My sister, Michelle-Ann Iking's 3% chance of conceiving naturally was a success! Here's her story:
(My apologies as I've been overwhelmed with personal matters. I've only managed to get to my desk. So finally got around posting this).
This is the story behind my sister's pregnancy struggle and how she shared her journey over her Facebook page.
Because some may have not caught her LIVE session chat with me (https://www.facebook.com/daphneiking/videos/687743128744960/) , or read her lengthy post (as it's a private page);
she's allowed me to copy and paste it over my wall, in case you need to know more about her thought process on how AND why she focused on the 3% success probability. Read on.
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Posted 10th May 2020.
FB Credit: Michelle-Ann Iking
A week ago today I celebrated becoming a mother to our second, long awaited child.
Please forgive this mother's LONG (self-indulgent) post, journalling what this significant milestone has meant for her personally, for her own fallible memory's sake as well as maybe to share one day with her son.
If all you were wondering was whether I had delivered and if mum and bub are OK, please be assured the whole KkLM family are thriving tremendously, and continue scrolling right along your Newsfeed 😁.
OUR 3% MIRACLE
All babies are miracles... and none more so than our precious Kiaen Aaryan (pronounced KEY-n AR-yen), whose name derives from Sanskrit origins meaning:
Grace of God
Spiritual
Kind
Benevolent
...words espousing the gratitude Kishore and I feel for Kiaen's arrival as our "3% miracle".
He was conceived, naturally, after 3 years of Kishore and I hoping, praying and 'endeavoring'... and only couples for whom the objective switches from pure recreation to (elusive) procreation will understand how this is less fun than it sounds ...
3 years during which time we had consensus from 3 different doctors that we, particularly I (with my advancing age etc etc) had only a 3% chance of natural conception and that our best hope for a sibling for our firstborn, Lara Anoushka, was via IVF.
Lara herself was an 'intervention baby', being one of the 20% of babies successfully conceived through the less intrusive IUI process, after a year and a half of trying naturally and already being told then my age was a debilitating factor.
We had tried another round of IUI for her sibling in 2017 when Lara was a year old. And that time we fell into the ranks of the 80% of would-be parents for whom it would be an exercise in futility... who would go home, comfort each other as best they could, while individually masking their own personal disappointment... hoping for the best, 'the next time around'...
So the improbability ratio of 97% against natural conception of our second baby, as concurred by the combined opinion of 3 medical professionals, was a very real, very daunting figure for us to have to mentally deal with.
Deep, DEEP, down in my heart however, though I had many a day of doubt... I kept a core kernel of faith that somehow, I would again experience the privilege of pregnancy, and again, have a chance at childbirth.
And so, the optimist in me would tell myself, "Well, there have to be people who fall in the 3% bucket... why shouldn't WE be part of the 3%?"
Those who know me well, understand my belief in the Law of Attraction, the philosophy of focusing your mind only on what you want to attract, not on what you don't want, and so even as Kishore and I prepared to go into significant personal debt to attempt IVF in the 2nd half of 2019, I marshalled a last ditch effort to hone in on that 3% chance of natural conception... through research coming across fertility supplements that I ordered from the US and sent to a friend in Singapore to redirect to me because the supplier would not deliver to Malaysia.
I made us as a couple take the supplements in the 3 month 'priming period' in the lead up to the IVF procedure - preconditioning our bodies for optimum results, if you will.
At the same time, I had invested in a sophisticated fertility monitor, with probes and digital sensors for daily tracking of saliva and other unmentionable fluid samples, designed to pinpoint with chemical accuracy my state of fertility on any given day.
(UPDATE: For those interested - I obtained the supplements and Ovacue Fertility Monitor from https://www.fairhavenhealth.com/. Though I had my supplies delivered to a friend in Singapore, and redirected to me here since the US site does not deliver to Malaysia, there are local distributors for these products, you will just have to research the trustworthiness of the vendors yourself...)
I had set an intention - in the 3 months of pre-IVF priming, I would consume what seemed like a pharmacy's worth of supplements, and track fertility religiously... in hopes that somehow, within the 3 month priming period, we would conceive naturally and potentially save ourselves a down payment on a new property... and this was just a projection on financial costs of IVF, not even considering the physical, emotional and mental toll it involves, with no guarantee of a baby at the end of it all...
It was a continuation of an intention embedded even with my first pregnancy, where all the big ticket baby items were consciously purchased for use by a future sibling, in gender neutral colours, in hopes that sibling would be a brother "for a balanced pair", though of course any healthy child would be a welcome blessing.
