The O.o and The >_<
The following rules apply:
1. Anything in brackets are actions.
2. Anything in normal font are speeches.
3. Anything in italics are thoughts.
The O.o
Me: This is chlorpheniramine, it is used for runny nose and allergy symptoms like itch. Take Xml Y times a day when necessary. The medicine may cause drowsiness so your child may sleep a little more than usual.
Parent: What do you mean by when necessary?
Me: (Raise an invisible eyebrow, BP starting to creep) It means to use when the symptoms are present, and stop when your child no longer experiences the symptoms. I am not here to teach you English, buddy.
Parent: What do you mean by symptoms? I am not a doctor how would I know what symptoms to watch out for?
Me: (Brain shoots urgent neurosignals telling my eyes not to roll) I've already said this is used to treat runny nose and allergy symptoms such as itch you retard.
Me: This is panadeine, it is panadol plus codeine. Take X tabs Y times a day when necessary to relieve pain. It already contains paracetamol, which is panadol, so don't take panadol containing products with this medicine. The codeine component may cause a little drowsiness.
Patient: So can this medicine be used for pain?
Me: (Gave the patient a are-you-a-retard look) I just said this is a painkiller. If a painkiller is not used for pain, pray tell me what did you use it for? Poison your estranged husband?
The >_<
My senior: Did the doctor explain why your child need to take Risperidone?
Parent: Yes, she did, but can you tell me more about this medicine? What is the usual dose given? What is the max dose it can go?
(I can smell one those I-think-I-Am-As-Good-As-A-Pharmacist/Doctor parent/patient from miles away and this is one.)
My senior: There isn't actually a straight forward dosing for such medicine. Such medicine usually requires some titration to be done depending on individual patient's response. In addition, in paediatrics dosing is usually based on body weight so there isn't a usual dosing.
Parent: But is there no like common dose that is used.
My senior: Like I said, there isn't such a thing as common dose. It depends on individual response. Usually doctors would start low and then slowly titrate the dose upwards till the symptoms are controlled. Currently, your child is prescribed 0.5mg/day, max dose studied in adults can go up to 6mg/day.
Parent: Do you know why I am asking? I have rejected Dr S for 6 years.
My senior: What do you mean by you rejected Dr S?
Parent: I do not want to start drug treatment for my child. I don't think my child actually needs to start drug treatment, so I rejected Dr S's suggestion.
(I went off to dispense to another patient at this point.)
For the layman reading this, risperidone is an antipsychotic medicine. It is indicated for the treatment of schizophrenia, mania, people whose moods cycle between mania and clinical depression, and behavioral problems in children or teenagers with autistic disorders. What I cannot understand is, if the parent think his son does not need medical treatment then why on earth did he continue to bring his son for consultation? Did he think miracles happen by breathing in the hospital air? None of the conditions mentioned above can be waved away with time or with counselling. Those conditions essentially exist because there are imbalances in the neurotransmitters in the brain. Counselling, scolding or coaxing is not going to put them right, but medicine can. By denying his son the medicine for 6 years, he wasted 6 years of his son's life, because such patients cannot fit into the society with their conditions uncontrolled. He probably cannot go to a normal school and even if he can, will probably have to struggle with keeping up with the other children. This puts a damper on the child's morale and may worsen the condition; it becomes a vicious cycle.
1. Anything in brackets are actions.
2. Anything in normal font are speeches.
3. Anything in italics are thoughts.
The O.o
Me: This is chlorpheniramine, it is used for runny nose and allergy symptoms like itch. Take Xml Y times a day when necessary. The medicine may cause drowsiness so your child may sleep a little more than usual.
Parent: What do you mean by when necessary?
Me: (Raise an invisible eyebrow, BP starting to creep) It means to use when the symptoms are present, and stop when your child no longer experiences the symptoms. I am not here to teach you English, buddy.
Parent: What do you mean by symptoms? I am not a doctor how would I know what symptoms to watch out for?
Me: (Brain shoots urgent neurosignals telling my eyes not to roll) I've already said this is used to treat runny nose and allergy symptoms such as itch you retard.
Me: This is panadeine, it is panadol plus codeine. Take X tabs Y times a day when necessary to relieve pain. It already contains paracetamol, which is panadol, so don't take panadol containing products with this medicine. The codeine component may cause a little drowsiness.
Patient: So can this medicine be used for pain?
Me: (Gave the patient a are-you-a-retard look) I just said this is a painkiller. If a painkiller is not used for pain, pray tell me what did you use it for? Poison your estranged husband?
The >_<
My senior: Did the doctor explain why your child need to take Risperidone?
Parent: Yes, she did, but can you tell me more about this medicine? What is the usual dose given? What is the max dose it can go?
(I can smell one those I-think-I-Am-As-Good-As-A-Pharmacist/Doctor parent/patient from miles away and this is one.)
My senior: There isn't actually a straight forward dosing for such medicine. Such medicine usually requires some titration to be done depending on individual patient's response. In addition, in paediatrics dosing is usually based on body weight so there isn't a usual dosing.
Parent: But is there no like common dose that is used.
My senior: Like I said, there isn't such a thing as common dose. It depends on individual response. Usually doctors would start low and then slowly titrate the dose upwards till the symptoms are controlled. Currently, your child is prescribed 0.5mg/day, max dose studied in adults can go up to 6mg/day.
Parent: Do you know why I am asking? I have rejected Dr S for 6 years.
My senior: What do you mean by you rejected Dr S?
Parent: I do not want to start drug treatment for my child. I don't think my child actually needs to start drug treatment, so I rejected Dr S's suggestion.
(I went off to dispense to another patient at this point.)
For the layman reading this, risperidone is an antipsychotic medicine. It is indicated for the treatment of schizophrenia, mania, people whose moods cycle between mania and clinical depression, and behavioral problems in children or teenagers with autistic disorders. What I cannot understand is, if the parent think his son does not need medical treatment then why on earth did he continue to bring his son for consultation? Did he think miracles happen by breathing in the hospital air? None of the conditions mentioned above can be waved away with time or with counselling. Those conditions essentially exist because there are imbalances in the neurotransmitters in the brain. Counselling, scolding or coaxing is not going to put them right, but medicine can. By denying his son the medicine for 6 years, he wasted 6 years of his son's life, because such patients cannot fit into the society with their conditions uncontrolled. He probably cannot go to a normal school and even if he can, will probably have to struggle with keeping up with the other children. This puts a damper on the child's morale and may worsen the condition; it becomes a vicious cycle.
posted by Yamosh at 10:53 PM
1 Comments:
Sometimes it difficult to determine what are jargons, and what aren't.
I remember using symptoms during a mock counselling session and the lecturer said I have to replace symptoms with something else! Other words considered jargons are inhale and exhale. Ah, I thought that's simple English. I was told to use breathe in and breathe out instead.
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