Welcome Guest ( Log In | Register )

Outline · [ Standard ] · Linear+

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

views
     
giovanni
post Feb 16 2009, 10:09 PM

Regular
******
Senior Member
1,898 posts

Joined: Oct 2005


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.

1. 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?
*
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

This post has been edited by giovanni: Feb 16 2009, 10:14 PM
giovanni
post Feb 17 2009, 07:58 PM

Regular
******
Senior Member
1,898 posts

Joined: Oct 2005


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
giovanni
post Feb 17 2009, 08:41 PM

Regular
******
Senior Member
1,898 posts

Joined: Oct 2005


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.
giovanni
post Feb 17 2009, 08:47 PM

Regular
******
Senior Member
1,898 posts

Joined: Oct 2005


QUOTE(hypermax @ Feb 17 2009, 08:26 PM)
Dun put words into my mouth lar brother. I never say such thing.  doh.gif
*
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
giovanni
post Feb 17 2009, 08:51 PM

Regular
******
Senior Member
1,898 posts

Joined: Oct 2005


QUOTE(hypermax @ Feb 17 2009, 08:45 PM)
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.  rolleyes.gif
*
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 notworthy.gif

This post has been edited by giovanni: Feb 17 2009, 08:55 PM
giovanni
post Feb 17 2009, 08:57 PM

Regular
******
Senior Member
1,898 posts

Joined: Oct 2005


QUOTE(hypermax @ Feb 17 2009, 08:49 PM)
So after all, you want sole dispensing right. Stop pretending like you dun.

If you can, pls do. Lazy is not an excuse.  brows.gif

Also, since when i said i want doctors to be the sole prescriber and dispenser?
*
Ouch, how can u be so suspicious the whole time? Only ppl with intentions will grow suspicious easily.
giovanni
post Feb 17 2009, 09:03 PM

Regular
******
Senior Member
1,898 posts

Joined: Oct 2005


Nah, im done. its ok. Let him be. Thanks for reading anyway. smile.gif
giovanni
post Feb 21 2009, 08:22 AM

Regular
******
Senior Member
1,898 posts

Joined: Oct 2005


Yeah. So for them, it still boils down to money. Y would they wan to give u a pinch of their wealth (someone's perception)? Then again, with dispensing seperation, it does not mean that pharmacists will prosper. This is based on a study conducted in Korea ( in case someone pushes for evidence again).

Quite a number of retail pharmacists do not want the seperation to be implemented for fear that their business will be affected (imagine you can sell your drugs only in the presence of prescriptions vis-a-vis our current system)

So for our suspicious fren, all i wan to get across to you is this: Recognition of role! Nothing more nothing less. shakehead.gif

This post has been edited by giovanni: Feb 21 2009, 08:27 AM
giovanni
post Feb 21 2009, 02:04 PM

Regular
******
Senior Member
1,898 posts

Joined: Oct 2005


yeah....i finally learned. Cos i am willing to learn. Perhaps u shud learn to do the same too whistling.gif

This post has been edited by giovanni: Feb 21 2009, 02:04 PM
giovanni
post Feb 21 2009, 03:27 PM

Regular
******
Senior Member
1,898 posts

Joined: Oct 2005


Perhaps i cant teach a big headed person to learn something new. That someone who always pushes for evidence where most of his points are based on his on 'facts of life'. When challenged, he cant stop the bitter bickering but to start telling people to wear glasses, calling ppl names i.e newbies etc.

Get a life n grow up. Im not interested in this personal feud. At the end of the day, i still hav to say that i cant get any points across a stubborn mind. Sarcasm wont harm me. Oh ya, i do realize paragraphing makes things quite neat and comprehensible. At least it makes ppl flared up (so it means somebody got my point). icon_rolleyes.gif thumbup.gif icon_idea.gif

 

Change to:
| Lo-Fi Version
0.0334sec    0.39    6 queries    GZIP Disabled
Time is now: 7th December 2025 - 07:31 AM