Luxury is in the sky,like an inspirational journey;
What you believe you can achieve!!!
It's a sacrifice,but it is deserved...to witness all the joys and sorrows.Yes,you carry me fly to another new world.I can even control the rise and fall,it's depends on me.My dab hand.Fly oblique,means venture and challenge.I accept,because I can handle the risk and hassle.There have my script, sure only mine.I'm expecting,it doesn't so far away from now,but it is far far away from here.Obscurity can see me clearly also.I'll appreciate the moment,no possibility to miss everthing.Won't be no way out,but only will infinity.I'm getting distinct,it's my life...Enjoying~
Sunday, January 20, 2008
Sunday, January 13, 2008
pity VerSus miserable
I am pity,but I'm not miserable;I'm not as miserable as you think,but I am pity that what I have met with.I bet,I guarantee,you wont know more...wooo
Nevermind,I believe in "dont worry,be happy";that's what I had learned.Tutor by someone,peaceeeeee (:
Nevermind,I believe in "dont worry,be happy";that's what I had learned.Tutor by someone,peaceeeeee (:
Wednesday, January 9, 2008
Spinal Fusion Surgery
What is It? How is It Done? What is Spinal Fusion?The spine is made up of a series of bones called "vertebrae"; between each vertebra are strong connective tissues which hold one vertebra to the next, and acts as a cushion between the vertebrae. The disc allows for movements of the vertebrae and lets people bend and rotate their neck and back. The type and degree of motion varies between the different levels of the spine: cervical (neck), thoracic (chest) or lumbar (low back). The cervical spine is a highly mobile region that permits movement in all directions. The thoracic spine is much more rigid due to the presence of ribs and is designed to protect the heart and lungs. The lumbar spine allows mostly forward and backward bending movements (flexion and extension).
Fusion is a surgical technique in which one or more of the vertebrae of the spine are united together ("fused") so that motion no longer occurs between them. The concept of fusion is similar to that of welding in industry. Spinal fusion surgery, however, does not weld the vertebrae during surgery. Rather, bone grafts are placed around the spine during surgery. The body then heals the grafts over several months - similar to healing a fracture - which joins, or "welds," the vertebrae together.
When Is Fusion Needed?There are many potential reasons for a surgeon to consider fusing the vertebrae. These include: treatment of a fractured (broken) vertebra; correction of deformity (spinal curves or slippages); elimination of pain from painful motion; treatment of instability; and treatment of some cervical disc herniations.
One of the less controversial reasons to do spinal fusion is vertebral fracture. Although not all spinal fractures need surgery, some fractures - particularly those associated with spinal cord or nerve injury - generally require fusion as part of the surgical treatment.
Certain types of spinal deformity, such as scoliosis, are commonly treated with spinal fusion. Scoliosis is an "S" shaped curvature of the spine that sometimes occurs in children and adolescents. Fusion is indicated for very large curves or for smaller curves that are getting worse.
Sometimes a hairline fracture allows vertebrae to slip forward on top of each other.. This condition is called spondylolisthesis (see North American Spine Society patient education brochure on Adult Isthmic Spondylolisthesis), and can be treated by fusion surgery.
Another condition that is treated by fusion surgery is actual or potential instability. Instability refers to abnormal or excessive motion between two or more vertebrae. It is commonly believed that instability can either be a source of back or neck pain or cause potential irritation or damage to adjacent nerves. Although there is some disagreement on the precise definition of instability, many surgeons agree that definite instability of one or more segments of the spine is an indication for fusion.
Cervical disc herniations that require surgery usually need not only removal of the herniated disc (discectomy), but also fusion. With this procedure, the disc is removed through an incision in the front of the neck (anteriorly) and a small piece of bone is inserted in place of the disc. Although disc removal is commonly combined with fusion in the neck, this is not generally true in the low back (lumbar spine).
