Showing posts with label Health. Show all posts
Showing posts with label Health. Show all posts

Wednesday, March 25, 2020

PPE for COVID-19

Challenging times call for action.

I am posting this in face of the potential (read "likely") shortage of PPE (personal protective equipment) that my healthcare organization will face given that we are only at the beginnings of the COVID-19 curve here in Metro Vancouver, B.C., Canada.

In our clinical managers meeting today (March 24th 2020), the company's COVID-19 response team has told participants that if we are able to source for PPE supplies, to buy them (if the amount is small) or place a hold on the supply (and inform Directors/COVID-team to complete the bulk purchase). This includes overseas suppliers!

And thus today, I sent out an email to a supplier of the ST Engineering designed NIOSH standard N95 masks. In the current situation where there is a global shortage, I am not holding high hopes; but still "if we don't ask, we won't get", right? *fingers crossed*

Some side notes:

1. Singapore's response to the COVID-19 challenge has been impressive when seen from Canada where I am. The only areas of improvement I can think of are:
  • COVID-19 testing booths akin to the South Korean approach to increase public assess to testing.
  • Encourage the population to use washable/reusable fabric face masks when in public spaces, e.g. those commonly seen being worn in Hong Kong, Taiwan, and South Korea. This may help to reduce the risk of asymptomatic spread in the community and also build the mindset to reserve the disposable surgical masks for healthcare workers.
  • Possibly close schools and/or non-essential services for a period of 14 days to support social distancing and reduce risk of community spread. After all, the June school holiday period can be shortened to cover the short-term loss of school days.
2. Canada is a big country with multiple levels of governance and a strong emphasis on human rights/freedoms (including rights to personal privacy). Canadians have not seen the worst of SARS, and some may have prejudicial/out-dated views about Asia. Occasionally, I want to *facepalm* the official message(s) sent to the public, not to mention some chaos I hear about the behind-the-scenes situations. Pros-and-cons, we can't win it all, eh?

And so, back to PPE for the current COVID-19 situation in Canada. Here's hoping someone, somewhere, with the right connections to some higher authority, sees this message and is able to (re-)direct some supplies our way.

Meanwhile, take care and stay safe, everyone!

[Update on 24-Mar-2020]

If anyone has PPE to donate, please contact SafeCare BC - "Operation Protect". Quote from their website: "SafeCare BC is an industry funded, non-profit association working to ensure injury free, safe working conditions for continuing care workers in BC". Operation Protect is a donation drive to raise PPE given the current COVID-19 challenge, and SafeCare BC will work with BC's Ministry of Health to distribute these supplies to various healthcare sites.

http://www.safecarebc.ca/operationprotect/

Thursday, February 13, 2014

Death, illness, recovery

It has been a strange start to this Chinese Lunar New Year -- Year of the Yang Wood Horse. 

Someone passed away sooner than expected. 

My good friend PN is down with pneumonia. As she shared, at one point it felt as if she was dying. I know that feeling from experience. Thankfully, she is recovering.

Today, I just learned that another (young) local friend has been admitted into ICU for some days now. He had a cardiac arrest (Code Blue) and a couple of other issues.

I wonder if the universe is trying to send me a message. If so, I hope the message is simply, "You're getting older."

Wednesday, December 04, 2013

Barbaric posse

I just saw a shocking photo of how "Passers-by catch, tie up 'thief' at Chong Pang Market" in Singapore today. You can read The Straits Times online news article here and see The Straits Times Facebook photo here.

IMHO, it is shocking how some commented that the accused deserved the barbaric treatment. From the photo: the accused was tied like an animal for slaughter and his hands and legs looks like they've turned purple -- a clear sign of insufficient blood and oxygen flow. Who will support this guy if his hands and feet are amputated due to tissue death? What makes Singaporeans think that it is ok to be a barbaric posse -- regardless of the crime committed?
[Note: I am not opposed to tying the thief up, but the posse should ensure that it is done in a way that does not harm the suspect. Deterrence should be just enough force applied, not excessive, otherwise IMHO the "deterrence" is really a flimsy excuse for assault.]
In contrast, another story (from Oklahoma, USA) shared on the same Facebook thread by another commenter illustrates how the story could have had a different ended. Long story short: Man stole woman's wallet, woman caught man, offered to pay his groceries, man cried and apologize profusely.
"The last thing he said was, 'I'll never forget tonight. I'm broke, I have kids, I'm embarrassed and I'm sorry.'" -- Yahoo! Shine, Ellen's Good News, Tue Oct 22, 2013.
Think again. Has Singapore devolved back to the Charles Dicken's era?

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[Extracted from The Straits Times online]
Published on Dec 04, 2013 at 8:33 AM

Alert passers-by foiled a theft yesterday, when a man allegedly tried to steal a fishmonger's takings while he was serving a customer.

The 50-year-old stall worker, who gave his name as Mr Ye, had been chopping fish when the thief was said to have snatched about $200 from a container on the counter at Chong Pang Market.

"He stuffed it into a plastic bag, turned around and ran," Mr Ye told Chinese evening paper Shin Min Daily News. "That's when I shouted for help."

His plea caught the attention of other tenants and passers-by, who caught the 55-year-old man and restrained him with cable ties.

Sunday, December 01, 2013

Bang, bang!