It was a very conscious determination to always skew my thoughts in service of what the end objective was. For example, when 3+year old Lara would innocently express impatience at not yet having a sibling, at one point suggesting that since we were "taking too long to give her a baby brother/sister", perhaps we should just "go buy a baby from a shop", instead of getting defensive or berating the baby that she herself was, we enlisted Lara's help to pray for her sibling... so in any place of worship, or sacred ground of any kind that we passed thereon, Lara would stop, close her eyes, bow her small head and place her tiny hands together in prayer, reciting earnestly, "Please God, please give me a baby brother or baby sister."
After months and months of watching Lara do this, in the constancy of her childlike chant, Kishore started feeling the pressure of possibly disappointing Lara if her prayer was not answered. Whereas for me, Lara's recitation of her simple wish became like a strengthening mantra, our collective intention imbued with greater power with each repetition, and the goal of a sibling kept very much in the forefront of our minds (hence our calling Lara our 'project manager' in this endeavour).
And somehow in the 2nd month of that 3 month period, a positive + sign appeared on one of the home pregnancy tests I had grown accustomed to taking - my version of the lottery tickets others keep buying in hopes of hitting the jackpot, with all the cyclical anticipation and more often than not, disappointment, that entails...
This time however I was not disappointed.
With God's Grace, (hence 'Kiaen', a variation of 'Kiaan' which means 'Grace of God'), my focus on our joining the ranks of the 3% had materialised.
It seems poetic then, that Kiaen chose to make his appearance on the 3rd May, ironically the same date that his paternal great-grandfather departed this world for the next... such that in the combined words of Kishore and his father Kai Vello Suppiah,
"The 1st generation Suppiah left on 3rd May and the 4th generation Suppiah arrived on 3rd May after 41yrs...
One leaves, another comes, the legacy lives on..."
***
KIAEN AARYAN SUPPIAH'S BIRTH STORY
On Sunday 3rd May, I was 40 weeks and 5 days pregnant.
The baby was, in my mind, very UN-fashionably late past his due date of 29th April, so as much as I had willed and 'manifested' the privilege of pregnancy, to say I was keen to be done with it all was an understatement.
In the weeks leading to up to my full term, I had experienced increasingly intense Braxton-Hicks 'practice contractions' - annoying for me for the discomfort involved, stressful for Kishore who was on tenterhooks with the false alarms, on constant alert for when we would actually need to leave home for the hospital.
Having become a Hypnobirthing student and advocate from my first pregnancy with Lara, and thus being equipped with
(1) a lack of fear about childbirth in general and
(2) a basic understanding of how all the sensations I would experience fit into the big picture of my body bringing our baby closer to us,
I was less stressed - content to wait for the baby to be "fully cooked" and come out whenever he was ready... though I wouldn't have minded at all if the cooking time ended sooner, rather than later.
With Lara, I had been somewhat 'forced' into an induced labour, even though she was not yet due, and that had resulted in a 5 DAY LABOUR, a Birth Story for another post, so I was not inclined to chemically induce labour, even though I was assured that for second time mothers, it would be 'much faster and easier'...
That morning, I had a hunch *maybe* that day was the day, because in contrast to previous weeks' sensations of tightening, pressure and even spasms that were concentrated in the front of my abdomen and occasionally shot through my sides and legs, I felt period - like cramping in my lower back which I had not felt before throughout the pregnancy.
It was about 8am in the morning then, and my 'surges' were still relatively mild ('surges' being Hypnobirthing - speak for 'contractions', designed to frame them with the more positive connotations needed to counteract common language in which childbirth is presented as something that is unequivocally painful and traumatic, instead of the miraculous, powerful and natural phenomenon it actually is).
I recall (masochistically?) entertaining the thought of opting NOT to have an epidural JUST TO SEE WHAT IT WOULD BE LIKE...
I figured this would be the last time I would be pregnant and so it would be my 'last chance' to experience 'drug free labour' which, apart from the health benefits for baby and mother, might be *interesting* in a way that people who are curious about what getting a tattoo and skydiving and bungee jumping are like, might find these *interesting*...even knowing there will be pain and risk involved...
Since I have tried tattoos and skydiving (unfortunately not being able to squeeze in bungee-jumping while my life was purely my own to risk at no dependents' possible detriment) a similar curiousity about a no-epidural labour was on my mind...
In the absence of other signs of the onset of labour (like 'bloody show' or my waters breaking), I wanted to wait until the surges were coming every few minutes before we actually left the house for the hospital, not wanting to be one of those couples who rushed in too early and had interminable waits for the next stage in unfamiliar, clinical surroundings and/or were made to go home in an anti-climatic manner.
I was even calm enough through my surges to have the presence of mind to wash and blowdry my hair, knowing if I did deliver soon I would not be allowed this luxury for a while.
Around 9am I asked Kishore to prep for Lara and himself to be dressed and breakfasted so we could head to hospital soon, while I sent messages to family members on both sides informing them 'today might be the day.'
