Whine Bitch & Me
The field of orthopaedic is dynamic and multifaceted. Subspecialty expertise includes adult reconstruction, sports, trauma, spine, foot, hand, shoulder, elbow, oncology, pediatric, and impairment evaluation.
Our Services
Sports Medicine & Injuries
Both competitive and recreational athletes will occasionally have an injury or illness that limits their optimal performance. Many of these injuries affect the muscles, ligaments and/or bones and are best diagnosed by our physician trained in musculoskeletal medicine. It is important to identify and correct the problem that led to the injury to prevent a recurrence.
Hand & Reconstructive Surgery
At JMC, our orthopedic surgeons will provide services to patients with post-traumatic, inflammatory and degenerative problems of all major joints including the knee, hip, elbow and shoulder.
Hand surgery
Our orthopedic surgeons are specially trained to care for and treat conditions affecting the hand and wrist. Surgery can correct many disabling conditions of the hand or wrist, producing a dramatic improvement in a patient's quality of life or productivity.
Conditions such as rheumatoid arthritis, degenerative arthritis or post-traumatic arthritis often can be relieved by advanced reconstructive surgeries, including hand and wrist fusions or joint replacement procedures for the wrist, thumb and fingers.
I am seeing an Orthopaedic later at JMC.
Thanks to Cousin Ailing who managed to secure the appointment for me.
The appointment I made myself is Monday, 15th June at 10.30am.
The STUPID right ankle is painful and especially painful when I stand for about 5 minutes. "Special thanks" to the people who refuses to offer me their seats despite I was bandaged!!!!!
The lady with long hair. Young girl. But pretend that she didn't see me when she did and refused to stand up to allow me to have the seat. Good right?
She is not even better. Someone alighted at Jurong East. I was slowly making my way there when she simply rushed in, took the seat and immediately fell asleep. WOW! What a powerful "sleeping" pills she had taken before her ride. Didn't you notice she was at the Priority seat? No doubt no sign stated that you need to give up your seat to the handicapped but isn't it common sense?
ANGRY.
BAD MOOD.
RIGHT FOOT PAIN LA!
My "beautiful" "pig trotter" feet as at 7.30pm. -_-"
I went to the GP just now. He was like "OMG! What had you done? Got beaten up?"
I was like -_-"………………
I was told to go for X-ray and was given a referral letter. But I will see how then. If the swelling persists by Wednesday, I will go to company doctor to get the X-ray done.
Now, I am given 1 day MC. Have to be in office on Wednesday.
Tomorrow will be full resting day for my feet. Hopefully, the swell will go away. I bloodly hell need to work lor. @_@
1st treatment – 放血. This is totally gross. I hid behind my bag. Uncle had a "gun" – reminds me of taking blood for my blood type on IC. Then he proceeded to use the mini "cup" to suck out the blood.
2nd treatment – Bandaged my right foot.
3rd treatment – Rest for a while then he "tui-ed" the left foot cos I was STILL complaining pain.
Finally he had advised that if it still swell and still painful by end of the week, I better see a GP and get an Xray done, it could be a crack at the bone.
Let's take a look at 放血疗法. 放血疗法就是指用三棱针、粗毫针或小尖刀刺破穴位浅表脉络，放出少量血液，以外泄内蕴之热毒，达到治疗疾病的一种方法，具有消肿止痛，祛风止痒、开窍泄热、镇吐止泻、通经活络之功效。
1、物品准备 消素的三棱针（或粗毫针、小尖刀）、75%酒精、棉签、消素纱布、胶布、弯盘。
2、操作方法
（1）点刺：（又称速刺）
①选好点刺之穴位血络，局部用酒精行常规消毒。
②术后右手持针，左手固定待刺部位，将针尖对准选好之血络，迅速刺入约0.1～0.3cm立即出针。
③用手指轻轻挤压点刺穴位周围皮肤，挤出少量血液，用干棉签擦之，再挤压1～2次，放出适量血液后，用干棉签压迫止血。
（2）挑刺：（此法多用于胸背部及耳后部位放血）
①选好部位，轻轻揉挤局部，使细小静脉充盈。
②常规皮肤消毒。
③用消素的三棱针或小尖刀挑破（或划破）微小静脉，并挤出少量血液。
④用干棉球擦去血滴，再揉挤放出少量血液，用干棉球压迫止血。
（3）缓刺：多用于肘部、腘窝部的浅静脉放血。
①选好部位，并在放血部位上方用手自上而下按挤，或扎上止血带，使其静脉充盈。
②常规消毒皮肤。
③用消毒的三棱针或粗毫针刺入浅表静脉约0.3cm，再缓缓退出针头。
④以干棉球擦去放出的血液，松开止血带，再以干棉球压迫止血。
（4）围刺：（又称散刺）用于皮肤病等病灶周围点刺出血。
①点刺部位常规消毒。
②用消毒的三棱针沿病灶周围按顺序点刺出血。
③用酒精棉球再次消毒点刺皮肤，必要时覆盖上消毒敷料。
3、护理
（1）向病人作好解释工作，以免紧张，体质虚弱、孕妇及凝血机制不良者不宜采用此法。
（2）注意器械及皮肤的消毒，防止感染。
（3）手法宜稳、准、轻，不宜过猛，放血不可过多。
