❌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

美台合作持續在各領域發燒! 台灣登上美國教育部官方部落格!

AIT和TECRO在去年12月，簽署了一份重要的國際教育合作備忘錄，推廣中文與英文的語言學習、支持雙邊師生的交流、鼓勵美台大學之間的合作等。正如美國教育部副部長Zais所說：「具備多語能力的學生在職場和人生的許多面向上都更有優勢。我相信美台的教育夥伴關係能幫助更多學生在台灣和美國學習這些重要技能。」

閱讀部落格全文翻譯: https://www.ait.org.tw/zhtw/zh-new-u-s-taiwan-education-initiative/

U.S.-Taiwan cooperation is thriving on various topics. Taiwan is featured on the official blog of the U.S. Department of Education!

As you may have heard, on December 2, 2020, AIT and TECRO signed an important Memorandum of Understanding on international education cooperation. The MOU supports Mandarin and English language learning, student and teacher exchanges, university partnerships, and more! As Deputy Secretary Zais explained, “Students who speak several languages have an advantage in many aspects of their careers and lives. I am confident our partnership can help more students gain these important skills – on Taiwan and in the United States.”

Read the blog:
https://blog.ed.gov/2021/01/new-u-s-taiwan-education-initiative/#more-29530

以下係我已經喺WhatsApp收咗三次嘅前高等法院英女王御用大律師，Henry Litton (列顕倫)* QC ；給香港市民的一封信:～ (裏便了無新意, 不過有兩個好處. 1) 洋人寫係唔同啲, 仲要係有名望嘅大法官, 特別有說服力 2）啲英文寫得好靚, 仲有中文翻譯可以學習英文。

Henry Litton (列顕倫)* QC was the Judge of the highest Court in Hong Kong. He retired in 2015.

英女皇御用大律師列顕倫(亨利·利頓)QC，是香港最高法院的法官。他於2015年退休。

The following is what he’s written...

以下是他寫的。

There are few certainties in life. One of them is this: The common law system underpinning Hong Kong’s “core values” is destined to expire in 27 years’ time. The One Country Two Systems formula was designed to last for 50 years and no more. Hence Article 5 of the Basic Law. There is no mechanism in the Basic Law for the system to continue beyond 30 June 2047.

生活中很少有確定性。其中之一是：支撐香港“核心價值”的普通法制度將在27年後失效。一國兩制方案的設計時限是50年，之後，再也沒有了。因此，“基本法”第五條清楚指出。2047年6月30日以後，“基本法”中沒有任何機制讓這制度繼續下去。

All the calls for Freedom, Democracy etc have no meaning if the common law crumbles.

如果普通法崩潰，所有要求“自由、民主”等的呼籲都是沒有意義。

If the protesters truly value their professed aims, *their focus should be on demonstrating to Beijing and to the rest of the world that the One Country Two Systems formula works, and to promote an atmosphere in which Beijing feels comfortable with the system – and when the time comes, to extend the Basic Law for another 50 years, 100 years*. Then liberal democratic norms and values might have a chance to flourish.

如果抗議者真的誠心誠意的重視他們宣稱的目標，*他們的重點、重心，應該是向北京和世界其他地方展示“一國兩制”的方案是有效的，並推展“一國兩制”的成功實施。令北京對這一制度感到寛心舒泰的環境下 - 當時機成熟時，說服北京將“基本法”再延長50年，100年*。那麼，自由、民主的模式、準則和價值觀還可能有延續蓬勃、活躍的機會。

Crunch time is not 27 years away. It is just round the corner. For Hong Kong to continue as one of the world’s greatest financial and trading centres, planning for the future must necessarily look 20 -30 years ahead. So the hard question will soon be asked: is the common law system to continue beyond June 2047 ? The answer lies in Beijing and nowhere else.

擔心不安的時刻不是27年後的事。就在拐角處。要使香港繼續成為世界上最大的金融和貿易中心之一，對未來的規劃必須著眼於未來20-30年。因此，我們很快便會提出一個棘手的問題：普通法制度是否會延續至2047年6月以後？答案就在北京，而不是其他任何地方。

The last time this issue arose – back in 1982 – Hong Kong had the backing of Great Britain. This time Hong Kong stands alone. And, up to this point, Hong Kong has demonstrated for all the world to see that the One Country Two Systems formula is extremely fragile: and, if the unrest continues, it would surely fracture beyond any hope of recall.

回顧1982年，上一次被問到這個問題的時候，當時香港是得到了大英帝國的支持。而這一次，香港只能孤掌難鳴。到目前為止，香港已經向全世界展示了“一國兩制”這方案是極其脆弱的：如果動亂繼續下去，它肯定會褫奪，無望地被撤銷。

It is beyond the power of the Hong Kong SAR government to devise the governing model for the future. Pressing the Hong Kong government to promote greater democracy is futile. Rightly or wrongly, that power lies in Beijing. Nowhere else. Hong Kong enjoys freedoms found nowhere else in China. To think that unlawful assemblies and demonstrations, and violence in the streets, would soften Beijing’s attitude towards Hong Kong is absurd. Common sense suggests it would have the opposite effect.

