LIVE: Have we mentally prepared our KIDS for 2021?

Given the continued virulence of the virus, it is still unclear when is the reopening date for 2021. These decisions carry enormous social and economic implications and will have lasting effects on educators, on children and youth, on their parents – especially women – and indeed on societies as a whole.

My parent group chats is abuzz with these speculation – especially those who have been sending their kids to Kindergartens and/or private schools. With many losing jobs or getting huge pay cuts at work, the question on whether they can continue paying for their kids school education is on their minds. Pleas for rebates and discounts has been a continuous debate for most and even for us, while waiting for news from our school, we are now contemplating whether we should one, pull them out and try to apply for government schooling, two, homeschool and hire private tutors which is a bit more cost friendly or three “wait and see” method.

There are pros and cons for all these choices above, but at the end of the day, we want what’s best for the child. How are our children going to manage physically, emotionally and mentally with whatever decision we make?

What are the other possible solutions or options? Is there a possibility of hybrid learning and/or online schooling elsewhere that will be accepted by the school later on?

Joining me today is Dr Goh Chee Leong, CEO of R.E.A.L Education Group REAL Schools International & Private who is the perfect person to discuss this topic with. He is a consultant Psychologist for MENSA Malaysia and carries a wealth of experience in the education sector, and today, we will discuss these hot topics and how to prepare your child to thrive in this new world

www.realworldready.realschools.edu.my

《某順勢療法「醫師」繼續為我們帶來嶄新概念》

沒有徵狀=不是「病」

厲害了順勢療法，大概大部分早期的癌症，特別是肺癌、卵巢癌、大腸癌、血癌等等都不是「病」。

不少女性個子宮肌瘤大到15cm都可以完全無徵狀，成舊芒果咁大的腫瘤都實係唔係「病」啦。

醫學有個term叫Asymptomatic，就算感染咗HIV變埋AIDS同CD4 <200都可以無symptoms嫁，感染HIV嘅人實係唔係「病」啦。

乙型同丙型肝炎，個肝爛到cirrhosis都可以asymptomatic嫁，又實係唔係「病」啦。

我可以繼續舉多100個asymptomatic但係好嚴重嘅病，不過呢類嘅「醫師」最叻嘅係同你玩文字遊戲，之後等你buy佢套無乜logic嘅概念，再送錢俾佢幫你睇「病」。

呢類偽科學嘅「醫師」好鍾意攞半年來死亡個案同重症數字好少，再+/-話流感殺嘅人更多去反口罩反public Health order同restriction，但永遠唔會同你講香港因為全民口罩、全民洗手、全民WFH咗一段時間先壓低到疫情。不如望下之前乜都唔做嘅美國、意大利同巴西爆成點同死幾多人？

一個仲爆緊嘅pandemic用每百萬人口有幾多人感染過係無大意義，你要睇嘅係佢嘅infectivity、transmission route、virulence同個R0 at a given point of time去判斷有無需再加強或放鬆限制嘅措施。

Oh，同埋我發現呢種大放厥詞嘅人呢，永遠都係not part of the picture，喉又唔係你插、呼吸機你又唔識駁同titrate、藥你又唔會有權限同資格去開同落。明明對respiratory infection同complication零知識但又好鍾意發表高見 😦

Btw，順勢療法打算點醫爆緊嘅肺炎，用順勢療法嘅logic，是咪溝稀d病毒佢叫病人加水飲？

這是我見過最好最實用的防疫文章！
請耐心看完並力行實踐！
保護自己，家人及他人！
James Robb, MD UC San Diego. 詹姆斯.蘿蔔，加州大學聖地亞哥分校醫學博士

Subject: What I am doing for the upcoming COVID-19 (coronavirus) pandemic
新冠疫情擴散下我的防備攻略