（4）一旦出现晕针现象，立即扶病人平卧，喝热水，并注意观察面色、脉象、血压。症状较重者，请医生处理。
4、在护理的中应用
（1）高热降温：大椎、十宣点刺放血
（2）咽喉肿痛：少商穴点刺放血
（3）头痛：太阳穴点刺放血
（4）中暑：十宣穴点刺放血
（5）全身搔痒：耳后静脉挑刺放血
（6）神经性皮炎、丹毒、痈疖在病灶周围及相应部位散刺放血
（7）急性胃肠炎：曲泽、委中穴缓刺放血。 (三九健康网)
The injured FEET! Yes! It's FEET! -_-"
Yesterday, right ankle was much painful as compared to the left one. Now, left foot is more swollen than the right one. -_-"
Now, I had both feet injured. AMAZING, I would say so.
"Karma" – I would say.
Tomorrow I am going back to the sinseh.
Food poisoning is a common, usually mild, but sometimes deadly illness. Typical symptoms include nausea, vomiting, abdominal cramping, and diarrhea that come on suddenly (within 48 hours) of consuming a contaminated food or drink. Depending on the contaminant, fever and chills, bloody stools, dehydration, and nervous system damage may follow. These symptoms may affect one person or a group of people who ate the same thing (this would be called an outbreak).
More than 200 known diseases can be transmitted through food. Those are just the ones we know about. The CDC estimates unknown or undiscovered agents cause 81% of all food-borne illnesses and related hospitalizations. Many cases of food poisoning are not reported because people suffer mild symptoms and recover quickly. Also, doctors do not test for a cause in every suspected case because it does not change the treatment or the outcome.
Causes of Food Poisoning
Food usually becomes contaminated from poor sanitation or preparation. Food handlers who do not wash their hands after using the bathroom or have infections themselves often cause contamination. Improperly packaged food stored at the wrong temperature also promotes contamination.
B. cereus is found in dust, soil and spices. It can survive normal cooking as a heat-resistant spore, and then produce a large number of cells if the storage temperature is incorrect. Starchy foods such as rice, macaroni and potato dishes are most often involved. The spores may be present on raw foods, and their ability to survive high cooking temperatures requires that cooked foods be served hot or cooled rapidly to prevent the growth of this bacteria.
Salmonella Bacteria: Between 7-10 percent of the population develop the disease Salmonellas every year from eating eggs, chicken or turkey that are infected with Salmonella Bacteria. Typical symptoms include vomiting, mild fever and severe diarrhea that may be blood stained. The symptoms of Salmonella poisoning usually begin 12-72 hours after eating the contaminated food and last for 1-3 days.
When food is cooked and left out for more than 2 hours at room temperature, bacteria can multiply quickly. Most bacteria grow undetected because they do not produce an "off" odor or change the color or texture of the food. Freezing food slows or stops bacteria's growth but does not destroy the bacteria. The microbes can become reactivated when the food is thawed. Refrigeration may slow the growth of some bacteria, but thorough cooking is needed to destroy the bacteria.
Botulinum is an anaerobic bacterium, which means it can only live where there is no oxygen. The most common source of botulism is home canned foods that have not been heated sufficiently before canning, or that have been heated at a heat that is too low. However, botulism has also been caused by commercially canned foods. Infant botulism has been linked to honey.
Escherichia Coli Bacteria: Certain types of E.coli can contaminate meat and water, producing toxins of varying potency. Types of E.coli are usually responsible for causing the type of diarrhea usually experienced by travelers. However, some types of E.coli may cause a severe illness because they produce a more dangerous type of toxin that can damage blood cells and lead to kidney (renal) failure.
Here is how influenza can spread:
Xyzal tablets and solution both contain the active ingredient levocetirizine dihydrochloride, which is a type of medicine called a non-sedating antihistamine. It works by preventing the actions of histamine.
