After many weeks of problem publishing, this early-August entry is finally posted:
*******************
As always seems the case, the past weeks just slipped past us more swiftly than we would have wished. So let's just do a quick stock-take.
Friday 25 July
WY's Grade 4 piano exam at Katong Mall in the morning. R and I brought him to school after the exam so that he could join his class for lessons for the rest of the day. In the afternoon, he attended his Wushu training in school.
By the time we got WY to school, it was about 20 minutes before the ERP gantry would be switched off for 2 hours. So, R and I decided to drop by at McDonald's at Kallang for its $2 breakfast (Sausage McMuffin plus tea). At McDonald's, we noticed that there were many like-minded people sipping coffee over some newspapers while waiting to go into the CBD. So, conclusion: everyone prefers to contribute their $ to McDonald's to LTA's coffers - at least, we get to have a hot drink at the former.
Saturday 26 July
Chinese classes (and Music for WF) for the boys were as usual. R accompanied WF to his music class, though, because I had to go to POSBank to get my worn-out ATM card replaced. The new card cost me $5 - they saied cannot waive the fee notwithstanding that the replacement was needed because of wear-and-tear. *shrug*
For lunch that afternoon, we had sandwiches at Subway at Kallang. This is one of our favourite quick-lunch stops because for almost the same price as we would usually have to fork out for lunch at, say, any fast food outlet or foodcourt, we can have some more wholesome, high-fibre bread and fresh, crunchy lettuce, cucumbers and tomatoes etc. And WY and WF both love the cookies that come with the meal sets, of course.
CP's tuition for WY was an intensive session that afternoon because we had to attend a concert that evening. YP and the rest did not come for dinner that day.
I had bought the tickets for this concert called 风中少林 several months ago. It was basically a mega-dance production incorporating some 功夫 movements. Standard of performance was ok although I prefer the production called A Touch of Zen, which WY and I watched last year, to this one.
We had to get our bags checked at the door of the theatre that day because a Cabinet Minister and several of his kaki-Ministers-of-State etc were also attending the concert, which was announced as having been 'supported' by some real estate developer company (I didn't know till then). At the end of the concert, these VIPs went on stage to take a photo with the performers. R managed to take a photo of this before the usher stopped us. (Actually, why cannot take ha? The general prohibition against phot-taking is limited to during performance time, mah.)
The rest of July
The rest of July were mostly 'ordinary' stuff like going for the weekend classes, getting WY's hair cut for the first time at Sri Nada in Parkway Parade. It's amazing how the some of the barbers there look almost exactly the same as they had appeared almost 2 decades ago, except maybe with less hair or some white hair.
Friday, August 1, 2008
Friday, July 25, 2008
Rain or Shine??
The weather these days has really gone haywire. One day, it pours. The next day, it shines. One day, it is chilly. The next day, it becomes scorching hot. And then it becomes cold agan, and so on.
This morning, when we sent WF to CH School and then WY to his piano exam in Katong, the skies were quite fair and bright. I thought it would be a good day as far as laundry-drying is concerned - quite a fair load of semi-dry laundry is still waiting to be sunned because the odd, fickle weather the past few days has caused the load to pile up.
But alas, close to noon, it suddenly poured so heavily that all my colleagues and I could see outside our non-openable office windows was a white 'blanket'. A colleague who had just returned from the ground floor told us excitedly that the rain had even come splashing into the exhibition area as the glass doors at the main entrance of our building were opened! This was quite incredible, considering that we have a porch with a depth of at least 5-6 car lengths from the road!
Sigh. I think the Earth is really unwell now. Hence all the earthquakes, floods, torrential storms, hurricanes, droughts, rising sea-levels etc happening across the globe. It's kind of scary.
This morning, when we sent WF to CH School and then WY to his piano exam in Katong, the skies were quite fair and bright. I thought it would be a good day as far as laundry-drying is concerned - quite a fair load of semi-dry laundry is still waiting to be sunned because the odd, fickle weather the past few days has caused the load to pile up.
But alas, close to noon, it suddenly poured so heavily that all my colleagues and I could see outside our non-openable office windows was a white 'blanket'. A colleague who had just returned from the ground floor told us excitedly that the rain had even come splashing into the exhibition area as the glass doors at the main entrance of our building were opened! This was quite incredible, considering that we have a porch with a depth of at least 5-6 car lengths from the road!
Sigh. I think the Earth is really unwell now. Hence all the earthquakes, floods, torrential storms, hurricanes, droughts, rising sea-levels etc happening across the globe. It's kind of scary.
Tuesday, July 22, 2008
Trucks Can Come Rolling In!
It looks like the works at the KPE worksite are in the final stages already.
Now that they have removed the working bridge that had been constructed to allow the trucks to cross the P Canal, the most convenient way now to allow the trucks to enter the worksite (on our side of the P Canal) to finish up the remaining work, is to create a temporary access between our block and the children's playground.
And so, about 2-3 parking lots near the playground cannot be used for the time being. And every now and then, we see a dump truck rolling in! (On the evening that these photos were taken, work had stopped and the trucks had gone off already.)
Now that they have removed the working bridge that had been constructed to allow the trucks to cross the P Canal, the most convenient way now to allow the trucks to enter the worksite (on our side of the P Canal) to finish up the remaining work, is to create a temporary access between our block and the children's playground.
And so, about 2-3 parking lots near the playground cannot be used for the time being. And every now and then, we see a dump truck rolling in! (On the evening that these photos were taken, work had stopped and the trucks had gone off already.)
Sunday, July 20, 2008
Didn't Go On Course Afterall
I was scheduled to go on a Knowledge Management Workshop on Thursday. Unlike previous courses, this had been a very 'precious' time-slot because everyone in the office was very edgy about being selected for interview with some SQA Assessors who were on a site visit from Wednesday to Friday last week.
Most people tried to find some excuse to take leave one way or another, or somehow be away from the office during Thursday and Friday, where general staff would be called upon to meet with the Assessors. Hence, I also was very thankful that by a stroke of luck, the Workshop had been scheduled for Thursday and Friday.
So I escaped the SQA interviews completely, lor!
*************************
On Thursday morning, my alarm clock went off and I got up. That was 5:30am. As usual, I went to the toilet (without spectacles, but can still see although 'blurly').
Then, I was about to proceed with my weekday kitchen routine of boiling water, cleaning the table, etc when suddenly M called out to me, “LP 啊！倒一杯烧水给我，帮我拿药。”
“啊？你怎么啦？！我没看到你还在床上。我还以为你出去运动了！”
“我头晕，不敢起来。你帮我那一片头晕的药，在红色的皮包里。还有一片黑炭，在绿色的袋子里。”
After fumbling a while, I located the medicines and gave them to M with the warm water.
Seonds later, she let out a loud burp. I asked, “你要吐吗？” With much difficulty, she got up. With her right hand on the wardrobe, she sat up. Then she said, “让开！”
I dashed out of her room, clearing the chairs in the living room doorway and the floor mat just outside the kitchen. I hurriedly switched on the toilet light, and M had barely reached the toilet bowl when she turned Merlion.
It was quite bad and I had to let her sit on a stool by the toilet bowl where her head remained over. I lightly patted on her back and asked, “你好一点吗？肚子不舒服吗？是不是像上一次一样，吃错了东西，不消化？”
“没有啦。只是突然间头晕，吐了一次了。现在是吞了药，才再吐。”
I helped her to the sofa after she was done with the vomitting. “是不是感冒了？有发烧吗？” I asked. She said, no. No fever, no blocked nose whatever.
So I let her rest sitting up a while. I went to get R up (ok lah, it was just 20 minutes earlier than usual for him).
Later, M took some sips of the hot water, then went back to the bed to lie down.
I proceeded to prepare breakfast for R and WY and also the water bottles etc. When I was done and R and WY were taking their showers, I checked on M. Yes, true, no fever. But she explained, “我睡到半夜，大概两、三点钟的时候，转身一下，突然间颈项感觉痛一下。我听到‘叭’的一声，头就开始晕了。起来吐了一次，很辛苦。”
“为什么不叫我？” I asked.
She said, “哪里有用？我知道你睡得像死猪一样，哪里叫得醒的？” Sigh. It's true it is not easy to wake me up by shouting across the rooms.
Then, as I told M to sleep a while more first, she told me, “我看你今天不可以去做工了。要不然，如果我一个人在家里晕倒，就糟了。”
My first instinct then was, ok lor, it is ok to skip work, no problem. Then I remembered about the KM Workshop. Oops! How?! It's generally a very troublesome process in the office to write to HR to 'justify' absence in a course.....
