Monday, August 31, 2015

Low Potassium Diet

By Nutrition & Dietetics Department, Khoo Teck Puat Hospital


Paleo food pyramid
PHOTO: Paleo food pyramid
Source: Singapore Health Promotion Board
http://2.bp.blogspot.com/-deb1FSD2qjc/VeQuVOO1pAI/AAAAAAAAhJ4/QCoqeg0tnHY/s1600/healthy-diet-pyramid.jpg
http://paleorina.com/wp-content/uploads/2013/06/healthy-diet-pyramid.jpg?w=500
http://paleorina.com/paleo-food-pyramid/



What is Potassium?

  • An important mineral that mainly regulates normal function of our muscles (including heart) and nerves.
  • Found in many foods such as fruits, vegetables, wholegrains, milk and diary.
  • Blood potassium level is regulated by your kidney through urine and maintained at the range of 3.5 to 5.1 mmol/L.
 
Function of our Heart
PHOTO: Function of our Heart
Posted by Portal Zdrowia Seksualnego on 01 August 2014
http://2.bp.blogspot.com/-mEgy1hGoUg4/VeQy6VX8SSI/AAAAAAAAhKQ/CGIwpp02K7M/s1600/Depositphotos_3274771_m.jpg
http://portalzdrowiaseksualnego.pl/wp-content/uploads/2014/05/Depositphotos_3274771_m.jpg
http://portalzdrowiaseksualnego.pl/czterdziesci/zawal-serca-seks-emocje/

 
Hyperkalaemia (High potassium in the blood)

  • May happen to people with chronic kidney disease and those on certain medications for blood pressure.
  • It will interfere with our muscle functions, including heart muscles which may lead to irregular heart beat.
  • Under the direction of the clinician, limit the amount of potassium in the diet to keep the potassium level close to normal.

How diet may help you maintain your blood potassium level within the normal range?
Tip #1: Eat a healthy balanced diet with limited intake of high potassium foods and drinks.
Tip #2: Enjoy 2 serves each of fruits and vegetables. Watch your portion sizes because excessive intake of fruits may lead to high potassium level in e.g. fruit/vegetables juices.
Tip #3: Potassium is easily leeched out into the water. To do this, try,
1. Cut your vegetables into smaller pieces, then
2. (a) Soak in water for at least 2 hours → drain away water before cooking → boil in plenty of water for 10 to 15 minutes (OR)
(b) Boil in plenty of water for 10 to 15 minutes → drain away water after cooking → repeat the boiling again
Remember do not use the same water to make soup or gravy
Tip #4: Do not use potassium-rich salt e.g. PanSalt and Losalt. Use more herbs and spices to enhance the flavours of your foods.

Fruit Potassium per serving
PHOTO: Fruit Potassium per serving
Source: Nutrition & Dietetics Department, Khoo Teck Puat Hospital
http://2.bp.blogspot.com/-gCdG1F8JGts/VeQuTmlzsoI/AAAAAAAAhJY/YgWPPV7u1xc/s1600/Fruit%2Bpotassium%2Bper%2Bserve.jpg



Vegetable Potassium per serving
PHOTO: Vegetable Potassium per serving
Source: Nutrition & Dietetics Department, Khoo Teck Puat Hospital
http://3.bp.blogspot.com/-aehJTqed2Ss/VeQuUml89xI/AAAAAAAAhJs/jnk7n8T2WGc/s1600/Vegetable%2Bpotassium%2Bper%2Bserve.jpg



Beverage and others Potassium per serving
PHOTO: Beverage and others Potassium per serving
Source: Nutrition & Dietetics Department, Khoo Teck Puat Hospital
http://4.bp.blogspot.com/-04Vpv1ktBg0/VeQuTvtTK-I/AAAAAAAAhJc/1-63xvgIRxI/s1600/Beverage%2Band%2Bothers%2Bpotassium%2Bper%2Bserve.jpg



Simple Ways to Reduce Salt intake in Your Diet - Tips 1&2.jpg
PHOTO: Simple Ways to Reduce Salt intake in Your Diet - Tips 1&2.jpg
Source: Nutrition & Dietetics Department, Khoo Teck Puat Hospital
http://2.bp.blogspot.com/-XzMQrvsAxsI/VeQuUbS17nI/AAAAAAAAhJk/f-rNCWOwJvQ/s1600/Simple%2Bways%2Bto%2Breduce%2Bsalt%2Bintake%2Bin%2Byour%2Bdiet%2B-%2BTips%2B1%25262.jpg



