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Nurse reveals the top 5 regrets people make on their deathbed

Good article to share.
Article origin from here
REGRETS OF THE DYING


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For many years I worked in palliative care. My patients were those who had gone home to die. Some incredibly special times were shared. I was with them for the last three to twelve weeks of their lives.

People grow a lot when they are faced with their own mortality. I learnt never to underestimate someone's capacity for growth. Some changes were phenomenal. Each experienced a variety of emotions, as expected, denial, fear, anger, remorse, more denial and eventually acceptance. Every single patient found their peace before they departed though, every one of them.

When questioned about any regrets they had or anything they would do differently, common themes surfaced again and again. Here are the most common five:


1. I wish I'd had the courage to live a life true to myself, not the life others expected of me. 

This was the most common regret of all. When people realise that their life is almost over and look back clearly on it, it is easy to see how many dreams have gone unfulfilled. Most people had not honoured even a half of their dreams and had to die knowing that it was due to choices they had made, or not made.

It is very important to try and honour at least some of your dreams along the way. From the moment that you lose your health, it is too late. Health brings a freedom very few realise, until they no longer have it.


2. I wish I didn't work so hard.

This came from every male patient that I nursed. They missed their children's youth and their partner's companionship. Women also spoke of this regret. But as most were from an older generation, many of the female patients had not been breadwinners. All of the men I nursed deeply regretted spending so much of their lives on the treadmill of a work existence.

By simplifying your lifestyle and making conscious choices along the way, it is possible to not need the income that you think you do. And by creating more space in your life, you become happier and more open to new opportunities, ones more suited to your new lifestyle.


3. I wish I'd had the courage to express my feelings.

Many people suppressed their feelings in order to keep peace with others. As a result, they settled for a mediocre existence and never became who they were truly capable of becoming. Many developed illnesses relating to the bitterness and resentment they carried as a result.

We cannot control the reactions of others. However, although people may initially react when you change the way you are by speaking honestly, in the end it raises the relationship to a whole new and healthier level. Either that or it releases the unhealthy relationship from your life. Either way, you win.


4. I wish I had stayed in touch with my friends.

Often they would not truly realise the full benefits of old friends until their dying weeks and it was not always possible to track them down. Many had become so caught up in their own lives that they had let golden friendships slip by over the years. There were many deep regrets about not giving friendships the time and effort that they deserved. Everyone misses their friends when they are dying.

It is common for anyone in a busy lifestyle to let friendships slip. But when you are faced with your approaching death, the physical details of life fall away. People do want to get their financial affairs in order if possible. But it is not money or status that holds the true importance for them. They want to get things in order more for the benefit of those they love. Usually though, they are too ill and weary to ever manage this task. It is all comes down to love and relationships in the end. That is all that remains in the final weeks, love and relationships.


5. I wish that I had let myself be happier.

This is a surprisingly common one. Many did not realise until the end that happiness is a choice. They had stayed stuck in old patterns and habits. The so-called 'comfort' of familiarity overflowed into their emotions, as well as their physical lives. Fear of change had them pretending to others, and to their selves, that they were content. When deep within, they longed to laugh properly and have silliness in their life again.

When you are on your deathbed, what others think of you is a long way from your mind. How wonderful to be able to let go and smile again, long before you are dying.


Life is a choice. It is YOUR life. Choose consciously, choose wisely, choose honestly. Choose happiness.






WH

Aesthetic medicine (Scope of Practice)

Aesthetic medicine is branch of medicine, distinct from plastic surgery, focused on satisfying the aesthetic desires and goals of patients. Aesthetic medicine comprises all medical procedures in the field of Aesthetics excluding all surgical procedures which require an operating table and general anesthesia (such as breast implants, liposuction, surgery of obesity, facelifts, rhinoplasty, etc.).[1]
This specialty is primarily focused on the pathophysiology of aging skin, and adheres to scientific based procedures. Physicians practicing Aesthetic Medicine are trained in both invasive and non-invasive treatment modalities, and typically utilize a combination to meet the needs of the patient.[2]

Indications:
It can intervene
  • in the treatment of the wrinkles and the scars
  • in the ageing of the face, the hands, the low neckline and the glance
  • in the treatment of the pigmentary spots, of the disgracious blood-vessels
  • in the prevention of body ageing
  • in laser tattoo removal
The fields of competence are mesotherapy, the general medicine, biology, the dermatology, the endocrinology, gynecology, psychology.[3]

Most current non-surgical aesthetic procedures:

The real benefit of practicing Aesthetic Medicine is the type of care that physicians are offering to their patients. These procedures are elective and are performed on patients who do not suffer from illness. They are usually happy and in excellent health. They simply want a quick fix or a preventative procedure to help manage the normal effects of aging.
When performed by a trained physician, non-surgical procedures are safer than plastic surgery as they do not require general anesthesia. They are usually quicker (can be done during lunch breaks) and are preferred by patients as they do not involve a scalpel and an operating table.
Information from Wikipedia
International references: 
  1. ^ American Institute of Aesthetic Medicine, AIAM.
  2. Jump up^ International Association for Physicians in Aesthetic Medicine, IAPAM.
  3. Jump up^ fr:Médecine esthétique "Médecine ésthetique", French Wikipedia.