My mother, who had briefly served as a midwife before going back into general nursing and then becoming a nursing tutor, prophetically stated that if what I was experiencing was true labour, "the baby would be out by noon".
The pace in which my surges grew closer together was surprisingly quicker than I expected; and while I asked Lara to "Hurry up with breakfast" with only a tad more urgency than we normally tell her to do, little Missy being prone to dilly-dallying at meals, I probably freaked Kishore out when about 930am onwards, I had to instinctively get on my hands and knees a couple of times, eyes closed, trying to practice the Hypnobirthing breathing techniques I had revised to help along the process of my body birthing our child into the world.
I recall him saying a bit frantically as I knelt at our front door, doubled over as he waited for Lara to complete something or other, "Lara hurry up! Can't you see Mama is in so much pain and you are taking your own sweet time??!!"
SIDETRACK: Just the night before, Lara and I had watched a TV show in which a woman gave birth with the usual histrionics accompanying pop culture depictions of labour.
Lara watched the scene, transfixed.
I told her, simply and matter-of-factly, "That's what Mama has to do to get baby brother out Lara, and that's what I had to do for you also."
In most of interactions with my daughter, I have sought to equip her to face life's situations with calmness, truthful common sense, and ideally a minimum of drama.
Those who know the dramatic diva that Lara can be will know that this is a work-in-progress, but her response to me that night showed me some of my 'teachings' were sinking in:
She looked at me unfazed, "But Mama," she said. "You won't cry and scream like that lady, right? You will be BRAVE and stay calm, right?"
#nopressure.
So as we prepped to leave for the hospital I did indeed attempt to be that role model of calm for her, asking her only for her help in keeping very quiet,
"Because Mama needs to focus on bringing baby brother out and she needs quiet to concentrate...".
As we left the house at 10.11am, I texted Kishore's sister Geetha to please prep to pick up Lara from the hospital, and was grateful Kishore had the foresight to ask our gynae to prepare a letter for Geetha to show any police roadblocks between my in-laws' home in Subang Jaya and the hospital in Bangsar, this all happening under the Movement Control Order (MCO).
To Lara's credit, in the journey over to the hospital, she - probably sensing the gravity of the situation, sat very quietly in her seat at the back, and the silence was punctuated only by my occasional deep intakes of breath and some variation of my Ohmmm-like moans when the sensations were at their height.
By the time we got to Pantai Hospital at around 10.30am, my surges were strong enough I requested a wheelchair to assist me in getting to the labour ward, as I did not trust my own legs to support me... and Kishore would have to wait until Geetha had arrived to take Lara back to my in-laws' house before he himself could go up.
I slumped in the wheelchair and was wheeled up to the labour room with my eyes closed the whole time, trying to handle my surges.
I didn't even look up to see the attendant who pushed me... but did make the effort to thank him sincerely when he handed me over, with what seemed like a palpable sense of relief on his part, to the labour ward nurses.
The nurse attending me at Pantai was calm, steady and efficient. I answered some questions and changed into my labour gown while waiting for Kishore to come up, all the while managing the increasingly intense surges with my rusty Hypnobirthing breathing techniques.
By the time Kishore joined me at around 11am (I know these timings based on the timestamps of the 'WhatsApp live feed' of messages Kishore sent to his family), I was asking the nurse on duty, "How soon can I get an epidural??" thinking what crazy woman thought she could do this without drugs???!!!
The nurse checked my cervix dilation, I saw her bloodied glove indicating my mucous plug had dislodged, and she told me, "Well you are already at 7cm (which, for the uninitiated, is 70% of the way to the 10cm dilation needed for birthing), you are really doing well, if you made it this far without any drugs, if can you try and manage without it... I suspect within 2 hours or less you will deliver your baby and since it will take about that time for the anaesthesiologist to be called, epidural to be administered and kick in... it might all be for nothing... but of course the decision is completely up to you... "
So there I was, super torn, should I risk the sensations becoming worse... or risk the epidural becoming a waste?? And of course I was trying to decide this as my labour surges were coming at me stronger and stronger...
I was in such a dilemma...because as a 'recovering approval junkie' there was also a silly element of approval-seeking involved, ("The nurse thinks I can do this without drugs... maybe I CAN do this without drugs... Yay me!") mixed with that element of curiosity I mentioned earlier ("What if I actually CAN do this without drugs... plenty of other women have done it all over the world since time immemorial.. no big deal, how bad can it be...??") so then I thought I would use the financial aspect to be the 'tiebreaker' in my decision making...