Simple Ways to Reduce Salt intake in Your Diet - Tips 3-6 jpg
PHOTO: Simple Ways to Reduce Salt intake in Your Diet - Tips 3-6 jpg
Source: Nutrition & Dietetics Department, Khoo Teck Puat Hospital
http://4.bp.blogspot.com/--bsXX4fBX-Y/VeQuUaFN8mI/AAAAAAAAhJw/E-zb9ybyowE/s1600/Simple%2Bways%2Bto%2Breduce%2Bsalt%2Bintake%2Bin%2Byour%2Bdiet%2B-%2BTips%2B3-6.jpg


By Nutrition & Dietetics Department, Khoo Teck Puat Hospital


Rev WN, GT, PW / 1111
This information is for educational purpose only. This is not intended for use in the diagnosis or treatment of any health condition without consulting a qualified healthcare professional. Khoo Teck Puat Hospital shall not be responsible for any injury nor damage caused to any individual as a result of using this information, directly or indirectly. You should seek the advice of your healthcare professionals in relation to queries pertaining to any health condition. Please contact Khoo Teck Puat Hospital at (65) 6555 8828 if you wish to make an appointment to consult with our dietitians or pharmacists. You may download and print this information for your personal use only. You may not reproduce, distribute, modify, transmit, post, or otherwise use this content for public or commercial purposes without prior written permission from the Nutrition & Dietetics Department Khoo Teck Puat Hospital. All rights reserved. © Nutrition & Dietetics Department




Reference

Saturday, August 29, 2015

Socialite Jamie Chua 'hires' Leticia Bongnino to take photos for her

Source Website: http://news.asiaone.com/news/mailbox/socialite-jamie-chua-hires-leticia-bongnino-take-photos-her
By AsiaOne forums, Friday, 28 August 2015


Leticia has a new job taking pics for her M'am to post on her Instagram.

PHOTO: Leticia has a new job taking pics for her M'am to post on her Instagram.
Photo: Internet screengrab / Facebook @Michelle Chong
http://4.bp.blogspot.com/-X1vwNUmpa1Y/VeFgyEkP_5I/AAAAAAAAhIc/KiFA-udc0sY/s1600/20150828_JamieChuaLeticia_is.jpg
http://news.asiaone.com/sites/default/files/styles/w848/public/original_images/Aug2015/20150828_JamieChuaLeticia_is.jpg?itok=ZKyXisna
http://news.asiaone.com/news/mailbox/socialite-jamie-chua-hires-leticia-bongnino-take-photos-her

 

From jameslee58, Hall Of Famer
"TV show the noose, Leticia Bongnino is babarella Michele Chong.

Jamie Chua is lonely and her life is empty... We are lovers, her name is Jamie and I am James , we are 天生一对 (Tiān shēng yī duì, lover matched by heaven). She need a young good looking man like me, who knows martial art to protect her, and to fill her void. We going honeymoon at Bali in 2 wks time."

Who is Jamie Chua?
Jamie Chua, 40 [1]
The socialite, entrepreneur and Instagram celebrity recently launched her own line of skincare products. Called Luminous1 By Jamie Chua, the range is made to give skin hydration and radiance.

Ms Chua is a mother of two and former air stewardess. She is also the co-founder of Closet Raider, a pre-owned luxury goods retail platform.
This article was first published on June 12, 2015.
Get a copy of Urban, The Straits Times or go to straitstimes.com for more stories.

