《做生意單價的「大」「小」!》 做生意, 行行都辛苦,個個客都係麻煩,但每張單的大細會好影響你的付出/回報比例。 你的生意長遠應該如何部署? 可如何變通?
全文內容 ......
大有大做,細有細做,但得嘅話,做生意盡量做「大」嘢。
前兩日同幾個朋友交流生意心得,佢哋分別係做會計師樓、教育中心、同埋頭皮護理,即係增髮啦。
大家互相畀阿下意見,對我自己都啟發都好大。我話做生意,你批貨賣嘅金額,每張單最好盡量係「大」。
如果有兩個朋友,一個朋友同我講佢係賣煎釀三寶/碗碗碟碟、 開補習社/髮廊,做美容/按摩。另一個朋友係做金融/地產 、賣樓/賣地、 做醫學美容/心臟手術/基因改造、賣飛機/大砲/穿梭機都好,總之人客願意付出金額大嘅嘢啦, 我估.... 後者嗰位朋友應該係有錢啲。
如果你賣襯嘅嘢,每張單起碼都講緊要成幾萬、幾十幾百幾千萬以上, 我估你窮極有限。 人客唔會為咗一萬幾千同你講價, 你係賺緊有錢人嘅錢。 一個月做幾單已經夠維皮,做多幾十幾百單就賺大錢。
但如果倒返轉, 你係道賣緊兩蚊件蛋撻, 即使排曬大隊, 你要賣成萬個,賣到氣喘,嗰日先至做兩萬蚊生意。 當你每日營業十個鐘, 每個鐘頭要賣1000個, 即係每分鐘要買16.6個,每3秒賣1個, 先至做到呢條數,即係近乎冇可能。
即時畀你做, 每個月賣30萬個 蛋撻,等如60萬營業額。四成去咗食物成本,三成去咗人工,兩成去咗租金,你都只係賺一成,即係每個月賺六萬蚊。 做到死下死, 一個月做足30日,唔使放假,廁所都唔使去,就係賺6萬蚊囉。
倒返轉, 你專門去餐廳敲門口,賣自動蛋撻製造機,10萬蚊部, 一個月賣幾部, 可能已經夠維皮。 打開埋大陸東南亞歐美市場,世界咁大周圍賣機有排做。
My point is: 做乜都辛苦, 賣乜個客都係麻煩, 但同等嘅付出,有啲回報低,有啲回報高。 你會揀邊個呢?
我以前買賣小生意,做過千單交易,每間平均交易金額幾十萬。 依家買賣舖, 成間舖平均交易金額幾千萬。 大家都咁難,但回報唔同,如果有日我買賣過千間舖,我都應該唔差。 再行多幾步,我都好想廿年後有一日,如果同你講我買賣緊成塊成塊地, 成個成個島,每塊每個幾十幾百億, 我估到嗰陣時我就真係已經不得了。Will see...
我屋企人做財務都係一樣。 樓宇按揭, 喐襯按一千幾百萬, 一個月唔使多單,利息已經夠維皮。 但做私人貸款? 每單幾萬幾千, 服務一樣要做足,唔還錢? 一樣要追數, 追到氣都喘都唔夠數, 做幾十單私人貸款分分鐘都唔夠一單樓宇按揭好賺。 如果我屋企人靠做私人貸款就死得。 包括我在內,如果我靠買賣幾十萬嘅小生意仔都死得! 因此2013年我決定唔做,用3年時間轉型,專注做「大」deal。
當然做任何事情,要按步就班,量力而為。 一步步朝著大金額發展, 唔好急! 分分鐘要花上你五年十年轉型。 但凡事冇絕對, 賣蛋撻一樣有人發達, 不過長遠,只係相比起賣飛機/賣黃金/賣地/賣樓/賣鑽石/賣舖/賣石油,機會率低啲。
唔好講到咁「大」, 即使普通 一間嘅雜貨舖,都可以做到。 中秋節嗰晚,我一家人去咗上環新開有間叫 Hapi 嘅雜貨舖, 如果一般人就咁行入去,可能買幾十蚊嘢就走咗,唔知幾時回頭。 但好特別,佢推出咗一、三、十二月嘅會員制度 , 入會後買嘢就平好多, 話係成本價啦。 會費平則468,貴則3576。當然有人入會,有人唔入。 但唔重要,重要嘅係佢把平均單價由幾十幾百蚊,一拉就拉到幾千蚊 ,仲要先袋未來錢。 把人客回頭嘅忠誠度大大提升, 我相信呢個business model 會係云云雜貨舖中突圍而出。老闆形容Hapi 為連卡佛嘅Costco,make sense,你又可否作參考呢?
最後,你賣緊嘅嘢,每張單的金額係幾大呢? 長遠有冇可能令張單價拉高,大啲呢? 如果你每張單金額又大,長遠做、專注做、 風風雨雨都係咁做,做到自動波「密食當三番」, 恭喜你,你到時肯定不得了。 努力把單價做「大」啦,加油!