Get R to stay at home instead? (He offered to take morning leave.) But then, what about F who would be expecting to meet up with R at the Urology Centre that morning?! Or, maybe I could skip the morning session of the course and go only in the afternoon? But then, someone still should remain with M at home even in the afternoon, not safe to leave her alone, right?? But R needed to be in his office for an important meeting at about noon.
So, after some quick but hard thinking, I called YP to see if she could be the one to meet up with F for his appointment with the urologist instead. But alas, she said she also had an important meeting with her director which she could not miss. Sigh.
Eventually, I decided that R would proceed to meet up with F as planned. I would just give the course a miss anyway. What the heck about 'justifying' to HR my absence!
After WY went to school, R returned to get WF ready for CH school. I took a shower before they went off (just in case M, who was sleeping, needed something).
At about 9am, M awoke and said she felt better already. But I suggested that she consulted a doctor anyway, just to make sure things were ok. Naturally, I suggested the GP whom I usually visit and whom I had also convinced F to consult now (instead of the B51 Quack). M was very hesitant and said that she didn't quite trust that GP. See her experience with the splinter.
But in the end, I managed to convince her. I gave the GP a call to see if the clinic was crowded. It wasn't at all. In about 20 minutes, M and I were on our way.
M declined to take a taxi. So we both walked there. As the morning sun had begun to feel quite hot, we shaded ourselves with our respective umbrellas and made some detours here and there, just so as to avoid the sun.
When we arrived at the clinic, the GP's ever-talkative assistant was so shocked to see me and said in a stuttering voice, "Erm, erm.... Dr O has just gone off just moments before you appeared."
"Where did she go? I just called her," I said. "Somewhere near, just opposite only," the assistant tried to be helpful, "Maybe you could get your M to sit down a while to wait for Dr O?"
"Can you give her a call on her hp?" I asked. "I will if she carries one, but she doesn't," the assistant replied.
By now, M was already fuming mad (about the GP not being around, despite my call earlier). M barked rudely at the assistant, “她去哪里？对面的巴刹买菜啊？” The assistant nodded hesitantly. “她当什么医生？我们打了电话来了，她还出去买菜？！让病人在这里等？她算什么医生？”
After lashing out at the helpless assistant, M marched off furiously, 'scolding' me for getting her to go see the GP. Sigh.
On our way back, we dropped by at B51. M declared that she still preferred to see this Quack. So, we went in to the empty clinic, only to hear the Quack chatting on the phone. After a few minutes, the Quack still didn't call for M. So the impatient M knocked on the door of the consultation room and gestured to the Quack. The Quack then finished off his chat and then started the consultation.
He took M's blood pressure (a little on the high side). Then he asked again and again what happened etc. During all this time, I noticed that to save costs, the Quack had now done away with the medical record cards that we typically see doctors use. In its place, he now clips lose pieces of A4 blank paper together, folding them into quarters and use them for scribbling! What a cheapo, this man is!
Anyway, his advice (given only when I insisted, because he didn't say much to M) was, in summary, that there may be some transient blockage in some blood vessels in the neck. And when the blockage cleared/moved, it probably affected some part of the head/face (where M complained of a little mild numbness in the morning). Hence the giddy-ness and vomit.
I am not totally convinced, lah, so I quizzed him about the medicines that he would be prescribing to M. In gist, he said he would give her a mild 100mg Aspirin (for 'normal people', it is usually 300mg), which is good for the heart and blood circulation, like something to 'unblock' the blood vessels. He would also give her some anti-giddy pills and something for relieving vomitting.
Then I told the Quack, "Dr Y, I am now very concerned with the medicines that you prescribe to my parents. Do you know that the antibiotics that you had given to my F previously for his lung infection gave him such a bad reaction that he had to get a biopsy done at the NSC?" At his request, I gave him F's name so that he could 'put it in F's records' the allergy.
The Quack tried to defend his prescription and asked 'innocently' in his HK-English slang, "Did your F came back to tell me that he was allergic to the antibiotics? I didn't know about it."
I promptly reminded him, "Oh yes, he came back to tell you and to show you the massive rashes that broke out. But you told him that the rashes would be gone and all he needed to do was to complete the course. Then at the same time, you gave him another 2 boxes because you were going on your vacation. You told him to finish those 2 boxes, too. This was just before you went on your vacation."
He pretended to ponder to try to recall.
Anyway, then he saw M's records and asked her about the anti-fungal drops that he had given her. I hadn't the faintest idea about this, but apparently, M had gone to see him about her toes, which probably had some fungal infection. And for that (fungal infection), he had also given her antibiotics (?!) - but M later showed me the antibiotics which she hadn't dared to take in case she also develops some allergic reaction to it.
Later I told M not to take the antibiotics because if it were fungal infection, antibiotics won't help and are absolutely unnecessary and not suitable.
M and I spent the rest of the morning at home resting - she, on the bed and I, on the sofa. Yah, somehow, both of us were so tired out. I was awoken later by the GP's call - the extremely embarrassed doctor apologised profusely about the incident and specifically asked to say sorry to M. I told her that M was resting.
Then at about 1:30pm, I had to go get WY from school because WY's supplementary lesson that day had been shortened due to some P1 registration work which his teacher was to be involved in. As the dismissal time was an odd 2:15pm, WY was not able to take the school bus. The plan was that M was to have gone to fetch him from school. Now I had to be the one getting him home. M said that she was alright to be at home all by herself for the time I would be out.
And so I brought WY home quickly soon after a brief and simple lunch at the GE coffeeshop.
By the afternoon, M was feeling ok. She said she was well enough to cook the sliced fish porridge which she had planned for dinner that day. So I let her do the cooking.
In the meantime, WY completed his school work and then we went through some revision on the CL textbook. Soon afterwards, WY had his dinner and had to get ready for his piano lesson (which had to be rescheduled because he would be involved in his school concert the following evening).
By the time WF returned home from CH School, M was as ok as on any other day. And she told me that I could go to work the next day and she would be alright. But then, with only one-third of the Workshop left, it was really pointless attending the course the following morning. With my colleague's help, I later learnt that HR had agreed to arrange for another course date for me instead.
Most people tried to find some excuse to take leave one way or another, or somehow be away from the office during Thursday and Friday, where general staff would be called upon to meet with the Assessors. Hence, I also was very thankful that by a stroke of luck, the Workshop had been scheduled for Thursday and Friday.
So I escaped the SQA interviews completely, lor!
*************************
On Thursday morning, my alarm clock went off and I got up. That was 5:30am. As usual, I went to the toilet (without spectacles, but can still see although 'blurly').
Then, I was about to proceed with my weekday kitchen routine of boiling water, cleaning the table, etc when suddenly M called out to me, “LP 啊！倒一杯烧水给我，帮我拿药。”
“啊？你怎么啦？！我没看到你还在床上。我还以为你出去运动了！”
“我头晕，不敢起来。你帮我那一片头晕的药，在红色的皮包里。还有一片黑炭，在绿色的袋子里。”
After fumbling a while, I located the medicines and gave them to M with the warm water.
Seonds later, she let out a loud burp. I asked, “你要吐吗？” With much difficulty, she got up. With her right hand on the wardrobe, she sat up. Then she said, “让开！”
I dashed out of her room, clearing the chairs in the living room doorway and the floor mat just outside the kitchen. I hurriedly switched on the toilet light, and M had barely reached the toilet bowl when she turned Merlion.
It was quite bad and I had to let her sit on a stool by the toilet bowl where her head remained over. I lightly patted on her back and asked, “你好一点吗？肚子不舒服吗？是不是像上一次一样，吃错了东西，不消化？”
“没有啦。只是突然间头晕，吐了一次了。现在是吞了药，才再吐。”
I helped her to the sofa after she was done with the vomitting. “是不是感冒了？有发烧吗？” I asked. She said, no. No fever, no blocked nose whatever.
So I let her rest sitting up a while. I went to get R up (ok lah, it was just 20 minutes earlier than usual for him).
Later, M took some sips of the hot water, then went back to the bed to lie down.
I proceeded to prepare breakfast for R and WY and also the water bottles etc. When I was done and R and WY were taking their showers, I checked on M. Yes, true, no fever. But she explained, “我睡到半夜，大概两、三点钟的时候，转身一下，突然间颈项感觉痛一下。我听到‘叭’的一声，头就开始晕了。起来吐了一次，很辛苦。”
“为什么不叫我？” I asked.
She said, “哪里有用？我知道你睡得像死猪一样，哪里叫得醒的？” Sigh. It's true it is not easy to wake me up by shouting across the rooms.
