Saturday, April 14, 2007

Avengers - spoof voice overs

I think once I get my paycheck, I'm going to burn some Aussie $$$

I miss my Eulophia guinensis patch =.=

Let's hope the list has this still during spring.

I think terrestrials are taking over my collection. Need to increase floor space liaoz

Fat fighters - can be insulting

Little Britain Live:





Go to 02:15:


Friday, April 13, 2007

Anger management

Have you ever seen 2 women fight before? I can tell you that it's not a pretty sight. Usually starts with a fierce loud exchange of words and during that shout/scream fest, their voices get louder and louder and louder. Their lungs eventually cannot take in enough oxygen compared to the amount of gas being expelled and these people would start turning purple in the face.

It's a vicious cycle

Shout/shout/scream/scream -> decreased level of oxygen in the head -> cannot think properly -> start to generate more nonsensical responses -> then shout/shout/scream/scream-> decreased level of oxygen in the head ->....

One should look at oneself when one gets mad and furious. The sight of oneself will turn oneself off.

People with flare ups should get some time out from the source of instigation to prevent provocation and another spark.

When people get angry, they can execute the most unthinkable actions - may be dangerious and potentially fatal.

An intermediary may be needed to split the 2 parties and calm them down.

My opinion on Paph Culture

Correct plant for
the correct person with
the correct habits in
the correct environment.

Paphs are dead easy to grow in Singapore once you get the hang of it. I'm not sure why so many people are so hard-up about it... *rolls eyes*.

I just leave my plants where they are acclimatised in and water them once a day like the rest of the other plants. Fertilise same time also.

Tip: grow from flask - those that survive through are almost impossible to kill through neglect.

Should I post the entire ppt for my presentation on9?

Migraine @@

Have you ever taken so much paracetamol/acetaminophen that you can just march down Geylang, swear at the uncles there and get a beating so bad yet not feel anything.

PS my so much = 6 x 500mg. Max allowed = 8 tabs (500 mg each).

My body feels numb but my inaugural headache continues pulsing.

Photophobia developed after my first lecture of the day - felt like a vampire in the sun.

Never knew there was a foundation for migraine suffers and they are selling aura art?!

Chewren dosing for paracetamol
= 10-15mg/kg/dose q4-6hrs
Max 600mg/kg/day
Max max 4,000mg/day (adult dose)

One of my friends have a interesting comment, "Kids grow so fast that I have to reweight them every time I dose paracetamol!" =.=

I may be the only one with odd CNS s/e from paracetamol - can get a bit manic next morning (not my regular class room mania but more of the dun care, just run across the express way kind)

Thursday, April 12, 2007

Unflasking Stanhopea platyceras

Did this some time back, now to close to exams to do gardening. Plants will wail for me once exams end - asking me to REPOT REPOT. Then I tell them to flower first =p

The stuff needed to perform the operation to unflask Stanhopea platyceras.

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Start from the bottom clockwise:
- Straw string for tying
- Stiff coated wire for breaking up the agar and to form the wire hook for your mounts
- Pliers to break flask (if needed) and to bend your stiff wires
- Sphag for moistening
- The flask of course
- Disinfectant for flask with some form of contamination
- Ferntree slabs as mounts (2"x 2" x 12")
- Cutters

First, make your mount

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Here's the flask

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Uncork

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Can see a bit of bacterial growth - waited too long to unflask liaoz =p

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So spray so disinfectant (can use bleach or Dettol)

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Wash out the agar from the flask and pick through the seedlings

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Mount the seedlings as usual

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All done and all hung up:

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Hopefully the fragile babies survive. I'm not too good with stuff with plicate leaves. I prefer stuff with thick leaves of heavy substance

Wednesday, April 11, 2007

Reminder to self - CVS patients

Most patients with CVS disorders (HF, HTN, Arrhythmias, PVD, etc) usually have a multitude of drugs (aka medication hamper) and most of the time drugs are used in combination and patients may have multiple co-morbidities.

Today's counselling session was fun, way too funny as the instructors were pulling all kinds of tricks as difficult patients - last day anyway so play play. Some simple questions with DIFFICULT PATIENTS =.= love Challenging cases, so next time go out and work - like a bed of roses ^^. After today's challenge, I think it is time to resurrect a project which I started while I was in Guardian Pharmacy - a emergency list of language translation. This one was my farewell gift - we had a Japanese clinic in the medical centre. After exams then settle. Planning to come out with a list of commonly used terms and phrases and translate them with phonetics or if possible the spelling - so the patient can read if dun understand what the heck talking me. The instructor hit me at a weak spot - my failure in the use of mandarin (still remembered during my Secondary Skool days, the Mandarin teacher ran up to me after I merely passed the exam:"...不要充考了hor.及格就夠了!")

Patients come from all walks of life and we should be able to communicate with the patient in whatever language he/she is comfortable with. Cannot speak the language, seek help from a relative or a patient or staff nearby.

