聆聽和祝福是最好的支持

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是的,我已決定在下星期四(30/4/15)為左手動個小手術(Left hand – Carpal Tunnel Release on the Wrist and Trigger finger release on my middle finger,  Injection for Right Hand CTS)

除了告知幾位顧客請假和親朋好友,我沒有告訴大多數的朋友,不是自我封閉,而是近來我老覺得人生最大的負能量,除了是我的健康,就是來自身邊,自以為是“朋友”的人。

當我雙手帶著CTS Brace出現在公眾場合時,大夥都好奇的詢問我的“病情”,我解釋了又解釋(說到好累呀),當說到要動手術時,不了解我病情的因由和嚴重性,大多數人的反應是“不要動手術啦,後果是 。。。”, 然後是”介紹你去見 xxxx”, 或“介紹你吃 xxxx”。我聽到心煩不已,結果睡不好覺血壓上升到160/120,最後忍不住打電話去煩Dr Pa了,談了整個小時,最後拍板聽Dr Ranjit Gill的意見盡快動手術。

自從我最信任的Dr Karuna退休後,老巴、Young和MY應該是最了解我病情和可以談健康的朋友了。跟 Young 一起陪月妹走過人生最後的一段日子,我們都知道病人最需要的是“聆聽、祝福和扶持”,而不是自以為是的介紹“醫療方法”,更不是喋喋不休的“好心叮嚀”。老巴是一位仁心仁術的退休醫生,他總愛說他最大的責任是看好社運分子的健康,那我們才能打倒霸權醫治這個社會。 他們總能在我最煩操和無助時聆聽我的心聲和給我指引。

我不知道這次的醫療決定是否正確(就像3年前我決定做RAI一樣,後果難預測)?不過這次我還是願意跟隨“心裡的聲音”,信任醫生的復建計劃,一步一步來換取我的健康。

聆聽和祝福,就是給我最好的支持。

Carpal tunnel syndrome is a common source of hand numbness and pain. Many studies show that women have a significantly higher risk for carpal tunnel syndrome than men, and older people are at higher risk than younger adults. CTS also accounts for the highest average number of days lost at work, when compared to all other major work-related injuries or illnesses.”

“As carpal tunnel syndrome progresses, you may begin to notice weakness in your thumb and first two fingers, and it may be difficult to make a fist or grasp objects. You may find yourself dropping things, or you may have trouble doing things like holding a utensil or buttoning your shirt.”

That’s the reason Dr Ranjit is worried about my CTS than my right hand’s De Quervain’s tendinitis. I was diagnosed with moderate-severe CTS condition (left hand is worse than righ hand) based on Nerve Construction Test. CTS symptoms over the longer term can permanently damage nerves and atrophy the muscles at the base of the thumb at the palm if left untreated. Ultimately, I may at risk of lost my fingers mobility permanently :(

In acute cases of Carpal Tunnel Syndrome, a surgical remedy called “transverse carpal ligament release” is called for, -a surgical cutting of the transverse carpal ligament. This surgical procedure removes pressure from the median nerve. This procedure is highly effective but requires months of post-operative recovery time and rehabilitation. It is considered to be a last resort, one best to avoid unless all other strategies have been tried and exhausted.

==========

I was diagnosed with de quervain’s tendonitis by doing the Finkelstein test. Arrow indicates location of pain when wrist-tendonitis  test is positive.

Burnt Sugar Steam Cake

It’s a lazy Sunday afternoon, tried to make this burnt sugar steam cake aka 馬來糕 for the first time. This may be the most complicated recipe I tried so far. Yummy✌️

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Recipe (serve 15 cups)

  1. Cook 1 cup of sugar in a small pot , stir continuously till it turned brown. Add in 1 cup of hot water slowly. Set it aside and let it cool.
  2. Whip following with high speed mixer for 5 minutes.  (3 eggs, 1/2 cup of cooking oil, 2 table spoon of butter, 2 table spoons of sweetener, 1 teaspoon of ovellete)
  3. Add in the burnt sugar mixture slowly into the egg-oil mixture n whip for another 3 minutes
  4. Fold the sieved 1 1/2 cup of wheat flour + 1 teaspoon of soda bicarbonate + 1 teaspoon of baking powder into above mixtures.
  5. Pour the mixtures into the paper cup mould and steam for 15 minutes.