By AsiaOne forums, Friday, 28 August 2015



Jamie Chua, socialite, entrepreneur and Instagram celebrity
PHOTO: Jamie Chua, socialite, entrepreneur and Instagram celebrity
Posted by Gladys Chung on 12 June 2015
PHOTO: Ms Jamie Chua is a mother of two and former air stewardess. She is also the co-founder of Closet Raider, a pre-owned luxury goods retail platform.
Posted by Gladys Chung on 12 June 2015
http://4.bp.blogspot.com/-sE5z5WjmT3I/VeFgyKv21JI/AAAAAAAAhIU/L5cQl4acxOA/s1600/21_2.jpg
http://images.lollipop.sg/files/article/images/gallery/2015/06/21_2.jpg
http://www.lollipop.sg/content/40-year-old-instagram-celebrity-jamie-chua-reveals-her-secrets-looking-fabulous


 
Last time I make breakfast. Now I take pictures.
PHOTO: "Last time I make breakfast. Now I take pictures." Leticia has a new job taking pics for her M'am to post on her Instagram. (Thanks Jamie Chua for being so game!)
Photo: Internet screengrab / Facebook @Michelle Chong
http://4.bp.blogspot.com/-X1vwNUmpa1Y/VeFgyEkP_5I/AAAAAAAAhIc/KiFA-udc0sY/s1600/20150828_JamieChuaLeticia_is.jpg 
http://news.asiaone.com/sites/default/files/styles/w848/public/original_images/Aug2015/20150828_JamieChuaLeticia_is.jpg?itok=ZKyXisna
http://news.asiaone.com/news/mailbox/socialite-jamie-chua-hires-leticia-bongnino-take-photos-her



She was the one who made Barberella, Leticia and Lulu household names among Singaporeans by portraying them on the spoof news programme comedy The Noose’ but it seems Michelle Chong will no longer be able to reprise those roles. . . . .
PHOTO: She was the one who made Barberella, Leticia and Lulu household names among Singaporeans by portraying them on the spoof news programme comedy The Noose’ but it seems Michelle Chong will no longer be able to reprise those roles. . . . .
Posted by Herbert Rafael on 17 June 2013
http://1.bp.blogspot.com/-Spkp2bNYRP4/VeFuC6ZFyBI/AAAAAAAAhI8/bRQvvzPHqrI/s1600/WTFSG-michelle-chong-the-noose-2-600x400-1.jpg
http://wardrobetrendsfashion.com/wp-content/uploads/2013/06/WTFSG-michelle-chong-the-noose-2-600x400.jpg
http://wardrobetrendsfashion.com/michelle-chong-barred-from-portraying-the-noose-characters/jeromelisamodel192211may2000/



Michele Chong the one who made Barberella, Leticia and Lulu

Michele Chong the one who made Barberella, Leticia and Lulu
PHOTO: Michele Chong the one who made Barberella, Leticia and Lulu
Posted by Gossip Monger, Celebrity News, Trends on 15 June 2013
http://2.bp.blogspot.com/-uliJz04k5EQ/VeFuC5YYEfI/AAAAAAAAhI0/rQYKtifl24E/s1600/WTFSG-michelle-chong-the-noose-11.jpg

http://1.bp.blogspot.com/-r87qFM70tJU/VeFuCwUsqUI/AAAAAAAAhI4/1F6WJjaZ0G8/s1600/1838678.jpg
http://wardrobetrendsfashion.com/wp-content/uploads/2013/06/WTFSG-michelle-chong-the-noose-1.jpg
http://wardrobetrendsfashion.com/michelle-chong-barred-from-portraying-the-noose-characters/
 


Reference

[1] 40-year-old Instagram celebrity Jamie Chua reveals her secrets for looking fabulous, posted by Gladys Chung on 12 June 2015, Urban, The Straits Times on 12 June 2015, http://www.lollipop.sg/content/40-year-old-instagram-celebrity-jamie-chua-reveals-her-secrets-looking-fabulous.

Tuesday, August 25, 2015

Johor getai singers flocking to Singapore

Source Website: http://news.asiaone.com/news/singapore/johor-getai-singers-flocking-singapore
By Yip Wai Yee, The Straits Times, Monday, 24 August 2015


Johor getai singers flocking to Singapore
Sun Cola (Yang Guang Ke Le), 18PHOTO: Johor getai singers flocking to Singapore
Malaysian acts, such as Sun Cola (Yang Guang Ke Le), 18, are known to jazz up their shows with dazzling costumes and slick dance moves.
ST PHOTO: SEAH KWANG PENG, Published on 23 August 2015 at 5:00 am SGT
http://1.bp.blogspot.com/-lk6g0hIxHUk/VdxqntnhXgI/AAAAAAAAhGc/xdKtUqD7ETw/s1600/ST_20150823_LIFJIAYI2_1620991-1.png

http://3.bp.blogspot.com/-g2h5B7S1IuQ/VdxqnvbbxPI/AAAAAAAAhGg/PPS8Iqbn2_E/s1600/ST_20150823_LIFJIAYI2_1620991-11.png
http://www.straitstimes.com/sites/default/files/styles/x_large/public/articles/2015/08/23/ST_20150823_LIFJIAYI2_1620991.jpg?itok=MBp2Uzcw
http://www.straitstimes.com/lifestyle/entertainment/johor-getai-singers-flocking-to-singapore