Yesterday (Saturday), a group of friends stayed behind to chat after helping a couple to move to their "new" home.
It is generally considered a happy milestone for Asian immigrants to "own" (i.e. pay mortgage) for the roof over our heads. For around half-a-million, it was a nice 2-storied duplex with (IMHO) enough living space for 2 families.
Somewhere along the way, we talked about the movie "Eternal Sunshine of the Spotless Mind". ZS the neurologist amongst us had always been interested in memory -- how it functioned and how it was stored -- which lead him to specialize in neurology, albeit his current research is not related to the memory functions of the brain.

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Anyway, combined with Friday's indoor shooting session, it made me think about the current assumptions on childhood amnesia and how it may possibly lead to under-treatment of childhood PTSD.

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For decades, I have had a recurring dream whereby I was with my older sister (as toddlers) and an adult (possibly an aunt). For some reason, we were squatting in a small alcove created by the concrete sides of the letterbox-mount and metre-tall concrete fully-covered banister and balusters*. In the dream, there was a sense that we were hiding from "bad people" [坏人] who would make use of us toddlers in their evil plots if we were found. After waiting for a while, my aunt decided to check if her friend who lives a unit away was home, as my grandparents' unit was too far down the block. My aunt cautioned us to remain in our hideout and await for her return. My sister said something to me about keeping quiet, and I responded that I understood by making a gun (thumbs up, index finger pointing straight, with other fingers bent) with my hand and mouthed-silently, "Bang, bang!"

[2013 photo of Blk 178 and 177 Toa Payoh Central
*Those who have passed through the "tunnels" (painted with orange strips in the photo above) of Toa Payoh Central apartment blocks would probably understand what I'm talking about.
Sometimes I would wake up at this point in the dream with my heart thumping quickly. Sometimes I would continue to dream on and the "next episode" in the dream would appear. We were now in a "friend's home", i.e. a 2nd or 3rd floor unit of that apartment block. The adults were awaiting anxiously for news that "all's clear". In order to hide their fear and to calm the children down, the adults plied us with yummy sweet warm drinks and a choice delicious cookies. [IIRC, the drinks were Milo, Ovaltine or Horlicks and the cookies were the delicious Kjeldsens Danish butter cookies.] The adults did not even dared to open the windows for fear of attracting the attention of the "bad people" [坏人] and/or stray bullets flying through the window. We kids were also told to stay away from the windows and the door. Eventually, "all's clear" was declared and everyone seemed relieved -- everyone except me. While my heart was no longer thumping, the fear just did not go away.

"It's just a dream", I would coax myself upon waking up, "Everyone gets nightmares of being chased by bad people sometimes."

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One interesting thing that I noticed (as a child) one Chinese New Year was that I had suddenly grown frightened by the loud thumping of the drums during the Lion Dance performances. I have vague memories of previously enjoying those festive performances, so I could not understand that new found fear. In fact, even other loud and sudden "bangs" like the bursting of balloons would make me jump.  I concluded that, too bad, I just grew up to be a Scaredy Cat and tried my best to hide my fears, especially in social settings to avoid being teased.

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One day in 2006 after I got my driver's licence, I was speaking with my older sister on a long-distance call. I remarked how nice it was that, "Now that I have a driver's licence, I no longer have the dream* whereby I was chased by bad people and I found a car (escape vehicle) but I could not use it because I did not know how to drive."
[*Note: That is another recurring dream that I had.]
My elder sister went, "Oh, we were ever running away from robbers before."

I was totally surprised, "Is that so?"

My sister replied in affirmative. We were toddlers strolling around with our aunt at Toa Payoh "New Town" -- at that time it was a newly built satellite-town, when suddenly there was a robbery at a goldsmith shop nearby. Our aunt took us through a "staircase tunnel", crossed the carpark to hide in a "staircase tunnel" of the opposite apartment block. She followed with, "You even made a gun with your fingers and mouthed 'Bang, bang!' Don't you remember?"

I replied hesitantly, "No... Yes... I thought it was just a dream."

But then, my sister proceeded to tell me pretty much the contents of my recurring dream (see above). 

So I went to the public library and researched the newspaper archives. There were 2 goldsmith robbery in the early days of Toa Payoh New Town. [See appendix below.] Based on the dates given, I was only around 2 years-old when the events happened, yet the memories were seared into my brain and returned to me via my subconscious mind (i.e. in my dream state) through the decades. Up until our fateful conversation in year 2006, no one in my family mentioned about that scary event in my young life. Thanks to my older sister for solving this mystery, I no longer have that recurring dream anymore since.

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[APPENDIX A] 
$10,000 GEMS SNATCH

Five armed men took only 3 minutes to grab $10K worth of jewellery from a goldsmith's shop in Toa Payoh Central this afternoon.

The robbers, 4 armed with parangs and one with an axe, walked into Ban Loong Goldsmiths in Blk 185 shortly after 3:30pm.

They herded 3 sisters of the owner and a male employee to the side of the shop and warned them not to make any noise.

While 4 of the men stood guard over them, the 5th with the axe smashed the showcases.

They were scooping jewellery into a paperbag, when the owner Mr Chia Kia Gin, 28, who heard the commotion from the rear, pressed the alarm bell.

The robbers panicked, ran out and escapted in a green car pared at the rear of the shop with a 6th man at the wheels.

Later tonight, police said they were uncertain whether the car was a Morris or Austin 1100. Its number plate was SK 8122. They appealed to those seeing a car with the number plate to contact them.

Mr Chia said he was at the rear when he heard the noise of smashing glass.