From Guideline on Aesthetic Medical Practice (Malaysia)

2.0 SCOPE OF PRACTICE
2.1 The basic consideration for the scope of practice in aesthetic medical practice by general practitioners is the minimum level of competence required (refer Table 1).
2.2 General practitioners are only allowed to perform non-invasive and minimally invasive procedures. The non-invasive and minimally invasive aesthetic medical procedures are as listed below:
(a) Non-invasive:

  •     Superficial chemical peels Microdermabrasion Intense pulsed light

(b) Minimally invasive:

  • Chemical peel (Medium depth)
  • Botulinum toxin injection
  • Filler injection - excluding silicone and fat
  • Skin tightening procedures-up to upper dermis (radiofrequency, infrared,ultrasound and other devices)
  • Superficial sclerotherapy
  • Lasers for treating skin pigmentation
  • Lasers for treating benign skin lesions
  • Lasers for skin rejuvenation (including non ablative)
  • Lasers for hair removal

2.3 As medical science advances, any other aesthetic medical procedures in the future that fulfil the criteria of non-invasive and minimally invasive may be added to the list upon approval by the Main Credentialing and Privileging Committee of Aesthetic Medical Practice. 

About Aesthetic Medical Practice


a) There is no internationally accepted definition for “aesthetic medical practice”. 

For the purpose of these guidelines it is defined as: 

An area of medical practice which embraces multidisciplinary modalities dedicated to create a harmonious physical and psychological balance through non-invasive, minimally invasive and invasive treatment modalities which are evidence-based. These modalities focus on the anatomy, physiology of the skin and its underlying structures, to modify the otherwise „normal‟ (non- pathological) appearance in order to satisfy the goals of the patient and are carried out by registered medical practitioners. 

(b) “registered medical practitioner” is defined as a medical practitioner who is registered and holds a valid practising certificate under the Medical Act 1971 [Act 50]


Extract from the Guideline: Malaysia Guideline of Aesthetic Medicine

医学美容技术200年发展简史

看一看,其实医学美容和整形技术在医学界的历史,并不断,还很长呢!



New Committee Members of 2013/2014 The Malaysian Society of Aesthetic Medicine


MSAM 2013/2014 Executive Committee:
President :               Dr Chin Shih Choon
Vice President :     Dr Hew Hin Keat
Hon Secretary :     Dr Masilamoney Asirvatham
Asst Secretary :    Dr Jeyanthi Veluppillay
Treasurer :              Dr Wong Chee Hin
Committee members:
1. Dr Louis Leh Swee Koch
2. Dr Liow Tiong Sin
3. Dr Michael Ng Leong Toong
4. Dr Nicholas Lim
5. Dr William Hoo Khee Liam

吸烟让你更快老

照片来自http://tobaccobody.fi/

吸烟是慢性自杀。
一路来我们都这样的知道,不过很多人还是依然故我的沉醉在烟雾的世界里,从吸烟里继续获得自以为的安慰,与解脱。

我一直告诉病人说,如果您吸烟,那么您的健康,您的生命,都会受影响。
不过那些致命的影响通常都不会立刻到来,可是却有迹可寻。
这一个网站是很有意思的网站,他把健康的一个人,和吸烟后的改变放在一起,立刻可以看到差别。

皮肤会变差,皱纹,干枯
荷尔蒙会有变化,色斑的到来,体毛不寻常的增长
青春痘肆虐,难以控制,毛孔粗大
口臭
肺活量减低
更别说对怀孕胎儿的不良影响
肠胃病
等等等等
以及最严重的癌症

可以到达那一个网站,再把照片放大,看看肉眼清晰可见的变化
很可怕


如果您还在吸烟,想想您的健康,想想您身边人的健康
是不是,应该戒烟了?


祝福您。



By,
Dr William

耐久的玻尿酸填充液

JUVÉDERM<sup>®</sup> VOLUMA 
填充液 dermal Filler 有很多种类。
其中最广泛使用的一个是玻尿酸。
而市场上有很多品牌,其中值得信赖的品牌如: Juvederm, Restylane, Teosyal eg...
不过玻尿酸填充液的耐久和产品里头的玻尿酸浓度有关。
不同的脸部部位需要不同的浓度,不同的浓度才能给予最自然的效果。
不同的玻尿酸浓度,在人体内的耐久时限也不一样。
玻尿酸浓度低的,“柔软性”比较好,适合部位如泪沟,眼部底下,或改善皮肤水分肤质,耐久大约4-6个月
浓度中等的,适合部位如嘴唇,法令纹,木偶纹等,耐久 6-9 个月
浓度高的,适合雕塑面型,鼻梁等,耐久9-12个月。
不同的品牌,玻尿酸在填充液里的排列方式也不一样,现在越来越先进的技术,让玻尿酸在体内可以逗留更久。
这一个品牌的玻尿酸,最新的技术,让这个产品可以在体内逗留得更长久。

最新的报告
Clinical, Cosmetic And Investigational Dermatology: Efficacy and safety of a hyaluronic acid filler in subjects treated for correction of midface deficiency: a 24 month study
24个月后,依然有很多使用者对这产品的效果感到满意
意思是说,在注射后24个月,依然有令人满意的效果存在。

这个颠覆了以前我们的认为:玻尿酸在一年后就会消失殆尽

Areas of Face 
如何要让玻尿酸的效果持久呢?
玻尿酸在我们体内的逗留时间和我们的体内新陈代谢有很大的关系。
抽烟者,熬夜者,或运动健将,体内的新陈代谢快速,或很多自由因子free radical的产生,都会让玻尿酸的寿命减少,不耐久。
另外就是注射的层面和技巧。
 表情动作越少的部分,就更耐久。
注射在骨骼上的部位和相比肌肉群上的玻尿酸,比较耐久。


下次我们再讨论更多关于填充液。