I worked in our emergency rooms today.
Recently, swine flu has been spreading throughout the world.
Although no patient who is infected with swine flu is yet reported in Japan, such patients may come to our hospital.
So we need to prepare for treating them.
Yesterday, my superior told me in detail about how to treat patients who are suspected as being infected with swine flu because I would play the role of leader of nurses in emergency room today.
However, no patient who is suspected as being infected with swine flu came to our hospital at least during the day shift.
I'm relieved at being out of danger now.
I feel out of sorts again today.
I have a runny nose and feel like something is wrong with my throat.
I catch a lot of colds because I don't have a kind of antibody called IgA (Immunogloblin A).
IgA is one of the immune proteins (gamma globulins), and it generally exists on the surface of mucous membranes.
However, my body doesn't have the ability to build up IgA by nature.
IgA physically protects us against viruses and bacteria.
But because I don't have IgA at all, I'm weak against infections - especially from the common cold and diarrhea.
But the most severe problem with this illness is not weakness against infections.
Human beings generally build up antibodies to what they don't have.
So if I get a blood transfusion with normal blood, the normal blood will have IgA in it, and I'll build up the antibody to IgA.
But for me, IgA is not an antibody protecting me - it's an invader.
Because I don't have the antibody to IgA, when I get a normal blood transfusion for the first time, an allergy to IgA occurs little by little.
But when I get it for the second time, since my body has already built up the antibodies against IgA from the first transfusion, the allergic reaction occurs rapidly and seriously.
There's a very real danger that I could die from a serious allergic reaction called anaphylactic shock.
So if I ever need a blood transfusion, I need to make sure to get blood that does not have IgA in it.
That's not a problem when there's enough time to prepare the blood, like if I were to undergo an elective surgery.
However, for example, if I get into a car accident and lose a lot of blood, a doctor is going to have to choose whether to give me a transfusion using normal blood so I don't bleed to death, or to wait for the special blood so I don't get an allergic reaction.
To make things worse, the doctor may not even know that I don't have IgA at all.
If that happens, the doctors will be surprised that my contidtion becomes worse after the blood transfusion, and many hours will pass until they notice the cause is my IgA deficiency.
Anyway, at the moment I just want some antibiotics and a little bit of rest, if i'm going to have any hopes of shaking this cold.
How to refresh myself|
I read an interesting news article today.
According to the article, one out of twenty-three nurses in Japan has been working more than 60 hours' overtime every month.
It means about 20,000 nurses are facing crises of death from overwork.
On the other hand, I think nurses tend to be willing to work seriously since they choose to become nurses even though it is said that nursing has all three of the following K's:
K : Kitsui（きつい） = heavy work
K : Kitanai（汚い） = dirty work
K : Kiken（危険） = dangerous work
Many nurses do resign every year, and the cause of the resignation is sometimes burnout syndrome.
The Japanese Nursing Association shows the rate of nurses leaving jobs is about 12%.
It means one out of about eight nurses resign every year.
If I calculate back, the rate of nurses not leaving jobs is about 88%.
According to a simple calculation, half of nurses will resign within six years and nurses who remain until retirement are only one out of about a hundred people.
Of course, that is a just simple calculation, but according to that I may not be able to continue my job until my retirement.
In order to prevent getting burnt out and having to quit my job early, I need to consider how to refresh myself.
Recently, I have been dreaming that I was considering something in English almost everyday.
I seldom suffer from insomnia, but I have been unable to sleep well these days.
I think that my brain is changing into one that considers in English.
I used to translate my thoughts into English after considering something in Japanese.
However, it is said that we should consider in English from the beginning, not translate from Japanese.
When I did a homestay in a foreign country, I couldn't sleep well because of my dreams in English.
The present situation is exactly the same as that situation.
Actually, I consider what I want to say in my entries not in Japanese but English now.
I think it's good for improving my English, but I don't welcome the insomniac days.
If I could further improve my English, I would be released from the insomnia.
