Mr. Meniscus

Thanks to everyone who have gave your concern about my operation lately, even some I was unexpected you dropped by on an ask and care too, since each others are merely connecting these days. Well, big thank you here. Talk about these, it's been a week past already, I'm so far no worries on recovering condition at here, seem doing great and hope the soon near being back normal. In the first instance the surgery knee of course had swollen and fluid, movement was totally ain't easy, every steps forward like almost jug me in the hell, crutches were my daily support. I shall say operation is only insist 20%, 80% of physio session is the main most important for a person to come back normal.

This feeling on experience I having now like, it does really needs endure, self-hardening, psywar, hope in front, be positive all time, despite pains and languid in progression, healing condition would be seen. Sightseeing of job's dock days, majority upon ages are around inside, were seen some of them with wheels, on bed, crutches, some in physio room as same, it likes given me a sense and call at these every moment, "human life is weak, 40 above you are selected in so how, who knows, you see they are actually afraid when stepping into this building, no one want it, no one, you will have these as they feel in 2/3 decade years later, it's same."

Love life, Love the charges you deserved in this world, be healthy.

3 days living in ward. I believe no one like the smell in hospital, probably medicalize. Operation time supposed on afternoon session, due to doctor was having another patient beside, mine were delay to evening, I lost mind with like a hunger, they stopped me with not take any drinks and foods after 9.30am. On 6.30pm drove to surgery room, my eyes were counting every lights passed by on the white ceiling, moved to another bed to another, doctors made some detail and questions to me, this necessary, injected Xylocaine, 20minutes after we started. Yep, I were looking them done it for the whole session on monitor, this include a CD recorded as well. They gave explain in the progression, but something quite disgusted as I heard they used mechine to saw and hammer at.

9pm approximately, piece of "artwork" done. I'm shaking all the way, it freaking cold over the moment, perhaps the medical drug used and I'm effing hungry too. After driven back to H310, can't wait no longer I kept require breads and hot drinks from my family, there only I were turning better, the iciness will like in Eskimo wit no clothes. 2nd days only I could came down from bed with wheel to physio session, not the good feeling with the pain when first attempted, keep it, so turning better day by day, learned with crutches, more further it seems better, crutches try now started less using anymore.

The meniscus torn part removed yoo. (Sicken ~.~)

DBS

Looking it further

Near The White Light

Here comes the December, 2009 has meets the borderline of 2010. Within current year, it does not much exceptional pages taken place my life at 21s'. Christmas sounds are jingly over the surround, I'd truly love Christmas time so much, the time every one bring with only smile, joyful, white, green, red.. fervency festival group every else in one. Of course, it will quite needed an amount to be prepare for spending soon, children may enjoy theirs new toys, clothes, they want, callan enjoy theirs new fashion wear, technology. So am I, I wish to get some new clothes wear for sister wedding holding on soon January, an angst feeling I had begun, about the amount of paid to be spend in Taiwan on next August as well. Nearly, I'm through hardworked to find part time job from everywhere to get some earn for this year end spend and saving, would be tired on the progress of work, no one with, but only focus the aim and purpose the long way I chosen to be. It's mirthless, so as to independence is me, I calling.

Near the white light, not actually Christmas I'm mentioning. The sight was from hospital where am I lie on the bed of MRI imaging room, quite worried moment ago this light I'm only focus, begun to think, why am I selected into your bad list, I'm an ordinary enough as giving pure heart in life. (Unknown) Just only on Monday, the second day of work done, mum on leave in purpose took me to third opinion at KLSMC, I did the MRI this time, million - fold of cells in my body perhaps dead in the same time, in the progressing I would be hearing noise of "Doi doi dong dong doi", imagine I have been in a retarded 1780's spaceship escaping the planet. All these cost us to paid quite amount, I can feel family is going to be worry about the further cost will be paying for the next, myself I'm afraid of these the most too, anguished feeling as I don't wanted them spend this particular of amount out soon.

