J E S S ❅ 潔西 Photos & Videos on Instagram

@jess.curious  ↠ Travel Diary ↞ 🏠 NYC & Taiwan 🥝 Former NGO nutritionist | 💉Future PA 🌎 Part time backpacker ❤️Just curious about the world and the people in it

https://www.charitywater.org/

3 days ago

This week’s grand rounds in the medicine department they talked about sicknesses related to high altitude. It was very interesting and brought back the memories of EBC since the speaker used examples of climbers going to Everest. I thought I’d share some tips the speaker shared to help us avoid acute mountain sickness- 1. Ascend 1000-2000 ft a day 2. Climb high, sleep low: climb a little higher during the day, but descend and sleep at a lower altitude at night 3. Stay hydrated 4. Acclimatization is important 5. Choose parents with good genes: this was kind of a joke😛 but apparently your genes determine your sensitivity to high altitude - 這禮拜醫院的每週教學講關於高緯度時會引發的疾病。 講者用了很多攀爬聖母峰而引起高山症的例子來教導,個人覺得很有趣,畢竟我在爬聖母峰基地營的兩個禮拜也是高山症病的好慘😅 在這邊分享講者醫生分享可以幫忙減少急性高山症病發的方式: 1. 最佳海拔上升高度為300-600公尺/一天 2. 白天可以爬高一點,但晚上要睡海拔低的地方 3. 補足大量的水份 4. 每上升一千公尺,需在同個高度待個一兩天,讓身體適應高海拔 5. 選擇有良好基因的父母-講者說這只是開玩笑😝,但基因其實能決定一個人對於高海拔的敏感度 at Mount Everest Base Camp

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7 days ago

Today during rounds, our team asked our 88 year old patient what his secret of staying married with his wife for 64 years was He responded “we’re both deaf!”. . I definitely wasn’t expecting that 😂 - 今天巡房時跟一個快九十歲的病人聊天。聊到他跟他老婆結婚64年了。當我們問他維持長久婚姻的秘訣是什麼? 他回答:我們倆都是聾子,聽不到! 實在是個好笑又好真實的答案啊😂 at Pichilemu Capital del Surf

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9 days ago

One of my favorite moments in Patagonia 💙 . The weather in New York is finally getting nicer 😃 Any recommendations for hiking spots in upstate NY? at Mirador Base De Las Torres

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12 days ago

These days I am doing my clinical rotations on the geriatrics service (care for the elderly) in the hospital. Patients on our floors are usually admitted through the ER because of falls, mental status change, heart failure, or for palliative care On admission, we would ask them their thoughts about DNR/DNI (do not resuscitate, do not intubate) for during their stay. I met a patient who opted for DNR/DNI, but when his wife came to visit him and saw that note, she got upset. She said to the husband “you don’t want that! You do want to get resuscitated if they have to right?”. The husband paused, then responded “if the day comes and I see the bridge, I will cross it. “ I also met a 103 years old patient that asked us what is the point of treating her lung disease. She said she’s 103 years old, she either wants to be healthy or die. She doesn’t want to be in the middle Today I had to convince a patient to stay and get treatment for her kidneys. She was insisting on leaving the hospital to go home and said if her kidneys fail, she is ready to die. (She ended up staying though🙏🏻) All of these got me thinking a lot about a book I’ve read in the past - “Being Mortal: Medicine and What Matters in the End”. So what does it really matter in the end? Is it the patient’s wishes? Is it to fulfill the family’s wishes? What can we do as a family member, or as a health care provider to support our loved ones, our patient when their life is ending Do you guys have any thoughts on this? I’ve been thinking about this and am really curious to see what you guys think! 最近在醫院裡的老人醫學部門見習,看到好多事情發人省思。 在我們部門下的病人大多是因為神智不清、跌倒、心臟衰竭等經由急診室進來的。入院時我們都會問病人在住院期間插管跟急救的意願。 有個伯伯同意不插管也不急救,但當他老婆探病時看到那標籤好生氣。他跑去跟老伴說:「你寫錯了吧!若有需要,你會想被急救對吧?」老伴頓了一下後回:「若有天我看到那座橋,我會走過那座橋的」 有個103歲婆婆因為咳嗽不止來急診室,後來他問我們治療她有什麼用?她都103歲了,她要馬想要健康,不然她準備好死亡了。她不想要在中間地帶。 今天我試著跟這幾天一直想離開醫院的阿嬤溝通,要她留下來讓我們治療她的腎臟。但他說她回家後如果腎臟衰竭就衰竭,她準備好死了。 這陣子的臨床讓我想到「凝視死亡」這本書(大推)。在生命的尾端,到底什麼重要?身為家人,希望愛人能被急救、插管多活一陣子是好的想法嗎?身為病人,要怎麼跟家屬溝通自己的意願?而身為家人、醫護人員的我們,要怎麼做才能讓所愛的人,或是病人能好好的走完生命的最後一程。 你們有什麼想法嗎?想聽聽大家怎麼想 at Torres del Paine