I'm looking forward to the day I can sleep well dreaming in English.
Absence Without Leave|
Yesterday, I enjoyed my holiday until around 9pm.
And then, I glanced at my duty roster.
At that time, I realized that yesterday was in fact not my holiday.
I was extremely astonished and couldn't believe that the chief nurse did not call me if I didn't go to my workplace without leave.
To make sure, I sent an email to my friend who worked on that day and asked her, "Was today my working day?".
She answered, "Yes. It was your working day. But no one noticed it until the day ended. So no one called you. Your name did not appear in the list of today's workers. Therefore we thought you were off duty.”
Today, I apologized to my boss for not going to my workplace yesterday.
At the same time, she also apologized to me for forgetting to write my name.
I was lucky that my boss forgot to write my name when she made a list of workers.
I worked today instead of yesterday.
That settled the matter completely.
I'm really lucky.
I went to an English conversation school after a long absence.
My previous teacher had resigned and I met my new teacher for the first time today.
He looks younger and is easier to talk to than my previous teacher.
However, because he speaks fast, some students seemed to be unable to keep up with him.
I think the reason he speaks fast is because students pretend to be able to understand what he is saying.
After he finished speaking, students seemed to begin facing a problem but they couldn't do what he instructed.
I mean they didn't ask him what he had instructed them to do even though they couldn't understand it.
Or, they simply may not know how to ask him.
I can't help thinking that I and other students have different levels of English skills.
Possibly I had better change my class.
I think the best way to improve my English is to choose a one-to-one course but unfortunately I can not afford to take one-to-one lessons.
I have my own website, which is not private but a little famous in Japan.
The access counter shows my homepage has been visited more than six million times.
Moreover, my website has been reported in at least 39 magazines so far.
I began to create this website on December 14th 1999.
At that time, I was a university student and was bored with lectures.
One day, I found a web service which helped me create a website on my mobile phone.
Therefore, I began to use that web service to kill time when I was bored.
However, because creating a website was so interesting, I became absorbed in it.
I devoted every spare moment to creating my website and its scale was rapidly enlarged.
I got my own domain name on April 7th 2000.
I gradually came to have a detailed knowledge of a programming language named Perl.
Perl is a famous programming language and many popular web services like mixi are programmed in it.
I can create programs such as bulletin boards, search engines and access counters.
And I have been serving anyone these programs without a fee.
I think that's why many people have been visiting my website.
That website is rightly one of my treasures.
A Bad Connection|
I usually go to my workplace by train while listening to music with a portable music player.
Last evening, when I was on my way home, the sound in one side of my headphones was unclear, with noise occasionally being heard.
I thought that my portable music player might have gotten out of order and decided to check it.
I instantly realized that the bad connection between cords caused this trouble, but I couldn’t solve the problem.
The headphones for my portable music player are not normal because they have a function to cancel unwanted ambient noise.
Regrettably, the headphones are probably expensive and hard to replace.
The pain is ...|
My right cheek is painful since yesterday.
The pain is not acute, but dull.
The pain is not in the muscles, but on the surface.
I'm not feeling the pain for the first time.
I'm not sure why that region is painful, but I guess the cause is a pain in a nerve.
Previously, the same pain got a spontaneous recovery.
I hope the pain will go away soon.
My Study Record|
I have been studying English with えいご漬け, which is a program for the Nintendo DS.
The meaning of えいご is "English language" and the meaning of 漬け is "soaking oneself in something".
In a word, えいご漬け means "Soaking yourself in the English language".
After I study with the software, I can mark the date.
So I can look back at the days when I studied.
According to the record, I began to study with えいご漬け on May 5th 2008 and finished all programs on February 12th 2009.
On the next day, I began to study with もっとえいご漬け, which is a sequel to the えいご漬け.
I'm in the middle of the studying with もっとえいご漬け.
By the way, the Nintendo DS is not mine, but my mother-in-law's.
My mother-in-law used to study English with that software even though she is older than 60 years old.
I respect her vitality.