We were decided to have my knee operation back in KPJ, SBN. The next day after that, I went for the doctor again to ensure the surgery date and details, a very soon date given, tomorrow day Thursday is it. May be also with lucky, mum did brought an annual personal insurans for me from 2 years back, despite others now, I should only be calm and prepare to enter the operation door tomorrow afternoon time, will be 2 days forced living in hospital, not the well night I can feel here. Well, whatever happens I'm here truly hope my left knee surgery successful, back into the normal condition, help the others and others, create things out. Remember the name of Raymond Chan Diing Mon, if there is an unusual tragedy comes on to me. (Choi)

Christmas, year 2010, sis's wedding want the monstrous. Be healthy right away.

MRI scan results.

It can clearly see, the ligament and meniscus part are abit seperate with others. Knee cap has moved unaccustomed position. The doc said all these will be doing a scope again when operation started, for a clear view to fix it immediately. I will have a half coma condition which seeing them doing the surgery at the moment, sound freak. They will let me know about the case and what to do on the spot, while I'm looking on the monitor. Be strong, be cool, take a deep breath.

Thanks for everything you have done hardly, sorry of all the trouble given

I will be fine

Signal Bumping

Not a good beginning monday. Unfortunately, I had forced to ride mum car home on the way back from college after her's office hours. The shuttle bus service on 5pm in school at present has gone crowded by students, I can't even see 0.0353inch of free spaces for me to squish on it. They were forcibly stood until the staircase, even the door couldn't close. No mercy, but you can still go for next an hour bus again. [WTF systems] Of couse behind there were students also have not enter into the bus, we could only shown stun and feeling desperate at the moment.

On 7some evening I reached home. I was thinking to hang around with my fixie. There has been such time ago I had not ride onto it anymore. Of late my left knee is getting ache again, badly I have injured during NUC fun run, I did went for chinese medication for several time, and it recovered almost the part. However I figure out now it has not as normal as on previous anymore, likes getting lingering effects, when squating down and turns up, it will be feeling pain and has to be slow, more worsen sometime might heard "tttoookk". The meniscus injured is getting much more problem now. I'm quite started worrying onward. Then, for sure to be better, I listen to experienced persons said should be doing more physiotherapy by self as like swimming, gym for knee part, cycling, but not types which impetuously movement. Since long time ago I have not go along with my bicycle before, tyre has been out with air, I tired finding the pump for the recovery, at last I still couldn't found it. So no any others better choice anymore, wait till tommorrow I will got myself out to have it back.




The moment I went through hand wash at outside water pipe. I saw an unconvincing truth happened. There was a bird death body aside the area, I can't believe it what were going on. I used an unwanted cloth for checking'em whether it still alive or not. It's not responding to me at all, ants is getting over around it body, confirmation it had leave the world. I have a lot of questions, why does it those birds would like to came across my house often at recently? 1st met was in toilet, then me and mum's room once, dining room once, and now. What sheet of informations signal here they are trying to deliver? Good? bad? what? As so far I'm guessing whether does it relevant with H1N1 cases, it has being much more serious nowadays, and may be birds can be also chances infected by this illness, this condition was mirthless, not everyone hope to see.

Thus, I try to dug an hole and buried it. From my hand carrying on it, the sensory of its body constitution, it's little, benignancy looks, you an actually much more freedom then i, you fly, feather as fairylike, no vexation, perhap I'd rather to have your kinds of life then now I'm.

It seems not working on mum's new plantation, turning baldness, those are medicinal materials purpose use. We didn't really maintaining them best, they lack of watering, fertilizing, clearing weeds and that the reasons why we will never meet these harvest. I should really make onward to take good care of these now.

It meant to me actually. I got this when I was 15 after the PMR examination. I have seldom riding it nowadays. Few years back, there were foreign workers did maintenance in my house and they tried to make offering on giving $100 to have it, at last I didn't accept it, its not about money matter, but its a mum gifts. My fixie has turns more leftover, rustiness, an insect fauna best places. Tomorow, I will be cleaning up it, do some maintenance, and filling back the tyres air to pump away at physical knee training. I hope I could have back my healthy soon.