為未來設計治理模式，是超出了香港特別行政區政府的權力範圍。要迫使香港政府促進更大的民主是徒勞的。不管是你喜歡也好。不喜歡也好。權力就是在北京。沒有別的地方了。香港現在享有中國其他地方沒有的自由。認為非法集會示威和街頭暴力會軟化北京的對香港的態度是荒謬的。常識表明，它只會產生相反的效果。

But there are deep social issues which the SAR government can redress, having regard in particular to the huge foreign currency reserves it holds:USD425 billion – by far the largest in the world, enough to guarantee public servants’ pensions hundreds of times over. And yet Hong Kong’s social services are crumbling, hospitals are understaffed, public education is poor, teachers are ill-paid, young people cannot afford to rent even the most substandard apartment, the gap between rich and poor is ever-widening.

但是，有一些深層次的社會問題是特區政府可以解決的，特別是考慮到特區政府擁有世界上最龐大的外匯儲備：4,250億美元 - 是政府公務員的長俸所需要的保證金額的數以百倍。然而，香港的社會服務卻每況愈下，醫院人手不足，全民所需的教育不論在質素及資源都極差，教師薪酬偏低。年輕人怎都難以負擔租用即使是最不合標準的居所，社會上，貧富差距在不斷拉大。

The laissez-faire policy of the colonial government has been carried to extremes by the SAR government in the past 20-odd years. The rich have prospered in the meanwhile whilst the bulk of the people suffered. The influx of Mainlanders under the One-Way Permit system has caused great strain on all services. The people’s needs have been neglected. The young see little prospect of a fulfilling future and even university graduates find difficulty in meaningful employment.

大英帝國殖民地政府的自由放任政策在過去二十多年來一直被特區政府極端化。與此同時，大多數富人們卻在此期間更加繁榮昌盛、更加富裕起來，而相反普通市民却受苦了。在單程證制度下，內地人士大量湧入，對所有服務造成更大壓力。市民的需求、需要被忽視。年輕人看不出有向上游、向上流的任何富圖的希望。甚至大學畢業生也很難找到有合識、合意的工作。

These, I suggest, are the deep-seated ills which sustain the fire of discontent in the wider community, and bring hundreds of thousands to march in the streets. These are not matters which a commission of inquiry can resolve.

我認為，這些水深火熱的社會問題及弊病，這些憤懣之火已經廣泛地蔓延在整個社會，並促使數以十萬人走上街頭。這些都不是一個所謂諮詢委員會可以解決。

The media here is full of Hong Kong stories, and of course footage of the riotous behaviour on the streets: what empty slogans, meaningless rhetoric the protesters display ……….In watching these events I am reminded of the prayer attributed to Saint Francis:

今天的媒體充斥著不同形式的香港事件，當然有街頭暴力行為的鏡頭：抗議者們展示的空洞口號和毫無意義的粗言穢語。…當我在觀看這些事件時，‘我想起聖弗朗西斯的禱告：

Pray God give me the courage to change the things I can change, the fortitude to bear the things I cannot change, and the wisdom to know the difference.

願上帝賜給我勇氣去改變我能改變的事情，給我勇氣去承受那些我無法改變的事情，給我智慧去分辨其中的黑白。

I arrive in Hong Kong Thursday 24 October, staying for one month.

我在今年的10月24日星期四抵達香港，逗留一個月。

As ever
如常，祝願香港

H

列顕倫

PS Please feel free to convey these observations to anyone you chose ………….They are *not confidential*.

歡迎隨時將我這些意見傳達給你所選擇的任何人.此文是*不保密的*。

■English Title : Chatting Anpanman touch! Smart Anpanman kitchen Toy opening review
■中文標題 : 面包超人觸摸之後會說話的智能廚房玩具
■한국어 제목 : 호빵맨 터치 수다! 스마트 호빵맨 주방 장난감 개봉 리뷰
■中文标题 : 面包超人触摸之后会说话的智能厨房玩具

■チャンネル登録はこちら / Channel subscript → https://goo.gl/in9442

■動画内容説明・概要
2016年9月24日 新発売 新商品
人気のアンパンマンのキッチンセットのおもちゃです。
中央にあるスマートパネルをタッチすると楽しいおしゃべりがいっぱい! アンパンマンのマーチも流れます。
パーツに関連するおしゃべりやおままごと遊びを盛り上げるおしゃべりがいっぱい! ! !
パネル上のコンロボタンを押すと、下にある実際のコンロボタンを押さなくても操作ができます。
人気の回転するシンクは洗ってきれいになる様子をイメージできるようLEDがつきました。
コンロは光って動きます。背板には棚や洗ったお皿をたてかけて置けるコーナーもついています。

■Video Description / Overview
Launches New Products September 24, 2016
Is a popular Anpanman kitchen set of toys.
Fun chat is full when you touch the smart panel in the middle! Also flow Anpanman march.
Full of chatter liven up the chat and play house play related to the parts!!!
When you press the stove button on the panel, it can be operated even without pressing the actual stove button below.
Sink that rotation of the popular LED was attached so that you can image how to become a clean wash.
Stove will move glowing. The back plate also has a corner that put up against the shelves and wash the dishes.

