Horrible internet connection!!! I've been deprived of the world wide web for the past one week! ONE WEEK!!!! That's why I haven't been blogging... It really sucks!
Hello to Yeelian in Nepal... hope that your exotic holiday is going great and wonderful. Send my love to Kathmandu.
Well, shall update a little about hospital attachment. This is our first week in in-patient. It was quite a fruitful week definitely. In patient is definitely very different from the previous 3 places that I've attached to. Pharmacists go for checking of IMR (In-patient medical records) in the respective wards, ensuring that there are no drug interaction, duplication, and errors. The atmosphere in the wards is very different from retail. Some wards look rather chaotic, with doctors, nurses as well as visitors walking around. It's especially busy during the morning hours and lunch time, when the nurses will serve medicine and lunch at the same time. Seriously hospital food really look rather decent, with nicely sliced fruits and set lunch meal. They don't really smell that nice though, I guess patients are to be put on milder food than normal.
At SP5A, we followed 2 pharmacists who had just finished their pre-reg. Did a stroke case, reviewed a couple of GI cases, and had a good discussion over a end-stage liver failure.
One thing that caught my attention. A woman who is in her early 30s, or even 20 plus, is having ESRF and is put in for CAPD (continuous ambulatory peritoneal dialysis). I was really curious of the cause of the disease, wanted to ask her, but hesitated. I guess I should have just reviewed her case notes.
As for Thurs and Fri, we were rotated to SP 7A at kent ridge wing. SP 7A is indeed heavenly. It's located at one of the highest corner of NUH, new wing, and serving private wards. One can really feel the difference between the private wards and the general ones at the main building. The first ward we went to , ward 88, it's carpeted! Patients are either in double room or single room. Newspapers will be delivered to their individual room every morning. There's even a suite at the end, and it's like a house, with living room and all. All I can see when I peeped in, there was a huge basket of fruits on the coffee table. It's really a huge one, measuring about 50cm for the size of the basket.
SP 7A is heavenly not only it's located at one of the highest end of NUH, it's also very relax over there. The Pharmacist goes for her ward checks in the morning and afternoon, then clear all the discharges in the afternoon. The pharmacist will go in each patient's room to counsel on the use of their medicine. Whenever I enter those rooms, I just feel like lying on the bed!!!
Oh, and because it's relatively less busy over there. We have more time to review cases, and discuss therapy. Oh and yup, I did two dispensing at 2 wards. It was totally exhilarating, though it's just dealing with antibiotics and pain killer. It's definitely very different from knowing about the drug, and translating the knowledge into words to the patient. But one thing that's for sure, the patients are in better rooms, thus they're in better mood and are have more patience. Many of them are rather appreciative I should say, unlike the ones over at the general subsidised out patients. Well, I guess this end the patients are better off, and most of them are actually foreigners here at NUH for treatment.
21.7.07
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