Saturday 26 January 2008

Another Weekend @ Oban



OBAN...Like a theme park!
Hello there people!
Here goes another week gone in Oban. In fact, Scotland now is more rainy and less cold. Plus more winds! Now there are more floods and gale winds in fact. I hope we're approaching spring fast!

I am now doing my project. Phew. What a hassle. There's so much to write about and yet so little time. Anyway guys, here is the map on Oban...like a theme park!
Went to Atlantis, (it's at the upper part of the map) Oban's recreational indoor park. They have swimming pools, squash courts, a climbing wall, snooker, a gym, a huge hall and they have exercise classes. I paid 4 pounds to this exercise class called circuits...hmm?

They make you run to and fro. Stop the time and like OSCE exams, make you go station to station of different exercise regimes every 5 minutes. And in every 15 minutes, the instructor will make you run and press up and sit up...and plus plus! PHEW>...already tired explaining.
Chinese New Year is coming...and I think I will have the coldest Chinese New Year ever. Anyway, I better get back to my project. :)

2 comments:

phuayfhern said...

Dear, please don't be so stressed up *hugz* Remember, I'm always just a call away to support you.

It's always been like this: used to be like this, still like this, and WILL be like this even when we're physically apart in half year's time.

Don't worry dear, I'll be by your side in everything you do. =)

Singapore Whale said...

Oh my gosh....you two are really sweet.... (body hair now straight and heard like cactus)

Anyways, this is your big cousin from Singapore, hope you are doing over there. I heard from wai sing you are coming down in May? PLease give me a call dude.

Leong

Mylesson 1: Asthma Medications

What are the Steps for Asthma Medications?
Step 1: Occaional short acting inhaled B2 agonist. (yeah, salbutamol) If used>1 daily/night time symptoms: go to step 2.
Step 2: Add inhaled steroid: beclometasone/budesonide 100-400mcg/12h or fluticasone 50-200mcg/12h.
Step 3: Add long acting B2 agonist (salmeterol or formoterol). If inadequate control increase beclometasone to 400mcg/12h. If still no effect...stop long acting B2 agonists.
Step 4: Try this! Beclometasone up to 1000mcg/12h. Oral theophylline. oral B2 agonist. Leukotriene receptor antagonist (name two, answer below)
Step 5: Add Oral prednisolone. Refer to asthma clinic.Other medications to consider: Anticholinergics (Ipratropium), Cromoglycates (as prophylaxis for exercise induced asthma)

Remember: You can only have either COPD or Asthma

Other useful stuff: (in COPD)
Symbicort= budesonide + formeterol (BF)
Seretide= fluticasone + salmeterol (SF)

Answer for leukotriene receptor antagonist: montelukast & zafirlukast. Think StarWars: George Lucas