■↓↓↓↓↓↓↓↓次のおすすめ動画/Next Recommend Video/下一個推薦視訊/下一个推荐视频/다음의 추천 동영상↓↓↓↓↓↓↓↓■

Hane&Mari'sWorld | アンパンマン おもちゃ 開封紹介動画 | Japan Anpanman Toys Unboxing |日本麵包超人玩具開箱 | 일본 호빵맨 장난감 개봉 소개 동영상
https://www.youtube.com/watch?v=HKYa0d8PotI&list=PLXiDlOQjp9BuF1-qE2UZ_hKcFr3JHFjvR

Hane&Mari'sWorld | 魔法使いプリキュア おもちゃ | Maho Girls PreCure TOYS | 魔法使光之美少女 玩具 | 마법사 프리큐어 장난감
https://www.youtube.com/watch?v=qLAl43jJ-Ak&list=PLXiDlOQjp9BuLW2KPIF_i6w2qmZ_sb4oL

Hane&Mari'sWolrd | マクドナルド マック ハッピーセット おもちゃ | McDonald Japan Happy Meal Toys | 麥當勞歡樂兒童套餐玩具
https://www.youtube.com/watch?v=iu7Urumkkyo&list=PLXiDlOQjp9BsErHhmhB8V-w_uo8pOWNoH

Hane&Mari'sWorld | ここたま おもちゃ | Kokotama Toys
https://www.youtube.com/watch?v=uKlrWWSRQqk&list=PLXiDlOQjp9BtCrjrdL3rQ7LV6EMuehJyG

Hane&Mari'sWorld | プリキュアオールスターズ | Precure All Stars | 光之美少女全明星
https://www.youtube.com/watch?v=2VCFbybyOXU&list=PLXiDlOQjp9BucWyiEqkk9LlBC4GhoZOCP

Hane&Mari'sWorld | トミカ おもちゃ | TOMICA TOMY CAR TOY | 日本多美小汽車玩具 | 日本多美小汽车玩具 | 일본 토미카 장난감
https://www.youtube.com/watch?v=Ktuz7jaqvHs&list=PLXiDlOQjp9BsUJ286UMY4fBGicl3u2bRx

Hane&Mari'sWorld | 食玩おもちゃ開封紹介動画 | Candy Toy Chocolat Eggs Review Videos | 日本食品玩具開箱介紹視訊 | 日本零食附赠玩具开箱视频
https://www.youtube.com/watch?v=qLAl43jJ-Ak&list=PLXiDlOQjp9BsE7XPT_X8rDqiLQ8dSG6GG

Hane&Mari'sWorld | ガチャガチャ ガシャポン ガチャポン カプセルトイ | Japan GASHAPON Capsule Toy | 빙글 빙글 가샤폰 가체 폰 캡슐 토이 | 日本扭蛋 轉蛋 玩具
https://www.youtube.com/watch?v=XHXRETDUEHo&list=PLXiDlOQjp9Bv38YUQqJ7FdQ1D01pSMXtv

Hane&Mari'sWorld | スーパー サプライズ エッグ | チョコエッグ | Super Surprise Egg | Chocolate Egg
https://www.youtube.com/watch?v=vb02ytXvMhs&list=PLXiDlOQjp9BsDGbBp60kyW3_yOinv8c9A

■撮影機材/Photographic Equipment → キャノン Canon EOS 80D + EF-S18-135mm F3.5-5.6 IS USM

哈囉~我是阿津，歡迎來觀看我的遊戲實況直播影片( ´ω`)
pc steam 史丹利的寓言 The Stanley Parable 冒險探索解謎故事劇情
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● 定時收看最新影片，請按這裡訂閱頻道 http://goo.gl/K2pnd
● 各種生活動態都會貼在FB粉絲頁 http://www.facebook.com/tttd3
● twitch直播台 http://zh-tw.twitch.tv/kamiyu666
● 副頻道 http://www.youtube.com/user/kamiyu665
● 影片清單在此 https://www.youtube.com/playlist?feature=edit_ok&list=PLEzqZq_wDhpfn5cltzB-lUfRJPnLpw7Dg
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對影片有任何意見或建議，可以直接留言或寄信給我，如果覺得實況好看的話就點個喜歡表示一下你的支持吧(°∀°)
劇情攻略結局
你的名字叫做史丹利，你是這家公司的427號員工，你照著指示做著簡單並重複的工作，一如往常的過著每一天、每一個月、每一年，你很快樂。
直到某天，工作的指示不見了，接下來你該做些什麼?

The game is presented to the player from the first-person perspective. The player can move around and perform interactions with certain elements of the environment, such as pressing buttons or opening doors, but has no other controls.
The story is primarily presented to the player via the voiceover of the game's narrator, who explains that the protagonist Stanley works in an office building, tasked to monitor data coming on a computer screen and press buttons appropriately without question. One day that screen goes blank. Stanley, unsure what to do, starts to explore the building and finds it devoid of people.