20. Hosp Pharmacy -Th' Committee - My Experience - 4

Well, I attended the Monthly Clinical meeting, chaired by the District Surgeon.

The District Surgeon briefly introduced me along with other new doctors to every one. latter, each of us stood up and briefed our profile.

There were 3 cases on the agenda. 3 patients were waiting in the wings.

One by one the doctors who were treating those patients brought in their patient introduced the case, explained the typicality and specific nature of the case, the investigations they got done to confirm some issues and to rule out some other suspected possibilities

latter, it was an open session.

Doctors had quite a good grilling.

There were suggestions to carry out some other investigations also, which the doctors gracefully accepted and in certain cases argued out that it was not necessary

I kept quite keenly listening to the talks and discussions and was a silent spectator.

I got a call to attend the next meeting also, this time 3-4 days in advance.

In this meeting after their session was almost complete, I raised my hand and the District Surgeon announced, hei, look our pharmacist wants to say something.

In my talk, appreciated the proceedings and requested the doctors whether they could extend the discussion little further to cover the medication regimen.

I could see a surprise look on their face. The doctor who had presented the case said Mr Bhagavan, I mentioned the line of treatment also.

I said, agreed sir, but my view is we are using the hospital generics as well as the commercial brands in this hospital. I would like to know whether your patient was on hospital generics or on branded product.

Why it is so important? one doctor asked me.

I had to be very cautious.

Without bringing in any offending discussion, I said, now we are not giving any feedback to the Directorate on the quality of drugs supplied. If we really feel the hospital generics are not effective, we can make a case to better the quality of supplies.

Everybody felt relaxed, District surgeon was very happy.

One of the doctor said how can we study the issue.

I said I can help you on this issue. All I need is your permission to see and study your case sheets.

I will collect the data, prepare a report without disclosing the name of the patient and come to you for discussion. Jointly we will analyze. The summery of the outcome could be discussed in this meeting.

Dr Shivananda the Physician immediately agreed and said;
Mr Bhagavan, I have no objection if you want to go through my case sheets in the Sharavati ward.

Next day, I went to the ward at a time when Dr Shivananda was coming out of the ward. He waived at me and asked me what I wanted. I requested him to introduce me to the sister and instruct her to help me.

He put his hand on my shoulder, took me inside the ward, called the sister and said
"Me and Dr. Bhagavan' have taken up a study. I have permitted him to see all my case sheets. Please help him"

The phrase "ME AND Dr,BHAGAVAN" ... was something which I had not expected. But it made a big difference for me and made my life comfortable on job.

I started my studies. Every day I made it a point to visit the ward in the afternoon and meet Dr Shivananda once in 3 days.