The repetitions were:
1. No need for pharmacist to check for possible mistake.
2. There are not enough pharmacist in Klang Valley to run a trial.
will pharmacist gain dispensing right in Malaysia?, what you think?
will pharmacist gain dispensing right in Malaysia?, what you think?
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Dec 21 2008, 08:31 AM
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The repetitions were:
1. No need for pharmacist to check for possible mistake. 2. There are not enough pharmacist in Klang Valley to run a trial. |
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Dec 21 2008, 09:23 AM
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QUOTE(Optiplex330 @ Dec 21 2008, 08:31 AM) The repetitions were: There are more repetitions that just those 2 but those are besides the point. Have we reached some kind of conclusion on the topic of this thread?1. No need for pharmacist to check for possible mistake. 2. There are not enough pharmacist in Klang Valley to run a trial. |
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Dec 21 2008, 09:47 AM
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Definitive conclusion can only be obtained from actual trial run. Was scheduled to be done in 2008 but some people vigorously objected to it being done.
So no conclusion. Just speculation. Added on January 6, 2009, 8:36 amDoctor to population ratio. The lowest is Malawi at 1:50,000 The highest is......Turkmenistan at 1:150 http://www.economist.com/daily/chartgaller...e=features_box4 This post has been edited by Optiplex330: Jan 6 2009, 08:36 AM |
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Feb 16 2009, 10:09 PM
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QUOTE(hypermax @ Dec 4 2008, 12:19 PM) First of all, i apologise for using the word "prescribing" wrongly. What i meant was "dispensing". Was multi-tasking when replying the post last night. LOL, i guess i have stayed quiet for far too long. So if u wan evidence of docs' prescribing error, i am one. I am a hospital pharmacist (based in outpatient pharmacy). Goodness gracious, if u wan to know the number of errors in a day...i can tell u...i lose count everyday! Even specialists make mistakes bro. Im not exaggerating..they maybe the expert in their specialised area but believe me....out of this scope...some of them are very prone to making mistakes. And yes, its a standard procedure to ring them up to inform them about it and make suggestions. Some MO's (see here...im saying MO's not specialists becos specialists are generally very receptive to ideas) are really a pain in the back. They have real sore pride and can scream at you even if its their fault. When i told them about it, they just answered "whatever and change as you like!!@ and hung up before i even made any recommendation. Guess what next? i had to call them up again to tell them my recommendation (we cant simply change the prescription without informing so pls dun make baseless accusation) before i make any alteration. Oh ya, you mentioned something about pharmacists only selling expensive medicines outside, well...i find that totally baseless. WHy do i say so? Patients normally go to retail pharmacy to get a medication with a tradename for a particular medication (some dun even know what the active ingredient is) and if unless u can offer them what they wan, they will normally walk off. Private doctors especially specialists tends to prescribe n dispense the most expensive drugs (my grandma n dad are constantly on follow up and i always look at what they are being prescribed with) becos they r given perks by drug agents. Ask the public if this is true cos 9 out of 10 will say yes to this. Also my fren, stop belittling pharmacists cos we r constantly updating ourselves. We r also trained for disease management (thats what clinical pharmacists are for). Ya, we do make mistakes but working together with docs, we minimize errors. I bet you r just another malaysian doctor who is so full of yourself. Im really surprised with how you put your words in this forum. A man with ur level of education should hav known better that belittling other health professionals is uncalled for and indeed unethical. TQ1. No evidence, but a mere observation. I might be wrong, hence i apologise in advance. 2. Refer to above. 