Dear Colleagues, as some of you may recall, when I was a professor of pathology at the University of California San Diego, I was one of the first molecular virologists in the world to work on coronaviruses (the 1970s). I was the first to demonstrate the number of genes the virus contained. Since then, I have kept up with the coronavirus field and its multiple clinical transfers into the human population (e.g., SARS, MERS), from different animal sources.
眾所周知，我是冠狀病毒的分子病毒專家，從70年代到現在一直在研究這些病毒。所以我是有發言權的。

The current projections for its expansion in the US are only probable, due to continued insufficient worldwide data, but it is most likely to be widespread in the US by mid to late March and April.
現在大規模在美國爆發還只是一個可能，現在還是數據不足。但是廣泛傳播要到三月底四月份。

Here is what I have done and the precautions that I take and will take. These are the same precautions I currently use during our influenza seasons, except for the mask and gloves.
我預防冠狀病毒的方法和防止流感一樣，只是增加口罩和手套。

1) NO HANDSHAKING! Use a fist bump, slight bow, elbow bump, etc.
不要和別人握手。用碰拳頭，小鞠躬，碰胳膊肘等代替。

2) Use ONLY your knuckle to touch light switches. elevator buttons, etc.. Lift the gasoline dispenser with a paper towel or use a disposable glove.
只用手指關節去開燈的開關和電梯按鈕。用紙或者戴手套加汽油。

3) Open doors with your closed fist or hip - do not grasp the handle with your hand, unless there is no other way to open the door. Especially important on bathroom and post office/commercial doors.
不要用手抓門把，特別是公共廁所，郵局，商業中心的門。用拳頭和屁股把門撞開。

4) Use disinfectant wipes at the stores when they are available, including wiping the handle and child seat in grocery carts.
如果店裡有抗菌濕巾提供，用它來擦所有碰到的把柄和兒童座。

5) Wash your hands with soap for 10-20 seconds and/or use a greater than 60% alcohol-based hand sanitizer whenever you return home from ANY activity that involves locations where other people have been.
每次從外面回家，至少用肥皂洗手20秒。

6) Keep a bottle of sanitizer available at each of your home's entrances. AND in your car for use after getting gas or touching other contaminated objects when you can't immediately wash your hands.
在家裡的門口和車里放一瓶消毒液。

7) If possible, cough or sneeze into a disposable tissue and discard. Use your elbow only if you have to. The clothing on your elbow will contain infectious virus that can be passed on for up to a week or more!
如果來得及，盡量打噴嚏擤鼻涕到紙巾上。如果來不及用胳膊肘捂了，要及時換衣服。

What I have stocked in preparation for the pandemic spread to the US:
在美國家裡，我囤積了一下物資：

1) Latex or nitrile latex disposable gloves for use when going shopping, using the gasoline pump, and all other outside activity when you come in contact with contaminated areas.
一次性橡皮手套，外出時備用。

Note: This virus is spread in large droplets by coughing and sneezing. This means that the air will not infect you! BUT all the surfaces where these droplets land are infectious for about a week on average - everything that is associated with infected people will be contaminated and potentially infectious.
注意，病毒靠咳嗽和打噴嚏產生的較大的水霧珠傳播的，不是因為空氣本身。所有的水霧珠會落在各種各樣的表面，在那裡呆一個星期之久。所有感染的人碰過的東西都有病毒。

The virus is on surfaces and you will not be infected unless your unprotected face is directly coughed or sneezed upon. This virus only has cell receptors for lung cells (it only infects your lungs) The only way for the virus to infect you is through your nose or mouth via your hands or an infected cough or sneeze onto or into your nose or mouth.
這個病毒只會感染你的肺，而進入的途徑就是你的口鼻。所以唯一被感染的機會是你的手帶到你的口鼻除非有人直接對著你的臉打噴嚏咳嗽。

