偶尔在youtube发现的

a small joke for Mother's day. Don't get pissed off.

 

 

一直喜欢这一Scene。校内好像不让link youtube的~

所以在这里发下。 

 

 

The path of the righteous man is beset on all sides by the iniquities of the selfish and the tyranny of evil men. Blessed is he who in the name of charity and goodwill shepherds the weak through the valley of darkness, for he is truly his brother's keeper and the finder of lost children. And I will strike down upon thee with great vengeance and furious anger those who attempt to poison and destroy my brothers. And you will know my name is the Lord when I lay my vengeance upon thee.---------Pulp Fiction

 

Pulp Fiction很不错的一幕~

 

"Describe what Marsalles Wallace looks like."--Jules

"What?"--Brett

"Say 'what' again , SAY 'WHAT' AGAIN. I dare you, I double dare you mother fucker, say 'what' one more god damn time."--Jules

"He's black."--Brett

"Go on,“--Jules

”And he's bold"--Brett

"Does he look like a bitch?"--Jules

"What?" (Gun shot from Jules) "Ahhh....." (In pain)--Brett

"Does Marsallus Wallace look like a bitch!"--Jules

"Nooooo!"--Brett

"Then why you tried to fuck him like a bitch, Brett?"---Jules

"I didn't."--Brett

"Yes you did! Yes you did, Brett. You tried to fuck him. But Marsallus Wallace doesn't like to be fucked by anybody except Mrs. Wallace."--Jules

"You read the bible Brett? There's one passage I got memorized. It's in Ezekiel 25:17. The path of the righteous man is beset on all sides by the iniquities of the selfish and the tyranny of evil men. Blessed is he who in the name of charity and goodwill shepherds the weak through the valley of darkness, for he is truly his brother's keeper and the finder of lost children. And I will strike down upon thee with great vengeance and furious anger those who attempt to poison and destroy my brothers. And you will know my name is the Lord when I lay my vengeance upon thee" --Jules (Gun shots, Brett died)

 

 

第一次看的时候，没有字幕-以为是恶搞。

真正了解的时候，觉得很感动。

How much do you still remember~the dream you scrabbled down when you were young?

 

  

 

喂～ Kurumi
这街道的景色在你的眼中是什麼模样呢？
现在的我看起来又是怎样？

喂～ Kurumi
若是旁人的关心也让你听起来像挖苦似的
那个时候又该怎麼做才好呢？

只是回想起过去美好的一切
却让人的心情更自觉得濒老
在这样的生活里头
如今 我正要动起来了
因为我不想只做个齿轮而已啊
伴随希望的衍生而增加的失望
即使如此明天的内心依旧悸动
「究竟会发生什麼事呢？」
试著去想像看看吧

喂～ Kurumi
假使时间的河流会将一切给洗刷带走的话
那生存这件事就变得再容易不过了

喂～ Kurumi
在那之后我一次也不曾让眼泪流下来
可是 让我能够开怀真心的笑却也很少

不知在哪里扣错了
发觉到的时候才知道多了一个钮扣
就像这样地要是能和 某个有多的钮扣穴的人相遇
让一切变得有意义就好了
伴随邂逅的次数而增加的别离
即使如此内心仍因希望而跳动
每当在走过十字路口的时候
难免也会有迷失方向的时候

总是乞望想拥有比眼前更多
为了追求那不变的爱而高歌
於是齿轮不停转动
超过必要的负担 让齿轮一面发出嘎吱的声响
伴随希望的衍生而增加的失望
即使如此明天的内心依旧悸动
「究竟会发生什麼事呢？」
试著去想像看看吧
伴随邂逅的次数而增加的别离
即使如此内心仍因希望而跳动
现在已经不能够回头了啊
向前走吧 踏上没有你的这条路

OK, here's the case. Joey went snowboarding on Friday and went for a jump. Without proper spotting, he flew into the air and realized that there was no proper landing zone. Joey lost balance, landed improperly and stretched out his left arm to supported him. Later on he suffered excruciating pain in his left wrist and found out that his left wrist is very swollen up. As a good and diligent medical student he went to get his arm X-rayed, and decided to document this case and shared it with all his friends. Here's the question. The following pictures are the X ray films of Joey's left wrist. What is the problem? (if there is one)

Joey has his own guesses but he still has to wait for the radiologist to read the film for him. So just reply if you find anything you think abnormal.

 

中文版：相对会比较短。我礼拜5去左滑雪，玩野然后五小心做左超人，腾空6尺8月15落地。整趁只手。一下几张系我左手嘎X ray，估下边度有问题（如果有的话）？

 

 

因为图片size问题，请点击图片然后再放大

Due to size problems, please click on the image and it will be enlarged.