"I peeped out and saw the robbers holding up my sisters and employee."

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[APPENDIX B] 
$200,000 double by gangs
- Gerry de Silva, N.G. Kutty

Goldsmith shop and a factory robbed

Armed robbers got away with nearly $200,000 in cash and jewellery in 2 hold-ups just before lunchtime yesterday.

Some 300 girl workers of Atlas Electronics Co. Ltd., a flatted factory in Lower Delta Road, stood petrified as 2 armed men robbed the firm of $70K just after 11:15am.

The money was part of a $107K payroll which had been delivered under police escort only a few minutes earlier.

An arrest

An hour later, 4 armed men strode into Fu-Heng Goldsmiths in Toa Payoh Central and escaped with jewellery worth more than $120K.

The robbers spent only 10 minutes in the shop. But they thoroughly ransacked it of all expensive jewellery.

Late last night, a police party, led by acting Deputy Supt. Sidek Ismail, arrested a gang leader in connection with the robbery. 

Escape

Robbery no. 2: 4 robbers, 2 armed with revolvers and 2 with parangs, walked into the goldsmith's shop, 30 minutes after it opened for businesss at noon.

They held up one of the 4 partners, Mr Quek Ah Heng, 42, and 3 employees and ordered them into the rear office.

While 2 of them -- one with a revolver and the other with a parang -- stood guard over them, the others opened the show cases and scooped up all the jewellery.

An off-duty policeman, Constable Donald Soh, 25, of Kandang Kerbau Division saw the 4 men getting hurriedly into a car.

Mr Soh went after them, "thinking it was a gang clash." But they escaped in a red Colt Galant.

He got into his Morris Minor and followed, but lost them in Lorong 4.

Road-blocks were set up all over Singapore but there was no trace of the getaway car.

Police were struck by the cool way the robbery was carried out. Unlike the usual smash-and-grab raids, none of the glass cases were damaged by the robbers.

Police spokesman Mr Lawerence Loh last night appealed to people who saw the Colt Gallant to report immediately to the nearest police station.

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[APPENDIX C] 
$120,000 goldsmith hold-up suspect arrested

POLICE yesterday arrested a man believed to be the mastermind of the $120,000 Fu Heng Goldsmith robbery In Toa Payoh on Oct 4. The 26-year-old leader of the five-man gang was arrested at his home In Lim Teck 800 Road, off Faya Lebar Road, ... [Note: News article truncated.]

Sunday, July 07, 2013

Privatized healthcare vs universal access

While chatting with my boyfriend DD today, he mentioned that one of the factors (amongst several) of his decision to return to Canada was the way healthcare system works in USA (pre-Obamacare). [Note: USA was a country with better job prospects in his industry compared to Canada at the time of his relocation.]

I shared with DD that, IMHO, the Singapore healthcare system is even more "right-wing" than USA's. E.g. A couple, who despite having bought insurance for their child and both holding well-paid professional jobs, going into credit card debts to pay for healthcare for their child with congenital issues. E.g. An elderly childless-woman who was told to sell the remaining lease of her 3-room HDB apartment (leaving her with no home of her own and having to live under her niece's equally small HDB) before she could apply for Medifund funding for her repeated acute hospital care.

As I am currently working in paediatric home health nursing in B.C., Canada, I can see the difference in the kind of support (from the provincial government) given to parents with children who lucked out on rare, chronic or deadly illnesses. In addition, Uncle Wing's (bless his soul) own experience is testimony to how the B.C. healthcare system takes care of its seriously ill elderly. [Click here to see my year-2009 blog entry about BC nurses petition against healthcare underfunding and Singapore's privatization of healthcare.] While I do not deny that Canada's system has its weaknesses, I feel that it caters well to “不怕一万,只怕万一。” ["Not afraid of the common scenarios (that one can plan for), but fear the exceptional scenarios."] After all, how many of us would choose (for the sake of maximizing our usage of universal healthcare): 
  • to be involved in major road traffic accidents (and thus requiring extended intensive care and probably repeated restorative surgery and extended rehabilitation); or
  • to have children with rare, chronic and/or deadly illnesses; or 
  • to have elderly parents with chronic, debilitating and/or incurable illnesses?
Yet there will always be Singaporeans who would defend that the Singapore healthcare system is better (e.g. more efficient and/or more cost-effective, or more equitable because specific-user-pays instead of risk-sharing) than Canada's, Australia's, UK's, etc. [Just check out the comments on those blog posts.] I hope that these "loyal", "patriotic", defensive Singaporeans will never have to encounter any major/repeated healthcare issues personally and/or amongst their loved ones.

Another issue I have with the way private healthcare works in Singapore is that until recently (see below), there was little control on the runaway costs/mark-ups in private healthcare. Note: I have met a significant number of private specialists who would waive/discount their fees to help the "needy" patients, thus it would not be fair to tarnish all kind-hearted doctors because of one black sheep. Nevertheless, IMHO, it is human nature to compete to be the better paid specialist. After all, it is so very much in Singapore's culture to judge people by the size of their income.

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Dr Susan Lim loses appeal against SMC's guilty verdict
Published on Jul 01, 2013 1:39 PM

By Selina Lum And Kc Vijayan

The highest court in Singapore on Monday dismissed an appeal by general surgeon Susan Lim against her conviction on charges of professional misconduct over the amount she charged a patient from the royal family of Brunei.

