Final Battle Report

Erythematous skin over medial 3 knuckles of both hands

Swelling over eryhthematous area

Impossible to determine heat status of areas due to application of semi-freezing water

Minor activation of pain fibres in affected areas described above

Limited range of motion for knuckles mentioned, triggering pain reflex once threshold reached

2 superficial lacerations between the 2 most medial knuckles of the right hand

Single superficial laceration over right elbow

Pulled insertional heads of triceps of both arms, pain reflex when hyperflex arms

Sore trapezius

Multiple minor inflammatory focal spots on left lateral leg

General sense of awakeness and runner's high

Prognosis: Wonderful.

Recommendations: Application of betamethasone to knuckles, get enough rest, enjoy!


PS. Get wraps to protect epidermal layer next time.

A Treatise on the General Effects of Demasculinisation or Feminisation of a Male Secondary to Chronic Ingestion of Harmful Levels of Alcohol: Excerpt

"Here the doc is palpating for the breast tissue. See? This confirms that this man has gynaecomastia."

"Man-boobs?"

"We prefer gynaecomastia."

____________________________

"And there he is..palpating..the other side? Hmmm..I guess that's to confirm it again.."

"-_-" Yeah, riiight.."

What does the future hold?

Geriatrics is depressing.

No wonder those in the health services and the elderly are at increased risk of depression. (Actually, the elderly will be at greater risk of dementia than depression in a few years time.)

Imagine, for the vast majority of people, the last few years of life (no matter when you die) will probably be wrought with a host of disabilities and impairments. And the only thing you can do for now is to delay the onset of the symptoms so that they are compressed within a shorter time frame.

Old folks without family support would probably end up in residential aged care centres, places that are like hostels. Imagine that! Living in a hostel for the rest of your twilight life! Curfew after a certain time, meals at fixed times at the canteen, no wandering out without supervision, no customisation of rooms, no more than 12 books in the room etc. There's a host lot more of restrictions believe me. Heck, even the old hall was better than this! At least you get lots of friends, plenty of jacking sessions (thanks CY for all the fun you provided =p), freedom to eat what you like whenever whereever you like (provided you're willing to go out and splurge a little..meaning if you're not YTH wahaha).

By the age of 80, $5000 is spent on average per elderly person per year. And that's just hospital costs alone! About a quarter of that amount is spent in addition for medication.

And there's this thing about frailty. A case of "reduced redundancy". Well, sounds good when you put it that way, but it just means your body is less equipped to upkeep itself properly. Anything from dehydration to a slight bout of flu would be enough to push you over the edge, to the point where you can't even move around on your own.

And yeah, although it might seem like a wonderful fantasy where a nurse helps to bathe you and feed you, I don't think it would seem all that fun when it has to be done everyday, for the rest of your life. No sirree..

And supposedly, there's some pros if you manage to transition from young and pimply to old and wrinkly. Please do tell me what they are if you do find out.



"40 is the old age of youth, 50 is the youth of old age."

French Proverb

"60 is the new 30!"

Some random comic character which for the life of me I can't remember who it is right now.

*launches into dementia*

Easy as ABCD

Heard of F.E.A.R. ?

Should try P.A.N.I.C.S. It's hilarious! =p Just four short clips, and you'll seriously laugh your behind off. =)

Go here to download.

And why did that come up?

Because. It. Is. Hilarious.

And. Because. I. Am. Insomniac. Again.



When management of high blood pressure through lifestyle modifications (eg. diet, exercise, getting enough sleep), administration of the ABCDs should be considered.

ACE inhibitors/ACE receptor antagonists.
Beta blockers.
Calcium channel blockers.
Diuretics.



Ergo, if insomnia is not overcome by attempts to adhere to a strict timetable of waking and sleeping, should the next step be chemical in nature?

DRABCD

I'm a certified 1st aider! Yay!

So anybody who has cardiac arrest within this coming year please come find me..I get training, you get..your life? Possibly. Maybe. If I still remember what to do.

Lol..

TST..ouch!

From observations and numerous personal trials and tribulations ( lol! ) it has come to light that there are at least two kinds of nurses.

The gentle ones.

And the rough ones.

I wonder if the Mantoux test inflammed area actually underwent much more inflammation from all that skewering from the pen. Yes, like somebody once said in cantonese, "neh, ko ko chap ge yeh."

Anyway, thank God I'm TB free! No more jabs! Except maybe a jab or two coupled with a left hook and right uppercut, followed by a side kick......

