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Sunday, July 21, 2013

Clinical?



Here I am, blogging again after previous updates (which was ages ago I know)..

Just finished my 1-week holiday and I am back to Sandakan. It was a simple yet awesome holiday for me.  As time goes, I learned to appreciate those little things which seem unimportant but truly warm me. Hanging out with friends which I have known since primary school (you’re right, since PRIMARY school), meeting up with other uni’s close friends, movie-dating with whole family, shopping spree, randomly changing the TV channels as long as I like (Yes I LOVE to do this) and the list goes down….all these moments count, these are the times which I treasure a lot. (Ok I am babbling now)

Trying to recall the days when I attached to clinical. From early May to end of June, I have attached to total of 4 wards. I know that there are differences between hospitals as my friends told me their clinical attachment lasted for 6 weeks. Anyway, I started my clinical in Male Medical Ward followed by Female Medical Ward, Paediatric, and ICU. Honestly I was stressed up during that period, but who doesn’t stress up? So I should not complain and try my best instead. 

This was the period where I found myself with serious lack-of competency. Knowledge wise I felt inferior but I learned as much as I could to perform my work.  I get to expose to various types of clinical diseases and their managements. One could not always manage two patients of same diagnosis with same approaches. I learned to think wider, or what we call it as treating the patient holistically. I tend to make judgments without taking into ALL considerations. For example, when need to be cautioned on patient’s renal dosage adjustment,   I need to consider on the disease itself as well as drug-drug interactions. Of course there are much more factors which we need to be concerned. Most of the times, it was ward pharmacists who noticed “something wrong” and made interventions with doctors.

Clinical is challenging, but interesting at the same time. The feeling of able to help patients who are suffering made the job worthy. Funny things or “special” patients do exist but it all depends on how I cope with and perhaps my attitude towards all these unexpected issues. Sometimes I do get tired, with the constant pressure which I put myself on; I did wish to end clinical attachment soon.

 I think part of the reason which I hoped to end my clinical soon towards the end of my attachment was because of the last ward I have attached toàICU. It wasn’t because of the work load or the people I have worked with there. Indeed I found other health care professionals to be very kind to me.  It was because I found myself to be “emotionally-unstable” when working there. I have seen intubated patients whom self-extubated and forced to be re-intubated, patient who was being tied up because of restlessness and aggressive behaviours, and patients with SVT or asystole who could not make it. All these made me to feel super helpless as a pharmacist. The most sensitive trigger factor for my fluctuating emotions was family members who visited the patients. I just couldn’t bear with them calling the patient’s names when patient was unconscious or sedated. The worst was the tears from family members, with the hopeless feeling that their loved one will be gone anytime. =(. Anyhow, attachment in ICU has taught me how multidisciplinary teams cooperate like how anaesthetic team discuss the management plan with Medical team. There is still so much more to learn!

 I admire all the ward pharmacists in hospitals (any hospitals), for their working spirits in performing daily tasks and their endurances. I think I would find clinical more interesting if there is no clerking-cases requirement. XD.  

Changing my topic away from my clinical attachment, I randomly bought a book written by Rhonda Byrne. Title with The MAGIC. I did not read The Secret  nor The Power written by her. Hopefully I will gain something from this book.  Saw a quote from the book, would like to end my post with it

“Gratitude is riches. Complaint is poverty”. I am in the progress of learning to complain less.

Cheers

Sunday, March 31, 2013

熬夜


难得的熬夜
凌晨三点
听着歌曲
咀嚼论文
写着文字
继续“功课”

=)

Saturday, March 9, 2013

March


Instead of studying for coming forensic exam, I am blogging here.

My attachments after out-patient was at Galenical Pharmacy, honestly it was like a “de-stressing” therapy for me as the workload here was much simple as compared to other departments. Compounding was kinda fun for me especially with internal preparations, I was more excited when compounding for coloured ones XD. The attachment during there made me realized that many of the internal preparations in out-patient were prepared by Galenical unit. GMP were important and I always remind myself to produce preparations as though as I am supplying for my loved ones. You wouldn’t want anything wrong with what you’re serving for your family or friends right?
Well, first week for External and second week for Internal marked the end of my attachment there.

Later on, I was attached to another in-patient pharmacy, which is located just 2 levels above the Galenical unit. Considered it as my second time in in-patient despite of different location and slightly different rules as compared to the previous in-patient pharmacy, I tried my best to be error-free.  New things learned were the TPN calculations and supply of cytotoxic medications. 

