Tuesday, February 25, 2014

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Adger: This year seems particularly cold winter in Hualien, but you sent a Christmas card off the chill. Thank you for your greetings, I had a very good, if not happy, complaining about this, complaining about that, does not help. Always someone worse off than me, better to go with the flow, thankful. I love the most from this hospital to write to you, at least I think so. Many ways, it's closer to the truth is full. How familiar the season, the year the hospital sent you hurt, probably at this time, right? I was on duty one day a month to burn center, you will just be sent that day. One-tenth of the three chances, you can encounter me. Three one-tenth of the probability can not say much, that you met. There is no chance of the problem size, only the "presence", the chances of another cfa login big event is not on that event is not on; then a small probability, the probability of one ten-millionth Lotto Prize, so small, in not so many people. But as long as there are chances that once met, life would never be the same. I was destined to encounter you. You order and wood-burning fire, but heavy rain, and the wood is all wet, wet and cold, the wood does not burn up, then you sprinkle retinol, I thought cfa login I could combustion, did not expect a major explosion, immediately ignited a raging fire, your clothes full burned, almost died on the spot. When sent to the hospital, the body has third-degree burns Forty-four percent, plus 21 percent second-degree burns, burns total sixty-five%, the survival rate is about 20 per cent to 40%. You are destined to encounter me, one receiving you, I told you my mother said, because the burn area is too large, will live, hard to say. Adger, you know? If you must say to my life a thousand times a thousand families "will not live, it is hard to say," so, I'm sure my first time and the first thousand is the same heavy and sad. Because usually the families of the surgeon said, "will not live, it is hard to say," when most of the meaning of that can not be saved. We do doctors still holding out hope for the impossible, patients struggle with death and looking forward to the family, can not be saved directly to say, so are mildly to say; Moreover, if the rescue was alive, cfa login we would have directly with family members said so, so that they feel at ease ah. During treatment, when I want to graft, take the skin which side which side to make up each time to tell you very clearly. cfa login I put you flip a bit, but fortunately, the back does not burn, so I plan to take back the skin to fill, take back the skin, because cfa login the skin of the back of the president cfa login himself better; one week a skin patch. But because the burn area is too large, I carefully looked at, in addition to a little cfa login area of the left thigh, right leg did not burn a small piece, the other parts are burned out, so the skin is not enough to fill the back. And take the skin is not very deep, you must wait until the epithelial cells grow back, and then take a good long. Then take a good long, one week make a skin, make up nine percent once again make up three percent, up nine percent again, so go do it, and sometimes can not find a skin patch, we have to wait Last take off the skin epithelium to grow again after taking; and a skin not always successful, sometimes eaten by bacteria. Because it is graded fill, so the seam is difficult to make a good place. Your body can take the skin of almost all took place, third-degree burns all the rest, right hand, right leg, buttocks are burned out, if difficult to distinguish between one and ten degrees, the difficulty of your situation is thirteen. All told, a total of twelve up through the skin, and only then deal with your wounds; dressing is the most painful, really painful, is no less an elephant stepped on testicular pain, not many people can stand it, you both may be able to down, with high, is quite extraordinary patients. The most amazing is your super rehabilitation will. Your hand is particularly serious burns after a cause swelling, nerve blood vessels, which is compartment syndrome. cfa login The workaround is to Peel open, so as to decompression. Many burn patients survived many hurdles, but give up the rehabilitation of the hand. Your hand injured nerve, muscle atrophy, contractures cfa login whole hand, fingers not open, there is no way to move. I do tendon transfer surgery, take the ring finger tendon, the tendon to the thumb, so that the thumb can hit the little finger. Even after skin grafting for wound debridement, cut skin necrosis, eschar cfa login incision, tendon transfer surgery, otherwise the skin will be no flexibility, which are designed to improve the compartment syndrome. Your rehabilitation will be too strong, and I originally thought that your hand is not up to save the results of your hands full recovery, but also to work as usual. In the burn center live more than sixty days, go to the general ward and stayed for two days, nearly three months of hospitalization for you, one after another after another deal contracture problems, neck and hands to deal with scars, re-start another Wave skin grafting. In another cfa login round of skin grafting, you soon fell in love with the burns ward nurse, married lovers, pass to his brother's wife, enviable. cfa login And did you confession sentence has become a classic, and then spread spread: "with me will be very monotonous, because you will feel happy." My God! I just swallow one hundred Japanese idol DVD can not think of this sentence. People do not particularly cfa login looking forward to love, but what people will encounter, we never know. Everyone says that your fate is Past Book good, although I think some fate is doomed, but still rely on the parties to sustain the efforts. Because I always feel that love is not a heart touching another heart, two hearts together cfa login but hit a spark. But I believe that you and she will love and commitment, and to spend all the good times and bad, because you came up. You really cfa login came, Adger, you are my patients had healed, the most serious was able to survive and live a good performance. I attended seminars in the United States, report your case, those doctors opener, incredibly, they do not believe the hand burned so severely, causing scar contracture, after a series of reconstruction and rehabilitation, still has such a good function. Not only that, also home to marry a nurse, gave birth to a child, and now work, exactly the same as with most people, as usual housework, as usual