allenliau

HAPPY CNY

2009-01-28T16:12:00.001+08:00

wish to say happy CNY to all.

be prosperous this year.

invest in unit trust

2008-01-31T12:25:00.000+08:00

www.signalinvest.com.my is a good website to link all your unit trust investment all in one. And it automatically updates the unit trust prizes to dates.
so u don't need to key into a excel file which most of us are doing.

:)
using website to monitor your investment . please.

Regular top up when the prize is below your cost of buying is worth a try.

good luck in investing.

dr peds

2008-01-31T12:20:00.001+08:00

came by dr peds after doing a google search. Dr. SK from india..

website like www.peditips.com worth a look.

AGE, premature baby, pneumonia

2008-01-31T12:17:00.003+08:00

well, today seen some cases of acute gastroenteritis, pneumonia and a premature baby that was born at 33 weeks gestation. No RDS in that baby.

工作量大不過勞的六個方法

2008-01-30T12:14:00.000+08:00

【工作量大不過勞的六個方法】
《威力午睡》越來越多醫學報告證實，工作日下午抽空睡２０－３０分鐘，有助於提升工作效率、降低錯誤以及減少人際衝突。這種短而有效的充電方法。
《學習新嗜好》抽空報名學習一種新語言、球類運動或是樂器，給你不隨意加班的正當理由，又可以認識新朋友，靈活你的大腦與創意，提供更多與客戶聊天的話題。你將發現同樣的錢拿去繳學費，比買名牌衣服的投資報酬率高出許多。
《不把電腦帶回家》下班後不只是你的筆記型電腦，最好連ＰＤＡ、黑苺機全部都留在公司。這樣做會強迫自己工作時更有效率，下班時心情更輕鬆，更可省下家裡的電費。
《工作與家庭清單》許多人或許已經養成隨時寫下需要完成的工作清單，但是卻很少人寫下為家人的需求清單。記住！工作的主要目的之一不就是讓家人幸福嗎？
《長假不如短休》上班族與其引頸期盼一年一度的出國旅遊，不如妥善安排每天上班時的短休。在桌上放個計時器或網路下載提醒軟體，每隔５０分鐘就讓自己從位置上起身，不管是喝口水、伸展筋骨、深呼吸、上洗手間，都能讓你疲勞的肌肉以及腦袋得到適時的休息。
《勤練放鬆技巧》讓自己表情輕鬆，腦袋清楚。
許多人或許會說：「放鬆？這有什麼困難。」但是卻看見太多病人深受頭痛、失眠、焦慮、憂鬱等症狀所苦。心理諮商師邱永林指出偏偏這些都是身心長期無法有效放鬆的後遺症！除了上面提到的行為技巧，想要放鬆最首要還是心態和價值觀必須作調整！
人類的身體跟心智就像一組彈簧，既不能永遠緊繃，也不能永遠放鬆否則就會失去最佳狀態！有智慧的人會在緊張的工作中，發現值得輕鬆面對的趣味；也會在放鬆的生活時刻中，領悟到嚴肅的生命意義。
資料來源：http://www.uho.com.tw/hotnews.asp?aid=4098

leukemia

2007-05-23T23:08:00.000+08:00

new leukemic patient
8 year old girl, presented with one week history of fever, pallor and easy bruising.
Hb 6.2g/L, total white count 30x10^9/L, platelet 16 x 10^9/L.
liver 2cm, shotty cervical lymph nodes, no gum hypertrophy.

Blasts cell seen from peripheral blood film.

clinical diagnosis: ALL.

refer to oncology centre

Nurses day

2007-05-12T21:58:00.000+08:00

my ward nurses reminded me today is nurses day. asked them what they want.

Well, they requested secret recipe cakes + pizza hut..

treat them pizza + a secret recipe cakes. The cake cost me RM130, Pizza RM133.20.

rather expensive.

once a year event

leukaemic patient that refused treatment

2007-05-11T14:24:00.000+08:00

newly diagnosed in 31/1/2007 at a local university hospital. stayed one week at hospital as preparation for chemotherapy. Somehow the child was very apprehensive/afraid of needle. I think must be needle phobia.

Then the parents made decision to bring her back without chemotherapy.

presented to me 1 months later with extreme pallor. advised again by so many people for chemotherapy. yet parents still refused.
all they want is to blood transfusion and then discharged.

true enough to my prediction. they came in again in another months time. extreme pallor, with lots of bruises. transfused blood again. being told that their illness is very critical.

White cell count of 173 x 10^9/L.

Discharged after blood transfusion.

readmitted one week later with sudden loss of consciousness. collapsed at home.

sent to ICU one day. died after 8 hours of admission.

parents said i want chemotherapy now......

misdiagnosis

2007-05-11T14:17:00.000+08:00

one patient with 3 episodes of fitting. came to me.

A CT brain was done, it showed a small 1cm x 0.5cm at frontal cortex. subsequently radiologist reported as a small meningioma over the left frontal cortex.

Urgent referral was made to Mahkota Medical Centre. No such brain lesion was noted from the 2nd scan.

Patient's father called and said why i told him that there is a brain tumour. Since the radiological report say so, i have to tell them such thing.