The Seventh Lunar Month is in full swing, during which it is traditionally believed that the gates of Hell open to let spirits roam the streets. But during this Hungry Ghost season, there is a different kind of hungry visitor from across another border: the Malaysian getai performer.

Malaysian acts have long been familiar sights in local getai, which are concerts believed to appease ghosts so that they do not disturb the living.



Malaysian acts, Fang Fun, 50, with dazzling costumes and slick dance moves
PHOTO: Malaysian acts, Fang Fun, 50, with dazzling costumes and slick dance moves
Malaysian acts have long been familiar sights in local getai. But with the ringgit at a record low against the Singdollar, more Malaysians are crossing the Causeway to take advantage of the stronger Singapore currency.
Photo Source: The Straits Times
http://3.bp.blogspot.com/-bq3tAZP2X4w/VdxqoRBQCsI/AAAAAAAAhGw/eu-GQTLVMCw/s1600/getai_01.jpg
http://news.asiaone.com/sites/default/files/styles/w641/public/original_images/Aug2015/getai_01.jpg?itok=Q2cc0kek
http://news.asiaone.com/news/singapore/johor-getai-singers-flocking-singapore



However, with the ringgit at a record low against the Singapore dollar (about RM2.97 to S$1), more Malaysians are crossing the Causeway to take advantage of the stronger Singapore currency.

The result is a Malaysian invasion, with some Singaporean acts feeling the heat, say getai organisers.



Singaporean sisters Susan (right) and Regina Yeo (left) take on the competition by playing musical instruments during their shows.
PHOTO: Singaporean sisters Susan (right) and Regina Yeo (left) take on the competition by playing musical instruments during their shows.
Photo Source: The Straits Times
http://4.bp.blogspot.com/-wesyp4fQEb0/VdxqojvHoKI/AAAAAAAAhG4/PPGlOMmQXWw/s1600/getai_03.jpg
http://news.asiaone.com/sites/default/files/styles/w641/public/original_images/Aug2015/getai_03.jpg?itok=5WbWLwtt
http://news.asiaone.com/news/singapore/johor-getai-singers-flocking-singapore



Veteran local getai organiser Peter Loh, 64, estimates there is a 30 per cent increase in the number of Malaysians coming here. He is organising 30 concerts across Singapore during the Hungry Ghost season, which runs from Aug 14 to Sept 12 this year.

For him, it makes financial sense to hire Malaysians because they are cheaper and better.



Malaysian performers do whatever they can to make their shows more exciting - from spending more money on costumes to changing their act. Singaporean performers are very sui bian (lackadaisical in Mandarin) in comparison.
PHOTO: Malaysian performers do whatever they can to make their shows more exciting - from spending more money on costumes to changing their act. Singaporean performers are very sui bian (lackadaisical in Mandarin) in comparison.
Photo Source: The Straits Times
http://4.bp.blogspot.com/-RIIebSw1oIo/Vdxqogji2iI/AAAAAAAAhG0/5FBCR_b3c34/s1600/getai_04-1.jpg
http://news.asiaone.com/sites/default/files/styles/w641/public/original_images/Aug2015/getai_04.jpg?itok=xAN06202
http://news.asiaone.com/news/singapore/johor-getai-singers-flocking-singapore



"Malaysian performers do whatever they can to make their shows more exciting - from spending more money on costumes to changing their act," says the man who has been organising getai concerts for more than 40 years.

"Singaporean performers are very sui bian (lackadaisical in Mandarin) in comparison."

In his line-up of performers this year, four out of 10 singers are Malaysians, double last year's number.