I asked the nurse how much an epidural would cost and when she replied "Around MYR1.5k", I still remember Kishore's incredulous face as I asked the question, i.e."Seriously babe, you are gonna think about money right now? If you need the epidural TAKE IT, don't worry about the money!!!"... and while we are not rich by any stretch of the imagination, thankfully RM1.5k is not a quantum that made me swing towards a decision to "better save the money"...
So in the end, I guess my curiosity won out, and I turned down the epidural "just to see what it would be like and if I had it in me" (in addition of course to avoiding the side effects of any drugs introduced into my and the baby's body).
My labour occuring in the time of coronavirus, it was protocol for me to have a COVID19 test done, so the medical staff could apply the necessary precautions. I had heard from a friend Sharon Ruba that the test procedure was uncomfortable, so when the nurse came with the test kit as I was starting another surge, I asked, "Please can I just finish this surge before I do the test?" as I really didn't think I could multitask tackling multiple uncomfortable sensations in one go.
The COVID19 test involved what felt like a looong, skinny cotton bud being inserted into one nostril... I definitely felt more than a tickle as it went in and up, being told to take deep breaths by the nurse. Then she asked me to "Try to swallow" and I felt it go into my nasal cavities where I didn't think anything could go any further, but was proven wrong when she asked me to swallow again and the swab was probed even deeper. Then she warned me there would be some slight discomfort as she prepared to collect a sample... but at that point all I could think about was:
(i) I really don't have much of a choice
(ii) please let this be over before my next surge kicks in
(iii) if all the people breaking the MCO rules knew what it feels like to do this test maybe they won't put themselves at risk of the need to perform one...
In full disclosure as I was transferred into the actual delivery room at some point after 11am, another nurse offered me 'laughing gas' to ostensibly take some of the edge off... I took the self-operated breathing nozzle passed to me but don't recall it making any difference to my sensations..so didn't use it much as it seemed pretty pointless.
I recall some measure of relief when I heard my gynae Dr. Paul entering the room, greeting Kishore and me, and telling us it was going well and it wouldn't be long now and he would see us again shortly.
From my previous labour with Lara I knew the midwives pretty much take you 90% of the way through the labour and when the Dr is called in you are really at the home stretch, so was very relieved to hear his voice though knowing he would leave and come back later meant it wasn't quite over yet.
I do remember realising when I had crossed the Thinning and Opening Phase of labour to the Birthing Phase, by the change in sensations... it is still amazing to me that as the Hypnobirthing book mentioned, having this knowledge I was instinctively able to switch breathing techniques for the next stage of labour .
Was my opting against epidural the right choice for me?
Overall? Yes.
Don't get me wrong.
I *almost* regretted the decision several times during active labour... especially when I felt my body being taken over by an overwhelming compulsion to push that did not seem conscious and was accompanied by involuntary gutteral moans where I literally just thought to myself, "I surrender, God do with me what you will..." (super dramatic I know but VERY real at the time...).
I think I experienced 3-4 such natural explusive reflexes (?), rhythmically pushing the baby down the birth path, one of which was accompanied by what felt like a swoosh of water coming out of a hose with a diameter the size of a golf ball... this was when I realised my water had finally broken...
The nurses kept instructing me to do different things, to keep breathing, to move to my side, then to move to the middle, to raise my feet... and when I didn't comply, Kishore (who was with me throughout both my labours) tried to help them by repeating the instructions prefaced with "Sayang..." but I basically ignored all the intructions because I felt I had no capacity to direct any part of my body to do anything and someone else would have to physically manoeuvre that body part themselves.
When I heard Dr. Paul's voice again and the flurry of commotion surrounding his presence, I knew the time was close... and when I heard the nurse say to Kishore, "Sir, these are your gloves, for when you cut the baby's cord", it was music to my ears...
I'm very, VERY grateful Kiaen slid out after maybe the 4th of those involuntary pushes... the wave of RELIEF when he came out so quickly... it still boggles my mind that my mother was essentially right and as his birth time was 12.02pm, it was *only* about 1.5 hours between our arrival at the hospital and his arrival into the world.
Kiaen was placed on my chest for skin to skin bonding and remained there for a considerable time.
For our short stay in the hospital he would be with us in my maternity ward number C327... another trivially serendipitous sign for me because he was born on the 3rd (May) and our wedding anniversary is 27th (July).
I was discharged the following day 4th May at about 5.30pm, after I got an all clear on COVID19 and a paediatric surgeon did a small procedure on Kiaen to address a tongue-tie that would affect his breastfeeding latch... making the entire duration of our stay about 31 hours.
I have taken the time and effort to record all this down so that whenever life's challenges threaten to get me down I can remind myself, "Ignore the 97% failure probability, focus on the 3% success probability".
Also that the human condition is miraculous and it is such a privilege to experience it.
To our son Kiaen Aaryan, thank you for coming into our lives and choosing us as your parents.
