30 Jul 2012

Character

In the movie, Bruce Wayne wanted to become a incorruptible symbol to inspire people in Gotham in order the make this sin city alive and just. He chose to wear a mask to hide Bruce, and show himself as a Batman.

He was too strong to be defeated by the, but at the same time, he was vulnerable, for he made himself too high above the normal people. He ran on the rooftop, without noticing how people felt walking on the streets, alone.

I had wanted to become a good man. With the example from my beloved CK, who were always sincere and caring to people around her, I had wanted to become someone like her. But obviously I went wrong, like Batman: He had not realized how important it was for someone to be a human being, who feared death and pain, before he tried to take care of the world.

Oh, everyone is a batman. But it is not that everyone can become a hero, but because, we made mistakes for good reasons and we felt good for that.

Complexity

Because of the new Batman movie, I watched the first two movies by Christopher Nolan again.

You know what, Nolan has been praised by making thrilling and complex movies which inspired and excited audience. It was interesting when you realize that many twists in the stories actually had some clues before hand, where you can hardly identify them without complete concentration.

I know that using a pair of retrospective eyes to look for the clues is a boring act. Sorry for my stupidity. However, doing it is still pleasing because I by that time discover the course of the movie. I did write scripts, but I could hardly make one that had 10% complexity of his movie.

The point, however, is that when he made such kind of movie, people were pleased with that, and will try to understand it by watch it again and again. This is attraction and durability. With that, there is no doubt this trilogy will be remembered for many years.

P.S. Of course, speaking of complexity, I cannot leave Inception unmentioned.

28 Jul 2012

歸宿

死生有命,早知有這一日,其實是福。

今個星期回到外科二組跟各大醫生學師。二組傳統,做學生的必須於星期一五報告所屬病人情況,之後接受教授問書。有的同學不太喜歡,認為做這件事和年終試關係不大。我和我的組員不以為然--因為這其實是一個好好的學習機會,每日大巡,正是駐院醫生的工作。學醫,就是學做醫生,不(只)是學如何考試。道理之簡單,不可不察也。

我因此向幾位病人問診。有個慣例,病人到我手中,多半要長期住院。我因此只需偶爾更新這幾名病人的情況,但病人不能出院,當然欠妥。是福是禍,誰都搞不清。

我已問診多年,近年功力有所提升,加上對外科病症有一定認識,現在可謂得心應手。不過我的病人可沒有這種福氣,上食道疾病一向難醫,天命難違,做醫生的,只能盡力已為。

「你因乜事睇醫生呀?」簡單一句,病人就能慢慢講佢的病情。「我吞野食有困難!」他一把沙聲。

我心中警鐘一響。「幾時開始架?」

「年頭到宜家,愈黎愈差!」

「咁你覺唔覺得痛?」

「吞野唔痛,反而宜家啲骨頭痛!」他雖身驅瘦削,聲音沙啞,仍有一股男子氣概。

這正是教科書式的食道癌病徵。他沙聲,可能和腫瘤侵食神經線有關;他骨痛,顯示癌細胞有機會已擴散。

不久醫生便以內鏡和正電子確診。只見當日他不想接受事實,一個無奈的事實--食道癌不常見,但這種癌症是全球臭名遠播的殺手--手術醫生功力有得深,都難敵癌魔。

試問誰人能一開始便坦然面對不治之症?他流哭,閉目側臥於床上。他不想見到我們,他不想望見這個世界,他不想望見自己。

一天,我聽見他床邊的播音機有一些在佛堂才聽到的音樂。有些人不喜,覺得不是音樂。我倒欣賞,覺得舒暢。

突然有一股沖動想問他是否信佛,不過我知道這是多餘的。沒錯,現在他需要的,不是醫生身體上的治療,他需要的是超越這個世界的平靜,一種治療心靈的良藥。

24 Jul 2012

Ethics

We have an issue. Every week we will receive 2 questions from our school, which are the multiple choice questions about medical ethics.

First the questions are not actually multiple choice questions. The choices 1)Strongly agree, 2)agree, 3)neither agree or disagree, 4)disagree and 5)strongly disagree. The better term, but still an incorrect term, is Yes or No question.