In the weeks leading up to the getai season, Peter Loh, 64, received many phone calls and social media messages from aspiring Malaysian singers hoping to be booked for jobs here.
PHOTO: In the weeks leading up to the getai season, Peter Loh, 64, received many phone calls and social media messages from aspiring Malaysian singers hoping to be booked for jobs here.
"If Malaysian getai singers cost me less money but can deliver equally or even more entertaining shows, then why wouldn't I choose to hire them?" Mr Loh says.
Photo Source: The Straits Times
http://3.bp.blogspot.com/-2-vI__sSYyA/VdxqptDT4OI/AAAAAAAAhHI/5r5WaPdUtsI/s1600/getai_05-1.jpg
http://news.asiaone.com/sites/default/files/styles/w641/public/original_images/Aug2015/getai_05.jpg?itok=pB9LC8Zh
http://news.asiaone.com/news/singapore/johor-getai-singers-flocking-singapore



In the weeks leading up to the getai season, he received many phone calls and social media messages from aspiring Malaysian singers hoping to be booked for jobs here.

"I don't even ask them to send me video samples of their work when they call me because Malaysian getai singers are, in general, of a high standard," he says.



On average, a Malaysian getai singer is paid $80 to $100 to sing three songs here. That is more than the RM180 to RM200 (S$60 to S$67) they would make back home to cover six songs.
PHOTO: On average, a Malaysian getai singer is paid $80 to $100 to sing three songs here. That is more than the RM180 to RM200 (S$60 to S$67) they would make back home to cover six songs.
Photo Source: The Straits Times
http://2.bp.blogspot.com/-0l-gPb_qaxw/Vdxqpp4a9AI/AAAAAAAAhHM/DkZotG7ieyU/s1600/getai_06-1.jpg
http://news.asiaone.com/sites/default/files/styles/w641/public/original_images/Aug2015/getai_06.jpg?itok=6q97A_Uq
http://news.asiaone.com/news/singapore/johor-getai-singers-flocking-singapore



To him, it all boils down to what is value for money.

"If Malaysian getai singers cost me less money but can deliver equally or even more entertaining shows, then why wouldn't I choose to hire them?" Mr Loh says. "I am a businessman after all."

That said, the A-listers, regardless of nationality, such as Singapore's Wang Lei, Taiwan's Hao Hao and Malaysia's Li Baoen, are still in demand.



Besides the better money, foreign getai singers also face little red tape from the authorities. They are not required to apply for a work pass to work here while on their social visit pass, which is subject to a maximum period of 60 days. Rising Malaysian getai singer- dancer Sun Cola, 18, for example, leaves her house in Johor Baru by 4pm to get to a 7.30pm show in Singapore.
PHOTO: Besides the better money, foreign getai singers also face little red tape from the authorities. They are not required to apply for a work pass to work here while on their social visit pass, which is subject to a maximum period of 60 days. Rising Malaysian getai singer- dancer Sun Cola, 18, for example, leaves her house in Johor Baru by 4pm to get to a 7.30pm show in Singapore.
Photo Source: The Straits Times
http://4.bp.blogspot.com/-CYP2YFhWc_I/VdxqpzAIwfI/AAAAAAAAhHQ/HuqAcVDfkE0/s1600/getai_10.jpg
http://news.asiaone.com/sites/default/files/styles/w641/public/original_images/Aug2015/getai_10.jpg?itok=tiZ6b9cu
http://news.asiaone.com/news/singapore/johor-getai-singers-flocking-singapore



This is how the business works: A client, say a wet market association or a clan association, pays a lump sum to a getai organiser to put on a show.

A show typically costs anything from $4,000 to $16,000 and the money is used to cover everything from the performers' fees to stage, lighting and music equipment set-ups. The organisers then take a cut of whatever funds are left.


By Yip Wai Yee, The Straits Times, Monday, 24 August 2015



 Malaysia's Sun Cola has boosted her act this year by incorporating complex aerial hoop dances, on top of her signature belly dancing routines.
PHOTO: Singaporeans tend to be more conservative - maybe because they are on home ground, so they are afraid that they would be seen and judged by their friends or family.
Photo Source: The Straits Times
http://3.bp.blogspot.com/-8U2nSlGx5CM/Vdxqq2CbbcI/AAAAAAAAhHg/K5m6Xky2aTE/s1600/getai_13.jpg
http://news.asiaone.com/sites/default/files/styles/w641/public/original_images/Aug2015/getai_13.jpg?itok=h6qE_182
http://news.asiaone.com/news/singapore/johor-getai-singers-flocking-singapore