Any discrepancy have to be born by the respective radiological doctor. and not me.

:)

premature baby twin

2007-04-13T12:38:00.000+08:00

32 weeker premature baby were delivered via LSCS.
1st twin at 1.97Kg, 2nd twin 2.07kg. Apgar score for both were 9 at 1 minutes and 10 at 5 minutes.
both require minimum oxygen.

feeding were stepped up slowly. eventually touching full feeding at day 5.

sucking reflex establised at day 6.

discharged at day 7 of life.

The World's Fourth Smallest Baby Born in Miami

2007-02-21T07:24:00.000+08:00

Miami, FL) - A child believed to be the most premature baby ever to survive is expected to go home from the hospital Tuesday.Amillia Taylor was born only 21 weeks and six days into her mother's pregnancy.She has spent nearly four months in the Neonatal Intensive Care Unit at Baptist Children's Hospital in Miami.Amillia overcame a number of problems ranging from under-developed lungs to lacerations on her skin. Her caregivers call her a miracle baby.She also happens to be the world's fourth smallest baby, weighing just under 10 ounces.

incredible.

new year still working

2007-02-19T14:11:00.000+08:00

hope to wish all of you here Happy chinese new year

Juvenile Rheumatoid Arthritis

2007-01-23T22:48:00.000+08:00

one 1 year + child presented with prolong fever for more than 1 month. Developed maculopapular rash over the neck, trunk. Diagnosed as JCA by my Professor.

I have high regard to my former teacher and he taught me to be through in my work as a professional.

thank you

baby sitting

2006-11-01T19:12:00.000+08:00

my baby was delivered in august 2006. lovely girl.

weight 3.6kg. via caesarian section.

name her catherine.

Admiring and caring for her daily.

wish she will grow up well

2006-07-25T21:56:00.000+08:00

spider lily

2006-07-25T21:54:00.000+08:00

plumeria obtusa

2006-07-25T21:53:00.000+08:00

bruises in ITP

ITP

2006-07-25T21:49:00.000+08:00

saw one child with itp. 1 year plus presented with spontaneous bruises. increasing in severity. presenting platelt count 18 x 10^9/L. no hepatosplenomegaly. blood film normal.

give him 2g/kg of iv Ig. One vial 2.5g. total 12 vials as his weight is 15kg.
one vial per hour with iv lasix in between.

2006-06-29T16:00:00.000+08:00

plumeria grew from seeds

2006-06-29T15:55:00.000+08:00

banana is growing

plumeria cutting

2006-03-30T18:52:00.000+08:00

after a thunder strom my plumeria obtusa crack and it form a cutting about 2 1/2 feet long.

I put the plumeria cutting into a sandy soil (mix 1/2 perlite 1/2 soil) and put some sand on top of the pot. And i layer a bed of river stone on top to prevent the cutting from moving.

i think rooting will occur in 2 to 3 weeks time. Just wait and see.

2006-03-30T14:53:00.000+08:00

adenium

2006-03-30T11:43:00.000+08:00

ravenala

Plumeria

2006-03-20T21:18:00.001+08:00

recently i developed a special interest in Plumeria.

Therefore started a hobby of planting plumeria (frangipani). I have plumeria rubra (red colour), obtusa (white), and pink, and yellow.

the white variey i have two variant. one with bigger flower, the other one is smaller flower. Out of the 4 plumeria. The white one has very nice fragrant. The pink one has a sweet fragrant. Red one smell like rose.

Incidently i have spotted plumeria seeds in my old pink plumeria. Then i plant it in small pots. It has germinates within 2 weeks. I used 50% sand and garden soil. Plan to transplant it into larger pots when it is bigger.

2006-03-20T21:18:00.000+08:00

my garden

2006-03-20T21:17:00.000+08:00

White plumeria with very nice fragrant

2006-03-19T16:43:00.001+08:00

pluemria seed

2006-03-19T16:43:00.000+08:00

plumeria

meet the parents

2006-01-21T10:59:00.000+08:00

A girl asks her boyfriend to come over Friday night and have dinner
with her parents. Since this is such a big event, the girl announces
to her boyfriend that after dinner, she would like to go out and make
love for the first time.

Well, the boy is ecstatic, but he has never had sex before, so he
takes a trip to the pharmacist to get some condoms. The pharmacist
helps the boy for about an hour. He tells the boy everything there is
to know about condoms and sex.

At the register, the pharmacist asks the boy how many condoms he'd
like to buy, a 3-pack, 10-pack, or family pack. The boy insists on the
family pack because he thinks he will be rather busy, it being his
first time and all.

That night, the boy shows up at the girl's parents house and meets his
girlfriend at the door. "Oh, I'm so excited for you to meet my
parents, come on in!"

The boy goes inside and is taken to the dinner table where the girl's
parents are seated. The boy quickly offers to say grace and bows his
head.

A minute passes, and the boy is still deep in prayer, with his head down.

10 minutes pass, and still no movement from the boy.

Finally, after 20 minutes with his head down, the girlfriend leans
over and whispers to the boyfriend, "I had no idea you were this
religious."

