Marsiling DC's history is in making stages..

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HealthCare in Singapore

In the past perhaps we were lack of communication & interaction in one way or another among our dialysis patients/community. Since 2016 or 2017 my last & the only once of familiarization + training program at NKF's PAD, I can see it is slowing down with deterioration year by year as there were no news whatsoever since then! It is sad & pity enough! May be only confine to small group that are closed to each other within the PAD selective guidance or sudden change of management for some valid reasons? Perhaps I wasn't too sure too because of my personal lack of face to face connectivity due to hearing handicap. However, there are other areas or events or activities as supporting roles to keep us going since 2017 because out Marsiling DC is getting active since then. We have weekly exercise group, we have Art Class therapy & also we Artistic Hands Made skillful works/products. In addition, we have Gym Tonic exercise at Jurong NKF IRC too. But because of this unpredictable unfortunate unforeseen circumstance of covid-19 Pandemic period since 2020 we had slowed down & hence move to Zoom Meeting/Workshop for timely events in order to keep busy & active while staying safe be safe always! NKF is just so wonderful to keep pace of time & space for our patients & caregivers too. 

With online hi-tech connection, today it is also timely for CARING + SHARING with prompt CONTRIBUTION through hi-tech online connection. Patients unity is essential to make an impact + group momentum for positive & proper feedback to our healthcare system in Singapore. Because with our own personal + genuine body-mind-game/system we know & understand better to match as positive feedback to our healthcare team for further rooms of improvement. Today we have also many younger generation both patients & none patients with well educated culture & value with respective to online connection. Today we too have medical professionals to take part in their respective volunteerism during their free time for questions & answers events such as on LIVE TELECAST AT OUR NKF FACEBOOK PAGES. This accessible occasions/programs/events are positive improvement in our medical healthcare field.

I feel we are gradually beginning to close the gap between patients & healthcare team in two ways or two paths flow rate. (👍) My these few years approaching with SGH, my family & I feel similar situation too. With this connectivity we are more productive in term of overall healthcare system in Singapore. Simply because without patients, do we need nurses & doctors as caregivers. Nurses & doctors are free to volunteer as an extra bonus in order to make full usage of their professional medical knowledge & skillful management as far as concern or caring + sharing + prompt contribution as common caregivers too. We need to work as a solid team for mankind welfare & benefits!

Apart from personal genuine medical data which is subjective to P & C, the general healthcare system & or educational culture + value are transparent phenomena actually in our living lives of journey. This can be extended not only to the patients + potential CKD + families or relatives or friends as caregivers, they are indirectly for mass population educational culture & value too. This is a long term educational culture & value. Those capable & or recovered patients can be an auxiliary impact or driving forces as an extra bonus one if they well equipped with familiarization + proper training with supporting from NKF + MOH + MOE + Ministry of Home Affairs too in order to boost up our Singapore HealthCare Hub in South East Asia & or Asia today.

As a dialysis patient with 7 year+ of experience/exposure, this is my personal genuine but very shallow opinion only simply I am not under any official healthcare familiarization or training since day 1 of my haemodialysis (HD) treatment or therapy yet! Thank you for any positive correction as far as healthcare system is concerned!

What's my present existing AV Graft conditional like...14th Dec 2021

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On December 2021 I had my NKF Marsiling DC special arrangement to make a vascular appointment since my last angioplasty balloon in February 2018. That was my 2nd angioplasty balloon because of its suddenly inflammation with zero flow rate. The first time angioplasty balloon was done in Dec 2016 because the access flow rate dropped to around 600 ml/min. 

This is time it is similar that the access flow dropped to around 600+ ml/min. Though I still feeling thrilling & still normally being used in my normal session of HD but it is clearly & sharply shown through diagnostic radiology that some spots are restriction or narrowing to more than 75%. At on3e spot channel is only 1.4 mm in size while the maximum 9.2 mm in size with 605 ml/min flow rate only.

Therefore according to specialists of medical experts, I need to have earlier action for immediately intervention. I had booked for my next angioplasty balloon at SGH on Tuesday 21 December 2021. Hopefully with blessing everything is going smoothly & comfortably too. Cheers~~~

How has my hearing loss imparted to my way of living & how do I cope with it?