「做生意,長遠努力把單價做「大」些! 」
。。。。。。。
有興趣參加【RAINSTORMING For 4 - 傾下你盤生意】?
Covid 第三波後,搞了幾場生意分享早/午餐會,希望對大家都有所啟發。對我自己也是溫故知新,我學好多嘢😉
我不定期在星期六搞,我請食 飯😀 限聚令,4位 (including me).
AGENDA
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- Do a SWOT analysis of your business - Srength, Weakness, Opportunity and Threat (強處、弱處及危、機)
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Note: 如果香港肺炎情況突然惡化,我可能會取消。
。。。。。。。。。。
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#做生意單價要大
同時也有1部Youtube影片,追蹤數超過4萬的網紅李根興 Edwin商舖創業及投資分享,也在其Youtube影片中提到,《做生意單價要「大」》 做生意, 行行都辛苦,個個客都係麻煩,但每張單的大細會好影響你的付出/回報比例。 你的生意長遠應該如何部署? 可如何變通? 全文內容 ...... 大有大做,細有細做,但得嘅話,做生意盡量做「大」嘢。 前兩日同幾個朋友交流生意心得,佢哋分別係做會計師樓、教育中心、同...
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從非典到新冠肺炎
From SARS to Novel Coronavirus (COVID-19) - English version is in the second half
新冠肺炎,Novel coronavirus (2019-nCoV) 新型冠状病毒肺炎,疫情越來越嚴重,被證實可以人傳人,也在武漢以外的許多地方發現病例,造成世界各國及世界衛生組織(WHO)高度關切,當然也讓很多住在中國大陸及附近區域的華人非常緊張,就好像當年的非典肺炎疫情即將再一次大爆發一樣。
目前,現代醫學還沒有找到治療新冠肺炎的方法,只能針對某些症狀來處理,疫苗的研發更是遙遙無期。怎麼辦?每次遇到這種情況,中醫就會被搬出來,這次也不例外。新冠肺炎爆發後,網上馬上有許多中醫對付新冠肺炎的文章。當然,除非哪位中醫師看過、治好過大量的新冠肺炎病例,所有的討論都是猜想、假設。然而,有些猜想及假設值得參考,有些猜想及假設卻明顯在誤導大眾。
我還沒有治療過新冠肺炎,不能大肆評論。不過,我治好過很多禽流感、豬流感、及每年流感導致的嚴重肺炎及其它病變的病人。其中許多病人是被美國大型西醫院證實為嚴重肺炎,被要求醫院或居家隔離,偷偷溜出來找中醫看診的。也因此許多病人及討論中醫的網站,希望我能針對新冠肺炎發表一些意見。
我們以前就討論過,這些彪悍的流感病毒,經過那麼多年、那麼多次的變種(mutation),每年都不一樣,東漢時期傳下來的經典中醫,根本沒有遇到過現在的病毒,怎麼可能治療如此嚴重的肺炎呢?
中醫從來就不認識病毒,也不從病毒種類的角度來思考。中醫是探討人體受到外界因素破壞,失去平衡後,身體會有哪些現象、哪些反應,根據那些現象、那些反應來調整身體狀況,期待身體能恢復到平衡狀態,把外界因素帶來的破壞減到最小。我打個半開玩笑的比方,警匪槍戰時,我們注意到壞人哪個方向來的火力強大,造成我們部署在哪個位置的警員傷亡,這時我們會趕緊重新部署人員,或者想辦法增派警力,我們大概無暇去管壞人是用哪個牌子的槍、哪個工廠做的子彈!
