Existence precedes essence PogChamp

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

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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...
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Medicine?

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尋晚發咗個夢，又見返F字頭個朋友： 返到公司黎咗個新intern，原來佢讀緊medicine，要黎呢度學retail pharmacy點run。  平時黎講，有新intern/placement學生我都會講" I have nothing to teach you, you'll have to explore yourself."因為所有野都唔係飯來張口，茶來伸手，如果呢個世界冇trial and error, 我諗我今日都冇機會打呢篇野。 奇怪嘅係，係夢入面我肯主動教曬佢我識嘅野，其中一樣就係感情。如果只係一部「打打字機」，呢個世界唔需要藥劑師；但係人類就算會think logically, 有時都會被其他野影響到個decision。   (來得快走得更快。 https://www.bbc.com/news/av/health-10959457/how-the-prescription-drug-vending-machines-work ) 所以我返工對客好少帶感情，唔係想hea班客，因為個決定錯影響到嘅隨時唔係一個人。   (有啲藥就係咁受歡迎。google. ) 而另一個原因，好耐以前我係facebook同你地講過我有PTSD, MDD 食緊duloxetine 120mg daily. 或者係根本個psychologist 呢幾年都冇幫唔到我，所以久而久之對好多嘢都desensitised, depersonalised. (我唔怪個psychologist, 冇佢我諗上年隊完樽vodka absolut 就咁走咗。之但係，let's say, 如果係physical lost, 再幾專業都好難幫得到手。)   Generic duloxetine, 兩年前仲有食, 而家食緊Prozac. 由打scripts，接客到decision making 全部教曬佢，as if 個情景大家一樣歲數，但係我兩隻腳已經企曬係棺材。薪火相傳，甚至係想俾曬我有嘅野佢。 雖然只係一個夢，不過就有好多思考空間，尤其係我知佢返緊嘅工涉及therapeutic , i.e. 音樂治療。我唔會否認任何approach 真係幫到手 e.g. 用針灸醫背痛，用中藥去醫dermatitis，甚至香爐灰去醫胃痛都好，你覺得岩駛嘅咪用囉。畢竟evide...
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medicine (2) : 死

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Waverley Cemetery有Epitaph咁寫 Remembrance   When I die Will you be sad that I have gone, Sad that our friendship has ended, That our talking is over, That we have parted? Remember me. When I die Will you be glad that I lived, Glad that we met, Glad that we enjoyed so much? Remember me. When I die I leave you love and the sea, Friendship and all the loveliness of the world. I bequeath to you, the living, All joy and all sorrow. Have courage always, And sometimes, sometimes, Remember me. 呢排有少少難過，可能fluoxetine 40mg 開始唔夠做，可能效果太好可以帶返我上正軌，諗嘅野又好弔詭地搞到我好難過。雖然話想每日都出到一篇文，但係心情唔好就唔想打字，起碼講少好過講多。 事發幾日之前見到個熟客執藥。Serve佢嘅人唔係我，但係執完藥佢有走埋黎同我嗲兩嘴。 「今日之後我應該唔會再黎。出咗啲事而家唔方便講。睇下半年之後返到黎先再同你講」…「我好慶幸自己養到個仔大，又同媳婦相處得好。一把年紀，都係時候要退落黎。」 出咗乜野事，其實唔一定要睇實驗報告。如果你用心／眼同個人傾計，都會知唔少情報。 講到死，有兩樣嘢讀書嘅時候聽lecturer/professor講過 (thermodynamics, kinetic) 人體好難達到equilibrium, 唯一達到嘅時候就係死嗰陣 (palliative care)做呢行經常都會掂到死嘅topic   Fact 呢類野，嘈黎都係曬時間。不過講到遇死人/就黎死嘅人，當然可以包拋頸到話只係執藥，有幾可會遇到就死嘅人？不過如果你熟藥同diagnosis, 其實同個history就多少都會知道佢剩底幾耐。不過冇再配藥係咪不在人...
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