🚨 Diary of a Clinical Pharmacist - Another day grinding in the trenches of our Naija health system.
Good morning, family! 💊
Woke up 5:45 AM, said my prayers quick breakfast of oats banana groundnut (trying to eat healthier these days 😂).
Beat the crazy morning traffic by a whisker and landed at the hospital by 7:20 AM. White coat on, ready for whatever comes.
Prayed for zero major errors and plenty of patience today.
Let’s go!
8:00 AM – Morning brief & Ward Round (Paediatrics Medicine)
Stock-out alert again: Amoxicillin suspension low, some key antihypertensives missing. Raised it in the meeting – “Oga, patients dey suffer o.” The usual “revolving fund delay” reply. We dey manage.
Joined the team round. Reviewed charts for 8 kids and adults.
⚡Caught a potential dosing issue in a 4-year-old with malaria: Artesunate dose was a bit high for weight. Adjusted with the resident
⚡ prevented possible toxicity.
⚡ Counselled a new hypertensive mum (postpartum): Explained why we separate her calcium tabs from iron (they fight for absorption!). Used orange juice timing hack. She called me “Doctor Pharm” 😂 – I corrected gently but smiled inside.
⚡Flagged a risky combo: Patient on digoxin furosemide with low potassium signs. Recommended supplement monitoring. Team accepted immediately.
Small wins = big patient safety.
10:30 AM – Outpatient Dispensing Chaos
Long queue as usual. NEPA took light twice – generator came late, fans stopped, everyone dey sweat. Screened 60 scripts:
⚡ Caught wrong strength of paediatric paracetamol (overdose risk for a 7kg baby – changed it sharp).
⚡ Educated a diabetic patient on metformin meals: “No take am on empty stomach o, e go scatter your belle!”
⚡ One elderly man with hypertension tried arguing for “stronger injection” instead of his tabs. Spent extra 5 mins explaining adherence lifestyle (local veg like ugu, beans, walk small-small). He left laughing and promising to try.
In between, quick teaching for my intern: “Always ask the 6 questions; right drug? Interaction? Counselling points? Non-drug advice?”
12:15 PM – Lunch Break (The Real Fuel)
Tuwo miya kubewa from cafeteria cold zobo (my weakness 😋).
Used the time to make a tweet and replied a worried WhatsApp from a former patient: Her BP meds side effects. Adjusted counselling and told her to come for review.
1:30 PM – Inpatient & ICU Support
⚡ Prepared TPN additives carefully for a malnourished patient.
⚡ Briefed nurses on proper reconstitution of IV antibiotics (ceftriaxone this time).
⚡ Urgent drug info call: Safe pain management for a pregnant patient with sickle cell crisis. Recommended paracetamol hydration protocol over risky NSAIDs. Updated the chart and documented.
Another intervention locked in. In this system, we are the quiet last line of defence.
3:45 PM – Store Check & Advocacy
Low stock on insulin and salbutamol nebules again. Wrote another strong memo. “We cannot keep saying ‘out of stock’ to desperate patients!” Enough is enough – advocacy never stops.
4:00 PM – Final Counselling & Close
Counseled a young man newly diagnosed with asthma: Showed inhaler technique (many people spray wrong!), explained triggers, and gave simple local tips (avoid cold drinks at night, dust control). He left confident.
Signed out tired but fulfilled. Traffic jam on the way home gave me time to reflect and thank God. Family dinner waiting – my wife’s jollof never disappoints. Then rest, pray, and plan tomorrow.
Tired but proud. We educated, intervened, advocated, and humanised care in a tough environment. Stock-outs, power issues, long queues – yet patients leave better informed.
What’s one challenge or win you’ve had this week in healthcare? Drop below 👇 Let’s learn from each other.
Patients first, always. Thank you Jesus for the strength. 💪🙏
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