雖然幾百年幾千年下來,病毒變種等等的外界因素改變了非常多,人體演化的改變卻非常有限。人體的功能,無論是怎麼被破壞的,某項功能被破壞而導致的症狀、反應、後續演變,卻依然有明顯的脈絡可循。也因為如此,在很多情況下,中醫以專注人體本身平衡狀態的治療方式,反而比西醫專注在外來敵人的治療方式來得有效許多。
依據多年累積大量的臨床病例觀察,無論是禽流感、豬流感、還是每年的流感,人體敗壞的進程依然如同傷寒雜病論探討的一樣,非常簡化的說,從一般桂枝湯證、葛根湯證等的表寒,轉變到小青龍湯證等的裡寒,津液不足、水道運化失調而化熱,變成比較嚴重的大青龍湯證,或者更嚴重肺臟的寒熱夾雜,金匮要略肺痿肺癰咳嗽上氣病脈證治第七篇中的射干麻黃證、葶藶大棗瀉肺湯證、澤漆湯證、小青龍加石膏湯證等等混雜出現,搞得亂七八糟,也不再是什麼簡單方劑可以對應的。
然而,雖然進程很像,不同於一般外感的是,這些嚴重流感肺炎病情加重的改變速度快非常多,也來得猛烈頑強很多。一般的外感從桂枝湯證、葛根湯證等轉變到大青龍湯證或更複雜的病情,通常需要一兩週的時間。同時,還得病人自己非常不注意,或者醫生治療錯誤,一般感冒才會沒辦法自己好,反而變成嚴重的病症。這幾年的流感,從一開始覺得不太對勁,到嚴重複雜的病情,只需要三四天,而且有越來越快的趨勢。這大幅提高中醫師治療流感時,判斷功力及敏感度的要求,中醫師必須在許多症狀還沒有出現時,就得抓緊時間,趕緊行動,卻又不能預防過度,反而讓病情加重。換句話說,時機、劑量、藥材比例變得非常重要,稍有不慎,就無法反轉病情。
舉個例子,有些病人得了流感,咳嗽非常嚴重,痰非常多,呼吸困難。依照中醫的辨證,假如一致都是寒,舌苔白、小便清、怕冷等等,本來依照辨證論治,我們可能會開射干麻黃湯加減給病人。然而,因為流感的進程非常快速,中醫師得非常敏感,譬如看到舌苔白卻帶有一絲絲乾的感覺,就很可能得加上大寒的石膏來避免肺喪失津液,卻又不能加太多石膏,以免肺寒加重。又譬如聽到咳嗽聲音非常深沈,從肺的底部發出,又帶有膿痰的濁音,就很可能得加上瀉肺的葶藶來避免肺中水飲、痰飲大幅增加,卻又不能加太多葶藶,以免肺變得太虛弱。
我們回頭來看這次的新冠肺炎。根據有限的資訊,我們知道感染後有大約兩週的潛伏期,這段時間沒有什麼症狀,病人可能只會感到有些疲憊。剛開始發病時,很像一般的感冒,病人會發熱、乏力,並不嚴重,沒有什麼流鼻涕等上呼吸道的症狀,有的甚至沒有發熱。約一半的病人一週多後恢復,另一半的病人卻在一週後出現呼吸困難,有些病人會快速進展為急性呼吸窘迫綜合征、膿毒症休克、代謝性酸中毒、凝血功能障礙等等嚴重的問題,可能導致死亡。
從上面的敘述,我們不難發現,一開始很像一般中醫外感的桂枝湯證、葛根湯證,一半的病人也就自己恢復了,另一半的病人卻出現快速的入裡化熱現象,肺津液迅速流失,非常濃稠的痰飲沈積在肺部下方。同時,中醫認為肺為人體調節津液的源頭,肺金生水,好比天空下雨一般,而當肺的功能及津液調節出現嚴重障礙,很快就會拖累三焦水道、腎臟等的功能,導致上面提到的幾種嚴重病情。換句話說,新冠肺炎可以讓輕微的太陽證外感,迅速發展成嚴重的肺痿肺癰,再進一步瓦解人體其它功能的運作。
怎麼治療?在沒有直接治療武漢肺炎病人的情況下,我們也只能根據有限的資訊來推論,不過,以前大量的流感肺炎治療病例,可以讓我們比較有信心的面對新冠肺炎。當病人已經出現明顯新冠肺炎症狀時,大多已經入裡化熱,嚴重的肺痿肺癰。這個時候,得用大劑量的石膏清肺熱、加強肺津液運作。也得靠葶藶、大戟等把肺下方濃稠的痰飲及胸腔可能的積液去掉,痰飲積液不去,是無法修復肺家津液運作的。同時,肺氣不宣,就好像吸管上頭堵住了,吸管內的水無法上下,我們還得使用麻黃等宣肺、發陽的中藥來配合。另外,肺已經受損了,除了大動作急救外,比較穩定後,還得靠一些潤肺的藥來收尾,讓肺完全恢復。如果我們列一個可能加入的中藥單,大致有石膏、葶藶子、大戟、生半夏、麻黃、射干、紫菀 、款冬花、 生薑、炙甘草、紅棗、麥門冬、杏仁等等。當然,如前面所言,用藥的時機、劑量、藥材比例非常重要,每一個病人的差異也很大,嚴格考驗中醫師的功力與膽識,一旦判斷錯誤,不但沒有效果,反而可能會加重病情。
網上有些中醫師,說新冠肺炎或其它流感肺炎可以用板藍根清熱解毒來治好。也有些中醫師說可以用麥門冬湯等等的輕劑治好嚴重的肺炎。甚至還有些中醫師說多喝綠豆湯可以預防新冠肺炎!其實,真的遇過、治好過禽流感、豬流感等嚴重流感肺炎的中醫師,一看這些文章,就幾乎可以確定這些人根本沒有治療過嚴重肺炎的經驗,充其量只是在西醫治療下,在旁邊幫幫病人一些小忙而已。這樣的情況下,難怪中國政府平時大力推展中醫,真的有如同新冠肺炎這樣重大疫情爆發時,卻看不到中國政府大量使用中醫方法來治療病人、控制疫情。醫學是實戰的學問,沒有大量臨床病例,講得再好聽都是沒有用的,如果希望中醫真的在主流醫學裡站立起來,希望中醫真的能面對大規模的疫情,回歸最基本的臨床療效,才是最重要的,其它都只像是武術表演,而非實際作戰。
From SARS to Novel Coronavirus (COVID-19)
Written in Chinese by Dr. Andy Lee, January 21, 2020
Translated to English by Dr. James Yeh and Dr. Andy Lee, March 28, 2020
The epidemic from Novel Coronavirus is becoming much more serious. Transmissivity among people has been proven. (Note: It's now named COVID–19. The term “Coronavirus” will be used here.) Cases were found in areas beyond Wuhan. It has caused serious attentions from the WHO (World Health Organization) and many countries around the world. The residents in China and the surrounding regions are quite worried and wonder whether it will break out like SARS (2003). (Note: The article was written on January 21, 2020, before Coronavirus became a global pandemic.)
