My personal genuine Quarantine Order (QO) between 19/09 & 25/09 2021 ~(1)

I am glad that I have involved among or within my dialysis community in Singapore that I care & I share my personal genuine experience/exposure about my Quarantine Order (QO) by MOH within this critical YET very normal period of CoVid-19 pandemic throughout Singapore.

I hereby sincerely & honestly praise & salute for our NKF Singapore dialysis centre & MOH for their closed relationship & bondage by their most quickest response & most efficient action being taken during the procedures under A & E incident or occasion.

If possibly I will continue with my own personal genuine story once my buddy dialysis friend is discharged from his Quarantine Order (QO) from Singapore hospital too. I hereby bless & wish & pray for his earliest recovery from Covid-19 pandemic disease.

I feel so nice by sharing my responsibility or duty as a volunteer dialysis patient in Singapore partly for our long term of educational culture & value about healthcare AWARENESS in our healthcare industries/services or business!

Because I feel so far Singapore is one of top performers among the whole world-wide standard which has performed efficiently & effectively as per what how when where why & who to tackle this unforeseen & predictable disease suddenly breaking-out & spreading world-wide. Therefore it is one the best bet example at least I personally think & feel so among the world standard so far ever since from the breaking-up & spreading of this unpredictable & unforeseen CoVid-19 pandemic world wide since 2019!

Because simply this is my personal genuine experiential experiment + personal experience & exposure that I dare to take the challenge to think speak & do as per my insightful of inner voice! Of there is no right or wrong it is just a personal genuine but shallow feeling & or experience. I would say it is purely an individual idea to collectively care & share among our dialysis community! Thank you!

pDNA NKF + NUS Volunteering Project for information about dialysis journey

https://www.facebook.com/photo/?fbid=551312836086595&set=a.534177244466821

https://www.facebook.com/photo?fbid=551312789419933&set=pcb.551312862753259

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QO (2) ~ P & C

Referring to my first QO (1) under P & C for personally note & record as well as for my family information to follow with ease of mind-heart & concern, Yes, this particular case is directly coming into contact with patient who tested positive with covid-19 pandemic in Singapore dialysis centre. I am now will have to care & share what how when where & why I have gone through the incident or phenomena without any panic or fear at all simply I trust & believe MOH is doing an effective tasks & jobs as far as healthcare system or management is concerned. Most essential is the immediate ACTIONS upon happening incidents!!! This is also a way a path to over come any panic or scary reality in our daily really living lives of lifestyle as a result of unpredictable & unforeseen circumstance or situation arising from time to time & or case to case basis as far as during this critical period of CoVid-19 pandemic breaking-out & spreading world-wide. 

The first day when I was ordered for HQO that night MOH sent someone to the house to test & check my ART & PCR which was on Sunday 19 September. Then arranged & instructed through online messages from time to time or case to case basis through online interconnectivity. My family members ae all getting involved too as I am a deaf dialysis patient who needs help in effective communication & interaction. 

My dialysis's normally 1-3-5 noon shift schedule was timely arranged & changed to 2-4-6 at 9.00 am shift at a spot of clinic or dialysis centre under QO too. To & fro transportation were timely arranged in order by MOH too. It is fully under the control of MOH! I would be away from my normal dialysis centre estimately around a week (from 19th till 26th) if all go well smoothly & accordingly. Therefore I should be back to my normal dialysis centre on Monday 27th September by then if all arrangement working well & accordingly!

Thank you MOH & Singapore! Singapore boleh lah! Majulah Singapura!!!