3. Error caught by pharmacists? Evidence pls. My head of department for medicine once told me that pharmacists in private practice tend to change the prescription to newer medications without giving prior notice to the treating doctors. As i have mentioned before, certain diseases require conventional medications. For those pharmacists here, i am sure you guys tend to recommend newer medications belonging to the same group as the conventional ones. However in medical field, newer not necessarily means better. In a hospital setting, doctors tend to consult pharmacists before prescribing, due to the fact that both doctors and pharmacists are on the same team. In hospital, medications are indeed dispensed by the pharmacists. Therefore, the issue of inconvenience for the patients does not arise. However in private practice, for example you get prescription from a clinic, and then again have to rush to the nearest pharmacy to get the medication. Isn't it troublesome? Imagine if there's no pharmacy near by. Mind you, our system is totally different than that of UK. So we have the change to whole health care system before making it convenient for the patients if the dispensing right lies with the pharmacists. In addition, as i have mentioned before, the biggest hindrance for such change is the lack of pharmacists in Malaysia. You can google and see. The number of pharmacists in Msia is much less than that of doctors. When we do not have enough pharmacists in our country, how can we give them the dispensing right? Following is taken from an article which you have provided: Link Even in the US, a country which awards dispensing right to the pharmacists, the problems of wrong prescriptions and medications are rampant. So what's the point of giving the pharmacists such right? This post has been edited by giovanni: Feb 16 2009, 10:14 PM |
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Feb 16 2009, 10:22 PM
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What do you expect? He is a 3rd world doctor with 3rd world mentality working in a 3rd world country serving 3rd world patient who, together with the 3rd world doctor, wanted to forever remain in the 3rd world. As I said, that is because life is cheap in the 3rd world.
In 1st world country, I don't think I ever come across this argument on who should prescribe and who should dispense. Only in 3rd world Malaysia. |
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Feb 17 2009, 02:46 PM
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3 posts Joined: Feb 2009 |
pharmacist
STYLo wo |
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Feb 17 2009, 03:20 PM
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2,524 posts Joined: Jan 2003 From: Beneath the starry night |
QUOTE(giovanni @ Feb 16 2009, 10:09 PM) LOL, i guess i have stayed quiet for far too long. So if u wan evidence of docs' prescribing error, i am one. I am a hospital pharmacist (based in outpatient pharmacy). Goodness gracious, if u wan to know the number of errors in a day...i can tell u...i lose count everyday! Even specialists make mistakes bro. Im not exaggerating..they maybe the expert in their specialised area but believe me....out of this scope...some of them are very prone to making mistakes. And yes, its a standard procedure to ring them up to inform them about it and make suggestions. Some MO's (see here...im saying MO's not specialists becos specialists are generally very receptive to ideas) are really a pain in the back. They have real sore pride and can scream at you even if its their fault. When i told them about it, they just answered "whatever and change as you like!!@ and hung up before i even made any recommendation. Guess what next? i had to call them up again to tell them my recommendation (we cant simply change the prescription without informing so pls dun make baseless accusation) before i make any alteration. Oh ya, you mentioned something about pharmacists only selling expensive medicines outside, well...i find that totally baseless. WHy do i say so? Patients normally go to retail pharmacy to get a medication with a tradename for a particular medication (some dun even know what the active ingredient is) and if unless u can offer them what they wan, they will normally walk off. Private doctors especially specialists tends to prescribe n dispense the most expensive drugs (my grandma n dad are constantly on follow up and i always look at what they are being prescribed with) becos they r given perks by drug agents. Ask the public if this is true cos 9 out of 10 will say yes to this. Also my fren, stop belittling pharmacists cos we r constantly updating ourselves. We r also trained for disease management (thats what clinical pharmacists are for). Ya, we do make mistakes but working together with docs, we minimize errors. I bet you r just another malaysian doctor who is so full of yourself. Im really surprised with how you put your words in this forum. A man with ur level of education should hav known better that belittling other health professionals is uncalled for and indeed unethical. TQ First of all, learn about paragraphing first before posting. It's damn freaking hard to read.Secondly, read the subsequent