Then, as I told M to sleep a while more first, she told me, “我看你今天不可以去做工了。要不然，如果我一个人在家里晕倒，就糟了。”
My first instinct then was, ok lor, it is ok to skip work, no problem. Then I remembered about the KM Workshop. Oops! How?! It's generally a very troublesome process in the office to write to HR to 'justify' absence in a course.....
Get R to stay at home instead? (He offered to take morning leave.) But then, what about F who would be expecting to meet up with R at the Urology Centre that morning?! Or, maybe I could skip the morning session of the course and go only in the afternoon? But then, someone still should remain with M at home even in the afternoon, not safe to leave her alone, right?? But R needed to be in his office for an important meeting at about noon.
So, after some quick but hard thinking, I called YP to see if she could be the one to meet up with F for his appointment with the urologist instead. But alas, she said she also had an important meeting with her director which she could not miss. Sigh.
Eventually, I decided that R would proceed to meet up with F as planned. I would just give the course a miss anyway. What the heck about 'justifying' to HR my absence!
After WY went to school, R returned to get WF ready for CH school. I took a shower before they went off (just in case M, who was sleeping, needed something).
At about 9am, M awoke and said she felt better already. But I suggested that she consulted a doctor anyway, just to make sure things were ok. Naturally, I suggested the GP whom I usually visit and whom I had also convinced F to consult now (instead of the B51 Quack). M was very hesitant and said that she didn't quite trust that GP. See her experience with the splinter.
But in the end, I managed to convince her. I gave the GP a call to see if the clinic was crowded. It wasn't at all. In about 20 minutes, M and I were on our way.
M declined to take a taxi. So we both walked there. As the morning sun had begun to feel quite hot, we shaded ourselves with our respective umbrellas and made some detours here and there, just so as to avoid the sun.
When we arrived at the clinic, the GP's ever-talkative assistant was so shocked to see me and said in a stuttering voice, "Erm, erm.... Dr O has just gone off just moments before you appeared."
"Where did she go? I just called her," I said. "Somewhere near, just opposite only," the assistant tried to be helpful, "Maybe you could get your M to sit down a while to wait for Dr O?"
"Can you give her a call on her hp?" I asked. "I will if she carries one, but she doesn't," the assistant replied.
By now, M was already fuming mad (about the GP not being around, despite my call earlier). M barked rudely at the assistant, “她去哪里？对面的巴刹买菜啊？” The assistant nodded hesitantly. “她当什么医生？我们打了电话来了，她还出去买菜？！让病人在这里等？她算什么医生？”
After lashing out at the helpless assistant, M marched off furiously, 'scolding' me for getting her to go see the GP. Sigh.
On our way back, we dropped by at B51. M declared that she still preferred to see this Quack. So, we went in to the empty clinic, only to hear the Quack chatting on the phone. After a few minutes, the Quack still didn't call for M. So the impatient M knocked on the door of the consultation room and gestured to the Quack. The Quack then finished off his chat and then started the consultation.
He took M's blood pressure (a little on the high side). Then he asked again and again what happened etc. During all this time, I noticed that to save costs, the Quack had now done away with the medical record cards that we typically see doctors use. In its place, he now clips lose pieces of A4 blank paper together, folding them into quarters and use them for scribbling! What a cheapo, this man is!
Anyway, his advice (given only when I insisted, because he didn't say much to M) was, in summary, that there may be some transient blockage in some blood vessels in the neck. And when the blockage cleared/moved, it probably affected some part of the head/face (where M complained of a little mild numbness in the morning). Hence the giddy-ness and vomit.
I am not totally convinced, lah, so I quizzed him about the medicines that he would be prescribing to M. In gist, he said he would give her a mild 100mg Aspirin (for 'normal people', it is usually 300mg), which is good for the heart and blood circulation, like something to 'unblock' the blood vessels. He would also give her some anti-giddy pills and something for relieving vomitting.
Then I told the Quack, "Dr Y, I am now very concerned with the medicines that you prescribe to my parents. Do you know that the antibiotics that you had given to my F previously for his lung infection gave him such a bad reaction that he had to get a biopsy done at the NSC?" At his request, I gave him F's name so that he could 'put it in F's records' the allergy.
The Quack tried to defend his prescription and asked 'innocently' in his HK-English slang, "Did your F came back to tell me that he was allergic to the antibiotics? I didn't know about it."
I promptly reminded him, "Oh yes, he came back to tell you and to show you the massive rashes that broke out. But you told him that the rashes would be gone and all he needed to do was to complete the course. Then at the same time, you gave him another 2 boxes because you were going on your vacation. You told him to finish those 2 boxes, too. This was just before you went on your vacation."
He pretended to ponder to try to recall.
Anyway, then he saw M's records and asked her about the anti-fungal drops that he had given her. I hadn't the faintest idea about this, but apparently, M had gone to see him about her toes, which probably had some fungal infection. And for that (fungal infection), he had also given her antibiotics (?!) - but M later showed me the antibiotics which she hadn't dared to take in case she also develops some allergic reaction to it.
Later I told M not to take the antibiotics because if it were fungal infection, antibiotics won't help and are absolutely unnecessary and not suitable.
M and I spent the rest of the morning at home resting - she, on the bed and I, on the sofa. Yah, somehow, both of us were so tired out. I was awoken later by the GP's call - the extremely embarrassed doctor apologised profusely about the incident and specifically asked to say sorry to M. I told her that M was resting.
Then at about 1:30pm, I had to go get WY from school because WY's supplementary lesson that day had been shortened due to some P1 registration work which his teacher was to be involved in. As the dismissal time was an odd 2:15pm, WY was not able to take the school bus. The plan was that M was to have gone to fetch him from school. Now I had to be the one getting him home. M said that she was alright to be at home all by herself for the time I would be out.
And so I brought WY home quickly soon after a brief and simple lunch at the GE coffeeshop.
By the afternoon, M was feeling ok. She said she was well enough to cook the sliced fish porridge which she had planned for dinner that day. So I let her do the cooking.
In the meantime, WY completed his school work and then we went through some revision on the CL textbook. Soon afterwards, WY had his dinner and had to get ready for his piano lesson (which had to be rescheduled because he would be involved in his school concert the following evening).
By the time WF returned home from CH School, M was as ok as on any other day. And she told me that I could go to work the next day and she would be alright. But then, with only one-third of the Workshop left, it was really pointless attending the course the following morning. With my colleague's help, I later learnt that HR had agreed to arrange for another course date for me instead.
Wednesday, July 16, 2008
Who Cut Your Nails?
I was just cutting WF's nails last night when I suddenly remembered that WF once popped this question to me:
Who cut your nails when you were a little girl?
Do you remember?................................... I do.
It was mostly F.
Who cut your nails when you were a little girl?
Do you remember?................................... I do.
It was mostly F.
Walk!
Once upon a time, I used to walk home from the office after work. Those were the days when work ended at 5pm and the skies would still be sunny and bright when I stepped out of my office building.
I chose to walk home because this gave me a little aerobic exercise (and 'endurance' training); I was never comfortable with the idea of embarrassing myself in front of those sleek and well-toned health fanatics sweating it out in a gym. The various equipment looked quite confusing and too sophisticated anyway. Besides, gym memberships cost money.
Walking home, I figured, would also allow me the opportunity to explore the little nooks and corners that I would so often pass by on my morning bus rides to work but never quite had the chance to check out 'properly'. By walking home, I could check out the small lanes in Kampong Glam, for example, and feel almost like a 'local back-packer tourist'.
I was at first not certain of the distance I could tahan walking. So I started out telling myself that I would just cover about a quarter of the bus route that I would otherwise have taken to get home. On most days, I did a walk-then-bus-ride routine; occasionally, I took a bus first then walked the last quarter of the journey.
Gradually, my stamina built up and I became a little more ambitious. The 'walk' portion became extended and before long, I found myself walking home the entire journey.
The savings in bus fare was, of course, a bonus (although in those days, bus fares were very affordable). But more importantly, what made me feel even better about getting home completely on foot was the feeling of being 'in control'. I could quicken my pace if I felt it was getting late or dark; I could also check out different routes (cutting across big, empty fields or void decks etc) if I felt like it. In short, I totally enjoyed the 'freedom' the walk home brought me.
The best time I had ever clocked for the brisk walk home was about 45 minutes. Not bad an achievement, hor?
**********************
It was a pity, however, that I hadn't kept up with that walk-home resolution and discipline. Some time after getting married (and then expecting WY), I went back to the bus and MRT.
**********************
Then, some time before WF came along, we got our Mazda. From then on, I took the 4-wheels to go home almost everyday. It soon graduated from being a luxury to a necessity because office hours were extended first to 5:30pm, then to 6:00pm.