Quarantine Order (HQO ~ (1) ~ P & C

 Home Quarantine Order ~ HQO (1) ~ P & C

Yahoo/Sent

• 

  david leong

  For some reasons, I was informed through my family eldest son, that I must follow Quarantine Order immediately effective as from Sunday 19/09/21 afternoon time around 3.00 pm authorized by MOH in Singapore. This is strictly by National Law that my family & I must follow & adhere strictly & accordingly in due course. The reason was I had contacted with one of our haemodialysis (HD) patients who suspected to have contacted Covid-19 Pandemic may be starting around on 13rd & 15th September 2021. It was confirmed later on last Friday on 17th September 2021 which was the last time met each other at dialysis centre as if not mistakenly he got high fever around 38.3 C while checking-in for dialysis treatment at outside of dialysis centre's entry. He was instantly arranged for admission to hospital for further verification & investigation under A & E admission. This case or incident from there-onward under full control of MOH in due course. By the way because he is always next seat to my right hand side during normal dialysis treatment or therapy & hence I was naturally need to take immediate precaution too. So is his next patient on his right too. Upon confirmation the case officially what how when where & who was happening from the starting point, according to chain of sequence spontaneously instantaneously, therefore immediately MOH took action to order myself for immediately QO by online messages. For me it is effective from Sunday on 19th September onward till 25th September subjective to recheck again if necessary & or thereafter. At same time, MOH immediately took action at 9.30 pm night to come to my house to check & investigate my ART & PCR. This is the efficiency that I like to emphasize right now & here as a dialysis patient in Singapore! My family truly admire & trust our medical experts about professionals commitment & responsibility as far as healthcare industries or services or business. Everything were explained & investigated from day 1 of happening events o

  Wed, Sep 22 at 3:44 AM
• 

  david leong <leong_david@yahoo.com>

  To:david leong

  Wed, Sep 22 at 3:44 AM

  For some reasons, I was informed through my family eldest son, that I must follow Quarantine Order immediately effective as from Sunday 19/09/21 afternoon time around 3.00 pm authorized by MOH in Singapore. This is strictly by National Law that my family & I must follow & adhere strictly & accordingly in due course.
  
  The reason was I had contacted with one of our haemodialysis (HD) patients who suspected to have contacted Covid-19 Pandemic may be starting around on 13rd & 15th September 2021. It was confirmed later on last Friday on 17th September 2021 which was the last time met each other at dialysis centre as if not mistakenly he got high fever around 38.3 C while checking-in for dialysis treatment at outside of dialysis centre's entry. He was instantly arranged for admission to hospital for further verification & investigation under A & E admission. This case or incident from there-onward under full control of MOH in due course. 
  
  By the way because he is always next seat to my right hand side during normal dialysis treatment or therapy & hence I was naturally need to take immediate precaution too. So is his next patient on his right too. 
  
  Upon confirmation the case officially what how when where & who was happening from the starting point, according to chain of sequence spontaneously instantaneously, therefore immediately MOH took action to order myself for immediately QO by online messages. For me it is effective from Sunday on 19th September onward till 25th September subjective to recheck again if necessary & or thereafter. At same time, MOH immediately took action at 9.30 pm night to come to my house to check & investigate my ART & PCR. This is the efficiency that I like to emphasize right now & here as a dialysis patient in Singapore!
  
  My family truly admire & trust our medical experts about professionals commitment & responsibility as far as healthcare industries or services or business. Everything were explained & investigated from day 1 of happening events or activities. Thank you very much Singapore!
  
  Singapore Boleh lah & Majulah Singapora!!! Together with one heart-beating rhyme we have better tomorrow! CHEERS ~~~

洗腎洗血前後觸感和感想（3）

我是大概2012開始有點象徵性~腎臟敗壞的開始了。這是台灣參禪回程后小便有 infection symptom （發炎）。小便很臭很不理想！雖然已經十多年靠吃藥維持了慢性腎臟敗壞 ~ deterioration of kidney weak functioning under the Chronic Kidney Disease (CKD)。經過兩年在於飲食方面和生活方面的調整，已經太慢了呀！從2012年開始到2014年，兩年内 Creatinine 指數由300漸次升到400、500、600、700.