posts before posting. I have made my stand pretty clear in my subsequent posts: Pharmacists should be given dispensing right, but our health care system has to be revamped first. BTW, dun you know you pharmacists already have dispensing right in Malaysia. What you are asking now is to have SOLE DISPENSING right. It's pretty clear to everyone why you want it bad QUOTE(Optiplex330 @ Feb 16 2009, 10:22 PM) What do you expect? He is a 3rd world doctor with 3rd world mentality working in a 3rd world country serving 3rd world patient who, together with the 3rd world doctor, wanted to forever remain in the 3rd world. As I said, that is because life is cheap in the 3rd world. So my dear 1st world trained friend, when you graduate, why dun you come back to your beloved 3rd world motherland and instill some 1st world concept in us 3rd world doctors instead of hiding in a 1st world country and condemning Msia non-stop? In 1st world country, I don't think I ever come across this argument on who should prescribe and who should dispense. Only in 3rd world Malaysia. By saying life is cheap in 3rd world, you are implying that your relatives or friends who are currently in Msia are also as cheap as you said? Seriously, why can't you argue in a more constructive manner? You are, after all, in a professional course you know? This post has been edited by hypermax: Feb 17 2009, 04:19 PM |
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Feb 17 2009, 07:58 PM
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lol....paragraphing or not im not presenting a research proposal to anyone am i? So y bother?its a forum come on doc. Oh ya, talking about the sole dispensing right thingy, i wan you to read properly too. I mentioned nth about sole dispensing right in my reasoning. Im merely addressing some of those misleading facts you mentioned before this. So by saying that we want our sole dispensing right means that we wan a share of the 'money cake' u mentioned rite? so i shud direct it back to you too, by saying that we r not competent enuff (dun say u didnt mean so, read at what u hav said in lots of your posts about pharmacists how you belittled n bashed us) to have sole dispensing rights and stuff....isnt it just another bull crap of urs? its all about money too rite? Btw...i didnt even say i wan sole dispensing rite? I didnt even think of leaving the government, so money isnt an issue for me. I stood up to post my comments becos of your personal childish n selfish view. i hold no grudge towards docs becos i work very closely with a lot of them ( of cos there r bad apples n u r definitely one of them). Even a lot of those specialists in my hospitals said they didnt think doctors shud dispense. So you the bigheaded MO shud learn to respect the elderly's view too.THen again, i dun mind docs doing the dispensing cos i couldnt even be bothered. Im just stating the so called 'facts of life' of yours. I wonder how can ppl like you be so full of yourself.LOL. Shame on you for saying that we r not putting forward our views in a professional manner, cos you r definitely pointing lots of fingers back at yourself. Look at how your arguments make u look childish, selfish n arrogant.
This post has been edited by giovanni: Feb 17 2009, 08:04 PM |
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Feb 17 2009, 08:13 PM
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2,524 posts Joined: Jan 2003 From: Beneath the starry night |
QUOTE(giovanni @ Feb 17 2009, 07:58 PM) lol....paragraphing or not im not presenting a research proposal to anyone am i? So y bother?its a forum come on doc. Oh ya, talking about the sole dispensing right thingy, i wan you to read properly too. I mentioned nth about sole dispensing right in my reasoning. Im merely addressing some of those misleading facts you mentioned before this. So by saying that we want our sole dispensing right means that we wan a share of the 'money cake' u mentioned rite? so i shud direct it back to you too, by saying that we r not competent enuff (dun say u didnt mean so, read at what u hav said in lots of your posts about pharmacists how you belittled n bashed us) to have sole dispensing rights and stuff....isnt it just another bull crap of urs? its all about money too rite? Btw...i didnt even say i wan sole dispensing rite? I didnt even think of leaving the government, so money isnt an issue for me. I stood up to post my comments becos of your personal childish n selfish view. i hold no grudge towards docs becos i work very closely with a lot of them ( of cos there r bad apples n u r definitely one of them). Even a lot of those specialists in my hospitals said they didnt think doctors shud dispense. So you the bigheaded MO shud learn to respect the elderly's view too.THen