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16 days ago

We left campsite el Frances and made our way to Pehoe Lake to take a boat that will connect us to the bus back to Peurto Natales on the last day (day 4) of our W circuit Patagonia trek. We continued to the lookout point of Glacier Grey after reaching Pehoe Lake but ended up having to run since we almost missed the last boat (the signs for the estimated time along the way weren’t very accurate). The other hikers that saw us run were confused... I guess now I know why there were other hikers running on our first day there too 🙈 百內公園徒步行的最後一天我們為了趕路想看Glacier Grey但又得在Lake Pehoe搭上最後一班船,我們只好一路奔跑⋯(一路其他登山客都投以異樣眼光) 不過我終於知道登山的第一天為什麼有人也在奔跑了,當初很困惑但他們可能也是要趕末班巴士回小鎮上吧😂 at Torres del Paine, Chile

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19 days ago

The last night of our W circuit Patagonia trek we stayed in a domo since the campsites/tents were all fully booked. I didn’t know what the domos would be like, but it was much better than I expected! There are bathrooms and showers inside the dome and we shared it with 6 other trekkers There’s even a small fire stove inside. It was rainy, chilly and super windy that night so I was glad we got to stay there that night instead in a tent. Plus, we also got a very nice view of Lake Nordenskjold💙 因為營地、帳篷全部都被預定走了,我們百內國家公園徒步行的最後一晚住在一個domo裏。本來沒帶任何期待,結果環境比想像中好太多了。 一個dome裏共住八個登山客,裡面有自己的浴室跟廁所(有熱水!),還有一個小火爐。那晚開始刮風下雨、很慶幸當初訂不到營地,才能來住domos😁而且小窗戶望出去就是好美的Lake Nordenskjold💙 at Torres Del Paine National Park

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1 month ago

Today is #worldwaterday! Having access to clean water is a human right but there are still numerous people around the world that don’t have access to it I’m very grateful to have access to clean water every day and can’t even imagine life without it. During our trek in Patagonia there would be times where we ran out of water and one of the best moments was when we found a stream and filled our water bottles with running glacier water I truly hope one day everyone can have clean water and won’t need to walk for miles to get access for it. Please check out the link in my bio to see how we can help developing countries gain access to clean water 💧. - 0322是世界水日 總覺得能有乾淨的水應該是基本人權,但很難過的是現在全球還是有上億人沒有乾淨的水可以使用⋯ 還記得在百內公園徒步行時大太陽下有幾個小時沒有水喝,一聽到流水聲整個人都跑起來,馬上把水壺裝滿冰川融化的雪水。很感激每天都能有乾淨的水使用,完全無法想像沒有乾淨的水的日子😞希望有天世界各地的人都能有乾淨的水可使用。 在首頁我有分享一直以來都很尊崇的非營利組織網址,他們的宗旨在於幫忙開發中國家開發乾淨的使用水。有興趣可以上他們網站看看怎麼盡一份心力💙 at Parque Nacional Torres del Paine

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1 month ago

The view from Mirador del Frances✨ One of our favorite hikes during the W circuit was the hike from Camp Frances to Mirador del Frances- a lookout to glacier Frances and Nordenskjold lake. It’s a easy hike up through a small forest and the view at the Lookout is absolutely gorgeous. The color of the lake is unreal 💙 You can continue your way up to Mirador Britanico here which we heard also has a beautiful view! - 四天徒步行中最喜歡的一段路程是從 camp Frances 走到Mirador del Frances 的這段。沿途上山的路程會經過小森林很涼爽(前兩天的徒步行沒有樹,加上大熱天都快中暑了)。 大約兩小時即可觀景台,可以欣賞壯觀的 Frances冰川和美麗的Nordenskjold湖 這邊湖的顏色也太不真實太夢幻了吧💙 at Valle del Francés

