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Showing posts from July, 2020

Existence precedes essence PogChamp

Realization the equality among all organic races means coronavirus is not bad to an absolute. 

medicine (2) : 死 - 2 resuscitate the dead

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Prologue   Can you measure my blood pressue? *Reading ~170/120* Are you currently on any medication? Yes *shows Amlodipine 5mg, 1 daily, dispensed 6 months ago* Is that your current box? Yes.  ... Can you give me another box? please? said softly  Are you really a professional 早幾日serve 咗一個中國客,佢拎咗兩樽唔同牌子嘅supplements 畀我睇叫我找不同。 一樽就 Lysine 1000mg, Zinc 50mg, Vitaminc 250mg, 而另一樽就得Lysine 1000mg. Treasure hunt 呢類野唔駛讀大學都做到,但難到我嘅佢問我 邊隻防到cold sore? Supplement 呢類野唔理有冇效食你唔死就reg. 到ARTG. 最火滾嘅係我同佢講supplement好少evidence 佢話自己有睇電視有教,are you really a profession? 係Hippocratic writings本書有講過,就連當時生活嘅人醫自己都係根據自己個experience, 今次treat完係recover度,到下次翻發(symptomatic)嘅時候都可以用返同一招;甚至身邊見到嘅人都monkey see monkey do. 既生電視可生我? Consumerism 就係層出不窮,vitamin C包裝下成唔同牌子,加埋濕鳩channels 教學,最後變成一個抗疫神藥,得出黎嘅效果就係架上嘅products成日都係空曬 (e.g. 掃嘅數量夠食十幾年…).  食黎為乜?個個都想活過2020,個個都想延長自己條命。 講到死又有幾多個人接受到? Stage of grief  雖然話stage of grief 係theory, 講到好經典嘅5個experience,  Dr. Elizabeth Kübler-Ross's five stages of grief: denial, ange...

DSE 放榜

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第三 part 有心情先講 就黎放榜,你而家嘅心情係緊張,定係既來之則安之?如果TL;DR,聽我講句,衫再貴都好,型男著乜都係咁型。 當年高登張舊圖,Edison 著乜都型。 當年冇溫書,成績差到冇得揀。人生係港台之間漂泊,最後都係去咗澳洲讀pharm。 可能你覺得好癡線,會考5分都冇問點去讀medic/pharm。得來嘅答案好多都係「就算畀你讀到啊,你都係唔好返香港喇。」 香港商業社會,究竟讀醫療專科,讀法律,讀搵錢科定係自己有興趣嘅乞食科? 種種問題,如果呢個世界係咁formalised, 咁仲讀書為乜? 非常老套講句公開試係人生一個轉捩點,conclude 唔到成個人生將來嘅走向,尤其而家大學生通街都係,入學又唔剩係得JUPAS一條路,20-60歲讀year 1都大有人在。不如問下你自己將來究竟想做啲乜仲好, 畢竟一個人個嘅mentality 係勁嘅,大撚把機會啦 。雖然唔係去encourage你,但係身不由己,想搵錢又冇料嘅人而走去做警察身邊都有唔少。 如果你真係想做HCP幫人,我可以同你講: 可能我同醫生做嘅野唔同,不過有一樣相近嘅係,大家都食好多antidepressant。O.D. minaserin 有,Max sertraline fluoxetine, escitalopram都唔少。 相信唔剩止得HCP, 其他professions真心想係幫人為主我諗佢地呢世掂嘅邋遢野唔會少過我地。但無可否認,如果你主要想靠幫人途中搵銀,咁都冇問題嘅,一樣,呢個世界大撚把獸醫獸pharm.,多你一個唔多。 最後冇得同返嗰陣吋鳩我條友講,但就算冇國安法,我都冇打算返香港幫你班冚家剷。

medicine (2) : 死 - 2 QALY

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Va'esse deireádh aep eigean, va'esse eigh faidh'ar 上篇留底咗兩個 key notes QALY - Quality-Adjusted-Life-Years //對於死,到底你有乜野睇法?上面講嘅只係肉體嘅死,另一種departure嘅表達。// 如果你唔係讀health science, 可能會對QALY有啲陌生。 QALYs are calculated by multiplying length of time spent in a given health state by the utility associated with state. QALY 嘅ideoloy  https://www.researchgate.net/publication/302485082_The_Limitations_of_QALY_A_Literature_Review   簡而言之,做人慘過做狗,個QALY就會低。 咁點解QALY咁重要?我舉個例子,香港買樓冇四五百萬唔駛諗,所以畀完首期之後接落黎嗰幾十年就係用黎供樓。當你供完層樓之後,你會發現到幾樣野 你唔再候生 你身邊嘅朋友唔係走曬就係死咗 周身病痛 e.g. hypertension, hypercholestrolaemia, glaucoma, cognitive declination, depression, diabetes, occupational injuries (e.g. plantar fasciitis), anxiety, insomnia ...etc from google 當然呢個例子好撚pessimistic,但換個角度睇,好多野都會受到physical 嘅局限而發揮唔到。亦都因為咁,我唔介意你係到包拗頸: 識新朋友 改變自己諗法 etc 林林總總嘅說法都係非常之stoic, 但係你會想老咗之後過住經常改變嘅環境,定係咁個地方抖下就算?可能候生有動力嗰陣唔介意去再適應,去experience新嘅野。但係到老嗰陣乜撚野動力都冇曬,到時點樣再去adopt 新嘅環境?(所以係呢度我好撚同情時下被稱為廢老嘅人 i.e. 低學歷,patriotic, 低socio-economic status ...etc。s...