Spinal fusion is sometimes considered in the treatment of a painful spinal condition without clear instability. A major obstacle to the successful treatment of spine pain by fusion is the difficulty in accurately identifying the source of a patient's pain. The theory is that pain can originate from painful spinal motion, and fusing the vertebrae together to eliminate the motion will get rid of the pain. Unfortunately, current techniques to precisely identify which of the many structures in the spine could be the source of a patient's back or neck pain are not perfect. Because it can be so hard to locate the source of pain, treatment of back or neck pain alone by spinal fusion is somewhat controversial. Fusion under these conditions is usually viewed as a last resort and should be considered only after other conservative (nonsurgical) measures have failed.
How Is Fusion Done?There are many surgical approaches and methods to fuse the spine, and they all involve placement of a bone graft between the vertebrae. The spine may be approached and the graft placed either from the back (posterior approach), from the front (anterior approach) or by a combination of both. In the neck, the anterior approach is more common; lumbar and thoracic fusion is usually performed posteriorly.
The ultimate goal of fusion is to obtain a solid union between two or more vertebrae. Fusion may or may not involve use of supplemental hardware (instrumentation) such as plates, screws and cages. Instrumentation is sometimes used to correct a deformity, but usually is just used as an internal splint to hold the vertebrae together to while the bone grafts heal.
Whether or not hardware is used, it is important that bone or bone substitutes be used to get the vertebrae to fuse together. The bone may be taken either from another bone in the patient (autograft) or from a bone bank (allograft). Fusion using bone taken from the patient has a long history of use and results in predictable healing. Autograft is currently the "gold standard" source of bone for a fusion. Allograft (bone bank) bone may be used as an alternative to the patient's own bone. Although healing and fusion is not as predictable as with the patient's own bone, allograft does not require a separate incision to take the patient's own bone for grafting, and therefore is associated with less pain. Smoking, medications you are taking for other conditions, and your overall health can affect the rate of healing and fusion, too.
Currently, there is promising research being done involving the use of synthetic bone as a substitute for either autograft or allograft. It is likely that synthetic bone substitutes will eventually replace the routine use of autograft or allograft bone.
With some of the newer "minimally invasive" surgical techniques currently available, fusion may sometimes be done through smaller incisions. The indications for minimally invasive surgery (MIS) are identical to those for traditional large incision surgery; however, it is important to realize that a smaller incision does not necessarily mean less risk involved in the surgery.
How Long Will It Take To Recover?The immediate discomfort following spinal fusion is generally greater than with other types of spinal surgeries. Fortunately, there are excellent methods of postoperative pain control available, including oral pain medications and intravenous injections. Another option is a patient-controlled postoperative pain control pump. With this technique, the patient presses a button that delivers a predetermined amount of narcotic pain medication through an intravenous line. This device is frequently used for the first few days following surgery.
Recovery following fusion surgery is generally longer than for other types of spinal surgery. Patients generally stay in the hospital for three or four days, but a longer stay after more extensive surgery is not uncommon. A short stay in a rehabilitation unit after release from the hospital is often recommended for patients who had extensive surgery, or for elderly or debilitated patients.
It also takes longer to return to a normal active lifestyle after spinal fusion than many other types of surgery. This is because you must wait until your surgeon sees evidence of bone healing. The fusion process varies in each patient as the body heals and incorporates the bone graft to solidly fuse the vertebrae together. The healing process after fusion surgery is very similar to that after a bone fracture. In general, the earliest evidence of bone healing is not apparent on X-ray until at least six weeks following surgery. During this time, the patient's activity is generally restricted. Substantial bone healing does not usually take place until three or four months after surgery. At that time activities may be increased, although continued evidence of bone healing and remodeling may continue for up to a year after surgery.
The length of time required you must be off of work will depend upon both the type of surgery and the kind of job you have. It can vary anywhere from approximately 4-6 weeks for a single level fusion in a young, healthy patient with a sedentary job to as much as 4-6 months for more extensive surgery in an older patient with a more physically demanding occupation.