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2 months ago

Happy International Women’s Day! Thank you to all the wonderful women out there for making the world a better place in your own unique way ❤️ - 婦女節快樂 謝謝各地的女性們妳們用自己獨特的方式讓這世界更美好☺️ at Copacabana Beach, Rio De Janeiro, Brazil

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2 months ago

One of our favorite hikes during the W circuit was the hike from camp Frances to Mirador del Frances- a lookout to glacier Frances and Nordenskjold lake. It’s a easy hike up through a small forest and the view at the Mirador is absolutely gorgeous. You can continue your way up to Mirador Britanico here which we heard also has a beautiful view ☺️ - 四天徒步行中最喜歡的一段路程是從 camp Frances 走到Mirador del Frances 的這段。沿途上山的路程會經過小森林很涼爽(前兩天的徒步行沒有樹,加上大熱天都快中暑了)。 大約兩小時即可觀景台,可以欣賞壯觀的 Frances冰川和美麗的Nordenskjold湖 💙 at Glacier del Francés

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2 months ago

A fun hiking buddy makes a long hike in extreme heat much more bearable ❤️. . The destination of our day two W trek in Torres del Paine National Park was to get to campsite el Frances. It’s about a 7 hour trek, and is a nice walk beside Lake Nordenskjöld. The color of the lakes here are so dreamy 💙 at Lago Nordenskjöld

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2 months ago

The beautiful Mirador Las Torres in Chile 💙 Mirador Las Torres is one of the most popular attractions in Torres del Paine National Park. We did the self-guided express W circuit of Torres del Paine National Park and trekked from the east side to the west. It was a total of 4 days and we visited Mirador Las Torres on our first day We left Puerto Natales around 7 am on day 1 to catch a bus and then a shuttle that took us to our campground for the first night. From Camp Central, it's about a 9 hour round trip hike to Mirador Las Torres. You can easily do day trips here from Puerto Natales as well! Just remember to time your trek well since the staff from the national park closes the path to Mirador base de las Torres around 5 pm for safety reasons. Also get ready for some climb up! My activity data showed we climbed for 300 floors that day 🏃🏻‍♀️💦. . Mirador Las Torres 是百內國家公園最受歡迎的景點之一。我們這趟百內國家公園徒步行走的是從東到西邊的自助express W路線,總共四天。 第一天早上我們從 Puerto Natales 搭了七點的巴士,再轉接駁車到達我們第一晚的扎營地camp central。而從camp central 到Mirador Las Torres大約需來回九小時的腳程。若不想走完W或O路線的旅客,也可以選擇當天來回Puerto Natales 和Mirador Las Torres。只是徒步行時記得注意抓好時間,因為安全考量,國家公園的員工大約在下午五點就會將去 Mirador Las Torres的途徑封閉,不讓登山客進去。 路線不複雜但是蠻多上坡的路段(我的手機運動紀錄顯示我們那天爬了三百層樓)要有心裏準備臀大肌會很酸😅 at Mirador Base De Las Torres

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2 months ago

After 73 exams, I’ve finally finished my didactic year of physician assistant school and am about to start my clinical rotations next week. The past ten months have been very challenging but I’m very thankful to have the support from friends and family to go through this tough period of time. I’m very excited to be able to utilize the knowledge I learned in PA school and to continue leaning in the real world😃 During my one week break before after finals, Kevin and I went to Chile for the Patagonia W trek and to surf. Chile is a very beautiful and friendly country and we enjoyed every minute there❤️ . This was at Puerto Natales, where most of the trekkers spend a night and leave for the Patagonia W trek the next morning. From Santiago, it’s a 4 hours flight to Punta Arenas and then a 2-hour bus connection to Puerto Natales. You can buy bus tickets in advance online (I recommend getting tickets in advance since most the buses were full). The buses are pretty reliable and come on time ☺️ ——— 終於結束了physician assistant 十個月的學科課程,下禮拜即將開始十五個月的臨床訓練了。第一個臨床被分到一般外科,期待但也害怕做錯事情,希望下禮拜不會被噹太慘😅 過去十個月的上學時光很煎熬,用第二外語來學醫科專業知識,加上是快速訓練,課程很緊湊,每週兩次考試,念起書比當初想像還吃力,但很感謝一路上有家人跟好朋友陪伴。很期待接下來能將所學的知識運用在真實臨床上了☺️ 在一個禮拜的學期間假期跟凱文去了想去很久的智利🇨🇱巴塔哥尼亞徒步行。大部分的徒步行客會在Puerto Natales這個小鎮待一晚,隔天再坐巴士去巴塔哥尼亞徒步行起始點。 從智利首都聖地牙哥到Puerto Natales 可以搭飛機到Punta Arenas,再轉搭巴士。建議票可以提早網上買(我們遇到旅客當下買票只能買到五個小時後的車票)。 鎮上可以租徒步行道具,蠻多背包客棧也能讓你暫放徒步行不需要用到的行李。是個很安靜和可愛的小鎮✨ . . . . . #chile #southamerica #traveltheworld #backpacker #naturelovers at Puerto Natales, Chile