 How has my hearing loss imparted to my way of living & how do I cope with it?

Yahoo/Sent

• 

  david leong <leong_david@yahoo.com>

  To:Lim Cheng Yong

  Sun, Dec 5 at 4:14 AM

  Dear Mr Lim,
  
  I purposely left out to response your above heading topic at my earlier replying email. Because I need to recall & rearrange my personal genuine & complicated stories since once upon a time. It was a long history to me & my family as a whole too. At least I feel this is my sincerity with genuine expression because you are a well qualified teacher in term of modern scientific medical field.
  
  I would hereby briefly & roughly express my story in my own poor personal wordings.
  
  After the car accident in 1976 just after my father suddenly passed away due to heart attack in Singapore TTSH in 1975. Unfortunately I had a car accident & I met a seriously injury with head cracking at the front forehead & right hand side of body with 3 broken ribs too. When I woke up I was lying at QEH hospital in Kota Kinabalu & surprisingly could not move at all. At a glance of damaged 1200+ cc of Toyata Coralla small car with 2 doors only, most people suspected the driver should be a "gone-case" already. I was travelling straight road toward KK for a job duty while a 3 tons pick-up suddenly turned his right & hit against/toward my right hand front wheel & squeezed my driver seat compartment into like a 'sardine' state. My both legs still remained at the driver down below compartment though as I was told later. It was T-junction. The pick-up driver was heading his home nearby at the T-junction. Luckily I wasn't on with my safety belt on that day. Guess my head hit against the broken front screen & at same time my right body ribs hit against the steering wheel. It was a great impact of sudden car accident. Luckily the great impact was absorbed by the front right hand side wheel which is solid & tough. My body was thrown toward the front passenger seat. I understand the pick-up's driver was an old man.
  
  After my hospitalization for a few days or a week rather I struggled to go back to work nevertheless involving with heavy machineries or plants at field job assignment. I was only about 30 years old then & near to my peak career too. Then accidentally I fell again furthering injury my ribs during my normal job assignment. Year after year I gradually lost concentration in my work schedule. Gradually I lost my hearing sense bits by bits year by year too. It was progressively manner actually due to ear-organs nerves system problems! When I was hitting 40+ the hearing loss gradually getting serious & my children were still very small then. I was very worrying & restless. I could not sleep well & hence eventually fell into a very deep valley of anxiety & depression for a few years under treatment & medication. Lots of thinking & could not settling down at all. Despite going through both Western & Chinese professionals medical treatment or therapy but no answer no cure at all. I came to Singapore at Orchard road the specialist centre (now no more there) for treatment & therapy too! I had lost interest totally in making a living & also found my life-journey is so meaningless & so useless. I was truly sad!  Sometime I thought of ending my life once in for all by settling my problems. But seeing my loving & most responsible wife working so hard with commitment & dedication & my children were still very small I kept on merely dragging along the journey only. 
  
  Luckily my wife managed to shoulder & handle the whole family to gradually bringing up the three children as I was jobless for years & in fact no one liked or wanted to hire me at all. My family was lucky to be able struggling along the journey during this period of unforeseen & unfortunate circumstances just before we moved over to Singapore in1992 because we truly need a change environment after all. Also because Singapore is my wife birth place after all. I couldn't adapt or reluctant to wear the hearing aids too. I had changed many types of hearing aids too. I was very downed indeed! In Singapore the only way to move on & preoccupy myself, I began to do solo volunteer through government CDC on contract with RenCi hospital mobile nursing by taking care of elderly at home around Marsiling area together with neighborhood friends. During these times I could use hearing aids to move on. But year after year my hearing aids not powerful enough they asked I might need to have in-plant surgery & also possibly or probably only can hear 10 to 20%. So I gave up & my family agreed with me too.
  
