Covid-19 continues and the sky is crying. (poem- a haiku)
I sit in my room
the sky thunders and rumbles
as rain lashes down.
Covid-19 news
updates global statistics
of fatalities.
The sky is crying
for the sudden departures
of many loved ones.
Covid-19, the garbage truck and the reassuring smell (poem)
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It’s the garbage truck
overloading garbage spills
where comes these rubbish!
****
Market and food wastes
Smell of decomposing loads
yet reassuring!
Humans seem to spew more rubbish than any other living beings on Earth!
Walking past a garbage truck or driving behind one, used to be an annoying experience.
Ironically, with Covid-19 around us, the smell seems tolerable and reassuring!
This is reassuring because loss of smell (anosmia) is one of the symptoms in diagnosing Covid-19!
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I will give you the moon!
Who would go
to the end of earth
to ‘get you the moon’?
Your answer:-
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When ‘papa’ toilet-trains a puppy!
One day, Tommy excitedly
brought back a little puppy.
He fed him using a milk bottle.
The other siblings were equally excited
squatting around
the puppy’s lined basket.
Then…
We heard him running
to the back of the house.
And he sat there,
waiting, waiting…
This went on the next few weeks.
He was toilet training the puppy.
*****
Papa was very annoyed.
“Very noisy, very noisy!
Yelping the whole night!”
Tommy had to close the store room
for the lessen the din.
As Max grew bigger.
He was very active.
He would go round and round
as soon as we entered
the gate from work.
” Move, move away,
you are such a nuisance”
Papa was so irritated!
The following fifteen years
saw papa feeding Max
because Tommy often forgot!
Papa would religiously
wash down those poops
at the back of the house, too!
*****
Both Max and incidentally papa
were very well trained indeed!
****
Four years degree course is not effective to provide productive workforce in manufacturing and economic development — Learnography
Primary school system deals with the development of the motor cortex of human brain known as motor learnography.
Secondary school system is designed to develop the proficiency of object language in the basal ganglia regions of brain known as basal learnography.
High level learning transfer occurs in university knowledge transfer system known as cerebellar learnography.
Students make brainpage in the learning process of classroom, instead of listening to teaching performance.
Please read more in:-
Four years degree course is not effective to provide productive workforce in manufacturing and economic development — Learnography
Private hospital clients: we pay, so don’t make my mother…
Ten days after
a major ostomy surgery,
Mimi’s mum was in so much pain!
“It’s already four hours.
Can you give her
another injection for pain?”
Mimi’s sister interjected,
“… And remember, we pay,
so don’t make
my mother moves!
Attend to her in bed!”
****
Ms Chen happened to do student
assessments in that hospital.
The nurses complained to her because
they knew this patient had a stoma
which is Ms Chen’s field.
****
Ms Chen found her abdomen
was so distended,
the skin was pulling
on the main suture line.
No wonder she was
in so much pain!
****
Gently coaxing her,
Ms Chen wound up her bed halfway,
“ouch, ouch, ouch..”
and…
” bloop, bloop, bloop!”
Her stoma bag became full
with flatus!
We had to open the bag cover
to release the gas.
Ms Chen continued to wind up
the bed upright.
And more flatus came out
into her stoma bag
which was emptied another two times.
“Ah…I feel so much better now!”
She was relieved
as her abdomen was softer then.
****
Later we got her to sit out of bed.
I heard she didn’t need
the four hourly injection, thereafter.
She understood the importance
of ambulating after that painful episode!
*****
When I was attached to an Australian hospital, an obese woman with similar abdominal surgery was wheeled into the bathroom for a refreshing shower on the third day post operation! A plastic sheet was taped to cover her wounds and stoma. ( Our Asian clients here will need some persuading to get out of bed for a shower in a bathroom!)
Nurses (especially in private hospitals) need to be firm when necessary, in caring for their clients to prevent complications. After an abdominal surgery, even the guts get lazy!
Peristalsis of the guts help to expel gas from the large intestines. Otherwise the abdomen gets bloated. It can be very painful when the skin pulls on an abdominal wound.
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God is fair: He gives some, He takes some.
That was Mary’s answer as to why she runs an orphanage. It was a second Christian home that Anna had stepped into.
“I looked after His lost lambs here. Some lost their parents. And some are here during the day only. Their single parents need to work.”
“When I am not around one day, I know that God will have someone to help my older son. He has to look after his younger and mentally- challenged brother,” Mary explained. “I have one bright and successful son and a differently-abled son.“
“So you see? God is fair,” (nodding her head absent-mindedly into the air), “He gives some, and he takes some!”