The boy turns, and whispers back, "I had no idea your father was
a Pharmacist."

lessons on life

2006-01-20T11:31:00.000+08:00

Lessons on Life

There was a man who had four sons. He wanted his sons to learn not to judge
things too quickly. So he sent them each on a quest, in turn, to go and look
at a pear tree that was a great distance away.

The first son went in the winter, the second in the spring, the third in
summer, and the youngest son in the fall.

When they had all gone and come back, he called them together to describe
what they had seen.
The first son said that the tree was ugly, bent, and twisted.
The second son said no it was covered with green buds and full of promise.

The third son disagreed; he said it was laden with blossoms that smelled so
sweet and looked so beautiful, it was the most graceful thing he had ever seen.

The last son disagreed with all of them; he said it was ripe and drooping
with fruit, full of life and fulfilment.

The man then explained to his sons that they were all right, because they
had each seen but only one season in the tree's life.

He told them that you cannot judge a tree, or a person, by only one season,
and! that the essence of who they are and the pleasure, joy, and love that come
from that life can only be measured at the end, when all the seasons are up.

If you give up when it's winter, you will miss the promise of your spring,
the beauty of your summer, fulfilment of your fall.

Moral lessons:

Don't let the pain of one season destroy the joy of all the rest.

Don't judge life by one difficult season.
Persevere through the difficult patches and better times are sure to come some time or later

life after marriage

2006-01-19T11:35:00.000+08:00

getting busier nowadays.
Things are different now than before.
as you know. Life changes after marriage.

lots of things to consider before doing for the other half.

You can't have the entire bed on your own anymore.

2005-11-24T10:52:00.000+08:00

sexy pink blooming

Prevenar

2005-11-24T10:24:00.000+08:00

Prevenar is a new streptococcal pneumoniae vaccine, which is indicated in children.

It contained 7 serotypes of pneumococcal antigens.

It cost about RM350 per dose.

I would advice all children to go for this vaccination.

joy

2005-11-24T10:07:00.000+08:00

Every time you experience joy, there is one less person feeling pain. Each time you spread joy to another, the positive power of that joy begins to multiply.

Baby experience joy when they are pampered, love and being cared for. Adult also had similar feeling.

To be truly joyful is not a self-centered pursuit. It is one of the most generous things you can do.

handphone missing?

2005-11-16T20:35:00.000+08:00

I saw somewhere from internet

press *#06# to retrieve IMEI from any handphone, write it down in a place.

in the event it got lost.
report to the mobile service provider. then the phone cannot be used anymore.
whoever stole it can't sell it or use it.

hurray.

anyone tried this method?? Does it really work??

dealing with difficult patient

2005-10-25T10:26:00.000+08:00

• Be curious; ask why they are angry as this may have a therapeutic effect.
• Don’t be defensive and engage in a power struggle.
• Listen carefully; this alone may defuse the patient’s anger.
• Use active-listening techniques — repetition, summary, validation, and empathetic statements. When physicians are uncomfortable interacting with a patient, a barrier to effective communication exists. “Being aware of the tension, identifying the barrier, and acknowledging with the patient that there is difficulty in the relationship are important steps in re-establishing understanding between a patient and clinician.”
In Anger Management Techniques, J. Alfonso describes visceral responses that may defuse a heated encounter with a patient.
• Maintain slow and steady breathing.
• Monitor the pace and tone of your voice. Speak slowly and calmly.
• Maintain open body language as a nonverbal sign of listening. Also, avoid standing with your hands on your hips, in your pockets, or arms crossed as this body language connotes a defensive reaction.
What if the source of the anger legitimately rests within your practice? A patient who experienced difficulty in scheduling an appointment, a long waiting time, or unresponsive staff members will very likely direct anger toward the physician. Use the techniques listed above. Get specifics and give the patient assurance that the matter will be acted on and resolved. Don’t avoid the angry or dissatisfied patient. Being an advocate for your patients will enhance your effectiveness. “As difficult as it may be, the more you talk with and listen to an angry patient, the more likely you are to avoid converting an incident into a claim.”
Another model for dealing effectively with critical and angry patients triggered by events in your practice suggests the following:
1. Make a disarming statement, e.g. “You are right. You did have to wait today.” This is nondefensive and validates some of what the patient is saying.
2. Make an empathic statement, e.g. “Your time is important and it is frustrating when you have to wait.” This reflects putting yourself in the patient’s position and understanding his or her needs.
3. Make an inquiry, e.g. “What can we do to resolve this problem today?” This demonstrates your shared relationship and interest in the patient and may move the exchange to a productive solution.

一朵雲

2005-10-25T10:14:00.000+08:00

一朵雲輕輕飄過，有人放聲歌唱，有人憂傷落淚。
....

our prime minister wife had passed away.

Life is uncertain.

but it has to go on.

Cheer up in this depressed moment.

Cup or Water - A Simple Life Philosophy

2005-10-21T15:51:00.000+08:00

Something simple, yet so many of us forget this everyday: Cup or Water?