307 Kita Lawan

I love this photo most, 3 complete strangers (and thousands at the back) from different ethnic groups stood together for the same cause: Stop the political persecution! Najib undur !!
Najib, did you hear what 10 thousands people shout on the street? Najib Undur
With Ban Cyanide group before the rally start. We were at every big rakyat assemblies in the town. Our struggles have not over yet!

 

 

 

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This is where we started : Masjid Jamek with Boon Hooi and BCAC gang

 

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This is where we ended: KLCC with me regular demo friends :)
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The scene after the organizer declared demo end! at 6.30pm

 

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On the way to KLCC. Thousands are with us

 

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Waling towards KLCC, the rain cannot stop us

 

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OK, we are almost there

 

Apom Susu

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1st attempt of Apom Susu after got this simple recipe from the Facebook for awhile.

Recipe

2 eggs, 1 cup of sugar, 2 teaspoon of vanilla essence, 1 teaspoon of Ovallete

Mix the above ingredients well with high speed mixer.

Add in 1 1/2 cups of evaporate milk after the mixture become foamy. Original recipe is 1 cup, I made a mistake add in additional 1/2 cup, although the apom texture is a bit sticky, but the final product still came out good 😁😁

Once done, add in 2 cups of flour & 2 teaspoon of baking powder that sieved earlier slowly.

Transfer the batter to small cup before Steam for 12-15 minutes. The above recipe can make 20-24 piece of cup cake size steam Apom.

🐑🐑得意

弄傷手腕一段時間了,去找中醫治療前,狀況惡化,疼痛到提不起手來抓掃把拿牙刷😞。

這個新年節慶,不能大事打掃,沒有幫手,30年來第一次沒煮年夜飯,一家人就在外吃餐團圓飯。

一改傳統,今年初一在陳家新媳婦的幫忙下,終於煮了一餐豐盛的年菜。

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感謝親友的厚愛、鼓勵和鞭策,過了個一路平安的🐴年。希望接下來是個🐑🐑得意、大吉大利、身體健康、平安喜樂的羊年。祝福大家!

YES!

job

YES!! Just confirmed 1 year job contract with TL. 2 days per week, 8 days per month job with a satisfactory monthly pay cheque.

Also I just got my TTT exemption from HRDF.

It’s a great start for 2015. Hope the good news keep pouring in!!

Mossy Forest, Cameron Highland

人生無常,只能在雲霧中,摸索往光明的目標繼續前進,
沿途的風景,將永記心頭。

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2015年第一天,7個人擠進梅君的新車,鏟上半島最高的公路(海拔>2000m), 一起愉快的登上金馬崙第2高峰Gunung Brinchang。

帶著3個小瓜,走了公路的最後半公里,去尋找那最原始的Mossy Forest,森林就像電影裡的風景,淒美弔詭。

只可惜霧太濃,爬到最高的景觀台也看不到最美的panoromic view, 帶些小遺憾,下次會再來。

2015, a new beginning

20150102-003211.jpgFirst day of 2015.

Good news (a new job opportunity),
Bad news (Uncle Siew is diagnosed with Dementia, the impacts of the east coast flood are really really bad- just like after tsunami attack),
Sad news (SS father passed away),
Warm news (great to meet up with Mary & family after so many years, and they are doing very well) ……….
all poured in on the same day.

Switching between the exciting n sad modes to send new year greetings, condolence messages, encourage notes & warm hugs. What a day and what a life.

Just wish everything will turn out better in 2015 with new chapter in
Work (no changes yet, just move the office nearer to home),
Health (every new year resolution : shade 10 kg, do more outdoor exercises & reduced the doctor’s visits),
Family (need to spend more time with parents),
Love (oh yes, I am still longing to find my soul mate) and
Wealth (I am not greedy, just hope to turn the bank account to blue and save some money for the future needy)

New year resolutions: Stay focus, be healthy, do less for better output!
 

Otosclerosis

This is not a good day to start up a week….. a long overdue visit to ENT specialist and followed by dentist burned a big hole in my pocket; An apology to RAGM will definitely tint the Ban cyanide in gold mining future campaign; No one is taking any action in writing the thank you letter and reconcile the fundraising account; I am still unable to complete the audit reports; I need to postpone my work schedule and office plans due to toothaches and headaches; and my weak gum and decayed tooth that need special treatment is my next burning health issue……..

One “good news” is I don’t need a hearing aid at this moment. According to Dr Sudha (a very nice and energetic doctor in Taiping), my outer ears and inner ears are in healthy condition based on the endoscope checks.

