March 4, 2015:  My first work day!  I was accompanied by Tiffany.  We met with Mr. Chau briefly and he turned us loose with his blessings.  I took photos of nearly all the residents in preparation for the resident history reports I was planning to initiate.  I made contact with each of the residents albeit briefly as there are 74 people residing at the shelter.  I noted the immediate need for a review of the ankle and wrist restraints that are currently being used along with a recommendation that BeCause consider an upgrade of said restraints for safety, comfort and humanitarian reasons.  A recommendation to line the inner perimeter of the children’s metal bed frames with cushioned / protective padding to protect against and prevent further injuries due to the uncontrollable and unconscious movements of several of the children.  And finally I also recommended that individual tooth brushes and the sanitary storage thereof be implemented to prevent the spread of viruses and other potentially dangerous disease.  Simultaneously, I have been working quite a lot to attract students for the basic training course of study I’m offering each month. March 11, 2015:  At the start of the day, I had a short discussion with Mr. Chau about the restraints.  He had already started creating new ones without the metal clamping mechanisms, but the material was the same.  I very diplomatically chatted with him about the need for padded restraints, so for now there is a pause on that project until we can figure out an adequate design that will actually make a difference.  I met pediatrician through some friends of mine and she has offered to come to the shelter along with a few nurses and assist me in completing the evaluations and will also perform routine check up on as many kids as she can while she is there.  She is 54 years old and will be ushered in to forced retirement at 55 by a govt. mandate.  So she may have an interest in regularly supporting the children. I will ask her opinion and what design she recommends when we meet at the shelter.  I  spent the bulk of the day connecting and applying various levels of compassionate touch and basic massage therapy to most of the children.  Earlier Mr. Chau had asked me to visit and check out some of the elderly stroke victims.  I was glad to comply with his request and there spent the last hour of so, getting to know some of the seniors in a more intimate way.  There are very receptive and responded to the kindness, therapy protocols and exercises I’ve recommended.  Time spent in transit to and from HCMC was approx. 1.75 hour each way (bus and motorbike). March 14 & 15, 2015:  I started my Compassionate Touch and Basic Massage Therapy class this past Saturday.  We had 7 attendees and a few other drop in’s for part of the day on Saturday and 6 attendees and a few drop in’s for part of the day on Sunday.  The class was very well received!  We spent each morning with a brief lecture that expanded in to dialog/discussion and much interaction with and from the students. We spent the afternoons up close and personal, hands on with the children and other residents. All of the students responded well to the course material.   The intent to raise awareness and basically train the students in basic caregiving practices and protocols is off to a great start.  I had hoped for a minimum of 10 attendees.  However I have surrendered to the success of what is and the great feedback, interest and response being demonstrated by the attendees which is unanimously positive.  Time spent in transit to and from HCMC was approx. 1.75 hour each way (bus and motorbike – Sat.;  bus and taxi on Sun). However, though it helps you have a better erection levitra without prescription for a long period of time. When these tissues are distended sildenafil pills with blood, your penis becomes erect effortlessly. Before you order generika levitra, you need to make sure to take a proper medicine for their disorder of erectile dysfunction. It does generika cialis not only lack the sexual stimulation capacity but also produces several adverse effects. March 18, 2015:  I spent the entire day connecting and working on nearly all of the children and 6 – 7 of the adults. My multi-facetted intentions being to increase circulation and range of motion, release stress in the body, promote a sense of peace and well being and hopefully infuse those I touch with a bit of joy and overtime reduce chronic discomfort.  I took one little boy for a 15 minute walk around the shelter and out in to the sun and he loved it.  I also took 2 of the toddler’s in my arms(one at a time) for a walk about the shelter and outside for several minutes.  By the time I got to the seniors it was already a few minutes before 3:00PM and I must leave the shelter around 4:00 – 4:15 in order to catch the bus back to HCMC in a timely manner.  I worked on 6 seniors in that last segment of time giving 4 neck and shoulder massages, 1 upper body massage and one leg and knee massage.  I offered continued encouragement, kindness, compassion, focused therapy and reviewed the exercise recommendations from the prior weeks.  This next week I will be working on Monday, March 23, 2015 instead of Wednesday as per my schedule.  I will be heading out of Saigon for 5 or 6 day sabbatical.  I will have my cell phone with me and my laptop so I will be within  reach. March 21 & 22,  2015: I will be returning to the shelter to conclude the second weekend segment of my first training course.