Even though Papa and I are both zombies trying to settle into a night time feeding routine with you, I look forward to spending not only all future Mother's Days, but every day, with you and your Akka...
And last but not least, to my husband Kishore...without whom none of this would be possible - we did it sayang, I love you ❤️
Photo credit: Stayhome session with Samantha Yong Photography (http://samanthayong.com/)
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[時事英文] 死亡率(mortality rate)*、壓平曲線(flattening the curve)、活動限制 (lockdown):如何理解這些術語?
Language goes beyond a sealed system governed by a rigid set of rules. To fully understand the meaning of a word, one must look further than connotation and denotation, and also take context into consideration. In this case, one needs to examine the social, political, economic, and even statistical contexts of the terms.
語言並非只是受嚴密規則所約束的封閉系統。為了充分理解一個單詞的意涵,我們不僅要瞭解其本義與引申義,同時還要考慮整個語境。在此一情況下,應要考察社會、政治、經濟甚至統計上的語境。
Does “confirmed cases,” for example, mean the same thing in every country before and during the coronavirus outbreak? What about “lockdowns”? Does it mean that the government is advising people to stay home or is someone nailing your door shut? Some food for thought when reading about the coronavirus outbreak.
例如,在冠狀病毒爆發前以及爆發期間,「確診病例」在各國是否具有相同的含義?那麼,封鎖呢?這是否意味著政府正建議人們留在家中,抑或有人正把你家大門釘上?以上是在閱讀疫情的相關資訊時所引人深思的一些事情。
*同學好心的補充說明:「mortality rate」通常指的是死亡率,而「fatality rate」則是(因罹患某疾病)致死率。兩者都是重要的死亡指標,但計算公式不相同。
★★★★★★★★★★★★
《紐約時報》報導:
Making sense of the coronavirus pandemic requires getting up to speed on semantics as much as epidemiology. Government officials and health care professionals toss off mentions of mortality rates, flattening the curve and lockdowns, assuming that we know what they mean. But the terms mean different things from country to country, state to state, even city to city and person to person. Officials use the same phrases about mass testing, caseloads and deaths to describe very different situations. That makes it hard to give clear answers to vital questions: How bad are things? Where are they headed?
1. make sense of… 理解……
2. get up to speed on 了解最新情況;跟上進度
3. toss off 輕而易舉地處理*
弄懂新型冠狀病毒大流行,既需要了解流行病學的最新情況,也需要在語義學上跟上形勢。「死亡率」、「壓平曲線」和「活動限制」等說法從政府官員和公共衛生專業人士的嘴裡脫口而出,他們假設大家都知道這些詞的意思。但對不同的國家、不同的州,甚至不同的城市和個人來說,這些術語有著不同的含義。 官員們使用「大規模檢測」、「病例數」和「死亡病例數」等相同的措辭,來描繪非常不同的情況。這令一些重要的問題難以得到明確的回答:情況有多糟糕?正在向什麼方向發展?
toss off: https://www.merriam-webster.com/dictionary/toss%20off
★★★★★★★★★★★★
People search for insight by comparing their countries to those that are further along in the epidemic. But if the terms are misleading or used in differing ways, the comparisons are flawed. Also, the statistics and vocabulary offer a false sense of precision while in reality, the information we have shows only a fraction of what’s going on. “The new cases or deaths each day are given as exact numbers, and we’re trained to take that at face value,” said Mark N. Lurie, an epidemiologist at Brown University’s School of Public Health. “But those are far from exact, they’re deeply flawed, and their meaning varies from place to place and from time period to time period.”
4. be further along in 在……上走得更深遠
5. at face value 根據外表;從表面上看
人們將自己的國家與那些經歷了疫情更多階段的國家進行比較,以求了解情況。但是,如果這些詞語使人產生誤解,或在使用方式上存在差異的話,這種比較就是錯誤的。此外,這些統計數據和詞彙給人以精準的假象,而現實是,我們所掌握的信息僅代表冰山一角。「每天的新增病例數或死亡人數都是以精準數字的形式通報的,我們被訓練成只看這些表面數字。」布朗大學公共衛生學院流行病學家馬克・盧裡說。「但這些數字遠非精準,而且有嚴重缺陷,它們的含義因不同的時間和地點而不同。」
★★★★★★★★★★★★
I. Confirmed Cases 確診病例
Countries vary wildly in testing for the virus and how they report the numbers, and experts say most infections are going undetected. So the publicized national tallies are rough, incomplete pictures that may not be all that comparable. And that’s if countries are forthcoming about their data.
