【一切的失敗和不足,都是最美好的安排】
All Failures & Lacks Are The Best Things to Happen to Us
三個月前,收到來自台灣客人的這封電郵時,開心和心酸交織著在心裡。
開心,因為這是一年前通過Zoom視訊的客人。他居然在我們看八字的一週年,特地寫了封感謝函給我,真有心!
心酸,因為他寫在電郵裡的低落心情,我完完全全明白。
他的經歷,是我的曾經。我當初也是很難,很久才能走出來。
有一回,我為一位芳華正茂的女子批八字時,她很用心的寫下我說的話。
論寫筆記的完整,她是我客人當中的佼佼者。
寫到一半,我注意到她的右手開始微微顫抖。我以為是空調的風太大了,冷到她,便問她要不要披巾。
她說,是她的焦慮症發作。
「我沒在兇你,也沒對你嚴厲,你為何突然焦慮?」
「我.....打從今年疫情打亂了我的計畫,我就一直很焦慮。我覺得我很沒用,同學們都前進了,只有我現在什麼都不是,亂糟糟的。我就一直很緊張,萬一我一直都是這樣,怎麼辦?」
說著,她眼眶一紅,眼淚像斷了線的珍珠鏈似的灑下來。
我的媽呀!是我的樣子長得很催淚,還是我的聲音聽起來很虐心?怎麼客人,不分男女老少,東南西北,看到我好像都很容易哭?
我抓起一張紙巾遞給她。
「所以,我不是來了嗎?你來找我,就是要問個明路,而你很幸運那麼快就看到我啦!你看你的筆記寫得多工整,多齊全。我很多客人都不如你啊!我今天的工作,就是來給你答案的。我沒有把握,也不會接你這份差事。我接了,就代表還可以補救。你照著我的指示去做,一定柳暗花明又一村。」
又另一回,一位四十多歲的媽媽請我看兒子的八字。
我在批著八字時,這位媽媽點頭認同,然後就聲淚俱下。
我轉頭看著她沈默不語的先生。我說錯了什麼嗎?太太哭成淚人,你怎麼連紙巾也不拿給她啊?
「我是個沒有用的母親,很不稱職的母親。我沒有辦法教好孩子。我很愛他,可是很多時候我都不知道要怎麼做,我就會對他發脾氣,說狠話,過後我又後悔。我忍下來,可是後來還是會一樣!」
我沒打斷她,等她的哭聲逐漸小聲後,我柔柔的說:「我來啦!我坐在你前面了。你已經看到我,就是有辦法了。你知道你自己不行,會去找辦法,就代表你願意去學習做個好媽媽啊!」
我把紙巾遞給她,再說:「不要哭了,要不然,別人看了以為是我不要借你錢,才把你弄得那麼傷心。」
曾幾何時,我們都會以外在所擁有的,來定義自己的人生是否值得自己喜歡。
從原生家庭、樣貌、健康、身型、智力、天賦等,到後來的學歷、友情、事業、財富、婚姻、子女......
哪一樣沒有,而偏偏是我們最想要的,我們就會認定自己失敗的一塌糊塗。
我認為這就是普通教育最大的問題所在。父母老師都是這樣把我們「分門別類」的。值不值得父母疼愛或向親朋戚友炫耀,也離不開那幾點。
久而久之,我們也只會以「成功」來定義自己是否有價值,甚至來衡量自己是否有活下去的勇氣。
我比較喜歡佛法的定義。我們每個人都是一尊佛,六道眾生皆有佛性,只因一時的迷,因此墮落在苦輪不停的輪迴。
可正因為我們有佛性,我們都有無窮無盡的可能。每個人的內在有著很強大的力量,等著我們遇到明師後,去發掘、探索和了解。
而這天生俱來的力量,就是你改命立命的資本。
如果人生順風順水,我們永遠不會想要出離,誤把人間當極樂,所以一定要有苦,我們才會意識到,為什麼我們會在這鬼地方?要怎麼樣才可以離開這鬼地方去到極樂?
反過來,我們都應該感恩自己遇到的挫折,因為從這些苦中,我們才能生出智慧。
沒有一個八字是完美的。一切的失敗和不足,都是最美好的安排,如此你才會有出離心,返本歸源。
_______________________
3 months ago, when I received this email from my Taiwan client, there was this feeling of bittersweetness.