In addition to some restrictions in activity, a brace is sometimes used for the early post-operative period. There are many types of braces that might be used. Some are very restrictive and are designed to severely limit motion, while others are intended mainly for comfort and to provide some support. The decision to use a brace or not, and the optimal type of brace, depends upon your surgeon's preference and other factors related to the type of surgery.
Following spinal fusion surgery, a postoperative rehabilitation program may be recommended by your surgeon. The rehabilitation program may include back strengthening exercises and possibly a cardiovascular (aerobic) conditioning program, and a comprehensive program custom-designed for the patient's work environment in order to safely get the patient back to work . The decision to proceed with a postoperative rehabilitation program depends upon many factors. These include factors related to the surgery (such as the type and extent of the surgery) as well as factors related to the patient (age, health and anticipated activity level.) Active rehabilitation may begin as early as 4 weeks postoperatively for a young patient with a single level fusion.
What Can I Expect in the Long Run?Although fusion can be a very good treatment for some spinal conditions, it does not return your spine to "normal." The normal spine has some degree of motion between vertebrae. Fusion surgery eliminates the ability to move between the fused vertebrae, which can put added strain on the vertebrae above and below the fusion. Fortunately, once a fusion has healed it rarely, if ever, breaks down. However, it does place more stress on the vertebrae next to the fusion. This has some potential to accelerate degeneration of those segments, but this risk varies between individuals. Many surgeons therefore recommend that spinal fusion patients avoid repetitive strenuous activities that involve combined lifting and twisting maneuvers to minimize the stress on the areas around the fusion.
The decision whether or not to undergo spinal fusion is complex and involves many factors related to the condition being treated, the age and health of the patient, and the patient's anticipated level of function following surgery. This decision must therefore be made carefully and should be discussed thoroughly with your surgeon.
Fusion is a surgical technique in which one or more of the vertebrae of the spine are united together ("fused") so that motion no longer occurs between them. The concept of fusion is similar to that of welding in industry. Spinal fusion surgery, however, does not weld the vertebrae during surgery. Rather, bone grafts are placed around the spine during surgery. The body then heals the grafts over several months - similar to healing a fracture - which joins, or "welds," the vertebrae together.
When Is Fusion Needed?There are many potential reasons for a surgeon to consider fusing the vertebrae. These include: treatment of a fractured (broken) vertebra; correction of deformity (spinal curves or slippages); elimination of pain from painful motion; treatment of instability; and treatment of some cervical disc herniations.
One of the less controversial reasons to do spinal fusion is vertebral fracture. Although not all spinal fractures need surgery, some fractures - particularly those associated with spinal cord or nerve injury - generally require fusion as part of the surgical treatment.
Certain types of spinal deformity, such as scoliosis, are commonly treated with spinal fusion. Scoliosis is an "S" shaped curvature of the spine that sometimes occurs in children and adolescents. Fusion is indicated for very large curves or for smaller curves that are getting worse.
Sometimes a hairline fracture allows vertebrae to slip forward on top of each other.. This condition is called spondylolisthesis (see North American Spine Society patient education brochure on Adult Isthmic Spondylolisthesis), and can be treated by fusion surgery.
Another condition that is treated by fusion surgery is actual or potential instability. Instability refers to abnormal or excessive motion between two or more vertebrae. It is commonly believed that instability can either be a source of back or neck pain or cause potential irritation or damage to adjacent nerves. Although there is some disagreement on the precise definition of instability, many surgeons agree that definite instability of one or more segments of the spine is an indication for fusion.
Cervical disc herniations that require surgery usually need not only removal of the herniated disc (discectomy), but also fusion. With this procedure, the disc is removed through an incision in the front of the neck (anteriorly) and a small piece of bone is inserted in place of the disc. Although disc removal is commonly combined with fusion in the neck, this is not generally true in the low back (lumbar spine).