So far, the modern medical field has not found a cure for Coronavirus, but resorts to treating patients’ symptoms only. Any vaccine to treat Coronavirus is still no way in the sight. What do we do? Every time such a situation happens, the topic of using Traditional Chinese Medicine (TCM) is raised (at least among the Chinese communities). There is no exception this time. Many articles related to using TCM on Coronavirus have been popping up on the web. However, unless some TCM doctors who have actually treated many Coronavirus cases, all the discussion would be hypotheses or assumptions. Some hypotheses are worth considering while many others could be quite misleading.
Personally I have not treated patients cases related to Coronavirus. (Note: Shortly after this writing, the author has directly and indirectly participated in treating patients of Coronavirus successfully, and has published other later blogs which included his involvement in treating those patients. Please refer to his medical blog http://www.DrLee.us.) However, I did treat and cure patients inflicted by other viruses in the past, such as the Bird Flu, Swine Flu, and other influenza. A good amount of those patients were diagnosed as severe pneumonia by large hospitals and were required for isolation or self-quarantine. Hence many of patients and online medical forums online are asking for my opinions about Coronavirus.
As we discussed before, all these viruses from the outbreaks are either newly found or mutated from previous strands. The strand can be different every year. Therefore, people always ask how one can say that the TCM knowledge developed in East Han Dynasty (25-220 AD) would be any useful for treating the modern diseases, let alone the severe ones.
It turns out that TCM does not recognize any virus and does not deal with the concept of which type of virus is microscopically at work. TCM looks at how human bodies would become out-of-balance and react to external stimuli. Once the body is out of balance, what symptoms will exhibit and what reactions will be to adjust the body conditions to regain the balance, hence to reduce the damage to the body to the minimum. Let me take an example to illustrate: when there is a gunfight between the police and bandits, we want to see which direction the shots are coming from, causing casualties of the police force, so that we are able to adjust or reinforce the police power. We have no time to think about which brand of the guns or bullets the bandits use.
Over thousands of years, the external viruses have changed and evolved quite a bit, but the evolution of human beings was quite limited. The human body function, no matter how it was damaged, the symptoms due to the damage of the function, the reactions, and the following progression of the disease still follow certain paths. For this very reason, TCM’s focus on the balance of the human body often surpasses the effectiveness of Western medicine, which focuses more on external treats and the microscopic aspect of how human body’s cells are impacted by the external treats.
From the accumulation of many years of clinical treatment and observations, no matter it is Bird Flu, Swine Flu or other influenza, the bodily ‘damage’ and its progression by the viral attack still follow the description of the classic TCM literature “Treatise on Cold Damage on Miscellaneous Disease” (傷寒雜病論). In short summary, the disease usually starts with “Exterior Deficiency or Weakness” (表虛) or “External Coldness” (表寒), for which is matched to one of the several syndromes named with the corresponding herbal remedies such as “Gui Zhi Tang” (桂枝湯) and “Ge Geng Tang” (葛根湯). Then, the disease moves onto the next stage “Interior Coldness” (裡寒) or “Lung Coldness” (肺寒), which shows the syndromes named as “Xiao Qing Long Tang” (小青龍湯), etc. When the respiratory system is “affected by the coldness”, the body fluid function of the respiratory system gets affected. The circulation function of the lung becomes “Dry and Overheated” (燥热). This would lead to a more serious stage “Heated Interior” (入裡化熱) and would often be matched to its herbal remedy “Da Qing Long Tang” (大青龍湯). Or, even worse, it becomes so-called “mixed coldness and heat” (寒熱夾雜) in the lung. Such a complex situation was extensively discussed in Chapter 7 of the classic literature “Synopsis of Prescriptions of the Golden Chamber” (金匮要略肺痿肺癰咳嗽上氣病脈證治第七篇). At this complex stage, the illness development varies significantly among patients of different preconditions and other variants. It is no longer the situation that a simple herbal remedy can be applied to all the situations. The TCM theory illustrates various treatments by those herbal remedies such as “She Gan Ma Hung Tang” (射干麻黃湯), “Ting Li Da Zao Xie Fei Tang” (葶藶大棗瀉肺湯), ”Ze Qi Tang” (澤漆湯), “Xiao Qing Long Jia Shi Gao Tang” (小青龍加石膏湯), and others.