但是因爲家人和自已沒有因緣或機緣，好好受到科學化醫學上的教育因緣，所以忽略了怎樣開始控制飲食方面和日常生活點滴和醫學上的知識 (awareness)。再來沒有適當做腎臟功能作用的檢查等等。我想我思這是自個兒的忽略和醫院教育都有關連的了。因爲新加坡 MOH 最這幾年開始才正式提創開辦 seriously fighting challenge to diabetes & hypertension symptom 的工程。

然而我的心臟問題已經在於2009年發著了。那時候我是在於馬來西亞吉隆坡回程后發生心臟血管障礙問題，而需要動手術了。第二次是在於2019年中，再又一次做通血管的手術了。前後相隔十年期間。 無可否任這純粹簡單有關到血液沒有過濾清洗的問題了！心臟這個時候功能作用也開始慢性操作下來了！關鍵重點即是指血液污染問題了！這是有關很大的人類人性日常生活中的工程和課題的了！

根據心臟專科醫生的查察，一個時期心臟的 pumping system LVEF 跌倒少過 正常人的 50%了。那時候很可能少過 45% 呢！2009年兩隻血管障礙了，必須安裝兩個 stents 打通。另者2019年，由三月悶痛幾乎前後三個月檢查等等，并非gastric 問題。最後還是肯定還是如2009年前次的心臟血管問題了。所以又多加兩隻 stents了。2019年三月至五月份，經過心臟檢查前後因緣和經歷過程。我的心臟功能作用是:- LVEF 32% at May 2019, improved to 42% in October 2019, then to 55% in October 2019 after the surgery. 2009 年沒有這麽詳細的檢查和分析因緣。這算個是醫院進步發襍的作用因緣了！很好很棒極了！！！這十年從2009到2019年，我終於弄明白和清楚心臟和腎臟是非常息息直接相關的了呀！主要關鍵是身心血液排毒成問題了而漸次產生腎臟之漸次後遺症之因緣了。我是2014七月份開始做左邊手臂上段的手術，開始做准備洗腎、洗血工程了。正好當年2014 十月份突然 gout flare/attack 緊急入院, 當下開始洗腎、洗血了！Creatinine 突然上到 1000+了指數了呀！痛到很難忍受得了呀！那時候我才67嵗了！轉眼下個月十月份已經洗腎、洗血已經近七年了的經歷和過程了！

What how when where & why is a professional nurse (caregiver) and a regular dialysis patient relationship or bondage??

 

• As a constant patient for 35 months in a clinic or centre for hemodialysis patient I believe with confidence the following points perhaps need to raise as a basic patient for treatment or therapy for reference:-

  1) Nursing is a bridge of their hearts hands & legs for a patient & the brain of doctors.

  2) Nursing is being one loving/caring the task of handling a sick & or dying patient as a sole caregiver or provider in most professional mannerism.

  3) Nursing is to know & to understand or to realize a patient's most weakest moment such as his/her invisible illnesses.

  4) Nursing should be able to well communicate & interact with those weakest patients in their best body languages whenever necessary from time to time & or case to case basis.

  5) Nursing should always mindful or alert with a patient's personal need or requirement as a caregiver or provider on the spot.

  6) Nursing should not be rough in mishandling a patient in any mannerism whatsoever. It is always engaging patients in gentle with tenderness.

  7) Nursing is also to bridge for those with poor communication & interaction with their patients' family caregivers or providers especially important medical messages need to pass across clearly & sharply.

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  Leong Seng Chen

  A nurse is a basic human being too & therefore it is somewhat somehow sometime somewhere subjective to mishandling or mistake(s) while attending or engaging with patients in whatever form they may be. We as patients should be patient tolerable or bearable enough whenever/wherever possible. They are after all our clinic or centre sole caregivers or providers. We should always be reasonable & be co-operative to them with mutual better understanding too. Return with THANK YOU ALWAYS with smiling & cheering appreciative mood whenever or wherever possible will surely make the treatment or therapy environment full of fun & joy along our struggling journey! May all sentient beings well healthy happy with peacefulness. Smile & cheers always~~~

