[Script Info]
Title: 
[Events]
Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:15.75,0:00:19.45,Default,,0000,0000,0000,,They asked me to talk about “positive destruction.”
Dialogue: 0,0:00:19.45,0:00:24.95,Default,,0000,0000,0000,,So I thought why not just talk about myself?
Dialogue: 0,0:00:24.95,0:00:26.93,Default,,0000,0000,0000,,I am probably the one
Dialogue: 0,0:00:26.93,0:00:30.45,Default,,0000,0000,0000,,that has seen the most deaths
Dialogue: 0,0:00:30.45,0:00:32.90,Default,,0000,0000,0000,,among the doctors in Taiwan.
Dialogue: 0,0:00:32.90,0:00:36.95,Default,,0000,0000,0000,,So I think I can share something about life and death.
Dialogue: 0,0:00:36.95,0:00:39.31,Default,,0000,0000,0000,,There's a joke:
Dialogue: 0,0:00:39.31,0:00:40.87,Default,,0000,0000,0000,,the most famous doctors in Taiwan is Dr.(?).
Dialogue: 0,0:00:40.87,0:00:42.74,Default,,0000,0000,0000,,You might know this joke
Dialogue: 0,0:00:42.74,0:00:44.53,Default,,0000,0000,0000,,After Shao Hsiao-Ling accident happened,
Dialogue: 0,0:00:44.53,0:00:46.61,Default,,0000,0000,0000,,a person went to Chi-Mei Hospital in Liu-Ying
Dialogue: 0,0:00:46.61,0:00:48.70,Default,,0000,0000,0000,,to see a doctor named Mo
Dialogue: 0,0:00:48.70,0:00:49.54,Default,,0000,0000,0000,,The staff in the hospital said
Dialogue: 0,0:00:49.54,0:00:51.99,Default,,0000,0000,0000,,that there's no Dr. Mo.
Dialogue: 0,0:00:51.99,0:00:53.21,Default,,0000,0000,0000,,"There is , " said the person.
Dialogue: 0,0:00:53.21,0:00:56.42,Default,,0000,0000,0000,,"His name is EcMo!
Dialogue: 0,0:00:56.42,0:01:00.02,Default,,0000,0000,0000,,He saved Shao's life!
Dialogue: 0,0:01:00.04,0:01:01.34,Default,,0000,0000,0000,,It’s easy to understand ECMO actually.
Dialogue: 0,0:01:01.34,0:01:03.65,Default,,0000,0000,0000,,Venous blood
Dialogue: 0,0:01:04.13,0:01:05.15,Default,,0000,0000,0000,,passes through a pump,
Dialogue: 0,0:01:05.15,0:01:06.01,Default,,0000,0000,0000,,which is an artificial heart,
Dialogue: 0,0:01:06.01,0:01:07.29,Default,,0000,0000,0000,,and then passes through an oxygenator,
Dialogue: 0,0:01:07.41,0:01:08.56,Default,,0000,0000,0000,,which is an artificial lungs,
Dialogue: 0,0:01:08.56,0:01:10.48,Default,,0000,0000,0000,,and in the end, goes back to the body.
Dialogue: 0,0:01:10.48,0:01:12.94,Default,,0000,0000,0000,,It is a temporary replacement of Cardiovascular Function.
Dialogue: 0,0:01:12.94,0:01:14.97,Default,,0000,0000,0000,,it’s look like this.
Dialogue: 0,0:01:14.97,0:01:17.49,Default,,0000,0000,0000,,It’s a machine
Dialogue: 0,0:01:17.49,0:01:20.07,Default,,0000,0000,0000,,operating as an artificial heart
Dialogue: 0,0:01:20.07,0:01:22.70,Default,,0000,0000,0000,,As a matter of fact,
Dialogue: 0,0:01:22.70,0:01:24.29,Default,,0000,0000,0000,,ECMO has been used for a long time.
Dialogue: 0,0:01:24.29,0:01:27.50,Default,,0000,0000,0000,,National Taiwan University Hospital
Dialogue: 0,0:01:27.50,0:01:30.05,Default,,0000,0000,0000,,has used ECMO since 1994.
Dialogue: 0,0:01:30.05,0:01:31.93,Default,,0000,0000,0000,,Now everyone in Taiwan knows it because of Shao ’car accident.
Dialogue: 0,0:01:31.93,0:01:33.38,Default,,0000,0000,0000,,It’s similar to the old saying” One can study for ten years in obscurity,
Dialogue: 0,0:01:33.38,0:01:36.24,Default,,0000,0000,0000,,but as soon as one passes the examination the whole world pays attention “
Dialogue: 0,0:01:36.24,0:01:37.60,Default,,0000,0000,0000,,It became famous
Dialogue: 0,0:01:37.60,0:01:41.04,Default,,0000,0000,0000,,due to the media.
