10/28/2012

Natural selection in Sin





Survival of the fittest is the oldest law of Nature. In the wild, Nature ensures that the fittest survives to continue the existence of specie. There is no exception, survive or perish.

There is a NYT article in the Sunday Times today on the success of Asians in American elite or specialised high schools. Of 14,415 students admitted to New York City High Schools, 59% were Asians. In 1971, Stuyvesant High School was mostly white, with 10 % black and 4% Hispanics. Today, it is 72% Asians and less than 4% black or Hispanics and the rest white.

There were protest that the admission system based on test or academic abilities is unacceptable as it would edge out the blacks and Hispanics. The govt stood its ground. NY Mayor Michael Bloomberg said, ‘You pass the test,…you get the highest score, you get into the school, no matter what your ethnicity, no matter what your economic background is.’ There is no affirmative action for the less able blacks and Hispanics.

After centuries of practicing racial discriminations against the Asians, the US of today is living up to its Constitution, of equal rights for all. Of course in many areas, this is still far from the truth. In this particular area on education, in New York City, this is the way forward.

Close to home, how far is this meritocracy being practiced? In many ways we are like New York City, the most able academically will be allowed to go to the best schools. Meritocracy in practice by the human beans is closely mirroring survival of the fittest in the wild, a process of natural selection. Of course there are exceptions.

The practice of natural selection has its consequences. The less able will eventually be extinct or elbowed out of the system. In New York City and in Sin, there is this other element that is not recognised or not spoken. The New Yorkers are protesting against meritocracy for their own reasons. They do not want to lose out economically. In Sin, when ‘foreign talents’ are imported in large numbers, as much as 50% of the population, and if they really are more talented than the natives, the outcome would see the natives being discriminated by meritocracy when the foreigners moved in to secure the places in the good schools, the good jobs, the better housing and everything else.

It is only a matter of time when the less able natives will have to move out, to make way for the foreigners, the new citizens, the more meritorious. Is this what we want, is this what nation building is all about? Do the natives think that their country should be inherited by the more talented and they have no place of existence or be around just to serve the new and more deserving citizens? Is this a country, or just a hotel.

10/27/2012

Persistence, perseverance and tenacity





These are the cornerstones of a man with a purpose. Professor Lim Chong Yah is so filled with a mission to do something for the country and people that he is not going to be dismissed and ignored. He is coming back again with his prescription to erase the wrongs in our economic and social system. We need more able and distinguished men like Lim Chong Yah to stand up, and stand up again and again, when pushed down, when ignored or when attacked. It is not only the calibre of the man at stake, it is his ideas, his conviction to do something right that is the powerful force behind such men with a mission.

Those able men out there who believe in the cause, that the country is going down the wrong way and wanted to do something, it is now. Join the likes of Lim Chong Yah, stand up and be counted. Speak the truth, push your ideas, your views of what Singapore needs and should be and could be. We need intellectuals and professionals, people with many years of experience and wisdom, to speak out in the genuine Natcon.

If the Natcon is going to be the stage for the aunties and uncles in the kopitiams to tell us what they want for the future of this country, what do you think you are going to expect? Let’s be serious and get serious people of substance to do the thinking. I am not dismissing the young in institutions of higher learnings to speak up. Unfortunately many are still too inexperience to have a full grasp of the complexity of nationhood, of a people, of a country, and what and where the country should be heading, the good life for the people, not just for a few.

This is the time to stand up for Singapore, by well meaning Singaporeans. You need not be invited to speak. You must have the gumption to speak out without being invited for the show. Your country needs you in such dire times.

When more professionals and people that count stand together, they carry more weight. It is time to tell the boys and girls to go shopping for their branded handbags and sports cars. Let the real thinkers, those who have more wisdom, to do the serious thinking.

Lim Chong Yah is showing the way, the dedication to stick to a worthy cause and not be brushed off as a little noise in wilderness.