again, i dun mind docs doing the dispensing cos i couldnt even be bothered. Im just stating the so called 'facts of life' of yours. I wonder how can ppl like you be so full of yourself.LOL. Shame on you for saying that we r not putting forward our views in a professional manner, cos you r definitely pointing lots of fingers back at yourself. Look at how your arguments make u look childish, selfish n arrogant. The reason of you posting here is to let your views to be known. So if your post is not comprehensible, then's what's the point of posting? Belittle pharmacists? Nope, i didn't. Why dun you quote a sentence of mine which you think is belittling you? When posting in this forum, pls refrain from personal attack. If you called me a bad apple, can i also call you a rotten durian? Also, you should read through others' posts. Many pharmacists here, especially mr. opty, wants sole dispensing right. Pharmacists in this country already have dispensing right, so why complaining if it's not about sole dispensing right? Last advice, being emo is not good for health. By being emo, you are definitely not putting your views in a professional manner. This post has been edited by hypermax: Feb 17 2009, 08:16 PM |
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Feb 17 2009, 08:24 PM
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Pharmacist wants sole dispensing right. Hypermax here wants sole prescribing and sole dispensing right. Should both profession get rid of the 'sole' word?
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Feb 17 2009, 08:26 PM
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2,524 posts Joined: Jan 2003 From: Beneath the starry night |
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Feb 17 2009, 08:41 PM
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Lol hypermax, non proper paragraphing doesnt equate non comprehensible statement. Oh ya, let the readesr be the judge. Im not being emo at all. Cos if i am, i wouldnt even be able to reason or think anymore. I deal with the most unreasonable doc before n i could keep my cool all the time.Dubbing you bad apple becos you really made urself looked like one.In fact you are again pointing fingers back at urself becos u r beating around the bush n picking on the little trivial things to say. N then when I manage to state my point , there u go pointing fingers at others. Oh ya, perhaps u dun realize how u brag so much about urself (not saying doctors here but generally just you) n belittling others in this forum. Read the forum from the start to the end. U dun need me to tell you how do you(just like how u quote anothers as Newbies)? Again mr hypermax, dun u realize it is you who are actually launching personal attacks the whole time. Im merely stating facts. I thought u said u wanted facts? It was you who exaggerated on lots of issues until i stood up n start telling ppl about the truth. If you feel like its wrong, tell me which one. Then again, dun talk about the personal attack thingy or rotten apple, that is merely personal view. What i want to know is the system in the hospital that u mentioned.
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Feb 17 2009, 08:45 PM
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2,524 posts Joined: Jan 2003 From: Beneath the starry night |
QUOTE(giovanni @ Feb 17 2009, 08:41 PM) Lol hypermax, non proper paragraphing doesnt equate non comprehensible statement. Oh ya, let the readesr be the judge. Im not being emo at all. Cos if i am, i wouldnt even be able to reason or think anymore. I deal with the most unreasonable doc before n i could keep my cool all the time.Dubbing you bad apple becos you really made urself looked like one.In fact you are again pointing fingers back at urself becos u r beating around the bush n picking on the little trivial things to say. N then when I manage to state my point , there u go pointing fingers at others. Oh ya, perhaps u dun realize how u brag so much about urself (not saying doctors here but generally just you) n belittling others in this forum. Read the forum from the start to the end. U dun need me to tell you how do you(just like how u quote anothers as Newbies)? Again mr hypermax, dun u realize it is you who are actually launching personal attacks the whole time. Im merely stating facts. I thought u said u wanted facts? It was you who exaggerated on lots of issues until i stood up n start telling ppl about the truth. If you feel like its wrong, tell me which one. Then again, dun talk about the personal attack thingy or rotten apple, that is merely personal view. What i want to know is the system in the hospital that u mentioned. you are being emo after all Again, quote if you can. You are now accusing me of something without any evidence. Try not to paragraph your post in other thread, see what people say. This post has been edited by hypermax: Feb 17 2009, 08:47 PM |
