A Pharmacist reply to Pakistan Medical and Dental Council (PM&DC)

PMDC published an article in the newspapers stating  

 

 
"No one except MBBS and BDS practitioners can use the prefix Doctor in settings related to Patient care and safety."

 

 and later in that article they pointed out that the use of prefix "Doctor" from Pharmacists , Physiotherapist , nutritionist and others, misleading common people, promoting quackery and increasing health problem for the community and the governments. This article is attached to this blog for reference. I am going to discuss this article in two different perspective i.e. legal and scientific perspective. 

 

Legal Perspective 

 

First, Let me break down the notice by PMDC to understand it better. This article has two parts, one is PMDC Official 1962 Ordinance "section 28" amended through "Act number XIX of 212" published as it is and the second part is the resolution of the members of PMDC on their 138th session. We have to understand that the resolution is passed on the basis of section 28. 

 

I believe that section 28 of PMDC doesn't restrict Pharmacists to use prefix "Doctor", So whatever is written in the resolution is null and void .I believe that members of PMDC has passed a resolution which is against their ordinance .Let me explain how section 28 doesn't restrict Pharmacists to use prefix "Doctor" 

 

As per section 28 of Pakistan Medical & Dental Council (PMDC) Ordinance 1962 amended through Act number XIX of 212 Fraudulent representation is defined as 

1)Whoever falsely pretends to be registered under this Ordinance as a medical practitioner or dentist  

 

2)uses with his name or title any words or letters representing that he is so registered with the Council or uses the word "doctor" without legal basis  

 

Pharmacists doesn't fall under fraudulent representation because they are not registered under PMDC ordinance and using the prefix Dr legally. I think members of PMDC doesn't know that Pharmacists has their own central council known as " Pharmacy Council of Pakistan (PCP) " and they are legally bound to use this prefix from PCP.I have worked at the 600 bedded and the only JCI accredited hospital of Pakistan and our ID cards has the prefix of Dr even after the publication of this article. 

 

Scientific Perspective 

This article charged Pharmacists with some serious allegations i.e. misleading the common people, promoting quackery and increasing health problem for the community and the governments. Being a healthcare professional I believe in evidence base practice. I would love if any member of PMDC can produce a one single research article stating that restricting the prefix "Dr" to MBBS and BDS practitioners can help alleviate quackery. 

If someone from the PMDC is reading this article let me tell you what Pharmacist do and with scientific evidence. 

• Pharmacists reduce the number of people who end up in the hospital. Source: http://www.ncbi.nlm.nih.gov/pubmed/23450614 
• The government saves up to $2.50 for every $1.00 spent on pharmacy medication management services. Source: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4212445/ 
• More people get their blood pressure under control when pharmacists provide clinical services Source: http://www.ncbi.nlm.nih.gov/pubmed/20614422 
• More people are vaccinated in areas where pharmacists can give injections Source: http://www.ncbi.nlm.nih.gov/pubmed/15161077 

  

Rangeela Asks PMDC 

• is PMDC the sole flag bearer of patient safety and patient care? 
• Do the members of PMDC thinks that except MBBS and BDS every other health professional is practicing quackery? 
• Is there any conviction regarding restricting professionals from their legal right? Six month imprisonment or Fine ? 

 

*Trust me he is the savior to this Profession.

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The Forgotten Herb

It is rightly said

"Never mess with a Pharmacist ; he knows a million ways to kill you" 

- Junaid Serial Killer (PharmD)

I believe there are many weapons to take revenge from anyone and today I am going to write about one of those weapons known as "Jamal Ghota".I am going to make you aware of the Pharmacognosy of Jamal Ghota because you cannot find it in any textbook.I know you are thinking this is something to do with your neighbour Jamal but trust me its not.

Jamal Ghota is a herb that is related to two plants i.e. Croton tigilium and Jatropha curcas.It belongs to the family that you have read a lot in the your textbooks I.e Euphorbiacae.It is one of the most powerful laxative known to man.In chinese it is known "ba dou".

Fatal Dose :

It is extremely toxic 4 seeds or 20 drops of croton seed oil can kill an adult and it can also be used as slow poison.

Mechanism of Action :

Croton seeds contain chemicals that irritate stomach and intestine. It falls into irritant laxative category.

Doses and Indications:

• If some one is teasing you,serve him Nihari with 0.3 gm of powdered croton Seeds. Believe me rest of his day is going to be spent in bathroom.

