10.58pm, 本来应该努力读书的我，还是趁着最有气氛的时光打下部落格吧！
转眼间，在英国读书差不多三年又三个多月了。一年一年地过去，最像什么呢？哈利波特吧？每一个故事都是新的一年，新的挑战，而且最重要的是它的背景也在英国。我是读药剂的，那么最称得上哈利的potion 课。虽然我没有学习各种各样的咒语，好像以 mus 结尾的“ Lumus”和“expeliarmus",但我有各种各样救人药物mab结尾的学名，好像 "Omalizumab" 和 ”infliximab“！哈哈，是不是很像？
我真的不舍得当学生的日子，我痛恨考试，但我喜欢学习。人说学以致用，但我比较喜欢学，不那么喜欢用，因为应用就代表工作，是充满压力的。她说我一定是不舍得这里的女孩子，哈哈，她真的很可爱！因为这是一种矛盾啊！我当然非常想快些回去，因为我这里没有值得留恋的红颜知己。但，为了生计，也不是都能时常见面的，你说生活讽刺吗？
每个人在计划着新年的同时，我却更喜欢回味。这三年多里，只去过很少地方，而遇到的人不算多也不算少，但学习到的人生道理却不少！学的最多的，就是真正去站在另一个人的立场上看事情；还有，知道人性的真善美，更知道人性的伪丑恶！为我将来踏出社会准备一下。。
每天无聊的时候，学会了看报纸，我以前真的不看的。然后，读书太闷时，就拿周星驰来解闷，因为他的戏看了几百遍都不会厌，所以我看完了他几乎所有的戏。。最期待每个星期五，因为有死神的漫画，虽然有时太罗嗦，但我就喜欢装B的死神们，太有型了！
在我大学的第四年，一些以前的朋友已经不见了，真的让我感到天下没有不散的筵席这句话的无奈！大约八个月前，一位以前中学的死党来找我，虽然我觉得他可能最大的木的是要来诺丁汉走走，但，他总比很多来了都不找我的人，好上几万倍了！他来之前我们还通了几小时的电话，他走后我有种想哭的感觉，真的，好朋友没有多少个，千万要珍惜！
然后，就是每一年的暑假。第一年我就窝在家里生锈，每天就是看小说，与时间赛跑，看到我生命中的最后一天时，我可以看上多少本。说到小说，在这几年里，我也有了新尝试。以前，我不看爱情小说，认为娘娘腔的。但，自从认识了九把刀和藤井树，我觉得其实爱情小说也可以很热血，很真实，感人就不用说了。还有，因为是英国，所以只有英文小说，我在看完了若干英文小说后才发觉原来在来英国自己根本没有买过一本英文小说。在钟灵就读的我，那些密密麻麻的英文字总把我吓坏，哈哈！可是，原来英文小说也可以很好看的。
第二年的暑假是过得最充实的，当教师玩得开心，与她相处一个月，算是到目前为止我生命中难得的精彩。
第三年的暑假当了药剂实习生，没得玩，但每天等放工等得开心，至少比没做工好多了，哈哈！
在”面子书“上，有时偶尔会看一下老同学们的照片，很多都变得很成熟了，有些西装笔挺，有些长达飘飘（因为以前都是短发的）。总之，每个人都不再单纯，我只想趁着自己还不老的时候感概一下，至少要做些什么，都还来得及。
对于新年，我希望什么特别的，不过就希望快些见到她，然后生活上的非洲和尚请离我远些，那应该可以了吧！哈哈！新年快乐！
Thursday 31 December 2009
Thursday 1 October 2009
一则不到一分钟的小事
一则不到一分钟的小事，却让我生气了一晚。
今晚是我期待的一晚。因为和一班朋友吃火锅庆祝一位朋友的生日，我应该很高兴。整晚的气氛还很融洽，而且也有说有笑。
但就在中间有一小段不到一分钟的时间，不愉快的小事发生在我身上了。
朋友A买了个蛋糕来，但他不舒服所以走了，临走前要求我向其他人平均地分配蛋糕的费用。我并不想一个人担当如此任务。。因为邀请人家来我已经下了一番功夫，朋友A在未经我同意就丢下交待走了，我就像被人“揾笨”一样。
但这不是重点。说真的，我不喜欢我妈妈时常说我做人很直，但现实生活上我却真的有点那样。我不愿意做，但我也不愿朋友间有纠纷，所以我就叫身旁的人传话收钱，并表明不是我要的，是朋友A要收回的。
然而，其中一个朋友却说：“我是不会帮你传的，要讲你自己讲。”
我一开始的前几秒还以为那是开玩笑，我就说：“哈哈，原来你的人是这样的啊？”
当她不以为然地说随便你吧，我顿时觉得我像个笨蛋傻瓜！我只是帮忙传话收钱，根本不是我的意思，她突然间那样的态度，我突然间很后悔为什么在邀请时会邀请到她。。。我知道我不是主角，只是这个女人，在选餐厅时已经诸多挑剔，在席间又那么不客气，幸好没多少人听到，不然我真的可能扔筷子走人了。
所谓士可杀，不可辱！我觉得她如果不要给钱那就算了，但也不用那么不给面子！
如果有人读了这篇文章，觉得我很小器，那么这个人应该去敬酒，然后被敬酒的人泼酒，那他就会明白我的感受了。
英文来说，收50pence罢了嘛，你pass around the message then WHAT'S THE FUCKING BIG DEAL?!ｈａｉｈ．．．．
今晚是我期待的一晚。因为和一班朋友吃火锅庆祝一位朋友的生日，我应该很高兴。整晚的气氛还很融洽，而且也有说有笑。
但就在中间有一小段不到一分钟的时间，不愉快的小事发生在我身上了。
朋友A买了个蛋糕来，但他不舒服所以走了，临走前要求我向其他人平均地分配蛋糕的费用。我并不想一个人担当如此任务。。因为邀请人家来我已经下了一番功夫，朋友A在未经我同意就丢下交待走了，我就像被人“揾笨”一样。
但这不是重点。说真的，我不喜欢我妈妈时常说我做人很直，但现实生活上我却真的有点那样。我不愿意做，但我也不愿朋友间有纠纷，所以我就叫身旁的人传话收钱，并表明不是我要的，是朋友A要收回的。
然而，其中一个朋友却说：“我是不会帮你传的，要讲你自己讲。”
我一开始的前几秒还以为那是开玩笑，我就说：“哈哈，原来你的人是这样的啊？”
当她不以为然地说随便你吧，我顿时觉得我像个笨蛋傻瓜！我只是帮忙传话收钱，根本不是我的意思，她突然间那样的态度，我突然间很后悔为什么在邀请时会邀请到她。。。我知道我不是主角，只是这个女人，在选餐厅时已经诸多挑剔，在席间又那么不客气，幸好没多少人听到，不然我真的可能扔筷子走人了。
所谓士可杀，不可辱！我觉得她如果不要给钱那就算了，但也不用那么不给面子！
如果有人读了这篇文章，觉得我很小器，那么这个人应该去敬酒，然后被敬酒的人泼酒，那他就会明白我的感受了。
英文来说，收50pence罢了嘛，你pass around the message then WHAT'S THE FUCKING BIG DEAL?!ｈａｉｈ．．．．
Tuesday 1 September 2009
An Interesting Malaysian Pharmacy Issue
Below here is a post I found in a person's blog. He posted this three years ago and it is really funny that this chap here didn't really know anything about pharmacist but acted like he knew it.