In a 109-page written judgment, the three-judge Court of Appeal said Dr Lim's case was "clearly one of the most serious cases - if not the most serious case so far - of overcharging in the medical profession in the local context". The court dismissed her claims that she was justified and there was no ethical obligation to charge a fair and reasonable amount and pointed out her approach showed she had shown no remorse.

In the judgment, the court ruled there is an objective ethical limit on medical fees that operates outside contractual and market forces, The court found that, given a doctor's specialised knowledge and training, there arises an ethical obligation on the part of a doctor not to take advantage of his patient. And this ethical obligation to charge a fair and reasonable fee is not superseded by a valid agreement between the doctor and his patient, the court held.

In 2012, Dr Lim was found guilty of 94 charges of professional misconduct by a Singapore Medical Council (SMC) disciplinary committee for charging about $24 million for the services provided to Pengiran Anak Hajah Damit Pg Pemancha Pg Anak Mohd Alam for 110 treatment days from January to June 2007. Dr Lim was then given a three-year suspension and fined $10,000 - which was upheld by the appeal court.

Tuesday, April 23, 2013

On forgiveness

After a long absence*, I have a "calling" to do a psychic healing again. Along the process I started healing myself simultaneously. I will not elaborate on the actual healing done, but I will share some thoughts that came to mind.

Although I am not a Christian, I love something about the "Our Father" prayer since I came across it as a child. Especially the part where it goes, 

"... forgive us our trespasses, 
as we forgive those who trespass against us. 
And lead us not into temptation, 
but deliver us from evil. ..."

The essence of forgiveness. Many talk about it. Many claim they believe it. Many claim they practice it. Indeed, many do practice it to some degree. However, few are able to practice it widely. The few Christians who do so, whom I come across personally in my life, I have always admired deeply.

I shall close with 2 songs. Songs which speak of certain life philosophies that help us to release the emotional baggages that we inevitably pick-up in life.

峰迴路轉 -- 劉德華
["Turning point" by Andy Lau]


笑看風雲 -- 鄭少秋
["Laughing at Life's Fortunes" by Adam Cheng]


Have a good day!

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*p.s. : Okay, maybe not "that long" an absence. That said, for the previous healing that I did, I only sought "psychic permission" to heal as the person was at that time not even well enough to give me permission physically (e.g. verbally or through body language). As such, I only healed up-to the point where he no longer hung between life and death.

Monday, March 11, 2013

Medicalization of health issues

The video below is a humorous look at the medicalization of health issues in developed nations. The song is based on USA. Nevertheless, similar issues abound in Singapore and Canada.



IMHO, the best solution is to educate healthcare users. E.g. The video below on opioid medication by Dr Mike Evans (with support from MyFavouriteMedicine.comCentre for Addiction and Mental Health and Canada Health Infoway).

"Best Advice for People Taking Opioid Medication"


Note from 7:18 to 7:30 where Dr Mike Evans says, 
"My sense is that many patients who are taking opioids for pain are painted with this wider brush of suspicion, which is unfortunate."

Monday, December 31, 2012

Recipe: Flavoured rice 有味饭

I like all-in-one cooking because that means I don't have to "watch over several fires" [看火] nor do I have to wash multiple cooking pots. Here is one of my favourite all-in-one dishes. I served it to my French-Chinese exchange group during Mid-Autumn Festival [中秋节] and again to another friend for Christmas dinner.

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Flavoured rice 有味饭


Ingredients for 4-6 servings (clockwise from top-left):

6 tablespoons of Teriyaki sauce

2 small Yam. The purple-veined flesh type is preferred for its natural sweetness


1 1/2 cup walnut pieces

1 square of smoked firm-tofu (around 100g)

A quarter of a small cabbage (on chopping board)

2 cups of rice (not in photo)

Note: All measures are approximate, add more/less as per your preference.

1. Peel and dice the yam.

2. Dice mushrooms and tofu.

3. Cut cabbage into thin slices.

4. Rinse the rice and add water to rice in the slow-cooker as per normal.

5. Add all the other ingredients and stir.

6. Turn-on the slow-cooker to "white rice" mode. When cooked, serve warm.

Note #1: No worries if you did not add enough Teriyaki sauce before cooking, you can always stir in more after the rice is cooked.

Note #2: If you eat meat, my mother traditionally uses 腊肠 [Chinese waxed sausage] and minced pork instead of walnut pieces and tofu.

All-in-one flavoured rice. Ta-da!

Friday, December 07, 2012

Recipe: 4 gods soup 四神汤

Recently while on my preceptorship, my preceptor mentioned that Chinese people knows how to eat to maintain their health and asked me what I usually eat. I told her that I grew up drinking soups since I am Cantonese. Thus, she asked me to share my recipes for nourishing soups.

On another occasion at dinner with my good friends in Canada, JX and PN were enthralled to hear my opinion that the duration of the menstrual cycle may be affected by the food we eat. I cited as an example that if I ate too much soy-products, I find my cycle shortened (even down to 3 weeks). Recently since I started drinking nourishing soups regularly, e.g. the "4 gods soup" [四神汤], my cycle returned to its usual 30 to 31 days duration. PN was especially interested in the recipe for the "4 gods soup" [四神汤] as it is known to have multiple benefits.

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"4 gods soup" [四神汤]

This is my version of the "4 gods soup" [四神汤]。 A chance discussion with a monk back in September reminded me of this nourishing soup. The recipe ingredients vary depending on who you ask, so my recipe is a combination of my mother's recipe and a common online recipe.


