Cost of dialysis

I really sympathize with those patients who need to undergo haemodialysis and peritoneal dialysis. It cost RM 2000-RM2500 per month to get this kind of treatment. The cost of dialysis per month is more than the income for a lot of low-middle income class people. Without any welfare support, not many people will be able to pay so much per month to receive treatment for End Stage Renal Failure (ESRF).

I have seen patient as young as 8 year-old in the nephro ward receiving CAPD (Continuous Ambulatory Peritoneal Dialysis). We should take care of our health, most of the patient with Renal failure was first diagnosed with diabetes mellitus. Although you may think that you are still young but it is better to prevent rather than being late.

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Chatting with a patient in Nephrology ward

This is not a case presentation!

Patient was an Indian guy, 74 years old. Suffered from ESRD, DM, HPT and left leg cellulitis. He was a very kind man who talked to me when I was clerking his case. This is the first time I talked to a real patient, rather than a simulated one in IMU CSU.
He told me that he used to work as an army accountant. He was also involved in the politics in his younger age, and he knows a lot of politician such as Karpal Singh, Lim Kit Siang, Lee Lam Thye and even Tunku Abdul Rahman (according to him is his neighbour) and Lee Kuan Yew ! wow...

While he was working in the army, someone offered him a bribe, but he rejected it. I was thinking if I was him, will I accept bribe? In army department, I believe the amount to bribe for something, such as modifying the account detail in purchasing of weapons could easily gave you millions of ringgit, but he rejected it.

Shall he had accepted the money, he would be probably now receiving treatment in a private hospital first class ward fitted with air-cond, personal toilet and personal room, with Indonesian maid take caring him, washing his legs. But he choose not to, and now had to stay at HKL's warm and uncomfortable ward, still looking for a haemodialysis centre because he cannot afford to pay RM 2000 per month for it. That is a lot for someone who is not working anymore and no children to pay for him.

If you were him, will you accept the bribe ? Those minister who cheated the people for so much money can live happily ever after when they retired but those who choose to be honest got this kind of ending ? How come god is so unfair to good people ?

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Shell Citibank Credit Card - A Cash Draining Card

Are you fancy of getting a credit card that offers 5% rebate on shell petrol and 1.5% rebate on other purchases? If your answer is yes, then you are draining your money away!
The newly launched Shell Citibank credit card is not as good as its sounds - to enjoy the rebate, you must have a carry forward balance. Yes, a carry forward balance that you have to pay Citibank 18% interest per annum. But that's is not all, your so called 'rebate' is based on your current month spending. That means if you have a carry forward of RM10,000 but did not use the card at all for the current month, you get 'zero' rebate.

This is how the rebate scheme works:
-First, you need to have a carry forward balance. The amount of that carry forward determines the rebate rate (%) that the card holder is getting.


-Then based on your current month spend, you will get the rebate (as shown by the rebate table above) - your rebate is not based on your total carry forward balance. Repeat: your rebate is not based on your total carry forward balance, but current month spending

In short, to get your 'rebate' you must have at least of RM2,000 outstanding balance in you card AND continue use the card. The outstanding balance is the net of previous month balance minus current month payment. If you do that, every month you will be paying RM30.00, or RM360 a year for the minimum RM2,000 outstanding balance.

Let's do a simple math here:
If you spend RM500/mth on shell petrol and your classic card has a RM2,000 outstanding balance, at 1.5% , you are getting RM7.50 as 'rebate', while at the same time, paying RM30.00 for the interest. The 'nett' profit for Citibank is RMRM22.50. Your are essentially "over paying" 4 times the price (30/7.5) To 'break even' (so that your RM30.00 interest payment = rebate value), you need to pump RM2,000 shell petrol a month, or charge RM6,000 a month for non-shell related purchases.

The USD100.00 per barrel of crude oil won't kill you, but the Citi-Shell card will.

Hospital Attachment

From Titiwangsa LRT station, next passed by a bus station, car park and a smelly big dustbin beside a small lorong and then comes to a busy two way street where u need to choose either use the bridge or risk being caught by traffic police because of using the shortcut and kena saman RM500, u will come to Hospital Kuala Lumpur (HKL), the busiest hospital in KL, everyday when I passed by the outpatient pharmacy I can see a huge crowd waiting for their medication. I believe I have been to HKL for not less than 3 times, may be I need to consider myself lucky as I don't need to travel by car everyday to outstation, but waking up at 6-7am everyday is just very tiring...

The first week in Oncology ward let me realised that my clinical knowledge had became rusty after doing research for the last whole semester. How am I supposed to remember the drug regimen (e.g. CMF, FAC, VAF, FOLFOX, FOLFIRI etc) for so many types of cancer ? Anyway our preceptor is a helpful pharmacist, Cik Kamalrun was able to answer to our doubts rather than asking "what do u think ? go find out yourself " which makes our life easier.

It may be unbelievable for a pharmacist student never seeing a real packed cell. What is a packed cell ? Cell packed together in a bag ? Hmm... quite correct, actually it is a bloody red bag for blood transfusion. Looks like Ribena in a new packaging, to blood hunter may be...

Interesting drug in which a patient can kept until year 2090!

Athough clerking case is tiring and reading those doctor's handwriting is just a torture to your imagination and brain power, but I will be motivated to clerk case if next year pharmacist and doctor pay will increase again, hope that is true hahaha...

Is my birthday tomorrow!

Another 2 hours more I will be officially 22 year-old. This will be the first time I am not celebrating my birthday at my hometown Penang for so many years because usually this time I am still enjoying school holiday.

I would like to share some of the photo I took with my classmates on last Friday for our convocation magazine. After this we won't be having a lot of chances meeting each other because we will be going to hospital attachment for 9 weeks times.

A/P Dr.Kang Yew Beng, who always bugged be "Poh Hon, where is your tie ?" Whenever I got my tie on he will be so happy hahahaha... Look at the photo his smiles was so big! @_@

Photos with some of my classmates (Gangs of black, white and gray :)

Nothing bocor, just wandering where is the old roof top canteen, the new canteen food is so expensive and tasteless.

Why do we need to clerk case and prepare for seminar... :(

Two leng chai and leng lui

Moo: Go Klang remember "ta pau" bak kut teh for me !
Kit : Yes Boss...

Then I found this balloon inside the student lounge, too bad no birthday present for me, whose balloon is this? I will destroy it!

Who got photos to share ? Please let me know or send it to me ok ? Thanks!

This new semester started so early, so sien one day before birthday still need to wake up so early at 6a.m. and go to Hospital Kuala Lumpur for my first day of hospital attachment. After briefing ends at 9 a.m., 5 of us (Jivanti, Kai Shing, Cathy and Diayana) who were assign to Oncology ward should be allowed to go back straight away rather than waiting the pharmacist in-charge to handle us who never shows up until 3 p.m. and was still busy with meeting until then.

Each hospital got the pros and cons, HKL usually allows you to go home earlier, got a lot of cases but it isn't really a teaching hospital. Moreover it covers a huge area, sometimes you need to walk a lot to reach you destination and not many of the department are equipped with air con. So stop complaining la to those people who went to Seremban and Klang... hahaha I see u good u see me good only.

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