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On the contrary;
“Life is not fair; get used to it.” –Bill Gates
“Who says life is fair, where is that written?”
― William Goldman, The Princess Bride
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Tuhan itu adil: Dia memberi sebahagian dan Dia mengambil sebahagian.
Itu adalah jawapan Mary, mengapa dia menguruskan rumah anak yatim. Itu adalah rumah kristiani kedua yang Anna masuki. “Saya menjaga anak-anak -Nya di sini. Ada yang kehilangan ibu bapa mereka. Dan ada berada di sini hanya pada waktu siang kerana ibu bapa tunggal mereka perlu bekerja. Apabila saya tidak berada pada suatu hari, Saya tahu bahawa Tuhan akan mengaturkan seseorang untuk menolong anak saya yang lebih tua menjaga adiknya yang terencak akal, ”jelas Mary. “Saya mempunyai seorang anak lelaki yang cemerlang dan berjaya, dan anak lelaki yang berbeza keupayaannya. Jadi anda lihat? Tuhan itu adil, (menganggukkan kepalanya). Dia memberikan beberapa, dan dia mengambil beberapa! “
Sebaliknya;
“Hidup ini tidak adil; membiasakan diri.” – Bill Gates
“Siapa bilang hidup itu adil, di mana itu ditulis?” – William Goldman, Pengantin Puteri
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上帝是公平的：他奉献一些，拿走一些。
这就是玛丽为什么要经营孤儿院的答案。 这是安娜进入的第二个基督教家庭。 “我在这里照顾他失落的羔羊。 一些人失去了父母。 有些只在白天 因为他们的单亲父母需要工作。 我知道上帝会有一个人 帮助我的大儿子照顾 他的弟弟和精神上受到挑战的兄弟。”玛丽解释道。 “我有一个聪明而成功的儿子，和一个异类的儿子。 所以你看？上帝是公平的， （不专心地向空中点头）。 他给了一些，他给了一些！”
反之;
“生活不公平；要适应它。” -比尔盖茨
“谁说生活是公平的，那是写在哪里的？”
―威廉·高德曼（William Goldman），《公主新娘》
Denture Hazards and Estate Quack Dentists ( a poem)
In road accidents
sweep mouth for foreign bodies
loose dentures’ hazards
Many years ago, it was night duty. One could hear this high-pitched noise before entering the ward. Sounded like stridor.
This estate worker had a motor vehicle accident. An emergency burr hole operation was done for her head injury. The next three days after removing the endotracheal tube, her breathing was so loud, piercing the usually quiet environment in that ward. Her daily chest X-rays and blood gases were normal. She was fed through a nasogastric tube.
As stridor could denote a blockage near the voice box. Nurse Anna went through all the skull x-rays. There was a very thin white line at the throat level in a few old skull X-rays (see skull picture above) that were done before the operation.
The doctor came in the middle of the night and removed a loosened ill-fitting denture!
I don’t know if there are still such estate quack dentists around. But in an accident, that is one of the reasons why one needs to sweep the victim’s mouth for foreign bodies before inserting an airway device!
A head full of rollers or a good night sleep?(A poem- Haiku)
I would go for a roller over my forehead, but not my whole head! I need my sleep more!
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Roller, roller roll
One on forehead, not whole head!
I need my sleep more!
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Wispy bangs in front
Flirting my brows and my frown
That’s me, presenting!
*****
Ostomy surgery: when gossips magnify problems…
This was in 1987. I remember it was an open ward. The male patients would gather to talk to each other. As doctors were trying to convince a patient to undergo an ostomy surgery, there might be ‘gossiping neighbors’ who would counteract the effort!
“Last week I met a patient who had cancer of the rectum. After operation, they put a bag on the tummy here. But it leaked and spilled all over! And the ‘stoma’ was so red, so big!”
We didn’t have trained specialized nurses in this field nor proper quality bags at that time. A few patients managed to get quality stoma bags and appliances imported from UK and US.
Today Malaysia has many trained enterostomaltherapists (ETs) and good quality ostomy bags in hospitals and pharmacies. The ETs would assist the colorectal surgeons to further explain about the conditions, surgery and the before and after operation care. They guide the patients on care for their stoma, its surrounding skin and how to use the stoma bags, etc.
I am not sure if patients still gossip like they used to! With proper pre and post operation care, these patients will be able to live a better quality life with a stoma.
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Chen Song Ping 