Cimetidine is a drug to look out for in prescriptions as it inhibits a plethora of enzymes common with most hepatically metabolised drug-substrates.
- Need to increase the dose of drugs that need prior activation by the liver, e.g. Acyclovir
- Need to decrease dose of drugs that are active moieties
- Interacts with warfarin (increase bleeding time)
- Can be substituted with other H2-antagonists such as famotidine

Amiodarone (Affectionately known as Amy要打人) is a drug that is used to treat arrhythmias
- Interact with cimetidine (may cause heartblock)
- Outpatient use should be that of a tapering dose as patients who are on long term amiodarone has chances of heart block
- May cause drug induced problems in patients with thyroid disorders because it contains 2 iodine atoms (attached to phenyl ring)

RALES found that the combo of Spironolactone + ACEi + Loop Diuretic decreases mortality in HF patients

Pharmacist main roles with patients prescribed medication hampers are to
-Intervene on potentially lethal D/Is
-Monitor and counsel patients on drug combos that may require monitoring and not necessary to stop

Japanese

1. Take one tablet 2 times daily
Ichinichi nikai ichijo zutsu nonde kudasai
一日二回1錠ずつ服用して下さい。

2. Take two tablets 2 times daily
Ichinichi nikai nijo zutsu nonde kudasai
一日二回2錠

3. Take three tablets 3 times daily
Ichinichi sankai sanjo zutsu nonde kudasai
一日三回3錠

4. Do not take this with vitamins containing iron
Tetsubun no haitte iru bitaminzai wa isshoni nomemasen
鉄分の入っているビタミン剤の場合一緒に服用で・shy;ません。

5. Shake well before use.
Nomu maeni yoku futte kudasai
使用前によく振ってください。

6. Do you have any form of allergies
Arerugih wa arimasuka
何かのアレルギーはありますか。

7. Did the doctor give you any special instructions
Isha kara nanika shiji wa arimashita ka
医者から特に何か指示を受けていますか。

8. Have you taken this before
Kore o nonda koto arimasuka
これを服用した事はありますか。

9. Take 2 spoonsful 2 times daily
Ichinichi nikai supuhn nihai nonde kudasai
一日二回スプーン2杯服用してください。

10. Take this in the morning
kore o asa nonde kudasai
これを朝服用してください。

11. Take this after food
Shokugo ni nonde kudasai
食後に服用してください。


12. Take this before food
Shokuzen ni nonde kudasai
食前に服用してください。

13. This is for cough
Kore wa seki no kusuri desu
これは咳・shy;の薬です。

14. This is for runny nose
Kore wa hanamizu no kusuri desu
これは鼻水の薬です。

15. This is for fever
Kore wa netsu no kururi desu
これは熱の薬です。

16. Take this when you require it
Hitsuyoh na toki nonde kudasai
必要なとに服用して下さい。

17. Take this when you feel pain
Itami o kanjitara nonde kudasai
痛みを感じたら時服用して下さい。

- Translations courtesy of my fellow NOG guide and 1998 or 1989 Miss World Japanese Interpretator ^^

Sunday, April 08, 2007

This clip may be offensive to some

But you get to learn all the dialects and languages spoken by MY and SG at one shot

Inside the NOG

Inside with the UPM peeps - from all over Malaysia with some from Indonesia, Iran and Bangladesh. I managed to click easily with the Malaysian Chinese gals ^^ Very friendly. The rest a bit more quiet and reserved though. maybe I spoke too fast.

Jade vine (Strongylodon macrobotrys) in flower before the mist house

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@ the mist house

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@ the YPMN Bromeliad house

All the ong lai

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Other brommies

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An expansive/ expensive display of Tillandsia xerographica

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One Portuguese visitor exclaimed that she did not pay money to come to the zoo
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I decided that I suddenly like green green flowers and foliage (jade green, not the other erhmmm kinda green). Hoped to get one of these Vriesea imperialis if I can buy landed property next time (and rent an apartment to grow orchids =p)

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Nice shade of green hor? But I gurantee an uneducated NEA officer will confirm freak out if he/she see this

Elephant vine AKA Hawai'ian Woodrose (Argyreia nervosa)

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Used to decorate the winter zone of the gardens because of its silvery hairy underside of the leaves. Pollinated by the Asiatic Carpenter Bee, just be careful where you tread.

Some thing new from here:
"The elephant creeper (Argyreia nervosa) is a perennial climbing vine. Native to the subcontinent and introduced in numerous areas worldwide, including Hawaii, Africa and the Caribbean, it can be invasive, although it is prized for its aesthetic value. The seeds of the plant are sometimes used as a legally obtainable hallucinogen, though it is illegal to consume them. The leaves of the plant are used to treat wounds and boils. "

Do not take the samples from SBG as they were treated with systemic pesticides - the plant can't take our local climate so the immunity is low - unless you wanna get cholingeric s/e.

@ the cool house:

Some non-orchids. People ask me what they are, I just give blank look (lol?)

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Coconut scent filled the waterfall area because of Maxillaria tenuifolia

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orange when flwoered in the tropics, red when given cool conditions

Dendrobium crepidatum syn. D. sulawesiense

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Suddenly realised this flower boh lip one...

Dendrobium rhodiscticum

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Cymbidium lowianum

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Stelis sp. One of those small things that I can't take sharp pictures of.....

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Paphiopedilum lowii again

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Paphiopedilum rothschildianum in full bloom

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A little something from my Malaysian group. TY Prof S. from UPM ^^

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