These days, it is also quite common for me to be able to go off only nearer to 6:30pm. (And to a large extent, R's late knock-off time also contributes to this.)
But whatever time it is, the truth is that I have gotten used to getting on the car at my office building's main driveway. What walking? No more, lah!
***********************
Since last week, however, I have been 'forced' by a Big, Evil, Ever-Hungry Monster to start to walk a little distance again. 'Forced' because if I don't get out of the CBD on foot, we would have to incur a total of $5 every day just so that I can hop onto our own car at my office building's driveway.
$5 = $3 to get in + $2 to get out, of the CBD. $5 just so that I can get onto our car to go home = ridiculous, isn't it?!
And so, nowadays, the SOP is that I will take a 10-minute walk out of the CBD to wait for R along the roadside. We will then take the CTE to connect to PIE and head towards CH School to pick WF (and also WY on some days) up. Cost of taking this route = $1.
In case anyone is still wondering, what Monster?.................
(picture borrowed from flickr)
Monster's been closing in on us in the CBD from NSEW, Top and Bottom............
I chose to walk home because this gave me a little aerobic exercise (and 'endurance' training); I was never comfortable with the idea of embarrassing myself in front of those sleek and well-toned health fanatics sweating it out in a gym. The various equipment looked quite confusing and too sophisticated anyway. Besides, gym memberships cost money.
Walking home, I figured, would also allow me the opportunity to explore the little nooks and corners that I would so often pass by on my morning bus rides to work but never quite had the chance to check out 'properly'. By walking home, I could check out the small lanes in Kampong Glam, for example, and feel almost like a 'local back-packer tourist'.
I was at first not certain of the distance I could tahan walking. So I started out telling myself that I would just cover about a quarter of the bus route that I would otherwise have taken to get home. On most days, I did a walk-then-bus-ride routine; occasionally, I took a bus first then walked the last quarter of the journey.
Gradually, my stamina built up and I became a little more ambitious. The 'walk' portion became extended and before long, I found myself walking home the entire journey.
The savings in bus fare was, of course, a bonus (although in those days, bus fares were very affordable). But more importantly, what made me feel even better about getting home completely on foot was the feeling of being 'in control'. I could quicken my pace if I felt it was getting late or dark; I could also check out different routes (cutting across big, empty fields or void decks etc) if I felt like it. In short, I totally enjoyed the 'freedom' the walk home brought me.
The best time I had ever clocked for the brisk walk home was about 45 minutes. Not bad an achievement, hor?
**********************
It was a pity, however, that I hadn't kept up with that walk-home resolution and discipline. Some time after getting married (and then expecting WY), I went back to the bus and MRT.
**********************
Then, some time before WF came along, we got our Mazda. From then on, I took the 4-wheels to go home almost everyday. It soon graduated from being a luxury to a necessity because office hours were extended first to 5:30pm, then to 6:00pm.
These days, it is also quite common for me to be able to go off only nearer to 6:30pm. (And to a large extent, R's late knock-off time also contributes to this.)
But whatever time it is, the truth is that I have gotten used to getting on the car at my office building's main driveway. What walking? No more, lah!
***********************
Since last week, however, I have been 'forced' by a Big, Evil, Ever-Hungry Monster to start to walk a little distance again. 'Forced' because if I don't get out of the CBD on foot, we would have to incur a total of $5 every day just so that I can hop onto our own car at my office building's driveway.
$5 = $3 to get in + $2 to get out, of the CBD. $5 just so that I can get onto our car to go home = ridiculous, isn't it?!
And so, nowadays, the SOP is that I will take a 10-minute walk out of the CBD to wait for R along the roadside. We will then take the CTE to connect to PIE and head towards CH School to pick WF (and also WY on some days) up. Cost of taking this route = $1.
In case anyone is still wondering, what Monster?.................
(picture borrowed from flickr)Monster's been closing in on us in the CBD from NSEW, Top and Bottom............
When Things Go Wrong
On Sunday, whilst waiting for WY and WF's classes to be over, R and I took a break at McDonald's (because all seats at school had been taken up - many by snoozing parents).
It had been an exhausting week. I felt so mentally drained and tired. Generally tired.
I told R, "I think it is very scary when things go wrong with our body. Really very scary, hor. One Wrong can lead to another Wrong, which in turn can lead on to so many other Wrongs. It's really frightening."
Nodding his head, R agreed, "Yah. That's why in today's context, it's either be healthy and able or die quickly; cannot be sick."
Sigh, so depressing.
***************
Last week, I suddenly received a call from the GP whilst I was in the office (toilet). She said, "Hey, LP! Your F is sick, you know or not?! He is here at my clinic with very high fever of 39+ degrees. He says he has stomach ache and he complains of giddiness. He's having diarrhoea, too. Are you aware?"
Caught unaware, I could only utter an embarrassing "No, I didn't know. He hasn't told me anything."
The GP continued, "I have examined him, his pain seems to be localised over the gall-bladder. The part of his stomach where the liver is located seems to be a little swollen. Has the other doctors he is consulting done any liver screening for him before?"
"The one at NSC did when I accompanied him there some time ago. Everything was cleared, all ok," I told the GP.
The GP then said, "Ok, then this is what I want you to do. Monitor your F for the next 3 days to see if he develops any jaundice. If he does, bring him to seek medical attention at once. Check his eyes rather than skin because by the time jaundice shows up on skin, it would have been too late. You know how to check for jaundice, right?"
I was quite stunned. Ha?! Jaundice = liver problem, correct?!
The GP then went on to explain that for some patients, a localised pain over the liver/gall-ballder accompanied by some swelling over the area and high fever may suggest a gallstones attack. If jaundice sets in, then there could be reason to suspect blockage of the gall-bladder. If any blockage is not attended to, the gall-bladder may burst and that would lead to a potentially fatal condition. She added, "Of course, this is only a suspicion only, lah. I hope he is merely having a common flu only. But it is good to exercise more caution."
"Ok, I'll take a look at him this evening," I told the GP.
"So now, how? He complains of giddiness. I have given him medicine for his fever, diarrhoea and stomach pain. He told me that he has come by taxi because he cannot walk," the GP said. "So, should I ask him to take a taxi home now?" she asked.
"Erm, I guess so. I cannot run there now....." I was at a loss as to what to say. I know this sounded so bad, but I really couldn't just drop all and just run off. In any case, it was less than half an hour to the clinic's usual closing time.
So after the GP hung up, I called R on the phone and told him what the GP had just said. I asked R to see if he could make a quick trip home to check on F during his lunch hour.
(R later updated me that he had contacted F at home, and F had reassured R that he was alright. Just needed to take his medicine and rest. So R didn't go back home.)
By the time I returned to my work station after talking to R, my head was spinning. For the rest of the afternoon, I didn't do any real work.
But I managed to google a little on gallstones attacks etc. Everything I read added to the fear and tension in me. It was quite scary thinking how a person's abdominal cavity could become septic if the gall-bladder should burst, how the pain associated with a gallstones attack can sometimes even mask a heart attack etc.
***************************
When I visited F that evening, he didn't look very good. In fact, he looked quite pale and sounded quite weak. He said his diarrhoea had been very bad although after taking the GP's medicine, the fever had subsided and the stomach ache had gone.
As instructed by the GP, I checked briefly on the whites of his eyes (so that I can compare if there is any change in colour in the next few days, mah). Then I reminded him to take sips of water to make sure he didn't get dehydrated.
He pointed to the half-drunk can of 100-Plus standing on the dining table and said feebly, “医生叫我要喝这个。我买了一罐，喝了一半了。不错，现在喝了比较好，口没有这么渴了。”
Aiyah, just one can?!! “我楼上有好几罐。迟一点我拿给你。你拉肚子，应该喝这个来补充水分。可是别一下子喝太多。”
I went home after reminding him again to call me if he should feel unwell again in the night.
After a quick shower and dinner, I packed the cans of 100-Plus we had at home into a carrier. Then I asked M if she could help to cook some plain porridge for F the next day for his lunch. And to buy during her morning marketing, a can of preserved 菜心 to go along with the totally bland porridge. M agreed. She also agreed to bring the 100-Plus to F at the same time.
***************************
The next day, I went to the office and managed to complete a fair bit of work in the morning.
