UBAT TAHAN SAKIT , DEXAMETHASONE, KASUT SKECHERS , INSOLE & IJMAL
Kisah ni dah few days or some day around last week kot. Bila dekat komuniti ni banyak je kisah kisah, cuma kadang tak dan nak kongsi.
Sometimes i feel like i need to share jugak the story so that atleast that education part sampai to others indirectly or directly.
Now a bit hectic, sebab staff lama tinggal 2 orang, ada 2 new staffs. Volume orang datang pun increase tapi the 2 staffs is still under training.
So memang pagi tu rushing, i bukak shutter tak dan i angkat barang i dari kereta kedalam dah beratur orang menunggu.
So i perasan an indonesian couple waiting outside while entertain others, lepas dah setel diorang masuk last sekali.
And diorang actually nak check gula. Ikutkan kami dah stop sekejap check gula ni unless special cases. So lepas ask few questions i guess i need to check their glucose level.
Ternyata tinggi jugaklah. And dah dua tahun tak pergi follow up due to covid and everything. So ni mende common, i advice and refer to doctor. This session pun dah panjang lebar.
Tapi the story tonight bukan nak cerita pasal diabetic care.
So lepas dah setel everything , rasa dah bertenang. I thought i wanna go out and take my things from the care nak bawak masuk.
Sekali lagi the indonesian lady say sorry and nak tanya soalan.
She took out beberapa envelope ubat. Some from our farmasi, and some from another clinic.
So she was asking about dexamethasone, dia query ada satu malam dia nak beli ubat tapi we decline her steroid (dexamethasone) purchase.
She said she took that and lega selepas doctor bagi, and she wants that again.
Steroid usage long term ni if siapa follow i tahu i sangat particular and memang educate bab ni. Memang kami usually decline purchase , educate and mintak refer doctor.
I nak clarify and educate pasal steroid i believe my staff dah buat. So instead jump terus kat steroid awareness i tanya dulu issue dia apa, the reason why dah berbulan - bulan almost a year bergantung ubat tahan sakit & steroid.
So issue dia the punya ankle swolen and the problem lies actually sebab dia dapat kerja baru which needs her to walk and stand for more than 8 hours / day.
Definitely akan bagi burden to her ankle and foot.
Check BMI slightly overweight.
Bila tanya kasut yang digunakan for the whole working time memang nipis and not suitable sangat for work sebab dia macam kasut biasa.
Not even sneakers.
So issue dia bukan nak selesaikan sakit sekejap, but issue dia to prevent sebenarnya.
Sampai bila nak bergantung ubat tahan sakit & dexa?
Solution suruh cucuk steroid and pain killers pun hanya selesaikan masalah sementara.
It doest address the real issue why the pain exist.
So selain bab ubat i explain, i suggest few other things sebab prevention is definitely better.
So i bagitahu, if makan dexa or pain killers pon, itu hanya temporary solutions yang if tak kawal it might risk her health further down the road.
So selain pharmacotherapy, i suggest alternative lain and i really hope if korang ada sesiapa yang alami mende ni tolong alert or maybe you yourself ada problem ni.
Bila ada masalah macam ni selain ubat kena address the underlying issues.
Bukan suruh dia tukar or berhenti kerja ye tapi more of suggest ways non-pharmacotherapy (bukan ubat) to ease her working days;
1. Foot care after work- i suggest after long hours at work. Balik tu macam everyday or 2-3 hari sekali rendam kaki tu dalam satu besen air suam and boleh letak epsom salt. Ni adalah to relax the ankle area selepas seharian ankle to tambung badan kita berdiri.
2. Rest & Relax - masa kerja maybe every 1-3 hours tu regangkan otot ankle tu dengan buat simple movement. Tahu tak macam mana? Ah DM la kalau nak tahu gane 😂 basically bagi kaki tu rehat rehat regang skit.
3. Weight - maybe boleh reduce weight sikit (slowly but surely) atleast near or normalize the BMI. Susah but if dapat turun 1-2kg pun akan lift up the burden dekat kaki kita.
4. Ankle support - ni bagus untuk grip pergelangan kaki kita yang tengah sakit jadi makin sakit. So it restric sikit pergerakan ankle yang secara sudden. Aku nak explain pakai taip ni payah betui 🤣
5. SHOES @ INSOLES! - i cakap, invest sikit dekat kasut kerja yang ada ciri ciri medical sikit OR if taknak beli kasut beli insoles (tapak) yang sesuai (ada dekat farmasi). So i showed her a few; medifeet, ijmal, & skechers, i think banyak lagi tapi masa kat luar th itu je la i terfikir. I cakap mahal sikit, but it is good for your feet long term. Sometimes i bersyukur jugak kerja kedai kasut aunty carol so i do know a bit regarding shoes.
Ubat is ubat.
Tapi if tak selesaikan underlying issues tak guna jugak. Ubat tahan sakit & steroid is not for prolong / chronic use.
So, last tu memang i tolong dia search kat shopee, i bawak keluar jugak insole yang ada kat farmasi.
Cuma insole yang i ada tu from US, so the price is like baik ko beli kasut 😂 (mesti orang kata aku bodo tak tolak barang aku 🤣)
Tapi i simpan sebab ada yang prefer tukar tukar kasut, insole tu memang gunting ikut kaki kita so boleh insert dalam which ever kasut kita ada despite kasut tu takde medical feature. So if letak insole tu still support our foot.
So i tolong dia search dalam shopee and suggest few shops yang ada kasut gitu.
Cuma yang i terlepas pandang nak share is regarding supplements yang boleh bantu kurangkan radang like fish oil/vitamin E for the nerves.
And also pelbagai jenis koyok.
So yes, being in community pharmacy is not just about ubat je, ada banyak suggestions lain.
People datang farmasi from all kinds walk of life.
Tapi nak consult macam ni, sometimes ada kekangan masa. Masa i consult this patient pon dekat luar (parking depan farmasi), dah few keluar masuk kat farmasi. I nervous ye sebab staff baru tapi mujur my PA ada pengalaman kerja farmasi 10 tahun boleh tolong backup i.
Thats why i ambil masa nak train staffs yang boleh deliver. Sebab i need them to be able to deliver the same. Tapi diorang memang kena minat la nak tolong public, bila minat baru ada rasa nak belajar and bantu orang.
Jadi i share sini, so that atleast korang dapat rough idea what to do selain beli ubat. Or maybe kot la ada pernah mai farmasi i tak dan explain gini.
If ada kawan farmasi or anybody nak tambah please do share dekat komen. I want to learn more too.
Sekian coretan i.
Banyak lagi nak cerita tapi itulah, nak cerita ni kadang ambil masa nak taip balik.
Nak live pun takut banyak gangguan.
But i try my best to spend tine whenever i can to write it down so that atleast boleh jadi reference not only to others actually but myself too in the future.
Sebab kadang i tak sempat explain, so i share link posting posting lama i.
Sekian,
Elyana Yazmin
A community pharmacist dekat sebuah tempat terpencil di Segamat 🤣
#FarmasiYayasan
Additional info:
- since takut ada diabetic. Foot care sangat crucial for this lady. So i memang ada add sikit jaga part elak luka, and if luka what to do. Tapi brief je sebab my focus is her ankle yang always sakit.
