Infection control and risk

Reference: Why I refused to visit my friend… (in the hospital at the first invitation)

I return finally to this post… This post may sound mechanical. It is precisely so because I have resolved to wipe away traces of my trauma and trembling as I recall this event.

… My dear friend had then received his first child into this world. He was promptly warded into a public (‘restructured’) hospital for lung sepsis (… potentially life-threatening complication of an infection – https://www.mayoclinic.org/diseases-conditions/sepsis/symptoms-causes/syc-20351214). The condition was not fully resolved after his discharge, and he was soon admitted to another restructured hospital. I was asked by the patient to make a visit. Reluctantly I went.

I knew I was unwell and infectious so I did the following:

  • wore a surgical face mask
  • used disposable wet wipes – 70% Isopropyl Alcohol solution (or non-alcoholic equivalent) to wipe my arms and hands as I took a seat at the ground floor before taking lift
  • rubbed my hands with the antiseptic solution gel/rub provided by the hospital before I entered the room
  • cleaned the chair I sat on with the abovementioned wet wipes when I left
  • to push open the door to the room, I believe I used my foot instead – to avoid hand contact

Why did I do these?

The risk of getting an infection while in hospital is low, but patients can be vulnerable as they are already in poor health…

Visitors can help by:

  • Not visiting if you are feeling unwell, have a cold or cough, or have had any symptoms of sickness or diarrhoea in the last 48 hours;
  • Washing hands and using the alcohol hand rub when entering and leaving the ward areas…
  • Where possible, don’t bring children aged 12 years and under onto the wards, as they can be susceptible to infection;
  • Not sitting on patients’ beds, please use the visitors’ chairs provided…

Germs can be spread by touch and so washing your hands is one of the easiest ways of reducing the spread of infection… It is essential to wash your hands:

– After going to the toilet

– Before touching food and eating

– If they look or feel dirty

– After coughing, sneezing, or blowing your nose

– Before and after handling medical devices such as catheter

Infection Prevention & Control. (accessed 27 May 2018). https://www.hdft.nhs.uk/services/infection-prevention-control/#hospital-infection-prevention-and-control-performance. Harrogate and District NHS Foundation Trust. North Yorkshire.

Advertisements

Analysis – Brokers’ Take – 1 Jul 2017

General:

The online version of this news section is shorter slightly shorter than the print version. With the revamped new freesheet – thenewpaper (tnp), this section has an archive of 136 issues (latest: 7 Jul 2017). This was also compiled by Cai Haoxiang, who I believe works for The Business Times (email: haoxiang@sph.com.sg). The first issue on tnp was “Compiled by Kenneth Lim, The Business Times” – dated 6 Dec 2016.

Their disclaimer [I have put some words in bold type.] – All analyses, recommendations and other information herein are published for general information. Readers should not rely solely on the information published and should seek independent financial advice prior to making any investment decision. The publisher accepts no liability for any loss whatsoever arising from any use of the information published herein.

Focus/Breakdown (with comments in brackets and in bold/italicised):

Keppel REIT (Buy recommendation) – office space REIT

It ended trading at $1.145 per unit (interesting… 3 decimal digits). The forecasted price was $1.23 (Target Price).

  • The REIT is taking a 50% stake (seller recorded as Australian Post) ‘in a premium office tower’ to be built in Australia at 311 Spencer Street, Melbourne.
  • Favourable view towards medium term (how long is this duration?) a distribution per unit (DPU) uptick owing to 30 year lease and (I infer contractually) inherent rental escalations (But what of the Australian taxes?)
  • Predicted immediate/short term DPU ‘dilution’ (decline in unit prices?) and gearing (leveraging) forecasted to rise to 40% which would result in investor ‘pushback’ (what does this mean?)
  • This is surmounted by “…capital values in Singapore should remain steady on the back of recent market transactions and strong interest from investors looking to buy office buildings in Singapore.” (What does ‘capital values’ mean?)
  • Target Price is dependent on Keppel REIT’s Q2 2017 figures
  • The REIT has a 0.8 price to book ratio which to the “brokers” was “attractive”

History – Why bother?

History was the theme for the comprehension passages in the 2008 Cambridge GCE ‘A’ Level Examinations (Singapore).

It was more than a little disheartening to observe the arguments of Lee Min Yen (Passage 2). I once argued that World War Two was not my fight. The Japan that once invaded Singapore and much of Southeast Asia is not the Japan I know today (nor for that matter what most of my peers know). In that respect I agree with Lee and how we frequent Japan as a favoured tourist destination. This speaks volumes. Japan’s influence in post 1965 Singapore extends much more than mere tourism though. Yet in itself, Lee self-contradicts. Since it is ‘dangerous’ when ‘distorted and partial history’ is used to flame ‘nationalist or religious hatreds’, is not history relevant?

Therein lies the crux. One needs to ‘know’ history to discern the facts, and the stories.

And that (human) history keeps repeating itself is revealing. The greed; the malice; the extremism; and perhaps even apathy; and dare I say goodness… These attest to the features of mankind. Correspondingly, democratic structures should become the mainstay of human society. Why? Human nature is immensely corruptible. As it is said ‘power corrupts and absolute power corrupts absolutely’. Democratic structures offer the ‘checks and balances’, institutionally, to prevent the rot.

And there too comes forth another maxim. If you invest in the stock market, expect ups (sky heights too) and also deep (deeeeep) downs. For it is a crucible of greed and emotional volatility. All directions toward human rationality are greatly suspect. From the audiobook entitled ‘Win Your Case: How to Present, Persuade, and Prevail-Every Place, Every Time’ (2006); Gerry Spence, a lawyer who had not lost a case since 1969 argued that emotion was the driver of so called logical decisions. He is hardly the only one of this opinion. I have made the point before – flip open the news today and check out how many crimes of passions took place over the past week.

To end though, I wonder whether history should be valorised. As you saw in my first post, it was mere curiosity that sparked my relationship with history (no, I no longer call it love). Now I just want to read some history because I want to…