  Just 2 or 3 years prior moving to Singapore, I happened luckily contacting/attending a few Vipassana Meditation retreats at my birth place Sabah. A report was written as a record for my initial meditation experience/exposure too. I will try to trace & search for it if possible. After learning & picking up Vipassana Meditation I gradually & practically let-go ( 漸次放下很多很多身心煩惱和痛苦了）many things around my surroundings plus the family trouble shooting etc etc too. By the way my family moved to Singapore around 1991 & 1992.
  
  By another golden chance once again in Singapore I took up Zen Meditation （充滿中華文化看話參禪法門）after Vipassana Meditation. Since then, I had never ever looking back again. Just move on even without my hearing sense at all. I don't bother what how people look at me as a deaf person. I basically let-go everything! So much later on I suffered from heart-attack (in 2009) & kidney failure (in 2014) + other multiple illnesses inclusive prostate problem stomach ulcer gout attack etc one after another one following up too. I began to gradually knowing understanding realizing bits by bits or little by little my own personal body-mind-game/system. Simply because of OBJECT-CLINGING-MIND, the attachment as EGO, （只因妄想執著或執取所引起的因緣法） that making me thinking worrying fear & restless along my life-journey especially now I am ageing at 73+.  However perhaps I am old enough to eventually mature a little bit. I began to be self-independent throughout my lifestyle except I need my family to accompany me for visiting doctors or specialists' review etc. My wife & I stay together & I can basically walking/living alone but I don't feel loneliness at all. I have an excellent family members & relatives. They are supporting & backing up me all the way. I am considered as lucky old man nowadays!
  
  For 2 years since 2019 we are confined or restricted to stay at home with this unforeseen & unpredictable Covid-19 Pandemic period, honestly it is nothing so special to me as I am always preoccupy & busy myself. We just have to live with it without fear but must take preventive necessary medical precaution or measurement.  At haemodialysis centre each session for 4 hours I am always mindful about my body-mind-game/system for better blood circulation & relaxation too. 
  
  For any therapy such writing drawing painting or exercise etc I can easily kill times ~ no problem at all. During my leisure time if only I still can manage to be able to walk for a few bus stops because due to my gradual weak & poor knees & hips joints, I would go around around the park or hilly park around Marsiling area at near seaside around Woodlands water front or Sembawang Beach as I am staying/living near Marsiling MRT station. I had been living since 1994 too. I am trying to meet my body mean Index (BMI) of dry weight in order not to over burden my walking step/pace by over weight myself as well as my blood pressure & heart beating or heart pulse. Breathing exercise inclusive body stretching exercise is the best bet of all!
  
  I am a totally deaf haemodialysis deaf patient nowadays but I have buddy dialysis friend at our Marsiling dialysis centre sitting next me on weekly 1-3-5 noon shift. While he is almost blind with his right leg problem due to bone injury & I am a totally deaf patient, surprisingly we click well by body languages or gestures etc. Though the mannerism like chicken & duck connection but we click well enough. We enjoy & happy enough! I can't help him much because of both of us simply with poor face to face communication & interaction. My wife helps to offer him some meals too as he could not manage or hardly can enjoy nice dishes these days despite he got few siblings around. Hardly seeing them visiting him too. He is only 57, single & tough guy. He stays alone with tidy & clean 3-rooms flat at Marsiling area a few minutes walking distance to our dialysis centre. I can't help him much so last Friday on 3rd Dec 21, I was so happy seeing a social welfare worker or officer visiting him at dialysis centre. Guess for his personal detail interview about personal problem.
  
  Thank you very much for taking time/space & kindly listening my story! 
  
  Have a nice happy & enjoyable Sunday! May you your family & those around you well healthy happy with peace of mind-heart! Cheers!
  