10/26/2012

Secrets of Mother Nature Exhibition

 Secrets of Mother Nature Exhibition at NUSS Guild House Kent Ridge 22 Oct -21 Dec.

This is a section of the exhibition and some of the works I put up. Everyone is invited to see the exhibits. Admission is Free.

Redbean

No choice, limited choice, forced choice




Life is a complex odyssey of events and dramatic changes. There are many courses of actions, choices and decisions to make. Many things happen in life that leave one with no choice, limited choice or forced choice. One has no choice as to who his parents are, ministers or cardboard collectors, they just have to live with them. Some things come with limited choice, like choosing a partner. One’s background and makeup will narrow down one’s choice. Some things ended up with forced choice, the parents may force one to take a partner of their choice or because of some handicaps, one can only do certain things or jobs.

There is another dimension of life when one’s choice, no choice, limited choice or forced choice, is dictated by the govt. Yes, the govt has that kind of power on the life of an individual. In many areas, the govt determines your life, decide your life or your way of life and your life choices. Just a few simple illustrations, NS is a no choice event unless one could cook up medical grounds or some extenuating circumstances. The money to be kept in the minimum sums, the money to return on sales of properties, on reaching retirement, the money that can be taken out, all a matter of no choice. The govt decides.

In public housing, most Sinkies are left with limited choice. The very rich have all the choices. The average only have what the HDB decides for them, 2rm, 3rm, 4rm, 5rm and something better. These are the limited choices they will be given, also decided and determined by the govt.

And there are things that ended up with forced choice. The income of a person will determine what kind of public housing he can buy or cannot buy, the kind of hospitalization bill he will have to pay. In the case of money in the CPF, it is a combination of all 3 choices. No choice but must buy annuities. Next there is limited choice because only a few types of annuities are available. And forced choice cause the CPF holders must buy annuities from the govt using his CPF.

What is this thing called the govt that can decide what the people do with their money? Actually in this context, the govt is a handful of people vested with the power to decide the life of the people and their money. How on earth did the people, several millions, ended in such a pathetic and helpless state, that a handful of people could make life very difficult for them if they so choose? And the appalling part, the few people are the few people that would come to the people telling them sweet nothing, to vote them to power and they will be nice to the people, to look after them. And every election the same scenarios would be replayed, and after the election the same sad episodes would be repeated in the lives of everyone.

The people elected the few people to determine their choice, to decide what they have no choice, what they can have a little choice, what they will have forced choice. How daft can the people be?

10/25/2012

Don't lose your moral compass

Below is an article posted in 3in1 Kopitiam by Makapa. The moral of the story applies to everyone in every industry.

Millionaire plastic surgeon dies of cancer at age 40.


Saw this testimonial from this ex Raffles surgeon who made tons of money, bought a Ferrari and kena cancer. It may be a bit skewed towards religion, but he has some notable points on not living to societal and media's bench mark of success. It reminded me of the recent case where the MD died on a overseas working trip (brain aneurism). Worth a read.





Below is the transcript of the talk of Dr. Richard Teo, who is a 40-year-old millionaire and cosmetic surgeon with a stage-4 lung cancer but selflessly came to share with the D1 class his life experience on 19-Jan-2012.



Hi good morning to all of you. My voice is a bit hoarse, so please bear with me. I thought I'll just introduce myself. My name is Richard, I'm a medical doctor. And I thought I'll

just share some thoughts of my life. It's my pleasure to be invited by prof. Hopefully, it can get you thinking about how... as you pursue this.. embarking on your training to become dental surgeons, to think about other things as well.



Since young, I am a typical product of today's society. Relatively successful product that society requires.. From young, I came from a below average family. I was told by the media... and people around me that happiness is about success. And that success is about being wealthy. With this mind-set, I've always be extremely competitive, since I was young.



