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 will pharmacist gain dispensing right in Malaysia?, what you think?

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SUSOptiplex330
post Dec 18 2008, 11:08 PM

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QUOTE(hypermax @ Dec 18 2008, 11:04 PM)
At least in UK, there are much more pharmacists than in Msia. So what if they are not locals? They are working there no?
Read the previous posts if you wanna debate.
There's extreme shortage in Msia.
Whether or not docs will give it back when the number is sufficient, i dunnoe. But i for one agree to give them the dispensing right when the time comes.
*
We are also extremely short of doctor when we give doctor diagnosis right. Why?


SUSOptiplex330
post Dec 18 2008, 11:14 PM

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QUOTE(hypermax @ Dec 18 2008, 11:08 PM)
Well, Dr. Ismail Merican (i hope you know who he is) said at the moment there's not enough pharmacists in KV, therefore the trial is postponed, not scrapped like what you have mentioned.
I belief his statement is valid.
So in the same way, we must have more than sufficient number of pharmacists before we give them the dispensing right. Dun you think so?
Btw, you know the meaning of sufficient?
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Your previous post:
Director-General of Health Tan Sri Dr Ismail Merican said the ministry was not able to implement this system earlier due to logistics problems, especially the shortage of pharmacists and pharmacies in the country.

I am truly shocked. So tell me, is KV the entire country? I am so shocked our Malaysian doctor can make such a mistake or was it deliberate attempt at misinformation? The more reason we need pharmacist to check what they prescribe.

SUSOptiplex330
post Dec 18 2008, 11:16 PM

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QUOTE(hypermax @ Dec 18 2008, 11:09 PM)
Because there's no one else who can diagnose other than doctors? I thought we have gone through that many times. Stop going around in circle.
You as a pharmacy student, do you know how to diagnose CCF or pneumonia?
Diagnostic criteria for asthma and COPD?

Doctors know pharmacology, but pharmacists dun know Internal Medicine. No one else knows besides doctors.
*
You keep putting 'shortage' as an excuse. And I have answered that for safety reason, shortage is not an valid excuse. Why do you keep going in circle?


Added on December 18, 2008, 11:18 pmMy mistake. It was posted by jchong. Article from NST 29/3/08


This post has been edited by Optiplex330: Dec 18 2008, 11:18 PM
SUSOptiplex330
post Dec 18 2008, 11:21 PM

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QUOTE(hypermax @ Dec 18 2008, 11:19 PM)
har??
Because shortage is a very valid reason.
Walao, you go around in circle, now you said i go around in circle pulak.

The 2 main reasons for pharmacists not to have dispensing right:
1. Extreme shortage
2. Incompatibility with our health care system

So when there's not enough pharmacists to dispense, you think it'll be safe for the patients?
*
Why shortage is a valid reason to give doctor sole diagnosis right?

And why is Malaysian patient's health requirement different from UK's? Are we less valuable or what? Please enlighten us.

This post has been edited by Optiplex330: Dec 18 2008, 11:22 PM
SUSOptiplex330
post Dec 18 2008, 11:28 PM

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QUOTE(hypermax @ Dec 18 2008, 11:24 PM)
Why is shortage not a reason. When not enough people to do the job, how to do it properly?
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There are not enough doctor. So doctor not doing the job properly. So why should we give them the diagnosis right?


SUSOptiplex330
post Dec 18 2008, 11:34 PM

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QUOTE(hypermax @ Dec 18 2008, 10:27 PM)
I told you before, the reason i think pharmacists in KV are insufficient based on the fact that there are only 4000+ pharmacists in the whole country, both private and gov.
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2004. 3506 pharmacist
2006. 4292 pharmacist
An increase of 786 over 2 yrs. So 2008 probably just over 5000 now, not just 4000+







SUSOptiplex330
post Dec 18 2008, 11:37 PM

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QUOTE(hypermax @ Dec 18 2008, 11:30 PM)
Then who else can diagnose? rclxub.gif
Round and round we go.
Well, i seriously think you are spamming here.
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Serious shortage of doctor. But must still give doctor diagnosis right because they are the best person to do it.

Therefore, same logic dictate:
Serious shortage of pharmacist. But must still give pharmacist dispensing right because they are the best person to do it.

Conclusion: Do not bring up shortage as an excuse not to do the right thing.



SUSOptiplex330
post Dec 18 2008, 11:41 PM

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QUOTE(hypermax @ Dec 18 2008, 11:38 PM)
Well, because doctors are the only ones capable of diagnosing and prescribing?
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Do private doctor typically do the dispensing themselves or leave it to the SPM leaver?


Added on December 18, 2008, 11:42 pm
QUOTE(hypermax @ Dec 18 2008, 11:38 PM)
Nurses, medical assistants, and doctors all can dispense. Although not best, but capable.