  SengChen  
  
  

佛教所謂的【三法印】

 

Leong Seng Chen

DteacSep0mbe18r 5l, 0o820dli15f  · 

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佛教常识：三法印

时间：2015.01.07 字体：大 中 小 分享到： 3

第一法印是诸行无常。没有任何东西能够连续两个刹那保持不变。赫拉克利特说：人不能两次踏入同一条河流。孔夫子在注目黄河时，慨叹说：“逝者如斯夫！不舍昼夜。”佛陀要求我们不要只是谈论无常，而要把它作为工具，以帮助我们契入实相，从而获得解脱的智慧。我们也许想说因为事物是无常的所以才有痛苦。但佛陀却鼓励我们进一步观察一下：没有无常，生命怎么可能产生？没有无常，我们怎么能够转化掉自己的痛苦？没有无常，我们的小女儿怎么能够成长为一个如花似玉的年轻女郎？没有无常，社会状况怎么能改善？为了社会正义和希望，我们需要无常。如果你很痛苦，那不是因为事物无常，而是因为你错以为事物有恒。一朵花凋谢时，你不会太难过，因为你知道花开易谢，原本无常。但是你却不能够接受你所热爱的人遭受无常，当她去世时，你会悲痛万分。如果你看透事物无常的本质，那么你现在就会尽最大努力使她过得快乐。认识到无常，你会变得积极、慈悲和富有智慧。无常是好事情。没有无常，一切都将成为不可能；有了无常，每一扇门都为变化敞开着。我们不仅不应该抱怨，相反我们应说：“无常万岁”！无常，是我们解脱的一个工具。

第二法印是诸法无我。如果你相信有一个持久的、永恒存在的、独立自主的“我”，那么你的信仰就不能被称之为佛教。无常是从时间的角度来说的，无我则是从空间的角度来说的。当我们修习《金刚经》时，愈深入地体察我、人、众生、寿者这些名相，我们就会发现，我与非我、人与非人、众生与非众生、寿者与非寿者之间是没有界限的。当我们在绿色的原野上漫步时，我们就会意识到，我们是由空气、阳光、矿物质和水构成的，我们是大地和蓝天之子，与其它所有有生命、无生命的事物都有联系。这就是修习无我观。佛陀教导我们要安住于正念，谛观互即、无我、无常，从而进入三摩地。

第三法印是涅槃寂静。涅槃的意思是“灭除”，灭除烦恼和名相。人类的三个基本烦恼是贪嗔痴。痴，是没有能力理解事实真相，是其它两种烦恼的基础。因为愚痴，我们贪求那些会将我们毁坏的事物，并对很多事情感到嗔怒。我们试图按自己的设想来把握世界，结果我们很痛苦。涅槃，熄灭所有的烦恼，象征着自由的诞生。当黑暗消失时，光明就出现了；当痛苦消失时，安详和幸福就会出现。

（本文转自网络）

9You, 楊燈聰, Kimleng Chang and 6 others

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An Email to Mr Lim Cheng Yong NKF mindfulness teacher

 Dear Mr Lim,

Good morning! I usually sleep very earlier between 7.00 pm to 9.00 pm in my normal time table. I never or hardly go over 10.00 or 11.00 pm at all. During dialysis days I sometime go back home & shower & straight go to sleep without dinner as I am on 1-3-5 noon shift. But I only sleep for about 5 to 6 hours is enough for freshening up again. However, I also rest (meditation I mean here) or sleep during the day too about 2 hours or so depending upon whether I am tired or not. If I wake up early then I usually have a cup of hot drink & something to bite do some online connection work. Then after 1 or 2 hours later I probably go back & rest or sleep again. My charging of body & mind only need sometime to refresh again too. Sometime only for half a hour to charge up is good enough for refreshment. This depends upon the leakage energy through our six sensual organs (eyes ears nose tongue touching & mind 眼耳鼻舌身意).

When I am talking rest here it is Meditation of Mindfulness about breathing in & breathing out phenomena in the most natural way or path to calm & feel peacefulness internally. It is a way to rest as far as traditional meditation is concerned. 

I picked up the traditional Buddhist way of Meditation (止觀内觀禪）years ago but I am still struggling & learning about it. It is called Vipassana of Burmese style watching belly arising & falling phenomena. Each retreat usually lasting for 10 days. This is my first & beginning of Meditation experiential experience/exposure years ago. I approached it due to my heavily fell into a deep deep valley of anxiety & depression that no Chinese & Western scientific medical field could cure me at all. I had a car accident seriously injury with my head impact & broken 3 ribs. That was during my earlier career engagement at my birth place of Sabah in Eastern Malaysia. My initial Vipassana Meditation began at one of the foot of Mt Kinabalu ~ a rural village ( 神山脚下一個村落的禪園地 ). 