Not only do I need to go to the top school, I need to have success in all fields. Uniform groups, track, everything. I needed to get trophies, needed to be successful, I needed to have colours award, national colours award, everything. So I was highly competitive since young. I went on to medical school, graduated as a doctor. Some of you may know that within the medical faculty, ophthalmology is one of the most highly sought after specialities. So I went after that as well. I was given a traineeship in ophthalmology, I was also given a research scholarship by NUS to develop lasers to treat the eye.



So in the process, I was given 2 patents, one for the medical devices, and another for the lasers. And you know what, all this academic achievements did not bring me any wealth. So once I completed my bond with MOH, I decided that this is taking too long, the training in eye surgery is just taking too long. And there's lots of money to be made in the private sector. If you're aware, in the last few years, there is this rise in aesthetic medicine. Tons of money to be made there. So I decided, well, enough of staying in institution, it's time to leave. So I quit my training halfway and I went on to set up my aesthetic clinic... in town, together with a day surgery centre.



You know the irony is that people do not make heroes out average GP (general practitioner), family physicians. They don't. They make heroes out of people who are rich and famous. People who are not happy to pay $20 to see a GP, the same person have no qualms paying ten thousand dollars for a liposuction, 15 thousand dollars for a breast augmentation, and so on and so forth. So it's a no brainer isn't? Why do you want to be a gp? Become an aesthetic physician. So instead of healing the sick and ill, I decided that I'll become a glorified beautician. So, business was good, very good. It started off with waiting of one week, then became 3weeks, then one month, then 2 months, then 3 months. I was overwhelmed; there were just too many patients. Vanities are fantastic business. I employed one doctor, the second doctor, the 3rd doctor, the 4th doctor. And within the 1st year, we're already raking in millions. Just the 1st year. But never is enough because I was so obsessed with it. I started to expand into Indonesia to get all the rich Indonesian tai-tais who wouldn't blink an eye to have a procedure done. So life was really good.



So what do I do with the spare cash. How do I spend my weekends? Typically, I'll have car club gatherings. I take out my track car, with spare cash I got myself a track car. We have car club gatherings. We'll go up to Sepang in Malaysia. We'll go for car racing. And it was my life. With other spare cash, what do i do? I get myself a Ferrari. At that time, the 458 wasn't out, it's just a spider convertible, 430. This is a friend of mine, a schoolmate who is a forex trader, a banker. So he got a red one, he was wanting all along a red one, I was getting the silver one.



So what do I do after getting a car? It's time to buy a house, to build our own bungalows. So we go around looking for a land to build our own bungalows, we went around hunting. So how do i live my life? Well, we all think we have to mix around with the rich and famous. This is one of the Miss Universe. So we hang around with the beautiful, rich and famous. This by the way is an internet founder. So this is how we spend our lives, with dining and all the restaurants and Michelin Chefs you know.



So I reach a point in life that I got everything for my life. I was at the pinnacle of my career and all. That's me one year ago in the gym and I thought I was like, having everything under control and reaching the pinnacle.



Well, I was wrong. I didn't have everything under control. About last year March, I started to develop backache in the middle of nowhere. I thought maybe it was all the heavy squats I was doing. So I went to SGH, saw my classmate to do an MRI, to make sure it's not a slipped disc or anything. And that evening, he called me up and said that we found bone marrow replacement in your spine. I said, sorry what does that mean? I mean I know what it means, but I couldn't accept that. I was like “Are you serious?” I was still running around going to the gym you know. But we had more scans the next day, PET scans - positrons emission scans, they found that actually I have stage 4 terminal lung cancer. I was like "Whoa where did that come from?” It has already spread to the brain, the spine, the liver and the adrenals. And you know one moment I was there, totally thinking that I have everything under control, thinking that I've reached the pinnacle of my life. But the next moment, I have just lost it.



This is a CT scan of the lungs itself. If you look at it, every single dot there is a tumour. We call this miliaries tumour. And in fact, I have tens of thousands of them in the lungs. So, I was told that even with chemotherapy, that I'll have about 3-4months at most. Did my life come crushing on, of course it did, who wouldn't? I went into depression, of course, severe depression and I thought I had everything.