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  Leong Seng Chen

  Next month I will soonest be 36 months or 3 years rather with hemodialysis (HD) treatment or therapy in Singapore. I visit SGH once a year today with all my medical review on my body's various sickness or illness. Every week I have to attend 3 times of each session lasting for 4 solid hours of HD, 4 MRT station from home. I had been facing/observing nursing productivity since 2014, then. This phenomena tend to make me always to recalling my memory career during my adult period of working state in workshop services industry dealing with productive technicians or mechanics who engage with the repairing tasks or jobs for the heavy machinery that I was once responsible for inclusive local workshop training & or manufacturers' contact or connection for further improvement on products application in the fields etc. They are from basic apprentices to senior technicians plus respective divisional supervisors & charge-hands too.

  As I am almost completing my 3rd year with HD next month, I sincerely hope & wish I have learned the most basic HD process or procedure & thus therefore readily to put everything behind my mind & continue to move on along my struggling journey there onward. Of course there are plenty room or space for further personal lifelong learning in term of long run educational culture & value still. As the FACE-BOOK PAGES is my world of personal basic communication & interaction for which I am most comfortable of or with due to hearing impair therefore I like & want to express my inner voice through online sincerely & honestly. Thanks!

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  Leong Seng Chen

  Today it is 15th September 2021. It had been 7 years by next month October that I had been engaging with haemodialysis (HD) treatment or therapy since 22nd October 2014. Every week, at least 3 times weekly on alternative except Sunday is a rest day, & each session of HD, & each session at least lasting for approximately 4 hours of normal session, I have to face I have the access & I have to accept or manage with their services & caring attention for upkeeping my healthcare system for quality of lifestyle or life-journey particularly with multiple illnesses as I am ageing along for the rest of journey on earth.
  
  Therefore naturally the dialysis clinic or centre has become my 2nd home. It is such that a home away from my sweet family home. Therefore all the nurses as caregivers inclusive the serving staffs are like my family sisters & brothers. These two years since 2019 because of this unforeseen circumstance of CoVid-19 pandemic period we patients truly appreciate their dedication serving at the very frontier line of our healthcare system in Singapore. To all nurses & staffs at clinic centre & hospital under MOH of Singapore too. Thanks so much indeed!

洗腎洗血前後觸感和感想（2）

 洗腎洗血前後觸感和感想 (2)

未洗腎或洗血以前，那是很久很久以前故事了呀！或者已經開始體會體驗一點點滴一期生命人生道路上之種種煩惱和痛苦了的意思，也算是我們人類人性一般上叫著【苦厄】了。所以才自心自性含有初步發心佈施之點滴精神。但是也極有限量的程度而已罷了，直到接觸所謂【觀禪】或一般人叫著【靜坐】或【打坐】之因緣，才初步開始明白清楚一二，那時候才算正式開始發點心意識性當義工工作開始了！但是還是很初步的日過日賴賴含的態度或情狀而已罷了。這改天再有空閑再談論有關【觀禪】的課程或題目了。義工工程很廣範圍的。從財之佈施和人力無畏佈施，最終在於達到身心的佈施了。如論如何必須具備精神上發心作爲基本關鍵。這身心佈施即是有關到自個兒人類人性身心和精神上的佈施了。我想我思這些都是屬於後期觀禪有係係相關連的因緣了呀！

小時候不太懂事都是依英雄式或概念或觀念化的態度幫助他人或想拯救他人的因緣而已罷了。當然離不開基本贈捐血液給那些醫院所需要的病人的了。故下針方面刹那間皮肉暫時性的冬痛，在於自親身來説，至今已經確實很平常的事了呀！

小學時候剛開始學會游水時候，曾經在鄉下河流轉彎深処，勇敢救過一個和我同嵗，但是比我還重的小胖子，被他抱住不能幫助他推上岸，自已差點被浸死在水中呢！後來針扎后，才慢慢漸次從他的後面慢慢推他上岸了。另外也被表姐依她的沙龍河流急流中，緊急抓住沙龍，才不被水冲走掉，救了我一命呢！那時候都是小學時候當英雄的模樣！長大意外車禍中也死裏返生，過後年長成家立業后，也斷斷續續在於不同醫院贈捐血液，進而1997年過空贈捐骨髓救了一位起初不認識的天涯海角的兩歲的美國小孩呢！至今已經二十多年歷史了呀！大學工程係華業了，也開始工作了！我們見面也好多次的了！