At about 1pm, M called me to tell me that F was looking for me. When I called F, this was what he told me in a very worried voice, “LP 啊，你帮我打个电话问一问医生，我从昨天晚上到现在，很想小便，可是去了厕所好几趟，都小不出来。为什么会这样？”
I was quite shocked to hear this 'new problem', and told him, “现在诊所已经关了。医生傍晚才会回来。你现在还有没有发烧？肚子还痛骂？”
F said, “烧已经退了。肚子只有一点点痛，没什么。只是小便小不出来，肚子有点胀胀的感觉，很辛苦。医生不在，那好啦。不要紧啦。”
I felt so helpless when F hung up the phone on that note. I mean, what could I do? What should I do? Should I return home immediately to check on him? My head began to feel a little light again, like the day before.
And also like the day before, I couldn't do any real work after that. My heart just went heavier and heavier thinking how F was coping alone at home. And I kept wondering if his fever had been 'artificially suppressed' only because of the fever medicine prescribed by the GP. What if the GP's suspicion about the gall-bladder problem came true? And if jaundice really set in? How? What was I to do??
It was really very disturbing and confusing with all these "how's" and "what if's" going over and over again in my mind. It didn't help that there was no one with whom I could share this load.
Finally, at about 5pm, I called F, “F，怎么样了？有好一些吗？”
F said, “尿还是小不出啊！我站了半小时，还是放不出来！！”
I asked, “你有喝水吗？”
“哎呀，我喝了好多水，可是，怎么小都小不出！我站半个小时，尿还是没出来，我能怎么办？！”F replied in a rather exasperated voice.
But because the GP's clinic would be open only at 6pm, I told him that unless he wanted me to accompany him to the A&E, there was nothing that I could do except wait till 6pm when the clinic opened, then we would be able to check with the GP.
F said, “哎呀，那没关系啦。不要紧啦，不要紧啦。” Then he abruptly hung up the phone.
After about 5 minutes, an idea suddenly struck me. I called F again.
“F， 你现在去准备冲个凉。然后，把你所有正在吃的药准备好，放在一个袋子。医生的诊所六点开门，你把药带去那里。我在那里跟你会合，我下班后，竟快赶到。如果医生建议我们到紧急部门去，我们直接从那里出发。”
Although F was at first reluctant (especially when I mentioned A&E), he agreed to the plan.
And so, once the clock struck 5:30pm (my official knock-off time on Fridays), I dashed off and in under 15 minutes, I was on the MRT train. By 6:10pm, I had arrived at the clinic. After waiting about 10 minutes, F came on foot (he said he couldn't get a cab during the peak hour then).
We saw the GP and told her F's problem. In summary, the GP's advice was this:
a) amongst F's medicines, there were possibly 2 medicines which sometimes could cause the patient to have a urine retention problem - the antihistamines prescribed by TTSH for sensitive nose and the tablets prescribed by the GP for the stomach pain;
b) given that F no longer had stomach ache, he could stop taking the stomach pain tablets. For the next 2 days, F should also stop taking the antihistamines. The effect of these medicines would generally ease off in about 6 hours or so;
c) based on F's confirmation that he had last taken the stomach pain tablets at 4:30pm, the urine retention problem should therefore ease off by about 11pm and so, if F was able to 'hold it' till that time, then the bladder should 'automatically' empty itself;
d) if, however, the discomfort of a full bladder was unbearable, then F could consider the catheter treatment to relieve the discomfort. Basically, this involved the doctor inserting a tube into the urinary tract to drain off the urine. For this, a trip to the A&E would be necessary.
Not unexpectedly, F opted to 'wait it out'. Contrary to what he had told me earlier, he said that the discomfort was bearable. He insisted that there was no need to go to A&E.
We walked home, therefore, after getting a loaf of bread and a 1.5L of 100-Plus from the Econ Minimart next door.
On the way, F told me how his eyes have become quite sensitive to glares these days. The NSC doctor had suggested that he puts on sunglasses if he needs to go out during the day (he goes to buy his lunch). But since several days ago, he had stopped using his pair of sunglasses after the lenses cracked when he accidentally dropped them on the floor. His eyes get tired easily too, when he watches TV without the sunglasses, he has cut down on his TV time. F jokingly commented that perhaps because of this, the electricity bill for the past month had actually declined!
Then he also told me that ever since he started his L treatment, his hearing has deteriorated in his right ear (the 'problematic near-deaf' ear). I told him that he should then highlight this to the NSC doctor so that the problem could be sorted out early. Waving his hand and shaking his head, F said that it was no use because all that the doctor would do would be to refer him to yet another specialist. “看一个又一个的医生，吃他们一个又一个配的药，那么多，吃到我都怕了！没有用啦。” He went on to say that his plan was that after he had completed the L treatment, he would then consult the doctor (I think he meant the GP) for his hearing problem.
I also asked him if he would now like to get hearing aid. He said no, he still had the money that HA gave him for it, but he would use it to fix the hearing aid later if this was needed. F also said that given M's incessant 'scolding' each time she saw him nowadays, it was better that he does not get any hearing aid first. Sigh.
As we reached our block, F told me that he planned to retake the test for his vocational licence. I was quite shocked and told him to forget about driving the cab again even after he recovers. But he said, “没有事情做，很辛苦，时间很难过。等我好了，我可以再去驾一驾，时间比较容易打发。”
I didn't want to argue with him, so I said nothing more, lor. Then after helping him to adjust the brightness of the TV that BK had bought for him, I left for home. WY had to go for his piano lesson that evening.
**************************
At about 8am the next morning, I called F to see if everything was alright. He said that since he had neither water nor food the night before (after our visit to the GP), he didn't make any trip to the toilet at all till 4:30am. Whilst at the 'big business', the bladder also emptied itself. So, he felt better already.
With that assurance, I proceeded with my own Saturday schedule of lessons for WY and WF. R had to go to work that morning.
Then, at about 12 noon, F called me. “LP 啊！我今天早上到现在，没什么能小便。只是一点点，现在肚子又有些胀胀的感觉，很不舒服。你帮我打个电话给医生，看看为什么我已经没吃那两种药了，还是不能顺畅的小便。整个早上，只是一点一点。”
This time, it was me who felt exasperated. I suggested to F to call the GP directly and asked for her advice first. Then if he needed to go to the A&E, I could bring him later in the afternoon. There was no way that I could leave WY and WF (who would be dismissed in about 45 minutes' time) in the school then and go home immediately to bring him to the doctor. R was at work in his office.
After about 20 minutes, I called the GP and spoke to her. She told me that F had just called her minutes ago and told her that despite having stopped taking the 2 medicines that had been highlighted by the GP, there was still quite a bit of discomfort because the bladder still could not be completely emptied. The GP said that this probably suggested that there were some other underlying conditions which were causing the urine retention problem. 2 common possibilities would be: 1) urinary tract infection and 2) enlarged prostate.
She suggested that to help relieve F's discomfort, he should go to the A&E to receive the catheter treatment. The GP explained that the doctor at A&E would then put F on oral antibiotics (since the insertion of the catheter would predispose F to infection) and also refer him to the urinology specialists for a proper assessment subsequently.
So, it became clear that a trip to the A&E would be inevitable afterall.
After picking WY and WF up, we all grabbed a quick bite and proceeded to the studio which we had booked at the music school where WY is scheduled to take his piano exam in about 2 weeks' time. WY spent the next hour practising on the 'exam' piano there whilst WF and I waited for him. (Credit must be given to WF's patience in waiting that one whole hour without 'disturbing' WY.)
When WY was done with the practice, we met up with R. Then we drove to Kallang to buy the herbs that M needed in order to make some soup for WY (and WF). After R's lunch at the food court there, we all went home.
The boys had their showers and finished the work which I had assigned them. CP had something to attend to that day and so could not give WY his Saturday tuition. The plan then was that R would bring M and the boys to YP's place for dinner (the arrangement had already been confirmed the week earlier) whilst I would bring F to the A&E before joining them again.
And so, I left R and M to deal with WY and WF. They only had to make sure that they remembered to bring my fresh clothes with them so that when I joined them at YP's place later in the evening, I would be able to take a shower there.
******************
F and I took a taxi to the A&E. After a brief and superficial Triage screening, we were ushered to the 'Fever Zone'. Almost all the 20+ seats were taken up at the waiting area. F, who had already put on the face mask which the staff had handed to him, also urged me to grab a mask for myself. I did so.
After a while, a young doctor came and I went through the story of what F's problem was, what medication he was taking etc (showed him the box of medicine which I had asked F to bring along). And then, they proceeded with the catheter treatment.
From then on, it was a long and frustrating wait for me. I shuttled between the open doorway (furthest from the 'Fever Zone' and with the only access to 'fresh' air), the enclosed waiting area (with patients waiting to be seen by the doctors or to be admitted to their wards, several coughing away) and the 'Fever Zone' (where F was lying on a bed and being attended to). I was concerned that F might need me to translate something to the doctor/nurses or might need my help to get the nurses (who kept walking around all the time) etc.
