In my conversations with the nurses and doctors here in Hangzhou I learned that they study English from elementary school including taking written tests in English throughout their education.   The tests are multiple-choice until high school when brief 100-150 word responses are added.
That college admission is ... Read More »

May is the last pleasant month in Hangzhou before the heat sets in.   Even though it’s a bit rainy, most days are pleasant with temperatures 24-28° C in contrast to the 40s in the late spring and summer.   Our daily ritual is mostly unchanged, pick up at 07.30 and arriving just before 08.00 morning ... Read More »

I returned to Hangzhou on the 2nd of May.   I rested on Saturday and went with our center’s dietitian to the Wetland Park.   Hangzhou is a city of water.   On one end is West Lake that I described last visit.   On the other is the huge Wetland Xixi Park.   It is a place of beauty and ... Read More »

Continuous subcutaneous insulin infusion (CSII) therapy utilizing insulin pumps continues to become popular among patients with diabetes.   Insulin pump therapy may be continued during the hospitalization period provided policies exist to ensure its safe use, which may involve a diabetes team familiar with CSII ... Read More »

Diabetes is a world-wide epidemic and complicates many hospitalizations.   Medical illness and surgery may lead to stress hyperglycemia in patients without pre-existing diabetes.     Both hyperglycemia and hypoglycemia are associated with increased inpatient morbidity and mortality and policies that promote ... Read More »