Phone call at 10.45pm. I must have been asleep for half an hour. Grappled in the dark for the phone. Where's the phone. 085 number. . . OH! T_T . . Operator went hello, on call pharmacist ke and immediately connected me to DrA, who rattled off things that I couldn't quite catch, groggy as I was at that time, and blur as I was, seeing that was my first call. All I heard was A&E, fits, phenytoin and a Can you come now? As if I can not come. . . A&E is oddly meriah at night. Went inside to grab the blood sample from DrS, who went on to explain that the patient is a chronic alcoholic, despite being warned many times and at least 3 trips to the A&E for uncontrolled fits. DrS went on to ask if alcohol is inducer or inhibitor of phenytoin metabolism. In my head I was like, no, dont ask me now, because even standing was a conscious effort. But ya la, it's an inducer. . . Getting into the TDM unit at night is like trying to find my way in a maze. First to the operator to get the keys to hemodialysis unit, to get to the pharmacy pintu rintangan api, to get to the IPD, to get the keys to OPD, to get the reagents to TDM. . . Luckily Ms P and Ms S came along, one has been attached to TDM, one to IPD, so between the 3 of us, we worked quite fast. Thank God, if not it would have taken longer. Then with the results back to A&E, the phenytoin level much too low, which is why patient is still seizing. So please don't drink if you're on phenytoin. At least, lying on the bed, the patient was the picture of utmost contrition. Until of course, his next visit to A&E. Sigh. So degil. . . And I was back at home a little over midnight. The end.