2) Stock up now with disposable surgical masks and use them to prevent you from touching your nose and/or mouth (We touch our nose/mouth 90X/day without knowing it!). This is the only way this virus can infect you - it is lung-specific. The mask will not prevent the virus in a direct sneeze from getting into your nose or mouth - it is only to keep you from touching your nose or mouth.
在家裡儲存一些一次性醫用口罩。其實口罩並不是用來防止別人對你打噴嚏，而是阻止你的手老是去碰你的口鼻。你可能不知道，我們每天不知不覺會碰自己的口鼻90次以上。

3) Stock up now with hand sanitizers and latex/nitrile gloves (get the appropriate sizes for your family). The hand sanitizers must be alcohol-based and greater than 60% alcohol to be effective.
儲存一些洗手消毒液，最好是含有有60%以上酒精那種及買一些手套。

4) Stock up now with zinc lozenges. These lozenges have been proven to be effective in blocking coronavirus (and most other viruses) from multiplying in your throat and nasopharynx. Use as directed several times each day when you begin to feel ANY "cold-like" symptoms beginning. It is best to lie down and let the lozenge dissolve in the back of your throat and nasopharynx. Cold-Eeze lozenges is one brand available, but there are other brands available.
儲備大量的鋅錠劑。一般的藥店應該有很多選擇。其中一種叫Cold-Eeze lozenges。鋅錠劑被證實對冠狀病毒和其他病毒有一定防治作用。當你開始感到有感冒的感覺到時候，按照說明書每天服用數次。最好安靜的躺下來，讓鋅錠劑慢慢融化在喉嚨和鼻腔里。

I, as many others do, hope that this pandemic will be reasonably contained, BUT I personally do not think it will be. Humans have never seen this snake-associated virus before and have no internal defense against it. Tremendous worldwide efforts are being made to understand the molecular and clinical virology of this virus. Unbelievable molecular knowledge about the genomics, structure, and virulence of this virus has already been achieved. BUT, there will be NO drugs or vaccines available this year to protect us or limit the infection within us. Only symptomatic support is available.
和大家一樣，我希望冠狀病毒的疫情能夠得到控制。科學界已經學到很多關於這個病毒的東西。可是畢竟人類沒有見過這個病毒，也沒有建立對它的免疫力。我不認為一年內會有真正有效藥物和疫苗開發出來拯救人類或者控制病毒。目前只能減緩病狀。

I hope these personal thoughts will be helpful during this potentially catastrophic pandemic. You are welcome to share this email.
Good luck to all of us.
Jim

我希望我這樣個人的想法對你有所幫助。歡迎你和大家分享這份文章的內容。
祝我們好運！詹姆斯
James Robb, MD FCAP

Given the continued virulence of the virus, it is still unclear when is the reopening date for 2021. These decisions carry enormous social and economic implications and will have lasting effects on educators, on children and youth, on their parents – especially women – and indeed on societies as a whole.

My parent group chats is abuzz with these speculation – especially those who have been sending their kids to Kindergartens and/or private schools. With many losing jobs or getting huge pay cuts at work, the question on whether they can continue paying for their kids school education is on their minds. Pleas for rebates and discounts has been a continuous debate for most and even for us, while waiting for news from our school, we are now contemplating whether we should one, pull them out and try to apply for government schooling, two, homeschool and hire private tutors which is a bit more cost friendly or three “wait and see” method.

There are pros and cons for all these choices above, but at the end of the day, we want what’s best for the child. How are our children going to manage physically, emotionally and mentally with whatever decision we make?

What are the other possible solutions or options? Is there a possibility of hybrid learning and/or online schooling elsewhere that will be accepted by the school later on?

Joining me today is Dr Goh Chee Leong, CEO of R.E.A.L Education Group REAL Schools International & Private who is the perfect person to discuss this topic with. He is a consultant Psychologist for MENSA Malaysia and carries a wealth of experience in the education sector, and today, we will discuss these hot topics and how to prepare your child to thrive in this new world.

Link to R.E.A.L Schools: www.realworldready.realschools.edu.my