The gates of Hell open to let Vampire roam the streets
PHOTO: The gates of Hell open to let Vampire roam the streets
But during this Hungry Ghost season, there is a different kind of hungry visitor from across another border: the Malaysian getai performer.
Submitted by SweetMaria on 24 August 2012
http://4.bp.blogspot.com/-I2Z110vjbYA/Vdxqnurxr4I/AAAAAAAAhGk/Pb0Ftf311lQ/s1600/31065-vampire-vampire.jpg
http://stuffpoint.com/vampire/image/31065-vampire-vampire.jpg
http://stuffpoint.com/vampire/image/31065/vampire-picture/



Sun Cola (Yang Guang Ke Le), 18
Sun Cola (Yang Guang Ke Le), 18
PHOTO: Sun Cola (Yang Guang Ke Le), 18
In his line-up of performers this year, four out of 10 singers are Malaysians, double last year's number. 



Reference

Sunday, August 23, 2015

The unbearable weight of dying

Source Website: http://news.asiaone.com/news/yourhealth/unbearable-weight-dying
By Tan Yew Seng, stopinion@sph.com.sg, The Straits Times, Sunday, 23 August 2015


Some people facing death want to fight it at all costs.
PHOTO: Some people facing death want to fight it at all costs.
Some want to choose the time and manner of their exit. There is a third way that allows the dying space to die - with kindness.
Photo: Shutterstock
http://4.bp.blogspot.com/-JviLzXDrz_M/VdlPHl_zgxI/AAAAAAAAhFc/0jS9c-h12R4/s1600/Deadbodycrime_SS.jpg
http://news.asiaone.com/sites/default/files/styles/w848/public/original_images/Jul2015/Deadbodycrime_SS.jpg?itok=iiuorTSY
http://news.asiaone.com/news/yourhealth/unbearable-weight-dying



Some people facing death want to fight it at all costs.

Some want to choose the time and manner of their exit. There is a third way that allows the dying space to die - with kindness.

The conversation with N began tentatively. A congenial man in his 70s, he was recently diagnosed with inoperable pancreatic cancer and was receiving radiotherapy.

By then, he was wasted and could hardly eat, hence his admission to the community hospital. Quite feebly, he told me what had happened to him - he was dying. Struck by his calmness and candour (
openness), I asked for the source of his fortitude (courage in pain).

He seemed amused but nevertheless obliged: "My children have grown up… nothing to worry now… it doesn't matter."

A tear descended. That was it; there was no need for a complicated explanation. When asked what would be important for him, he inquired if the end would be painful and whether he could go home soon.



There was no need for a complicated explanation
PHOTO: There was no need for a complicated explanation
Just inquire if the end would be painful and whether we could go home soon.
Picture by Randy Gallegos, Every Day Original, randygallegos_thistwilightgarden. Category: Paintings.
http://1.bp.blogspot.com/-tTXD6QtpaUM/VdlPJFKdviI/AAAAAAAAhGE/fCcwAt1i1Vg/s1600/this_twilight_garden.jpg
http://www.everydayoriginal.com/wp-content/uploads/2015/02/this_twilight_garden.jpg
http://www.everydayoriginal.com/wp-content/uploads/2015/02/this_twilight_garden-800x800.jpg



N's response to his own dying was neither unique nor uncommon. Unencumbered by the frenzied commotion that often surrounds dying, many can face death in a simple and profound way.

But how we have been deeply touched by the experience of dying determines our stance on dying.

From the impassioned discourse in the recent press and televised ads, we may discern three key positions shaping opinions on dying. Three approaches to dying

MAINTAIN LIFE AS MUCH AS POSSIBLE
The first position is to do as much as possible to maintain life. The sanctity of life is usually invoked by its proponents, and many also cite anecdotes of how "not giving up" had paid off. Doctors have traditionally

counted significantly among its supporters, as upholding life is a key professional ethic in the medical profession.

EUTHANASIA
The second position maintains that one should have the option to end the suffering of dying by such means as euthanasia or physician-assisted suicide.

It asserts the principle of autonomy and right to self-determination and believes that nothing can address the suffering, meaninglessness and loss of dignity during dying.