The Blog title is WHY I DISLIKE MALE PHARMACIST IN MALAYSIA
Who is the president of United States?
George Bush. It’s so easy, right?
Who was the president of China?
Hu Jintao. it’s simple, right?
Who is the richest guy in the world?
Bill Gates. it’s commonly known, right?
Now, let me ask you,
Who is the vice president of United States?
Who is the vice president of China?
Who is the second richest guy in the world?
How many of us, can answer the first question?
Maybe 70% people can come out with the name “Richard Cheney“
How about the second and third question?
How many can answer?
Not much. Really Not much.
Why we can simply remember George Bush, Bill Gates and Hu Jintao? However, most of the people find it reasonably hard, to come out with the names of people that ALMOST play the same roles like Bush, Gates, and Hu?
Is it because those people are insignificant?
No. They are also great people.
They also play important roles that determine the well being of billions of lives.
Then, why they are not remembered?
The harsh fact is that, people tend to recognize the top and the first only.
If you are a guy, and you want to do extremely well in life, you need to be the FIRST, not second, nor third.
Back to the topic, Why I dislike male pharmacist in Malaysia?
More accurately, I dislike non-entrepreneurial male pharmacist in Malaysia.
“Non-entrepreneurial” means the nature of “not having/planning to have” his own business.
“Male” is regarded to your gender.
“Pharmacist” is regarded to those highly-trained and skilled healthcare professionals who perform various roles to ensure optimal health outcomes for their patients.
The reason I am going to tell, will make some people have uneasy feeling. You can leave anytime, if you feel offended by my extremist’s crap below.
The whole argument below, is excluding ALL entrepreneurial pharmacist. They who run pharmaceutical business are not counted as pharmacist in my term. I call them businessmen with privileged knowledge, which set up the barrier to entry for pharmaceutical business. I have pharmacist friends earning 5 figures monthly. I respect and envy them very much, they are my role model that inspire me to do well in my life.
With all due respect, non-entrepreneurial male pharmacists in Malaysia are just some powerless and cocky professionals. Yes, I have heard about the future, the separation of consulting and dispensary in medical field. This is great for overseas developed countries. I respect those overseas pharmacists very very much. They are true drugs experts with dignity and power.
It was two months ago, my girl friend, Amanda had an ear infection. It was a very common disease to her, she had been having that throughout her childhood. So, we went into a pharmacy called “Caring” for some pills she used to take. And the pharmacist inside, as usual, asked her some questions.
Amanda had sought for a doctor last time, she had the exact name of the pills for her disease. She told the pharmacist, but the pharmacist resisted to give her the pills. Amanda made it very clear that the symptoms are completely the same, but the pharmacist said that she could only get Panadol. Furthermore, the pharmacist asked Amanda to go for a doctor.
How many years are required to obtain a pharmacy degree?
4 years to 4.5 years in campus.
How many years are required to obtain a medicine degree?
5 years in campus.(excluding off-campus practice)
So you are telling me that,
the 4.5 years guy gives me Panadol?
And, the 5 years guy gives me everything?
The 4.5 years guy can only help me kill my pain temporarily;
And the 5 years guy can save my life?
The 4.5 years guy will scare and worry about their legal liabilities of dispensing wrong drugs, even the patient insists the symptoms are the same.
However, the 5 years guy will take up all the responsibilities and do what it takes to cure?
I’m not a medicine student, but I seriously feel that a pharmacist in Malaysia deserves more. If a pharmacist is just an individual that reads the piece of paper, written by doctor, with that particular drug name which the patient needs, we don’t need you to stay in university for 4 years. We just need an individual that can read English.
You are educated for 4 years, to make judgement and make money, not keep avoiding and worrying about breaking the chain of causation, for any medical law suit. If I tell you what I need, and you don’t dare to give me, then what makes you different from a coward that just make money?
If you just want to make money, why don’t you run your own pharmaceutical business, then I’ll respect you like a businessman with privileged knowledge.
If you don’t, then make your judgement. Don’t avoid.
You will argue that, you have studied so hard, to understand the medicine, in order to explain the ingredients and effects to the patients. For all the purposes I mentioned, I figured out that all of them are being done by doctors in Malaysia.
You will argue again, saying that you are in charge of healthcare. Frankly, I will definitely turn to a doctor for consultation, if I’m going to take any vitamins for a long period. Yes, seeking for doctor’s consultation for once, is going to cost more compared to seeking for a pharmacist, but we are talking about things that we put into our mouth daily, I will never want to risk that.
The naked truth is that, pharmacist in Malaysia is Jack of all trades, expert of none.
Your job is just a derivative in medical field.
Your job is just a job to lighten doctor’s burden.
Your job is completely replaceable by a doctor.
You are just another vice president of United States,
You are just another vice president of China,
You are just another second richest guy in the world,
whom nobody bothers to remember you.
You have chosen to be the second,
And it is a sad fact that, regardless of effort and talent, second place only means you are the first in a long line of losers.
You have chosen to dispense Panadol,
Instead of sending cured-patient out of clinic’s door.
You didn’t choose to be a boy, but you have made the choice of not being a man.