Each time I peered in at F and saw him lying down on the bed with the bag of urine being drained off into hanging by the side of the bed, I felt very sad. No words can describe my feelings then.
I remember that when F had his heart attack some years back, it was also me (and R) who had brought him to the A&E. At that time, there wasn't much of this sadness although the sudden-ness of the situation then was a bit shocking. I felt mainly fear and anxiety then. Not sadness, like now.
F's urine looked a rather shocking and weird shade of brown/red. I was at first shocked to see the colour of the urine but F gestured to me and muttered to me that he had taken a particular type of medicine prescribed by the NSC doctor. This medicine was to be taken only once a month and it was expected to colour the urine and stools. F asked me to explain this to the doctor, which I did.
The A&E doctor said the colour was ok, but as a sort of SOP, they would do some blood tests and urine tests for F anyway. I think they were trying to see if they could rule out any urinary tract infection etc.
Whatever the doctor said to me, I had to go near to F to translate it to him. That way, I think he felt more assured.
After a long and tiring wait standing around (I had avoided sitting at any of the seats and leaning against any part of the walls/handrails), the clock finally struck 8pm. I began to feel a little impatient and very uncomfortable in that odd-smelling face mask. I sent several sms to R to try to pass time. Through sms, YP also asked if I would prefer her to go and join me at the A&E. I told her there was no need.
Eventually, as the doctor signed off the discharge form and the prescription etc, he explained that the catheter would have to stay inside F till his appointment with the urologist in about a week's time. This was because the bladder's muscles would usually need time to 'get back to work' and if the catheter was removed immediately, chances were that the urine retention would recur almost immediately the very next day. The urine bag (which hangs externally - the A&E does not carry the urine bags whose design allows it to be secured inside the clothes) attached to the catheter will therefore act as F's 'temporary bladder' in the meantime.
The doctor went on to explain that the urologist would be the one to remove the catheter and assess F's condition. And as explained earlier by the GP, the doctor prescribed some antibiotics for F (I requested the doctor to specifically check through F's box of medicines to ensure that there was no other antibiotics or other medicines which should not be taken together with the one he was precribing).
After that, the nurse motioned to me. She said, "I will teach you how to drain off the urine and clean the bag." I was shocked into silence momentarily. "Erm, I think you have to show my F. I don't stay with him, so he will need to do this by himself. It's more important that you show him how to deal with the bag etc," I explained with mixed feelings of shock and embarrasment. 'Shock' because I hadn't expected the nurse to assume that I would be helping F to drain off the urine etc. 'Embarrassment' because the nurse was not wrong to assume that F's daughter should be around to care for and help him etc.
Anyway, the soft-spoken lady proceeded to demonstrate to F how the catch on the tap could be released to drain off the urine and then how it should be locked again. At each of these steps, the relevant part of the tap had to be cleaned with either alcohol swaps or warm water. (I told F that I would get alcohol swaps for him since then he wouldn't need to worry about boiling water for this purpose.)
As I stood by F's side watching the whole process, I suddenly wanted to cry. My eyes reddened and I could feel tears welling up. I quickly looked away because I didn't want F to see me this way. F appeared very positive about the bag (like a little child watching earnestly his teacher show him how to work a special apparatus during class) although he did complain that the catheter inside him was causing him some pain. The nurse reassured him that some pain would be expected since he was 'new' to this. I felt even sadder on hearing this.
After the nurse was done with the 'lesson', I settled payment and collected the medicines for F. F said he felt much better now that the bladder was no longer full. In fact, he no longer felt the giddy-ness or nausea he had when we first arrived at the A&E. I helped F to scribble on the medication packaging the pharmacist's instructions on how and when to take the medicines etc, in Chinese.
I asked F if he was ok to go home himself as I was planning to join R and the rest at YP's place. He said yes, he would be alright. After seeing him off in the taxi that came along, I hopped onto another to proceed to YP's place. On the way, I tried not to think further if I should have gone home with F instead.
When I arrived at YP's place some 30 minutes later, I took a good shower and then had the dinner which YP had kept for me. Then I updated M and YP on F's condition.
All the boys were happily engaged with the TV, XBox and the computer. The post-dinner Saturday evening is always their 'Happy Hours'. WY and WF always look forward to this.
We went home only at 10:30pm after the Channel 8 News was over. By the time we reached home and got to bed, I was so exhausted I couldn't do anything but sleep.
************************
On Sunday morning, F said he was alright when I called him in the morning. I reminded him to take the medicines prescribed by the A&E doctor and to avoid dairy products because that would contradict the antibiotics. Then I also reminded him about cleaning the tap with the alcohol swaps etc.
“知道了啦。我懂得消毒啦。我会记得把手消毒好啦。” F said.
I was a little shocked to hear this - what sanitize the hands with the swaps?! The swaps are for the tap!! So I reminded him on how to do the cleaning as shown by the nurse. “护士是叫你把那个袋子的开关消毒，不是叫你用消毒巾擦手！你用了开关，把开关擦好了，再到洗脸盆，用水龙头的水洗手！手，不需要用消毒巾消毒，可是要洗得干净！要记得啊！”
F replied rather impatiently, “好啦好啦。我知道了啦。”
Sigh. That day, when R and I brought to F his lunch and dinner respectively, he looked alright. Not so weak-looking anymore although still rather tired.
*************************
M voluntarily offered to buy lunch for F on Tuesday after getting to know that F had gone out on Monday to get lunch for himself, with the catheter inside him and the bag hanging by the pocket of his bermudas! F appreciated that, and when I asked him this morning whether he prefers M to get for him rice or porridge, F said the lunch M had bought for him was good.
So, I conveyed this 'feedback' to M, who will buy lunch for F today, too. F had said that he prefers rice to porridge. (I think this is indication that he is feeling much better now - on Sunday, he had asked for porridge.)
F's appointment with the urologist is this Thursday morning. I will be on course that day, so cannot accompany him there. Instead, R will run out of his office to meet up with F at the Urology Centre at about the appointed time. Hopefully, the session will end before noon, because R will need to run back to his office for an important meeting from noon onwards.
I really hope that everything will be ok and the catheter need not be depended on from Thursday onwards. I pray that this Wrong will be Righted soon.
It had been an exhausting week. I felt so mentally drained and tired. Generally tired.
I told R, "I think it is very scary when things go wrong with our body. Really very scary, hor. One Wrong can lead to another Wrong, which in turn can lead on to so many other Wrongs. It's really frightening."
Nodding his head, R agreed, "Yah. That's why in today's context, it's either be healthy and able or die quickly; cannot be sick."
Sigh, so depressing.
***************
Last week, I suddenly received a call from the GP whilst I was in the office (toilet). She said, "Hey, LP! Your F is sick, you know or not?! He is here at my clinic with very high fever of 39+ degrees. He says he has stomach ache and he complains of giddiness. He's having diarrhoea, too. Are you aware?"
Caught unaware, I could only utter an embarrassing "No, I didn't know. He hasn't told me anything."
The GP continued, "I have examined him, his pain seems to be localised over the gall-bladder. The part of his stomach where the liver is located seems to be a little swollen. Has the other doctors he is consulting done any liver screening for him before?"
"The one at NSC did when I accompanied him there some time ago. Everything was cleared, all ok," I told the GP.
The GP then said, "Ok, then this is what I want you to do. Monitor your F for the next 3 days to see if he develops any jaundice. If he does, bring him to seek medical attention at once. Check his eyes rather than skin because by the time jaundice shows up on skin, it would have been too late. You know how to check for jaundice, right?"
I was quite stunned. Ha?! Jaundice = liver problem, correct?!
The GP then went on to explain that for some patients, a localised pain over the liver/gall-ballder accompanied by some swelling over the area and high fever may suggest a gallstones attack. If jaundice sets in, then there could be reason to suspect blockage of the gall-bladder. If any blockage is not attended to, the gall-bladder may burst and that would lead to a potentially fatal condition. She added, "Of course, this is only a suspicion only, lah. I hope he is merely having a common flu only. But it is good to exercise more caution."
"Ok, I'll take a look at him this evening," I told the GP.
"So now, how? He complains of giddiness. I have given him medicine for his fever, diarrhoea and stomach pain. He told me that he has come by taxi because he cannot walk," the GP said. "So, should I ask him to take a taxi home now?" she asked.