movement. CNN interview with fishes cfa login you should you a lesson for the world-class plastic surgeons. In the rehabilitation room, many patients feel very hard, hard to want to give up. Certainly can not give up, give up on a permanent disability. I took your picture encourage them, even you can be so severe as with rehabilitation to normal, why can not they? We moved when a doctor is not easy, not apathetic, but every day in burns ward, seen too many touching scenes: one not to death when death is not death in the eye of the patient, their pain, they were crying, they cry; however, they fight. For them, there is no winning or losing this battle, only to continue: Continue until death, or continue to live out of the hospital. Endure once dressing win once lived day to win once, has won the hospital so far. Even if discharged, the war is not over, because the site after burn contracture release or to cut, or to graft, or to rehabilitation, to continue the fight. Although not easy to move, but Adger, you really touched me. Frankly, you were sent to the hospital that day, I see that the probability saved is not great, but you just survived. So how can you bear the pain ah? What do you do in the end? Most patients can not burn pain tolerance, less pain you are able to. Graft pain, pain medication, rehabilitation cfa login is also painful, children walking on the road is pointing more pain. And you, you're really alive. You really alive. If you are not happy to see young people at every turn, what would you say to them? With pain you suffered compared with their mouth said pain is simply making a fuss. In the seminar, the rehabilitation room, in my powerlessness, you will always be my best teaching, whether it is used for self-education, or other patient education, education of those interns, hospital doctor. Because narrow escape it? No, you do get through twelve life and death, you are alive, you are hell materials. I write to you, I want to share with you a story, the story is I had a patient told me, at first I do not understand why he would say this story to me, met you, I finally understand. Because you are from hell alive, set the courage, fortitude, in a romantic legend, so I want to tell you about this story: There was once a rich man, he is not much belly fat Zizi, keep Liangpie the kind of beard landed gentry. On the contrary, he was very young, looks solemn, delicate features, do a lot of good things, a lot of merit plot. One day, he went to send rice to the village poor, time to go home, suddenly saw a man came before him. He was immediately attracted to the man's face, immediately chasing the past, want to stay with him, a corner already see the guy. He likes that people like to death, from doing nothing, one would like to see the man, then sell all possessions, and immediately ran away from home, swear even traveled corners of the earth, it must find to that person. However, he no longer seen to that person. He thoroughly disappointed, but do not despair. One night dreaming, Buddha asked him a lot of merit, if there is any desire. He said he just wanted to see the man side. Buddha said, If you really want to see that person, we must abandon this life personal, reincarnation make a tree, five years later, there may be a chance to face the man goodbye. He thought for a long, long time, because really love that person, it was decided to discard the person, make a tree. Soon he was sick, then die, reborn as a tree by the river. Five years, suffered the pain of doing tree: endure the wind, sun, rain, enduring torture beast, endured all kinds of birds in his possession urine; he could not move, could not speak, only to see the kingdom of man side . Finally, after five years. One day, he saw a man far side of the river came from, what he dreaming, dream man. He was very excited, desperately shaking body every twig every leaf, efforts caused the man's attention. What he hopes that people can come under his shade, rest, take a cool arraignment. I saw the man came toward him, through him, stood for a while, but did not see him a look, went go forward. cfa login He almost mad, he wanted cfa login to cry, want to go in the past, but unfortunately he was just a can not move, can not speak of a tree. He was disappointed, he wronged, he sad, he cried and cried very sad very sad that he did not know why the repair is less than five hundred years has so little fate. That night he dreamed of the Buddha. cfa login Buddha told him that if he wanted to see the man, we must do five hundred trees in the river, and perhaps also a little cfa login repair cfa login to fate. He felt that since it has been waiting for five hundred years, and then wait five hundred years is nothing. cfa login Because he really love the guy. So he stood in the river for five hundred years, suffered cfa login the pain of doing tree: wind, sun, rain, enduring torture beast, endured all kinds of birds urine on him, he can not move, can not speak, just to be able goodbye man side. It took another five years. One day, the man was far from the side of the river came. This time he is no longer excited, did not shake the branches move leaves just stood there quietly, quietly watching that person. cfa login To this day, for this man, he gave up the chance of life, made a thousand trees, eating too much pain, hurt deep heart. He has been able to calm mind waiting for that person soon. I saw the man walked over to him, he went to the bottom of the shade, Enron sit down, sit forty - 29. It turned out that person is the Buddha, which is the linden cfa login tree. Adger, we all need to Linden, but in the process of looking for their Linden, we often find ourselves doing someone else's Linden. Just for me, you really got me thinking about life pattern greatly on the floor of Linden. I have not seen a medical career can recover serious than you, because cfa login no serious than you survive. You not only someone else's Linden, Linden also find their own. Blessed are those who, in order to fit the person meets the soul; When Blessed and wise people cfa login can encounter a soul mate, knowing grasp fate, knowing each other somehow. Remember me to say hello wife and two small babies, if you take annual leave, welcome to Hualien with the whole family. Taroko winter, kept empty mountains, breathtaking aura, sometimes mist-shrouded, sometimes dense Ai cloudy sky, the sky is no comparable Wonderland, I'm sure you'll like it. Fogo 二 五年 18 December cfa login Hualien Tzu Chi Hospital cfa login ................................ .......................
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