Histamine is a substance produced by the body as part of its defence mechanisms. It is stored in cells called mast cells, in almost all tissues of the body. When the body reacts to a foreign substance (known as an allergen, eg flower pollen), the mast cells stimulated by the allergen release their stores of histamine.
The released histamine then binds to its receptors (H-1 receptors), causing a chain reaction that results in allergic symptoms. It causes an increase in blood flow to the area of the allergy, and the release of other chemicals that add to the allergic response.
All this results in the symptoms of an allergic reaction. In hayfever, histamine causes inflammation of the nose, eyes, skin or airways and results in itchy watery eyes, a runny nose, sneezing and nasal congestion.
Levocetirizine works by blocking histamine receptors. It does not prevent the actual release of histamine from mast cells, but prevents it binding to its receptors. This in turn prevents the release of other allergy chemicals and increased blood supply to the area, and provides relief from the typical symptoms of hayfever.
Levocetirizine can also be used to relieve the symptoms of a condition called chronic idiopathic urticaria. This is a chronic itchy rash, similar to nettle rash, but with no apparant cause. Blocking the actions of histamine relieves the itching and reduces the rash associated with this condition.
Levocetirizine is called a non-sedating antihistamine as it does not enter the brain in significant amounts, and is therefore unlikely to cause drowsiness. However, some people may experience some slight sleepiness or fatigue.
What is it used for?
If you answer “yes” to any of the following questions, you may have an anxiety disorder.
Because the anxiety disorders are a group of related conditions rather than a single disorder, they can look very different from person to person. One individual may suffer from intense anxiety attacks that strike without warning, while another gets panicky at the thought of mingling at a party. Someone else may struggle with a disabling fear of driving or uncontrollable, intrusive thoughts. Still another may live in a constant state of tension, worrying about anything and everything.
But despite their different forms, all anxiety disorders share one major symptom: persistent or severe fear or worry in situations where most people wouldn’t feel threatened.
In addition to the primary symptoms of irrational and excessive fear and worry, other common emotional symptoms of anxiety include:
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Anxiety is more than just a feeling. As a product of the body’s fight-or-flight response, anxiety involves a wide range of physical symptoms. Because of the numerous physical symptoms, anxiety sufferers often mistake their disorder for a medical illness. They may visit many doctors and make numerous trips to the hospital before their anxiety disorder is discovered.
Common physical symptoms of anxiety include:
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Many people with anxiety disorders also suffer from depression at some point. Anxiety and depression are believed to stem from the same biological vulnerability, which may explain why they so often go hand in hand. Since depression makes anxiety worse (and vice versa), it’s important to seek treatment for both conditions.
Anxiety attacks, known as panic attacks in mental health circles, are episodes of intense panic or fear. Anxiety attacks usually occur suddenly and without warning. Sometimes there’s an obvious trigger— getting stuck in an elevator, for example, or thinking about the big speech you’re giving in a few hours—but in other cases, the attacks come out of the blue.
Anxiety attacks usually peak within ten minutes, and they rarely last more than a half hour. But during that short time, the terror can be so severe that you feel as if you’re about to die or totally lose control. The physical symptoms are themselves so frightening that many people believe they’re having a heart attack. After an anxiety attack is over, you may be worried about having another one, particularly in a public place where help isn’t available or you can’t easily escape.
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There are six major types of anxiety disorders, each with their own distinct symptom profile: generalized anxiety disorder, obsessive-compulsive disorder, panic disorder, phobia, post-traumatic stress disorder, and social anxiety disorder.
If constant worries and fears distract you from your day-to-day activities or you’re troubled by a persistent feeling that something bad is going to happen, you may be suffering from generalized anxiety disorder (GAD). People with GAD are chronic worrywarts who feel anxious nearly all of the time, though they may not even know why. Anxiety related to GAD often shows up as physical symptoms like insomnia, stomach upset, restlessness, and fatigue.
Obsessive-compulsive disorder (OCD) is characterized by unwanted thoughts or behaviors that seem impossible to stop or control. If you have OCD, you may be troubled by obsessions, such as a recurring worry that you forgot to turn off the oven or that you might hurt someone. You may also suffer from uncontrollable compulsions, such as washing your hands over and over.
If you have a debilitating fear of being seen negatively by others and humiliated in public, you may have social anxiety disorder, also known as social phobia. Social anxiety disorder can be thought of as extreme shyness. In severe cases, social situations are avoided altogether. Performance anxiety (better known as stage fright) is the most common type of social phobia