While I am not intelligent enough to see the difference between a strongly agree with an agree, I am not sure whether there is any ethics that can be answered in this way. According to our philosopher Hegal, everything is this world has two sides. Whenever you give a statement, there must have some arguments for it and arguments against it. I personally dislike Euthanasia, but then I am not ethical enough to educate the people in European to act against it.

The more serious problem is that, our classmate would make some voting system for the question in Facebook. As you know, we tend to be the majority in doing examination because the failure of the system is the inability to fail the majority.

In reality, however, should we consider the majority to be right when they really make really ridiculous choices? When everyone says 2+2 makes 5, is it correct? Is our moral law written by the majority, or someone who really knows it, or is there any moral law?

I just think of a quotation from Nietzsche: "Madness is the exception in individuals but the rule in groups."

23 Jul 2012

玲瓏心

This is the reference from the previous entry. It is never meant to be factual. But sometimes things just happen. More interestingly and cruelly, they happen again and again.


一日,紂王正與妲己以及新納妖婦喜媚共進早餐,忽見妲己口吐鮮血,昏迷不醒。喜媚道是妲己舊病複發,須玲瓏心一片煎湯救治,並推算說惟亞相比干是玲瓏七竅之心。紂王急向比干索其心。比干怒奏曰:『心者,一身之主,隱于肺內,坐六葉兩耳之中,百惡無侵,一侵即死。心正,手足正;心不正,則手足不正。心乃萬物之靈苗,四象變化之根本。吾心有傷,豈有生路!老臣雖死不息,只是社稷丘墟,賢能盡絕。今昏君聽新納妖婦之言,賜吾摘心之禍,只怕比干在,江山在,比干亡,社稷亡!』紂王怒道:『君叫臣死,不死不忠。檯上毀君,有污臣節,如不從命,武士拿劍去取心來!』比干破口大罵妲己,望太廟大拜八拜後,接劍自剖其腹,摘心擲于地,走出五門,上馬而去。

Useful

A day, a Y asked X for a favor. She asked him to give his heart to her.

Actually, Y almost never find X. She had her life, and he had his own. They might have crossed themselves once upon a time, but however X tried to put himself close to Y, he failed. One reason was X did not try his best, another being that Y knew X had loved him, but Y already had another one to love. Y in a way moved away from X.

But as Y needed to live a better life, she turned to X for the particular thing: and that is the heart.

"I know that heart has something precious that if I cook it, it will make the best medicine for me. I know that you have that very heart, and I just want to ask if I can borrow your heart for my medicine? Many thanks!" This is the message from Y. She never knew his phone number, so she used a more advanced method to ask him.

He without a doubt gave his heart to her, for he knew that what he was living for, though she was never going to appreciate it.

Silence was the response. He knew that very well. In Y's eyes, he was not more than a tool. He was always useful.

21 Jul 2012

Socialwork

I had a secondary school classmate who had a lot of fun in her school life. She dated a handsome boy and had enjoyed every school day and weekend. She studied arts and earned a average grade and was admitted into the Social Work programme in the university on the opposite of the harbor. She continued her fantastic life, engaged in a lot of activities.

Now she has graduated and will have a job as a social worker.

The reason why I thought of her was that I met her recently. I had my tired (and tiring) outlook, she had her good appearance. Indeed, I realized that she was as beautiful as she used to be, probably she knew how to keep herself healthy and happy.

And I realized how important it is for someone to be himself happy before he commits himself to do good to others. Look at Batman. He committed himself to inspire the people in Gotham, but he actually was not a happy man. He had a lot of struggles, desperately proving people can do good. "It's not who I am underneath, but what I do that defines me."

I just could see myself in Batman. I want to do good but at the same time, I notice how bad I am.

20 Jul 2012

Gotham

I would like to devote some space to the Batman movie here.

I was not a big fan of superhero movie. Never was I before watching a movie, neither have I become fond of that sort of movies. But indeed, ever since I watched the Dark Knight few years ago, I felt that it was not a ordinary superhero movie.

Actually, the plot of Batman is never meant to make a superhero: Bruce Wayne was not born to inherit supernatural power, though coming from a super-rich family in Gotham. Just like anyone else, he faced up with many setbacks and struggles. He loved the city, but was labelled as a villain (the Dark Knight). He fought the villains, but the police set him up. He was not a winner, let alone the hero.

He had wanted to quit as a Batman to embrace Rachel, but Rachel in return told him (in letter) that he loved the White Knight more than him. Even worse, he only lived in his memory with her, not realizing the truth.

