烤面包蛋糕这么久了，想不到竟然发生手臂烫伤的小事故。今晚在烤吐司时，过了20分钟看到表面上色了，就想用一张铝箔纸盖在吐司盒上面。没想到那张铝箔纸不听话，滑来滑去地，就是不好好呆在吐司盒上面，一下就滑到一边去了，没能盖住。我心急之下，就把戴着隔热手套的双手都伸进去，想把铝箔纸的两边都按住，没想到忽然觉得手臂一点剧痛，意识到右手臂不小心碰到烤箱边缘，那里很热。于是顾不上铝箔纸了，赶紧把烤箱门关上，把隔热手套脱掉，打开水龙头，在流动的水下把手臂的伤口冲洗了15分钟。看到手臂伤口有2-3cm长，表面皮肤泛白，有点破了。冲了很久后，还是觉得伤扣有点火辣辣地疼。
想起柜子里有一些消毒用的药物，找出来，是NaCI 0.9% 装在软管里的无色透明液体。搜了一下，它可以用于伤口的消毒。就倒了一瓶在伤口上。明天早起去看医生。用消毒液淋来伤口之后，没有那么疼痛了。估计药物起作用了。看来平时要囤一些这样的消毒水在家里才好，关键时刻会有用到。
现在是夜里3点36分。真的很懊恼怎么会这么不小心。自从上次在厨房洗酒杯、结果手指被碎玻璃割伤的事故后，四年来这是又一次小事故了。
sodium Chloride 0.9% is used to replace lost body fluids and salts, dilute other medicines, and/or act as a sterile liquid for washing wounds, nasal passages or during surgery.
在忧心忡忡中睡着了，第二天一大早去附近的诊所看家庭医生。诊所名OneCare，平时常去的诊所周日不开门，只好来到这家。印象中这家诊所的医生态度也不错，诊费合理，关键最好的一点是每天都开门营业。
今天坐诊的是一位年轻的印度男医生。他看了看伤口说，it is superficial 。让我松了一口气。他开了一小瓶antibiotic cream ，药名是- Forsuderm ointment 5g (Sodium Fusidate). 每天涂两次，每次薄薄的一层 apply twice, apply a thin layer。他问要pain killer吗，我说不用了，没有那么疼。
看医生花了S$34.88, 其中诊费S$26 consultation Sunday , 药费S$6.6，加上7% GST 消费税。
我和医生的对话如下
Dr: what happened
Me: last night when I baked the bread, my hand accidentally touched the oven, so it got a little burnt. I used the running water to wash the wound immediately for about 10 minutes, but I can still feel the pain
Dr: (quickly logging my case in the computer) so I will give you strong pain killer
Me: (a bit surprised) no, pain killer is not necessary, what I mean is that how to make this recover
Dr: it will recover on its own. Just put the antibiotic cream
Me: just give me that, I don’t need pain killer, it is not that painful
Dr: but you mentioned the pain
Me: the pain is not really severe
Dr: so I will give you the antibiotic cream. is it itchy or not?
Me: no, not itchy
Dr: it is superficial
Me: superficial? Really?
Dr: apply the cream twice a day
Me: will the skin color be like this for a long time?
Dr: it may not be like the same skin color. How different it is, i can’t say, because everybody’s skin heals differently, but definitely it won’t be the same as normal
Me: my god!
Dr: there will be some scar, but won’t be too bad as it is superficial. I don’t think it will go back to normal, some difference should be there. Just hope for the best
Me: is there any measure that can be used to make it better?
Dr: no
Me: no way? Just let it heal naturally?
Dr: don’t remove the skin. Let it heal on its own
Me: fine. Can I take shower these few days
Dr: you can, but don’t run and take out the skin
Me: ok
Dr: the cream is just to prevent infection. If you get infection, then the healing will not be good. That is the purpose of antibiotic cream
Me: I see. Thank you so much
Dr: no problem
搜了一下关于烫伤
https://physicians.wustl.edu/burns-not-as-easy-as-1-2-3/
烫伤的严重性分三个等级
First degree, or superficial burns, are the least severe and considered mild compared to other burns. They affect only the outer layer of the skin and are the most common type of burn.
Second degree, or partial thickness burns, can range from minor to serious and even life-threatening. The most common causes of second degree burns are a severe sunburn, touching a hot stove, exposure to fire, and contact with boiling water.
Third degree, or full thickness burns, can happen when exposure to heat source (fire, boiling water, or oven) lasts for more than a few seconds. These burns reach to the fat layer beneath the skin and are the most serious.
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