You have chosen to lead a life under others’ shadow,
and there you go,
You have chosen to be a male pharmacist in Malaysia.
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
This blog has been found funny by many readers and they shared with many of their friends.
So do I.
Here is an example of a comment posted there:-
ah.. jason liew, i just stumbled across whatever you wrote here by mistake by i find it very entertaining. i think you and your poor girlfriend do not understand what a pharmacist can dispense without a prescription, let me enlighten you about it so you don’t waste your time asking for oral antibiotics next time around and get all angry and start criticizing the poor pharmacists.
as a golden rule, pharmacists ALL AROUND THE WORLD, I repeat, all around the world and not just in ‘caring’ or malaysia are not allowed to dispense these without a prescription:
-oral antibiotics-antidepressants-barbiturates-cancer drugs-potent painkillers-diabetic med-med related to the cardio system
i admit, when your girlfriend had the infection, the pharmacist could have suggested topical antibiotics (as in ear drops)for her if her infection had been mild. otherwise,he did the right thing by sending her off to the doc. you know why? your girlfriend may have known thr name on the antibiotic pills but does she know the side effects and pharmacokinetics of the drug? bet she doesn’t unless i am very much mistaken.
why the pharmacist refused to give her the damned pills?number one, he is following the ethics.
number two , he can’t just dispense antibiotics as the patient likes because of resistance. know what i mean?the infection was caused by a microorganism, if she keeps taking the same antibiotics as she likes because she thinks she can cure herselfor does not finish the course, the microorganism can get ‘ used’ to the antibiotic and it won’t work as well anymore. you say she frequently has the same symptoms? think again, she might already be tolerant or resistant to the antibiotic because of frequent use of the drug and thus, the microbes keep recurring.
number two, antibiotics can damage the liver,kidneys (through which they are metabolized and eliminated) and some even pass through your brain and damage it. that’s why they don’t dispense antibiotics as they wish because patients think they are smart and use antibiotics as they wish for colds etc and poof! you might end up with kidney failure, get it? especially with repeated use and in doses larger than prescribed by the doctor.
number three, patients may lie to the pharmacist about their condition and sell the antibiotics to others. do you know the danger of this? the other people taking antibiotics without the doctor’s prescription may not know they have allergy and they can collapse,have kidney failure, low blood pressure and end up unconscious with brain damage(don’t think that allergy only comes as rash, redness, itching and swelling).
number four, there are several types of antibiotics depending on the spectrum. what’s a spectrum? it refers to the coverage of microbes. some antibiotics can only kill gram positive bacteria, some kill only gram negative bacteria. broad spectrum ones kill both. does your girlfriend know whether the ones she thinks she knows very well are broad spectrum? if she’s taking a broad spectrum antibiotic and is curcing the pharmacist for giving her the pills, then she is being unreasonable. do you know that pharmacists are not allowed to dispense antibiotics as they wish because they can kill the useful bacteria in your body like the ones in the intestines? the useful bacteria protect the body from dangerous infections. you use the antibiotics as you like, you kill the friendly bacteria and you can end up with dangerous infections . otherwise, the friendly bacteria can mutate and cause superinfections.
number five to why pharmacists don’t prescribe antibiotics as the patients wish. patients like to use it for colds (caused by a virus) and they are simply putting themselves at risk of side effects.(tetracycline causes permanent staining of the teeth if you didn’t know and as mentioned, kidney,liver and brain toxicity)
are you clear now why oral antibiotics need a prescription?? besides, a pharmacist is not allowed to treat ALL infections. Those like swimmer’s ear. fungal infections, middle and inner ear infections and those that involve hearing loss need a doctor’s advice no matter how well a patient can explain the symptoms. know why? because if one drug doesn’t work, the patient should not keep taking it for long periods. the doc needs to rediagnose and consider other drug options. not all infections are caused by bacteria, some are fungal and need antifungals. otherwise, if the patients are stubborn and insist on self medication (which is mostly hindered because pharms don’t sell antibiotics without prescriptions), they may end up deaf. but patients don’t or refuse to understand this.
***by the way, don’t think that pharmacists just read the prescriptions and pack the drugs. as they read, they detect mistakes and question whether the docs are prescribing the appropriate medication, doses and amount . don’t think that you can do this just because you read english,pal. english isn’t enough for this whatever your narrow mind may think. what would you do if a prescription said : Clarinase repetabs 3 tablets two times a day?? Since you say you only need an english expert as a pharmacist can you tell me the ingredients in clarinase, the max dose and if this prescription is overdosed??? i’ll be waiting for a reply , pal
they also ‘prepare’ the medication. you think all capsules and tabs are made by factory operators? did you know that pharmacists learn to combine the drugs and mix the together at uni? some drugs when mixed together some may just turn into liquid and how do you make a tablet then eh? the pharmacist is in charge of these probs. don’t think they are dumb because you just see the packing and labelling. they can open up capsules and mix extra ingredients as needed and perform dilutions.
do you know who dilutes and reconstitutes cough syrups, cancer drugs according to the patients age and weight? (by the way did you know most cancer drugs are unstable in water and have to be prepared with water on the spot by the pharmacist??) not the doc,the pharmacist .
who makes infusion liquids,iv nutrients, injections, suspensions,creams,ointments and emulsions like cod liver oil when you need it fresh on the spot? the pharmacist.
the doctors may be experts at anatomy and physio, stiching and diagnosing as well as know the drugs for each condition(sure they save lives, no denying).
however, the pharmacist also knows enough on phsiology and how the drug works(how else would you know how the drg affects the body?).
and who’s the expert at memorizing the side effects, half life , chemistry (yeah, chemical structures are related to how well a drug works and the side effect), toxic reaction, the solubility in fat ( fat soluble drugs remain longer in the body and increase efficacy but also prolong side effects), the dose calculation based on age, body surface and weight, how fast the drugs are eliminated and through which organ, which organ the drug penetrates into etc…who knows all this if not the pharmacist??
who knows the various generic drugs and recommends them to the docs so that the patients can pay less and still be treated as effectively? the darn pharmacist that you dislike.
are you clear about the word ‘pharmacist’ now? don’t think they are dummies in the hospital just following the docs or in the community pharmacy just gaining profit and denying you your oral antibiotics. they can also work in the industry as bosses overlooking the quality of drugs made.
