{"id":4889,"date":"2015-08-29T01:10:20","date_gmt":"2015-08-28T22:10:20","guid":{"rendered":"http:\/\/www.ced.org.tr\/?p=4889"},"modified":"2015-11-08T19:52:07","modified_gmt":"2015-11-08T17:52:07","slug":"devit-3-ampulu-bir-dilim-ekmege-kirma-egitmeni","status":"publish","type":"post","link":"http:\/\/www.ced.org.tr\/?p=4889","title":{"rendered":"Devit-3 Ampul\u00fc Bir Dilim Ekme\u011fe K\u0131rma E\u011fitmeni"},"content":{"rendered":"<p>28.08.2015<\/p>\n<p>eczanemin telefonu \u00e7ald\u0131, kar\u015f\u0131daki ki\u015fi araba ile eczaneme nas\u0131l gelinece\u011fini soruyordu. noluyoruz, g\u00fcnd\u00fcz g\u00fcnd\u00fcz n\u00f6bet\u00e7iyim de haberim mi yok, s\u0131caklardan beynim mi buland\u0131 diye d\u00fc\u015f\u00fcn\u00fcrken arayan ki\u015fiye eczanemin yerini tarif ettim.<\/p>\n<p>5 dakika sonra g\u00fcnde 1 defa yap\u0131lan uzun etkili ins\u00fclin \u00fcreten bir firman\u0131n &#8220;kalem e\u011fitmeni&#8221; oldu\u011funu s\u00f6yleyen bir han\u0131mefendi geldi. hastan\u0131n adres ve ki\u015fisel bilgilerinin yan\u0131s\u0131ra cep telefonu numaras\u0131na da sahip olan bu ki\u015fi, M.\u00c7. isimli hastam\u0131 bekledi\u011fini, biraz sonra hastam\u0131n da buraya gelece\u011fini ve kendisine ins\u00fclin kullan\u0131m\u0131yla ilgili e\u011fitim verece\u011fini s\u00f6yledi. ben durumu alg\u0131lamaya ve hastam\u0131n benden ne zaman ins\u00fclin ald\u0131\u011f\u0131n\u0131 hat\u0131rlamaya \u00e7al\u0131\u015f\u0131rken hasta e\u015fiyle birlikte birden i\u00e7eri girdi.<\/p>\n<p>me\u011fer as\u0131l hasta olan bana yakla\u015f\u0131k 1 ayd\u0131r gelen M. amcan\u0131n e\u015fi K. teyzeymi\u015f ve \u00fc. e\u011fitim ve ara\u015ft\u0131rma hastanesindeki doktoru art\u0131k ins\u00fclin kullanmas\u0131 gerekti\u011fine karar vermi\u015f. neyse.<\/p>\n<p>e\u011fitmen ba\u015flad\u0131 ins\u00fclin kalemini nas\u0131l kullanaca\u011f\u0131na, neresine yapaca\u011f\u0131na, vs. ben e\u011fitmen oldu\u011funa g\u00f6re herhalde bilmedi\u011fim baz\u0131 noktalara da de\u011finir diye d\u00fc\u015f\u00fcn\u00fcrken bilmedi\u011fim hi\u00e7bir \u015fey s\u00f6ylemedi. hatta ileriye gidip hastan\u0131n art\u0131k hap yutmamas\u0131 gerekti\u011fini, haplar\u0131n b\u00f6breklerine zarar verdi\u011fini, ins\u00fclinin ise zarars\u0131z oldu\u011funu s\u00f6yledi. beslenme ve diyetle ilgili tavsiyelerde de bulundu. ne de olsa arkada\u015f e\u011fitmen ya!<\/p>\n<p>M. amca ise durumdan rahats\u0131z oldu\u011fumu hissetmi\u015f olacak ki &#8220;kusura bakma evlad\u0131m biliyorsun senden al\u0131yoruz art\u0131k ila\u00e7lar\u0131 ama doktor han\u0131m bizi eczaneye y\u00f6nlendirdi ve &#8220;ila\u00e7lar\u0131 al\u0131n gelin, do\u011fru ilac\u0131 m\u0131 ald\u0131n\u0131z g\u00f6r\u00fccem&#8221; dedi, dedi.<\/p>\n<p>&#8220;\u00f6nemli de\u011fil, s\u0131kma can\u0131n\u0131&#8221; dedim M. amcaya, elindeki \u0130. Eczanesi bask\u0131l\u0131 bez torbaya bakarak.