By permitting the natural dying process, hospice care is similarly perceived as not alleviating the purposelessness of dying.

HOSPICE CARE
Then we come to the third position described by some writers - hospice and palliative care. 
Denying death At first glance, the first two positions - maintaining life for as long as possible or choosing euthanasia - seem like opposites. But from another angle, both represent attempts to avert the experience of dying, either by trying to postpone dying, or avoiding dying by ending life.

But some may ask: "So what's wrong with that? Aren't the pursuit of happiness and the avoidance of suffering normal?"

While this contention sounds valid, one wonders if either of these positions actually results in more happiness and less suffering.

Maintaining life is obviously not wrong, but knowing when to stop can be tricky. At some point, the burden of interventions required to maintain a failing system just doesn't translate to the meaningful life that is desired.

To some, this simply amounts to prolonging death.

Moreover, stories are aplenty of families depleting their savings, taking loans, selling homes and subverting entire ways of life to seek the elusive cure. Ironically, so much of life is used to fend off dying that little is left to live with.

And when the inevitable happens, some may feel "they have tried their best", but others are left with regrets of a failure position - "if only we had more money "; "if only she was strong enough for another round of treatment"; "if only we had more time..."

There is always one more thing that could be done and no shortage of people who can suggest something else.

And how would we face ageing with the prospect of liabilities to us and our families? And how would this change caregiving?

Likewise, the seemingly private decision to end one's own life is also not exempt from significant consequences. In the aftermath, some caregivers may still feel responsible.

Would people who had grown old, infirm, or disabled be obliged to request death because this is now a socially sanctioned way to save yourself and your loved ones from disaster?

And what should we say about the suffering of those with mental disabilities or dementia who could not decide for themselves? More pertinently, to live in a society that believes that the only way the old and sick can find relief is to end their lives is singularly tragic.

Why dying is so painful
But why is the dying experience so unbearable?

First, the aspect that most people dread is the suffering of symptoms from the terminal disease. Second, many struggle over the suffering of the changing "self". This often involves physical function, roles, meaning or identity which we hold as uninfringeable.

For example, if we hold ourselves as that strong, independent and in-control character who rules the office or the house, then finding ourselves needing and relying on others may lead to shame, outrage and meaninglessness.

It is incredible how hard people can be on themselves for not being able to eat more, walk, work, and get well, even as they lie dying.

The third area of suffering is that of separation from others. An immensely painful aspect is the separation from loved ones. Another more sinister aspect is the alienation and isolation that comes with dying.

By considering the healthcare institution as the proper place for dying, we have inadvertently "medicalised" dying.



By considering the healthcare institution as the proper place for dying, we have inadvertently 'medicalised' dying.
PHOTO: By considering the healthcare institution as the proper place for dying, we have inadvertently "medicalised" dying.
Picture posted by Stephanie Jaya on 02 June 2014
http://3.bp.blogspot.com/-8rqgsUBtsRw/VdlPGkoVWDI/AAAAAAAAhFE/RLwfsc7rD20/s1600/2-2106.jpg
http://chlealiving.com/wp-content/uploads/2-2106.jpg
http://chlealiving.com/health-well-being/drugs-to-take-or-not-to-take/



Dying has become a meaningless disease which must be eradicated or conquered. Moreover, we have lost our familiarity with dying and the care of the dying, which only accentuates our fears and helplessness.

It is perhaps not so coincidental that the first two positions to dying discussed are essentially medical solutions.

The hospice promise
What of the third - hospice and palliative care? Is this really the panacea?

That depends. The hospice and palliative care movement had wanted to address the holistic needs of the dying,

and it notably made remarkable advancements in addressing the distressing symptoms of dying.

But the pioneers in the field had long warned against the dangers of medicalising death and the "routinisation" of palliative care.

Following the earlier discussion, if it becomes another medical approach that prescribes a certain way for people to die with a routine cocktail of medications, then it will sorely miss the point, whether the interventions are "evidence based" or not. It will be yet another attempt to compulsively fix dying out of our fears and bias.

But what hospice and palliative care have been able to demonstrate is how not pushing away dying and giving it a legitimate space have been beneficial.

Such a space is needed for the dying person and those around to hold their suffering just a little longer, so that they may find a way to live on.