A group of working adults got together to visit their University lecturer. The Lecturer was happy to see them. Conversation soon turned into complaints about stress in work and life. The Lecturer just smiled and went to the kitchen to get an assortment of cups - some porcelain, some in plastic, some in glass, some plain looking and some looked rather expensive and exquisite. The Lecturer offered his former students the cups to get drinks for themselves. When all the students had a cup in hand with water, the Lecturer spoke: "If you noticed, all the nice looking, expensive cups were taken up, leaving behind the plain and cheap ones. While it is normal that you only want the best for yourselves, that is the source of your problems and stress. What all you wanted was water, not the cup, but we unconsciously went for the better cups." "Just like in life, if Life is Water, then the jobs, money and position in society are the cups. They are just tools to hold/maintain Life, but the quality of Life doesn't change." "If we only concentrate on the cup, we won't have time to enjoy the water in it."

6種培養愉快心情的方法：

2005-10-21T15:47:00.000+08:00

擁有愉的心情能使我們的身心更加健康。
相對的來說,當你遇到不順心或挫折時，悲傷、憤怒、抑鬱、憂愁等損害健康的惡性心理情緒便會與之俱來,對身體的健康帶來一定的影響。

如何積極地化解這些情緒的困擾呢？心理學家向您推薦以下密決，不妨試一試!
一、多做跑步、轉圈、疾走、游泳等體育運動。這些運動是化解不良情緒的行之有效的措施之一。

二、睡好覺。睡眠有助於克服惡劣情緒，穩心定神。一覺醒來，心情就會好多了。

三、聽音樂。音樂可使大腦產生一種能鎮靜安神的物質內啡呔，但要注意選擇“對路”的音樂。

四、賞花草。花草的顏色和氣味，有調解人情緒的作用。

五、觀山水。青山綠水，鶯歌燕舞，會將你置於美好的情境中，心情便會被“快活化”。

六、洗淋浴。浴池中的淋浴，能產生一種安神的活性分子，不快時，不妨洗洗淋浴，會一身輕鬆。

2005-09-03T18:38:00.000+08:00

sunken eyes with a fever cool patch on forehead

2005-09-03T18:37:00.000+08:00

my red rose blooming

2005-08-25T19:17:00.000+08:00

haemangioma

2005-08-18T14:06:00.000+08:00

my lotus flower is blooming soon

2005-08-10T10:54:00.000+08:00

oral ulcers in HFM

2005-08-09T22:02:00.000+08:00

sony w800

2005-08-09T21:38:00.000+08:00

rashes in HFM disease

2005-08-09T21:36:00.000+08:00

cafe au lait spot in NF1

O2 modem drivers

2005-08-09T18:41:00.000+08:00

post a enquiry to www.seeO2.com and ask for drivers problem

they responded promptly and email me the drivers.

Thanks O2 website for their cooperation.

:)

O2 XDA IIi

2005-08-08T19:20:00.000+08:00

New gadgets O2 XDA IIi has finally arrived. I have awaited patiently over last few days for its arrival. it cost me RM3500. and the casing was superb.

It is a windows CE system. with Handphone function. Well, windows based programe is very familiar with deskstop.

One thing to highlight that Malaysian O2 version doesn't come with a O2 application CD which contain drivers for wireless modem. I am still in the process of figuring out how to connect to my notebook wirelessly using GPRS.

Any help offer??

2005-08-08T19:14:00.000+08:00

O2 XDA IIi my new smartphone

2005-08-08T19:13:00.000+08:00

urticaria

2005-08-04T19:30:00.000+08:00

neonatal chicken pox

2005-08-04T19:29:00.000+08:00

herpes simplex type 1

2005-08-04T19:28:00.000+08:00

pleural effusion a child

2005-07-19T19:37:00.000+08:00

5 series at seaside

2005-07-19T19:34:00.000+08:00

black 3 series

2005-07-19T19:32:00.000+08:00

bmw 3 series in gray

2005-07-16T19:43:00.000+08:00

beautiful flower

2005-07-16T19:33:00.000+08:00

rear view of 3 series

2005-07-16T19:23:00.000+08:00

6 series in black

2005-07-16T19:14:00.000+08:00

interior of 3 series

2005-07-16T19:12:00.000+08:00

side mirror for 3 seirs

2005-07-16T19:10:00.000+08:00

bixenon headlamp for 3 series

2005-07-16T19:08:00.000+08:00

5 series in titanium silver

update

2005-06-30T19:19:00.000+08:00

well, got my new car eventually.
It is a new model. superb and sleek in every direction. Got to look it long enough to have that kind of sensation.

i just found out the bmw 320i doesn't have a bluetooth telephone receiver. The button in the sterring wheel is a dummy!!!

Hope you guys would love it.

Patient's load are still heavy. Lots of parents to attend to.

Good luck.