oh yeah, who does research trying to invent new drugs? the pharmacist specializing in medicinal chemistry. i have no doubt docs save lives after 5 yrs of study, and i salute them for it. but remember, the docs make mistakes too when prescribing . if the pharmacist does not detect and correct the mistakes in the drug name, doses and administration route… patients die. ever heard of a certain doctor prescribing intracranial cancer drugs instead of intraspinal and causing the patient to die??
by the way. who do you think check the supply of drugs in the hospital, estimates the amount needed especially for the emergency and operation room and places the order? certainly not the doc. and who checks whether the drugs are stored as instructed at temperature xxx, room humidity xxx, away from light, in the freezer? the pharmacist, you think all drugs go on the shelves? what about vaccines, antidotes,biotech drugs?? the despised pharmacist does all these. but you don’t see all this do you? you only see them counting, packing and reading
so… in conclusion, mr jason liew… don’t go around criticizing as you like if you haven’t done your research properly. unfortunately for you, whatever you write here may backfire and emphasize the narrow-mindedness, the ignorance and mulishness of non-medical people (which i deeply regret). don’t say that a person who studied 5 yrs can save people and the ones who studied 4-4.5 years can’t. they work together and what they studied in uni may be similar in certain areas but vastly different in others. thus, they each have the specialitites. ‘curing’ is not a matter of diagnosing and giving drugs but also monitoring so that other problems do not arise from these drugs,alternting the drugs if there is no response and giving the most affordable drug to the patient, get it? oh yeh, by the way, pharmacists get promotions too you know. there’s senior pharmacist, head pharmacist and pharmacist specializing in pediatrics, oncology, cardiology, endocrinology etc…specializing in the drugs of course
who’s the coward?? a pharmacist is a coward for refusing to sell you oral antibiotics because they are afraid to outdo the doctor?? good grief, if you ever find any pharmacist selling any of the drugs i mentioned above, it is illegal and unethical because they ar dangerous. (how do you think heath ledger, daniel smith, anna nicole smith and marilyn monroe died??-misuse and overdose) so you should report those who sell them without prescriptions.
lastly, mt jason liew… no offence meant but do not write about things you don’t understand without researching the word ‘pharmacist’ first. it highlights you’re ignorance, mulishness, tactlessness and narrow-mindedness. however, i enjoyed what you wrote enormously and i showed it to my friends, some of whom are doctors and we had a great time reading it i’ll show it to others to amuse them of course. thanks for your opinion and remember, don’t waste time asking a pharmacist for oral antibiotics without a prescription. unless,the pharmacist is an illegal drugs dealer, of course.
by the way if you’d like to know… shiri is a 28 year old pharmacist way out in uk. and this reply was the teamwork of me and others… i just typed it down.
So, please enjoy reading this.
The Blog title is WHY I DISLIKE MALE PHARMACIST IN MALAYSIA
Who is the president of United States?
George Bush. It’s so easy, right?
Who was the president of China?
Hu Jintao. it’s simple, right?
Who is the richest guy in the world?
Bill Gates. it’s commonly known, right?
Now, let me ask you,
Who is the vice president of United States?
Who is the vice president of China?
Who is the second richest guy in the world?
How many of us, can answer the first question?
Maybe 70% people can come out with the name “Richard Cheney“
How about the second and third question?
How many can answer?
Not much. Really Not much.
Why we can simply remember George Bush, Bill Gates and Hu Jintao? However, most of the people find it reasonably hard, to come out with the names of people that ALMOST play the same roles like Bush, Gates, and Hu?
Is it because those people are insignificant?
No. They are also great people.
They also play important roles that determine the well being of billions of lives.
Then, why they are not remembered?
The harsh fact is that, people tend to recognize the top and the first only.
If you are a guy, and you want to do extremely well in life, you need to be the FIRST, not second, nor third.
Back to the topic, Why I dislike male pharmacist in Malaysia?
More accurately, I dislike non-entrepreneurial male pharmacist in Malaysia.
“Non-entrepreneurial” means the nature of “not having/planning to have” his own business.
“Male” is regarded to your gender.
“Pharmacist” is regarded to those highly-trained and skilled healthcare professionals who perform various roles to ensure optimal health outcomes for their patients.
The reason I am going to tell, will make some people have uneasy feeling. You can leave anytime, if you feel offended by my extremist’s crap below.
The whole argument below, is excluding ALL entrepreneurial pharmacist. They who run pharmaceutical business are not counted as pharmacist in my term. I call them businessmen with privileged knowledge, which set up the barrier to entry for pharmaceutical business. I have pharmacist friends earning 5 figures monthly. I respect and envy them very much, they are my role model that inspire me to do well in my life.
With all due respect, non-entrepreneurial male pharmacists in Malaysia are just some powerless and cocky professionals. Yes, I have heard about the future, the separation of consulting and dispensary in medical field. This is great for overseas developed countries. I respect those overseas pharmacists very very much. They are true drugs experts with dignity and power.
It was two months ago, my girl friend, Amanda had an ear infection. It was a very common disease to her, she had been having that throughout her childhood. So, we went into a pharmacy called “Caring” for some pills she used to take. And the pharmacist inside, as usual, asked her some questions.
Amanda had sought for a doctor last time, she had the exact name of the pills for her disease. She told the pharmacist, but the pharmacist resisted to give her the pills. Amanda made it very clear that the symptoms are completely the same, but the pharmacist said that she could only get Panadol. Furthermore, the pharmacist asked Amanda to go for a doctor.
How many years are required to obtain a pharmacy degree?
4 years to 4.5 years in campus.
How many years are required to obtain a medicine degree?
5 years in campus.(excluding off-campus practice)
So you are telling me that,
the 4.5 years guy gives me Panadol?
And, the 5 years guy gives me everything?
The 4.5 years guy can only help me kill my pain temporarily;
And the 5 years guy can save my life?
The 4.5 years guy will scare and worry about their legal liabilities of dispensing wrong drugs, even the patient insists the symptoms are the same.
However, the 5 years guy will take up all the responsibilities and do what it takes to cure?
I’m not a medicine student, but I seriously feel that a pharmacist in Malaysia deserves more. If a pharmacist is just an individual that reads the piece of paper, written by doctor, with that particular drug name which the patient needs, we don’t need you to stay in university for 4 years. We just need an individual that can read English.