These are the actual amounts that I use in a pot of soup (serves 4-8). The ingredients clockwise, from top-left (clear rectangular container).
  • Clear rectangular container [Top white rolls with brown edges]: 茯苓 (Wolfiporia cocos)
  • Clear rectangular container [Bottom 2 white pieces]: 茯神 (Poria cocos, a.k.a. Indian Bread). Note: This ingredient is not in the usual "4 gods soup" [四神汤]recipes, but my mother adds it regularly to hers. It is supposed counter insomnia, to calm mental anxiety [宁心] and soothes "one's nerves" [安神]。
  • Red bowl: 芡实 (Euryale ferox, a.k.a. Fox Nuts)
  • Blue bowl: 枸杞 (Wolfberry Lycium). Note: This ingredient is not in the usual "4 gods soup" recipes, but I add it in because I like its taste and it is good for one's vision (eyes).
  • Green bowl: 紅棗 (Red dates). Note: This ingredient is not in the usual "4 gods soup" [四神汤]recipes, but I added it because it sweetens the soup naturally and it nourishes the blood.
  • Black bowl (six white pieces): 淮山(山藥) (Dioscorea opposita, a.k.a. Chinese Yam)
  • Clear round container: 蓮子 (Lotus seeds)
  • Not displayed: Soya source added to taste
1. Rinse all the ingredients.

2. Optional step: De-seed the red dates.

3. Split open the lotus seeds. Remove and discard any green sapling growing at the core/centre.

4. Put all (except the 枸杞 Wolfberry Lycium) ingredients into the slow-cooker. Add water. Slow-cook for 2 to 3 hours.

5. At the final few minutes, add the 枸杞 Wolfberry Lycium. Also, add soya sauce to taste.

6. Serve warm.

"4 gods soup" [四神汤]
Serve warm

Ups and Downs

In our final GNIE semester, we covered mental health. I want to share this excellent BBC documentary that explores the bipolar disorder.




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Early last month (November), after one of our team meetings, AP, PY and I were gossiping idly as usual. We had just covered our mental health topic at school recently. PY, who had several years of mental health nursing experience, started to "diagnose" some of the people we know mutually. She was spot-on, both AP and I agreed with her.

Somewhere along the way, I mentioned that I may have some symptoms of bipolar. PY went, "You? Bipolar? Impossible!"

I countered, "Why not? I know I had been depressed before*, although never clinically diagnosed -- simply because I wasn't even sound enough to go see the doctor. I don't get manic episodes, but I suspect that I may have hypomania sometimes." [*Note: Albeit the depressive episode was almost 15 years ago, and I have never hit that rock bottom since.]

PY went, "No, not possible. X is bipolar but not you. You're doing so well at school."

AP disagreed with her. AP had spent more time than PY with both X and me. 
IMHO, thanks to my intellect, I am able to harness the optimism and increased energy (symptoms of hypomania), while ring-fencing its undesirable effects. 
It helps that I am financially disciplined. Even when I splurge, I keep myself within my "splurge allowance". I guess it helps that I am excellent with numbers and I track my daily expenses with a spreadsheet. E.g. Unlike X who whips out his credit card and go on a shopping spree (whether at the malls or online) when mania strikes, I shop at places that would not bring me to financial ruin, limit myself to quantities that I can physically carry on public transport, and keep within my "splurge allowance". E.g. AP occasionally goes supermarket groceries shopping with me. Once she told me to "put back" items that I didn't need immediately, although I could well afford those additional items. E.g. Every now and then I would buy too much food and other items, and only give them away. [That said, I am happy to give the stuff away, especially to the food bank, charities and/or my refugee friends.] E.g. Whenever I feel the "shop-till-I-drop" mood, I would try to keep myself busy at home. If that fails, I avoid shopping at the malls and head towards places like Value Village (a thrift store), Dollarama (a penny store) and The Real Canadian Superstore (a mid-range supermarket). After all, at the thrift stores, one can still experience the highs of finding a good bargain (i.e. enjoy "retail therapy") without going into the red. Plus, it takes a lot more time to sort through the "second life" items to find a good buy at the thrift stores, and thus limiting the quantity of purchase. [That said, I ever found some good quality finds at thrift stores like Value Village. E.g. I have a grey cashmere turtleneck that both JX and EM touched admiringly, asking me where I bought it. They were surprised when I told them, with EM remarking that she must make a trip to Value Village someday.]  
I think that it also helps that I was trained in acting. Thus, even when I feel blue, I am able to do the minimal socializing necessary to function and to meet my roles and responsibilities. After all, "all the world's a stage". Of course, I would prefer to withdraw to my comfy room/bed and/or to the libraryWhy spread one's misery when the world already has enough problems? Indeed, sometimes I prevent myself from sharing my misery even when asked, because I know from life experience that my blues will and do turnaround.
IMHO, it also helps that unlike PY, when it comes to sexual needs, I find Doing-It-Yourself as good as intercourse. Frankly, I do enjoy my solitude, thus dating is not high on my priority list. In short, the risks associated with hypersexuality (in many people with hypomania) is not an issue for me.
In fact, the last time a couple of mood swings happened was in November. I stopped blogging for a couple of weeks -- the brain kept hurtling on, while the body became slow/impasse (because the body felt that the brain may change its mind again soon enough). Interestingly though, since I paid more attention to my moods, I even felt a "click-click" in my brain once while standing along a supermarket aisle -- one moment feeling an urge to buy all the available options of take-away containers, and the next moment (after the "click-click") rationalizing that I had more than enough to meet my current needs. I had another of those "click-click" moments again in late-November.
PY was still unconvinced of my self-diagnosis. She then suggested that I could consult a family doctor (GP) to ask for an assessment and, if needed, a psychiatric referral/treatment and social support while I am still considered "low-income". I replied, as PY knows, that since psychiatric drugs are only symptomatic treatment and tend to have a lot of undesirable side effects, I would prefer not to seek intervention, especially since I am (seen to be) functional. [Note: Psychiatric diagnosis is often an art rather than a science. "To a degree that interferes with the functions of ordinary life" often becomes a defining line upon which the decision to treat is based.]