Spinal fusion is sometimes considered in the treatment of a painful spinal condition without clear instability. A major obstacle to the successful treatment of spine pain by fusion is the difficulty in accurately identifying the source of a patient's pain. The theory is that pain can originate from painful spinal motion, and fusing the vertebrae together to eliminate the motion will get rid of the pain. Unfortunately, current techniques to precisely identify which of the many structures in the spine could be the source of a patient's back or neck pain are not perfect. Because it can be so hard to locate the source of pain, treatment of back or neck pain alone by spinal fusion is somewhat controversial. Fusion under these conditions is usually viewed as a last resort and should be considered only after other conservative (nonsurgical) measures have failed.
How Is Fusion Done?There are many surgical approaches and methods to fuse the spine, and they all involve placement of a bone graft between the vertebrae. The spine may be approached and the graft placed either from the back (posterior approach), from the front (anterior approach) or by a combination of both. In the neck, the anterior approach is more common; lumbar and thoracic fusion is usually performed posteriorly.
The ultimate goal of fusion is to obtain a solid union between two or more vertebrae. Fusion may or may not involve use of supplemental hardware (instrumentation) such as plates, screws and cages. Instrumentation is sometimes used to correct a deformity, but usually is just used as an internal splint to hold the vertebrae together to while the bone grafts heal.
Whether or not hardware is used, it is important that bone or bone substitutes be used to get the vertebrae to fuse together. The bone may be taken either from another bone in the patient (autograft) or from a bone bank (allograft). Fusion using bone taken from the patient has a long history of use and results in predictable healing. Autograft is currently the "gold standard" source of bone for a fusion. Allograft (bone bank) bone may be used as an alternative to the patient's own bone. Although healing and fusion is not as predictable as with the patient's own bone, allograft does not require a separate incision to take the patient's own bone for grafting, and therefore is associated with less pain. Smoking, medications you are taking for other conditions, and your overall health can affect the rate of healing and fusion, too.
Currently, there is promising research being done involving the use of synthetic bone as a substitute for either autograft or allograft. It is likely that synthetic bone substitutes will eventually replace the routine use of autograft or allograft bone.
With some of the newer "minimally invasive" surgical techniques currently available, fusion may sometimes be done through smaller incisions. The indications for minimally invasive surgery (MIS) are identical to those for traditional large incision surgery; however, it is important to realize that a smaller incision does not necessarily mean less risk involved in the surgery.
How Long Will It Take To Recover?The immediate discomfort following spinal fusion is generally greater than with other types of spinal surgeries. Fortunately, there are excellent methods of postoperative pain control available, including oral pain medications and intravenous injections. Another option is a patient-controlled postoperative pain control pump. With this technique, the patient presses a button that delivers a predetermined amount of narcotic pain medication through an intravenous line. This device is frequently used for the first few days following surgery.
Recovery following fusion surgery is generally longer than for other types of spinal surgery. Patients generally stay in the hospital for three or four days, but a longer stay after more extensive surgery is not uncommon. A short stay in a rehabilitation unit after release from the hospital is often recommended for patients who had extensive surgery, or for elderly or debilitated patients.
It also takes longer to return to a normal active lifestyle after spinal fusion than many other types of surgery. This is because you must wait until your surgeon sees evidence of bone healing. The fusion process varies in each patient as the body heals and incorporates the bone graft to solidly fuse the vertebrae together. The healing process after fusion surgery is very similar to that after a bone fracture. In general, the earliest evidence of bone healing is not apparent on X-ray until at least six weeks following surgery. During this time, the patient's activity is generally restricted. Substantial bone healing does not usually take place until three or four months after surgery. At that time activities may be increased, although continued evidence of bone healing and remodeling may continue for up to a year after surgery.
The length of time required you must be off of work will depend upon both the type of surgery and the kind of job you have. It can vary anywhere from approximately 4-6 weeks for a single level fusion in a young, healthy patient with a sedentary job to as much as 4-6 months for more extensive surgery in an older patient with a more physically demanding occupation.