2005-06-22T23:31:00.000+08:00

bmw

2005-06-14T21:38:00.000+08:00

sunflower

2005-06-12T21:59:00.000+08:00

variety of flower

2005-06-11T14:38:00.000+08:00

orchid

2005-06-10T17:54:00.000+08:00

little flower

2005-06-08T19:30:00.000+08:00

black swan with flowers

2005-06-08T19:28:00.000+08:00

narrow passage

2005-06-08T19:27:00.000+08:00

pyramid with light effect

2005-06-08T19:26:00.000+08:00

bmw 3

2005-06-07T22:09:00.000+08:00

parot

2005-06-07T22:01:00.000+08:00

mr incredible = is there such a guy in real life

2005-06-07T21:59:00.000+08:00

2 carnation with a love

2005-06-07T21:58:00.000+08:00

flower in love shape

2005-06-07T18:55:00.000+08:00

BMW 3 series in tinatium silver

2005-06-06T19:03:00.000+08:00

bunga kertas

2005-06-06T19:00:00.000+08:00

roses from patient

hotspot@hotme package

2005-06-03T18:00:00.000+08:00

by having another internet connection mean you will go online more often than usual. as you pay for the service, and you tend to use it more. Otherwise it will be a waster of money.

the package i am taking is RM88 per month. unlimited access

hotspot@home

2005-06-01T22:05:00.000+08:00

today i got my streamyx hotspot@home package install at my house.

i tried out out www.limeware.com whereby you can download movie

yahoo.

broadband internet access at home

2005-05-20T09:39:00.000+08:00

dwarf banana

2005-05-20T09:37:00.000+08:00

lotus

nootropil syrup

2005-05-14T11:28:00.000+08:00

Nootropil(piracetam) can be used to treat dyslexic children.

well, the 20% notropil (cost RM80) 4mls twice a day can be used to treat cognitive impairment in children

study from Van Hout % Giurgea concluded that " nootropil (piracetam) may also have a specific effect on some separate circuits of the left hemisphere and especially those functional aspects implied in reading and verbal memory"

So, gonna try it?

sexual abuse

2005-05-10T23:37:00.000+08:00

Have u ever thought of seeing a 7 year old girl with possible sexual abuse.

i have seen one today.

How would you voice this possibility to the parents?

What is the ethical issue and implications involved?

This are the few important question needed to be answered.

Signs of sexual abuse in children

1. repeated episode of urinary tract infections.

2. introitus gaping on abducting the thing.

3. unreasonal sexual acts.

4. rounded hymen. examined for old tear. etc.

2005-05-04T10:08:00.000+08:00

bmw

polio and BMW 3 series

2005-05-04T10:00:00.000+08:00

“Well, just heard the medical news that the polio virus had attacked Indonesia Java.

The polio was last heard in Nigeria 2003 and now it is seen in Indonesia.

The 18month old baby had been paralysed due to that.”

In fact, I am using injectable polio vaccine now adays.

Also test drive a new BMW 3 series , it is a new experience in driving. May be I will get one soon.

May my wish come true.

:P

Children with high feve

2005-05-03T12:01:00.000+08:00

Rule no 1: Don't be panic

Rule no 2: Treat fever with syrup paracetmol 15mg/kg/dose

Rule no 3: If within one hour fever still spiking, >38oC, I would recommend voren suppository according to body weight.

Cataflam oral drops (weight /4) drops 6 – 8 hourly is equally effective,

Rule no 4: Tepid sponging using towel and cold water.
Wear thin shirts (not long sleeves).

In the event if the first antibiotics is not working, for example, rocephin (50mg/kg/dose), and it had been used for 2 days, the child still having fever, do consider possibility of resistance, (beta lactamases inhibitor ).

I would recommend switching to IV sulperazone or iv Tienam.

2005-04-29T12:12:00.000+08:00

hairloss?? too much thinking?

acute sinusitis in 5 year old kid

2005-04-29T10:23:00.000+08:00

A 5 year old child presenting with blocked nose, high fever on and off x 5 days. Tenderness over the maxillary region.

Clinically mouth breather, febrile and mildly dehydrated, lips were dry.

X ray of paranasal sinus, OM view and lateral showed opacities over the left maxillary sinus.

Treatment consisted iv zinacef (100mg/kg/day tds) drips for dehydration, syrup paracetamol and nasal decongestion along with zyrtec oral drops 5mg bd (10drops) bd.

The child made rapid recovery and was afebrile the next day.
Nasal congestion improved and the child was able to breath more freely through the nose

2005-04-28T14:26:00.000+08:00

foregin body aspiration in 9 month old baby

2005-04-28T14:25:00.000+08:00

HDN

haermorrhagic disease of newborn

2005-04-28T14:21:00.000+08:00

HDN

a 1 month old baby who was just received her second dose of hepatitis B vaccination, developed fever and subsequently left sided fit.

She was treated with loading dose of iv phenytoin 20mg/kg and subsequently on maintainace dose of iv phenytoin 5mg/kg/dose,

iv drips 2/3 maintainace

iv claforan (200mg/kg/day QID) and iv acyclovir 10mg/kg/dose started.

vit K 1mg was given at birth,

CSF only RBC 10x 10^6/L.
Otherwise no organism seen, preliminary culture negative.

the CT scan showed a small bleed at the right interhemispheric region

the fit was well controlled after that.

medical error

2005-04-27T11:57:00.000+08:00

got this from my mail box today.

It's every patient's worst nightmare. And every word of it is true.

Sixty-seven-year-old Joan Morris lay sleeping in her hospital bed,
recovering from brain surgery at one of the nation's most prestigious
academic medical centers. One floor below her, 77-year-old Jane Morrison
was also asleep, awaiting an invasive, somewhat risky cardiac procedure,
in which the heart is deliberately stopped and re-started.