However, even the disease progressions are similar, the more serious viral attacks like Coronavirus can and often do progress much faster with more severe consequences than the common flu. As described in the previous paragraph, normally the disease progression of the “External Coldness” stage to the more serious “Heated Interior” stage usually takes one to two weeks. It is also often due to the ignorance of the patient or misdiagnosis and treatment of the doctor, which prevents the patient from recovering from this “catching a cold”. In the recent several years though, the time period between the time that the patient did not feel well and the time that the patient is in a serious and complex situation can be as short as 3 to 4 days. We also see the trend that this period gets shorter and shorter. In other words, the disease progression is getting much faster. This phenomenon poses a much higher demand on TCM doctors’ ability to make a quick and proper judgment and sensitivity to the subject matter. TCM doctors must intercept the disease progression before it reaches to a more serious stage, even without obvious symptoms of the next stage. TCM doctors have to timely prescribe the proper herbal remedy in terms of the type of herbs and relative dosages of herbs. Too weak a dosage could not stop the progression while too strong a dosage could worsen the condition also. A misjudgment would not be able the turn the conditions around, but hurt the patient more.
The above can be illustrated by a simple example. A patient caught flu and has symptoms such as heavy coughing, lots of sputum, and difficulty in breathing. From the TCM dialectics, with observations of white tongue coating, clear urine, and feeling chilly, etc., it is clearly caused by “Coldness”. Such a patient typically should be prescribed with “She Gan Ma Hung Tang” (射干麻黃湯) or its variations. However, due to the fast progression of the modern flu, the TCM doctor would need to pay attention to much subtle details such as the dryness of the tongue although it still shows the white coating. In this case, Sheng Shi Gao (Gypsum, 生石膏) might need to be added to the herbal remedy to make sure that the lung would not suffer dryness. Given that Sheng Shi Gao (Gypsum, 生石膏) itself is an ingredicient that is “very cold” in nature, the dosage could not be too strong to make the lung too chilly. At the opposite end of the spectrum, if the sound of the coughing is very ‘deep’, like dense sputum coming from the bottom of the lung, the herbal remedy might need to add Ting Li (Sisymbrium indicum, 葶藶) to clear up the lung to avoid too much mucus in the lung. And again, the dosage of葶藶 could not be too much to weaken the lung. (Note: Handling the proper timing and proper remedy can be a real test to the ability and experience of the TCM doctor.)
Let’s go back to the discussion on Coronavirus. From the limited information available so far, we know that there are about two weeks of incubation period after the infection. There are little symptoms during this period and the patient may just feel more tired than usual. More obvious symptoms will start like those of common flu with fever, fatigue but not too serious. Upper respiratory symptoms like running nose are less common. Some patients may not even exhibit fever. About half of the patients infected will recover over a week or so. The other half of the patients will experience difficulty in breathing, or rapid progression to acute respiratory distress syndrome, septic shock, metabolic acidosis, coagulopathy, etc. Some patients had died due to these severe conditions.
From the above description, this Coronavirus, in the beginning, is very much like the common flu and will stay in stages of “Exterior Deficiency or Weakness” (表虛) or “External Coldness” (表寒). Half of the patients infected will recover by themselves as in common cold. The other half of the patients may exhibit situations of rapid penetration into inner organs and excess ‘heat’, which causes loss of fluidity of respiratory system and accumulation of dense sputum at the lower part of the lung. In the TCM theory, the lung serves as the initial “gating factor” of body fluids. When the lung fails to serve the proper function, other organs like the kidney will be adversely affected also. In other words, Coronavirus can turn a light “External Coldness” to extremely severe “Lung Atrophy” (肺痿) and “Lung Abscess” (肺癰), which in turn will impair the function of other organs.
