Wednesday, November 13, 2013
個人慘痛經驗，分享出來希望能提醒大家將來注意。
我幾年來都有服用中藥，但極少服用西藥。一向身體也沒大問題。
今年六月開始服用西藥，我有告知開中藥的醫生我服用的是什麼藥(只有一種）。因為這位中西醫師（現在醫院的四十左右及更年輕的中醫師都是中西醫師，有西醫執照的）開藥都是很多複方加一堆小藥，所以我有小心翼翼繞著彎和他說: 我現在開始服用這一項西藥，你開藥時看看是否不要開到可能有衝突的藥。（因為這位醫生心高氣傲，對他說話要分外小心，不然會得到"啊，你不要再來了，我不會看啦"
他當時有應，但時不時說:“你不要吃西藥啦，你根本就沒什麼病"
幾個月來人一直腫上去，他看到我時就會念:”你為什麼水腫，你吃西藥那麼毒的藥..."
到了前天，我在網上看其他資訊時，逛到kingnet 醫藥問答，看到如下:
一、磺胺類藥物
磺 胺類藥物 (如sulfadiazine等) 不宜與含有豐富有機酸的中藥或其複方制劑 (如烏梅、山楂、山萸肉、五味子及烏梅丸、參麥飲、五味消毒飲、川芎茶調散等 )合用，因為大量有機酸可使乙醯化後的磺胺溶解度減低，易在腎小管內析出結晶，阻塞和損傷腎臟，引起血尿、尿閉，甚至急性腎功能衰竭。(1,4)
磺胺類藥物不宜與含鞣質類中藥 (如地榆、石榴皮、五倍子、訶子、大黃、虎杖等) 同服，因為鞣質可與磺胺類藥物結合，影響其排泄，導致血及肝內磺胺藥濃度增高，嚴重者可發生中毒性肝炎。(1,2)
而大黃這項就是我五六個月來吃的藥裡一定有的。有時是單項，有時是在複方裡（桃核承氣湯etc)
我大驚之下，昨天回診拿著印出來的資料（後來發現這是很普通的知識，台北市立聯合醫院網頁和中藥大廠港香蘭網頁及很多藥學相關網站都有）給中醫師看。
他看了說:“啊，你不要來了，我不會看" 我:就只有請你注意以後開藥不要有大黃這味就好"
結果，昨天的藥出現了一項之前沒見過的複方。上網一查，依然有大黃。
結論就是，在現在醫療環境裡，真正用藥把關的人，是自己。我早該在開始服西藥時，就上網查一查中西藥服用禁忌。而不是只做個負責認真的病人，告知醫生我吃什麼其他的藥，請你注意不要有衝突。
五個月來對肝腎的傷害（五個月重了五公斤，復健師每週看到我三次都會說:你腫腫的），是在我身上。概括承受的，是我。
我幾年來都有服用中藥，但極少服用西藥。一向身體也沒大問題。
今年六月開始服用西藥，我有告知開中藥的醫生我服用的是什麼藥(只有一種）。因為這位中西醫師（現在醫院的四十左右及更年輕的中醫師都是中西醫師，有西醫執照的）開藥都是很多複方加一堆小藥，所以我有小心翼翼繞著彎和他說: 我現在開始服用這一項西藥，你開藥時看看是否不要開到可能有衝突的藥。（因為這位醫生心高氣傲，對他說話要分外小心，不然會得到"啊，你不要再來了，我不會看啦"
他當時有應，但時不時說:“你不要吃西藥啦，你根本就沒什麼病"
幾個月來人一直腫上去，他看到我時就會念:”你為什麼水腫，你吃西藥那麼毒的藥..."