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Not so good news is, the hearing test confirmed I have a conductive type loss called Otosclerosis, where my third ear bone in the middle ear is hardened (mainly due to calcium) and eventually restricted the movement (and hearing).

Otosclerosis is a common cause of hearing impairment. (The word otosclerosis can be broken into its two medical words: “oto” for ear, and “sclerosis” meaning hardening.) Approximately 5% of all people with hearing impairment have otosclerosis.

Otosclerosis is an abnormal growth of bone. The abnormal bone growth of otosclerosis may spread to the inner ear, stapes (the third ear bone), or to both of these areas.

The abnormal otosclerotic bone hardens around the stapes and eventually stops the movement of the stapes (According to Dr Sudha description, the stapes just like a door, it can’t open anymore if the hinges get rusted due to calcium accumulation) . The immobile stapes cannot carry sound vibrations to the inner ear. Therefore a conductive hearing loss develops.

The conductive type of otosclerosis usually progresses up by age to a maximum in the 30’s. After this, it rarely progresses. Dizziness and imbalance is a feature of otosclerosis in roughly 25% of cases. In about half of all patients, there is a family history of similar problems. Women are affected twice as often as men.

There is no local treatment to the ear itself or any medication that will improve the hearing in persons with otosclerosis.

This condition can occur in small children and in older adults. There is nothing a person can do to prevent this from occurring. Conversely, there is nothing that anyone did through negligence or otherwise that would cause this to occur.

Therefore the only thing I can do now is monitor the condition by performing the hearing test yearly and do more physical exercise  (exercise can increase the airflow and loosen up the hardening bone eventually). A hearing aid can be effective in treating the hearing loss, all depending on my future hearing condition and otosclerosis development.

During the doctor visit, we discussed about my medical conditions, including a weak gum / gum Inflammation, dry eyes and protruded eyes, thyroid disease  etc. Seems the radioactive iodine treatment can cause dry eyes, protruded eyes, autoimmunity and other health issues (Dr Sudha is a surgeon who think surgery is a much straight forward treatment than RAI). A recent systematic review concluded that more evidence is necessary to link otosclerosis and autoimmunity  :(

Reference:

http://www.dizziness-and-balance.com/disorders/hearing/otoscler.html

http://american-hearing.org/disorders/otosclerosis/

Hope RAGM Cease Operation Permanently

根據PGL 的聲明,RAGM在勞勿的金礦已暫時停工關閉,主要原因是環境局要求金礦管理好石渣廢料。公司近來虧損很大(six months to 31st December 2013 was GBP2,817,879), 周轉不靈(每個月要還的利息超過£140,000,US$750,000的分期付款12月到期,£1.2 M的債卷也將在22/12/2014到期 ),因此其母公司已要求倫敦交易所昨天停止交易。

我懷疑DOE已發停工令直到金礦改善其環境管理工作為止。再加上金價大跌,虧損連連,希望他們永遠不會復工啦。

Look like all the rumours are true, hope RAGM operation in Raub will be ceased permanently.

1) Peninsular Gold Limited, the parent company of RAGM announces that it has requested a suspension of trading of its shares on the AIM Market pending clarification of its financial position. The suspension was effective as of 7:50am on 2 December 2014.

2) As at 30 November, 2014 Peninsular has available funds of approximately £320,000. The Group currently has £1.2m convertible loan notes which are due for repayment on 22 December 2014, and need to service £140,000 interest per month (means their available fund is only able to serve less than 3 months interests)

3) Malaysian environmental authorities (DOE) impose additional operational requirements, in particular the authorities have requested changes relating to the location of RAGM’s tailings storage facilities which would require significant changes to its tailings management plan.

4) RAGM has taken the decision to halt gold production at Raub pending resolution of above issue (I smelt fishy here, I strongly believed DOE has issued a Stop Work Order)

Here is the statement released by London stock exchange

http://www.londonstockexchange.com/…/market-n…/12170646.html

人生跑道

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換事業跑道,一直不得志。
是我意志力不夠強?不夠積極?要求太高?還是太多阻礙?

改變人生順序,一直裹足不前。
是我雜念太多?一成不變?態度問題?還是太懶散?

例1:
Since I am not get pay for these kaypoh works, why can’t I just “Let go, sit tight n be patient”?

例2:
I have thousands of patience for clients n subordinates, and accept their incompetency. I can repeat the teaching n sharing again n again. Why can’t I learn to be patient when come to dealing with peers?