You are educated for 4 years, to make judgement and make money, not keep avoiding and worrying about breaking the chain of causation, for any medical law suit. If I tell you what I need, and you don’t dare to give me, then what makes you different from a coward that just make money?
If you just want to make money, why don’t you run your own pharmaceutical business, then I’ll respect you like a businessman with privileged knowledge.
If you don’t, then make your judgement. Don’t avoid.
You will argue that, you have studied so hard, to understand the medicine, in order to explain the ingredients and effects to the patients. For all the purposes I mentioned, I figured out that all of them are being done by doctors in Malaysia.
You will argue again, saying that you are in charge of healthcare. Frankly, I will definitely turn to a doctor for consultation, if I’m going to take any vitamins for a long period. Yes, seeking for doctor’s consultation for once, is going to cost more compared to seeking for a pharmacist, but we are talking about things that we put into our mouth daily, I will never want to risk that.
The naked truth is that, pharmacist in Malaysia is Jack of all trades, expert of none.
Your job is just a derivative in medical field.
Your job is just a job to lighten doctor’s burden.
Your job is completely replaceable by a doctor.
You are just another vice president of United States,
You are just another vice president of China,
You are just another second richest guy in the world,
whom nobody bothers to remember you.
You have chosen to be the second,
And it is a sad fact that, regardless of effort and talent, second place only means you are the first in a long line of losers.
You have chosen to dispense Panadol,
Instead of sending cured-patient out of clinic’s door.
You didn’t choose to be a boy, but you have made the choice of not being a man.
You have chosen to lead a life under others’ shadow,
and there you go,
You have chosen to be a male pharmacist in Malaysia.
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This blog has been found funny by many readers and they shared with many of their friends.
So do I.
Here is an example of a comment posted there:-
ah.. jason liew, i just stumbled across whatever you wrote here by mistake by i find it very entertaining. i think you and your poor girlfriend do not understand what a pharmacist can dispense without a prescription, let me enlighten you about it so you don’t waste your time asking for oral antibiotics next time around and get all angry and start criticizing the poor pharmacists.
as a golden rule, pharmacists ALL AROUND THE WORLD, I repeat, all around the world and not just in ‘caring’ or malaysia are not allowed to dispense these without a prescription:
-oral antibiotics-antidepressants-barbiturates-cancer drugs-potent painkillers-diabetic med-med related to the cardio system
i admit, when your girlfriend had the infection, the pharmacist could have suggested topical antibiotics (as in ear drops)for her if her infection had been mild. otherwise,he did the right thing by sending her off to the doc. you know why? your girlfriend may have known thr name on the antibiotic pills but does she know the side effects and pharmacokinetics of the drug? bet she doesn’t unless i am very much mistaken.
why the pharmacist refused to give her the damned pills?number one, he is following the ethics.
number two , he can’t just dispense antibiotics as the patient likes because of resistance. know what i mean?the infection was caused by a microorganism, if she keeps taking the same antibiotics as she likes because she thinks she can cure herselfor does not finish the course, the microorganism can get ‘ used’ to the antibiotic and it won’t work as well anymore. you say she frequently has the same symptoms? think again, she might already be tolerant or resistant to the antibiotic because of frequent use of the drug and thus, the microbes keep recurring.
number two, antibiotics can damage the liver,kidneys (through which they are metabolized and eliminated) and some even pass through your brain and damage it. that’s why they don’t dispense antibiotics as they wish because patients think they are smart and use antibiotics as they wish for colds etc and poof! you might end up with kidney failure, get it? especially with repeated use and in doses larger than prescribed by the doctor.
number three, patients may lie to the pharmacist about their condition and sell the antibiotics to others. do you know the danger of this? the other people taking antibiotics without the doctor’s prescription may not know they have allergy and they can collapse,have kidney failure, low blood pressure and end up unconscious with brain damage(don’t think that allergy only comes as rash, redness, itching and swelling).
number four, there are several types of antibiotics depending on the spectrum. what’s a spectrum? it refers to the coverage of microbes. some antibiotics can only kill gram positive bacteria, some kill only gram negative bacteria. broad spectrum ones kill both. does your girlfriend know whether the ones she thinks she knows very well are broad spectrum? if she’s taking a broad spectrum antibiotic and is curcing the pharmacist for giving her the pills, then she is being unreasonable. do you know that pharmacists are not allowed to dispense antibiotics as they wish because they can kill the useful bacteria in your body like the ones in the intestines? the useful bacteria protect the body from dangerous infections. you use the antibiotics as you like, you kill the friendly bacteria and you can end up with dangerous infections . otherwise, the friendly bacteria can mutate and cause superinfections.
number five to why pharmacists don’t prescribe antibiotics as the patients wish. patients like to use it for colds (caused by a virus) and they are simply putting themselves at risk of side effects.(tetracycline causes permanent staining of the teeth if you didn’t know and as mentioned, kidney,liver and brain toxicity)
are you clear now why oral antibiotics need a prescription?? besides, a pharmacist is not allowed to treat ALL infections. Those like swimmer’s ear. fungal infections, middle and inner ear infections and those that involve hearing loss need a doctor’s advice no matter how well a patient can explain the symptoms. know why? because if one drug doesn’t work, the patient should not keep taking it for long periods. the doc needs to rediagnose and consider other drug options. not all infections are caused by bacteria, some are fungal and need antifungals. otherwise, if the patients are stubborn and insist on self medication (which is mostly hindered because pharms don’t sell antibiotics without prescriptions), they may end up deaf. but patients don’t or refuse to understand this.