Great one.

消失太快　捉得到太少

因此花一天感覺一切是愛

茫茫人海　或有幾多漂泊與淹蓋

人人尋找愛　或有幾多爭鬥與比賽

越覺得剩低幾多未變的愛

發覺這世界永遠太少深刻

因此花一天改變一切習慣

發覺這世界永遠太多蹺蹊

因此花一天擁有一切運氣

慢慢地邁向聽朝

靜靜地懷念昨日

再決定今天只要相信愛

叫皺紋散開　喚青春歸來

因此我喜歡花一天感覺一切是愛

喜歡花一天跟你一切是愛

Quickly Recover All

-在你心目中，我只是一个路过人-

H1N1

Kuala Lumpur – Malaysia on last friday confirmed its first case of swine flu, a 21-year-old student who recently returned from the United States. A statement by the Health Ministry’s director-general, Ismail Merican, said the young man was hospitalised on Thursday after suffering from fever, sore throat and body aches. He had returned to Malaysia from the United States on Wednesday.

Tests confirmed that he was infected with the A(H1N1) virus, the statement said. He is receiving anti-viral treatment and is in stable condition, it said. Ismail said the ministry is in touch with his family members to ensure that he did not infect them, but they have not been placed under quarantine. He also urged all passengers on the Malaysia Airlines flight from Newark on Wednesday to contact the ministry.

Ismail said the public has no reason to panic as his department was taking steps to protect public health. Globally, 70 people have died of swine flu, 64 of them in Mexico where the virus originated. Four deaths have been reported in the US, one in Canada and one in Costa Rica.

According to the World Health Organisation, some 6,672 people in 33 countries are confirmed to be suffering from the disease. The WHO estimates that up to 2 billion doses of swine flu vaccine could be produced every year, though the first batches wouldn’t be available for four to six months.



What is H1N1 influenza virus?

Influenza A virus subtype H1N1, also known as A(H1N1), is a subtype of influenzavirus A and the most common cause of influenza (flu) in humans. Some strains of H1N1 are endemic in humans, including the strains responsible for the 1918 flu pandemic which killed 50–100 million people worldwide. Less virulent H1N1 strains still exist in the wild today, worldwide, causing a small fraction of all influenza-like illness and a large fraction of all seasonal influenza. H1N1 strains caused roughly half of all flu infections in 2006. Other strains of H1N1 are endemic in pigs and in birds. In March, April and May 2009, thousands of laboratory-confirmed infections and a number of deaths were caused by an outbreak of a new strain of H1N1.

(Mine fault?)

(It's not totally our problems!!!)

How does H1N1 influenza virus spread?

Spread of H1N1 influenza virus also called H1N1 flu virus from person to person occurs in the same way as seasonal flu, which is mainly spread person to person through coughing or sneezing by people infected with the influenza virus. People may become infected by touching something with flu viruses or germs on it and then touching their mouth or nose. Germs on hard surfaces, such as counters and doorknobs, can be picked up on hands and spread to the respiratory system when people touch their mouth or nose. It is important to wash your hands frequently.



How can H1N1 flu virus be prevented?

You can reduce the risk of getting any influenza strain, including the H1N1 flu virus, by taking standard precautionary measures.

-Wash your hands or clean them with alcohol-based hand rubs frequently, especially after you cough or sneeze and before you eat.
-Cover your nose and mouth with a clean tissue when you cough or sneeze, and throw the tissue in the trash immediately after you use it.
-Cough and sneeze into your sleeve.
-Avoid touching your eyes, nose or mouth, as infection can spread that way.
-Avoid close contact with people who are sick.
-If you get sick, stay at home and limit contact with others to keep from infecting them.

What to do if you or your child has symptoms?

In most adults and children, the symptoms of H1N1 flu virus or human swine flu are similar to the symptoms of regular flu. If you or your child gets sick, you can take these steps to feel better.