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An interesting article from Yahoo!, "Does childhood stress stay with you for your whole life?"

Sunday, November 25, 2012

Swollen eyes

A lot has been happening the past fortnight and I just didn't feel ready to gather my thoughts to blog. Nothing truly significant or earth shattering, but little "accidents", incidents, observations and commentaries received. Anyway, I shall start-off with a funny little incident.

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2 weekends ago, I started using a new facial toner with lots of "anti-aging" fruit acid. Fruit acid is not something new to my skin since my dermatologist back in Singapore treated my face regularly with it in my 20's and 30's.
Now, in my mid-20's I had pretty bad acne problems. It was bad enough that one day the department secretary innocently remarked, "WD, [do] you know [that] you can see the doctor for skin problems?" 
Until then, I was clueless that superficial beauty issues warranties a doctor's attention. Even then, I did not know how to approach a doctor for my acne issues. By chance when I visited the company doctor for cough/flu, he offered me  (without my asking for it) roll-on antibiotics to treat my acne. It worked like a charm. 
Thus when my skin broke out again, I took my sister's colleague's referral to a dermatologist seriously and visited the skin specialist. I was very consistent about the monthly AHA (alpha hydroxy acids) treatment until my skin condition stabilized; thereafter I returned regularly for maintenance treatments. That is how I learned about one of the ways in which the rich "tai-tai's" stay young and beautiful (assuming that they did not undergo the knife for plastic surgery). Yes, the regular AHA treatments worked like a charm too. 
Once in my early 30's, I even had a female colleague asking me, "What foundation are you using? Your skin looks so smooth." I replied that I wasn't using any foundation, just regular skin care (wash, tone, moisturize) and plain sun-block.
The problem is it was a different (not famous) brand, and I took it for granted that my skin would adapt to AHA as it did before. On the 2nd or 3rd time of using the new toner, I woke up at 4am to an itchy, burning sensation on my face. In my drowsy state, I started gently scratching the itch but it just wouldn't go away. Finally I couldn't take the itch anymore, so I got out of bed, switched on the lights to see what's "irritating" my face. Boy was I in for a shock!

4:05am Swollen face, erythematous skin, patches of serous facial discharge

I was due to leave home at 6am to report for 7am-7pm duty at my preceptorship hospital. Straight off I debated the merits of calling the nursing unit to inform them that I was unable to work. I rinsed my face with as much tepid water as possible. Finally I could see my double eyelids returning, but my face was still unevenly swollen (left side was more swollen than the right), erythematous (red), with patches of (clear fluids) serous facial discharge (1st degree and 2nd degree superficial partial thickness burns). In fact, I found my face so funny that I could not help laughing at myself despite my predicament and took photos "for the memories".

4:20am Double eyelids returned, but still swollen face, erythematous skin, patches of serous facial discharge

I decided to head for duty at my preceptorship hospital as previously planned. I already had to replace 1 day's work due to being sick previously, I did not want to further delay my training unnecessarily. My preceptor was surprised. She mentioned that she had noted slight redness the day before (when I started with this new toner). She exclaimed, "Why did you use that new toner? Your skin is so good, don't spoil it."

Later in the day, an elderly ethnic Chinese lady patient remarked admiringly that I had such a glowing complexion. I laughed and replied that my "glowing complexion" was actually an allergic reaction!

Thankfully my skin returned back to its previous normal conditions after a few days of recovery.

Previous normal skin/eyes conditions
[Note: Eyes with a little eyeshadow applied]

Tuesday, October 30, 2012

URTI again

It started off rather inconspicuously. 

On Friday evening, AA, EM and ZS came over for dinner and our usual French-Chinese exchange lessons. We sat on the heated carpeted floor of my room. At a stage, I could dozed off while teaching EM Mandarin, no thanks to pre-dinner whiskey apéritif. My face was flushed as usual after alcohol consumption (yeah, my reaction to alcohol is pretty immediate). At some points, I felt a little chilly, but then I thought that was just the side-effect of my being flushed. That night, I felt sleepy, but couldn't quite fall asleep. Ended up blogging and surfing the internet mindlessly since I could not quite concentrate and get the "serious" stuff done.

Woke up on Saturday morning with a headache. Thankfully it was not one of those horrible throbbing headaches or splitting migraines. But it still sucked! I hardly have headaches. [The only exception being the period when I was working for 3 ugly Singaporean bosses in a row at an MNC.] I felt "heaty" and slightly feverish, with the posterior of the throat and the internal nasal areas feeling swollen. I decided that I have to add extra (cooling) Job's Tears (barley) [意仁/意米] to my usual herbal concoction to tone down my heaty-ness. Took an acetaminophen tablet for the headache (a small dose is usually enough to take effect on me). Moped around in my room for much of the day, ate leftovers* from Friday's dinner for food and took extra rest. I blamed it on the whiskey apéritif, perhaps it was too strong.