***by the way, don’t think that pharmacists just read the prescriptions and pack the drugs. as they read, they detect mistakes and question whether the docs are prescribing the appropriate medication, doses and amount . don’t think that you can do this just because you read english,pal. english isn’t enough for this whatever your narrow mind may think. what would you do if a prescription said : Clarinase repetabs 3 tablets two times a day?? Since you say you only need an english expert as a pharmacist can you tell me the ingredients in clarinase, the max dose and if this prescription is overdosed??? i’ll be waiting for a reply , pal
they also ‘prepare’ the medication. you think all capsules and tabs are made by factory operators? did you know that pharmacists learn to combine the drugs and mix the together at uni? some drugs when mixed together some may just turn into liquid and how do you make a tablet then eh? the pharmacist is in charge of these probs. don’t think they are dumb because you just see the packing and labelling. they can open up capsules and mix extra ingredients as needed and perform dilutions.
do you know who dilutes and reconstitutes cough syrups, cancer drugs according to the patients age and weight? (by the way did you know most cancer drugs are unstable in water and have to be prepared with water on the spot by the pharmacist??) not the doc,the pharmacist .
who makes infusion liquids,iv nutrients, injections, suspensions,creams,ointments and emulsions like cod liver oil when you need it fresh on the spot? the pharmacist.
the doctors may be experts at anatomy and physio, stiching and diagnosing as well as know the drugs for each condition(sure they save lives, no denying).
however, the pharmacist also knows enough on phsiology and how the drug works(how else would you know how the drg affects the body?).
and who’s the expert at memorizing the side effects, half life , chemistry (yeah, chemical structures are related to how well a drug works and the side effect), toxic reaction, the solubility in fat ( fat soluble drugs remain longer in the body and increase efficacy but also prolong side effects), the dose calculation based on age, body surface and weight, how fast the drugs are eliminated and through which organ, which organ the drug penetrates into etc…who knows all this if not the pharmacist??
who knows the various generic drugs and recommends them to the docs so that the patients can pay less and still be treated as effectively? the darn pharmacist that you dislike.
are you clear about the word ‘pharmacist’ now? don’t think they are dummies in the hospital just following the docs or in the community pharmacy just gaining profit and denying you your oral antibiotics. they can also work in the industry as bosses overlooking the quality of drugs made.
oh yeah, who does research trying to invent new drugs? the pharmacist specializing in medicinal chemistry. i have no doubt docs save lives after 5 yrs of study, and i salute them for it. but remember, the docs make mistakes too when prescribing . if the pharmacist does not detect and correct the mistakes in the drug name, doses and administration route… patients die. ever heard of a certain doctor prescribing intracranial cancer drugs instead of intraspinal and causing the patient to die??
by the way. who do you think check the supply of drugs in the hospital, estimates the amount needed especially for the emergency and operation room and places the order? certainly not the doc. and who checks whether the drugs are stored as instructed at temperature xxx, room humidity xxx, away from light, in the freezer? the pharmacist, you think all drugs go on the shelves? what about vaccines, antidotes,biotech drugs?? the despised pharmacist does all these. but you don’t see all this do you? you only see them counting, packing and reading
so… in conclusion, mr jason liew… don’t go around criticizing as you like if you haven’t done your research properly. unfortunately for you, whatever you write here may backfire and emphasize the narrow-mindedness, the ignorance and mulishness of non-medical people (which i deeply regret). don’t say that a person who studied 5 yrs can save people and the ones who studied 4-4.5 years can’t. they work together and what they studied in uni may be similar in certain areas but vastly different in others. thus, they each have the specialitites. ‘curing’ is not a matter of diagnosing and giving drugs but also monitoring so that other problems do not arise from these drugs,alternting the drugs if there is no response and giving the most affordable drug to the patient, get it? oh yeh, by the way, pharmacists get promotions too you know. there’s senior pharmacist, head pharmacist and pharmacist specializing in pediatrics, oncology, cardiology, endocrinology etc…specializing in the drugs of course
