Saturday, 18 April 2015

味道

味道。
无影无形,看不到摸不着。
悄悄的来,悄悄的走。
很多人都忽略了它的重要,虽然很多时候它都扮演着举足轻重的角色。

小时候,特别喜欢星期天的味道。
睡到自然醒,懒散的翻了个身,棉被的味道说:“今天是星期天,可以继续赖床,不必早起。”
起身后,在院子吸了口气,进入肺部的是丝丝炎热细细凉风。嗯,这是星期天的味道。
星期天的味道只是孩提时期独有的。工作后就没有所谓的周休,没有所谓的睡到自然醒,所以自然也失去了星期天的味道。

味道在一段关系上更为重要,但是往往都被忽视。
专家们认为维持一段健康良好的情侣或夫妻关系,除了肉体上精神上生活上精神上的契合度以外,他们的人生理念、未来目标一致与否都是息息相关的。
味道呢?很少会有人提及。但是无可否认的人与人之间的互相吸引,尤其为异性之间的化学作用,味道与嗅觉在潜意识中深深影响着一段关系的长久性。说穿了,人类也是动物界的一员,尽可归纳为灵长类哺乳类的热血动物。我们的体味和口气一直在暗中穿针引线,扮演着月老红娘的角色。看看你自己,望望身边的朋友,再问问他们对另一半气味的看法和接受度,你就会有更深的体会。
这也是为什么香水古龙水被发明出来的原因,科学甚至发现了异性相吸的原因很有可能是气味荷尔蒙-非若蒙 的作祟罢了。

最后,借着辛晓琪的歌来结尾
想念你的笑,想念你的外套
想念你白色袜子和你身上的味道
想念你的吻,和手指淡淡烟草味道
记忆中曾被爱的味道。

Sunday, 7 July 2013

Mastectomy Specimen

Mastectomy specimen should be placed in formalin within 60 min. With 10% formalin and 1:10 volume of specimen: formalin ratio. Then the specimen need to be processed within 48 hours. Or else the status of ER/ PR/ HER-2 may be changed

Friday, 19 April 2013

Management Of Neutropenic Sepsis

Klang hospital surgical department management protocol of Neutropenic sepsis.

Friday, 16 March 2012

Hepatocellular carcinoma, Barcelona clinic

I summarize like this

<2 cm: resection
2-5 cm and no med illness: transplant
3 nodule < 3 cm: transplant
If with comorbid, low performance status: PEI, RFA
multinodular: TACE
portal vein involved/ N1, M1: new agents
Advanced: TLC (tender loving care)

King's college hospital criteria for liver failure

Branchial arch

This is a very difficult topic
Pure memory and little bit of correlation
Everytime before exam, this topic surely make me vomit

Tuesday, 24 January 2012

Statistic test

Sadly, my thesis requires me to do statistic
And also final exam has questions on statistic
But statistic for me is just like a language from Mars..

Management of epididymo-orchitis

Saturday, 3 December 2011

Screening of bowel cancer

The Screening of bowel cancer
Western country has done a good work
When would be our country has a complete system to do so
Not only the health care providers to offer the service
Public awareness is another important issue to address

Tuesday, 29 November 2011

Spinal cord disorder and pattern oaf sensory loss

Different type of spinal disorder will give rise to different pattern of sensory loss
Even though nowadays everybody confirm the diagnosis by MRI, but go back to basis, in pre-MRI era, how our brilliant doctors diagnose them

Wednesday, 23 November 2011

Visual pathway and its defect

Somebody finds this is simple
But other may face problem on this.

This is actually quite straight forward
It elaborate optic nerve and the associated defect with the effect against vision/ visual field

Brain function

Human brain is complicated, expert may be can only defines less than 10% of brain. The other 90% is still unknown.

Now let us go through the known 10% of brain function.

Tuesday, 25 October 2011

Type of dressing

Optimum environment for wound healing


  • Moist

  • Free from infection, with minimal slough

  • Free of chemicals and foreign bodies

  • Optimum temperature

  • Minimal number of dressing changes

  • Correct pH




  1. Different dressings are appropriate for different stages of the wound healing

  2. Good wound management necessitates flexible approach to election and use of dressings




Requirements from a dressing
Wound

  • Protection from infection and trauma

  • Debrides, both mechanically and chemically

  • Absorbent and removes excess exudate, whilst keeping wound moist

  • Maintains temperature and gaseous exchange



Patient

  1. Comfortable and cosmetically acceptable

  2. Stimulates healing



Healthcare provider

  1. Inexpensive

  2. Easy to change



Monday, 24 October 2011

Type of mesh repair for incisional hernia

There are 3 types of mesh repair, inlay, onlay and sublay.
All have different advantages and disadvantages.
There is a bit too long to elaborate.
See later whether I can get the mind map online

Friday, 21 October 2011

Macrophage mechanism

Cellular illustration how macrophage in action

Acute inflammation

Acute inflammation has 2 stages
First is vascular stage, with initial vasoconstriction, then subsequent vasodilatation.
Capillary becomes leaky, where fluid accumulated at interstitial space causing edema

Second stage is cellular stage, which involved all the inflammatory mediators and phagocytosis of antigen. With formation of APC and manifestation of cardinal signs of inflammation