By Sunday morning, the headache toned down, but remained in the background. But then, I have an additional ailment, a slightly blocked nose. I didn't want to back out last minute on a monthly social appointment, so I put on some make-up -- hoping it will camouflage my slightly off-colour complexion and mood. It worked. I held up my social grace, made polite conversation and ate a decent amount (2 dinner plates) over the buffet brunch. When I arrived back home, I felt wiped out. Rested again. By evening the nose met further blockage and the cough had arrived with some sticky yellow-and-light-green phlegm. I boiled a luo han guo [罗汉果]based cough concoction and drank it. Followed by a "cooling" warm-soupy dessert [白果意米腐竹糖水]。Had some snacks, combined the last of Friday's dinner leftovers* with other stuff for food.
[*Note: Yeah, I cooked too much for 4 persons again. I am still working on improving my portion estimation. :-P ]
By Monday, I was coughing (when not suppressed by my shallow breathing), had sticky yellow-green mucus from both the nose and the mouth; and my voice is beginning to be affected. I can feel that the URTI has travelled down to the bronchi of the lungs, although the bases are not quite affected yet (*touch wood*). By now, I am getting grouchy, although you wouldn't know if you read my typed communications (*result of years of professional training*). Still managed to get some minor stuff done. By nighttime, I was so grouchy, I was tired but not willing/able to sleep (like those toddlers on their temper tantrums), yet I was not alert enough to do anything consequential. [Yeah, I admit, I lack self-discipline.]

This morning, my voice sounds hoarse and weak (I mouth the words but the voice comes on-and-off unpredictably). The mucous, though, is getting lighter. Went to school to run some errands early in the morning but decided that I wasn't well enough to stay for the afternoon classroom discussion. Left school for the community library to return some DVDs instead. Was planning to go to the walk-in clinic (GP/doctor/physician), but saw that the queue was long -- the usual autumn weather-change spike in its patients -- and decided to buy a few groceries items and head home instead. [As my housemate AH says, doctors here are unlikely to prescribe any medication for the common cold. This is because it is mostly viral in origin and thus best left to the immune system to fight it off.] While unpacking at home, I suddenly realized that I have failed as a team lead to get my team to submit an outline of our plans for the group presentation by today's deadline! Yikes! Argh!!! The world seems to come crashing down suddenly. Then I tell myself, "Focus, FOCUS! Focus on what you can get done." So I did some paperwork related to various registration for myself. Surfed the internet as a mild distraction in the meantime.

Now I wonder, will I be well in time to start clinical this Friday? I am keeping my fingers crossed. According to "Fundamentals of Anatomy and Physiology" by Martini, it typically takes 1-2 weeks for the body's IgG antibodies to kick-in. Let's hope that my exposure to the antigen was way earlier; say, over last 2 weeks when my landlord was coughing and sneezing; so what I'm experiencing now is the IgG antibodies putting up a good fight. [Hmm, actually my landlord has a rather sensitive nose, he has been coughing/sneezing on-and-off throughout the year, more so since fall arrived.]

That said, come to think of it, I think I am really rather "manja one" (when it comes to being sick/injured) compared to some elderly folks whom I met over brunch on Sunday. Thankfully though, I only get sick a couple of times a year since arriving in Canada -- a big improvement compared to my health situation while in Singapore.

p.s. According to this, it seems like I caught the flu, not a cold. :P But hey, I'm feeling much better* now (Tuesday night).

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[Update on Thursday 01-Nov-2012]

When I mention "much better" above, I meant that my voice is coming back (although still not my normal volume, but at least predictable rather than on-and-off), fever, headaches and extreme exhaustion is gone. I'm still dealing with mucus and phlegm this morning. Thankfully, it is mostly either clear colourless or light yellow, only occasional small amount of thick yellow discharge. Continuing with my soups, herbal infusions and even inhaled steam from my slow-cooker to soothe the symptoms for now.


[Update on Thursday 08-Nov-2012]

It is 2 weeks from onset (Friday 26-Oct-2012) now. I decided not to go for clinical last Friday. I didn't want to be overstretched "just as my health improved slightly, only to get worse". Thus I started clinical on Saturday as I felt well enough to meet the demands of a nurse's job. I am thankful that I gave myself an extra day for rest and recovery. When I woke up this morning, there is still an occasional small amount of clear sticky phlegm but the chest felt clear. I guess my recovery is within the norms according to "Fundamentals of Anatomy and Physiology" by Martini.

Friday, October 26, 2012

3 best cold weather advice

Here are the 3 best cold weather advice that I have received, on how to adjust to Canada's cold weather.

"Lather yourself with LOTS of moisturizer during the cold and dry months."
From my elder sister when I was collecting luggage bags from her back in end-September 2010,
"Keep your head and neck covered and warm. Always wear a hat and a scarf, you'll feel warm that way."
From an acquaintance (who is my younger sister's colleague's aunt), a Singaporean living in Canada for decades, (as she chatted with me over the phone around Nov/Dec-2010 on the traditional Chinese health-system)
"People assume that in the cold weather they should it more heaty food to keep warm. In fact, the reverse is true. During cold weather, a lot of people fall sick because when exposed to the cold, the body goes into an overdrive to compensate, and thus becomes too heaty. Therefore, it is important to eat cooling foods in winter to maintain good health. Drink lots of 凉茶 [cooling tea]!"
This post is for folks like KC and his wife who will be landing in Canada soon. [Note: January is still the winter period.] Welcome and I hope you'll find the above advice useful too.