2014年終於兩粒腎臟完全敗壞下來了，開始洗腎、洗血了！知識上不知頭尾，也沒有底細之下，只按照腎臟專科醫生的安排和指示作醫學上的撲救了。我的血管因爲幼小關係，所以必須要做人工血管安上手臂裏面了！是個橢圓形狀，像個鷄蛋形狀還要大三倍呢！

如今所幸還有人工洗腎或洗血維持在這條一期生命流，實在感恩感謝人類醫學上科學發展進步的成就感呀！何樂而不爲呢？你説是不是呢？自2014年十月份腎臟完全敗壞后，洗腎以來，轉眼今年2020年下個月的十月份，已經足足六年光景了呀！算算一下下針經歷和過程已經至少超越1728的次數了呀！那枚針 15 size 是一寸長，大概 1.8 mm 直徑(diameter)。洗腎是從我的左手臂上段（left hand side upper arm )。乃是人工制造的血管安入手臂裏，大概有10寸長，外圍直徑大概10 mm。橢圓形狀。很明顯肉眼看到和摸得到感覺得到的。

2014年七月份血管手臂手術后，同年十月因突發性關節炎發作（gout flare or attack)，緊急入院就當下用上了！以後都很順利無礙的情況之下，人生道路上新一頁的開始，走入洗腎或洗血治療工程開始了。開始醫院是很溫和柔軟性清洗身體裏面的毒素和水份量的。所以不覺擔憂或煩惱、痛苦。轉入私人治療所，就開始困憂了。體重從72公斤突然跌倒59公斤左右了呀！身體開始漸次消瘦軟弱無力氣了！蠻辛苦呀！但是還可以勉强活著生活日常點滴。只是有點慢步行動而不知如何怎樣繼續計劃下一步的行程了。但是我沒有一點悲觀。

爲什麽這樣子呢？因爲我沒有一點預先的準備有關洗腎或洗血的知識和資料。懞懞查查把身體送入治療所或醫務所而已罷了，就算完成任務了。沒想到洗腎或洗血只是代替我們自然腎臟功能的一小部分而已罷了。幾分之幾還很難計算的。因爲本然自然的腎臟是時時刻刻分秒在幫助我們清洗身體的血液，骯髒的毒素和多餘身體水分經過小便排出去。當然包括出汗水。還有很多因素和條件才可以算是踏入正式合格治療方向或方針呀！我想我思當時當初當環境之下，我們社會洗腎或洗血單位，缺乏或缺少教課或訓練課程（patients training schedule or lectures/talks)。這是基本常識呀！尤其是老人家。一旦退一步搖脚（sit-back & rocking comfortable chair) ，就會開始懶散不想動了，年輕人或家人或親友們怎樣鼓勵加油推動，都會無動於衷了呀！這近六年來，參加過有關我認識單位的運動課程、藝術課程和食品講談，還是有NKF HQ 等等活動，電腦操作等等因緣，我親眼一目了然了！至少可以明白清楚一二點滴了。至於年輕一輩，因緣不足關係加上人老化了走不動了，故比較少接觸，所以不太明白或清楚了！人生七十古來稀了，所以身爲一位老人家洗腎的經歷和過程，我至少還有一點點知識上的點滴。如果有差別的話，應該是缺乏訓練問題（lack of training problem）。但是這也是激發于自已的發心和内涵的呀! 所以只得網上讀看摸摸索一番了！