<\/p>\n<p>o esnada araya giren kalem e\u011fitmeni demesin mi ki &#8220;evet doktorlar \u00f6yle s\u00f6yl\u00fcyorlar \u00e7\u00fcnk\u00fc eczaneler bazen yanl\u0131\u015f ila\u00e7 veriyorlar&#8221; diye. o anda mesleki \u015fovenizmim bir anda pik yapt\u0131\u011f\u0131ndan e\u011fitmen hamfediye a\u011fz\u0131n\u0131n pay\u0131n\u0131 vermek istesem de hastalara huzursuzluk vermek istemedim.<\/p>\n<p>&#8220;sizin ilac\u0131n\u0131z\u0131n e\u015fde\u011feri mi var?, yanl\u0131\u015f ila\u00e7 ne demek? ayr\u0131ca doktorun y\u00f6nlendirme yapmas\u0131 da yanl\u0131\u015f, de\u011fil mi e\u011fitmen han\u0131m&#8221; demekle yetindim. evet hakl\u0131s\u0131n\u0131z dedi. ama tepem atm\u0131\u015ft\u0131 bir kere, yine de sakince i\u015flerinin bitmesini bekledim.<\/p>\n<p>e\u011fitmen anlatt\u0131k\u00e7a sanki bu ulvi bilgiyi bilen tek ki\u015finin kalem e\u011fitmenleri oldu\u011funu zanneden hastalar\u0131m e\u011fitmen han\u0131ma hasta olmu\u015ftu bile. &#8220;yapamazsak sizi arayabilir miyiz&#8221; diye sordu e\u011fitmene \u00e7i\u00e7e\u011fi burnunda ins\u00fclin hastas\u0131 K. teyze. &#8220;tabi ki&#8221; dedi e\u011fitmen hamfendi. ben de araya girerek &#8220;bizi de arayabilirsiniz, bunlar\u0131 biz de biliyoruz&#8221; dedim ezik\u00e7e.<\/p>\n<p>hastalar gidince kalem e\u011fitmeninden kalmas\u0131n\u0131 rica ettim. eczanelerin yanl\u0131\u015f ila\u00e7 verme mevzusunu anlayamad\u0131\u011f\u0131m\u0131, konuyu biraz a\u00e7mas\u0131n\u0131; eczac\u0131n\u0131n istese de yanl\u0131\u015f ila\u00e7 veremedi\u011fini, sistemin buna m\u00fcsaade etmedi\u011fini, etse de sgk&#8217;n\u0131n bunu kabul etmeyece\u011fini; firmalar\u0131n\u0131n ilac\u0131n\u0131n zaten e\u015fde\u011feri olmad\u0131\u011f\u0131n\u0131, e\u015fde\u011feri olsa da bunu vermenin eczac\u0131n\u0131n yasal hakk\u0131 oldu\u011funu; doktorun y\u00f6nlendirme yapmas\u0131n\u0131n da yanl\u0131\u015f oldu\u011funu, her\u015feyin fark\u0131nda oldu\u011fumu; gelmeden \u00f6nce taraf\u0131ma bilgi verilmesi gerekti\u011fini; firmalar\u0131n do\u011frudan hastalarla ileti\u015fim kurmas\u0131n\u0131n da mevzuata ayk\u0131r\u0131 oldu\u011funu; anlatt\u0131klar\u0131n\u0131 da zaten bizim de bildi\u011fimizi ve konu mankeni olmad\u0131\u011f\u0131m\u0131z\u0131 s\u00f6yledim.<\/p>\n<p>e\u011fitmen hamfendi cevaben; eczanenin yanl\u0131\u015f ila\u00e7 vermesine g\u00f6zleriyle \u015fahit oldu\u011funu, eczanelerin hastalar\u0131n raporlar\u0131n\u0131 de\u011fi\u015ftirterek ila\u00e7lar\u0131n\u0131 de\u011fi\u015ftirtti\u011fini savundu. (hem raporu hem de re\u00e7eteyi de\u011fi\u015ftirtebilecek g\u00fc\u00e7teki bu eczac\u0131n\u0131n elini \u00f6pesim geldi tabi o an, neyse) yapt\u0131klar\u0131 i\u015fin sa\u011fl\u0131k bakanl\u0131\u011f\u0131ndan onay al\u0131narak yap\u0131ld\u0131\u011f\u0131n\u0131, kendisinin \u00fc.e.a hastanesine \u00e7al\u0131\u015ft\u0131\u011f\u0131n\u0131, normalde bu i\u015fi hastanede S. ve Z. adlar\u0131nda iki hem\u015firenin yapt\u0131\u011f\u0131n\u0131, iki hem\u015firenin de ins\u00fclinleri ald\u0131rtmadan asla e\u011fitim vermedi\u011fini, hastan\u0131n \u00fc.e.a&#8217;dan geldi\u011fini, hem\u015fireler bug\u00fcn orada olmad\u0131\u011f\u0131 i\u00e7in hastan\u0131n talebi \u00fczerine benim eczanemde e\u011fitim verildi\u011fini s\u00f6yledi.