This is Day 2 of Chinese New Year(CNY)- Wooden Goat they said.
According to traditional custom, day 1 of CNY, Chinese will pay visit to elders, relatives and friends.
I would like to share some of my special greetings from friends and colleagues at day 1 of CNY
Happy Chibese New year Boon Seng, jusr want to ask u regarding the topics tht u spotted for me last time. U expected bilaminar and trilaminar will be coming out in osce, do u mind to giv me the dxample of question of bilaminar&trilaminar osce question. Cuz i m not sure what kind of style they gonna come out in osce with this topic.
Besides, u expect respi anatomy to come out in seq, does it include all the innervation and blood supplies?
Anonymous 1 Hi boon seng, happy CNY! wanna disturb u agn... ><
about this ques:
Discuss the karyotype of down syndrome,
if 5 marks are allocated for this ques. what should be the answer?
I only manage to think a few pts
1. results from non-disjunction (failure of chromosomes to separate during meiosis)
2. karyotype: 46, XY, 21+ (presence of 3 chromosomes 21)
3. (listing down features)
Anonymous 2
hi boon. hpy cny to u and your family. i came across smtg related to hypocalcemia and it seems to be confusing. thought maybe u can help me to solve my confusion. i read that hypocalcemia causes muscle tetany and muscular spasm. and the reason given was that hypocalcemia causes increased muscular excitability (increased Na+ permeability of cell membrane) caused by a deficit in Ca+ which will keep Na+ gates closed. This increases depolarization. Depolarization therefore becomes much more excitable. Bcause as we knw in action potential, there are voltage gated calcium channels which are slightly permeable to sodium ions, and they are present numerous in cardiac and smooth muscle. this makes sense. but what i am confused is that, at the very first place, calcium is needed to move from ECF to presynaptic membrane to cause opening of the vesicles containing Ach to be relased from presynaptic membrane into the synaptic cleft. then only the subsequent steps can be taken to ensure a proper nerve impulse transmission. so if calcium itself is low in blood, it cant even help to release the Ach, (i suppose), so hw this leads to hyperexcitability. isnt it supposed to cause weakness ?? tx for ur help boon.
Anonymous 3
Guess what, I did according to custom in Traditional Chinese way, if people gave you gift, you must do the same. I replied their inquiries even at CNY day 1.
No life you would say.
Part of me argued, by doing so you are positively re-inforced them that you're time is less important than theirs.
Part of me argued that they must be have trust in me by seeking help from me, I must offer help that within my ability.
Part of me argued, these questions can be directed to others. I'm not the only one with answer.
It's truly a mixed feeling to received a text message that start with Happy Chinese New Year and I wish to...
I would prefer if they hit the nail on the head. At least, I don't feel the sorry.
The hidden meaning were: I'm really sorry but i have to disturb your CNY holiday anyhow, would you...
hahaha... anyway, this is my own explanation that make myself looks pathetic.
Later bunch of guys out there will criticize me as attention seeker and act pity as victim.
Let it be, Let it go.
如果你是卖菜的菜市，就别责怪别人一直跟你买菜。
If you want a duck to be a chicken, a chicken to be a duck, you suffer.
Ajahn Chah
Life's unsatisfying, thus human created festives and special events to have fun.
The happiness and the glorious moment come and go.
You'll wake up the next day discovering that life's still going on as normal.