最近這幾年，好像三、四年前吧！新加坡和馬來西亞醫學上都在於鼓勵加油我們病人對腎臟的知識和等等有關資料多多關注和奉獻了。提別吃方面和運動方面和定期檢查。我在SGH已經經過十多年的治療這個腎臟問題Chronic Kidney Disease ~ CKD) 了。已經太遲了呀！Without basic knowledge of awareness we cannot possibly overcome the hurdles or challenges ahead of us)

洗腎六個月后轉入新加坡國家基金洗腎中心 (NATIONAL KIDNEY FOUNDATION ~ NKF SINGAPORE)。才開始有點一綫光彩的希望呀！我想我思 NKF - Singapore 是我們新加坡最棒的洗腎中心了。至今全國大概有37 或 38 單位或洗腎中心了。這個團體很不簡單呀！自1969已經有50年歷史了！這算是我的第二個家園了！所以每次拖著六七公斤家用品上路洗腎了，一星期三次，每次正式平均要洗四小時，至少來回需要6小時，包括準備等待交通等等。所幸兩年前我被安排到比較靠近我們家裏附近的洗腎中心了。很容易很方便，節省很多時間和空間，還有用費減少很多了·呢！含有充分休息的時空了！這是 100 plus 的效能功能作用呀！Very productive & CREATIVE!

我住在新加坡最北部近馬西嶺地鉄站 (Marsiling MRT)，開始被安排到 NKF-Yishun DC1 洗腎。從那個時候開始，我在于義順區（NKF - Yishun DC1 )，從2015年三月份直到2018年五月份，再轉入馬西嶺 (Marsiling DC) 新開的NKF洗腎中心。叫著Jo & Gerry Essery - NKF Marsiling Dialysis Centre。 大牌 Blk 204，Ground floor, Marsiling Drive。算算一下，在于義順（Yishun DC 1) 大概三年吧，馬西嶺大概2年多了呀！這兩個洗腎中心，每一個護士醫生我都相當認識明白清楚他們點滴内涵呢！幾乎每一個護士我都會按一個筆名的，人老了，這樣子比較容易作爲記住嘛！怎樣講呢？就是從每一個人行動動作和工作作爲態度等等而所得的心得了！這樣關照印象確實很深刻的呀！

前面這些談向談話都是課外的課程而已罷了。接下來我會專提到或談到有關我自個兒親身洗腎或洗血經歷和經驗過程了！因爲沒有受到正式性的訓練和講題或講科，加上自個兒知識很有限度，所以只是走馬看花的態度，還有很淺薄粗糙輕輕帶過得自我心聲的講述或談談罷了，并沒有對或錯觀念或概念，因爲末學到底還在摸索中、學習中、鍛煉中嘛！也是算走一步看一步摸一步試一試怎樣的步伐而已罷了。我是依照一個單純簡單自個兒親自洗腎或洗血病人加上親自觀察所得的心得，吐露一點心聲罷了！希望可以借鏡更上一層樓吧！

這篇文稿相當長，重點也有關到我出生祖鄉下中，最近有一位兄弟也開始腎臟敗壞了，而剛剛開始結緣步伐借鏡洗水之方法或方式開始清洗血液了呀！感恩大家結緣發心分享因緣和自個兒親身心得了！

洗腎/洗血前後觸感和感想 ~ （1）~ extracted from FB 6th September 2020

 洗腎/洗血前後觸感和感想 ~ （1）

自2014年十月份開始洗腎、洗血已經不知轉眼將近六年了呀！

記得當年2014年初開始知道要作准備的了，辦理做手臂上的人工通動靜脈血管手術后。家裏内人和孩子們都很關注我自個兒一切日常生活心態行動和行爲了。然而我走過了各種風風雨雨的人生經歷過程和概念、觀念，已經完全可以面對人生現實和事實的了。該來的因緣即得當下面對接受和適當處理之的了。這也是我的一期生命人生道路上的主要轉折點有關自個兒思維或想法或觀念的了！這所以會這樣子的人生觀念，因爲切實有風雨中充滿了其來龍去脈的轉折點和故事内涵了呀！單純、簡單一句話：當時算是放下這個身心萬緣了。沒有什麽需要再保留了的意思了！有關這個課題，以後如有再有的善因緣，再詳細聊天談談過日了！