How to treat? Without direct experience of treating Coronavirus patients, we can only postulate from our limited information available in hand. (Note: Shortly after this writing, the author has directly and indirectly participated in treating patients of Coronavirus successfully. The treatments were exactly as outlined in this article.) From the ample experience of dealing pneumonia cases caused by flu, we are confident that we can also treat Coronavirus successfully. When patients are showing the obvious Coronavirus symptoms, most of them would have entered the stage of “Heated Interior” (入裡化熱) with “Lung Atrophy” (肺痿) or “Lung Abscess” (肺癰) to a certain degree. At this stage, we will need large dosages of Sheng Shi Gao (Gypsum, 生石膏) to clear the heat to ensure the proper fluidity function of the lung. Also, we will rely on Ting Li (Sisymbrium indicum, 葶藶), Da Ji (Euphorbia pekinensis Rupr., 大戟), etc. to clear up the dense mucus at the lower part of the lung and to remove the edema of the chest chamber. Without getting rid of the excess mucus and fluid, the lung cannot properly function. We need to use Ma Huang (Ephedra sinica Stapf., 麻黃), etc. to enhance the lung function (宣肺、發陽) and restore proper breathing. When the lung is damaged as in fibrosis, after the conditions stabilize, we need to “moisturize” the lung (润肺) to help the lung to recover fully. In other words, we will most likely use the herbal ingredients such as Sheng Shi Gao (Gypsum, 生石膏), Ting Li (Sisymbrium indicum, 葶藶), Da Ji (Euphorbia pekinensis Rupr., 大戟), Sheng Ban Xia (Pinellia ternate, 生半夏), Ma Huang (Ephedra sinica Stapf., 麻黃), She Gan (Belamcanda chinensis, 射干), Zi Wan (Aster tataricus, 紫菀), Kuan Dong Hua (Tussilago farfara flower, 款冬花), Sheng Jiang (Ginger, 生薑), Zhi Gan Cao (processed Glycyrrhiza uralensis Fisch., 炙甘草), Hong Zao (Ziziphus jujube, 紅棗), Mai Men Dong (Ophiopogon japonicas, 麥門冬), Xing Ren (Prunus armeniaca, 杏仁), and others. As we discussed in previous paragraphs, the timing, dosage, the relative ratios of different herbal ingredients are very critical. Given that there are quite some variations in patient conditions, the challenges on TCM doctors’ comprehensive knowledge, judgment and courage are unprecedented.
In those articles online, some TCM doctors claimed that Coronavirus can be cured by Ban Lan Gen (Isatis tinctoria root, 板藍根), which is believed to have natural antibiotic chemicals to “clear up the heat and toxics”. Some TCM doctors suggested using a simple mild herbal remedy “Mai Men Dong Tang” (麥門冬湯), which mainly relies on the ingredient Mai Men Dong (Ophiopogon japonicas, 麥門冬). Some people even suggested that having the green bean soup could prevent Coronavirus. In fact, those TCM doctors who have good experience of treating Bird Flu, Swine Flu, and pneumonia caused by other influenza would know that the people making those claims never had the real experience of treating severe pneumonia. They at most helped in a minor way the patients under Western medicine treatments. Under such conditions, it is not a surprise that the China government has not used TCM as the primary method of treating Coronavirus, despite its big promotion of TCM in the recent years. (Note: After this writing, Coronavirus epidemic became so severe in China that the China government changed its strategy and started to use TCM extensively in treating many mild Coronaviurs cases.)