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3 months ago

Dear New York Friends, I wanted to let you know New York Common Pantry will assist all Federal Workers who are experiencing difficulties due to the Government shutdown. Please visit their Manhattan or Bronx pantries to receive bags of food – produce, dry goods, and proteins – to help through this time: 8 East 109th Street, Manhattan: Wednesday-Saturday 10:00 AM - 3:00 PM 1290 Hoe Avenue, Bronx: Thursday-Saturday 10:00 - 2:30 PM During this period, individuals will only need to present identification verifying their status as a Federal Employee in order to receive food. Please share this message with anyone you know who may need extra support at this time! at New York, New York

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4 months ago

I am very grateful for all the experiences in 2018 and the people that I am lucky enough to share them with. 2018 was a challenging year and I’ve learned and grown so much from it✨ I finally started physician assistant school and am grateful for the opportunity to be able to practice medicine. I never knew I was capable of gaining so much new knowledge in such a short period of time, especially when learning in my second language. I have one last month left of the didactic year and am excited to start the clinical year soon 😃 Although school has been very busy, I was fortunate enough to travel to a few places and be immersed in different cultures. I can’t wait to see more of this beautiful world in the new year 💙 I am excited to see what 2019 has in store and hope 2019 will be a great year for everyone filled with love, happiness, health, and growth. Wishing everyone a happy and safe New Year ❤️🎉 . #happynewyear2019 at Gullfoss Falls

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5 months ago

This #GivingTuesday I'm raising money for the International Rescue Committee @theirc . Your contribution will make an impact and help refugee families around the world that are in need of help. - The IRC responds to the world's worst humanitarian crises. In conflict zones like Yemen and Syria, families are trying to escape the dangers of religious persecution and civil war, and survive famine. The IRC are on the ground saving children and families from malnutrition and life-threatening diseases, and also providing them with clean water, medicine, nutrition services and other urgent aid. - I really respect the work IRC does and hope that we can help support the good cause. Your donation will help the IRC reach refugees in the U.S. and around the world. Because of you, they can rebuild their lives, piece by piece. - Whether you donate big or small, every little bit helps! Airbnb is also matching the donations to IRC on Giving Tuesday (11/27), so your donation will have double the impact❤️. #standwithrefugees - Please see link in bio to donate. Thank you for your support! - 感恩節過後的禮拜二是 #GivingTuesday,這天的活動是希望能鼓勵大眾回饋給這個社會。 今年的Giving Tuesday 我想幫忙我一直很尊敬的國際非營利組織-International Rescue Committee (IRC)來募款。IRC(國際救援委員會)的服務主旨為應對世界上最嚴重的人道主義危機,像是現在遭受戰爭和飢荒迫害的葉門跟敘利亞危機,IRC都在最前線工作,提供這些受害國家醫療服務、食物救援、和爭取人權。而 Airbnb 在Giving Tuesday 這一天會對於募到的捐款進行加倍捐款,意即如果此次募款募到一千台幣,臉書也會捐款一千台幣給IRC。 你的捐款金額不管多或少,都能支持IRC來幫忙世界各地的難民,和其居住的受迫害國家慢慢重建家園,過更安全和健康的生活。 有興趣支持這項募款的朋友們請到首頁連結相關網址🙏🏻 at Manhattan, New York

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