See the irony is that all these things that I have, the success, the trophies, my cars, my house and all. I thought that brought me happiness. But i was feeling really down, having severe depression. Having all these thoughts of my possessions, they brought me no joy. The thought of... You know, I can hug my Ferrari to sleep, no... No, it is not going to happen. It brought not a single comfort during my last ten months. And I thought they were, but they were not true happiness. But it wasn't. What really brought me joy in the last ten months was interaction with people, my loved ones, friends, people who genuinely care about me, they laugh and cry with me, and they are able to identify the pain and suffering I was going through. That brought joy to me, happiness. None of the things I have, all the possessions, and I thought those were supposed to bring me happiness. But it didn't, because if it did, I would have felt happy think about it, when I was feeling most down..



You know the classical Chinese New Year that is coming up. In the past, what do I do? Well, I will usually drive my flashy car to do my rounds, visit my relatives, to show it off to my friends. And I thought that was joy, you know. I thought that was really joy. But do you really think that my relatives and friends, whom some of them have difficulty trying to make ends meet, that will truly share the joy with me? Seeing me driving my flashy car and showing off to them? No, no way. They won’t be sharing joy with me. They were having problems trying to make ends meet, taking public transport. In fact i think, what I have done is more like you know, making them envious, jealous of all I have. In fact, sometimes even hatred.



Those are what we call objects of envy. I have them, I show them off to them and I feel it can fill my own pride and ego. That didn't bring any joy to these people, to my friends and relatives, and I thought they were real joy.



Well, let me just share another story with you. You know when I was about your age, I stayed in king Edward VII hall. I had this friend whom I thought was strange. Her name is Jennifer, we're still good friends. And as I walk along the path, she would, if she sees a snail, she would actually pick up the snail and put it along the grass patch. I was like why do you need to do that? Why dirty your hands? It’s just a snail. The truth is she could feel for the snail. The thought of being crushed to death is real to her, but to me it's just a snail. If you can't get out of the pathway of humans then you deserve to be crushed, it’s part of evolution isn't it? What an irony isn't it?



There I was being trained as a doctor, to be compassionate, to be able to empathise; but I couldn't. As a house officer, I graduated from medical school, posted to the oncology department at NUH. And, every day, every other day I witness death in the cancer department. When I see how they suffered, I see all the pain they went through. I see all the morphine they have to press every few minutes just to relieve their pain. I see them struggling with their oxygen breathing their last breath and all. But it was just a job. When I went to clinic every day, to the wards every day, take blood, give the medication but was the patient real to me? They weren't real to me. It was just a job, I do it, I get out of the ward, I can't wait to get home, I do my own stuff.



Was the pain, was the suffering the patients went through real? No. Of course I know all the medical terms to describe how they feel, all the suffering they went through. But in truth, I did not know how they feel, not until I became a patient. It is until now; I truly understand how they feel. And, if you ask me, would I have been a very different doctor if I were to re-live my life now, I can tell you yes I will. Because I truly understand how the patients feel now. And sometimes, you have to learn it the hard way.



Even as you start just your first year, and you embark this journey to become dental surgeons, let me just challenge you on two fronts.



Inevitably, all of you here will start to go into private practice. You will start to accumulate wealth. I can guarantee you. Just doing an implant can bring you thousands of dollars, it's fantastic money. And actually there is nothing wrong with being successful, with being rich or wealthy, absolutely nothing wrong. The only trouble is that a lot of us like myself couldn't handle it.



Why do I say that? Because when I start to accumulate, the more I have, the more I want. The more I wanted, the more obsessed I became. Like what I showed you earlier on, all I can was basically to get more possessions, to reach the pinnacle of what society did to us, of what society wants us to be. I became so obsessed that nothing else really mattered to me. Patients were just a source of income, and I tried to squeeze every single cent out of these patients.