 

 

 

从来都觉得自己系Cat person～以后养猫应该必然的，只系条件与时间问题～

至于狗，一直觉得口水dae dae甘lie你系一件比较麻烦的事。不过最近网上见到Siberian Husky，维基左下，觉得几唔错。唔识吠，会好似狼甘嚎，个样够晒醒水，或者以后可以系一个option～wiki话Siberian Husky习性更偏狼～养起身应该会好有趣。

 

随便稳左张pic～

几唔错啊～

 

读书读到发颠的时候youtubing是很减压的。突然想起Tom Cruise起水大戏“Risky Business”里面内裤一条跳Disco的片段～（LOL我只看过那一段）然后youtube了一下～发现原来Guitar Hero World Tour的广告加了这么多名人山寨版Risky Business。。。。原来山寨不止中国有啊~

嵌入了很多Youtube的Video所以load得可能很慢。如果看不见的话可以点击下面的链接。

 

Tom Cruise原版：     http://www.youtube.com/watch?v=LiPDL9S552s

 

1.滑雪望住梁同学从山顶look到半山腰，然后我好轻易甘pass他，玩玩野，再从山脚睇住他继续look落来，原来我可以甘抵死，见死不救

2.玩住猿猴介绍的农民头起村庄嘎board game，发觉起路的重要性比我想象中的要大，并同另外两条茅里轮流做砖主同矿主

3.NYC唱K，我唯一点的一首John Lennon嘎Imagine竟然背景系国内某寺庙的旅游Video，并且首歌卡碟。。。发现猿猴声线特有磁性，并且梁先生原来系咪霸

4.Texas Hold'em其实可以用木条代替chips来玩，3人发明木条战术，往往会诱敌成功

5.经过锄大D几轮猛冲100分的痛苦经验之后我总结出洗牌果个同赢果个往往都会系同一人，同花顺竟然可以连续两次出现系同一个人手上，但系果个人竟然唔系我

6.锄大D的结论亦都包括手持葵扇D的玩家一定要力压红桃D这一原则。我亦系这原则的大力支持者，结果引起众怒，被群殴之

 

写左甘多大家五一定睇得明的野，其实个point系，Xmas见到猿猴与肥牛与执信几人，短短几日，我顿觉身处天堂/高中年代。可惜天堂只收留我4日，之后的，仍然系无间炼狱。

 

附照片几张仅供娱乐。全部唔系我影的，所以版权不归我所有。

 

仍然处于乐不思蜀/不思悔改状态嘎Takeshi

Dec 30 礼拜二凌晨

 

 

 

 

 

 

 

 

Anyone knows the fingering for the first page of Liszt's La Campanella?

Medical Student Burnout and the Challenge to Patient Care

Not too long ago, I read a paper titled "Burnout and Suicidal Ideation Among U.S. Medical Students" in The Annals of Internal Medicine. It brought back a flood of memories.

Medical school was not easy for me. I knew that I wanted to become a doctor to help people, but I had given little thought to the process. I was poorly prepared for many things: the pressure to excel in ways that seemed so far from caring for people; rapidly mounting debts I signed off on every semester; a roller coaster existence from chronic lack of sleep; hazing from the more experienced students and residents; and the realities of patient suffering despite my best efforts.

Even surgical residency, despite the relentlessly long hours, seemed so much closer to what I wanted to do.

Some of my professors tried to "humanize" the process. They invited us to dinner in their homes, supported our extracurricular efforts to set up health screening clinics in low-income neighborhoods, and tried to make our basic science courses more relevant to working with patients. But sitting where I am now, as someone who teaches medical students and who loves helping others as a doctor, I can understand the challenge they faced. Given the fire hose of information medical students must learn in just four years, how does one ever gently take a sip?

Despite my teachers' efforts, I was about as miserable in medical school as I had ever been. I felt alone. Neither I nor my classmates could admit to failure, and the last thing I wanted to do was to let anyone but my closest friends know just how unhappy I was. Success in medical school was the first step to a future of helping others, and I was not about to jeopardize that.

Last week I had dinner with two former classmates from that time. We had not seen each other in over a decade, and after catching up on personal news and reminiscing about gross anatomy lab and our first nights on call, one of them said quietly, "I hated med school. I wanted to quit." The elephant in our collective memories had broken free.

With that elephant now running loose, and the three of us more comfortable with our own professional accomplishments, the conversation grew more honest. "If you look over my entire lifetime," my other friend said, "those four years were the lowest point in terms of self esteem." He held his hand out in the air, plotting an imaginary line that dropped precipitously to his knees.

It took nearly 20 years for the three of us to learn that we had each been miserable as medical students. It has taken even longer for researchers to discover the extent to which such feelings exist among American medical students.

In 2006, Dr. Liselotte N. Dyrbye and her colleagues at the Mayo Clinic found that nearly half of the 545 medical students they surveyed suffered from burnout, which they defined as professional distress in three domains: emotional exhaustion, depersonalization and low sense of personal accomplishment. Moreover, the researchers found that each successive year of schooling increased the chances students would experience burnout, despite the fact that they had entered medical school with mental health profiles similar to those of their peers who chose other career paths.

More recently, in the paper on burnout that had first caught my eye, Dr. Dyrbyre and her colleagues widened the scope of their research, analyzing survey responses from 2,248 medical students at seven medical schools across the country. Again, nearly half of the students surveyed met the criteria for burnout. But the investigators discovered an even more ominous finding: 11 percent of all the students surveyed also reported having suicidal thoughts in the past year.