6. vary wildly in 在……上有極大的差異*
7. publicize 公布;宣傳
8. national tallies 國家的統計數據
9. incomplete pictures 不完整的狀況
10. forthcoming 樂於幫助的
各國在病毒檢測以及通報數字的方式上有很大差異,而且專家們說,大多數感染都沒有被發現。因此,各國公布的只是粗略的數據,這些並不完整的描繪也許沒有多少可比性。這還是在假設各國願意提供數據的情況下。
wildly: https://bit.ly/2wkgPjo
⊹⊹⊹⊹⊹⊹⊹⊹⊹⊹⊹⊹⊹⊹⊹⊹⊹
Officials in the United States say that China, which has reported more than 82,000 infections, has understated its epidemic. Until this week, the Chinese government excluded those patients who tested positive for the virus but had no symptoms. China also doesn’t say how many tests it has conducted, and doubts have been raised about whether it has tested extensively in Xinjiang, the province where it holds hundreds of thousands of Muslims in indoctrination camps. The Covid Tracking Project, run by The Atlantic, has tried to compile all the numbers in the United States and reports more than 1.2 million tests so far, over 3,600 per million people.
11. understate 未如實陳述;避重就輕地說
12. exclude 把……排除在外
13. indoctrination camps 再教育營
14. run by 由……經營
中國通報的累計確診病例超過8萬2千例,美國官員說,中國淡化了國內的疫情。直到本週前,中國政府一直把病毒檢測呈陽性但沒有癥狀的感染者不納入確診病例。中國也未公開接受檢測的人數,而且外界已對中國是否在新疆進行了大規模檢測表示懷疑,中國在那裡把數十萬穆斯林關進了拘禁營。《大西洋月刊》的新冠肺炎追蹤計劃試圖匯總美國的所有數據,它統計到的數字是,美國迄今為止進行了逾120萬例檢測,平均每百萬人超過3600例。
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II. Widespread Testing 大規模檢測
It matters not only how many people are tested, but also when, and who they are. Once again, countries differ, shaping what the numbers mean. A few countries, like South Korea, Australia and Singapore, got serious about mass testing early on. They used the information to do ambitious contact-tracing — finding and testing those who had recently been near infected people, even if they had no symptoms.
15. it matters 重要的是
16. not only……, but also…… 不僅……,而且……
17. get serious about 認真對待某事
18. early on 在早期
重要的不只是多少人做了檢測,檢測時間和檢測對象也很重要。各國在檢測時間和對象上也有不同,這讓數字的含義也有所不同。韓國、澳洲和新加坡等少數國家很早就開始認真地進行大規模檢測。他們利用這些信息嚴格追蹤接觸者,也就是找到並檢測那些親密接觸者,即使他們沒有癥狀。
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But most nations with large numbers of cases have done less testing, waited longer to do it in bulk, and made little attempt at contact tracing. They find themselves playing catch-up with the virus, ramping up testing after their outbreaks had already mushroomed. They detect more cases, but by then it’s hard to tell how much of that growth is the expanding epidemic and how much is expanding surveillance. Unable to meet the demand, they often limit testing to the sickest patients and health workers.
19. in bulk 大量
20. make little attempt 幾乎未做嘗試
21. ramp up 增加*
22. mushroom (v.) 迅速增長;迅速發展*
23. meet the demand 滿足需求
24. limit……to 將……限制在……
但大多數存在大量確診病例的國家進行的檢測數量都比較少,都是等了更長時間後才開始進行大規模檢測,而且對追蹤接觸者的工作幾乎未做嘗試。這些國家發現自己在拚命追趕病毒的傳播,在疫情迅速蔓延後才加大了檢測力度。這些國家都檢測到了更多的病例,但此時已很難判斷新增病例中有多少是疫情不斷擴大的結果,有多少是擴大疫情監測的結果。由於無法滿足檢測需求,這些國家通常只能對病情最嚴重的患者以及衛生工作者做檢測。
ramp up: https://www.collinsdictionary.com/dictionary/english/ramp-up
mushroom: https://www.ldoceonline.com/dictionary/mushroom
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III. Fatality Rates 致死率
It has been stated time and again: Italy and Spain have high mortality rates among coronavirus patients, Germany’s is low, and China’s is somewhere between. It may not be that simple. Counting the dead is as flawed and inconsistent as counting the infected. Recent reports say that mortuaries in Wuhan, China, where the disease was first discovered, have ordered thousands more urns than usual, suggesting a much higher death toll than the city’s official count, 2,535. The outbreaks in Wuhan, and parts of Italy and Spain, overwhelmed hospitals, forcing many sick people to ride it out at home. No one knows how many people have recovered or died without ever being tested. And if only the sickest patients are tested, then the number of infections will appear smaller and the percentage who die will seem higher.