In addition to some restrictions in activity, a brace is sometimes used for the early post-operative period. There are many types of braces that might be used. Some are very restrictive and are designed to severely limit motion, while others are intended mainly for comfort and to provide some support. The decision to use a brace or not, and the optimal type of brace, depends upon your surgeon's preference and other factors related to the type of surgery.
Following spinal fusion surgery, a postoperative rehabilitation program may be recommended by your surgeon. The rehabilitation program may include back strengthening exercises and possibly a cardiovascular (aerobic) conditioning program, and a comprehensive program custom-designed for the patient's work environment in order to safely get the patient back to work . The decision to proceed with a postoperative rehabilitation program depends upon many factors. These include factors related to the surgery (such as the type and extent of the surgery) as well as factors related to the patient (age, health and anticipated activity level.) Active rehabilitation may begin as early as 4 weeks postoperatively for a young patient with a single level fusion.
What Can I Expect in the Long Run?Although fusion can be a very good treatment for some spinal conditions, it does not return your spine to "normal." The normal spine has some degree of motion between vertebrae. Fusion surgery eliminates the ability to move between the fused vertebrae, which can put added strain on the vertebrae above and below the fusion. Fortunately, once a fusion has healed it rarely, if ever, breaks down. However, it does place more stress on the vertebrae next to the fusion. This has some potential to accelerate degeneration of those segments, but this risk varies between individuals. Many surgeons therefore recommend that spinal fusion patients avoid repetitive strenuous activities that involve combined lifting and twisting maneuvers to minimize the stress on the areas around the fusion.
The decision whether or not to undergo spinal fusion is complex and involves many factors related to the condition being treated, the age and health of the patient, and the patient's anticipated level of function following surgery. This decision must therefore be made carefully and should be discussed thoroughly with your surgeon.
MUST dare to cope it!!
...dont know why, I don't have any feeling at the beginning, thought that my calm already covered my frightening.I changed my shirt into, erm...into sth like patient wear one, a robe as well : ) and waiting there for my X-ray radiography. Yuckkk, I started feeling my body was bare and naked, aww...totally felt shy that time(because the patient robe is too wide!)Now, is my turn. I went inside the room and started the progression of radiography. So strange that I'd nothing fear, but really felt extremely shy at the moment. The doctor who be responsible for taking my exam of x-ray was singing there...lalalalala(of course he's a malay guy who sang a malay song that i can't hear clearly)hahaha. Well, I'll try my best from laughing out, heheehe. The exam took approximate 15 mins and the result came out after an hour. We took our lunch at the restaurant there while waiting for the result out. Yummy, there was long long long time i didnt take a meal in any hospital's bistro "ouu..CHOiii"*touchwoodx2, but it's really fresh&delicious...wow~ damn fulled. About 1430 we took the result and back from this imaging department to MOB(medical office building) there and went upstair to second floor towards Dr.CCH's clinic. He saw the exam of the x-ray and consulted with us. He said there has "S" shaped-curve of the spine, the curve is about 40degr.(how severe, isn't it?!) you don't even know heh! He said again the factors ain't because of the schoolbags' problem, but i thought that..yes!ABSOLUTELY YES!! Maybe just because..'cause I don't have a right sitting posture, or even is my standing...Ohyeah, i remembered i had fallen down last time, it wasn't consider as just a slightly fall, but I just ignored it and i don't care bout it.."A falling down only what..who else doesn't have had the experince?!!" that's my fault. Whatever lah, the causes still haven't found out yet nowadays, but what I had thought all are related. Dr. adviced us don't ever give me to try intense exercise from worsen my condition eventhough doing yoga also none of helpful to straight up my backbone. OMG again!! Thought that yoga will be useful for me, seems like everything gonna depress now. Well, the only way to help me to become a normal girl is