Archive

Waverley Cemetery有Epitaph咁寫 Remembrance   When I die Will you be sad that I have gone, Sad that our friendship has ended, That our talking is over, That we have parted? Remember me. When I die Will you be glad that I lived, Glad that we met, Glad that we enjoyed so much? Remember me. When I die I leave you love and the sea, Friendship and all the loveliness of the world. I bequeath to you, the living, All joy and all sorrow. Have courage always, And sometimes, sometimes, Remember me. 呢排有少少難過，可能fluoxetine 40mg 開始唔夠做，可能效果太好可以帶返我上正軌，諗嘅野又好弔詭地搞到我好難過。雖然話想每日都出到一篇文，但係心情唔好就唔想打字，起碼講少好過講多。 事發幾日之前見到個熟客執藥。Serve佢嘅人唔係我，但係執完藥佢有走埋黎同我嗲兩嘴。 「今日之後我應該唔會再黎。出咗啲事而家唔方便講。睇下半年之後返到黎先再同你講」…「我好慶幸自己養到個仔大，又同媳婦相處得好。一把年紀，都係時候要退落黎。」 出咗乜野事，其實唔一定要睇實驗報告。如果你用心／眼同個人傾計，都會知唔少情報。 講到死，有兩樣嘢讀書嘅時候聽lecturer/professor講過 (thermodynamics, kinetic) 人體好難達到equilibrium, 唯一達到嘅時候就係死嗰陣 (palliative care)做呢行經常都會掂到死嘅topic   Fact 呢類野，嘈黎都係曬時間。不過講到遇死人/就黎死嘅人，當然可以包拋頸到話只係執藥，有幾可會遇到就死嘅人？不過如果你熟藥同diagnosis, 其實同個history就多少都會知道佢剩底幾耐。不過冇再配藥係咪不在人...

藥劑師呢個身份可謂cogito ergo sum。你唔明等我舉個例子 某個客拎部電話show 偉哥張圖問有冇得買 中學生乜野食乜可以令到細佬更勁 熟客問我Cialis, Viagra 有咩分別 煙臭，流曬汗嘅人問我有冇Durogesic 100mcg/hr 賣 有個客帶住個發緊燒，成身又震嘅小朋友問可以食咩藥 有個大隻燥燥地嘅人問邊間分店有Pregnyl 賣 甚至亦都有人問綠色gel capsule 入面係啲乜嘢成份 https://funnyjunk.com/funny_pictures/3329779/What+pharmacists+actually+do/ 呢個世界好多問題，但係冇問題我地亦都冇存在價值。如果你問我做retail 會唔會好悶，好似做麥記咁你嗌我地pack乜，但手腳要快過薯條師。我可以話你知，身邊已經好多個都已經做到好撚麻目，大腦外判咗畀部電腦。 好似 morning after pill/ plan B, 當然你可以話上網睇相關資訊，幾時食得幾時唔食得。但問題係現實都有好多考慮：時間唔允許，又冇private area去傾，變相個問題唔係在於個pharm.想唔想做，而係個環境做唔到好完美嘅counselling，傾就breach privacy, 唔傾就唔competent, 加埋冇時間去傾，可以點？久而久之冇咗個心做嘢，返工等收錢。 上面都只係講緊老嗰批，新嗰批就更加不堪入目。雖然話就與時並進，活係capitalism 下識得用social media去promote自己，但就算係KOL, 都喜歡報喜不報憂，畀咗片面嘅資訊去吸引讀者，究竟係以病人利益為先，定係為自己銀包為先。Well, 一直好強調，有病睇醫生，唔單止因為人地真係professional, 仲有出錢你都可以搵到佢覆卓。 活生生嘅example, 有客show個死人app問我可唔可以買，你話呢？ 係連登我都鬧過唔好亂教人食isotretinoin (A酸)，但鬧完一排就有另一波討論熱潮，同李小龍vs.泰臣邊個會贏嘅post一樣，永遠都討論唔完。有責任嘅大人/ Healthcare professionals當然會入去屌鳩班友開心share/ 唔同source入藥。不過你期望連登多大人，不會dum多啲期望落波膽仲好。 人類總是重複同樣的錯誤 最後連登好多中醫同怪醫秦博士，加埋豬閪...

尋晚發咗個夢，又見返F字頭個朋友： 返到公司黎咗個新intern，原來佢讀緊medicine，要黎呢度學retail pharmacy點run。  平時黎講，有新intern/placement學生我都會講" I have nothing to teach you, you'll have to explore yourself."因為所有野都唔係飯來張口，茶來伸手，如果呢個世界冇trial and error, 我諗我今日都冇機會打呢篇野。 奇怪嘅係，係夢入面我肯主動教曬佢我識嘅野，其中一樣就係感情。如果只係一部「打打字機」，呢個世界唔需要藥劑師；但係人類就算會think logically, 有時都會被其他野影響到個decision。   (來得快走得更快。 https://www.bbc.com/news/av/health-10959457/how-the-prescription-drug-vending-machines-work ) 所以我返工對客好少帶感情，唔係想hea班客，因為個決定錯影響到嘅隨時唔係一個人。   (有啲藥就係咁受歡迎。google. ) 而另一個原因，好耐以前我係facebook同你地講過我有PTSD, MDD 食緊duloxetine 120mg daily. 或者係根本個psychologist 呢幾年都冇幫唔到我，所以久而久之對好多嘢都desensitised, depersonalised. (我唔怪個psychologist, 冇佢我諗上年隊完樽vodka absolut 就咁走咗。之但係，let's say, 如果係physical lost, 再幾專業都好難幫得到手。)   Generic duloxetine, 兩年前仲有食, 而家食緊Prozac. 由打scripts，接客到decision making 全部教曬佢，as if 個情景大家一樣歲數，但係我兩隻腳已經企曬係棺材。薪火相傳，甚至係想俾曬我有嘅野佢。 雖然只係一個夢，不過就有好多思考空間，尤其係我知佢返緊嘅工涉及therapeutic , i.e. 音樂治療。我唔會否認任何approach 真係幫到手 e.g. 用針灸醫背痛，用中藥去醫dermatitis，甚至香爐灰去醫胃痛都好，你覺得岩駛嘅咪用囉。畢竟evide...