Frustration... Confusion... Quarter-life Crisis?!

Sunday, February 25, 2007

Here We Go Again...

It's oncall duty time. Again. As of now, I still have 22 hrs 30 mins left of my call. Tomorrow, I'll be a free woman. No more A&E duties. No more oncalls.

I would not say this oncall duty is bad, but being oncall makes me sweat big time when you get paged to do mathematical calculations. Make no mistakes, I am good in my maths. However, I do sweat big time when I get paged at 1 AM by an ICU staff nurse to do calculation on the infusion rate because the doctor changed the dose and she did not know how to calculate the volume she needs to run per hour.

Generally, I am kinder towards the peripheral ward nurses. After all, they do not often see cardiac-related drugs run as continuous infusion with the dose titrated every few hours depending on patient's response. If they page me to do the calculation, I would not question them. However, if you are from ICU, I expect you to do the calculation yourself. Or at the very least attempt to calculate and then page to double check with me. Not blatantly ask me, "So what is the rate of infusion?"

I am really scared. My parents are still hale and hearty, but what happens when they finally succumb to old age, and they need to be warded or go to an ICU? I cannot imagine them being taken care of by the inept foreign nurses we have in our healthcare system.

I am not bashing the foreign nurses. We DO need them to plug the holes, and I know of many foreign nurses who are very competent in their job. Accents, I can get use to them, worse come to worse ask them to spell out the drug names or just triple check that the information they relay is correct. However, the less than competent ones should not even be hired in the first place, much less be placed to work in potentially high-risk areas such as the ICU. *sweat*

Friday, February 23, 2007

这个人长得很油条

Sounds funny? I think so too, but that was how my senior described people who are 老奸巨猾.

Casting Pearls Before the Swine

I know I've ranted and raved about people who kept bashing the service standards in Singapore. Heck, somebody just said I am rude today, but how am I suppose to keep my cool when I am fighting a cold on top of doing oncall duty after office hours, and this idiot took a queue number from my counter and asked me if she should turn the corner and pick up her medicine from another counter. I am running a pharmacy, not foodcourt.

Anyway, amidst all the hype of having 2 integrated resorts (IRs), a lot of people started questioning if Singapore can maintain international service standards. Whenever the words "service standards" pop up, somebody would inevitably say Singapore's service is poor and not of international standards yada yada and without good service standards how are we suppose to support the 2 IRs etc etc.

Know what? I think the IRs would have personnels who are trained in all aspects to provide services of international standards. However, the bigger problem lies in whether Singaporeans are customers of international standards. Sad to say, I think most Singaporeans behave like boors. When they are not happy with something, they raise their voices, and they threaten. Hardly befitting of a nation that is promoting a graceful society ain't it.

Thursday, February 22, 2007

Sick Again...

Everybody says I have been eating too much during the Chinese New Year (CNY), people blame the bah kwas and biscuits etc etc. To be frank, I have not even tasted a single piece of bah kwa this year, and biscuits? I hardly lived up to my name of "吃不停" this time round. I probably can count the pieces of biscuits I ate, and my container of kueh bankit, even with my bro's help, is still half full.

Anyway, I would like to believe it is due to the lack of rest. After all, I had to do A&E duty on the 2nd day of CNY, and had to return to the hospital to prepare TPN on the 3rd day of CNY. That was all after a day of house visiting on the first day of CNY. The horrendously warm and humid weather did not help either.

Whatever it is, I just have to sit back and let the disease run its own course. The runny nose is showing signs of clearing up and the mucus is also changing from green to pale yellow. No more fever, and the best part is I did not lose my voice like the last time.

Wednesday, February 21, 2007

It's In the Genes...

Somebody commented how plastic surgery is like a national obsession for Koreans. Most women would have gone under the knife at some point in their lives to make themselves look "more beautiful". Even the male population are catching up with plastic surgery. This brought back memory of a comment made by my half Jap, half Taiwanese tour guide: Koreans who did not undergo plastic surgery look ugly. Wanted to laugh when I heard that because to be sure, my tour guide is no hunk either and don't they always say mixed bloods are good looking? :p

Anyway, a hilarious thought came to mind. What happens if somebody marries a Korean who has been beautified? Won't the spouse know that the Korean is actually not a beauty when a child is born? After all, I am sure the child would inherit half of the "ugly" genes.

Monday, February 19, 2007

Ang Pows

I love collecting ang pows, especially those which are unique or beautifully designed. However, the designs this year are not too fascinating...




