❌不需要直接按壓淋巴結

⭕刺激淋巴管,❌而不是刺激淋巴結
促進淋巴流動,加速淋巴循環. 其實是要傳送訊號給淋巴收集管上方的肌肉。
當平滑肌接收到訊號,就會整體加快收縮。
✅但大部分淋巴結是沒有平滑肌
(極少部分的器官旁淋巴結上可能有,但那也是觸碰不到的深層)

👩‍⚕️個案問,
要不要壓腋下淋巴結 ?? 要不要壓腹股溝(鼠蹊)淋巴結 ??要壓幾下，多大力??
👉其實是不需要直接按壓在淋巴結
上的

👩‍⚕️常常個案都把腋下和鼠蹊周邊的組織壓到紅腫,這反而是反效果。
因為不但沒有加速循環和加快流動,後續還造成周邊組織發炎,產生更多組織液。
而因為摸不到淋巴結,個案都力道過大想要壓到淋巴結,導致其他腋下或鼠蹊周邊紅腫,這也會影響到治療師治療時的判斷。

淋巴結有沒有腫大,是治療師每次執行治療時都需要去觀察的,若有莫名腫大,我們需要判斷是否有急性感染, 是否身體免疫系統出現問題,若出現問題,我們才能加快轉診或提醒個案注意皮膚傷口或免疫狀況。

👩‍⚕️
✅若是想加速上肢或下肢的淋巴循環～
👉上肢: 可以藉由延展stretch手臂內側皮膚或身體側邊靠近腋下的位置,給予神經訊號在這些鄰近位置來幫忙,但不需要真的壓到淋巴結

👉下肢: 同樣可以延展大腿內側,臀部,下腹部位置的皮膚給予淋巴管道刺激, 而不需要壓鼠蹊部.

（以下英文精簡版，看中文版比較清楚喔！）
……………………………………
👩‍⚕️No need to press the lymph
nodes directly

✅Stimulate the lymph vessels, not the lymph nodes.

Increase lymphatic flow and accelerate lymphatic circulation. In fact, it is to send a signal to the smooth muscles of the collector lymphatic vessel.
When the nerves of the smooth muscle receives the signal, it will accelerate the contraction.
But most lymph nodes have no smooth muscle.

🔽
The cases asked,
Do they need to press the axillary lymph nodes?? Do they want to press the groin lymph nodes??
How much pressure, how many times?

👉Actually, you don’t need to press directly on the lymph nodes.

If you want to speed up the lymphatic circulation of the upper or lower limbs:
Upper extremity: You can stretch the skin on the inside of the arm or the side of the body near the armpit. (Give nerve signals to the smooth muscles and help in these nearby locations, without actually pressing the lymph nodes directly.)

Lower limbs: It can also stretch the inner thighs, buttocks, and lower abdomen to stimulate the lymphatic vessels.
No need to press the groin lymph nodes directly.

#drvodderlymphedema
#drvodderlymphaticdrainage
#drvodder
#淋巴系統
#taichunglymphedema
#lymphaticdrainage
#Lymphaticsystem
@ Taichung, Taiwan

Good Night （晚安）

👇中文版本在英文下👇

This song’s about 3 months’ old. I posted a few weeks ago that I recorded a new song I’d written for a TV show theme song. Good Night is actually the song I wrote for that TV show, but they chose a different song of mine instead.

The show has quite a dark theme, so the song’s verse is quite dissonant and menacing. I tried to imagine what happens when an evil person dies - do fallen angels take him down to Hell? If so, why would a truly evil person be punished there? More likely the demons would enjoy his company and appreciate his wrongdoings, but also mourn his passing because he cannot continue doing terrible things on Earth.

What makes someone become a monster – is it intrinsic, or created behaviour? Do they know what they are doing is wrong and try to stop themselves, is it uncontrollable? If so, do they regret what they do, do they hate themselves for it? If so, then they are also victims, and death may be a relief to them. So the chorus lyrics are about a descent into Hell, but they also represent relief of worldly pain, hence the lighter melody.

I then started thinking about forgiveness - if Christianity says anyone is capable of redemption, then why can’t an evil person love and be loved? I tried to represent this by putting a dissonant verse melody and notes at odds with the lyrics, which are quite sweet, and show that some even this monster is cared for on his death bed, and will be missed.

This was written just as Covid-19 was getting very serious, and I guess the situation affected what I wrote.