"I super agreed with #612, Y__ f*cking attention seeker, everyday post status but comment on his own... so forever alone... only know how to bodek smart seniors and dr... yes, he is an eye sore for many, just that no one dares to voice out straight to his face cause later he will post status to ask for pitiness again... so dumb.." --------------------------------------------------------------------------------------------------------- ""to #615 and #620. Kalau tak suka tgk post orang lain kau unfollow atau unfriend je la, apa susah, nak cakap buruk belakang dia pulak. Cara dia belajar macam tu, mungkin dia apply apa yang dia belajar dalam posts dia supaya dia igt. Lain orang lain cara. Biarla kat dia. Nak ke tak nak mai saya bagi opinion. Saya rasa kamu semua yang tgh kutuk dia ni sebab jeles. ataupun kamu tak paham dia duk cakp apa kat post dia tu,padahal dalam kuliah belajar benda sama je." ---------------------------------------------------------------------------------------------------------- "Y__ indeed is very ego... can see from the way he posted stuffs on fb... forgetting abt the self commenting part, he too likes to act kind and humble infornt of others... god knows who he is although fools out there supports him... haiz..." ---------------------------------------------------------------------------------------------------------- "#634 "So sad to know that #630 is victim of YBS acting... what if it is not a fitnah... he himself knows and god knows... no need to defend him if you are not into his living style... #peace#disappointed#truthspeaker#notahater"" --------------------------------------------------------------------------------------------------------- "Just realised the recent top hitz Y__ is staying in N__... damn... haha..." -------------------------------------------------------------------------------------------------------- "Yes you are my friend but sorry day by day I'm losing respect towards you. Please mind your attitude. Public watching you and your silliness. Please stop it cause you dont know how much they make fun of you." --------------------------------------------------------------------------------------------------------
First of all, this is to all Y haters. Please grow up you guys. His FB page is his own he has the right to post whatever he wants. If you dont want to read it or think it is nonsensical, then just scroll down. I bet all of you must have got nonsensical posts on your wall from liking stupid pages, if you can scroll through tht, then do the same lah. And if you think it is COLLECTIVELY annoying his whole FRIEND list, then go tell him face to face. You are just being a coward because you know you have no right to criticise and yet you do, hiding behind your anonymous posts.
Secondly, this is just proving how low you guys are and the maturity of your mentality. You go with this kind of attitude into the working life haha you wouldnt last an hour, So for your own good, try to keep your ugly thoughts in you, even if you dont like it, because it isnt helping you or anyone else.
"TO ALL THE MOTHERF**K**S WHO KEEP INSULTING Y__ on THIS PAGE,
Seriously keldai-keldai sekalian, Shut the F up! U tak tahu dia in person so shut up! agak clear yang u tu jealous of him. he is smart, u r nowhere near that. senang cite, u bodoh . dia distinction, u failure. jadi, sebelum kau dapat dosa irreversible haha, kau senyap je la hantu! Kau jelous yang dia tu amat bijak. kau tu pula,thought block sentiasa. oleh itu, untuk mengatasi masalah kebodohan dan jelousy extreme , anda dinasihati untuk deactivate saja fb dan balik ke tempurung. katak betul kau. bodoh jahil benor .
on a serious note, dia tu baik sampai wiling nak share ilmu dengan sahabat2 handai di FB. tapi, orang gila macam kau tak dapat appreciate kerana badanmu penuh dengan syaitan ! kau sungguh negative. tukar lah ke arah kebaikan sebelum terlambat. kelak nanti,kau nak jawab apa bila Tuhan tanya ?"
Source: ＵＳＭＫＫ ｃｏｎｆｅｓｓｉｏｎ a page to express Health Campus Students' Love, Hatred, Boredom, Emotion and Everything Else.
Many of the relevant comments are gone, I'm just way too late to retrieve them.
I have to contemplate over the comments, to see if I'm having any tail to be qualify as a dog.
If I'm an attention seeker, I consider myself as highly successful.
If I'm innocent, then the other attention seeker is considered highly successful.
In view that the news are on air for 1 week.
IF SOMEONE CALLS YOU A DOG, LOOK BEHIND AND SEE IF YOU HAVE A TAIL. IF YOU DON'T HAVE A TAIL THEN THERE IS NO PROBLEM
AJAHN CHAH
If you are a writer, write.
If you are a painter, paint
If you are a lecturer, lecture
If you are a dog, keep barking (perhaps)
I was suffered by the harsh comments, especially i have to strengthen my mentality for an academic competition oversea at the same time. Why suffer? I just have created the best play ground for suffering- the concept of Self. Y_ _, YBS , etc.. are taken as me and myself. the first step of all troubles begin. When others attack this self, "I" suffer. Thus, "They shouldn't have attack me", "they should have kind to me", etc.. such thought arises. To illustrate, just imagine how do you feel, when you heard a stranger criticizing another stranger? No feeling? It is the same thing when you do not consider this body, this mind, this thought, this emotion as yours. they are performers that come to have some fashion show and goes off the stage. they come and go. If you are the boss, if you are the manager, if they belong to you, they are yours, you can always prohibit them from coming to your playground, you can always hire "happiness" to your playground. You can't then stop thinking that they are yours! What if I'm really the dog? Keep barking? (perhaps) Realize that, beware of that, be careful next of my next speech.. The talkative parrot is shut in a cage while the birds that did not talk much fly freely Buddha What If I'm not the dog? then let other dogs keep barking? (perhaps) We can't really control over others. Though thousand times a thousand in battle one may conquer, yet should one conquer just oneself one is the greatest conqueror. Dhammapada verse 103
This is a great reminder to me to observe the five precepts, Which is the supreme protection of life. which sounds: I undertake to observe the precept to abstain from destroying living beings. I undertake to observe the precept to abstain from taking things not given. I undertake to observe the precept to abstain from sexual misconduct. I undertake to observe the precept to abstain from false speech. I undertake to observe the precept to abstain from liquor causing intoxication and heedlessness. 人言可畏. 害人之心不可有，防人之心不可无。 These are the advices gave by my primary school teacher upon my graduation. Guard over own mind is crucial, because it is where all problem arisen. sabbe satta, sukhi hontu.(May All Beings be well and happy) May I be blessed with the strength to be kind to being whom love me, to love being whom do not love me, to being that neither love me nor not love me.