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Feb 17 2009, 08:47 PM
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QUOTE(hypermax @ Feb 17 2009, 08:26 PM) Bro, dun eat your words becos you obviously meant doctors are more superior in terms of knowledge thus can be sole prescriber n that we the pharmacists cant be sole dispenser. U dun need me to point what which post do u? cos im far too lazy to dig on ur past posts again |
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Feb 17 2009, 08:49 PM
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2,524 posts Joined: Jan 2003 From: Beneath the starry night |
QUOTE(giovanni @ Feb 17 2009, 08:47 PM) Bro, dun eat your words becos you obviously meant doctors are more superior in terms of knowledge thus can be sole prescriber n that we the pharmacists cant be sole dispenser. U dun need me to point what which post do u? cos im far too lazy to dig on ur past posts again So after all, you want sole dispensing right. Stop pretending like you dun.If you can, pls do. Lazy is not an excuse. Also, since when i said i want doctors to be the sole prescriber and dispenser? This post has been edited by hypermax: Feb 17 2009, 08:52 PM |
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Feb 17 2009, 08:51 PM
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QUOTE(hypermax @ Feb 17 2009, 08:45 PM) Again, quote if you can. You are now accusing me of something without any evidence. At least its fine with others here. So i think its ok with no paragraphing or watsoever. My gosh evidence is in this forum. U wan me to go reading back the 18 pages of posts again? I hav far better things to do doc. Ok, if you dislike ppl stating their views i will not bother. This is what im good at actually when dealing with docs like u. Peace n i hope that you will hold ur peace too or u will again make urself look bad. Good luck ya Try not to paragraph your post in other thread, see what people say. This post has been edited by giovanni: Feb 17 2009, 08:55 PM |
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Feb 17 2009, 08:56 PM
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2,524 posts Joined: Jan 2003 From: Beneath the starry night |
QUOTE(giovanni @ Feb 17 2009, 08:51 PM) At least its fine with others here. So i think its ok with no paragraphing or watsoever. My gosh evidence is in this post. U wan me to go reading back the 18 pages of posts again? I hav far better things to do doc. Ok, if you dislike ppl stating their views i will not bother. This is what im good at actually when dealing with docs like u. Peace n i hope that you will hold ur peace too or u will again make urself look bad. Good luck ya Since when did i dislike people stating their views? You are now accusing me of something without any basis. I have all the rights to defend myself against a baseless claim, dun i?If you have better things to do, why bother reading all the posts in this thread? You are the one making personal attack, when i obviously didn't say the things you accused me of. Also, from your post above, it's easy to tell that you want sole dispensing right too. So stop pretending and drop your "I am holier than thou" attitude. |
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Feb 17 2009, 08:57 PM
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QUOTE(hypermax @ Feb 17 2009, 08:49 PM) So after all, you want sole dispensing right. Stop pretending like you dun. Ouch, how can u be so suspicious the whole time? Only ppl with intentions will grow suspicious easily.If you can, pls do. Lazy is not an excuse. Also, since when i said i want doctors to be the sole prescriber and dispenser? |
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Feb 17 2009, 08:59 PM
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2,524 posts Joined: Jan 2003 From: Beneath the starry night |
QUOTE(giovanni @ Feb 17 2009, 08:57 PM) Ouch, how can u be so suspicious the whole time? Only ppl with intentions will grow suspicious easily. Is it? Can back your statement with a study? I am not suspicious, i am just stating the obvious. you are now accusing me, yet refuse to provide proof. Again, let me ask you: since when i said i want doctors to be the sole prescriber and dispenser? This post has been edited by hypermax: Feb 17 2009, 09:00 PM |
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Feb 17 2009, 09:00 PM
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306 posts Joined: Jun 2005 From: Your closet |
Sigh, this thread is going nowhere.
It is promoting animosity between 2 professions instead. |
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