這首歌是我最近三個月內寫的，原本是為了一部電視劇創作的主題曲，但最後他們選了另一首我的歌。

電視劇的主題有點黑暗，所以這首歌也是比較沉重的。我在想，罪惡的人死了之後到底會什麼發生。是墮落天使見到他， 把他的靈魂帶去地獄嗎？如果那個人真的罪惡那為什麼下去是種懲罰？魔鬼跟罪惡的人應該彼此欣賞吧，很開心在一起，魔鬼也應該不希望這個壞人離開凡間，因為在地球上，罪惡的人可以做魔鬼喜歡看的事。

魔鬼又是怎麼來的呢？ 是與生俱來的嗎，還是後天遇到什麼讓他變成魔鬼？魔鬼知道他們在做惡嗎，還是無意的，無法控制的？如果說不能控制，那他們會後悔自己做過的惡嗎，或者會因此恨自己嗎？如果會，那魔鬼其實很可憐的，他們也是受害者，死亡對魔鬼來說有可能也是減輕他的負擔。所以雖然副歌的歌詞代表這個惡人下地獄，旋律還是比較輕快的。

然後我在想，寬恕是什麼？ 如果基督教說所有的人，不管有多罪惡都可以被救贖，那為什麼這個罪惡的人不值得被愛？ 所以雖然主歌的旋律比較沉重，歌詞其實比較甜蜜，罪惡的人快死掉的時候還會有人陪著他，愛上他。

我寫這首歌的時候，剛好是新冠狀病毒很嚴重的時間， 我覺得這也有影響到這首歌的歌詞和旋律。

Lyrics 歌詞：

Blossom falling early, watched from our bed,
Gently, you stroke my hair and kiss my head,

Knowing what you love you cannot keep，
Your hot tears fall and burn,
they sear my cheeks,

The cards are down,
Read them and weep,
Read them and weep

Fallen angels guide me,
Lay roses at my feet,
As I’m slowly fading,
they cradle me as they weep

She knows (I can’t breathe), she knows;

I’ll soon be gone

Delirious dreams give way to serene strains,
A quiet sadness lurks ‘midst their sweet refrain,

The cards are down,
Read them and weep,
Read them and weep

Now the light shines through me, shade soothes my aching limbs,
Lost soul released into the arms of keening Seraphim

She knows (I can’t breathe), she knows (I can’t breathe), she knows

That I’m gone.

Chain：
Guitar:
Gibson SJ100
Korg Tuner
Zvex Superduper
68 Pedals Klone
Zoom MS50

Vox:
Sennheiser MD431 MK1
Cusack Pedal Cracker
HoF 1
Both into Saramonics Smart Rig+
iPhone 5SE

希望大家可以幫吓可仁啦😢 我希望個個小朋友都可以健康快樂咁成長，可以一齊去公園玩

【最新消息：募捐行動已於2018年12月3日結束】中大校友慈善基金感謝各界慷慨支持，募捐行動已結束。所得善款將支持張可仁及患上相類疾病需免疫治療的其他6位病童。

詳情請參閱中大校友慈善基金網頁：https://www.facebook.com/cuhkacf.org/posts/589827338133781

-------------------------------------------------------------------------------------
(2018/11/22)

中大醫學院向大家作出緊急呼籲，支持我們2000年的醫科畢業生張俊傑醫生，拯救他只有17個月大的兒子張可仁的性命。

可仁早於出生第4天時已被診斷罹患一種罕有心臟病「主動脈狹窄」(Coarctation of Aorta)，需要接受緊急手術。極之不幸的是，可仁最近再被確診患上「第四期神經母腫瘤」(Stage IV Neuroblastoma)，目前可仁的頭骨至腰椎和盆骨均受到癌細胞擴散，脊髓神經線受到癌細胞壓住，痛楚非常，並有癱瘓的危機，癌細胞更正轉移至骨髓。

可仁現時正住在威爾斯親王醫院兒童癌症中心隔離病房，極容易受到感染。他已開始接受化療，而治療方案將包括化療、手術、放射治療、骨髓移植、免疫治療，治療時間約一年至一年半。他完成化療、手術和放射治療後，會進行骨髓移植，之後需要免疫療法，這可大大提高存活率，由20%升至50%。

然而，免疫治療需要病人自費，所需費用高達港幣200萬元。張醫生另一兒子患有自閉症，太太辭掉小學主任一職，全職照顧兩位小朋友，並要照顧父母親，經濟上未能承擔高昂的醫療費用。

中大醫學院2000年畢業同學會發起是次籌款，目的包括：
1. 為可仁進行骨髓移植後的免疫治療；
2. 引發社會人士及政府對兒童罕有癌症治療的關注。

查詢：
香港中文大學校友慈善基金
電郵：info@cuhkacf.org
電話：2180 4316

-------------------------------------------------------------------------------------

【Fundraising Campaign Completed on 3 December 2018】According to CUHK Alumni Charity Foundation, the fundraising campaign for Mark CHEUNG Ho Yan has completed. The fund raised will be used to support the immunotherapy of Mark and 6 other patients who are suffered from the same disease. Thank you for all your kind-hearted support and generosity.