25. time and again 屢次;一再
26. as flawed and inconsistent as 像……一樣存在缺陷與不一致
27. mortuary 停屍間(太平間)
28. urn 骨灰罈
29. suggest 暗示*
30. death toll 死亡人數
31. to ride it out 安然渡過(難關)*
一個反覆提及的說法是:義大利和西班牙的新冠病毒肺炎患者死亡率高,德國的低,中國的居中。情況也許並不那麼簡單。統計死亡人數和統計感染人數一樣存在缺陷和不一致的地方。最近有報導稱,武漢的殯儀館訂購的骨灰盒數比該市官方統計的2535例死亡高出好幾千,表明死亡人數遠高於官方公布的數字。新冠病毒最早就是在這座城市發現的。武漢以及義大利和西班牙部分地區的疫情使醫院不堪重負,許多患者被迫在家中渡過難關。沒人知道究竟有多少人在從未做檢測的情況下康復或死亡。如果只對病情最嚴重的患者做檢測的話,感染人數看上去會更低,而死亡率看起來將更高。
suggest: https://www.oxfordlearnersdictionaries.com/definition/english/suggest
ride sth out: https://bit.ly/2Rd6Tj6
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IV. The Peak 疫情高峰
Officials often talk about when the epidemic peaks or plateaus — when a country “flattens the curve.” But they rarely specify, the peak of what? And how can we be sure we’re past it? When an outbreak is growing unchecked, more people become infected and more die each day than the day before. On a graph, the curve showing the daily count of new cases has gone from rising sharply to moving sideways — the curve has flattened — and even begun to move downward. That is one corner being turned: The rate of the spread of the virus has slowed down. It takes longer to turn another: the rate of people dying.
32. from rising sharply to moving sideways 從急劇上升到橫向移動
33. turn the corner 好轉;度過難關*
官員們經常提疫情何時達到高峰或進入平台期,也就是一個國家「壓平曲線」的時候。但他們很少具體說明是什麼達到了高峰,以及我們怎麼能確定高峰已過?當疫情不受控制地發展時,每天的感染和死亡人數都比前一天多。曲線圖上顯示的每天新增病例數從急劇上升變得趨於平緩——曲線已被壓平——甚至開始下降。這是一個轉折點:病毒的傳播速度已經放緩。度過死亡人數的轉折點則需要更長的時間。
turn the corner: https://www.merriam-webster.com/dictionary/turn%20the%20corner
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But even when those curves flatten, the epidemic still has not “peaked” by another crucial measure: the number of active cases. That figure continues to rise until the number of patients who either die or recover each day is larger than the number of new infections. To ease the staggering load on health care systems, the active cases curve must also flatten and then fall.
34. peak (v.) 使……達到頂峰
35. either……or…… 不是……就是……
36. staggering 沉重的;巨大的
但是,即使這些曲線已趨於平緩,疫情的另一個重要衡量指標——現存確診病例數——仍未達到「峰值」。在每天的死亡或康復患者人數超過新增感染人數之前,這個數字還將繼續上升。為緩解衛生系統的沉重負擔,現存確診病例數的曲線也必須先趨平,然後下降。
peak: https://www.oxfordlearnersdictionaries.com/definition/english/peak_2
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V. Lockdowns 封鎖(活動限制)
More than two billion people, including most Americans, are living under something usually called a lockdown. But there is no set definition of that word — or related terms like stay-at-home mandates and social distancing — so the details differ from place to place. The biggest differences may be in enforcement. Some places, like those in the United States with lockdowns, mostly rely on people to follow the rules without coercion. But Italy and others have deployed soldiers to ensure compliance, and French police have fined hundreds of thousands of people for violating restrictions. China, in addition to using security forces, mobilized an army of volunteers, ratcheting up social pressure to obey.
37. set definition 固定的定義
38. enforcement 實施;執行
39. rely on 仰賴;依靠
40. deploy 部署
41. compliance 服從
42. fine 處……以罰款(或罰金)
43. in addition to 除了……之外
44. mobilize 動員
45. ratchet sth up/down 逐步增加/減少
全球有20多億人,包括大多數美國人正生活在一般被稱為「活動限制」的狀態下。但這個詞沒有固定的定義,其他的相關說法,比如政府的「待在家裡」和「保持社交距離」令也沒有明確的定義,所以各地的具體做法也不一樣。最大的不同可能在執行方面。有些地方,比如美國有限制令的地方,主要依靠人們自覺遵守,而非強制。但義大利等國為確保限制令的落實而動用了軍隊,法國警方還對數已十萬計的違反禁令者處以罰款。中國除了使用安全部隊外,還動員了一支志願者大軍來加大服從封鎖隔離措施的社會壓力。
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Italy’s experience shows the looseness of the term. It has gone through several phases of restrictions, applying them to more people, making them stricter and increasing enforcement. A few weeks ago, a person could travel around Italy for a valid work or family reason. Now, people are fined for nonessential walking too far from their homes. But each stage was widely called by the same name: lockdown.