Besides doctors, there's no one capable of diagnosing and prescribing.
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So you think we Malaysian do not deserve to have the "best" to dispense our medicine? Why? Are our life cheaper than UK's or what?


This post has been edited by Optiplex330: Dec 18 2008, 11:42 PM
SUSOptiplex330
post Dec 18 2008, 11:48 PM

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QUOTE(youngkies @ Dec 18 2008, 11:19 PM)
not only that in malaysia, the medicines handed out didn't contain the essential information of the drug, nor a helpful instruction on how to take the medicines, often i see that the medicines were packed into random packet. (e.g. my grandpa recently visited the doctor for his diabetic medication, when i was asked to see the med, i was surprised to see 6 blister packs of gliclazide were packed into a plastic pack which is made for some other drug, for some foot treatment if i recall right).
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You don't know your country folks back home in Malaysia lah. They prefer to remain this way, as according to some doctors and Lim Kit Siang. It has such 'homely' feel to it tongue.gif
SUSOptiplex330
post Dec 19 2008, 12:04 AM

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I think you are not a Malaysian to say that. In Malaysia, patient get medicine from doctor, or rather from the school leaver at the medicine counter. No choice.

May be you want to give me an answer as to why we Malaysian can't have the best? Personally, I can't think of other more valid reason.

This post has been edited by Optiplex330: Dec 19 2008, 12:06 AM
SUSOptiplex330
post Dec 19 2008, 08:25 AM

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QUOTE(hypermax @ Dec 18 2008, 11:04 PM)
At least in UK, there are much more pharmacists than in Msia. So what if they are not locals? They are working there no?
Read the previous posts if you wanna debate.
There's extreme shortage in Msia.
Whether or not docs will give it back when the number is sufficient, i dunnoe. But i for one agree to give them the dispensing right when the time comes.
*
2006
Doctor — 21937
Pharmacist — 4292
Ratio 5:1

Extreme shortage?


Added on December 19, 2008, 8:31 amhttp://educationmalaysia.blogspot.com/2006/03/its-raining-doctors.html

It seems we have another problem on our hand - lousy quality doctor.

This post has been edited by Optiplex330: Dec 19 2008, 08:31 AM
SUSOptiplex330
post Dec 19 2008, 09:20 AM

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I disagree. This is HIGH priority.....for the doctor. In future, there will be less work for diagnosis so they wanted to do dispensing themselves.

SUSOptiplex330
post Dec 19 2008, 10:03 AM

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QUOTE(wKkaY @ Dec 18 2008, 03:40 PM)
One advantage that I can see is that documentation of medication is necessary when you separate the duties. I visited a doctor in a private clinic in KL yesterday, and you could say it's my first visit to a doctor here as an adult, as I studied abroad before this. The dialogue between the doc and I went:

Doc: "Ok, I'll be giving you some ointment and some antibiotics."
WK: "What's in the ointment and antibiotics?"
Doc: *thinks for awhile and mumbles some mumbo-jumbo*

At this point I didn't write down what he mumbled, thinking that when I get the medication it will be labeled. My fault there, I know. Instead, all I got was a tub labeled "For face" and a loose bag labeled "Antibiotics". I appreciate that it can be cheaper dispensing medicine this way, but it leaves me an uninformed consumer. I don't know who manufactured the drug, when it expires, what it contains (from which I can wikipedia or webmd it up or something), and most importantly - whether I'm getting the right thing.
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There is also a danger here when the patient starts to think he/she is more knowledgeable than the doctor. Armed with half baked information from the internet, they will start to tell the doctor what should be the diagnosis and what medicine should be given. It's turn the doctor-patient relationship upside down and that is dangerous.



SUSOptiplex330
post Dec 19 2008, 12:22 PM

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QUOTE(hypermax @ Dec 19 2008, 12:06 PM)
And as the table shown, about 50% of pharmacists are concentrated in Selangor and FT. So if the trial in KV is a success, how about pharmacists in other areas? More pharmacists will flock into KV if dispensing right is given in KV only. At the same time. other areas will have no more pharmacists liao. So what's the point of having the trial?
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Irrelevant. In court proceeding, that is called speculation and not admissible as evidence.

If you want to speculate, how about this. If there are dispensing right, I am sure a lot more people would want to study pharmacy and be a pharmacist. That is free market at work. Told you before but you forgot.


Added on December 19, 2008, 12:24 pm
QUOTE(hypermax @ Dec 19 2008, 12:06 PM)
Good saying.  rclxms.gif  biggrin.gif

BTw, a suggestion to moderator. IF possible, pls move this thread to RWI. It deserves more intelligent inputs from regulars of RWI, instead of some people here posting invalid reasons and going round and round the points we have discussed many many times.
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Is this your idea of more intelligent input? This fellow couldn't give a valid or alternative reason and instead talk about some chill pill.