-------------------------------------------------------------------------------------

(2018/11/22)

This is an urgent appeal for your generosity to save the life of the 17-month-old son of Dr. CHEUNG Chun Kit, our medical alumnus of Class 2000.

Dr. Cheung Chun Kit is a CUHK medical graduate of Year 2000. His younger son, Cheung Ho Yan Mark, has recently been diagnosed to have Stage IV Neuroblastoma in November 2018, and is in an emergency need of donation to provide the necessary funding to support the life-saving yet expensive immunotherapy.

Mark was presented to his paediatrician for fever and cough in late October 2018. His cough resolved with treatment but his fever never completely went away. Two days prior to his diagnosis, Mark was more clingy than usual and did not like to walk. On a video clip, Mark was noted to have foot drop, a very significant red flag which may indicate a compression on the spinal cord. Emergency scans were immediately performed that night, and Mark was found to have a large tumour on the left side of his abdomen. The aggressive tumour had already spread silently to the back of his skull, his spine, his hips and had compressed his nerves which control his lower limbs, resulting in pain on standing and difficulty in walking. Mark is facing an imminent risk of paralysis.

Mark is diagnosed to have a rare childhood cancer which is called Stage IV neuroblastoma, a cancer which typically presents at late stage because it arises deep in the abdomen. To cure his aggressive cancer, Mark needs to survive through rounds of intensive chemotherapy, radiotherapy, surgery, bone marrow transplant, and finally, immunotherapy. The whole treatment duration lasts 1.5 to 2 years. To completely eradicate all cancer cells, immunotherapy will be needed to boost Mark’s survival from 20% to 50%. However, immunotherapy is a self-financed treatment in the public hospital and the treatment costs could be up to 2 million.

Such close encounter with death is not the first time for Mark. At the first week of life, Mark was diagnosed to have a rare heart problem called “Coarctation of Aorta”. Mark had received life-saving surgery to reestablish the blood flow across his aorta, the major blood vessel that allows blood to go from the heart to the brain and the rest of the body. In a report published in 2002, only 67 cases with dual heart condition and neuroblastoma were reported, giving an odd of 1 in 100 million for a child to be hit by these two rare diseases. Scientists have not yet completely understood the mechanisms that may cause the two conditions to appear in a single child.

It never rains but pours that Mark’s elder brother, now 5 years old, was diagnosed to have autism at around age 2. To enable the elder brother to have intensive training to improve his outcome and development, Mark’s mommy quit her job as a primary school teacher since the diagnosis of autism was made for his elder brother. Dr. Cheung, who is a medical doctor for the elderly, became the sole bread-winner of his family.

CUHK Medical Graduates of Year 2000 have initiated a fund-raising campaign for Mark and his family with the following two objectives:

1. To appeal for donation to support the costs of immunotherapy for Mark
2. To increase the public awareness on the grave needs of children with cancers

Enquiries:
CUHK Alumni Charity Foundation Limited
Email: info@cuhkacf.org
Telephone: 2180 4316

尖端雜誌ㄟ粉絲專頁 ►
https://goo.gl/i5xeNi
－－－－－－－－－－－－－－－－－－－－
Mattㄟ粉絲專頁 ►
https://goo.gl/e148I4
－－－－－－－－－－－－－－－－－－－－
想加入一起玩？►
PS4ID: MattHuang850813 (如果我在線上可以直接加進來，時間沒有固定)
－－－－－－－－－－－－－－－－－－－－
更多《戰地風雲5》尖端雜誌的二戰解說系列！►
https://goo.gl/JdnsQy
－－－－－－－－－－－－－－－－－－－－
使用畫面►
1. Battle Of Iwo Jima • Marines Won With Boots Bullets & Blood
2. BATTLEFIELD 5 - E3 2018 Gameplay Trailer (EA Play 2018)
3. WWII WOUNDED VETERANS _ ARTIFICIAL LIMBS FOR AMPUTEES 77054
－－－－－－－－－－－－－－－－－－－－
背景音樂►
1. applause crowd cheering sound effect
2. National Anthem of USSR