到了前天，我在網上看其他資訊時，逛到kingnet 醫藥問答，看到如下:
一、磺胺類藥物
磺 胺類藥物 (如sulfadiazine等) 不宜與含有豐富有機酸的中藥或其複方制劑 (如烏梅、山楂、山萸肉、五味子及烏梅丸、參麥飲、五味消毒飲、川芎茶調散等 )合用，因為大量有機酸可使乙醯化後的磺胺溶解度減低，易在腎小管內析出結晶，阻塞和損傷腎臟，引起血尿、尿閉，甚至急性腎功能衰竭。(1,4)
磺胺類藥物不宜與含鞣質類中藥 (如地榆、石榴皮、五倍子、訶子、大黃、虎杖等) 同服，因為鞣質可與磺胺類藥物結合，影響其排泄，導致血及肝內磺胺藥濃度增高，嚴重者可發生中毒性肝炎。(1,2)
而大黃這項就是我五六個月來吃的藥裡一定有的。有時是單項，有時是在複方裡（桃核承氣湯etc)
我大驚之下，昨天回診拿著印出來的資料（後來發現這是很普通的知識，台北市立聯合醫院網頁和中藥大廠港香蘭網頁及很多藥學相關網站都有）給中醫師看。
他看了說:“啊，你不要來了，我不會看" 我:就只有請你注意以後開藥不要有大黃這味就好"
結果，昨天的藥出現了一項之前沒見過的複方。上網一查，依然有大黃。
結論就是，在現在醫療環境裡，真正用藥把關的人，是自己。我早該在開始服西藥時，就上網查一查中西藥服用禁忌。而不是只做個負責認真的病人，告知醫生我吃什麼其他的藥，請你注意不要有衝突。
五個月來對肝腎的傷害（五個月重了五公斤，復健師每週看到我三次都會說:你腫腫的），是在我身上。概括承受的，是我。
Sunday, May 12, 2013
Monday, April 8, 2013
'Time heals almost everything. Give time time.
Written by Regina Brett, 90 years old, of the Plain Dealer, Cleveland, Ohio .
"To celebrate growing older, I once wrote the 45 lessons life taught me. It is the most requested column I've ever written.
My odometer rolled over to 90 in August, so here is the column once more:
1. Life isn't fair, but it's still good.
2. When in doubt, just take the next small step.
3. Life is too short – enjoy it.
4. Your job won't take care of you when you are sick. Your friends and family will.
5. Pay off your credit cards every month.
6. You don't have to win every argument. Stay true to yourself.
7. Cry with someone. It's more healing than crying alone.
8. It's OK to get angry with God. He can take it.
9. Save for retirement starting with your first paycheck.
10. When it comes to chocolate, resistance is futile.
11. Make peace with your past so it won't screw up the present.
12. It's OK to let your children see you cry.
13. Don't compare your life to others. You have no idea what their journey is all about.
14. If a relationship has to be a secret, you shouldn't be in it.
15. Everything can change in the blink of an eye, but don't worry, God never blinks.
16.. Take a deep breath. It calms the mind.
17. Get rid of anything that isn't useful. Clutter weighs you down in many ways.
18. Whatever doesn't kill you really does make you stronger.
19.. It's never too late to be happy. But it’s all up to you and no one else.
20. When it comes to going after what you love in life, don't take no for an answer.
21. Burn the candles, use the nice sheets, wear the fancy lingerie. Don't save it for a special occasion. Today is special.
22. Over prepare, then go with the flow.
23. Be eccentric now. Don't wait for old age to wear purple.
24. The most important sex organ is the brain.
25. No one is in charge of your happiness but you.
26. Frame every so-called disaster with these words 'In five years, will this matter?'
27. Always choose life.
28. Forgive
29. What other people think of you is none of your business.
30. Time heals almost everything. Give time time.
31. However good or bad a situation is, it will change.
32. Don't take yourself so seriously. No one else does.
33. Believe in miracles.
34. God loves you because of who God is, not because of anything you did or didn't do.
35. Don't audit life. Show up and make the most of it now.
36. Growing old beats the alternative of dying young.
37. Your children get only one childhood.
38. All that truly matters in the end is that you loved.
39. Get outside every day. Miracles are waiting everywhere.
40. If we all threw our problems in a pile and saw everyone else's, we'd grab ours back.
41. Envy is a waste of time. Accept what you already have, not what you need
42. The best is yet to come...
43. No matter how you feel, get up, dress up and show up.
44. Yield.
45. Life isn't tied with a bow, but it's still a gift."
"To celebrate growing older, I once wrote the 45 lessons life taught me. It is the most requested column I've ever written.