Medicine is the science based on real treatment results. Without a good amount of successful cases in clinical treatments, it is useless to promote any fancy idea of treating patients. If we would like TCM to be respected in the mainstream medicine and to be meaningfully used in a severe epidemic like Coronavirus, it is critical to focus on the most fundamental. That’s the clinical results. Like the martial arts, unless you can fight off the bad guys, it’s just a show of fancy movements.
(http://andylee.pro/wp/?p=7169)
#當張仲景遇上史丹佛
weakness醫學 在 Dr 文科生 Facebook 的最佳解答
免疫及風濕科《如果連_____的權利都捍衛不了,那我的人生還剩下什麼?》
內科醫生:文科生,這是一位48歲女仕,你問診後向我匯報
「你好啊,我是醫學生文科生,今天是來幫你問診再匯報給內科醫生。請問你今天來醫院是有甚麼事?」
「我尿不出來啊」
「那是什麼時候開始?你有去看過家庭醫生嗎」
「就上星期開始,我去看我的家庭醫生後他轉介我來這裡」
在問診的同時我發現病人有非常典型的庫欣症後群(Cushing syndrome)(圖),包括月亮臉(moon face),中央肥胖(central obesity),近端肢體虛弱(proximal limbs weakness),推測應該是因為長期服用類固醇所致。在這種情況是一定要問病人有沒有長期疾病。
「嗯,那你有沒有長期疾病?」
「有啊,我有紅斑狼瘡(SLE)」
紅斑狼瘡是一種好發於年輕女性(男性風險較低)的自體免疫系統病,身體自己產生抗體去攻擊自己的細胞,造成長期炎症。常見會在臉上出現紅疹、關節炎和腎炎(lupus nephritis)。
「那你有這個病多久了?」
「啊,大概也有20多年了」
「那你在服用什麼藥去控制?」
「我之前服用高劑量類固醇,
現在已經減低類固醇劑量了,
我也有用methotrexate和hydroxychloroquine
因為我同時有類風濕關節炎」
天啊,A小姐未免也太不幸了吧,同時患有兩種自體免疫系統病。由於A小姐服用高劑量類固醇多年,一定要問類固醇的副作用和併發症。
「那你有糖尿病白內障青光眼骨質疏鬆骨折失眠抑鬱症高血壓高血脂月經失調和經常感染嗎」
說完後我馬上後悔了一下,怎會有人全部副作用都出齊,應該集中問診才對,怎料她卻說只有青光眼沒有,其餘都有。右眼做了白內障手術、13次骨折、4次骨科手術,正服用多種心血管疾病和精神科藥物。
天啊啊啊啊啊,這女仕未免太不幸了吧?我很想跟他說聲加油、撐到現在很不容易,但馬上意識到這廉價的加油病人聽下去可能非常的patronizing,有可憐她的感覺。一天遇上那麼多人,如果每個人都跟你說一聲加油,應該會刺耳到崩潰。
問完過往病史和藥物史後,一般會問社交史去壓認病人有沒有吸煙、飲酒、吸食毒品的習慣以及在家的起居飲食生活娛樂有沒有問題,自己能否照顧自己。
「可以啊,我都自己買餸煮飯,
有空就拿著這個車仔到處逛逛」
(walking frame,輔助病人走路的工具)
文科生覺得這位病人的正能量未免太強大了吧,換著我有13次骨折白內障糖尿病高血壓高血脂冠心病的話我應該早就崩潰了躲在家裡足不出戶,怨天尤人。
「啊,by the way 我有抽煙啊,一天一包左右」
強大的反差令我有好幾秒時間反應不來。什麼?已經有十幾種不同的病,同時又食緊十幾種藥,竟然還抽煙?煙的包裝上不是有寫吸煙可以導致肺癌、不舉、皮膚病、炎症嗎?為什麼還抽煙?
正當我想跟她說抽煙對身體不好時,她搶先說
「我知道你想說我不應該抽煙,
抽煙對身體不好,這些我都聽過很多次了。
但你現在覺得我的身體很好嗎?
不抽煙可以令紅斑狼瘡和類風濕關節炎康復嗎?
我的人生已經有很多事不受我控制,
如果我連抽煙的權利都捍衛不到的話,
我的人生還剩下什麼?」
然後,望著她興高采烈地展示給我看的卷煙。我清楚明白不會有說服到她戒煙的可能
文科生在想有時候在醫生的角度,怎樣處理病情是最重要,但對病人來說,病情未必是最優先的考慮,生病只是他們人生的一環,怎樣活出屬於他們的人生才是最重要。
醫患關係應該是溝通合作而非一面倒由醫生主導。
後記:
資深內科醫生懷疑病人並非患有紅斑狼瘡而是其他自體免疫系統的病,想向之前的醫生和化驗所查詢。但查到最後發現當年腎組織檢查的化驗所連同標本和文件被一場大火燒毀了而當年的主診醫生一早已移民了........
Photo reference
https://youtu.be/ftgXO6PHfcg
weakness醫學 在 李根興 Edwin商舖創業及投資分享 Youtube 的精選貼文
《做生意單價要「大」》 做生意, 行行都辛苦,個個客都係麻煩,但每張單的大細會好影響你的付出/回報比例。 你的生意長遠應該如何部署? 可如何變通?
全文內容 ......
大有大做,細有細做,但得嘅話,做生意盡量做「大」嘢。
前兩日同幾個朋友交流生意心得,佢哋分別係做會計師樓、教育中心、同埋頭皮護理,即係增髮啦。
大家互相畀阿下意見,對我自己都啟發都好大。我話做生意,你批貨賣嘅金額,每張單最好盡量係「大」。
如果有兩個朋友,一個朋友同我講佢係賣煎釀三寶/碗碗碟碟、 開補習社/髮廊,做美容/按摩。另一個朋友係做金融/地產 、賣樓/賣地、 做醫學美容/心臟手術/基因改造、賣飛機/大砲/穿梭機都好,總之人客願意付出金額大嘅嘢啦, 我估.... 後者嗰位朋友應該係有錢啲。
如果你賣襯嘅嘢,每張單起碼都講緊要成幾萬、幾十幾百幾千萬以上, 我估你窮極有限。 人客唔會為咗一萬幾千同你講價, 你係賺緊有錢人嘅錢。 一個月做幾單已經夠維皮,做多幾十幾百單就賺大錢。
但如果倒返轉, 你係道賣緊兩蚊件蛋撻, 即使排曬大隊, 你要賣成萬個,賣到氣喘,嗰日先至做兩萬蚊生意。 當你每日營業十個鐘, 每個鐘頭要賣1000個, 即係每分鐘要買16.6個,每3秒賣1個, 先至做到呢條數,即係近乎冇可能。
即時畀你做, 每個月賣30萬個 蛋撻,等如60萬營業額。四成去咗食物成本,三成去咗人工,兩成去咗租金,你都只係賺一成,即係每個月賺六萬蚊。 做到死下死, 一個月做足30日,唔使放假,廁所都唔使去,就係賺6萬蚊囉。
倒返轉, 你專門去餐廳敲門口,賣自動蛋撻製造機,10萬蚊部, 一個月賣幾部, 可能已經夠維皮。 打開埋大陸東南亞歐美市場,世界咁大周圍賣機有排做。
My point is: 做乜都辛苦, 賣乜個客都係麻煩, 但同等嘅付出,有啲回報低,有啲回報高。 你會揀邊個呢?