QUOTE(wKkaY @ Dec 19 2008, 12:00 AM)
Umm I think you're the only one here who's jumping at "ARE OUR LIFE CHEAPER THAN UK'S OR WHAT?!?!11?!?!one" in this discussion. No one's stopping anyone from getting their meds from the pharmacist instead of their doctor. As it stands now it's a personal choice.

Now why don't you go to Watsons and get yourself a chill pill?
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This post has been edited by Optiplex330: Dec 19 2008, 12:25 PM
SUSOptiplex330
post Dec 19 2008, 12:27 PM

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QUOTE(hypermax @ Dec 19 2008, 12:24 PM)
Are we in the court right now?
We are in a discussion, and i dun see any wrong in trying to predict what will happen next.
Anyway, this is a logical argument. What will be the fate of pharmacists in other areas if dispensing right is only exercised in KV?
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What is there to stop more people wanting to do pharmacy and going back to their home town? Then their home town would be so saturated with pharmacist that they too will demanding dispensing right?

See? Speculation works both way.


Added on December 19, 2008, 12:28 pm
QUOTE(hypermax @ Dec 19 2008, 12:24 PM)
Well, i think many of us agree with him, as you are the most emo one and keep on jumping to your own gun that lives are cheaper in Msia.

So are bomoh and mee goreng relevant in this discussion? Also the name calling and personal attack.  doh.gif
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Show me the "many" you talked about. Confusing country with KV again, are we?

This post has been edited by Optiplex330: Dec 19 2008, 12:29 PM
SUSOptiplex330
post Dec 19 2008, 02:54 PM

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But in real life, is that practical? Tell me. When was the last time anyone went to see private doctor and the doctor, as a matter of routine procedure, will tell the patient they can opt for dispensing by pharmacist? Excluding the situation when the doctor clinic do not have the medicine in question.

When there is separation of dispensing from diagnosis, then it becomes routine to have medicine being dispensed by someone who can double check for potential mistakes. This is the choice we are talking about. Let's not get into hair splitting.
SUSOptiplex330
post Dec 19 2008, 05:03 PM

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I suppose that's more like a follow up.

Please tell us, the very 1st time he got treated by that doctor, did he get it from the doctor or did the doctor offered him a choice?

SUSOptiplex330
post Dec 20 2008, 08:29 AM

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QUOTE(hypermax @ Dec 20 2008, 01:09 AM)
I dunnoe whether you are in medical field or not, but not all new drugs will be used, especially in Msia, as new drugs are mostly more expensive than their generic counterpart. And if you read through the previous posts, some pro-pharmacist forummers stated that if pharmacists gain dispensing right, generic or cheaper drugs will be used for often, as there will be less influence from drug companies (which i highly doubt so).
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AFAIK,
Drug Company A influence doctor (well documented). Doctor prescribe Drug A. Pharmacist dispense Drug A.
So I fail to see how Drug company A can have much influence over the pharmacist.


Another scenario from what I read.
Doctor prescribe Drug A. Pharmacist has to dispense Drug A. But if Drug A are are made by several companies with different price, then patient has the choice as to which one he wanted and pay accordingly. This choice to patient is not always available from doctor clinic because doctor clinic may only keep 1 brand. No choice.


Added on December 20, 2008, 8:33 am
QUOTE(vanPersieXX @ Dec 19 2008, 09:23 PM)
erm..for me they should know more other than juz enough as there are new pharmaceuticals in the market every year. well maybe the number of pharmacists currently are low but there are steady increase over the last few years, you r rite currently we dont have enough pharmacist but juz for now. Earn more? the docs wan it oso isn't it, well they have the dispensing right but the drugs are not dispense by them but another person.They not really dispense the drugs but they have the rights and earn the money? btw this thread is for discucuss will pharmacist gain dispensing right in Malaysia? but not whether who deserved the right. off topic edi la doh.gif
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Well said. It's about who is the BETTER person to dispense. And the BETTER person should have the right to dispense.

Not who CAN do dispensing or giving out of tablet. Heck, with some training, you can even train a monkey to throw tablet at the patient. blink.gif


This post has been edited by Optiplex330: Dec 20 2008, 08:33 AM
SUSOptiplex330
post Dec 20 2008, 12:02 PM

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The Buddha way - The Middle Path.

Too much power must not be vested in either the doctor nor the pharmacist. Check and Balance of some sort is the key to better patient care and interest.

Right now in Malaysia, the doctor has too much power. In India, the reverse. Both not good.



SUSOptiplex330
post Dec 21 2008, 07:15 AM

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QUOTE(mr lappy @ Dec 21 2008, 05:28 AM)
this is usually 'used' in critical meds which a patient has been stabilised on like epileptic medications and some other narrow therapeutic meds as different brands could contain different excipeints which can change the pharmacokinetics and bioavailability of it.
but for the most medications usually a substitution can be made.
*
Now these 2 are new words, pharmacokinetics and bioavailablility, especially the former. Do doctors study these and to the same degree of details?



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