Saturday 31 October 2009
I swear...
NEVER TO TRAVEL TO LONDON AND BE BACK IN MANCHESTER ON THE SAME DAY...
It is just suicidal...
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i just wanted to say ...# ;
Thursday 29 October 2009
Just killed a pesky persistent flying insect.
A major sense of satisfaction flooding my heart.
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i just wanted to say ...# ;
Sailor Mercury vs Sailor Mars.
The battle begins.
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i just wanted to say ...# ;
Sunday 25 October 2009
Dear Cherie,
I know you love eating...and you value food more than anything...
You place "I live to eat" as your motto...and you can never say no to anything edible in front of you...
You eat not just when you are hungry, but also when you are happy/sad/angry/disappointed/lonely/grumpy/cheerful/thinking etc.
I know you like to eat more during a meal thinking just in case you will be hungry later on. However, let's face the fact. You will still be hungry and eating later on whether you ate more or not during the previous meal.
Therefore, please stop eating like there is no tomorrow.
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i just wanted to say ...# ;
Saturday 24 October 2009
血腥味一直残留在嘴里...
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i just wanted to say ...# ;
Wednesday 21 October 2009
Finally saw something new in the ward today! Well, not exactly a NEW thing....just a therapy I've heard of so many time but never actually got around to see the REAL THING. That's right, it's the VAC therapy.
Well, I am just writing this so I will not forget what I have learnt today.
For the dressing trolley, I will need a probe or a wound swab, a Duoderm Thin, a Mepitel or Atraumen, a pair of sterile scissor and a sterile penknife.
First, check the patient's wound (and read up his notes) to make sure that the patient's wound is not connected to any fistula. Probe around the wound's wall to ensure that all surrounding wall is intact. This is to make sure that when the vacuum is applied, no other matter (such as faeces or bowels) will be sucked away.
Second, place a piece of Mepitel in the wound where there are sutures. This is to protect the sutures but do not cover up the entire wound because this will slow down granulation. Next, apply a layer of Duoderm Thin around the wound. This will help keep the suction firm and prevent air leak.
From the dressing pack from the VAC company, cover the wound with the black foam. Cut accordingly to the size of the wound. If the wound is deep, just pack the wound with several layers of foam. Then apply the thin clear dressing over the foam and wound. That thin clear dressing looks very much like a Tegaderm Film or a C-view. Ensure that the thin dressing is sealed at all ends to prevent air leakage.
Cut a small hole (about 1cm diameter) in the middle where the foam is and connect it to the suction, which will be connected to the cannister. The cannister will contain a special gel that will mixed with the exudate sucked from wound to prevent frothing.
According to research, the optimal pressure is found to be 125mmHg. For the first two days, the pressure will be applied continuously. After 48hrs, the wound will be reassessed to see if the pressure can be applied intermittently. Why is that so? If you think about yourself being slapped by someone continuously for 2 hours, your face will be numbed. However, if you are slapped by someone with a two minutes break between each slap, the impact will be stronger. The idea is to provoke the cells to regenerate faster with greater impact felt. The exudate from the wound is able to pass through those tiny pores in the foam and into the cannister when the machine is running. The reason why the pressure is not intermittent for the first 48hours is because the exudate might settle in the foam and cause stagnantion.
I always thought that the VAC therapy is expensive. The trainer told me it does cost more than other conventional dressings (it is 35 pounds a day to rent the machine) but it is more cost-effective because the wound will heal 60 times faster.
I am really impressed by these new knowledge. As for now, if the patient does not get discharged yet, I will be able to follow the progression of the wound. :D
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i just wanted to say ...# ;
Monday 12 October 2009
That's right...
My iconic pink BIG nike bottle has an unsightly crack on it from last week...
In other words, it broke and leaked...currently unfit for use...
Went to all sports shops and nike store in Manchester...no such bottle to be found again...:(
Just went online to buy a new one (the power of a debit card...scary if you are one with no willpower to stop!) and now waiting for it to arrive...hopefully soon...
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i just wanted to say ...# ;
Saturday 10 October 2009
Finally had real chicken meat for dinner tonight! Can't believe that I haven't eaten any chicken for three weeks...
When my dad asked me what I had eaten ever since I came back, I was dumbfounded because other than cooking once, I don't remember what else have I eaten...
Unhealthy stuff, I guess...
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i just wanted to say ...# ;
OMG! After having a talk with my dad, who reminded me to check the expiry date of my inhaler, I just found out that my inhaler has expired 3 months ago. o.O
I guess the drug still works...not sure about the side effects of taking an expired drug.
Luckily my parents advised me to go to the polyclinic and get a new inhaler. Maybe I shall not be that stubborn anymore!
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i just wanted to say ...# ;
Friday 9 October 2009
Dear body,
I am truly disappointed with your performance this time.
It hasn't been three weeks yet and you are already succumbing to those microorganisms and parasites in the air?
Because of your carelessness, I have to suffer chesty coughs day and night, so bad that I have to gasp for breath for every little distance I walked. Sleeping at night has become a nightmare because the chest feels tight and wheezy...and the lack of sleep has resulted in a continuous throbbing headache.
Please, if you can, do your very best in fighting those intruders and return my peace.
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i just wanted to say ...# ;
Tuesday 6 October 2009
I must...
REMEMBER NEVER TO STUFF MY FRIDGE WITH SO MUCH FOOD LIKE THERE IS A WAR TOMORROW!
Goodness...I think the temp in my fridge is warmer than my room o.O
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i just wanted to say ...# ;
July'10
August'10