TWENTY

Twenty twenty,

Trouble aplenty.

Twenty twenty-one, 

Battle yet to be won. 

Twenty twenty-two, 

You’ll be vaccinated too. 

Slowly, slowly, we’ll see.

We’ll get there, maybe.

Protocol for Emergency Treatment of Anaphylaxis (after Covid-19 vaccination)

1. Patient to be observed for 30 mins in the clinic after Covid-19 vaccine (and patient to observe himself for 24 hrs at home).

2. Diagnose anaphylaxis.

-Urticaria, angioedema

-Dyspnea, wheeze

-Dizziness, syncope, hypotension

-Nausea, vomiting, diarrhea, cramping abdominal pain

-Flush

-Upper airway edema

-Headache

-Rhinitis

-Substernal pain

-Pruritus without rash

-Seizure

3. Call 995 immediately.

4. Place patient in recumbent position and elevate lower extremities, but treat patient sitting up if he is breathless.

5. Monitor vital signs frequently (every two to five minutes) and stay with the patient.

6. Administer adrenaline 1:1,000 (weight-based) adults: 0.01 mL per kg, up to a maximum of 0.2 to 0.5 mL every 10 to 15 minutes as needed; children: 0.01 mL per kg, up to a maximum dose of 0.2 to 0.5 mL by SC or IM route and, if necessary, repeat every 15 minutes, up to two doses.

7. Maintain airway with an oropharyngeal airway device. Administer oxygen (if you have), usually 8 to 10 L per minute; lower concentrations may be appropriate for patients with chronic obstructive pulmonary disease.

8. IM Piriton 1 ml stat.

9. IM Adrenaline 0.15 to 0.3 mL, into injection site (left deltoid) to inhibit further absorption of the injected substance (vaccine).

10. Set up IV line to treat hypotension with IV fluids.

11. Treat bronchospasm with Ventolin nebuliser 2 mls:1 ml saline stat.

12. Give IM hydrocortisone 100 mg stat or tab prednisone 20 mg stat orally in mild cases. This does not work immediately but reduces the risk of recurring or protracted anaphylaxis. These doses can be repeated every six hours, as required.

13. All fatal and life-threatening events are to be reported to HSA within 24 hrs and all other Severe Adverse Events and Adverse Events of Special Interest within 48 hrs online at https://www.hsa.gov.sg/adverse-events. Fatal events also are to be reported to the Coroner.

RUN

First you run 

Have some fun

Then you walk

Forget the talk

See no sun

Drop the gun

Stop the clock

Let them mock

You are done

Sleep you want

COVID FATIQUE

Have we lost our way?

Are we being led astray?

Which direction should we turn,

While behind, the bridges burn?

Everybody says: “stay positive,

Someday, there will be reprieve.”

But, the end of the road is near,

And the future is far from clear.

We seem to have missed the bus.

The gods are not smiling on us.

Providence has been found wanting, 

So, there is no end to the waiting.

We keep moving in a straight line,

With the blind leading the blind.

We don’t know who is asking who?

So, please tell me what to do.

21 July 2020

THAT’S ME!

Once you are born,

You refuse to die.

You want to go on

Till you touch the sky!

A MOMENT 

A moment to make a choice

For brave girls and big boys.

Make drama, make some noise,

Drown them out with your voice.

Timid hearts and weak minds flee

To maximum safety and security.

Eyes are open but we don’t see.

Are you seriously kidding me?

Mindsets and habits die hard,

For true facts we’ve no regard.

Just some things we can’t discard,

But please, don’t call me a retard!

We’re neither sick nor healthy

‘Cause the virus is so stealthy.

Without compassion or empathy,

Will your vote be true and worthy?

HOW TO LIVE GOOD, INDEPENDENT AND AUTHENTIC LIVES IN SINGAPORE:











                           Sorry, no, you can’t!     ....

A PERFECT MOMENT FOR AWAKENING

If you wanna do life less maddening,

Here’s a perfect moment for awakening.

The emperor certainly has no clothes, 

But sorry to say, we’re out of life boats.

What you have here is an unnatural life.

And at your neck there, an invisible knife.

You gotta be a good sport and a good tool,

So, obey every law and every little rule.

Under an illusion of control and certainty,

The outbreak has no risk of modesty.

With expert words so refined and sleek,

Their counsel you’re duty-bound to seek.

We wonder: when’s our Day of Reckoning?

When both freedom and justice are floundering

In a world of make-believe that’ll only imbue

That these things don’t apply to you!

America Today

Shallow pockets

Separate baskets

Wild rockets

Rampant caskets

Ticking clock

Leaders baulk

Big talk

Never walk

Broken arrow 

Wounded sparrow

Silent sorrow 

Where’s tomorrow 

LOCKDOWN BLUES

Wind-blown trees are a-swaying,

So, it’s no time to go out straying.

But when all I do at home is stay,

Today will be just like yesterday.

Lonely here in my quiet cabin,

There is not even a dropped pin.

I can no longer be happy or sad,

Because I think I’m already mad!

Safety is merely a place to hide.

But it’s full of emptiness inside.

While others brave the storm,

I sit here cursing the new norm.