"Erm, I guess so. I cannot run there now....." I was at a loss as to what to say. I know this sounded so bad, but I really couldn't just drop all and just run off. In any case, it was less than half an hour to the clinic's usual closing time.
So after the GP hung up, I called R on the phone and told him what the GP had just said. I asked R to see if he could make a quick trip home to check on F during his lunch hour.
(R later updated me that he had contacted F at home, and F had reassured R that he was alright. Just needed to take his medicine and rest. So R didn't go back home.)
By the time I returned to my work station after talking to R, my head was spinning. For the rest of the afternoon, I didn't do any real work.
But I managed to google a little on gallstones attacks etc. Everything I read added to the fear and tension in me. It was quite scary thinking how a person's abdominal cavity could become septic if the gall-bladder should burst, how the pain associated with a gallstones attack can sometimes even mask a heart attack etc.
***************************
When I visited F that evening, he didn't look very good. In fact, he looked quite pale and sounded quite weak. He said his diarrhoea had been very bad although after taking the GP's medicine, the fever had subsided and the stomach ache had gone.
As instructed by the GP, I checked briefly on the whites of his eyes (so that I can compare if there is any change in colour in the next few days, mah). Then I reminded him to take sips of water to make sure he didn't get dehydrated.
He pointed to the half-drunk can of 100-Plus standing on the dining table and said feebly, “医生叫我要喝这个。我买了一罐，喝了一半了。不错，现在喝了比较好，口没有这么渴了。”
Aiyah, just one can?!! “我楼上有好几罐。迟一点我拿给你。你拉肚子，应该喝这个来补充水分。可是别一下子喝太多。”
I went home after reminding him again to call me if he should feel unwell again in the night.
After a quick shower and dinner, I packed the cans of 100-Plus we had at home into a carrier. Then I asked M if she could help to cook some plain porridge for F the next day for his lunch. And to buy during her morning marketing, a can of preserved 菜心 to go along with the totally bland porridge. M agreed. She also agreed to bring the 100-Plus to F at the same time.
***************************
The next day, I went to the office and managed to complete a fair bit of work in the morning.
At about 1pm, M called me to tell me that F was looking for me. When I called F, this was what he told me in a very worried voice, “LP 啊，你帮我打个电话问一问医生，我从昨天晚上到现在，很想小便，可是去了厕所好几趟，都小不出来。为什么会这样？”
I was quite shocked to hear this 'new problem', and told him, “现在诊所已经关了。医生傍晚才会回来。你现在还有没有发烧？肚子还痛骂？”
F said, “烧已经退了。肚子只有一点点痛，没什么。只是小便小不出来，肚子有点胀胀的感觉，很辛苦。医生不在，那好啦。不要紧啦。”
I felt so helpless when F hung up the phone on that note. I mean, what could I do? What should I do? Should I return home immediately to check on him? My head began to feel a little light again, like the day before.
And also like the day before, I couldn't do any real work after that. My heart just went heavier and heavier thinking how F was coping alone at home. And I kept wondering if his fever had been 'artificially suppressed' only because of the fever medicine prescribed by the GP. What if the GP's suspicion about the gall-bladder problem came true? And if jaundice really set in? How? What was I to do??
It was really very disturbing and confusing with all these "how's" and "what if's" going over and over again in my mind. It didn't help that there was no one with whom I could share this load.
Finally, at about 5pm, I called F, “F，怎么样了？有好一些吗？”
F said, “尿还是小不出啊！我站了半小时，还是放不出来！！”
I asked, “你有喝水吗？”
“哎呀，我喝了好多水，可是，怎么小都小不出！我站半个小时，尿还是没出来，我能怎么办？！”F replied in a rather exasperated voice.
But because the GP's clinic would be open only at 6pm, I told him that unless he wanted me to accompany him to the A&E, there was nothing that I could do except wait till 6pm when the clinic opened, then we would be able to check with the GP.
F said, “哎呀，那没关系啦。不要紧啦，不要紧啦。” Then he abruptly hung up the phone.
After about 5 minutes, an idea suddenly struck me. I called F again.
“F， 你现在去准备冲个凉。然后，把你所有正在吃的药准备好，放在一个袋子。医生的诊所六点开门，你把药带去那里。我在那里跟你会合，我下班后，竟快赶到。如果医生建议我们到紧急部门去，我们直接从那里出发。”
Although F was at first reluctant (especially when I mentioned A&E), he agreed to the plan.
And so, once the clock struck 5:30pm (my official knock-off time on Fridays), I dashed off and in under 15 minutes, I was on the MRT train. By 6:10pm, I had arrived at the clinic. After waiting about 10 minutes, F came on foot (he said he couldn't get a cab during the peak hour then).
We saw the GP and told her F's problem. In summary, the GP's advice was this:
a) amongst F's medicines, there were possibly 2 medicines which sometimes could cause the patient to have a urine retention problem - the antihistamines prescribed by TTSH for sensitive nose and the tablets prescribed by the GP for the stomach pain;
b) given that F no longer had stomach ache, he could stop taking the stomach pain tablets. For the next 2 days, F should also stop taking the antihistamines. The effect of these medicines would generally ease off in about 6 hours or so;
c) based on F's confirmation that he had last taken the stomach pain tablets at 4:30pm, the urine retention problem should therefore ease off by about 11pm and so, if F was able to 'hold it' till that time, then the bladder should 'automatically' empty itself;
d) if, however, the discomfort of a full bladder was unbearable, then F could consider the catheter treatment to relieve the discomfort. Basically, this involved the doctor inserting a tube into the urinary tract to drain off the urine. For this, a trip to the A&E would be necessary.
Not unexpectedly, F opted to 'wait it out'. Contrary to what he had told me earlier, he said that the discomfort was bearable. He insisted that there was no need to go to A&E.
We walked home, therefore, after getting a loaf of bread and a 1.5L of 100-Plus from the Econ Minimart next door.
On the way, F told me how his eyes have become quite sensitive to glares these days. The NSC doctor had suggested that he puts on sunglasses if he needs to go out during the day (he goes to buy his lunch). But since several days ago, he had stopped using his pair of sunglasses after the lenses cracked when he accidentally dropped them on the floor. His eyes get tired easily too, when he watches TV without the sunglasses, he has cut down on his TV time. F jokingly commented that perhaps because of this, the electricity bill for the past month had actually declined!
Then he also told me that ever since he started his L treatment, his hearing has deteriorated in his right ear (the 'problematic near-deaf' ear). I told him that he should then highlight this to the NSC doctor so that the problem could be sorted out early. Waving his hand and shaking his head, F said that it was no use because all that the doctor would do would be to refer him to yet another specialist. “看一个又一个的医生，吃他们一个又一个配的药，那么多，吃到我都怕了！没有用啦。” He went on to say that his plan was that after he had completed the L treatment, he would then consult the doctor (I think he meant the GP) for his hearing problem.
I also asked him if he would now like to get hearing aid. He said no, he still had the money that HA gave him for it, but he would use it to fix the hearing aid later if this was needed. F also said that given M's incessant 'scolding' each time she saw him nowadays, it was better that he does not get any hearing aid first. Sigh.
As we reached our block, F told me that he planned to retake the test for his vocational licence. I was quite shocked and told him to forget about driving the cab again even after he recovers. But he said, “没有事情做，很辛苦，时间很难过。等我好了，我可以再去驾一驾，时间比较容易打发。”
I didn't want to argue with him, so I said nothing more, lor. Then after helping him to adjust the brightness of the TV that BK had bought for him, I left for home. WY had to go for his piano lesson that evening.
**************************
At about 8am the next morning, I called F to see if everything was alright. He said that since he had neither water nor food the night before (after our visit to the GP), he didn't make any trip to the toilet at all till 4:30am. Whilst at the 'big business', the bladder also emptied itself. So, he felt better already.
With that assurance, I proceeded with my own Saturday schedule of lessons for WY and WF. R had to go to work that morning.
Then, at about 12 noon, F called me. “LP 啊！我今天早上到现在，没什么能小便。只是一点点，现在肚子又有些胀胀的感觉，很不舒服。你帮我打个电话给医生，看看为什么我已经没吃那两种药了，还是不能顺畅的小便。整个早上，只是一点一点。”
This time, it was me who felt exasperated. I suggested to F to call the GP directly and asked for her advice first. Then if he needed to go to the A&E, I could bring him later in the afternoon. There was no way that I could leave WY and WF (who would be dismissed in about 45 minutes' time) in the school then and go home immediately to bring him to the doctor. R was at work in his office.