who’s the coward?? a pharmacist is a coward for refusing to sell you oral antibiotics because they are afraid to outdo the doctor?? good grief, if you ever find any pharmacist selling any of the drugs i mentioned above, it is illegal and unethical because they ar dangerous. (how do you think heath ledger, daniel smith, anna nicole smith and marilyn monroe died??-misuse and overdose) so you should report those who sell them without prescriptions.
lastly, mt jason liew… no offence meant but do not write about things you don’t understand without researching the word ‘pharmacist’ first. it highlights you’re ignorance, mulishness, tactlessness and narrow-mindedness. however, i enjoyed what you wrote enormously and i showed it to my friends, some of whom are doctors and we had a great time reading it i’ll show it to others to amuse them of course. thanks for your opinion and remember, don’t waste time asking a pharmacist for oral antibiotics without a prescription. unless,the pharmacist is an illegal drugs dealer, of course.
by the way if you’d like to know… shiri is a 28 year old pharmacist way out in uk. and this reply was the teamwork of me and others… i just typed it down.
So, please enjoy reading this.
Thursday 16 April 2009
教书的日子(4)
很久以前提到了5G 班，并说会写完的我， 隔了半年我打算真的要写完，哈哈。。。。。。。
说完了华文和数学，提一提教生活技能的回忆。我必需教三班四年级的生活技能，一个前面班，一个中间班，一个后面班。 前面班的人还是一样那么地没有问题，很快地就明白，毕竟生活技能只是个“玩玩下”的科目，没什么大不了。而且他们很喜欢做其他的功课，我也乐得答应他们，只要他们不吵，这种容易的科目我比其他老师教得快多了。为什么呢？因为我记得我小学时最讨厌弄课本里面的活动，比如设计包装纸之类的，不但浪费时间，而且做完了就丢，非常浪费材料，所以还是能免则免啦！
后面班的同学就差得远了，我教他们如何经商，但他们听得一头雾水，简单的算术有时也听不懂，更糟糕的是我第一次进班时他们居然一个个要求上厕所，够力！过后，我就不再允许他们上了，因为有些人去一次好像去了几百年才会回来，真是的！我无法想象他们的前途，因为有些连课文都不会读，华文喔！连华文都不会了，其他的语文更不用说了。当我没有教书时，他们大多都在班上讲话。有些还有药救的有拿补习功课问我，对于这些人，虽然每题都要重复，而且那不是我教的科目，但我感到有些欣慰，至少，他们还有学习的心，还有希望。。。
中间班没有给我留下什么好印象的，记得他们还没有做完他们的凳子，所以我必需看着他们钉木板，油漆等等。其实我那时候很怕，因为虽然我是老师，可是他们个个拿着铁钉与铁锤，那可不是开玩笑的，万一发生了什么意外，那绝对比上次教体育时来得棘手。当过了两个星期他们终于做完了凳子，我松了一口气。但教书时有一部分人不仅没有带课本，被罚站了还讲话！因为他们的凳子，我已经得赶课程，遇到这样不把我放在眼内的学生，我唯有“请”他们“滚”出去。有些人可能不同意我那么做，但我之前就是因为这些人，而遭到投诉，甚至在那两个月里，不知道喉咙痛了几次，还是不要让他们那么“有脸”，哼！
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美术，对我这种什么细胞都没有的人，处理起来简直就是烂摊子。。。5B班是我先进去的班。同学向我请安后，我就自我介绍。其实我有些担心因为教案簿上黄老师要他们继续做木马，我真怕他们问我怎么做！因为我根本都不会！
但是，当我在想着怎么应付时，突然，“老师，你很像费玉清喔！”
“乱讲！费玉清即没有戴眼镜，又只会穿西装，我哪一点像他了？”
“你脱下眼镜，再床上西装那就像了啊！”
我打了声“哈哈”， 然后就叫他们继续做木马。。。好消息是他们其实都会做了，有小部分还完成了，我就给他们打分数，蛮高分的，随便啦，反正我自己也不是那么会做。但坏消息是很多都懒惰做，或不见了，或没有带来，第一个星期，我就忍了。
岂知，第二个星期时，除了再有一小部分的人交上木马之外，大部分的人还是没有动静，最生气的，是突然有人说：“美术都不重要的啦！”
然后我问那位同学：“那拿零分也不要紧吗？”
她说：“对啊！”然后她继续讲话。
我不再多说，拿出名单，真的给了她零分。在下课后，我向他们的班主任投诉了这个问题。。。哈哈，原来我也可以投诉。。。。。。。。
进回5G班，对于美术，他们这班就不同了。他们超有兴趣的，因为不用动脑筋啊，哈哈。。。。但对我来说，我就必须确保我会教。他们当天需要缝一顶爱国鸭舌帽。我在前一个周末里，就自己坐在家缝了一整天，然后感叹“少小不努力，老大徒伤悲！”，因为以前我的美术都是妈妈替我做的，哈哈。。。。
幸好，我总算缝出来了，所以每当他们问我时，我至少还会示范，要不然真是丢脸了。。。。原来中学在KH学的缝衣的方法是有用的，可以用来骗小孩，哈哈！
然后，时间总是会过，很快地，就是我回来英国当回学生的时候了。说是这么说，但我是个“老学生”了。有这么一个感慨，是当一天我在教书时，有一位同学不专心，一直在讲话，所以我“请”他出来教，然后我就去坐他的位子。当然，他不会教，只能站在外面发呆。当我坐在他的位子时，班上的同学都觉得很好笑，然后还说我太高了。
对啊，这是我平时站着讲话时不知道的，也是在我大学里的桌椅意识不到的。可能有些人会说，这是明显的，对，没错，但体会到与发现到的 感触，其实是有着天渊之别！
临走前，5G班的同学送了我一盒巧克力和一些卡，哈哈，他们还真有心的。也许成绩不那么好的同学，他们更拥有懂得尊敬老师，及记得你所做的一切吧。。。人的本性，从小，其实就是那样，所以长大了，我们才会碰到这种趋势的现象。
说完了华文和数学，提一提教生活技能的回忆。我必需教三班四年级的生活技能，一个前面班，一个中间班，一个后面班。 前面班的人还是一样那么地没有问题，很快地就明白，毕竟生活技能只是个“玩玩下”的科目，没什么大不了。而且他们很喜欢做其他的功课，我也乐得答应他们，只要他们不吵，这种容易的科目我比其他老师教得快多了。为什么呢？因为我记得我小学时最讨厌弄课本里面的活动，比如设计包装纸之类的，不但浪费时间，而且做完了就丢，非常浪费材料，所以还是能免则免啦！
后面班的同学就差得远了，我教他们如何经商，但他们听得一头雾水，简单的算术有时也听不懂，更糟糕的是我第一次进班时他们居然一个个要求上厕所，够力！过后，我就不再允许他们上了，因为有些人去一次好像去了几百年才会回来，真是的！我无法想象他们的前途，因为有些连课文都不会读，华文喔！连华文都不会了，其他的语文更不用说了。当我没有教书时，他们大多都在班上讲话。有些还有药救的有拿补习功课问我，对于这些人，虽然每题都要重复，而且那不是我教的科目，但我感到有些欣慰，至少，他们还有学习的心，还有希望。。。
中间班没有给我留下什么好印象的，记得他们还没有做完他们的凳子，所以我必需看着他们钉木板，油漆等等。其实我那时候很怕，因为虽然我是老师，可是他们个个拿着铁钉与铁锤，那可不是开玩笑的，万一发生了什么意外，那绝对比上次教体育时来得棘手。当过了两个星期他们终于做完了凳子，我松了一口气。但教书时有一部分人不仅没有带课本，被罚站了还讲话！因为他们的凳子，我已经得赶课程，遇到这样不把我放在眼内的学生，我唯有“请”他们“滚”出去。有些人可能不同意我那么做，但我之前就是因为这些人，而遭到投诉，甚至在那两个月里，不知道喉咙痛了几次，还是不要让他们那么“有脸”，哼！
XXXXXXXXXXXXXXXX
美术，对我这种什么细胞都没有的人，处理起来简直就是烂摊子。。。5B班是我先进去的班。同学向我请安后，我就自我介绍。其实我有些担心因为教案簿上黄老师要他们继续做木马，我真怕他们问我怎么做！因为我根本都不会！
但是，当我在想着怎么应付时，突然，“老师，你很像费玉清喔！”
“乱讲！费玉清即没有戴眼镜，又只会穿西装，我哪一点像他了？”
“你脱下眼镜，再床上西装那就像了啊！”
我打了声“哈哈”， 然后就叫他们继续做木马。。。好消息是他们其实都会做了，有小部分还完成了，我就给他们打分数，蛮高分的，随便啦，反正我自己也不是那么会做。但坏消息是很多都懒惰做，或不见了，或没有带来，第一个星期，我就忍了。
岂知，第二个星期时，除了再有一小部分的人交上木马之外，大部分的人还是没有动静，最生气的，是突然有人说：“美术都不重要的啦！”
然后我问那位同学：“那拿零分也不要紧吗？”
她说：“对啊！”然后她继续讲话。
我不再多说，拿出名单，真的给了她零分。在下课后，我向他们的班主任投诉了这个问题。。。哈哈，原来我也可以投诉。。。。。。。。
进回5G班，对于美术，他们这班就不同了。他们超有兴趣的，因为不用动脑筋啊，哈哈。。。。但对我来说，我就必须确保我会教。他们当天需要缝一顶爱国鸭舌帽。我在前一个周末里，就自己坐在家缝了一整天，然后感叹“少小不努力，老大徒伤悲！”，因为以前我的美术都是妈妈替我做的，哈哈。。。。
幸好，我总算缝出来了，所以每当他们问我时，我至少还会示范，要不然真是丢脸了。。。。原来中学在KH学的缝衣的方法是有用的，可以用来骗小孩，哈哈！
然后，时间总是会过，很快地，就是我回来英国当回学生的时候了。说是这么说，但我是个“老学生”了。有这么一个感慨，是当一天我在教书时，有一位同学不专心，一直在讲话，所以我“请”他出来教，然后我就去坐他的位子。当然，他不会教，只能站在外面发呆。当我坐在他的位子时，班上的同学都觉得很好笑，然后还说我太高了。
对啊，这是我平时站着讲话时不知道的，也是在我大学里的桌椅意识不到的。可能有些人会说，这是明显的，对，没错，但体会到与发现到的 感触，其实是有着天渊之别！
临走前，5G班的同学送了我一盒巧克力和一些卡，哈哈，他们还真有心的。也许成绩不那么好的同学，他们更拥有懂得尊敬老师，及记得你所做的一切吧。。。人的本性，从小，其实就是那样，所以长大了，我们才会碰到这种趋势的现象。
Tuesday 27 January 2009
Human(1)
Time flies....Now is 2009 already and I am still not finishing my blog about teaching...haha...but anyway, update and refresh a bit about what I have encountered recently and the years before respectively.....