• If you wan't to slow poison someone and don't want to caught by the CID team of Shivaji Satam; Offer him some drink with 0.1gm of powdered croton seeds everyday

Pregnancy Category: X

Points to Remember:

• It is nothing to do with Jamal.
• 4 and 20 is the magic number.
• Please Don't share this post with my Pharmacognosy Teacher.

Rangeeniyan #3 : Frequently Asked Questions (FAQ)

Pharmacist in Pakistan is frequently exposed to same questions again and again and they are really tired of answering these questions repeatedly.

RPh is tired of answering these questions to all the uncle and aunties of the family.RPh is very much irritated with this situation and from now on he has decided to reply every question with sarcasm.

This blog contains all the FAQs with Rangeela's Answer and actual answer.RPh will try to write it as simple as possible so as to meet the I.Q level of those uncle and aunties

Following are these FAQs

Q) What is your qualification?

RPh : "Pharm-Deeh" 
Answer: Pharm-D

Q) So what do you basically do?

RPh : "Puncture lagata hun!!" 
Answer : Pharmacist is involve in every step related to drugs use and its manufacturing, from extracting compounds from the plants to manufacture it in different formulation and finally making sure that these drugs are used appropiately.

Q) Your name has a Prefix of Dr. ,Are you really a Dr.?

RPh: "Nai , Asal mai main Tire ka Engineer hun.Bataya na Puncture lagata hun!!."
 Answer: Yes I am a Doctor but you have to understand this that I am Pharmacist not a Physician.

Q) So What is the difference b/w a Physician and a Pharmacist?

RPh: "Jaisa billi Sher ki khala hoti hai waisa he Physician or Pharmacist hotay hain "
 Answer : Physicians are involve in diagnosing diseases and prescribing medications.Physicians usually consult Pharmacist to apropiately prescribed  medications with their right dose , frequency and duration. Pharmacist frequently intervene Physicians when these medications are not apropiately prescribed.

Q) You intervene them? does this mean that Pharmacist are more qualified than Physicians?

RPh : "Galti hogai baye ab nai karunga Intervene !!" 
Answer : No, this doesn't mean that Pharmacist are more qualified. Physicians are experts in their own field while we are experts in our own field.Both Physician and Pharmacists are a part of health care team with a single goal of Patient care.There are instances where Physician and Pharmacist conflict but this is just for the sake of Patient care.

Q) I have seen Pharmacist working in Pharmaceutical industries ,what they basically do?

RPh : "bus Asan sa kam hai! kuch machino k Nut tyt krnay hotay hain"
 Answer: There are a lot of departments in Pharmaceutical industries where the expertise of a Pharmacist is needed like QC , QA ,Production ,Sales and Marketing , R&D etc.They have different roles and responsbilities in these department.

Q) I have also seen a few of Pharmacist working in a medical store? what they are doing there?

RPh: "Dhoodh bechtay hain!!  Ap ko kitnay litre chaiya?
 Answer: This is the role where Pharmacist is directly helping community.Their responsibilities involve counselling the Patients about the usage of their medication.They counsell about when to consult their Physicians if they are expirencing any side effects with these medications and also when to stop taking those medications or continue till your Pharmacist or Physicians instruct you to stop it.

You might have expirienced these questions or not but now you know how to handle these kind of questions.You can choose to answer like RPh or the actual answer.

*Trust me he is the savior to this Profession.

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Help Me Out: An Inventory Paradox Results

The Original Question was:

Let suppose we have a limitation to physically move products from location A to B and we have to balance this inventory by making a system transaction.

The question is what transfer you have to make on system to balance this inventory?

Location A				Location B
	Physical	System	Difference		Physical	System	Difference
Product X	2	4	-2	Product X	6	4	+2
Product Y	4	2	+2	Product Y	2	4	-2

And Choices were:

·         Product X from Location B to A and Product Y from Location A to B

·         Product X from Location B to A and Product Y from Location B to A

·         Product X from Location A to B and Product Y from Location B to A

·         Product X from Location A to B and Product Y from Location A to B

 

The right answer is: Product X from Location A to B and Product Y from Location B to A

The survey results have shown that only 25% of participants come up with the right answer.

The key to solve this kind of problem when adjusting an inventory is that a difference of Positive means that you have to transfer  that item to this location to balance the inventory while a difference of negative means that you have transfer that item from that location to balance the inventory. You can easily remember this by a simple pneumonic mentioned below

“Positive is to attract and Negative is to repel”