Dialogue: 0,0:01:41.04,0:01:43.73,Default,,0000,0000,0000,,There are successful cases with ECMO of course.
Dialogue: 0,0:01:43.73,0:01:46.64,Default,,0000,0000,0000,,his man is a backup dancer for Jay Chou.
Dialogue: 0,0:01:46.64,0:01:48.76,Default,,0000,0000,0000,,He suffered an Acute myocarditis one day.
Dialogue: 0,0:01:48.76,0:01:50.95,Default,,0000,0000,0000,,so his heart stopped.
Dialogue: 0,0:01:50.95,0:01:52.100,Default,,0000,0000,0000,,Why did I put the slide,
Dialogue: 0,0:01:52.100,0:01:56.65,Default,,0000,0000,0000,,and why did I take a picture of him?
Dialogue: 0,0:01:56.65,0:01:57.92,Default,,0000,0000,0000,,His eyes opened wide,
Dialogue: 0,0:01:57.92,0:01:59.41,Default,,0000,0000,0000,,staring at the screen.
Dialogue: 0,0:01:59.41,0:02:01.74,Default,,0000,0000,0000,,The lines on the screen were all flat
Dialogue: 0,0:02:01.74,0:02:03.32,Default,,0000,0000,0000,,His heart stopped,
Dialogue: 0,0:02:03.32,0:02:05.47,Default,,0000,0000,0000,,because of Acute myocarditis.
Dialogue: 0,0:02:05.47,0:02:07.82,Default,,0000,0000,0000,,The heart stopped beating.
Dialogue: 0,0:02:07.82,0:02:10.64,Default,,0000,0000,0000,,This is his biopsy of cardiac muscle,
Dialogue: 0,0:02:10.64,0:02:12.40,Default,,0000,0000,0000,,ranging 100 under the microscope.
Dialogue: 0,0:02:12.40,0:02:13.73,Default,,0000,0000,0000,,It’s not clear enough
Dialogue: 0,0:02:13.73,0:02:16.31,Default,,0000,0000,0000,,when it ranges in 100.
Dialogue: 0,0:02:16.31,0:02:18.83,Default,,0000,0000,0000,,And it’s crystal clear ranging 400.
Dialogue: 0,0:02:18.83,0:02:22.14,Default,,0000,0000,0000,,Those blue spots are lymphocytes.
Dialogue: 0,0:02:22.14,0:02:26.09,Default,,0000,0000,0000,,Obviously, it’s a serious Acute myocarditis.
Dialogue: 0,0:02:26.09,0:02:29.44,Default,,0000,0000,0000,,The heart was soaked in lymphocytes
Dialogue: 0,0:02:29.44,0:02:33.82,Default,,0000,0000,0000,,and it stopped.
Dialogue: 0,0:02:33.82,0:02:37.06,Default,,0000,0000,0000,,He stared at the screen
Dialogue: 0,0:02:37.06,0:02:40.42,Default,,0000,0000,0000,,He stared at the screen.
Dialogue: 0,0:02:40.42,0:02:42.88,Default,,0000,0000,0000,,His heart ‘d stopped for nine days,
Dialogue: 0,0:02:42.88,0:02:44.56,Default,,0000,0000,0000,,however, with heart and kidney transplant,
Dialogue: 0,0:02:44.56,0:02:46.81,Default,,0000,0000,0000,,he could dance again in a month.
Dialogue: 0,0:02:46.81,0:02:49.33,Default,,0000,0000,0000,,It's a miracle in modern medicine
Dialogue: 0,0:02:49.33,0:02:52.41,Default,,0000,0000,0000,,In modern medicine records,
Dialogue: 0,0:02:52.41,0:02:55.15,Default,,0000,0000,0000,,he’s the one that is still alive after the longest CPR treatment.
Dialogue: 0,0:02:55.15,0:02:57.29,Default,,0000,0000,0000,,4 hours.
Dialogue: 0,0:02:57.29,0:03:00.77,Default,,0000,0000,0000,,He’d been done CPR on his way from Kuo-Tei Hospital to NTU Hospital.
Dialogue: 0,0:03:00.77,0:03:02.81,Default,,0000,0000,0000,,When they installed ECMO at NTU hospital,
Dialogue: 0,0:03:02.81,0:03:05.02,Default,,0000,0000,0000,,they found out he’d been injected 100 cardiotonics.
