
我叮咚的弹奏着童年的纯真快乐
开着车遥远了回到最初的选择

Guess who I found in Google Earth?XD

whoever answer it correctly gets a virtual cupcake from meXD

Olanzepam 10mg ON

Newbie HO!wehehehe..That's when I know it's time to have some fun...provided Satellite Pharmacy's not busy la that is.

"Hello selamat pagi Ward 9 staff nurse XXX(I swear i NEVER EVER managed to get their names!) cakap boleh saya bantu?(yaya all in 1 breath no comma wan)

"Hello ini dari Satellite,Dr XX ade?"

at the other end of the phone...Dr XX!!telephone!!pharmacist dari satellite!!

Dr: "Hello,yea?"
Pharm:"Hi Dr,bagi patient ABC katil 1 ya,nak confirm lah..Dr nak Olanzapine ke atau diazepam(coz diazepam's the only -zepam with 10mgXD) ya?

Dr:*grunt* (I SWEAR i heard a bloody grunt!) "tunggu saya check"

HAHAHAHAHA

Dr:"Eh saya tulis Olanzepam kat sana kan?"
Pharm:"yea"
Dr:*as a matter of factly* "yalah,nak Olanzepam lah tu..apalagi nak tanye?"(okok i made the last part up HAHAHA)
Pharm:"but Dr...kita takde Olanzepam lah..ada Olanzapine dengan Diazepam aje"

HAHAHAHAHA I SO WANTED TO LAUGH HAHAHAHA

Dr:"ye ke?tapi saya ikut je old medication patient..(I SWEAR that fella still don't believe me lor) okok,nanti..saya pergi check"

came back 2min later...

Dr:" oh sorrie sorry..nak Olanzapine 10mg ON."

HAAHAHAHAHAH TOO FUNNY....i know,1 day i sure got balasan wan.

HAHAHAHAHA!

p/s: look out for Tab.Ranitidine 50mg/T.perindopril 20mg/T.Lovastatin 4mg...if u wanna try the same. =D

......

2 lost phones...
emptied wallet containing RM400+...
and a smashed car window.

What can i say?

damn you.whoever you are.

The 'Business Man'

The conversation between the lousy 'misi' (TLM) and the business man (TBM)

conversation translated from mandarin:

TBM hands in the number slip,

TLM: Hi uncle,name please?
TBM: xxx...*points at Rx* there,written there already.

TLM: Ya I know, just need to confirm.Uncle,I'm giving you 1month supply ah.....

not even sempat to start going through the meds,

TBM: har?!1month only?I thought the Dr gave me 5months?Why do I need to come every month to get MY medications?

TLM:*smiley* uncle ah,sorry...I know the Dr gave you 5months,but i can only supply you with...

cuts in..

TBM:HAR?!WHY HAR?I AM A BUSY BUSINESSMAN!I USED TO GET 2-3MONTHS SUPPLY!WHY ARE YOU NOW GIVING ME MONTHLY...
TLM: *still smiling* uncle ah..sorry,now ah,hospital many patients already...not enough medicines,so can only give you monthly..sorry ah..

TBM:HAR?!!I AM A BUSY PERSON!DO BUSINESS VERY BUSY!GIVE ME MONTHLY SUPPLY..MY AS WELL GIVE ME ON A WEEKLY BASIS!!!!#*&$%^&**(
TLM:*smiles even wider* uncle!you want weekly supply ah?can can...then I give you weekly supply lah *extend hands to collect back the medications*

TBM rampas the bag of medications and stomped off.

Wished my hands were faster aye?sigh.

haha OPD indeed improves my EQ level X)

http://www.fmylife.com/

Today, I was at the mall blasting music, I was wearing a nice shirt and had my ipod in my breast pocket when I noticed a cute girl smiling at me so I smiled back and she started to walk over while turning down my music while smiling. It looked like I was rubbing my nipple. FML

HAHAHAAHAHAHA!

omigosh...

HAHAHAHAHAHA..tak booleh tahan!

to Normi Hamdan

Dear Normi,

If you happened to be a little "less busier" and decided to Google up "Normi Hamdan", I hope this will pop out as your first search.

I was and still deeply hurt when I was told that you were actually checking on me.From what I understood,I was giving you the impression that I wasn't doing my job and was lazing around.

I can guarantee you with my heart and soul that Manufacturing is and will always be one of my favorite department,what most working together with a bunch of hardworking dispensers.But then there really wasn't anything much I could do when there REALLY WASN'T anything for me to work on!Terribly sorry if I've worked too fast that I finished everything in the morning without you noticing.I'll try spreading my work evenly next time so that it will last me from 8-5.Just like you,right? =)

However, ff you happened to have the same fate as me - Desperately looking for something to do a.k.a. too free then there's something I can suggest to you...can you get me Aqueous cream supplies?OPD/Ward Supplies are running out of creams...oh and the manufacturing PRP a.k.a. me is running out of work to do too!

No hard feelings and I hope that you'll consider keeping me in HSM for being such a hardworking pharmacist.


Your dedicated PRP,
Yi Jie.

AhGirl no longer likes bananas..

Grapes are her current favorite.

yea, AhGirl's my dog.
and yea, my dog eats fruits.

but me want kookie monster *sulks*

You Are Elmo

Sweet and innocent, you expect everyone to adore you. And they usually do! You are usually feeling: Talkative. You've got tons of stories to tell. And when you aren't talking, you're laughing. You are famous for: Being popular, though no one knows why. Middle aged women especially like you. How you life your life: With an open heart. "Elmo loves you!"

The Sesame Street Personality Quiz

"so got thing wan to ask me?"
cYber_fiSh®-www.cyber-fish.blogspot.com says:
love me not?

"no love"
but very very very very love!!!!!!!!!!!!!!!
cYber_fiSh®-www.cyber-fish.blogspot.com says:
so little

"very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very very love"
u leh?
cYber_fiSh®-www.cyber-fish.blogspot.com says:
i hate u

haha =P

Happie 24th burfdae =)

lalala.

Lifetime Warranty

A very good friend of mine recently showed me this toothbrush
claimed to be environmental friendly.
and

with Lifetime Warranty.

a toothbrush with Lifetime warranty?hmm no thenk kiu.

I say a Relationship with Lifetime Warranty sounds better.
guarantee 100% full refund&exchange.
No questions asked.
LOL.

"True love is like ghosts, which everybody talks about but few have seen."

Francois De La Rochefoucauld

*pounder pounder*