By 9 a.m., due to 17 separate errors on the part of the medical staff,
Morris was the one on the operating table with a catheter in her heart
while Morrison, the intended patient, was still sleeping in her room.

So begins Chapter 1 of "Internal Bleeding; The Truth Behind America's
Terrifying Epidemic of Medical Mistakes," by doctors Robert M. Wachter and
Kaveh Shojania (Ruggedland publishing; 2004). Through gripping
storytelling and painstaking investigation, the book details the
circumstances behind 20 serious medical mistakes at U.S. hospitals,
getting to the heart of just why they happened, and offering some detailed
solutions on how to prevent more. Wachter's conclusion, after a year of
touring the country hearing from doctors and hospital administrators who
have read his book:

Mistakes are even more common than people think, and there is much work to
be done to quell the "epidemic."

"They say they've had every single one of the errors reported in the book,"
says Wachter, who will visit Boulder Tuesday to present a public lecture
on medical errors. "They are so incredibly ubiquitous."

Wachter became interested in the subject after the publication of the now-
famous 1999 Institute of Medicine report declaring that as many as 98,000
American hospital patients die annually due to medical mistakes. As a
physician at the University of California San Francisco Medical Center,
ranked one of the top 10 hospitals in the country, Wachter was no stranger
to those mistakes, and he believed they often had more to do with a
complete "systems failure" than the human failing of one individual.

"It struck me that too many patients were being harmed or dying even in
excellent hospitals," he says. "It became clear to me that we were not
approaching the problem the right way."

In writing the book, Wachter interviewed doctors, nurses and medical staff,
and pored over paperwork to dissect, down to the most minute detail, how
mistakes were made. Some accounts use real names of patients and
facilities; others omit them for privacy reasons. Among those discussed:

Willie King, a 51-year-old father of three from Tampa Florida went into
the hospital to have his right leg amputated due to complications from
diabetes. Doctors amputated his left.

Jesica Santillan, 17, died in 2003 at Duke Medical Center after receiving
a heart-lung transplant of the wrong blood type.

A 68-year-old woman was recovering nicely from elective cardiac bypass
surgery when she unexpectedly had a grand mal seizure, lapsed into a coma,
and died. It turned out the ICU nurse, instead of flushing the woman's IV
line with the blood-thinner Heparin, had given her a fatal dose of insulin.

A Texas man, whose doctor intended to prescribe 120 tablets of the heart
medication Isordil, instead received the much more powerful drug Plendil.
He suffered a massive heart attack and died.

After repeatedly setting off the metal detector while trying to board an
airplane, a woman returned to the hospital where she had recently had
stomach surgery to discover doctors had left a crowbar sized metal
instrument inside her.

Horrifying as such cases are, they can not be solved with the instinctive
act of blaming one person and firing them, Wachter says. Instead, in an
age when equipment, medication options, and staff structure is more
complex than ever, errors are almost to be expected, so stop-gaps must be
put in place to catch them before they do harm.

"Complexity has outstripped the ability of even incredibly bright, hard-
working, compassionate people to get it right all the time," he says.

The biggest challenge now, Wachter says, is "changing the culture" of
medicine, to make it easier for a receptionist or an orderly, for instance,
to speak up and tell a doctor when they believe they are making a mistake.
And for them to feel comfortable reporting even near-misses so that
systemic changes can be made to assure the mistake doesn't happen again.

Have things improved since the 1999 report? "I think we are doing a little
better," Wachter says. "Certainly we think about it and focus on it and
talk about it more than we once did." But no follow-up study has been done
so its hard to know for sure.

One thing he does know:

"We are still harming and killing too many people."

well, my personal experience is that
1. wrong medications being given,
2. baby swapping
3. needle in the baby back
4. skull fracture in new books

crystal believe

2005-04-19T15:27:00.000+08:00

早在我佛教中佛說大阿彌陀經中「地平氣和分第十五篇」所載：「阿彌陀佛剎中，皆自然七寶，所謂黃金、白銀、水晶、珊瑚、琉璃、琥珀、硨渠，其體性溫柔，以是七寶，相間為地，或純以一寶為地，光色照耀，奇妙清淨，超越十方世界，騎國恢廓曠蕩，不可窮盡……」。

而在西方世界的薩滿教（Shamanism），水晶礦石修行也是北美印地安人與大自然維持和諧，並且利用大自然力量的一種修持方法。而西方的心理學家，也開始致力於行上學的範疇研究，一直在後來，有關氣輪（Chakra）的古老科學才慢慢的得以重新認知。

要說到水晶的靈性及特殊的感應能力，絕對不能忘記及忽略最重要的氣輪系統（Chakra System）。氣輪系統在印度瑜珈和其他文化中廣為人知。其中主要包含了色彩、礦石和聲音等方式來促進一個人的成長或調整一個人的失衡。中國古代認為人體經脈有輪，透過運氣、冥想、打坐便可打通脈輪（任督二脈），讓能量（內氣）得以在體內順利循環流動，對健康、運勢、智慧甚有助益。古代太極武學中，甚至有可以透過運氣讓能量（氣流）經過身體經脈，即可得知自己身體內部的健康好壞。而數個世紀以來，中國傳統針灸經由把脈了解體內器官的狀況。利用脈搏所提供的訊息了解疾病產生時該如何平衡一個人的能量，並由穴道針灸治療，打通身體全部能量的流暢。。