-Children and adults who are sick should stay at home. Do not send children to school or daycare.
-Drink lots of fluids (juice, water, Pedialyte).
-Get plenty of rest.
-Keep your child comfortable.
-For fever, sore throat, and muscle aches, you can use fever-reducing medicines that your doctor recommends based on your child’s age. Do not use aspirin with children or teenagers; it can cause Reye’s syndrome, a life-threatening illness.
-Keep clean tissues and a trash bag close, and throw the tissue in the trash immediately after you use it.
-Wash your hands frequently.
-A person who is sick should recover in his or her own room as much as possible.
-If someone in your home is sick, keep the person away from those who are not sick.

U.S. officials trying to contain the swine flu are now trying to contain the use of the phrase "swine flu" itself. At a briefing with reporters Tuesday, Homeland Security Secretary Janet Napolitano and Agriculture Secretary Tom Vilsack pleaded with the media and others to start identifying the illness as "H1N1 flu."

"This really isn’t swine [flu], it’s H1N1 virus," said Vilsack, referring to the strain’s scientific classification. “And it is significant because there are a lot of hard-working families whose livelihood depends on us conveying this message.”Specifically, federal authorities are trying to convey the message that – despite the name “swine flu” – pork products are safe to consume.“You should know that you cannot get H1N1 from eating pork,” Napolitano said, emphasizing statements she has made repeatedly in recent days. “Pork products are perfectly safe.”

What is home isolation?

You or your child may require home isolation if you have an infectious illness such as influenza or flu. The influenza virus is contagious for 24 hours before symptoms start and for about 7 days after symptoms start. You should stay at home or in isolation for 7 days even if your symptoms get better and your fever has gone.

Isolation means staying at home and not going to work, school, or other public places. While at home, the person who is sick should stay isolated or away from other household members and other people as much as possible.

You stay at home and away from people to prevent spreading influenza to others. It also gives you time to recover. You should recover in your own room as much as possible. Keep a 2 metre (6 feet) distance when contact with other household members is unavoidable. Everyone should wash their hands often, using soap and warm water.

How can human infections with H1N1 flu virus be diagnosed?

Identification of human swine influenza A virus requires sending a specimen from the infected person to the provincial laboratories at the BC Centre for Disease Control for testing. To diagnose swine influenza A infection, a respiratory specimen would need to be collected generally within the first 4 to 5 days of illness, during the time when an infected person most likely sheds the virus. Some people, especially children, may shed the virus for 10 days or longer. People with mild illness do not need to have a test done and should not go to their doctor for this. If you are unsure whether you need to see a doctor, call HealthLink BC at 811.

What medications are available to treat H1N1 flu virus infections?

Currently, antiviral drugs prescribed by doctors can be used for early treatment of the illness in certain people who may at risk of more severe disease. In the event that experts determine that more extensive use of antiviral medication is recommended both Canada and B.C. have purchased an advance supply of antivirals and have committed to purchasing more if needed as part of an emergency public health response.

Is there a vaccine for H1N1 flu virus?

Experts are working internationally to develop a vaccine that will protect persons from this particular strain of influenza. However, the seasonal influenza vaccine is recommended for individuals to offer protection against the seasonal strains that may be circulating, regardless of whether a novel strain has emerged.

Canada has a contract with a manufacturer to research and produce a vaccine for an influenza pandemic virus once it is identified, so production can start as soon as possible.

Ps. Unfortunately I thought was infected by H1N1 in early, due to reason I got the similar symptons as upon listed. Nevertheless I went to a doctor, he said it just a common type sick nowadays for every. And I have being better now after maintain taking the medicine provided by doctor.

It ain't kidding for being illness!! For people around the world, please do take good care of yourself more. Life is short, but you to create it wonderful.

在此祝大家身體健康

Half Life : Lost Fitting Beachmarks

When a person life spends more longer, the ill-bodings occurrence will keep happening. Not any good one at all for me after the age of 20, whenever I viewed back to the previous current things happened, it was really despondent from mine feeling now, the x-college studies hashed, yard behind of disappointed from every, the fellows one success getting on the field, but not me, not even earned any single patty to family on this age, failure one, health condition ruining, etc. Others even I still can't know when it will goes to me.