My odometer rolled over to 90 in August, so here is the column once more:
1. Life isn't fair, but it's still good.
2. When in doubt, just take the next small step.
3. Life is too short – enjoy it.
4. Your job won't take care of you when you are sick. Your friends and family will.
5. Pay off your credit cards every month.
6. You don't have to win every argument. Stay true to yourself.
7. Cry with someone. It's more healing than crying alone.
8. It's OK to get angry with God. He can take it.
9. Save for retirement starting with your first paycheck.
10. When it comes to chocolate, resistance is futile.
11. Make peace with your past so it won't screw up the present.
12. It's OK to let your children see you cry.
13. Don't compare your life to others. You have no idea what their journey is all about.
14. If a relationship has to be a secret, you shouldn't be in it.
15. Everything can change in the blink of an eye, but don't worry, God never blinks.
16.. Take a deep breath. It calms the mind.
17. Get rid of anything that isn't useful. Clutter weighs you down in many ways.
18. Whatever doesn't kill you really does make you stronger.
19.. It's never too late to be happy. But it’s all up to you and no one else.
20. When it comes to going after what you love in life, don't take no for an answer.
21. Burn the candles, use the nice sheets, wear the fancy lingerie. Don't save it for a special occasion. Today is special.
22. Over prepare, then go with the flow.
23. Be eccentric now. Don't wait for old age to wear purple.
24. The most important sex organ is the brain.
25. No one is in charge of your happiness but you.
26. Frame every so-called disaster with these words 'In five years, will this matter?'
27. Always choose life.
28. Forgive
29. What other people think of you is none of your business.
30. Time heals almost everything. Give time time.
31. However good or bad a situation is, it will change.
32. Don't take yourself so seriously. No one else does.
33. Believe in miracles.
34. God loves you because of who God is, not because of anything you did or didn't do.
35. Don't audit life. Show up and make the most of it now.
36. Growing old beats the alternative of dying young.
37. Your children get only one childhood.
38. All that truly matters in the end is that you loved.
39. Get outside every day. Miracles are waiting everywhere.
40. If we all threw our problems in a pile and saw everyone else's, we'd grab ours back.
41. Envy is a waste of time. Accept what you already have, not what you need
42. The best is yet to come...
43. No matter how you feel, get up, dress up and show up.
44. Yield.
45. Life isn't tied with a bow, but it's still a gift."
Saturday, March 16, 2013
隱性心理模型
我們每個人都有的隱性心理模型會過濾我們隨時隨地獲得的感知，並且預先判斷我們的處境。而且沒錯，它們很可能影響到我們各式各樣的態度和信念-不管是針對自己或別人。隱性心理模式的呈現可能是一種身體的感覺，一種情緒反應，一種偏頗的感知，或一種行為反應模式。我們不會察覺自己是因為過去經驗而產生偏見，反而堅信我們的信念和反應都是根據當下的明智判斷而來。 ---第七感
Wednesday, February 20, 2013
Saturday, February 16, 2013
Saturday, January 5, 2013
The body does not know the difference between nerves and excitement. panic and doubt, the beginning and the end. the body just tells you to get the hell out. Sometimes you ignore it, that's the reasonable thing to do. But sometimes you listen to it. You are supposed to trust your gut, right? When you body says run. RUN.
Grey's Anatomy. S9-9
Grey's Anatomy. S9-9
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