OK. Fine, I am probably fed up with studying microbiology and their pharmacology counterpart. I wonder how can one make to remember all the odd names of microorganism and the worst part the therapeutic name of chemotherapy drug for infectious disease. Salute to ID physicians. Not to mention lots of laboratory characteristics, clinical pictures and therapeutic regime to remember. Phiew! Now I am doubting whether I can continue with Med.
ESBL - Extended Spectrum Beta-Lactamase producing organisms, usually referred to Gram Negative Enterobacteriaceae. The un-ending war between human and pathogens had started since the early beginning of human species in the written or unwritten history. Well, pathogens simply way older than us, photogenically speaking. Human and pathogen stories also made up of great part of history of medicine. We can say we are co-evolved with them. Somehow, there are quite novel suggestion that we, human are made of viruses? see video:
The first antibiotic being discovered is Penicillin, by Dr. Alexander Fleming on 28 September 1928. It had marked the start of the an era of modern medicine where people try to come out with various biologic missiles and bombs to fight against human pathogen in this un-ending war. It seems like, we are winning the war initially, but halt! Don't mess up with ancestors or our human seniors, they are master in adaptation. It has not even been a century from where human first discovered these seemingly effective "weapon" until now where resistant strains of microbes, the titans are flaring out to bash human critically.
Eradication of microbial disease is a will-o'-the-wisp; pursuing it leads into a morass of hazy biological concepts and half truths.——Rene Dubos
If the world fails to mount a more serious effort to fight infectious diseases, antimicrobial resistance will increasingly threaten to send the world back to a pre-antibiotic age. ——Gro Harlem Brundtland,
Lesser and lesser effective antimicrobial been discovered, while more and more resistance strains of pathogens are emerging, we are almost left with no option eventually. Perhaps aggressive fight is not the solution? This let us to ponder how human can live peacefully with pathogens.
Well, back to the post title, ESBL - Extremely Sedative/Seductive/Sexy Boy's Love. It is a good example of how human behaviors are closely related to human health and infectious disease. Well, I am not trying to stigmatized people of any sexual orientation, but using gay/man homosexuality as an example would yield great impact because most people have the stigma towards this group of people.
When we think of gay, what comes in our mind? SEX! I am not sure why people made this association, but yeah, GAY-SEX-HIV-SATANIC are kind of synonymous? No for me while YES for those who not concern enough.
Ok, let me illustrate how human behaviors shaped our health and affects the human-pathogen relationships. To start off, I would illustrate that there are microbes all around us and all over our body, which is known as normal flora. The relative distribution and abundance of normal flora would depends on the local factors, such as humidity, pH, temperature and so on. Well,normal floras are "normal", most of the time, but if they went left astray to some odd parts of the body where they not usually belong to they are not so "normal" after all. Speaking of sex, let me mention that the warm and humid condition of anogenital region of human being serve as a good paradise or vocation spots for many microbes, they are simply having party there.
While they longing a bacchanal, human too are having parties, where a lots of bodily interaction can occurs to satisfy our bodily lustful desire and will sometimes end up with the intimacy of sex-homosexually or heterosexually. Phallic-vaginally, Phallic-cephalic, Phallic-anally. Choices are there. Don't assume anal sex is the privilege of gay people, man and woman can have such mode of sexual activity. OK, now, sexual activity can be viewed as the grand migration of microbes having party. Two human being at sexual intimacy, be it same sex or opposite sex, we are exchanging microbes all over with our partner, be it temporary or permanent. Well, I would like to add on that love is blind, we tends to accept everything and every bits of our lovers, then should we welcome also all the bacteria and viruses into our body with each thrust and stroke, each moans and groans. Penis, Anus, Vagina, Mouth are heavily housed by enormous microbes.