Indeed, Bruce Wayne was a human with soul, instead of an invincible superhero. The human touch is what we are looking for. We search for human emotions instead of robotic instructions. That's why we love it: Batman movie is never a kind of Avengers movie. It was never a simple and stupid heroic movie.

17 Jul 2012

Warfare


To tell you the truth, our surgical ward is nothing but a warfare between diseases and our doctors. Sometimes patients will join. Sometimes not.

We always recruit new soldiers for the fight every July. This year, I have the final chance to learn from this people so I can become one of them, in I have the luck to pass the examination.

There are something that I can see from two particular soldiers. I call them A and Qwerty.

A is a careful person with in sight. He knew that, being the lowest level of the food chain, what he had to do is to avoid mistakes and obey the ideas from the seniors and nurses. Apparently he was not some brains, but it is the most critical surviving skills (as it usually is in this world).

What he has is common sense (which is most important). One patient, after a day of sips of water, was not having nausea or vomiting in the morning. I suggested to Dr. A that he might step up the diet to fluid diet. But he said: I think so, but it is best ordered by my senior!

Another one is called Qwerty. He was a very knowledgeable soldier. However, what he lacked was what doctors were expected: patience. One patient, after a day of sips of water, had vomited 100ml of water and still felt nauseous. Despite the symptoms, our Dr. Qwerty still went to give order fluid diet to the patient.

I shall not elaborate who is who, and predict will be a better doctor in the future.

一葉知秋,見微知著。

16 Jul 2012

Disguise

Finally we were defeated by a HKU team from the medical faculty.

Don't get me wrong, we did not lose to the HKU medics. In fact, it was the nursing people who took the HKU MED 2 name to partake in the game. And they are no students now, for they come out and work as nurses now!

So it is all fake. Just like what our CE CY does. Lie is the way to play.

It was the nursing team which defeated us last year. We did make a lot of improvements. Last year we lost 1-6 but this time, it was just because a mistake from the back that we lost marginally 1-nil. Considering our form, we could possible get something in the inter-year match.

Life is just like a dream. It was already the last match to represent CUHK MEDIC to fight against teams from other universities. I would like doing something like this in the future.

13 Jul 2012

Survival

The only goal in a competition is never above friendship. It is about winning. As suggested by Michael Jordan, there is a "i" in winning.

This friday we were supposed to have a football match with HKU medicine 2. It means a lot to us. We never win a match in the series. And as this year is our final year, we can't lose our chance. We have to win this time.

We are given a further boost when we know that our opponent is HKU medical students. I shall not elaborate how good it is to have match with them. We have not had any opportunity to meet them before, and probably it is the best chance to show our best.

So far I am not sure when the match will be, (hoping it will happen before I become a house officer) I have to gear up and strive.

Eater

We love to eat; that's why many people enjoying taking photos for their meal. As described by Leung Man-to before, as modern people do not know how to describe their food to people (we do not have the words, or we have not learnt the words to say), the only way to tell people is to visualize it. The quickest way to do it is of course pressing the Capture button.

Initially I was one of them. But now I realize how problematic it is: it is a show-off of your life. If you hate the big spenders in the Shopping malls, how on earth you will do something that make the same effects? After all, what is the difference between a person who wears nothing but expensive (but not classy) clothes with a person who love taking photos for their feasts everyday.

For me, it is more interesting to note that, people love to take a photo with their meals as the profile picture. Well, for Hong Kong people, it is only the time of dinner that we can seat ourselves properly. We are too busy to stay for a while to take a decent picture. But dear, what is the meaning to take a photo with the meal that you are going to eat?

In the wild place, the beasts will hung up their predators to eat. In our city, people do the same: we are also animals.

11 Jul 2012

Fear

He had no fear.

Last month he came with a severe abdominal pain. Initially he thought it was just some cramps, and it would soon resolve. He had abdominal pains for so long that he forgot when he did have a easy day.

It was not until our hospital found that he had some segments of small intestine, did he realize how lethal the problem could be. Thanks to the clinical judgement of the doctors as well as the state-of-the-art imaging technique, he could be diagnosed and managed correctly, instead of misunderstood as having gastroenteritis.

I met this patient when I had my clinical attachment in the surgery department. He was really a sick one. You could not image more medical problems from a young surgical patient like him. After these years of illnesses, did he afraid of dying in the hospital? I asked him.

