【正文】 e most determined of usWe hold on to the dreamOr we find ourselves face to the fresh dream we never consideredWe awake to find ourselves against all along, feeling hopeful And if we are lucky, we realizeAnd the face of everything, and the face of lifeThe true dream, is being able to dream at all401In the practice of medicine, change is inevitableNew surgical techniques are createdProcedures are updatedLevels of expertise increaseInnovation is everythingNothing remains the same for longWe either adapt to changeOr we get left behindChange, we don’t like it, we fear itBut we can’t stop it from ingWe either adapt to changeOr we left behindIt hurts to growAnybody tells you it doesn’t, he’s lyingAnd here’s the truthSometimes, the more things change, the more dissuade thingAnd sometimes, oh, sometimes change is goodSometimes, change is everything402In the hospital, we see addiction everydayIt’s shocking how many kinds of addiction existIt would be too easy if there is just drugs and glus and cigarettesI think the hardest part of kicking the habit is belonging to kick itI mean we get addicted for reason, right?Often, too often, things that start out are just as a normal part of your lifeAt some point, cross the line, too obsessive, pulsive, out of controlIt’s the high we are chasing, the high that make everything else fade awayThe thing about addiction is that never ends wellBecause eventually, whenever it is that was getting us high，Stops feeling good and starts to hurtStill, they say you don’t kick the happen until you hit the block bottomBut how do you know when you were there?Because no matter how badly a thing was hurting us，Sometimes letting it go hurts even worse403Doctors give patients a number of thingsWe give them medicine。we give them adviceAnd most of the time，We give them our undivided attentionBut by far, the hardest thing you can give the patients is the truth The truth is hard, the truth is awkward, and very often the truth hurtsI mean people say they want the truth, but do they really?The truth is painful。nobody wants to hear itEspecially when it’s hit close to homeSometimes, we tell the truth, because the truth is all we have to giveSometimes, we tell the truth, because we need to say it aloud to really hear from ourselvesAnd sometimes, we tell the truth, because we can’t help ourselvesWe tell them, because we owe them at least that much 404In life, only one thing is certain, apart from death and taxesNo matter how hard you tryNo matter how good your intention isYou are going to make mistakesYou are going to hurt peopleYou are going to get hurtAnd if you ever want to recoverThere is really only one thing you can sayWell, I forgive you Forgive and forgerThat’s what they sayIt’s a good advice but not very practicalWhen someone hurts us, we want to hurt them back When someone arounds us , we want to be rightWithout forgiveness, old scores are never settledOld wounds never healAnd the most we can hope for，Is that one dayWe will be lucky enough to forget405There is reasons surgeons learn to use scalpelsWe like to pretend we are hard cold scientistsWe like to pretend we are fearlessBut the truth is, we bee surgeons because somewhere deep downWe think we can cut away that which chars usWeakness, frailty, deathIsn’t just surgeons，The truth is I don’t know anyone who is unconcerned something, or someoneAnd whether we try to slice the pain away with scalpelOr shut it in the back of the closetOur efforts usually failSo the only way we clear up the pain is to turn a new pageOr put the old story to restFinally, finally to rest406 There is this thing about being a surgeonMaybe it’s pride, or maybe it’s just about being toughBut real surgeon never admits they need help unless absolutely necessarySurgeons don’t need to ask for help, because they are tougher than thatSurgeons are cowboys, rough around the edges, hardcoreAt least, that’s what they want you to thinkDeep down, everyone wants to believe they can be hardcoreBut being hardcore isn’t just about being toughIt’s about acceptanceYou don’t have to be tough every minute of every dayIt’s ok to let down your guardIn fact, there are moments when it’s the best thing you can possibly doAs long as you choose your moments wisely407Before we were doctors, we are med studentsWhich meant we spent lot of time studying chemistryOrgan chemistry, biochemistry, we learned it allBut when you talk about human chemistryOnly one thing mattersEither if you got itOr you don’tChemistry Either if you got itOr you don’t408There es the point to your life，When you officially as an adultSuddenly, you are old enough to vote, drink and engage in other adult activitiesSuddenly, people expect you to be responsibleSerious a grownupWe get taller, we get older, but do we ever really grow up? In some ways, we grow upWe have families, we get married, divorcedBut for the most part, we still have the same problem that we did when we were fifteenNo matter how much we grow taller, grow olderWe are still forever stumblingForever wonderingForever young409We go into medicine because we want to save livesWe go into medicine because we want to be goodWe go into medicine for the rush, for the high, for the rideBut what we remember at the end of most days are the lossesWhat we lay awake at night we playing isThe pain we cost, or the fail to cure, or the life we move indoor and fail to saveSo the experience and practice in medicine rarest our most goalExperience too often is ass backwards, and upside downChief: That’s the job, look at me, this day, this day you feel helpless, this day makes all those other days when you fight to save lives and you lose, this day makes you grateful you have a chance to do anything at all, you take it At the end of the day, the e