Back to gay. people having stigmas with these group of people because historically, the they are first group of people who were documented to be suffered from AIDS, well, sometimes being the first is not so good after all. But now, of 3 millions of people who had infected with HIV, most are people who practice heterosexuality.
In my opinion, human behaviors and stigmas will continue to worsen infection diseases spread, not only HIV but also others Sexually Transmitted Disease. Also, the openness and attitude of physicians and a country to notify the world about an ongoing or emerging infections is important to break the chain of transmission of communicable disease. The worst sometimes go to health care workers that is not concern with the hygiene in clinical practice. Poor hygiene is related to prolonged hospital stay, secondary infection with hospital bugs, poor clinical outcomes and increase hospital burdens. With many evidences to illustrate the effectiveness of hand hygiene, the compliance rate of this practice is not 100%. Well, we should start to think twice when we complaining that patients are not compliant, as we too are stubborn, this is perhaps the reality of human being. Health care workers, are we given the power to kill or to heal?
There had been one occasion where I attended a talk entitled "no more option" that discuss about the emergence of multi-drug resistant pathogen as human succumb our strategies of infection control to use of various antimicrobial drugs. The over-emphasized of treatment rather than prevention had it place for this problem. The awareness on prevention is not deep where a doctor actually ask the panel about the effectiveness and evidence of hand hygiene in controlling health care acquired infection. How ignorance, well, historically, Dr. Ignaz Semmelweis had shown us how tragedic and arrogant people can be. Read the evidence here .The ignorance among Dr.s also shown in the talk when everyone who were at least a clinical specialist or specialist-to-be tried to run off when the main speaker suggest that everyone stayed back for 5 minutes at the end of the session to learn proper hand washing techniques with the nurses. Well, Dr. I know you're Dr, but do you know you're Dr. ?
Going back to stigma, if we keep stigmatized those who are HIV positive, chances are they will find their own way to hide themselves out. It is a good thing, you would think. However, what if, one day, when you're in the same party as they are, and at that time your heightening urging libidos that drives you almost crazy, lead you to have sexual intimacy with one of them? Of course, they won't admit they are HIV positive if you're going to judge them. Also, at the emergency and burst of sexual urge, how many of us would bother to wear a condom as a protective barrier? At the end, the stigmas hurts everyone. Those who stigmatize get the disease, those who being stigmatized being torture psychologically. What for?
Well, this essay is written ad lib in a sleepless night, so you might not find any continuity, I do hope some of you might get some of the main idea. Well, ESBL - Extremely Seductive Boy's Love I would say(in my opinion). Still, I am not sure why gay is being depicted in an exotic sexual way, even most of the gay people "communicate" solely with each other in a bodily way. If it is a true love (haha, again, love is blind, we have to accept every part of our lovers?), there should have a emotional and spiritual aspects that we can go for. I know social pressure had led LGBT community being peripherized from the norm and development of the society, but I do hope one day, we can be more open-minded to these group of people. I am not encouraging people to be homosexual, but asking yourselves/pondering about it, can sexual orientation be encouraged? How many straights out there would volunteered or be encouraged to be "bent" ? LoL. We are simply born this way. Perhaps social stigmas towards LGBT society can be liken the antimicrobial selection pressure on microorganisms, eventually resistance and highly virulence strains emerged and neither human and pathogen can live with ease. Peace is the way, not the destination or result of assimilation. Things that make sense and created by straights are not necessary meant the same to LGBT, not to mention there is always some discrepancies among same group of people too. This is life, embrace the variations and celebrate the diversity, this is make what we are human.
Well, what ESBL meant to you? If I am gay, would you date me? hahaha. Don't judge! I am just a bit hyper, sleepless and imbalance for my friends are having holiday and vacation and I stuck in university, alone, wondering where's my next meal.
Well, girls don't emo, most hot, good looking guys in the market are gay? a weird phenomenon to me, or maybe it is just meant for creating the dramatic effect in gay film industries? I am confused, while people are celebrating LGBT in straights' films(do we need to categories strictly? aren't they should be just films to entertain us and to spend our past time with our love ones?), like depicting and make fun of sissies in movie scene, why when discussing about LGBT issue in society, they turn their eyes like the are not even involved/be responsible of !?
Well, good night and I hope I am sleepy, while in fact, I am not.