10 years ago... oh my God 10 years already( din even realise if i din type this blog), when i 1st entered the secondary school, I met quite a lot of people who really bahave weirdly as if their only purpose of living in this world is to humiliate and make fun of people.
Alright, there was short skinny guy....Everytime I looked at him a monkey will come into my mind....haha...Everytime he saw me he sure wants to say sth bad to me, or did sth that will make me angry such as stepping on my bag if i put it somewhere else during PJ and then ran away. Luckily after sometime, I did manage to step his bag back but din do it on purposely, I just din see the bag was there.....Then he got mad and shouted at me.....Can u see how funny is this? He doesnt like it but he did it on other people.
Then, there is another guy who is hated by quite a lot of people. Sometime when he talked to me, he will begin with' hey man, u better be careful! U dun challenge me or I will let u know the consequences....' (weird right?). I just ignored it like he is crapping.....Then got once, when went to tuition, I went to sit beside him as his row is empty and the place is quite in front....Then when I just sat down, he asked me to go away loudly, saying that he has reserved the place for his friend. Then I just ignored him, thinking that I have the right to sit in whateva place I like since I have paid the tuition fee and I reached earlier. Then he started to curse a lot of bad words starting with p and c one. In front of us the row was filled with girls and the girls all looked back to what happen. Maybe this made him even eager to curse more but I continued to ignore him. Then after that, he knew this has no effect and he changed his seat to another row....Well, this is how to treat weird and kinda shitty people.....Nothing happened also, he din beat me up or anythg, fuck him with his consequences....haha....
Then, 5 years ago, when I entered my college, there were 3 guys who like to make fun of people as well....They laughed at a guy who can't pronounce the word 'fun' properly.... and quite always criticised other people like" hey, I think you are very ugly"....too straightforward right?(it is never too good to be too honest actually.) I think everyone will agree that this statement may hurt to some point. I can assure you they were not kidding during that time, they just want to insult people and perhaps create some quarel....Weird right?
Those are histories and those are just a few quite extreme examples that I have faced.... I mean, not those guys like samseng, those are normal if they create chaos....But the examples I said just now were....These guys may dressed smartly and they looked normal....But I think some damage to their frontal lobes may cause them to their misbehaviours....haha....
But those cant be compared to what I have faced in uni.....One even greater than all of the bad behaved guys added together....will update later...
10 years ago... oh my God 10 years already( din even realise if i din type this blog), when i 1st entered the secondary school, I met quite a lot of people who really bahave weirdly as if their only purpose of living in this world is to humiliate and make fun of people.
Alright, there was short skinny guy....Everytime I looked at him a monkey will come into my mind....haha...Everytime he saw me he sure wants to say sth bad to me, or did sth that will make me angry such as stepping on my bag if i put it somewhere else during PJ and then ran away. Luckily after sometime, I did manage to step his bag back but din do it on purposely, I just din see the bag was there.....Then he got mad and shouted at me.....Can u see how funny is this? He doesnt like it but he did it on other people.
Then, there is another guy who is hated by quite a lot of people. Sometime when he talked to me, he will begin with' hey man, u better be careful! U dun challenge me or I will let u know the consequences....' (weird right?). I just ignored it like he is crapping.....Then got once, when went to tuition, I went to sit beside him as his row is empty and the place is quite in front....Then when I just sat down, he asked me to go away loudly, saying that he has reserved the place for his friend. Then I just ignored him, thinking that I have the right to sit in whateva place I like since I have paid the tuition fee and I reached earlier. Then he started to curse a lot of bad words starting with p and c one. In front of us the row was filled with girls and the girls all looked back to what happen. Maybe this made him even eager to curse more but I continued to ignore him. Then after that, he knew this has no effect and he changed his seat to another row....Well, this is how to treat weird and kinda shitty people.....Nothing happened also, he din beat me up or anythg, fuck him with his consequences....haha....
Then, 5 years ago, when I entered my college, there were 3 guys who like to make fun of people as well....They laughed at a guy who can't pronounce the word 'fun' properly.... and quite always criticised other people like" hey, I think you are very ugly"....too straightforward right?(it is never too good to be too honest actually.) I think everyone will agree that this statement may hurt to some point. I can assure you they were not kidding during that time, they just want to insult people and perhaps create some quarel....Weird right?
Those are histories and those are just a few quite extreme examples that I have faced.... I mean, not those guys like samseng, those are normal if they create chaos....But the examples I said just now were....These guys may dressed smartly and they looked normal....But I think some damage to their frontal lobes may cause them to their misbehaviours....haha....
But those cant be compared to what I have faced in uni.....One even greater than all of the bad behaved guys added together....will update later...
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