46. looseness 鬆散
47. valid 確鑿的;合理的;有根據的;讓人信服的
義大利的經歷表明了這個詞語解釋上的自由。義大利的封鎖令經歷了幾個階段,適用範圍擴大到越來越多的人,封鎖及其執行也變得越來越嚴格。幾週前,人們還可以因為正當的工作或家庭原因在義大利旅行。現在,人們會因不必要的離家太遠的走動而被罰款。但禁令的每個階段用的都是同一個泛泛的名稱:活動限制。
《紐約時報》完整報導:https://nyti.ms/2XcCUeT
圖片出處:https://fxn.ws/34gwSeH
★★★★★★★★★★★★
時事英文大全:http://bit.ly/2WtAqop
如何使用「時事英文」:https://bit.ly/3a9rr38
#疫情英文
40 questions to get to know someone 在 Alvin Chong 鍾瑾樺 Facebook 的最佳貼文
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40 questions to get to know someone 在 Team Secret Youtube 的最讚貼文
Ask me Anything with Milan, Domentos and Team Secret CEO John Yao.
» FOLLOW MILAN «
Twitter - https://www.twitter.com/Secret_Milan
Twitch - https://www.twitch.tv/Secret_Milan
» FOLLOW DOMENTOS «
Twitter - https://www.twitter.com/Secret_Domentos
» SOCIAL MEDIA «
Twitter - https://twitter.com/teamsecret
Instagram - https://www.instagram.com/TeamSecret/
Facebook - https://www.facebook.com/TeamSecret/
Website - https://www.TeamSecret.gg
Discord - https://discord.gg/33GA6np
» EDITED BY «
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#SecretMilan #SecretDomento #TeamSecretFortnite
» QUESTIONS «
00:15 - Why is Osmo a big W-keyer?
00:53 - Have you ever played DotA?
01:42 - Do you think Mongraal would perform well in tournaments?
02:29 - Whats your favorite skin in Fortnite?
03:01 - Milan, do you have a crush on Ariana Grande?
03:16 - What is your favorite part of the Skirmishes?
04:10 - Will Team Secret host a tournament soon or ever?
04:37 - Where are you guys from?
05:01 - Domentos, do you know why you are the only European player playing the Secret Skirmish?
05:49 - Any tips how to get notices by a Pro Team? And how did you both get noticed?
08:39 - Are you guys ever gonna do viewer games live?
09:17 - Domentos, do you know anything about other Latvian esports professionals? And do you think you can be the biggest Latvian esports professional?
10:35 - How did you guys choose your names?
11:29 - Do any of you guys watch the French scene?
13:04 - Out of all the Team Secret players who is the most unknown or underrated?
13:38 - Milan, will you be doing more games with the Variety Gang later?
14:18 - Do you guys watch Netflix? And if so, what series do you watch?
15:15 - Would Team Secret sing any new players for Fortnite?
16:40 - Are you guys playing Pop Up and if so, how many points do you have?
17:51 - What is better? EU or NA?
19:48 - Do you guys prefer Solos, Duos or Squads when playing competitions?
22:02 - Do you guys want the Drum Gun back?
22:41 - What do you guys think of the Fortnite patch so far?
24:07 - Do you think that KovaaK’s help?
25:55 - Milan, are you gonna stream more?
26:13 - Do you guys want double pump back or do you think it’s not worth it in scrims?
26:50 - Do you guys think EPIC should reduce the damage of the pump shotgun?
27:07 - Domentos, how come we haven’t seen you duoing with Mongraal on his stream?
28:17 - What do you guys think about the current state of the game and what do you think about the future potential of it?
30:49 - Domentos, are you ready for the Secret Skirmish?
31:35 - What’s better? Stretch or Native resolution and do you think weird resulutions give you an advantage?
33:09 - Any tips for someone who wants to join Team Secret as a Fortnite player?
33:53 - Domentos, what do you wanna do after esports? Do you wanna do coaching, event managemet, work for the org...?
34:51 - What is the best keyboard?
40 questions to get to know someone 在 Anthony Carrino Youtube 的精選貼文
Show Notes:
This episode "walks" you through your last two major job site walk-throughs; Post-Final Inspection and your Punch List.
This is our Project Planning Series, which we initially launched as the first 7 episodes of this podcast. We are publishing them again to make sure all our new listeners get the benefit of the series, and as a refresher for those who have already heard them. There is a ton of information here, so please let us know if you have any questions. And if you know someone who has an upcoming renovation, or who would benefit from this series, PLEASE SHARE IT!
We will be back with all new episodes after this series!
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