Later of the years my family with 3 small children still moved over to Singapore because my wife was originally born in Singapore by birth & thus we started a new way of living lives in Singapore again. This is a big move & a very long story, indeed!  

The second part of journey is traditional Chinese culture or value of Zen Mediation （禪宗法脈 ) when I gradually lost my hearing sensual organ （聼覺障礙）capability ~ so very serious that no one will employ me in the working industries anymore. So I happened to pick up Zen Meditation in SIngapore. Nowadays I am totally deaf of dialysis patient by the way!

The first incident of meditation about mindfulness is close to your way of teaching SCIENTIFIC MEDICAL mindfulness on breathing exercise by applying 4-7-8 method(s) during our first session of Zoom Workshop. To me it is considered as modern way or path in scientific medical field. Very interesting & very good! I am very lucky once again to be able to refresh my body-mind-game/system in this Zoom Workshop program or project organized by NKF Singapore. This is actually a way a path without attachment to any religion whatsoever! Hence, I like & love to see it is to be introduced & applied accordingly in our NKF Singapore multiple communities as my 2nd home! I strongly care share & support its implementation as long term educational culture & value for healthcare system! It is truly meaningful!!! I hope we can continue this project or program from here onward & I will definitely & surely make up my free time to participate in this kind of project/program too even though I may be at handicap pace with deafness handicap. So far I joined in in your Zoom Workshop as an audience only because of my very poor following up approach or attitude during the session. Well this is unfortunately case but I am happy enough with the chatting box available there plus the video screen illustration with photos or pictures wordings etc.

Next I will be keen & interested to follow up & touch on stress management + sleep hygiene + self-compassion topic outside the Zoom workshop too as per your mentioned. If can we will continue to mutually communicate & interact running in parallel about our healthcare industries services or business in Singapore too. With your guidance as a qualified teacher I am sure I will be able to further improve own abreast by learning modern physiotherapy + psychotherapy in medical modern knowledge in order to further care & share my part as a meditator or yogi in one way or another so that I can gradually move away from attachment of any religion on my earth-journey. It is very suitable to NKF Singapore as a Multiple Communities too. Together we surely excel for better tomorrow! 

I was basically a Chinese educated from primary to secondary school & therefore I polished my English through my wife who was English educated while she picked up Chinese from me at same when we met each other while still studying for our tertiary academic education. 

If you are Chinese reading & or understanding & do kindly allow me sometime or occasionally use Chinese to mix-talk due to my poor command of English Expression. I will be very appreciated indeed! 

So sorry taking much of your time during this emailing conversation & interaction!

 Thank you very much for your kind guidance in due course!

With best regards always!
SengChen ~ 3rd Dec 2021.

禪定

 法友吉祥，今因貼文重閱回函，有關禪定的修練安平尚能提供些見解供法友參考。因有關佛法中的禪定有些是可依靠修練或意志力而增長的，但有些卻是需配合道心與見地的慧解才能增長，否則怎麽練有是難有成效的。這其中的差異一般的行者是很難覺察留心的，也是久修的老參行者務必要突破的障礙。

例如覺知力或心一境性的禪定是可靠訓練或意志力增長的，但一切時地都能隨順所緣的覺知力與時時都能安住「無生涅槃境」的禪定力卻不是單靠訓練或意志力就可具足的，原因自我存在的意識形態與價值觀也就是執取的慣性會影響與滅苦相關連的禪定力，所以五上分結在斷慢破無明之前要先能斷貪欲、瞋恚、色愛、無色愛等才能斷掉舉，而能斷掉舉的禪定力，才是具足一切時地都能隨順所緣的覺知力與時時都能安住「無生涅槃境」的禪定力，接著才有能力斷慢破無明或証入「無生」。 換句話，基本的禪定力是可訓練的，但深細能斷滅苦因的禪定力就須道心與見地的配合才能成就，否則強練只會是成為「偏定」而非滅苦的「正定」。以上說明，再提供法友參考。安平2021/12/2