After about 20 minutes, I called the GP and spoke to her. She told me that F had just called her minutes ago and told her that despite having stopped taking the 2 medicines that had been highlighted by the GP, there was still quite a bit of discomfort because the bladder still could not be completely emptied. The GP said that this probably suggested that there were some other underlying conditions which were causing the urine retention problem. 2 common possibilities would be: 1) urinary tract infection and 2) enlarged prostate.
She suggested that to help relieve F's discomfort, he should go to the A&E to receive the catheter treatment. The GP explained that the doctor at A&E would then put F on oral antibiotics (since the insertion of the catheter would predispose F to infection) and also refer him to the urinology specialists for a proper assessment subsequently.
So, it became clear that a trip to the A&E would be inevitable afterall.
After picking WY and WF up, we all grabbed a quick bite and proceeded to the studio which we had booked at the music school where WY is scheduled to take his piano exam in about 2 weeks' time. WY spent the next hour practising on the 'exam' piano there whilst WF and I waited for him. (Credit must be given to WF's patience in waiting that one whole hour without 'disturbing' WY.)
When WY was done with the practice, we met up with R. Then we drove to Kallang to buy the herbs that M needed in order to make some soup for WY (and WF). After R's lunch at the food court there, we all went home.
The boys had their showers and finished the work which I had assigned them. CP had something to attend to that day and so could not give WY his Saturday tuition. The plan then was that R would bring M and the boys to YP's place for dinner (the arrangement had already been confirmed the week earlier) whilst I would bring F to the A&E before joining them again.
And so, I left R and M to deal with WY and WF. They only had to make sure that they remembered to bring my fresh clothes with them so that when I joined them at YP's place later in the evening, I would be able to take a shower there.
******************
F and I took a taxi to the A&E. After a brief and superficial Triage screening, we were ushered to the 'Fever Zone'. Almost all the 20+ seats were taken up at the waiting area. F, who had already put on the face mask which the staff had handed to him, also urged me to grab a mask for myself. I did so.
After a while, a young doctor came and I went through the story of what F's problem was, what medication he was taking etc (showed him the box of medicine which I had asked F to bring along). And then, they proceeded with the catheter treatment.
From then on, it was a long and frustrating wait for me. I shuttled between the open doorway (furthest from the 'Fever Zone' and with the only access to 'fresh' air), the enclosed waiting area (with patients waiting to be seen by the doctors or to be admitted to their wards, several coughing away) and the 'Fever Zone' (where F was lying on a bed and being attended to). I was concerned that F might need me to translate something to the doctor/nurses or might need my help to get the nurses (who kept walking around all the time) etc.
Each time I peered in at F and saw him lying down on the bed with the bag of urine being drained off into hanging by the side of the bed, I felt very sad. No words can describe my feelings then.
I remember that when F had his heart attack some years back, it was also me (and R) who had brought him to the A&E. At that time, there wasn't much of this sadness although the sudden-ness of the situation then was a bit shocking. I felt mainly fear and anxiety then. Not sadness, like now.
F's urine looked a rather shocking and weird shade of brown/red. I was at first shocked to see the colour of the urine but F gestured to me and muttered to me that he had taken a particular type of medicine prescribed by the NSC doctor. This medicine was to be taken only once a month and it was expected to colour the urine and stools. F asked me to explain this to the doctor, which I did.
The A&E doctor said the colour was ok, but as a sort of SOP, they would do some blood tests and urine tests for F anyway. I think they were trying to see if they could rule out any urinary tract infection etc.
Whatever the doctor said to me, I had to go near to F to translate it to him. That way, I think he felt more assured.
After a long and tiring wait standing around (I had avoided sitting at any of the seats and leaning against any part of the walls/handrails), the clock finally struck 8pm. I began to feel a little impatient and very uncomfortable in that odd-smelling face mask. I sent several sms to R to try to pass time. Through sms, YP also asked if I would prefer her to go and join me at the A&E. I told her there was no need.
Eventually, as the doctor signed off the discharge form and the prescription etc, he explained that the catheter would have to stay inside F till his appointment with the urologist in about a week's time. This was because the bladder's muscles would usually need time to 'get back to work' and if the catheter was removed immediately, chances were that the urine retention would recur almost immediately the very next day. The urine bag (which hangs externally - the A&E does not carry the urine bags whose design allows it to be secured inside the clothes) attached to the catheter will therefore act as F's 'temporary bladder' in the meantime.
The doctor went on to explain that the urologist would be the one to remove the catheter and assess F's condition. And as explained earlier by the GP, the doctor prescribed some antibiotics for F (I requested the doctor to specifically check through F's box of medicines to ensure that there was no other antibiotics or other medicines which should not be taken together with the one he was precribing).
After that, the nurse motioned to me. She said, "I will teach you how to drain off the urine and clean the bag." I was shocked into silence momentarily. "Erm, I think you have to show my F. I don't stay with him, so he will need to do this by himself. It's more important that you show him how to deal with the bag etc," I explained with mixed feelings of shock and embarrasment. 'Shock' because I hadn't expected the nurse to assume that I would be helping F to drain off the urine etc. 'Embarrassment' because the nurse was not wrong to assume that F's daughter should be around to care for and help him etc.
Anyway, the soft-spoken lady proceeded to demonstrate to F how the catch on the tap could be released to drain off the urine and then how it should be locked again. At each of these steps, the relevant part of the tap had to be cleaned with either alcohol swaps or warm water. (I told F that I would get alcohol swaps for him since then he wouldn't need to worry about boiling water for this purpose.)
As I stood by F's side watching the whole process, I suddenly wanted to cry. My eyes reddened and I could feel tears welling up. I quickly looked away because I didn't want F to see me this way. F appeared very positive about the bag (like a little child watching earnestly his teacher show him how to work a special apparatus during class) although he did complain that the catheter inside him was causing him some pain. The nurse reassured him that some pain would be expected since he was 'new' to this. I felt even sadder on hearing this.
After the nurse was done with the 'lesson', I settled payment and collected the medicines for F. F said he felt much better now that the bladder was no longer full. In fact, he no longer felt the giddy-ness or nausea he had when we first arrived at the A&E. I helped F to scribble on the medication packaging the pharmacist's instructions on how and when to take the medicines etc, in Chinese.
I asked F if he was ok to go home himself as I was planning to join R and the rest at YP's place. He said yes, he would be alright. After seeing him off in the taxi that came along, I hopped onto another to proceed to YP's place. On the way, I tried not to think further if I should have gone home with F instead.
When I arrived at YP's place some 30 minutes later, I took a good shower and then had the dinner which YP had kept for me. Then I updated M and YP on F's condition.
All the boys were happily engaged with the TV, XBox and the computer. The post-dinner Saturday evening is always their 'Happy Hours'. WY and WF always look forward to this.
We went home only at 10:30pm after the Channel 8 News was over. By the time we reached home and got to bed, I was so exhausted I couldn't do anything but sleep.
************************
On Sunday morning, F said he was alright when I called him in the morning. I reminded him to take the medicines prescribed by the A&E doctor and to avoid dairy products because that would contradict the antibiotics. Then I also reminded him about cleaning the tap with the alcohol swaps etc.
“知道了啦。我懂得消毒啦。我会记得把手消毒好啦。” F said.
I was a little shocked to hear this - what sanitize the hands with the swaps?! The swaps are for the tap!! So I reminded him on how to do the cleaning as shown by the nurse. “护士是叫你把那个袋子的开关消毒，不是叫你用消毒巾擦手！你用了开关，把开关擦好了，再到洗脸盆，用水龙头的水洗手！手，不需要用消毒巾消毒，可是要洗得干净！要记得啊！”
F replied rather impatiently, “好啦好啦。我知道了啦。”
Sigh. That day, when R and I brought to F his lunch and dinner respectively, he looked alright. Not so weak-looking anymore although still rather tired.
*************************
M voluntarily offered to buy lunch for F on Tuesday after getting to know that F had gone out on Monday to get lunch for himself, with the catheter inside him and the bag hanging by the pocket of his bermudas! F appreciated that, and when I asked him this morning whether he prefers M to get for him rice or porridge, F said the lunch M had bought for him was good.
So, I conveyed this 'feedback' to M, who will buy lunch for F today, too. F had said that he prefers rice to porridge. (I think this is indication that he is feeling much better now - on Sunday, he had asked for porridge.)
F's appointment with the urologist is this Thursday morning. I will be on course that day, so cannot accompany him there. Instead, R will run out of his office to meet up with F at the Urology Centre at about the appointed time. Hopefully, the session will end before noon, because R will need to run back to his office for an important meeting from noon onwards.
I really hope that everything will be ok and the catheter need not be depended on from Thursday onwards. I pray that this Wrong will be Righted soon.
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