Tuesday, April 24, 2007

These People Should Not Have Children

You can say I am crass for making such a statement, but I really don't care. This is how I truly feel. Stupid people should not be having children. I don't care if their stupidity harms themselves, but I get angry when I know children who have to rely on adults are harmed as a result of their parents' stupidity.

Case 1:
My patient. Doctor ordered 5mg of medicine C to be taken twice a day. Since there is no 10mg tablet in the market, I told the dad he should give half a tablet twice a day. He left after paying up for the medicine. Came back 10 mins later, claiming I gave the wrong instruction. According to patient's dad, who must have failed primary school Math, 5mg is should be a quarter tablet not half. *roll my eyes*

Told him that 10 divided by 2 is 5, so half a tablet is correct. He then insisted the last time we dispensed 5mg tablets to him and he gave his child half of the "5mg tablet", which I must say again is non-existent in the global market. Guess what, when I checked the history, the patient had always been instructed to take half of the 10mg tablet, so the only conclusion I can draw is the parents have been giving 5mg twice a day, but are hallucinating that they are giving half of the non-existent 5mg tablet.

Anyway, he then argued that we, as in the pharmacist and doctor, were overdosing his son, that the dose should have been 2.5 twice a day and not 5mg twice a day. Kept insisting that he was given the wrong instruction, until I told him to go back and talk to the doctor. That was the last I saw of him on that day. I know the doctor had set him right, but still I wonder what kind of care the parents are giving their son.

Case 2:
My senior's patient. According to my senior, the parents just cannot be bothered and do not understand the severity of their child's condition, and it has been such since the time he was an inpatient pharmacist. As a side note, my senior was an inpatient pharmacist more than 2 years ago.

One of the patient's diurectics need to be specially prepared by the lab into a syrup form for ease of administration. Problem is our lab syrup does not contain preservatives, therefore it is only stable for a month from the day of manufacture. When the parents were reminded that they have to come back monthly to collect the syrup, they never followed the instrutions. According to my senior, they will just let the patient go for weeks without medicine.

In the end, my senior chose to dispense the medicine in the form of tablets; teaching the parents how much water to add to one tablet and then syringing out the required volume for consumption. As the parents look like intellectual low-lives, my senior was sincerely worried the parents will not be doing the dilution properly, but there is only so much we can help the patient.

Something just came to mind. Maybe they are tired of looking after a perpetually sick child, so they decided to slowly "kill" their child by depriving him of the medicines that can stabilise his condition.

Case 3:
A renal patient whose condition has worsened to the extent that the consultant is recommending dialysis. The parents were informed of the consultant's recommendation when the patient was warded, but they told the consultant they needed some time to break the news to their child.

A few months later, they are still deciding whether to let their child go for dialysis despite the consultant telling them their child's condition has worsened. They kept delaying. The reason they gave was this is a major decision so they need to consider and to mentally prepare themselves.

I don't know how long this child is going to last in this world under the care of such stupid parents.

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