This is so wrong that I had forgot to take mine pendrive at comp lab yesterday. When I realise the pendrive was not in mine pocket, I was turned back to home at the moment. I didn't take so long to think then just quickly drove back to college and hope it would be still there, but merely chances I had knew in early already. 2ominutes of dangerous drive I reached back and I did called up a friend to help me go for seach at first, and result at last we had are still can't get it back. I don't worry about the value of the pendrive, but I valued the lost of mine assignments resources data inside and also some personal data, I ain't footpaint of Edison Chen, I won't have these kind of matters will be happen, so don't worry. CLOT!ROCK!

It's felicitous that 3 to 5pm class has been cancelled yesterday base on lecturer taken mc. So I went back early. I thought suppose stay in college doing mine assignment with mates, but they were not willing to stay or few not around, these was so fed-up they were not cooperated at all. Ok. Fine! I'm expected in early, this is going to be me doing all soon. What did I had said, it's delivered to every, if you guys felt apprehension then you will of cause doing something until today. I met yan in centre, she was anxiety with her lappy over there, I thought would can give any hand to her, but seem she had done the part of formatting already, so it might be recovering soon. Blessing for her here.

So I went for osteoarthropathy specialise clinic at present. I did x-ray on mine left knee. The result said it doesn't laniated, this was ever good new to me indeed. However the doctor again go through another and said although bone of knee the overview is fine, but there are still knee joint capsules were not working fine. Such as like Meniscal Cartilage. He said the part of its may be lancinated and effected the knee could not recover all back yet. Lets go through pictures below.

(The result which I x-ray-ed, it shows the bone has not lancinate)

BONES OF THE KNEE:

The femur (thigh bone), tibia (shin bone), patella (knee cap), fibula (smaller bone next to shin bone).
Muscles, tendons and ligaments connect the knee bones. The kneecap glides in a groove in the thighbone and adds leverage to the thigh muscles, which are used to extend the leg. The thigh bone and shine bone come together at the knee joint and move on one another when bending or straightening the leg.

KNEE JOINT CAPSULE:

The knee joint capsule is a sac that encloses the knee joint cavity. It is attached to the bones of the joint, and forms the joint cavity. The knee joint capsule has a tough, fibrous outer membrane and an inner synovial membrane, which produces joint fluid (synovial fluid) that lubricates the joint and nourishes the articular cartilage that coats the ends of the bones in the joint.

LIGAMENTS OF THE KNEE:

Four main ligaments connect the bones of the knee:

Two ligaments are in the center of knee and are bathed in joint fluid - the anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL)

The other two ligaments are located on the outside of the knee joint - the medial collateral ligament (MCL) on the inner side and the lateral collateral ligament (LCL) on the outer side.

Ligaments on outside of kneecap usually heal by themselves. Ligaments in the center of the knee rarely heal on their own because they are bathed in joint fluid and lack a blood supply.

CARTILAGE OF THE KNEE: Connective tissue that absorbs shock. The two types of cartilage are: Articular & Meniscular.

Articular Cartilage:

Coating on the end of all bones that make up the knee joint. The back surface of kneecap, end of femur, and top of tibia are all covered with articular cartilage. Damage to the articular cartilage is usually diffuse damage. This is usually gradual 'wear and tear' damage caused by overuse, aging, and can be accelerated by poor knee tracking.

Meniscus (Meniscal Cartilage):

Protects the articular cartilage and separates the bones of the knee. It is a spongy shock absorber. This is the cartilage referred to when you hear "torn cartilage; The meniscus is commonly torn in twisting injuries.

MUSCLES OF THE KNEE:

Quadriceps: Muscles on the front of the thigh. Used to straighten the knee
Hamstrings: Muscles on the back of thigh attach to tibia (shin bone) at back of knee. Used to bend the knee.