NSAIDs

Another post about these things called Non-Steroidal Anti-Inflammatory Drugs.
A type of non-narcotica painkiller, if you will. Not an aid package for those who are in NS.
Hard to imagine something so beautiful could cause things so ugly.
Like to miss the shot at gold.
Or increase the risk of getting renal failure.
Or just plain allergies.
That's crystals of aspirin, by the way. Acetyl salicylic acid.
But that's just the way of Nature. Beautiful, yet with far-reaching and devastating consequences. Just like some things in life, where behind the mask of beauty and wonders, lie so many ugly and dangerous things.
Like ancient Chinese proverb says, "The dagger hidden under the coverings of the bed."
Or "The kris behind the smile"
Or "The serrated barb on the tail of the stingray."
Did you know some cultures refer to the ray as the devil-fish? Interesting..and slightly ironic, since some of its smaller cousins have ended up as a nice plate of ikan bakar. Quite delicious I assure you, provided that the hawker knows how to whip up a nice spicy and sour-ish sauce that quite drowns the ray.
Ah, but I digress.
We were talking about the salicylate group. It's not some big multinational corporation, just a group of drugs, some of which are actually toxic to the body. In fact, most are toxic to the body, it just depends on the dosage that is used. Hahas..but it's interesting to note how such a humble group has radically influenced us all, from providing school labs all over the world standard experiments to synthesise drugs [providing great fun for kids, not to mention laborously long lab reports for older kids], to providing the world with a wonder drug, capable of reducing pain as well as a host of benefits like reducing risk for heart attacks, colon cancer and many many other things!
So much so that some people say that "an aspirin a day keeps the doctor away."
Haha..we'll see about that.

In any case, here's a skew line moment. Somebody told me that "the guy in red has such a figure! He seems to be the only one that remotely looks like a girl."
A great compliment, I would say! =p
What's the link you ask? None.
That's why it's a skew line moment. Doi!

Once thin, always thin?

All the best to MMMC hardgay! I wish you all the best in your dieting. You really looked good last time when you came back=) Btw, nice hairstyle!

If you ever want to start a diet again, please bear in mind a few things. I believe that reducing on food intake is usually not sufficient to ensure long-term weight loss. With less food intake, the body goes into starvation mode, thinking that a "famine" is coming along soon, and so takes measures to prepare itself. For example, it uses less energy by reducing the metabolism rate so that more energy stores (read: energy stores = fat) can be prepared within the body. Also, it uses fat more efficiently, so that fats are burned less quickly. You get the idea.

Cut down on food if you must, it's ok to do so. Nevertheless, don't cut down too much, especially the proteins since if you do that, the body will breakdown your proteins to compensate for the lack of energy intake. Meaning, you will lose muscle mass, which is definitely a big no-no as muscles help you to burn fat! I read about the specific maximum reduction in food intake that you should do, but don't quite remember it. I think maybe it's around 20%? Not too sure..Cut down on oily foodstuffs if you want, the more the merrier=)

For carbs, change your diet so that it comes from food with low GI. Fruits and vegetables are such sources. Low GI means that the carbs will only be slowly digested, thus it doesn't cause a spike in blood glucose, leading to less fat being formed and stored in the body. Plus, it helps to reduce your risk of diabetes=) However, there is another concept involved too. That's glycemic load. It is the product of GI and the amount of that particular food that you eat. What this tells you is how much the food affects your blood sugar. For example, although watermelon has a real GI (around 70 with 100 being the max), it has very little carbo content (fibres are NOT considered as we cannot breakdown and absorb these). So, it's glycemic load (GL) is lower than what you would expect. This means that eating watermelon might give you a small spike in blood sugar levels, but will not result in a lot of fat formation.

So, that's about all about the diet part. Go exercise. Your campus should be fairly big. Keep the bike once in a while and go jogging! Or if you trust the water supply to be free of those pesky HepA virii go get a swim=) And make sure after exercise you don't eat more food than usual (grab some vege or fruits if you're still hungry) and that you don't feel muscular aches the next day. That's a sign of going over the limit. A good workout for now would be the stamina type, where you can harden/tone your muscles without building too much of a bulk. This helps to make you look better and increases your metabolism rate to burn more fat. Then again, if you like some resistance training to build up muscle mass, go ahead! Personally I don't do that too much to prevent flabby muscles later on when I get lazy=) Just make sure you stick to 70% of maximum weight that you can lift to prevent muscle injury. (That's for resistance..stamina training involves jogging or light weight-lifting that's around 40% max weight but for more reps)

All in all, hope you stick to whatever plan you have in mind. Don't want that ping-pong effect coming back at you. (That's where people go on crash diets or totally abstain from food, resulting in drastic weight loss which cannot be maintained. The weight goes back up, and usually even higher than before, when the diet is ended. Successive rounds of such diets result in less weight loss in every successive bout of dieting, and in the end the nett body weight goes up, not down.)

PS. All the best in your exams. Hope to see you again later this year. Don't paiseh stay over my place. Though I think most of them will still be in uni..then it'll be a bit boring here..Maybe we can go visit them? =)