through SURGERY! I shocked for awhile although i had self-prepared...But the operation is too high on risk, it may cause PARALYSIS or even..DEATH! Dr. asked me do I feel any painful when walking, jumping or..........all I answered "NO". So, he thinks that I don't have any big problem and no need having big worried, it just a posture problem. And hor, he said that it will not affect my reproduction, dont worry too much. "Ahhhh, dou mg ji hai mg hai geh" :-/ Some more, If not observe clearly, it's such nothing...soso. But we still consulted with doctor whether undergo the surgery is better or not, he answersed back he can't give any opinion or decision for us. He said he just acts as a surgeon who done the normal trauma cases of surgery..but from the expression of his eyes, I can saw that he hopes that we won't take the surgery. Ohyeah again, if not the spine problem, I sure will become higher, eventhough is 1~2cm, at least will higher than the current one. But Dr. said I can be more 2 inches of height if doesn't affect by the curved spine. *HAPPY* I wished I wished, but it's impossible for now lah, how SAD. (:( (will NOT recover 100% altho by treatment also. It just to prevent from getting worse. But, better than not lah, nyahahaha...to avoid it become more serious, more curved). (:(=) He suggested another Dr. on upstair of fifth floor for us, his name's Lim Heng Hing, such an easy-for-remembering name here:D. Dr.LHH is an orthopaedic and trauma surgeon also but he's expert in spine speciality, so Dr.CCH said better consult with him about the surgery. But we must consider about the surgery cost too...RM*0000++ gosh!
At the end,we didnt went to Dr.LHH's clinic room 'caused we chose for not to undertake the super risky major incision operation. Of course seeking for the doctor doesn't mean that we want to undergo the surgery, just for getting a better consultation according my condition now. But seem we don't need to do anything except for an observation up to my condition, so we think that not need to spend extra money again from going upfloor. When going out from Dr.CCH's clinic room and get in the lift, I...I...I started cried, sorry that I can't control myself and crying infront of my parents, not totally caused by the terrible+complex surgery,..don't ask me why. Maybe crying is my therapeutic to become stronger. Yea, must dare to cope it!! Elehhh..dont worry, i'll be okay one. I'm optimistic although i'm a lachrymose diposition, lol. Everything will be fine. Thanks for Dr.Chin Chee Howe and Dr.Ouzreiah Nawawi[a consultant diagnostic&interventional radiologist].
All right, guys and girls, I've had an ap and lateral of the full spine x-ray exam.
History is a marked scoliosis of the thoraco lumbar vertebrae, called thoracolumbar scoliosis.
Fortunately is there's no abnormal lytic bony lesion and the visible lungs are clear.
p/s: oow, now only I realized that I dont know how to upload the pictures here, if not I can show you all how does the scoliosis look like. Yeee, damn foolish lah..Well,I'm lazy to do it so..ngekngekk. Okay~next time...I promised.
Added in Jan of year 2010...oh-so-bloody-late of update/post.
At the end,we didnt went to Dr.LHH's clinic room 'caused we chose for not to undertake the super risky major incision operation. Of course seeking for the doctor doesn't mean that we want to undergo the surgery, just for getting a better consultation according my condition now. But seem we don't need to do anything except for an observation up to my condition, so we think that not need to spend extra money again from going upfloor. When going out from Dr.CCH's clinic room and get in the lift, I...I...I started cried, sorry that I can't control myself and crying infront of my parents, not totally caused by the terrible+complex surgery,..don't ask me why. Maybe crying is my therapeutic to become stronger. Yea, must dare to cope it!! Elehhh..dont worry, i'll be okay one. I'm optimistic although i'm a lachrymose diposition, lol. Everything will be fine. Thanks for Dr.Chin Chee Howe and Dr.Ouzreiah Nawawi[a consultant diagnostic&interventional radiologist].
All right, guys and girls, I've had an ap and lateral of the full spine x-ray exam.
History is a marked scoliosis of the thoraco lumbar vertebrae, called thoracolumbar scoliosis.
Fortunately is there's no abnormal lytic bony lesion and the visible lungs are clear.
p/s: oow, now only I realized that I dont know how to upload the pictures here, if not I can show you all how does the scoliosis look like. Yeee, damn foolish lah..Well,I'm lazy to do it so..ngekngekk. Okay~next time...I promised.