I was happy because this was the client I did a Zoom consultation last June. He sent me this email on the one-year anniversary date of our Zoom call, to express his gratitude. How sweet!
On the other hand, I could relate to the emotional turmoil he felt at that point in his life.
His experience was my past. It also took me a very long time to walk out from my gloominess.
Once, I analysed the Bazi of a very young lady. She was meticulously jotting down notes as I spoke.
Her detailed note-taking skills easily took the top place among my clients.
Halfway through, I noticed her right hand was trembling slightly. I thought it was due to the cold draft from the air conditioning, so I asked if she needed a shawl.
She replied that it was her anxiety disorder acting up.
“I was not fierce or strict with you. What caused your sudden anxiety?”
“I…ever since the pandemic disrupted my plans, I have been in this state of anxiety. I kept feeling useless. All my classmates are progressing expect me. I have nothing to show for and my life is in a mess. I am very anxious. What if I continue to be like this? What am I going to do?”
As she spoke, her eyes turned red and tears started rolling down like a broken strand of pearl necklace scattering onto the ground.
Oh dear! I am beginning to wonder if I have a tear-jerker face or a heart-tormenting voice. Why do my clients, regardless of gender and age, North South or East West, seem to cry easily when they see me?
I grabbed a piece of tissue and handed it to her.
“Ain’t I here already? You came to me for a roadmap and you are very lucky to see me so soon. Look at how precise and neat your notes are! Many of my clients aren’t even on par with you. My job today is to give you answers. If I didn’t have the confidence, I would not have taken up your request. Now that I did, that means there is still hope. If you follow my instructions, you will see things looking up very soon.”
On another occasion, a mother in her forties came to me for her son’s Bazi consultation.
As I was analysing, the mother nodded her head in agreement. The next thing I know, she started weeping loudly.
I turned to look at her husband, who had been silent all along. Did I say something wrong? And hello, your wife was crying. Why weren’t you gentleman enough to give her a tissue paper?
“I am a useless mother. I am incompetent. I do not know how to teach my son well. I love my son very much. But many times, I do not know what to do and thus I flare up at him and speak harshly. I always regret afterwards. I tried enduring but it still ends badly!”
I did not interrupt her and waited for her cries to soften, before speaking gently, “I’m here! I’m already sitting in front of you. You are looking at me now and that means help is here. You know that you are incompetent, so you went looking for solutions. That means you are willing to learn how to be a better mother!”
I handed a piece of tissue and said, “Don’t cry anymore, otherwise, other patrons will think that it’s because I refuse to lend you money.”
Since young, we have been using external possessions to define whether our lives are worth liking.
The family we are born into, our looks, health, body shape, intellect, talents, and then we move on to compare our academics, friendships, career, wealth, marriage and children.
If we are lacking in the area we covet most, we grade our lives as a failure.
I think this is the biggest problem in societal education. Our parents and teachers categorized us that way. Whether we as children are worthy of their love and bragging, depends on the few points above too.
Thus over time, we can only use the term “success” to determine whether we are of value, for some people, whether they should live on to take their next breath.
I very much prefer the definition in Buddhism. We are all Buddhas. Each and every sentient being in the six realms has a Buddha nature in them. But they got lost momentarily and fell into the endless wheel of reincarnation.
Yet, because of our Buddha nature, we have an unlimited source of potential. Every one of us has a very powerful strength inside us. It is just waiting for us to meet an accomplished teacher, so that we have the tools to explore and understand it:
And this strength that we are born with is the capital for us to transform and establish our own destiny.
If life is smooth-sailing, we would never want to leave and would mistake this mortal realm for Pureland. Thus, we all need sufferings, to realise that we should break out of this hell of a place. There has to be a better world somewhere. So how we get there?
We should, in fact, be grateful for all the setbacks and failures we have. Because it is from these sufferings, our wisdom arise:
No single Bazi is perfect. Every failure and lack we experience is the best arrangement for us, so that the heart of renunciation will arise in us and we will return to where we came from.