Sometimes we do get very busy settling all the medications supply based on drug chart but most of the time I was quite free to read up for forensic exam (utilizing my time well huh? bleh…most of the things I have read did not diffuse into my brain in the end).

With the attachments of these two departments, there gone another 6 weeks. Time really flies now. I bet I won’t have time to update time by time until I finish my attachment at clinical departments (which will be few months later).

My next station will be in Drug Information Service, so close to the out-patient pharmacy. I need to get ready to go back to the super hectic and tension atmosphere VERY SOON.>.<

That is the end of my unorganized post for this time.

p/s: Still praying for PEACE here. Things get kinda critical in other areas and RUMUORS do spread like virus, some were too suspicious but still “succeed” in creating havoc among people. =(.

Thursday, January 24, 2013

Adaptation


Maybe this is the after-effect of working two night shifts consecutively; I am still awake in this time. Normally I would be sleeping in this hour. It feels like no matter how many hours I have slept back to replace the lost ones, my body and SKIN would not tolerate these easily. (Signs of aging huh…>.<)

Out-patient department is my current rotation; the working environment is way too different as compared to in-patient pharmacy. With the pharmacy just being renovated, staffs and pharmacists just being transferred here, relocation of medications and documents, and new shift system being implemented in January, the consequence is disastrous.(personal opinion).  Patients ended up waited for much longer as too much unfamiliarity and also problem of OUT-OF-STOCKs for many common medications. =/. 

I still need to learn a lot, still making Mistakes, still blaming myself for under-equipped with knowledge. 

Time passes really fast while working in out-patient pharmacy as all of us are always busy and the working environment is always hectic. It happened one day that there were way too many patients, the pharmacy was so congested that some patients were required to wait at the OUTSIDE of the pharmacy.

Speaking Hakka is a big challenge for me as it is a norm for Sandakan people especially the elderly to communicate in Hakka. I am a pure Hakka. But sadly, I did not know how to SPEAK. (Still grateful that I am able to listen and understand it). Well, I can still manage the simple ones (eg how many tablets for how many times) but when it comes to instructions of usage. Bleh…….my “tak-cukup makan” skill wasn’t able to handle this and I have to repeat many times in Chinese just to reassure to patients that they understand clearly.  In fact, I can speak Cantonese way better than Hakka, what a shame one me.

Sometimes I do get emo, but I know the pathway I am going through and I am searching for satisfactions in working everyday. Some colleagues are really helpful and nice. Patients too are nice to me. They often ask me whether I am from west Malaysia, maybe I have the look of “non-local”. =P

I have moved out from previous place and staying with a new housemate currently.It caused me to spend higher for my monthly expenses as I am staying more far away from hospital but it is worthy for me. New bonds made and old bonds (not so old also) remain. I cherish every new friend I get to know here. =)

Still hoping I will be better day by day. Be Stronger as time goes.

Till here then.  

Sunday, December 16, 2012

Lost

Being in in-patient pharmacy only exposed how incapable and lack of knowledge am I. =(

I have forgotten a lot of things which I have studied and once memorized back in Uni time. What made things worse is I did not get to learn a lot of other things which I am suppose to know compared with other Uni's pharmacy courses. It is not a time to blame my course/my Uni. (In fact I am done blaming with the course.). It is time (too late for now) to buck-up myself with what I am lacking off.

Mistakes, mistakes and again mistakes really made me angry and shamed on myself of not being able to pick-up faster. There is no excuse that I am still new here being that it's my 3rd week already.

Negativeness is overwhelming. Confidence is collapsed. 

Can I just NOT pretend that I am tough enough for few days?=/

The fear for tomorrow may not be disturbing for now. But I am certain that I will ruin my tomorrow due to the serious error I have made.

In past, I will throw myself to bed and manage to sleep when feeling emo. Later on, the purposely-eat-a-lot habit kicked in when I am in low mood. But for now, it is worse as I tend to spend A LOT of money buying stuffs randomly (just happened yesterday) PLUS eat-a-lot.>.<. This is bad...

Pray for tomorrow. Pray for future.

Where will I be?

Tuesday, November 13, 2012

瞬间生病


手心,额头,
瞬间,
冒冷汗。
腹部,绞痛,
支撑不了。
天旋地转。
慰问,关心,
寻求,援助,
一通电话。
感激,感恩,
不好意思。
朋友,
真的
谢谢你。

p/s:thanks Wei Yan for your kindness and help always.Sincerely appreciate lots~~~~~ =)