2014當年五月份我們新加坡一家大小老少，念念不忘祖根，一行過海回歸東馬來西亞沙巴州恭敬祖園和親友們呀！也算是單純、簡單作祖源清明節日了吧！這是我感到最難遇難得家庭善巧因緣了。也是我一生人最幸福最感動最激動之一刻了呢！感恩祖鄉各親友們之熱心關懷和熱情招待因緣了。在此當下我默默感恩感謝大家的愛心和配合無縫的作爲和行動呢！

當年七月份做好了准備手臂手術后。接著就看因緣了什麽時候開始醫學專科上的吩咐洗腎了。直到十月份才一次關節炎突然嚴重發作，緊急入院，毒素突然間高達到1000+（creatinine ) 的指數了呀！因爲年紀高了和身心老化了許多，加上種種病態纏著這個身心。身心實在很難受得了呀！所以馬上要開始做洗腎或洗血工程了。這是一個長期的治療工程開始了呀！那時候我才67嵗而已罷了。其實我的腎臟吃藥維持已經含有十年多的過程了。終於腎臟到達後期敗壞了呀！雖然那時候還有很多的小便呢！

頭一年最蒙蒙查查的不知如何處理或生活了，也沒有實際知識上的開緣認識有關洗腎或洗血治療或資料等等。都是這邊聼一點那邊聼一點，蒙蒙查查過一天過一夜，這樣子就算數了。因爲沒有基本上知識~怎樣面對洗腎和洗血經歷和過程，實在冤枉極呀！這是基本上社會教育問題。直到六個月后轉入新加坡國家洗腎中心（National Kidney Foundation ~ NKF Singapore), 才開始初步有點知識上的認識了，即是有關定期血液實驗室報告和一些網上資料。再來有關漸次復原治療工程的點滴課程了。第二年開始我比較有信心和積極行動了呀！原來洗腎或洗血只是腎臟敗壞之其中一部分功課而已罷了。還得準時配合：營養師食品之類的關心/講解、明白清楚藥物用法、慣常看醫生、聽聞醫生和護士勸告或指示等等、慣常日常生活中的種種合適自個兒興趣的活動、包括運動（要出汗）、足夠休息和睡眠、正能量的人生觀念、家庭親友們關懷鼓勵和支持、社會人士的熱心和支持、能力範圍内盡量參與社團或社會活動（pro-active )。老了雖然放慢了脚步行走，即一步一脚印而已罷了，但是必須充滿著不斷繼續前進的步伐呀！這樣的人生道路上才算過著有意義感嘛！何樂而不爲呢？

我因爲完全聼覺失聰了，加上脚步關節炎~膝部和臀部等等骨骼問題，走動也比較漸次辛勞吃力了，只得隨順因緣依靠網上溝通交流了！最近還有頸部和頭部開始產生壓力感呢！這真是一波未平一波又來了的現象呀！除了面對接受事實和適當醫科處理之，就是盡力作身心現量式的關照、看著、明白、清楚一二它們的來龍去脈了！學無止儘呀！人到老學到老，最後一口氣還得學習鍛煉按住、觀察它漸次微弱失去其痕跡或其消失掉的現象呀！

接下來我得怎樣由心中誠懇坦白表達有關我自個人面對/接受/適當處理之有關洗腎/洗血前後之感想和經歷過程了呀！這裏預先提醒沒有對錯的經歷和過程點滴的因緣法。因爲只知道什麽就表達或單純簡單講什麽的了！這樣子就是這樣子老老實實坦坦白白的，沒有什麽好騙人的餘地呀！自個人經驗和過程并不表示和其他病人一樣或同理可証的呀！俗語：個人吃個人飽呀！個人因緣個人了了嘛！何樂而不爲呢？

9You, Peggy Wong, Peter Liong and 6 others

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