PINARD'S 
Past pointing - finger nose test, missed finger 
Intentional tremor - finger nose test, zigzag path 
Nystagmus 
Ataxia 
Romberg's test - unstable on standing still for 30 sec 
Dysdiadokinesia - hand coordination test 

Finger-to-nose test. 

A. Normal: Smooth trajectory throughout movement. 

B. Cerebellar hemisphere dysfunction: Tremor increases in amplitude as finger approaches target. 

C. Parkinsonian: Tremor may be present at initiation of movement, but smoothes out as finger approaches target. 

D. Essential tremor: Low-amplitude fast tremor throughout trajectory, may worsen as finger approaches target.

Urine toxicity test 
1. MAMP - Methamphetamin 
2. KET - Ketamin 
3. COC - Cocaine 
4. BZD - Benzodiazepine 
5. AMP - Amphetamine 
6. THC - Tetrahydrocannabinol (product of cocaine) 
7. PCP - Phencyclidine 
8. OPI - Opioid 
9. MDMA - Methylenedioxymethamphetamine

CLC Orang Asli Mission Trip

A group of 29 of us set out for the orang asli village at Cameron Highlands on the first day of June. We reached the 19th mile orang asli village at 4pm the same day.

We were welcomed warmly by the 19th mile Lutheran Church pastor, Ps Chu and the members. We started the session with the songs 'Hari Ini' and 'Dalam Yesus Kita Bersaudara'. We could hear the joy and love from the singing.

We then had games with the children where we were able to experience the purity of childhood. Then it was skit time where the children took part in puppetry and retold the Garden of Eden story!! What an eye opening experience as to how well they know the story and their talents!! After that, we had a hygiene talk where we emphasized on the importance of hygiene in daily life.

The sessions ended with prayer for the orang asli ministry, the members and in return they prayed for us. We then bid our goodbyes and headed to our lodging place for the night, the Lakeview campsite.

Day 7 - Get a Life!

A shy person shrinks back from many things that she should confront. There are many things she would like to say or do, but she's paralyzed by fear. I believe we must learn to step out into things and find out what God has for us in life.

A more timid approach may protect individuals from making mistakes, but the result is that they spend their lives wondering "what could have been." Bold people, on the other hand, make more mistakes, but they recover and eventually find what is right and fulfilling for them.

Making mistakes is not the end of the world. We can recover from most mistakes. But one of the few mistakes we cannot recover from is the mistake of never being willing to make one in the first place! God works through our faith, not our fear. Don't sit on the sidelines of life wishing you were doing the things you see other people doing. Take action and make the most of life!

Pray: Lord, I put my trust in You and look forward to moving into new areas of life. I will not sit on the sidelines any longer. Amen.

Numbers 14:8, 9 

If the Lord is pleased with us, he will lead us into that land, a land flowing with milk and honey, and will give it to us. Only do not rebel against the Lord. And do not be afraid of the people of the land, because we will devour them. Their protection is gone, but the Lord is with us. Do not be afraid of them."

Day 6 - Venture off the Path

If we want to be encouraged in our own individuality and independence, we must sow the same type of freedom and respect into other people's lives. "Live and let live" should be our motto.

There was a time in my life when I was rather narrow-minded, and I well remember judging and rejecting one woman in particular who was a rather unique nonconformist. She dressed eclectically long before it became stylish. She was not rebellious against authority, but she was unpredictable and determined to live her own life. She was sort of like the wind - you never knew exactly what to expect. That bothered me, because in those days I was more of a legalist. Everything had to be one way - usually my way.

I look back now and think I probably missed out on a great relationship with someone who could have nurtured freedom in me. But, like many people, I was fearful of living outside the norm.

If you are tired of living on the beaten path that everyone else walks, venture into the woods. Some people would be afraid they would get lost, but a confident woman expects to have a new experience that might be outrageously wonderful.

Pray: Lord, help me to see beyond my narrow limitations for people. I want to see what You see in them, but I'll never see it without Your touch. Amen.

1 Corinthians 12:27 

Now you are the body of Christ, and each one of you is a part of it.

Day 5 - What's the Difference?

The Bible encourages us to seek understanding. Read a couple of good books on the differences between men and women and also one on the differences in personalities. If you do, it may prevent thousands of arguments or misunderstandings.

Women offer unsolicited advice and give direction, and men usually don't take advice very well. The woman thinks she is just trying to help, but the man thinks she doesn't trust him to make the right decision.

When a woman disagrees with a man, he takes it as disapproval, and it ignites his defenses. Men only want advice after they have done everything they can do. Advice given too soon or too often causes him to lose his sense of power. He may become lazy or insecure.

Men are motivated and empowered when they feel needed. Women are motivated when they feel cherished. Men are visual creatures; once an image is in their head, it's hard to get it out.

Women are more inclined to remember emotions or how something made them feel. Seek understanding first, then speak.

Pray: Lord, I want to be a woman of wisdom and understanding. Help me comprehend why men are the way they are and how I can improve in my communication and friendships. Amen.

Proverbs 4:7 

Wisdom is the most important thing; so get wisdom. If it costs everything you have, get understanding.

Day 4 - It's Not About Age

Timothy, Paul's "spiritual" son in the ministry, was very young, and he was fearful and worried about what people thought of his youth. Paul told him to let no man despise his youth. It really does not matter how old or young a person is. If God calls someone to do something, and they have the confidence to go forward, nothing can stop them.

How you respond to your age and, for that matter, how others respond is really up to you. We all age in years, but we don't have to get an "I'm too old" mindset. Moses was 80 years old when he left Egypt to lead the Israelites to the Promised Land.

Confident people don't think about how old they are; they think about what they can accomplish with the time they have left. Remember, confident people are positive and look at what they have, not what they have lost.

Even if you are reading this devotion and let's say you are 65 years old and feel you have wasted most of your life doing nothing - you can still start today and do something amazing and great with your life.

Pray: Lord, You used people of all ages throughout the Bible, and You can use me. Today is a new day, and I am excited about what You have for me to accomplish. Amen.

1 Timothy 4:12 

Don't let anyone look down on you because you are young, but set an example for the believers in speech, in conduct, in love, in faith and in purity.

Day 3 - Consider Your Life

Today's verse is very important to me. I am an aggressive person who wants to be involved in everything, but I have learned the hard way that it isn't wise or even possible. We cannot do everything and do anything well. Quality is much better than quantity.

Verse 16 begins by saying she "considers" a new field before she buys it. She considers her present duties and is careful not to neglect them by taking on new ones. In other words, she seriously thinks about what she is about to do and does not act emotionally without forethought.

Oh, how much better life would be if we all took time to think about what we are about to do before we do it. It is amazing how many things I don't buy if I just go home and think about it for a while. It is amazing how one good night's sleep changes our minds.

Emotions are fickle and ever changing. This is the reason why it is dangerous to do things based on high emotions without giving plenty of consideration to everything involved. Remember to think before you act.

Pray: Lord, I ask You to give me wisdom as to what I give my time and attention. Help me to be busy with the right things and to give my best to those things. Amen.

Proverbs 31:16 

She considers a field and buys it; out of her earnings she plants a vineyard.