Saturday, February 17, 2007

I Just Want to Bitch

I know this has nothing to do with me, but I felt sorry for the colleague who was called back to help out at A&E pharmacy at 5 PM today. Reason: the A&E pharmacy was over flooded with inpatient discharges, about 25 discharges, and the pharmacist on duty was not able to handle that on top of doing A&E prescriptions and inpatient supplies.

I don't blame the pharmacist on duty because I know there is no way to handle so many discharges at the A&E pharmacy. For starters, the A&E pharmacy does not keep enough stocks of cardiac and renal meds for supply on discharge; meaning the tech on duty with the pharmacist would have to keep running back and forth from the A&E pharmacy to the main retail pharmacy to obtain the stocks. Next, the A&E pharmacy is opened to handle A&E prescriptions. That is the priority not inpatient discharges nor inpatient supplies. After all, there is only one pharmacist and one tech on duty so manpower is limited.

All I can say is the doctors are really stupid to delay the discharges till that time. They should know that today is Chinese New Year's eve, and putting aside that today is a Saturday so the inpatient pharmacy was only opened for half a day anyway, they should plan to have the patients discharged yesterday or at least before 12 noon today. Did they do it? Nooo... They had to wait till the last minute to write the prescriptions with no regards to whether their colleagues in other departments can handle. All that is important to them is that they had written up the prescriptions so they can go home and enjoy their reunion dinner on time. They just don't b***** care.

As The Day Draws Near

Yes, I've tendered and I will be doing freelance when 1st Mar comes. There was a sense of relief when I tendered, but as each day passes I wondered if I did the right thing choosing to continue working freelance in the same hospital.

It's kind of sad seeing how my other colleagues are struggling with the ever increasing workload and knowing I will soon not be able to help share this load. Yet, if I were to continue working full-time, I will continue to be dysfunctional. I am close to burning out and I haven't even hit 30. Sighz...

Saturday, February 10, 2007

Climate Change

Yeah, the buzz word now. People blame the series of erratic weather we see in the last decade to climate change. Prolonged drought in Aussie? It's due to climate change. Worsening weather conditions all over the world? It's due to climate change.

How about... prolonged drought in Aussie? It's due to humans. Worsening weather conditions all over the world? It's due to humans. The increasing temperature we experience worldwide did not happen yesterday. We are still in our lala land. Pretending and ignoring the facts that we are the true culprits, and continuous increase in the world's temperature will eventually affect how humans lead their lives on earth. It's sad. Humans are a sad bunch to begin with.

Wednesday, February 07, 2007

So, I Am Unforgiving...

Was commenting to my inpatient tech that I do not like working with her cover; talked too much, and asked too many questions. I am not against people asking me questions, but please limit your questions. Don't ask me the same question 3 to 4 times in a span of 1 hr. What truly irritated me was that she kept asking me how the patient is going to take the dose when there is no syrup formulation available. Well? Ever heard of crushing the tablet?

Granted that she might have forgotten that there is such a function as "Crush 1 tablet in X ml of water and take Y ml. Do this Z times a day." But she should at least commit what I tell her to memory even if it is only for that day, and stop asking me the same question!

My tech says I am very unforgiving. So maybe I am. Maybe I would be more forgiving if she did not keep telling me she needs to leave at 1PM and then keep interrupting my work by asking the same stupid question.

Monday, February 05, 2007

I Look Like an Octopus?

My tech's 2 years old son called me an octopus today... I look like one?

Sunday, February 04, 2007

Is This Being Selfish or What?!

You are 60+ years old. Single. Decided to have kids. Go to your O&G doctor, fake your age and dupe the doctor into doing IVF for you. Some screw must be loose up there.

I don't know what's with people and having kids. I'm okay if you and your spouse are healthy, and are financially capable of raising your kids. However, what I cannot understand is how somebody who is already 67 years old can think it is some given right for her to have children. When you go into menopause that's nature's/ God's way of telling you, "Honey, your time to have kids is over. Enjoy the rest of your life."

Bringing a pair of twins at this age is not being socially responsible. As what the O&G doctor said, she is at an age when her life may end in another 10 years' time? When she dies, what of the children? If you think she probably has some funds set aside for her children, you are so wrong. She had to sell her house to pay for the fertilisation procedure, and had already used up most of her savings. When asked what her future plans are, she said she will find a young husband to help look after the children. Just what kind of s***** plan is that?!

