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Tuesday, November 20, 2007

Hospital Attachment (Day 2)

  • met Christine Tan at the Terengganu airport... Didn't see her around since graduating from high school. She is currently studying in SEDAYA college, majoring in piano and minoring in guitar. A musician she will be. :-)
  • went to the pharmacy department beside the pathology sector
  • visited the various satellites at different floors
  • learnt that generally, the med from the internal store can last for 9 months, whilst med from external store can last for 6 months only although the separate pure products can last for years before mixing
  • that is the main place where private clinics shop for certain drugs
  • they are short of pharmacists to prepare and mix the drugs
  • we were told that the pharmacists' usual field of job consists of monitoring the drug in the patients' blood (using centrifugation technique), preparing specific cancer drugs (using precise aseptic techniques under the laminar flow) and aiding the nutritionists in preparing food for the premature infants which are short of certain nutrients
  • had a casual talk with the Head of Department of Pharmacy on several issues... The recognition of higher institution of learnings in Japan, Taiwan, Russia and India by Lembaga Akreditasi Negara and Lembaga Farmasi and also the approval of certain drugs, which are still not in the Health Ministry list, by Dato' Dr. Ismail Merican, the Director-General of Malaysian Medical Council, were some of the important topics mentioned by her
  • she said that drugs which are not in the list usually need 1 month for approval by the Ministry of Health
  • there was a instance where a Terengganu girl was prescribed a drug containing the ingredients of Viagra by IJN (Institut Jantung Negara) as a pharmacological treatment for heart
  • the girl subsequently tried to ask for supply from the Terengganu hospital, but they did not have it as it is not in the drug list approved by the Ministry. The hospital requested approval from the Ministry, but was turned down as according to the authority, the drug was not specified for treating heart diseases. Fortunately, there was an undisclosed source of med for the poor girl, who was in dire need for the drug. The hospital management then told the girl to inform IJN to supply the drug to her directly in the future. Again, unnecessary red tape or bureaucracy had almost caused a life. This phenomenon is certainly all too common nowadays
  • met many International Medical University (IMU) seniors
  • learn about the "Grading System" in government sectors. According to the officers, MO's nowadays will start off with the grade of UD41, whilst pharmacists start off with U41
  • a lecturer (Dr. Lua) from Universiti Darul Iman, who was formerly teaching in UiTM, came to promote postgraduate studies for pharmacists. The catch? The university is just across the road...just a walking distance from the hospital. In front of your door it is, according to Dr. Lua. Thus, it will be of very much convenience for the pharmacists to further their postgraduate studies
  • attended the "Erectile Dysfunction" and "Smoking Cessation" presentation by two of the housemen. The "ED" thingie was not as interesting as expected due to the lack of a good command of English and presenting skills by the housemen. Honestly, Joash or anyone from INTEC with a sound command of English can do a whole lot better than them
  • however, the presentation did catch my attention during a heated question-bombarding sessions from 3 fellow Chinese pharmacists. Well, they certainly asked good questions and criticised cleverly with some ingredients of sarcasm
  • learnt about Prostaglandin E (ALPROSTADIL) inhibitor and recalled back on phosphodiesterase and cytochrome
  • "Penile Implant", which is still a new treatment for ED, is not available in Malaysia yet due to its astronomical cost and the lack of surgeons with necessary surgery skills to implant the device
  • it is also worth noting that one of the pharmacists asked the presenter why Viagra (sildenafil), Levitra (vardenafil) and Cialis (tadalafil) should not be used with alpha blockers
  • all in all, I had a better insight into the career as pharmacists and the way they work behind the stage though it has little relation with my future occupation
-ZhaoMing-

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