stump：
今晚我又因为在想未来又失眠了，本想喝掉自己藏起来的酒让大脑停止胡乱思考，却发现已经过期了，我在想以后会成为什么样的人，做什么样的工作，我迷茫恐惧，我想在这个社会立足，想给自己和父母更好的生活，这些光想想就很累了，即使知道自己如蝼蚁一般，但我也没有办法停下被世界所拖着走的脚步，我只能且必须往前走，不知道在多年以后看到这段话的我会是怎么样的，是否和自己想象的一样，不再是一个stump，而是一棵big tree
今晚我又因为在想未来又失眠了，本想喝掉自己藏起来的酒让大脑停止胡乱思考，却发现已经过期了，我在想以后会成为什么样的人，做什么样的工作，我迷茫恐惧，我想在这个社会立足，想给自己和父母更好的生活，这些光想想就很累了，即使知道自己如蝼蚁一般，但我也没有办法停下被世界所拖着走的脚步，我只能且必须往前走，不知道在多年以后看到这段话的我会是怎么样的，是否和自己想象的一样，不再是一个stump，而是一棵big tree
37M5D～
一一，今天我们去了一个新的公园玩，有沙沙还有大滑滑梯，你很喜欢，一上午一直跑来跑去，吃完午饭刚计划接着玩结果下雨了，我们只好打道回府了[偷笑][偷笑]
到家都4点了怕你再睡晚上就不知道玩到几点了，各种陪你玩让你坚持到吃了晚饭才让你睡[偷笑][偷笑]
然后现在的爸爸妈妈开启了欢乐的周末时光[哈哈][哈哈]
#英语启蒙#
今天绘本：绘本加一点音频，具体没数几本[偷笑]
今天输入：maze（a system of paths separated by walls or hedges built in a park or garden, that is designed so that it is difficult to find your way through）
stump（the bottom part of a tree left in the ground after the rest has fallen or been cut down ）
microphone （a device that is used for recording sounds or for making your voice louder when you are speaking or singing to an audience ）
tongs（a tool with two long parts that are joined at one end, used for picking up and holding things ）
一一，今天我们去了一个新的公园玩，有沙沙还有大滑滑梯，你很喜欢，一上午一直跑来跑去，吃完午饭刚计划接着玩结果下雨了，我们只好打道回府了[偷笑][偷笑]
到家都4点了怕你再睡晚上就不知道玩到几点了，各种陪你玩让你坚持到吃了晚饭才让你睡[偷笑][偷笑]
然后现在的爸爸妈妈开启了欢乐的周末时光[哈哈][哈哈]
#英语启蒙#
今天绘本：绘本加一点音频，具体没数几本[偷笑]
今天输入：maze（a system of paths separated by walls or hedges built in a park or garden, that is designed so that it is difficult to find your way through）
stump（the bottom part of a tree left in the ground after the rest has fallen or been cut down ）
microphone （a device that is used for recording sounds or for making your voice louder when you are speaking or singing to an audience ）
tongs（a tool with two long parts that are joined at one end, used for picking up and holding things ）
Severe frostbite!!
This is the case of a 50-year old homeless man who sustained grade IV frostbite injuries to both feet after sleeping out in sub-zero temperatures. The patient first presented with ischaemic feet with well demarcated areas around the ankle (Image 2 - frostbite on day 2).
Then the feet were left to demarcate and became fully ischemic and mummified. Underneath the ankles a dry, well-demarcated gangrene of black color is visible (Image 1 - 3 weeks post-injury.).
These lesions are consistent with fourth-degree frostbite injuries, eventually resulting in bilateral below knee amputations.
Frostbite can be graded into stages I to IV depending on tissue depth involvement. Two main approaches can be adopted with deep frostbite, either (a) early necrectomy with subsequent local treatment of wounds and (b) long-term conservative treatment until formation of demarcation line of necrotic tissue with subsequent resection and formation of a stump to facilitate rehabilitation.
This case highlights the importance of careful consideration of early versus late amputation as well as the importance of close collaboration between the rehabilitation, surgical, psychosocial, and public health disciplines in this rare and challenging problem.
#医学生Medic[超话]##medicaltalks#
This is the case of a 50-year old homeless man who sustained grade IV frostbite injuries to both feet after sleeping out in sub-zero temperatures. The patient first presented with ischaemic feet with well demarcated areas around the ankle (Image 2 - frostbite on day 2).
Then the feet were left to demarcate and became fully ischemic and mummified. Underneath the ankles a dry, well-demarcated gangrene of black color is visible (Image 1 - 3 weeks post-injury.).
These lesions are consistent with fourth-degree frostbite injuries, eventually resulting in bilateral below knee amputations.
Frostbite can be graded into stages I to IV depending on tissue depth involvement. Two main approaches can be adopted with deep frostbite, either (a) early necrectomy with subsequent local treatment of wounds and (b) long-term conservative treatment until formation of demarcation line of necrotic tissue with subsequent resection and formation of a stump to facilitate rehabilitation.
This case highlights the importance of careful consideration of early versus late amputation as well as the importance of close collaboration between the rehabilitation, surgical, psychosocial, and public health disciplines in this rare and challenging problem.
#医学生Medic[超话]##medicaltalks#
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