Dr. Dyrbye notes that we are just starting to learn about the high levels of distress in medical students. "It's incredibly disconcerting," she said. "What are the causes? And what can we do as educators to facilitate their well-being? We need a better understanding of the causes of stress to design interventions that will help improve student wellness. Students, just like doctors, need to take care of themselves in order to take care of their patients."

Medical schools have more recently recognized the importance of this issue. For example, the Liaison Committee on Medical Education, the accrediting authority for medical schools in the United States, now mandates that all schools have a program for student wellness in place that includes "an effective system of personal counseling for its students."

But beyond the personal implications, what are the ramifications of medical student burnout for patients?

In a third study, Dr. Dyrbye found that when tested for empathy, medical students at baseline generally scored higher than their nonmedical peers. But, as medical students experienced more burnout, there was a corresponding drop in the level of empathy toward patients.

"What do they really need to know before graduating from medical school, and how could they most efficiently learn?" Dr. Drybye asked, reflecting on one of the central challenges of medical education. "All the information we want to share with them is not necessarily what they really need to learn."

By the time my dinner with my former classmates last week had ended, we had made plans to stay in touch and to do something I had never been sure I would ever do: return to my medical school in two years' time to celebrate our 20th reunion. Over the course of our dinner conversation I felt strangely connected and nostalgic about medical school; I was deeply moved by what my two classmates had chosen to do with their education. One is a well-loved community obstetrician/gynecologist; the other is a psychiatrist devoted to teaching, working in a county medical clinic and caring for severely traumatized Hmong refugees. And both love their work as doctors.As I listened to them talk about their work, I was reminded of one other thing Dr. Dyrbye had told me. "We need to change things," she had said, "because maybe the students who are most vulnerable are the ones who are most empathic."

 

 

 

 

 

 

 

 

 

抢老钱一步改左个背景图先~

等啊等～我亲爱的大菠萝3什么时候才能上市呢？

强烈推荐去看看game play demo～效果无敌的好～

wine tour这样的东西～经验而谈，绝对不能够超过6家酒庄。Two dollars 给你 8 samples这样的便宜真的不是到处找的到。Central New York Finger Lakes Region真是一个宝地。从早上到下午太阳下山，从seneca湖的东面开始一直喝到湖西面。开着小车沿着湖边看着身边一片片葡萄藤蔓，有点电影side way的感觉，幸好我跟ken chan不是中年秃头满身都是mid life crisis气味的欧吉桑。终于了解T shirt上 "I NY" 并不只是对纽约州最南边角落那个繁华的城市而言的。New Yorkers，一样有着NYC以外可以引以为豪的东西，今天算是有所了解。一路的酒庄，满眼的riesling，ice wine, chardanay, pinot还有各种叫不出的东西～老人家总会喜欢dry和semi-dry，带酸涩的，很有橡木香味的。ken chan也有这样的看法，看来他距步入中年不远了。我仍然还是钟爱着比较小女生的fruit wine，honey mead，还有种种R.S （residual suger content) 快接近10%的小甜酒，虽然感觉上很gay～Orz。听说蜜月的来源，也是从蜂蜜酒开始的。从前欧洲新婚的小两口，女方总会用蜂蜜自酿的甜酒每天给男方喝，一直喝够一个月，说是可以“强身壮体”，从而容易怀孕，因此而叫蜜月。（裴太太啊，所以记住裴先生啥都可以喝，就是不要喝蜂蜜酒。。。。orz。。。。）（想结婚生子的人，大概也知道应该咋办了吧。。。哈哈哈哈）而特别是像糖水一样的Ice Wine，带着很鲜甜的葡萄香，听说配chocolate跟ice cream不错。Ice wine的制作，听酒庄的人讲也较特别。熟过头的葡萄，经过几次霜冻之后仍然没有掉落的，会因为温度的降低而干瘪减少水分，自然内含糖分也随之增高。这样的葡萄很稀有，摘下来之后做出的酒也从而含很高的糖分，近15～18%，也因此贵很多。酒庄的老头总会给人一种很会讲故事的感觉。每一种酒都会介绍一下该配什么菜，该怎么喝。本来只有8小杯试饮，老头性起，又给我们倒上了N杯，说是店家赠送。喝了这么多试饮，总会有想买的东西。Ken说买酒除了品味之外，瓶子好看与否对他很重要。我觉得～瓶子始终还是瓶子，远不及倒酒的mm样貌重要。第5家酒庄过后，我们两个已经开始东倒西歪。很胆战心惊的慢慢每小时30英里的熬到下一站，硬着头皮又喝下了N杯，终于不敌酒庄老板们的热情。看了一下车厢六七支存货，觉得也算是不枉此行。两大男人很gay的在湖边晒了半个小时太阳，看了一个小时来来去去的小帆船，醒了酒。沿着原路小车回家去了。

 

雪城生活郁闷，偶然友人来访，因而作一流水帐记载一下～

这是前川先生归国前最后的一次旅游了。5年朋友，近3年的室友，不是寥寥几字可以尽述的。希望以后有机会去大阪拜访他一下，也算是圆我半个otaku一梦。

 

Takeshi~

08年6月14日凌晨