613-陳家小妹出嫁了 ❤️❤️

 

還記得709後的一個聚餐,慧思向大家講述她和式聰Bersih” 戰場”的浪漫故事不久後,滿臉春風的她就向我和素馨宣告「大姐二姐,我談戀愛了!」。慢慢看著她和蔥仔一步一步相依的走下去,給他們出餿主意、跟他們一起出遊、回老家、買房子搬家、拍婚紗照,到今天幫慧思戴這項鍊時,感覺真的是我家辦喜事。

我會錯過陳家小妹628出嫁的好日子,在此先送上最真誠的祝福。

祝慧思和式聰白頭偕老、永遠幸福快樂。

(613真的是好日子,除了慧思式聰,也是志翰曉慧的結婚日,以後他們的結婚紀念日也是我的生日,可以一起慶祝喔😍)

       

這對新人真搞笑,沒有帶戒指來,就以交換🌹來代替😜

恩喜重生

   
因為健康亮紅燈, 兩年前下定決心爬離自闖的渾水泥沼,慢慢治理自己的身體和生活,去年中開始整頓自己的事業和工作方向。

推掉了系列活動,減少熬夜,開始定期運動,停止我的耳聽力眼疾惡化。

處理了情感的糾纏,調適更年期和甲狀腺機能低下後,已經開始能跟缺少某種賀爾蒙的身體共存。健康仍然不是很好,剛動了CTS手術,可是沒有了蠟燭三頭燒的煎熬,壓力自然減低,身心比較愉快。

現在有空就出席一下自己喜歡的活動講座,或煮一頓豐盛健康美食犒賞自己。整頓後的事業已止血,還債後開始有點盈餘,可以更寬鬆的資助有意義的公益組織和活動。希望未來能重續年輕時的愛好,多去逛書店畫廊讀書看畫聽音樂會,學習藝術創作,花多些時間陪家人,努力種福。

學習放下慢活後,雖然沒有了以前的毛躁,可是仍然不能適應失去multi tasking skills 集中力和善忘的自己,時時無法順利完成手頭上的東西。不過,我要感恩,因為放手舍下,我才能享受偶爾睡到自然醒的恩賜,有機會偶遇大自然的美麗風光和人事,更懂得珍惜親友的關愛和感恩擁有的一切。

Hypertension

I noticed my blood pressures were high since 3 weeks ago, I thought it is just my anxieties.

The BP shot up to 180/110 before my surgery on 30/4 and maintained at 150/100-160/110 before I was discharged on 1/5. I also noticed some pains on my jaws and dizziness. I thought I am just tired.

After I started Coveram 5mg, the BP was dropped a bit and fluctuate for the next few days. I tried to rest, don’t work. So I went for outing to take WS & SC wedding photos at Janda Baik, and a jungle walk at FRIM yesterday. Tired, but the BP still high (159/98). I knew I must not delay my visit to doctor.

When I monitored my BP this morning, it was 169/112. BP crawling up slowly when I was waiting for the doctor, I knew. By the time doctor took my BP manually, it reached 200/120 and I was spinning with cold sweat!!!! Doctor immediately sent me to emergency room to take medication, said she will monitor again in an hour time. I guessed if I drove another KM to Selayang hospital this morning, I may have admitted to hospital immediately.

That hour was really really long, I just sit there tried to calm myself by doing the breathing exercise. I get more nervous when I found my phones were misplaced (luckily returned by the staff later). I was floating and spinning when I stood up.  I can felt my drowsiness,  heavy breathing & heart beat sound (its lunch time, clinic suddenly became so quiet) when I sat down. I don’t dare to close my eyes, I am afraid I may gone anytime…………….

My BP was dropped slightly to 180/105 when doctor came back at 2pm. We discussed a bit and she diagnosed I have hypertension. She prescribed a month of 10mg amlodipine – as besilate (calcium blocker) for me. As usual, the best cure for hypertension is cut down sodium, sweets, sugary beverages, and red meats, reduce weight and exercise more.

By the time ready to leave the clinic, I felt much better, especially after a few bites of bread and drunk plenty of plain water.  Reading at 3pm has dropped to 153/191 and 141/87 at 5pm respectively. I was a bit relieved after the shower and hair shampoo (I can’t wash myself due to hand surgery).

I need to monitor myself  carefully for the next few days. Underlying problem may include heart diseases or chronic kidney problems.

My first surgery

The surgery markings on my left hand
The surgery markings on my left hand

It’s nightmare n a lot of drama (quote from Dr Ranjit) this morning before admission. The insurance administration refuse to issue the guarantee letter after 2 rounds of info enquiry. Ultimately, I decided to do the surgery n claim later. By that time (after 10am), it’s long passed my scheduled surgery time at 9am. So the hospital need to rush my preparation n pushed me to operating theatre queuing after the other patient.

I original thought its a small surgery with local anaesthetic. Later only found out they need to anaesthetise n put me in deep sleep. By the time I woke up, it’s 2 hours later in the observation room. I only fully awake n able to get down from bed after another 2 hours around 6pm. I was hungry, thirsty n want to pee 😝

Overall surgery went well. And I am glad chosen to stay for a night instead of day care. The swollen n plain on palm n fingers gradually subset n hopefully gone by tomorrow when discharge.

I have some misconceptions before this,
Misconception 1, microsurgery does not mean “small” surgery, doctors are using advanced tools n high surgery skill to fix nerves n micro part of the body. I guess as compare to my roommates who gone through spine n back surgery, my pain is minima.
Misconception 2, don’t need hospitalisation did not mean don’t need patient care n MC. I am glad I decided to stay one night. I lost some of my mobility with only 1 hand.
Misconception 3, wound should be heeled in 2 weeks time n I can do my computer work as usual. Now doctor told me I should avoid driving if necessary. But how could i go to work without driving I am now on 2 weeks MC.

After some exchange with my roommates, we think the doctor always “trick” us without full story to avoid unnecessary anxiety, haha

The price tag? A bomb of RM15K and 2 months of slow recovery to gain my grips and grabs.

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After surgery

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.

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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.