Added in Jan of year 2010...oh-so-bloody-late of update/post.
Here is it. This is how my spine looks like, just for a look here. I just posted up the ap(anterorposterior--front-to-back) one, can see there's a convexity to left side..it called "S" shaped-curve..as just what I mentioned, thoracolumbar scoliosis. Well, this x-ray film even much longer actually. X )
Thursday, January 3, 2008
Unhappy event falls on me T.T
Unfortunately, I've been confirmed that I have detected by a disease. Oppsss..it cant be said as a "disease", just an abnormal posture problem...Yeah, n years ago, I alrdy perceived my back was getting pain..I cant stand for a whole long time. Even a comfort sitting, I'll feel a mild feeling of ache also. One day, the preimonition...backache getting worse and more severe. My hand started felt that my back's problem, I cant imagine it...whether is a big trouble or...or maybe nothing else. What can I do is just persuade myself that "I'm thinkin' too much, that's not what I think about. "Yeah, I tried to do so, until a day, I saw a news in n'paper, "hey,that's what I'm talking about...is the same thing, the same posture that I'd felt. I lied to myself, "no...no...I really think too much!" And, I havent consulted with any doctors in relevant yet. Yea, I can't think so in directly, no, NOT ALLOWED!! Last year during the chinese new year, when we're having a vacation in Ipoh, the kindly uncle, uncle yap was perceived.."how can this girl walking like that, it's began abnormal. Well, of course he didn't tell me in directly, but I can catch his hint when he talking it to my mum, hah~ Friends will concern also by the way..sure! So, I need to check and consult it with doctor. When back to KL, mum started to find a good doctor for me..absolutely felt scared that time..but I have to think in positive ways. The next early morning, daddy, mommy&my fifth aunt accompanied me went to see a doctor. Father drove there and fetched us to the GLENEAGLES INTAN MEDICAL CENTRE in jalan ampang that strongly recommended by uncle yap. This medical centre was introduced by one of my relatives also..she said the doctors there are excellent. Agree, the private always better than governmant one, rather that majority chinese(s) will act as the best of any specialities of consultants..no doubt. My doctor's named Chin Chee Howe, about 50 in age. He's an orthopaedic&trauma surgeon, so admire him! When get in his room, he asked us what's the problem..mum said my standing posture&walking is looking weird! Doctor CCH asked me to lie on the bed, then he started "massage" my body's muscles. Ouu, before that he's very funny you know? Ohohoho:D. When standing straightly, he perceived via viewing my back..and asked me to bend down. Aww, he said we're too late to bring me along here now, it's getting serious...he can felt that my backbone alrdy get curved, just by sight cleary, after lifting up my shirt. OMG! "You see, here is protrude and another side is concave..here is concave and another side is protrude(my back muscles)...... "He said to my mom when carressing my back. Eeuuww, so how huh?? He asked us to go to another building to have an X-ray radiography diagnostic for consulting then... ...TO BE CONTINUED...
Wednesday, January 2, 2008
only YOU;understanding
Well,I can say that I'm a optimist girl here,blablablaaah"she"said me friendly and "he"said I'm cool...(okay,i just admit it;although i know that sometimes my temperament bermacam-macam):p Only the person beside you can go through with you straightaway,they found it;investigate it;even they understanding.But,lot of them not really go *true* with you...is you,especially YOU.hah=D;p Hey,dont mistaken laa..I just mean that only you can found yourself,your truth identity!
p/s:Just ask yourself.Kay? Answers are automatically come out!
p/s:Just ask yourself.Kay? Answers are automatically come out!
DIFFERENCES from the same things;
erhem...well,think have to be rest awhile here..:)just imaged it,everthing will be okay and okay...oh yea,the things are almost same,or we can say there all are same,can also be approximate same.Since you're thought about it...everything is getting DIFFERENT >.< v
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