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心衰竭 2021 新定義
心衰竭是由於心臟結構,及/或功能異常,且證實利鈉肽 (Natriuretic peptide)升高,及/或肺或系統循環充血,而引起之臨床症候與症狀。
(3/1/2021 Journal of Cardiac Failure, European Journal of Heart Failure)
自己翻寫譯文有些繞舌,用白話文說,就是:
心衰竭是由於
1、心臟結構異常,或
2、心臟功能異常
且有:
1、利鈉肽 (Natriuretic peptide)升高,或
2、肺/系統循環鬱血
引起的臨床症狀/症候群。
這個定義來自於以下各國心臟學會達成的共識:
1、歐洲心臟學會的心衰竭協會
2、日本心衰竭學會
3、加拿大心衰竭學會
4、澳洲紐西蘭心臟學會
5、中國心衰竭協會
哈佛醫學院的Braunwald 及Antman 在該期刊社論也加以肯定。看來,這個定義是一統江湖的新主流了。
過去30年,心衰竭被定義為,心臟無法負荷新陳代謝所需而引起之症狀。相較之下,新定義確實著重於「心臟」因素。
特別注意的是,按照新定義,因為慢性腎病(CKD)所造成的水份滯留,並不包括在心衰竭之內。
心衰竭的階段分期(staging)
有了新定義,staging也跟著修改。
# 發生心衰竭風險(At-risk for HF)(A期):
病人有發生心衰竭風險,但以前或現在心臟並無結構或功能異常的症狀,也沒有利鈉肽升高的情形。
#心衰竭前期(Pre-HF)(B期):
以前至目前無心衰竭症狀,但有心臟結構/功能異常存在,或利鈉肽升高情形。
#心衰竭(C期):以前或現在已出現因為心臟結構/功能異常的症狀。
#晚期(嚴重)心衰竭(Advanced HF)(D期):
病人在靜態休息時出現嚴重的症狀,經指引導向治療仍重覆住院,且需要進一步的治療,如換心,機械循環輔助,或緩和醫療(palliative)。
值得注意的是,心衰竭前期(Pre-HF)(B期)。這個概念就如同癌前期,仍然可以治療,可以預防的。就像糖尿病而且有心衰竭風險的病人,使用SGLT2 一樣。
面對使用左心室射出分率(LVEF)來分類心衰結治療,如低射出分率(HFrEF, Heart Failure with reduced ejection fraction),及正常射出分率(HFpEF, Heart Failure with Preserved Ejection Fraction), 新定義的心衰竭也有更新版的說法:
#低EF的心衰竭(HFrEF):LVEF在40%以下
#輕度低EF的心衰竭(HFmrEF):LVEF 41-49%
#正常射出分率(HFpEF): LVEF大於50%
#改善射出分率之心衰竭(HFimpEF):從基本EF小於等於40%,提升至少10點,且第二次測量之EF大於40%
最後一項的改善射出分率之心衰竭,觀念上是提醒人們,心衰竭治療後,是可以改善(improve)的,而不是恢復(recover)。
新定義是強調,心衰竭是連續演變的事情(continuum),而不是只去不回的單行道。
在治療角度觀之,過渡性的EF 改變,即使提升10-20%,如果沒有超過達到EF40%,治療策略不需要改變。如果EF升高超過40%,治療策略需要調整。
雖然論文發表時用的標題是《Universal Definition》Braunwald 認為新的定義還不能說全球共識,因為美國心臟協會(AHA)及美國心臟學院並未參與。
老美說的才算universal definition?
新定義還需時間考驗。
資料來源:
Universal definition and classification of heart failure.
J Cardiac Fail 2021;00:1-27
#心衰竭
#射出分率
#HFrEF
#LVEF
#HFmrEF
#HFpEF
#HFimpEF
#利鈉肽
#Natriuretic peptide
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อะไรทำให้หนุ่มสาววัยยี่สิบต้นถามคำถามนี้ออกมา?
...Continue Reading" Do we have to be successful in life, brother
A student walked in to ask after the lecture. This question is in my head to home. The question is interesting. But what I am more interested in ' answer ' is ' source ' of this question.
What makes a twenty-year-old girl ask this question?
I don't think she is the only one who has a question if it is a representative of the same age of the same age and grievance.