我以前買賣小生意,做過千單交易,每間平均交易金額幾十萬。 依家買賣舖, 成間舖平均交易金額幾千萬。 大家都咁難,但回報唔同,如果有日我買賣過千間舖,我都應該唔差。 再行多幾步,我都好想廿年後有一日,如果同你講我買賣緊成塊成塊地, 成個成個島,每塊每個幾十幾百億, 我估到嗰陣時我就真係已經不得了。Will see...
我屋企人做財務都係一樣。 樓宇按揭, 喐襯按一千幾百萬, 一個月唔使多單,利息已經夠維皮。 但做私人貸款? 每單幾萬幾千, 服務一樣要做足,唔還錢? 一樣要追數, 追到氣都喘都唔夠數, 做幾十單私人貸款分分鐘都唔夠一單樓宇按揭好賺。 如果我屋企人靠做私人貸款就死得。 包括我在內,如果我靠買賣幾十萬嘅小生意仔都死得! 因此2013年我決定唔做,用3年時間轉型,專注做「大」deal。
當然做任何事情,要按步就班,量力而為。 一步步朝著大金額發展, 唔好急! 分分鐘要花上你五年十年轉型。 但凡事冇絕對, 賣蛋撻一樣有人發達, 不過長遠,只係相比起賣飛機/賣黃金/賣地/賣樓/賣鑽石/賣舖/賣石油,機會率低啲。
唔好講到咁「大」, 即使普通 一間嘅雜貨舖,都可以做到。 中秋節嗰晚,我一家人去咗上環新開有間叫 Hapi 嘅雜貨舖, 如果一般人就咁行入去,可能買幾十蚊嘢就走咗,唔知幾時回頭。 但好特別,佢推出咗一、三、十二月嘅會員制度 , 入會後買嘢就平好多, 話係成本價啦。 會費平則468,貴則3576。當然有人入會,有人唔入。 但唔重要,重要嘅係佢把平均單價由幾十幾百蚊,一拉就拉到幾千蚊 ,仲要先袋未來錢。 把人客回頭嘅忠誠度大大提升, 我相信呢個business model 會係云云雜貨舖中突圍而出。老闆形容Hapi 為連卡佛嘅Costco,make sense,你又可否作參考呢?
最後,你賣緊嘅嘢,每張單的金額係幾大呢? 長遠有冇可能令張單價拉高,大啲呢? 如果你每張單金額又大,長遠做、專注做、 風風雨雨都係咁做,做到自動波「密食當三番」, 恭喜你,你到時肯定不得了。 努力把單價做「大」啦,加油!
「做生意,長遠努力把單價做「大」些! 」
。。。。。。。
有興趣參加【RAINSTORMING For 4 - 傾下你盤生意】?
Covid 第三波後,搞了幾場生意分享早/午餐會,希望對大家都有所啟發。對我自己也是溫故知新,我學好多嘢?
我不定期在星期六搞,我請食 飯? 限聚令,4位 (including me).
AGENDA
- 介紹自己及生意
- Do a SWOT analysis of your business - Srength, Weakness, Opportunity and Threat (強處、弱處及危、機)
- 大家互相交流,畀意見/ideas 如何改善自己及業務
- Takeaway value of the day (總結).
地點是中環。約3小時。
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有興趣參加的話,請 whatsapp 你的名片給 Suki (我助手) 5566 1335。適合的話,她會再聯絡你。
免費 (我不是靠這行搵食?)。講廣東話,內容部份是英文 English. 我請食飯 ? 大家交個朋友,多謝。
Note: 如果香港肺炎情況突然惡化,我可能會取消。
。。。。。。。。。。
【購買李根興的四本書:
(1) 【李根興的生意哲學】(最新2020年6月出版 - 定價$198)
(2) 【買舖 要買得 PRO】(定價$198)
(3) 【買起金磚頭 - 商舖投資煉金術】(定價$128)
(4) 【買起金蛋鵝 - 生意營商之道】(定價$128)
每本+$30 本地順豐快遞。
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(2) FPS轉數快 or Alipay:97453555
(3) Citibank花旗銀行戶口:
250-390 10935983 (Lee Edwin Kan Hing)
(4) Bank of China 中國銀行戶口:
012-878-2-0106664 (Lee Edwin Kan Hing)
(5) HSBC 滙豐銀行戶口:
828-594853-833 (Lee Edwin Kan Hing)
(6) Wing Lung永隆銀行戶口:
020-644-0000-3123 (Bridgeway Development Company Limited)
(7) Paypal to edwinlee@bwfund.com
?付款後,請將以下資料whatsapp至+852 5566 1335 (Suki):
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#做生意要單價大
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