TENDONS OF THE KNEE:

Tendons join muscle to bone. The quadriceps tendon hooks quad muscles to the patella (kneecap); patella tendon connects the patella to the shinbone. The quadriceps tendon and patellar tendon actually connect to form one continuous tendon that covers the patella.

BURSAE:

Small sacs that provide a lubricating surface between surfaces that needs to move.

(This figure is MENISCI)

The menisci are C-shaped discs of fibrocartilage that occupy the space between the condyles of the femur and the tibial plateaus. These are the structures that are commonly thought of when someone experiences "torn cartilage." The menici deepen the surfaces of the tibia to allow it to receive the condyles of the femur. The peripheral border of each meniscus is thick and is attached the fibrous capsule of the knee joint. The central border tapers to a thin, free edge.

Medial Meniscus:

The medial meniscus is a semi-circular structure which is wider toward the back of the knee than toward the front. The anterior horn of the medial meniscus is attached to the tibial plateau, just in front of the area where ACL attaches. The anterior often "drops off" the tibial plateau with the majority of its insertion sitting below the knee joint itself. The posterior horn of the medial meniscus is firmly attached to the tibia in the back of the knee near the attachments of the lateral meniscus and the PCL.

Lateral Meniscus:

The lateral meniscus is almost circular and covers a larger portion of the lateral tibial plateau when compared to the amount of medial meniscus covering the medial tibial plateau. The lateral meniscus is approximately the same width in both the front and back. The anterior horn of the lateral meniscus attaches to the tibia in front of the intercondylar eminence in association with the ACL. The lateral meniscus is more loosely attached to the joint capsule than the medial meniscus.

(The MR scan)-I guess it's approximately similar with what the doctor so called the MRI.

Functional Anatomy:

When the knee bends, the menisci move toward the back of the knee. As the knee straightens, they move toward the front of the knee. The menisci act as "shock absorbers" and reduce the force per unit area on the proximal tibia. Loss of meniscal tissue increases stresses on the joint surface and predisposes the development of osteoarthritis. In addition, the presence of the menisci may provide some stability to the knee in cases where the ligaments are deficient.

(Arthroscopic view of a discoid lateral meniscus)
(This is the reseach I done, not mine, I guess it's almost the same.)

On occasion, the lateral meniscus may be "discoid". In this case, rather than tapering centrally, the meniscus occupies the entire space between the tibia and and femur. Patients who have discoid meniscus may complain of audible "snaps" during flexion and extension of the knee.

The doctor suggested me to go for the surgery operation as called sloppy. In addition, this operation before you can be choosen to do the MRI check first as you seen the previous pic, and they will ensure what the problems it's going on with. Thereby the MRI cost will be around $750 and after that sloppy operation will cost around $3-5k. Ohmygod. Not even I were worried about the financial, but also the risk of doing it. From my life experience, I had never ever even been it this cirtumstances before, I'm worry about does it be any side effect after the operation? do I still can go sport as previous? How risks will be in this operation and also probability of succession? I absolutely fright up once our topics on going. And this time mum told the doctor to allow me therapy with medical pil first, we will deciding it on next. After that mum got me a lesson on car about don't simply go for surgery first, we should also go for other few osteoarthropathy specialise doctors to see, she said nowadays those doctors are like this, wasn't really can believe with, they required peoples do operations alway, but what the viewpoint inside that is to earn more money they can. As I keep thinking to, its wasn't wrong as well, and I taken mum suggestion, take pils in punctual, bless to mine knee what I can do now.

(The figure upon will be similar with the surgery operation like may be I'm doing)
(It's horrific in it?)

(The following figure as well)

(The Leg Bone's Connected to the Knee Bone/The Left Hemisphere's Connected to the Right Foot)

If you’re watching the track events in the Olympics, notice that when the sprinters get down into their starting blocks, some of them have their left foot back to push off with and others have their right foot back.
Big deal, eh?

Relevent resources

http://www.bigkneepain.com/knee_anatomy.html

- I still left many schoolworks to do now and dateline is soon -