而氣輪學說另一方向則是以顏色的不同來作分類用途，大致分為白、紫、紅、黃、綠、藍、黑七種，每種顏色皆與人體七輪有微妙關係。根據印度古傳奇記載，造物者當初創造了四種顏色的人種族群：紅、黃、黑和白，開啟了顏色對人類的影響及歷史。對於顏色，我們也可以從心理學的角度來看，當妳今天出門決定穿什麼顏色的衣服基本上就已經可以得之你現在的情緒氛圍，例如：現在坐我隔壁的系統分析師Jacob今天選擇灰色和黑色，代表可能淺意識的心情不好或有所思考、甚至感到疏離的感覺，因為黑色代表神秘及安靜，而灰色是中性色，雖然並不刻意代表某種心情，但是你今天若比較想一個人安靜一點，感覺平平的，則灰色會引導你。另外，對女生來說，內衣的顏色影響也很深遠，例如：（這個我就不方便從我附近的人舉例了^^）如果穿紅色或橘色能夠撩撥及放射妳的性慾及性感，淡藍色可以消除緊張及難耐，而深紫色可以加強忠誠度及奉獻感。如果以周圍來看，粉紅色、綠色、黃色可以鼓勵人深呼吸；白色代表純淨及安定；想要增進性慾就用橘色；綠色及藍色代表寧靜及寬廣。顏色的故事，整體來說太多了，下次有機會再跟各位水晶先進們報告。

　

回歸正題，古時對人體有多少脈輪卻無一定的定案，但既然七輪是現在的主流（另外有十二輪、六輪等等學說），我想我們就以七輪為主來講起好了。七輪即是頂輪、眉輪、喉輪、心輪、太陽輪、腹輪及底輪。七輪學說一直到前蘇俄時代，科學家Kirlian克里安使用High Voltage (高電壓)攝影技術，拍攝出不論動物或植物，都有一層似霧的光包圍，而且不同的人也有不同顏色的光。他發明的相機稱為Kirlian Camera克里安照相機，也是現代氣場分析儀的始祖。後來曾於太空總署工作的美國科學家Barbara Ann Brennan，寫成Hands of Light 這部經典著作，她長時間研究人體氣場的頻率，把人體能量分為七層，確立了古人的七輪學說。書中把七層能量分別稱為:

　

(1) The Etheric Body 乙太體

顯現出我們人體的一個基本模式、生長藍圖。

　

(2) The Emotional Body情緒體

隨著人的思想、情緒、心情，其顏色、結構會不斷變化。

　

(3) The Mental Body理智體

源於太陽神經叢，黃色的光芒，掌管著人們的理智、思考、邏輯、判斷、實際面的事物等等。

　

(4) The Astral Body星光體

這是人體極為精細的一個層次，類似像神遊太虛、夢境等等，因此稱作星光體。

　

(5) The Etheric Template Level以太模板體

這是類似第一項以太體的形狀與功用，只是比以太體的能量頻率更高、更精細。

　

(6) The Celestial Body精妙體

此層次中所流露出來的是極為合諧的光芒，在此是純靈性的，非肉體的，非物質性的。

　

(7) The Causal Body因果體

人們累世累劫以來的記憶、經驗，就是儲存在這個層次裡面。

　

到近年，有鑑於Kirlian Camera只能拍攝到The Etheric Body一個能量層、距離遠近會影響拍攝效果等缺點，所以Aura Spectro-Photo-Meter （氣場分析儀）便應運而生。它能完整地拍出人體的氣場，原理是以手掌反射區之能量為基礎，測讀人體各能量層的數據，再由電腦分析數據後斷定各能量層之顏色及光暗。透過這些照片，我們能根據氣場之顏色光暗了解個人健康情況、性格、甚至推測運勢。

　

以下我們先介紹七輪的完整特性：

　