A lot of times we forget, whom we are supposed to be serving. We become so lost that we serve nobody else but just ourselves. That was what happened to me. Whether it is in the medical, the dental fraternity, I can tell you, right now in the private practice, sometimes we just advise patients on treatment that is not indicated. Grey areas. And even though it is not necessary, we kind of advocate it. Even at this point, I know who are my friends and who genuinely cared for me and who are the ones who try to make money out of me by selling me "hope". We kind of lose our moral compass along the way. Because we just want to make money.



Worse, I can tell you, over the last few years, we bad mouth our fellow colleagues, our fellow competitors in the industry. We have no qualms about it. So if we can put them down to give ourselves an advantage, we do it. And that's what happening right now, medical, dental everywhere. My challenge to you is not to lose that moral compass. I learnt it the hard way, I hope you don't ever have to do it.



Secondly, a lot of us will start to get numb to our patients as we start to practise. Whether is it government hospitals, private practice, I can tell you when I was in the hospital, with stacks of patient folders, I can't wait to get rid of those folders as soon as possible; I can't wait to get patients out of my consultation room as soon as possible because there is just so many, and that's a reality. Because it becomes a job, a very routine job. And this is just part of it. Do I truly know how the patient feels back then? No, I don't. The fears and anxiety and all, do I truly understand what they are going through? I don't, not until when this happens to me and I think that is one of the biggest flaws in our system.



We’re being trained to be healthcare providers, professional, and all and yet we don't know how exactly they feel. I'm not asking you to get involved emotionally, I don't think that is professional but do we actually make a real effort to understand their pain and all? Most of us won’t, alright, I can assure you. So don't lose it, my challenge to you is to always be able to put yourself in your patient's shoes.



Because the pain, the anxiety, the fear are very real even though it's not real to you, it's real to them. So don't lose it and you know, right now I'm in the midst of my 5th cycle of my chemotherapy. I can tell you it’s a terrible feeling. Chemotherapy is one of those things that you don't wish even your enemies to go through because it's just suffering, lousy feeling, throwing out, you don't even know if you can retain your meals or not. Terrible feeling! And even with whatever little energy now I have, I try to reach out to other cancer patients because I truly understand what pain and suffering is like. But it's kind of little too late and too little.



You guys have a bright future ahead of you with all the resource and energy, so I’m going to challenge you to go beyond your immediate patients. To understand that there are people out there who are truly in pain, truly in hardship. Don’t get the idea that only poor people suffer. It is not true. A lot of these poor people do not have much in the first place, they are easily contented. for all you know they are happier than you and me but there are out there, people who are suffering mentally, physically, hardship, emotionally, financially and so on and so forth, and they are real. We choose to ignore them or we just don't want to know that they exist.



So do think about it alright, even as you go on to become professionals and dental surgeons and all. That you can reach out to these people who are in need. Whatever you do can make a large difference to them. I'm now at the receiving end so I know how it feels, someone who genuinely care for you, encourage and all. It makes a lot of difference to me. That’s what happens after treatment. I had a treatment recently, but I’ll leave this for another day. A lot of things happened along the way, that's why I am still able to talk to you today.



I'll just end of with this quote here, it's from this book called Tuesdays with Morris, and some of you may have read it. Everyone knows that they are going to die; every one of us knows that. The truth is, none of us believe it because if we did, we will do things differently. When I faced death, when I had to, I stripped myself off all stuff totally and I focused only on what is essential. The irony is that a lot of times, only when we learn how to die then we learn how to live. I know it sounds very morbid for this morning but it's the truth, this is what I’m going through.



Don’t let society tell you how to live. Don’t let the media tell you what you're supposed to do. Those things happened to me. And I led this life thinking that these are going to bring me happiness. I hope that you will think about it and decide for yourself how you want to live your own life. Not according to what other people tell you to do, and you have to decide whether you want to serve yourself, whether you are going to make a difference in somebody else's life. Because true happiness doesn't come from serving yourself. I thought it was but it didn't turn out that way. With that I thank you, if you have any questions you have for me, please feel free. Thank you.