No. He firmly replied me. "When I got into this hospital, I put the life and death beyond my control."

I was moved and thought to myself. How possibly could one decide his past and future?

"Learn from your patients. They are the best teachers for medical students." The hallucinations of voice  comes to my mind again. This was such a familiar voice that I would not dare to forget.

10 Jul 2012

Dangerous

Our seniors and our professors always tell us to be a safe doctor in the future. I agree with them wholeheartedly.

It also applied to our clinical examination. A brave student may voice out some sophisticated and up-todate answer, which could interest examiners. However, at the same time, the examiners could as well be irritated and go on asking for the detail for that answer.

As for a student who wants to get a Gold Medal and work in PWH, he must go on the fight and answer until he satisfies the examiners. But for me, who never want to work in this hospital. I have to be very safe. That's what my respected private doctor tell me. And these days my respected esophageal surgeon and the colorectal surgeon told me.

I might have gone too far from my two surgical attachments. Notwithstanding of it, I did not really partake in the surgical treatment to the patients, and that's why I just voice out some slogans out, but not really understand what it meant. Well, if I have learnt anything from these few days from the general surgery team, it was : to be safe.

9 Jul 2012

Solitude

"Whosoever is delighted in solitude is either a beast or a god."


I am not sure whether it comes from Francis Bacon or Aristotle. Anyhow, it is a good quote for me.


Recently there are a lot of changes around me. First is the family problem, from which I realize that what to be stable was not. The only thing that last forever is change. I know that I have no where to hide and stay and I have to go forever so I suffer less.


Second is about friendship. I realize that my friends have a preoccupation that I am very busy and they do not ask me to go out now. Actually not. I am always available to my friends. But they don't think in this way. Therefore, they have parties, leaving me staying in the hostel.

These are all the complications of studying medicine which you have to sacrifice almost everything. Some of my classmates are brilliant in making the balance. I am not sure if I can learn that, for before I graduate, everything that I had I will lose. I have no chance to learn that.

I know now, I have to become a beast to enjoy the solitude.

6 Jul 2012

Higgs

http://www.newscientist.com/videoredirect?bcpid=2227271001&bckey=AQ~~,AAAAADqBmN8~,Yo4S_rZKGX0rYg6XsV7i3F9IB8jNBoiY&bctid=1721411059001
We the lovers of truth recently were very excited by the discovery from the European group who finally confirmed the Higgs boson, also known as the God particle.

But that's what I know from this long awaited particle, after 4 years of medical studies.

I just wondered if I choose to study in Physics 4 years before, would I be more interested or excited than I am now. After all, it is the field where only physicists can understand easily. To think that I have understood it would be megalomaniac anyway.

It is just like the common people reading Harrison or Davidson textbook. They might understand every word from the text by surfing the internet. But in the end, they will not learn anything from the book.

4 Jul 2012

Skills

Here I am, the medical year five of class 2013.

The first day was a great day, because I had the workshop with THE surgeon. After so many attachments in different specialties, it was in the end surgery that inspired me the most. Why was that, was perhaps this friendly person that appeared in my medical student life.

Today he demonstrated to us some of the most important surviving skills for the next year. That was what he kept on talking today: you will become doctor very soon. This is a burden and it is also a hope. I know that.

I have already discovered that his skills are indeed timeless during my attachment: I could see that many people had tried to make their own clinical skills for daily activities, but at the same time, they could not make themselves a more effective, precise and elegant doctor like him. Well, that was again what he kept on telling us during these years.

I have to try my best to learn more from him this year.

2 Jul 2012

Listener

Some said the first of July is the most important date of Hong Kong people, because many of us would, instead of celebrating the change of sovereignty, go and protest in under a bright sun. They said, the number this year was more than forty thousands.

I did not go because my family had a issue. Anyway, it was never a new one. It was just the old problem that kept untreated, and complications arise.

For the first time, I realized how important it is for one to have a listener. They are not you and they are not likely to have the power to solve your problem. And yet we are always comfortable to tell someone about the deepest inquisitions to the person we trust and rely on.

I have once had the honor become one listener, but I did not treasure it. I did not have the heart to listen to it and I was failing the heart on the other sides. I was left and was not called since then.

Now I realize I need one for me. And I realize how lonely I am now.