<\/p>\n<p>tart\u0131\u015fma benim \u201cyanl\u0131\u015f ila\u00e7\u201d konusuna takmamla b\u00fcy\u00fcd\u00fc ve e\u011fitmen buna tan\u0131k oldu\u011funu, hastan\u0131n sa\u011fl\u0131\u011f\u0131n\u0131 d\u00fc\u015f\u00fcnd\u00fc\u011f\u00fcn\u00fc, bunun onun g\u00f6revi oldu\u011funu s\u00f6yleyince ve kendisine buras\u0131n\u0131n da benim eczanem oldu\u011funu, anlatt\u0131klar\u0131n\u0131 bizlerin zaten bildi\u011fini, kendisinin de sgk m\u00fcfetti\u015fi olmad\u0131\u011f\u0131n\u0131 hat\u0131rlatt\u0131m.<\/p>\n<p>e\u011fitmen hamfendi onu bu \u015fekilde ele\u015ftiremeyece\u011fimi s\u00f6yleyerek eczaneden \u00e7\u0131kt\u0131 gitti.<\/p>\n<p>daha diyabet hastas\u0131na beslenme, ila\u00e7 kullan\u0131m\u0131 ve ya\u015fam tarz\u0131 ile ilgili ulvi bilgiler veren bu arkada\u015fa mesle\u011fini bile soramam\u0131\u015ft\u0131m oysaki..<\/p>\n<p>\u00f6zetle; \u00f6zellikle pahal\u0131 ve kronik ila\u00e7lar\u0131 olan uluslaras\u0131 b\u00fcy\u00fckl\u00fckteki ila\u00e7 firmalar hastalar\u0131 eczac\u0131s\u0131z bir sa\u011fl\u0131k hizmetine al\u0131\u015ft\u0131rmak istiyorlar. ama\u00e7lar\u0131 eczac\u0131n\u0131n mesleki kar\u0131n\u0131 da kendine ay\u0131rmak. bu alanda giri\u015fimleri oldu\u011funu da zaten biliyoruz.<\/p>\n<p>&#8220;insulin kalem e\u011fitmeni&#8221; de hastalar\u0131 eczac\u0131s\u0131z sa\u011fl\u0131k hizmetine al\u0131\u015ft\u0131rmak i\u00e7in bir ba\u015flang\u0131\u00e7 sadece.<\/p>\n<p>yar\u0131n inhaler e\u011fitmeni, nebulizat\u00f6r e\u011fitmeni, oral bas\u0131\u015f e\u011fitmeni, s\u00fcppozituvar e\u011fitmeni ve hatta devit-3 ampul\u00fc bir dilim ekme\u011fe k\u0131rma e\u011fitmeni icat edilirse \u015fa\u015f\u0131rmay\u0131n.<\/p>\n<p>yani bu \u00fclkede sa\u011fl\u0131k s\u00f6z konusuysa herkes her\u015feyin e\u011fitmeni olabiliyor; ancak bizim bilgisi k\u0131t, e\u011fitimi yetersiz eczac\u0131 bir ins\u00fclin kalem e\u011fitmeni kadar bile olam\u0131yor.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>28.08.2015 eczanemin telefonu \u00e7ald\u0131, kar\u015f\u0131daki ki\u015fi araba ile eczaneme nas\u0131l gelinece\u011fini soruyordu. noluyoruz, g\u00fcnd\u00fcz g\u00fcnd\u00fcz n\u00f6bet\u00e7iyim de haberim mi yok,&#46;&#46;&#46;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[59],"tags":[],"class_list":["post-4889","post","type-post","status-publish","format-standard","hentry","category-ecz-murat-gumus"],"aioseo_notices":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/4889","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4889"}],"version-history":[{"count":10,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/4889\/revisions"}],"predecessor-version":[{"id":4900,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/4889\/revisions\/4900"}],"wp:attachment":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4889"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4889"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4889"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}