But to even contain such deep suffering without any reactivity, what is required are a kind regard for all stances, and the willingness to hold suffering.

Clearly, such kindness and compassion must not be construed in lofty or sentimental ways, but as real acts which may neither feel good nor convenient.

It is, therefore, something that needs to be consciously cultivated and nurtured.

But we may start with two intentions:
Be kind and compassionate to the self. The experience of dying is difficult enough.



Get rid of all bitterness, rage and anger, brawling and slander, along with every form of malice.  Be kind and compassionate to one another, forgiving each other, just as in Christ God forgave you (Ephesians 4:31-32).
PHOTO: Get rid of all bitterness, rage and anger, brawling and slander, along with every form of malice.  Be kind and compassionate to one another, forgiving each other, just as in Christ God forgave you (Ephesians 4:31-32).
Posted by Pastor Mike on 11 November 2013
http://4.bp.blogspot.com/-xqtUdNvM6Tc/VdlPHg13hsI/AAAAAAAAhFY/TZ_qcKVxgbo/s1600/dumpster-2.jpg
https://pastormikesellers.files.wordpress.com/2013/11/dumpster-2.jpg
https://pastormikesellers.wordpress.com/2013/11/11/can-you-shoulder-the-burden-of-forgiveness/



There is no need to judge ourselves harshly for what we could not do, had not done, did not achieve, or will not be able to do, as a dying person, as a caregiver and as a medical professional.

Anyway, what exactly do we need to cling on to and not let go when death approaches? Like N, we can keep things simple by sticking with the essential things.

Be kind and compassionate to others. What goes around comes around. To imagine that we can go solo in the path of life and dying is unrealistic and indeed painful.

Knowing that we will also die one day, we can start to do for others what we would like ourselves to experience.

We need a community to create the spaces that will contain the suffering of the aged, infirm and dying without marginalisation or estrangement.



Hong Kong actress Selena Li (李诗韵 Lǐ shī yùn)
PHOTO: Asked what else can be shared with her boyfriend, Hong Kong actress Selena Li (李诗韵 Lǐ shī yùn) smilingly said: "Food, not the house though, because if we fight and need to separate, having my own space is really important."
Posted by Lollipopon Sunday, 23 August 2015
We need a community to create the spaces that will contain the suffering of the aged, infirm and dying without marginalisation or estrangement. To imagine that we can go solo in the path of life and dying is unrealistic and indeed painful.
http://3.bp.blogspot.com/-Ao6gSKDP1UI/VdlPGpPrBVI/AAAAAAAAhFI/e19eP_Z2WmU/s1600/20150814_selenaLi_lollipop.jpg
http://women.asiaone.com/sites/default/files/styles/full_left_image-630x411/public/original_images/Aug2015/20150814_selenaLi_lollipop.jpg?itok=qv84rOcG
http://women.asiaone.com/women/people/selena-lis-rich-boyfriend-gives-her-car-couples-can-share-everything



It won't be easy or quick, but this may be what will eventually save us.

One act at a time, starting now till we die.



Hong Kong actress Selena Li (李诗韵 Lǐ shī yùn)
PHOTO: Hong Kong actress Selena Li (李诗韵 Lǐ shī yùn)
Posted by sankee, photobucket
http://2.bp.blogspot.com/-k1_1mfhXPks/VdlPIazAlHI/AAAAAAAAhFw/mjTzo_X0Bcw/s1600/img_1733-1.jpg
http://i575.photobucket.com/albums/ss199/sankeel/img_1733-1.jpg
http://s575.photobucket.com/user/sankeel/media/img_1733-1.jpg.html



By Tan Yew Seng, stopinion@sph.com.sg, The Straits Times, Sunday, 23 August 2015
The writer is a senior consultant in family medicine, and palliative medicine physician at Bright Vision Hospital.


Hong Kong actress Selena Li (李诗韵 Lǐ shī yùn)
PHOTO: Hong Kong actress Selena Li (李诗韵 Lǐ shī yùn)
Posted by laikinsoon, photobucket
http://2.bp.blogspot.com/-r1UTZzqKQk8/VdlPHZePczI/AAAAAAAAhFk/-W-O7NymYuU/s1600/4-2.jpg
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http://s753.photobucket.com/user/laikinsoon/media/4.jpg.html




Reference

 
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