Is it possible that the root of this question is the tiredness from trying to chase success, pressure from seeing the 'good life' of those who look like successful fast surround themselves, including carrying expectations from Parents, relatives, teachers, teachers, including society. You must be smart.
Does the world have space to help? Announce a lot of 'success'. TV, online media, clip, interview. Anyone who has done anything will have space to tell their own story.
But -- the world has so little space for 'failure'
...
When someone hasn't done anything or incomplete, disappointed, so he feels alone, humiliated and doesn't know where to put these ' destruction ' in the world. When they look around, there are only areas of success.
' broken ' is kept in my heart. I don't go anywhere. Slowly spread to eat. Feeling good for yourself. I can't talk to friends. It's not consecrated with parents. Or encourage you to be more diligent. Be kind. I say " you can do it. Fight him "
But no one consent to us to lose.
When the destruction becomes a personal thing to keep, it's like a bad leavening that gradually works in the body. It's a bad disease that eats our heart. We are bored of the world. I feel bad about myself. It's a grey. This symptom has happened
We feel bad that this life has to 'win' only.
But 'loser' still happens every day. Btw, everyone will lose one day.
We focus too little on ' failure '. That's the cause of sickness in modern society.
When someone is heartbroken, I think it's a little bit. You should come back to be strong soon. When someone fails, we will tell him that they will be successful.
We barely care about ' failure ' in the present, but always look at ' success ' in the future.
...
An important area that should be together is a space for losers and failure, not a depressing area where we can talk about disappointment without being shy or even tell a failed attempt.
This can happen. Attitude to failure must change first. It's not embarrassing. It's not bad things. It's a share. Learn from each other. Embracing each other's feelings. Hold each other.
We should create a society where #failure is normal. Allow children to fail. Allow friends to fail and help to support each other through the beauty within the mind.
A society that has space for failure. When we miss, we will dare to tell the mistake. There is no suffering. No need to be embarrassed. Don't rush. We feel like this normal. We will not spread to the sickness.
...
" Do we have to be successful in life, brother
What I care more about is the emotion of the person who asks, which I feel that she carries the pressure that 'must be successful'
I replied to her "not necessary I mean success in the definition of normal people" but our lives need to be happy. We are born to live the way we like, not the way others like, but we have to answer ourselves first that life. What I like to be and try to build it without anyone's ruler to measure "
'life we like' for me, it may consist of failure because what we fail may be what we want to try. What we miss. It may be learning. People who disappoint us may be good memories in some aspects.
We can lose, we can miss and we have a life that we like. In the midst of those misses. It's not strange.
But one person can be strong in his own mind. It has to go through a fragile time at a young age. These days that people around you have an important role in helping him not be too deep from falling down.
We may be wrong to think that 'success makes life happy'. The opposite, life is longing, but success may be a severe suffering life.
Life that allows yourself to fail. It's a happy life.
If we live in a society that is not crazy, success, then we can like our lives with both ingredients. That is -- normal life.
While there is not quite a lot of ' space for failure ', we may have to create this space first. Allow ourselves to fail, disappoint, defeated, assemble it to be part of life without pushing away. Don't try to live life. Only doing whatever you Only only.
You can lose... embrace it
...
In terms of society, it's time to review things that we can help to be ' hungry for success '. What brings us to the point where we need to question the pressure of life. We should do. How to unfold the weight on their shoulders
Because it's the end, the society that focuses on success will not create ' successful ', but it will create a lot of ' patients ' from the pressure.
...
" Do we have to succeed in life
Should both succeed and fail because that's real life
The important thing is don't succeed and have a life that we don't like and don't forget that we can fail and still like your life.
When we don't allow anyone to define success and fail, we may see that the answer to this question is not ' must be successful ', but the answer is
We will be 'successful' according to whose definition.
Someone else or yourself
If it's your own definition, some failure can be part of a successful life.Translated
heart failure definition 在 Heart Failure (Definition) – Cardiology | Lecturio - YouTube 的推薦與評價
This video “Heart Failure” is part of the Lecturio course “Cardiology” ▻ WATCH the complete course on http://lectur.io/defheartfailure▻ ... ... <看更多>