I pity the children. It is not their fault. It is always the fault of the stupid adults; adults who should know better.

有人问我...

What is the requirement for pharmacist? 我只淡淡地回答: "需要 pharmacy degree。" 听了我的答案,她脸上出现一丝失落的表情。很想告诉她,不需要觉得失落或失望。因为要当药剂师需要的不只是一纸文凭。

当药剂师也需要有能撑船的肚皮。偶尔要戴戴有色眼镜,也要精通社会败类会玩的把戏。病人吼你时,要像抿嘴菩萨,他头一回就放暗箭把他射‘死’。像我这种肚皮小的人,被人吼时立即变红面关公,什么明枪暗箭都搬出来‘大开杀界’,很容易伤了元气。面对社会败类,依旧搬出我的明枪暗箭,不‘杀’个片甲不留难消我心头不快。真的伤了元气。

此外,你还需要有耐人的体力。为何?因为你没多少时间休息。即使你病了也要托着身子来做工。原因?人手永远不够。别说拿长假,想拿短假喘口气都难。若真想拿长假只有两种选择:等老板炒你鱿鱼,或你炒老板鱿鱼。噢,还有第三种办法:让自己精神崩溃,疯了就可以放很长的假咯。


所以,小妹妹,还是乖乖吃你的药养好身子。以你的病情不适合做药剂师。真的。

Thursday, February 01, 2007

They Need to Read Huxley's Brave New World

If you've been reading the papers or following the news on the radio and TVs, you'd know that the Singapore government is most proud of the fact that the number of jobs created last year was a "record high". They are again publishing the same b***s*** as Oct 2006. To know what b***s*** they've published last year, you can read my comments by clicking on this link.

See, jobs are just jobs. A job is good for people who simply want to have some money to fill their stomachs, to have a shirt on the back and to have a roof over the head. However, for a certain percentage of the population, a job is not good enough. They want a career. It’s more than just having enough or having excess to spend. It’s having something you enjoy doing everyday, something to challenge you, something that makes you feel that you have not wasted half your lifetime years later when you look back on it. Simply put it’s a mental satisfaction.

Repeating myself again, we need to look at what kinds of jobs are created. You need to match the employee’s skill to the job. Does underemployment sound familiar? Even Huxley who’s born more than 7 decades ago knew of this, because if you’ve read his Brave New World, there was this part when John Savage questioned the Controller on the need to force humans into different castes. Why was it not possible to make everybody Alpha Pluses, the crème de la crème. The Controller’s answer: it results in social instability. They had experimented years back by filling an island with Alphas and the Alphas who were put to do routine and intellectually unchallenging jobs soon got bored. They wanted to do something more challenging, and tried to oust those who are in more challenging jobs out of their jobs. The result: civil war. Of course, this is just a story, but there is some sense in it.

I mean, telling me there are more jobs created for the manufacturing and construction sectors does not help. I want to know what types of jobs in manufacturing and construction are created. Are we looking at R&D? Managerial positions? Or are we looking at filling up the assembly lines? Are we looking at jobs for architects, and engineers? Or are we looking at jobs for construction workers? No point creating plenty of low level jobs when the unemployed and underemployed are more capable of pushing the economy at higher level jobs. However, I am not saying there aren't people who are suitable to fill those low level jobs. Just like the Brave New World, I am sure we have our Gammas, Deltas and Epsilons in our society who can do a better job at the assembly lines then the Alphas and Betas; the latter would probably create more havoc at the lines by asking too many questions and challenging of the authorities. My point being, we need to look at the percentage of Alphas, Betas, Gammas, Deltas and Epsilons in need of jobs and create jobs that suit them. It is okay to say we retrain our Gammas, Deltas and Epsilons so they move up a grade to fit the job, but what about the Alphas and Betas who lost their jobs during the economic downturn? Pretend to be less capable and move down a grade to fit the job?

Anyway, after publishing in the Straits Times on the all time high employment rate in Oct 2006, an analysis done in Dec 2006 showed that the picture was not as rosy as it was initially painted. A significant percentage of those who regained employment after retrenchment had to settle for either lower paying jobs, or jobs for which they are over-qualified. There are also those who cannot get a job for more than six months despite the willingness to take on a lower paying job, or a job that does not need that much qualification.

Saddened me when I read that because it shows the government still thinks the citizens are like children and they can pacify us with skimpy stats. It almost feels like propaganda, wanting the citizens to believe all is nice and rosy and using herd psychology to pressure those who are unemployed to get a job soon.