一、名稱：頂輪、冠輪、智慧輪

位置：頭頂中央

顏色：紫色（金色也同樣附屬於頂輪）

解藥：黃色

感官：第七感

器官：腦下腺、神經系統、腦部

塔羅：傻瓜「希伯來文是Aleph」

說明：靈性無所不在，可以將無形能量化作實質能量的力量。

水晶：紫水晶、白水晶

二、名稱：眉心輪、第三眼、基督意識中心

位置：兩眉之間

顏色：紫藍色

解藥：橘色

感官：思考

器官：鼻子、雙眼、耳朵

塔羅：女祭司「希伯來文是Gimel」、魔術師

說明：精神力量和更高直覺的中心，並可以接收引導讓你體驗心電感應和前世的中心。

水晶：捷克隕石、瑩石、舒俱來石

三、名稱：喉輪、頸中心

位置：喉部、頸尾

顏色：藍色

解藥：紅色

感官：聽覺

器官：喉嚨、甲狀腺、肌肉、耳朵

塔羅：祭司「Vav」

說明：溝通中心，有強烈的慾望想說出自己的感受。

水晶：青金石、藍銅礦

四、名稱：心輪、背脊中心

位置：胸部中央

顏色：紅色、粉紅色、綠色

解藥：不需要^^，因為心輪位於中央，是平衡的。

感官：觸感

器官：心、肺、免疫系統

塔羅：皇后「希伯來文是Daleth」

說明：慈悲及博愛的中心，一旦開啟，就能夠將自我降至最低，認同其他人。

水晶：東菱、粉水晶、綠幽靈、西瓜碧璽

五、名稱：胃輪、太陽輪、太陽神經叢中心

位置：橫隔膜下方、胸骨之下，胃部後方（同時顯現於肚臍）

顏色：黃色

解藥：紫色

感官：視覺

器官：內臟消化系統、皮膚、腎上腺

塔羅：國王「Tzaddi」、太陽「Resh」

說明：個人力量的中心，發現自己的獨特天賦，可以帶來樂趣和滿足。

水晶：黃水晶、鈦晶、綠松石（土耳其玉）

六、名稱：腹輪、臍輪、脾臟輪

位置：肚臍下一至二指處或發展到左側的脾臟、丹田下方

顏色：橘色（肚臍以下）、藍綠色（脾臟）

解藥：紫藍色

感官：味覺、渴望

器官：女性生殖器官、乳腺（乳汁是由卵巢荷爾蒙製造而來）

塔羅：情人「Zain」、月亮「Qoph」

說明：關於友誼、創造力、性慾、情感和直覺。以開放的方式主宰自我價值觀和人際關係。

水晶：虎眼石、紅玉髓、紅髮晶、碧璽

七、名稱：海底輪、根輪、基輪

位置：尾骨

顏色：紅色

解藥：藍色

感官：嗅覺

器官：脊椎骨、血液、膀胱、男性生殖器官

塔羅：隱士「Yod」

說明：跟大地及本身的基礎有直接的關係，並且是身體能量和活力的中心。

水晶：紅石榴、黑曜石、茶晶

　

而七輪及氣輪系統又代表著控制什麼？大抵上來說，七輪控制著我們的運。而話又說回來運是甚麼呢？運就是人的際遇好與壞，與人體氣場(七輪)有莫大關係。古時人們認為萬物有靈，不論動物或花草樹木也有三衰六旺。到了現代，我們透過氣場分析儀所拍攝的照片，可以看出所有生物也有氣場。當氣場中的某能量層衰弱時，我們便會在某些事情上交上惡運，例如心輪的紅色力量太弱時，單會沒有桃花運，還會惹上挑花劫啊！水晶所釋放的能量，有助增強七輪的能量，趕走惡運。當然要配合適當的顏色，例如心輪弱，可以配戴粉水晶飾物以增強愛情運勢。呵呵，大家看到這裡應該都有一點了解了吧。假設說，最近可能要談一些重大的Case，但是因為自信心的不足，或者是最近因為外在的某些條件造成我們的低潮，這時候我們可以佩帶鈦晶或者是綠髮或綠幽這幾種的水晶來改變自己的磁場，而當我們佩帶的水晶散發出陣陣的能量及磁場就會改變我們七輪對應上的磁場及所散發出來的能量，讓我們心情愉快增加自信心，而所散發出來的魅力當然是不可同日而語，接下來做自己想做的事情當然就水到渠成囉。

　

既然說到靈性，也不能只說西洋的氣輪系統學派。中國五千年的歷史，風水之說，更是歷史久遠，其來有自。在風水學上，水晶又有著風水石之稱，因為天然水晶（要天然的喔，不是天然的就沒有功用了）凝聚千億萬年天地靈氣，在由地殼的各種大自然元素（礦物質）沉澱，再經過難以數計的歲月粹鍊，形成各式各樣的水晶，每種水晶都代表著不同的能量頻率，並且產生不同的磁場與功能，而在風水學上，水晶根據五行生相剋的道理，就演變生風水學上最重要的金、木、水、火、土五形了。
　

五形相生

金生水

水生木

木生火

火生土

土生金

五形相剋

金剋木

木剋土

土剋水

水剋火

火剋金

「金」、「木」、「水」、「火」、「土」相生相剋，演化萬物，萬物形成後，形狀、顏色均反映出內在的五形特性。

五形

金

木

水

火

土

代表顏色

白、金

綠、青、粉紅

黑、藍、灰

紅、紫

黃、咖啡

顏色破壞生命，相等於五形相剋，顏色豐富生命，相等於五形相生。若八字中午形欠缺某種元素，大部分的風水老師都會教您選擇適當的水晶來化解，另外，在地理的陽宅也是一樣，如果家裡的風水不管是因人、地、事、物改變了原本的氣流，亦或者原本就不好，大部分也都會採取使用水晶強大的磁場能量來改變風水。老實說，地理風水及風水學派，真的是太博大精深了，原諒我們的時間真的不夠仔細去研讀，待日後只要我們補充完相關的知識章節，一定post上來讓大家更加的了解，也歡迎大家寫信給我們，這樣也可以教學相長嘛^^。

2005-04-11T14:03:00.000+08:00

pineapple flower

2005-04-11T14:02:00.000+08:00

keladi

2005-04-09T11:28:00.000+08:00

fern