Friday, October 19, 2012

Turning white hair to black

An anonymous reader asked for the "Traditional Chinese Medicinal recipe for turning white hair to black" on my blog entry "My new slow cooker".

But first, the declaration and disclaimer.

DECLARATION AND DISCLAIMER: The following are personal opinions from me and my cousin's wife. Neither of us is a Traditional Chinese Medicine (TCM) practitioner, nor are we in any way trained in TCM. Thus any content from us shall be construed as a sharing of personal opinions, not health nor medical advice. We do not guarantee the accuracy, completeness, or usefulness of any information provided by us. Under no circumstances will we or anyone related to this content be responsible for any loss or damage resulting from any reliance on the information or other content posted or linked herewith.

Just to share my cousin's wife's story. She had ovarian cancer and underwent the relevant (western) medical treatment and surgery. She suspected that some of her hair turned white related to the cancer and/or its treatment. Thus she went to get some TCM treatment at the Singapore Chung Hwa Medical Institution at its Toa Payoh HQ. What she shared is based on what worked for her.

Here's the recipe that my cousin's wife shared (with some editing for clarity).
1. Wash 10pcs of red dates [红枣]; 6 pcs black dates [南枣]; 2pcs honey dates [蜜枣]. 
2. Put the dates into your cooking pot. [*Note: Personally I prefer to de-seed the dates and chop them into fine pieces, but it is up to your personal preferences.] 
3a. Add 375ml of water (estimate with 1 1/2 usual drinking mugs) if using slow cooker where the water level remains about the same. [Note: This varies depending on your slow cooker. Mine pumps out lots of steam so I actually add about 1 litre of water.] 
3b. Add 750ml of water (estimate with 3 usual drinking mugs) if using cooking on the stove.  
4. Cook until only 250 ml of water is left, i.e. about 1 usual drinking mug of fluids. [For me, I usually slow cook it for 1 to 2 hours and I get about 500ml at the end.]
5. Drink the fluid and eat up all the dates as well.
6. Repeat steps 1-5 over 3 months, 2 times each week. 
IMPORTANT NOTES:
  1. This recipe works only for those with about 5% white hair or 5% hair loss. For those with more than 20% hair loss or sudden increase in % white hair or a circle of white hair concentrated at the crown of one's head, please visit your doctor -- it may be a symptom of something serious.
  2. My cousin's wife strongly recommends consulting a Traditional Chinese Medical practitioner before embarking on the above recipe or if you suspect any health issues or would like a health review. In addition, she suggests visiting an acupuncturist if you don't mind it. The Singapore Chung Hwa Medical Institution at its Toa Payoh HQ (located at Toa Payoh Central, near the Toa Payoh library) has acupuncturist sessions available, Monday to Friday 1pm-5pm. It used to cost only around SGD15 per session.
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Photos at the start of the experiment. Grey hair not dyed yet. My grey hair is not evenly distributed. The left side seems to have more than the right side.

16-Sep-2012

23-Sep-2012

23-Sep-2012

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[Update 10-Jan-2014] I fell ill in Oct-2012 and stopped the experiment. Thereafter, I did not continue, so I cannot vouch if this formula works or otherwise.

Thursday, September 13, 2012

Building resistance against cold

Autumn equinox will arrive in about 2 weeks. Fall is already creeping in, the sun is rising later and setting earlier. While the daytime temperature still hits a high of 20degC, the night temperature dips down to a single digit low. People start wearing their jackets wherever they go.

My landlord has several rooms which he lets out to short-term tenants. I have a new house-mate today. He is a Buddhist monk from Taiwan. My landlord commented that the monk wears thinner layers of clothes than us, yet he does not seem to feel as cold as us. The monk then mentioned that there are some stuff we can eat to "fight away the cold" (i.e. building resistance against cold weather). So I asked him to share his secret. And here it is.

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  • Thinly slice and shred a bit of ginger (老姜 old ginger preferred).
  • Boil water. Brew some fresh red tea 红茶. [Note: It has to be red tea because the red tea has a specific function in this brew. Green tea will not do because green tea hurts the digestive track of vegetarians.]
  • Add the ginger shreds into the red tea. Let it to steep for a while.
  • Drink the above before 12 noon, or at least before 2pm* daily.
*Note: According to the monk, consuming the above brew any later than 2pm will have the opposite effect of the one intended.

Tuesday, October 06, 2009

Migration medical check-up done

Just completed my medical check-up for migration today. According to my friend who has already received the confirmation of her PR, it will take 3 weeks for the confirmation of PR to arrive if all goes well. I'm keeping my fingers crossed!

While reviewing my medical notes, the doctor joked that perhaps I'd marry a white man there. He's not the only one to joke about it. Even my former nursing lecturer teased me about that too. My only reply, "It's hard to say."

Given that I do not have a preference for any particular ethnic group and I'm heading to a place where half its population are a visible minority, the probability is around 50% statistically speaking. That is, IF I found someone whom I wish to marry and vice versa. It's a BIG "IF".