Wednesday, September 16, 2009

Methadone Clinic

what is it? it is actually a substitute for heroin...basically u inject or inhale the heroin..but for detoxification programme...methadone is to be ingested. so wats the difference then? u get less 'euphoria' from methadone...u don have to use needle..hence less blood borne disease transmission, eg HIV, hep B, hep C. ur less addicted....basically the withdrawal effect of methadone is less severe than heroin...although longer... with methadone, patient can actually function like a normal person after drinking it..but for heroin..since its action is not as long..after a while...u will be thinking where and when to inject the next dose...and with heroin...u will soon get a damaged circulation system (damage done by all the injecting at different sites...sometimes..they wil even inject their neck or genitals!)anyway....methadone substitution programme is a free of charge programme (if it is run by health ministry)where drug addicts that are determined to quit can enroll in. since it is free, they don have think of where to get the money for the next supply of drug...so less social problem, eg robbery, theft, snatch... they can use the money to buy essential things for family or themselves..the programme also comes with counselling and social support group...the whole concept is kinda cool...but some addicts will always remain as addicts..they are alot smarter..haha..they can lie without bliking! but fortunately there are more that are sincere to change for the better:) anyway...im still learning from them...afterall..like wat my patient said today...i have the theory...but he has the practical knowledge of the drug:P

Has been busy

5 months into my shift into my new posting at klinik kesihatan nw...has been nice working with two nice doctors..who are always willing to hear my suggestions and accept recommendations...always willing to do something extra for the clinic :) staffs wise...sometimes kinda difficult to have their cooperations...but its improving now..mayb i too have to give them some time to get things done..my pharmacy wise...my assistants have been great..although sometimes they gave me heart attack too for messing the place up and not following wat i have ordered...but they are quite helpful and nice overall...my pharmacy has been fully operational...after the much moving and shifting of furnitures...the 5s thing (system to make the place more organised)is almost finished...there are people helping us to pack the drugs now...all the filling are better managed...the stock things are in progress...all the necessary guidelines for proper prescribing are almost in place..reports are handed in on time...the methadone clinic is running well but still lots of guidelines to be drafted and project to be conducted...has been busy lately...goin back at 6 or even 7 since not much time to get things done during office hrs...looking back..mayb is my mismanagement of time...or mismanagement of human resource..maybe i trust myself more than others...i shud delegate my task more i guess...mayb im too 'gan jiong'...mayb i shud hear my assistant advice--' the work wil never be finished'...ya...we'll get there..but slowly...lol..sometimes i cant stand the work that has been there for ages and not finished..anyhow..hopefully i wil get another pharmacist to help run the pharmacy and methadone clinic better...anyway..thats me..for the past 5 months...hopefully things wil be less busy now..after the meningitis outbreak and the h1n1...hopefully my days wil be less busy:)cya..