Dialogue: 0,0:03:05.02,0:03:06.68,Default,,0000,0000,0000,,So his iliac artery and vein
Dialogue: 0,0:03:06.68,0:03:08.75,Default,,0000,0000,0000,,were narrower than pencils
Dialogue: 0,0:03:08.75,0:03:10.30,Default,,0000,0000,0000,,So when they opened the wound
Dialogue: 0,0:03:10.30,0:03:10.95,Default,,0000,0000,0000,,trying to put ECMO in
Dialogue: 0,0:03:10.95,0:03:12.41,Default,,0000,0000,0000,,,they were unable to put the tube in.
Dialogue: 0,0:03:12.41,0:03:13.64,Default,,0000,0000,0000,,They had to do the CPR again,
Dialogue: 0,0:03:13.64,0:03:14.88,Default,,0000,0000,0000,,until he was sent to the OR.
Dialogue: 0,0:03:14.88,0:03:15.81,Default,,0000,0000,0000,,They had to saw the chest
Dialogue: 0,0:03:15.81,0:03:18.19,Default,,0000,0000,0000,,to put ECMO.
Dialogue: 0,0:03:18.19,0:03:22.45,Default,,0000,0000,0000,,It’s just like magic.
Dialogue: 0,0:03:22.45,0:03:27.16,Default,,0000,0000,0000,,It is a miracle in modern medicine without saying.
Dialogue: 0,0:03:27.16,0:03:30.33,Default,,0000,0000,0000,,A man ‘s heart had stopped for 9 days.
Dialogue: 0,0:03:30.33,0:03:34.10,Default,,0000,0000,0000,,And he was still alive,
Dialogue: 0,0:03:34.10,0:03:36.73,Default,,0000,0000,0000,,after 4 hours CPR,
Dialogue: 0,0:03:36.73,0:03:39.17,Default,,0000,0000,0000,,heart ,and kidney transplant.
Dialogue: 0,0:03:39.17,0:03:40.87,Default,,0000,0000,0000,,This is another case.
Dialogue: 0,0:03:40.87,0:03:42.52,Default,,0000,0000,0000,,It reads that ”first in the world,
Dialogue: 0,0:03:42.52,0:03:43.94,Default,,0000,0000,0000,,miracle in Taiwan,
Dialogue: 0,0:03:43.94,0:03:46.42,Default,,0000,0000,0000,,a man lived without heat for 16 days.
Dialogue: 0,0:03:46.42,0:03:49.75,Default,,0000,0000,0000,,This is a 56-year-old man.
Dialogue: 0,0:03:49.75,0:03:51.35,Default,,0000,0000,0000,,He had decayed teeth.
Dialogue: 0,0:03:51.35,0:03:53.40,Default,,0000,0000,0000,,The bacteria went into the blood,
Dialogue: 0,0:03:53.40,0:03:54.30,Default,,0000,0000,0000,,arriving at the heart.
Dialogue: 0,0:03:54.30,0:03:55.88,Default,,0000,0000,0000,,The heart then festered.
Dialogue: 0,0:03:55.88,0:03:57.82,Default,,0000,0000,0000,,The operation team in the hospital
Dialogue: 0,0:03:57.82,0:03:59.76,Default,,0000,0000,0000,,opened his chest,
Dialogue: 0,0:03:59.76,0:04:00.56,Default,,0000,0000,0000,,and was like
Dialogue: 0,0:04:00.56,0:04:01.94,Default,,0000,0000,0000,,“Well, it looks not well here. Cut it off.
Dialogue: 0,0:04:01.94,0:04:02.80,Default,,0000,0000,0000,,And it looks not fine here, either. Cut it off too.”
Dialogue: 0,0:04:02.80,0:04:03.85,Default,,0000,0000,0000,,In the end,
Dialogue: 0,0:04:03.85,0:04:06.87,Default,,0000,0000,0000,,the whole heart was cut off.
Dialogue: 0,0:04:06.87,0:04:07.86,Default,,0000,0000,0000,,What should we do?
Dialogue: 0,0:04:07.86,0:04:13.27,Default,,0000,0000,0000,,“Well, transfer to NTU hospital”
Dialogue: 0,0:04:13.31,0:04:17.13,Default,,0000,0000,0000,,I always say that NTU hospital is the line of defense in Taiwan.
Dialogue: 0,0:04:17.13,0:04:18.99,Default,,0000,0000,0000,,Well, we still had to do it.
Dialogue: 0,0:04:18.99,0:04:21.83,Default,,0000,0000,0000,,In the previous case, the man’s heart cannot beat.
Dialogue: 0,0:04:21.83,0:04:22.54,Default,,0000,0000,0000,,And here,
Dialogue: 0,0:04:22.54,0:04:23.78,Default,,0000,0000,0000,,we got a man even without a heart.
Dialogue: 0,0:04:23.78,0:04:25.48,Default,,0000,0000,0000,,It was cut off, after all.
Dialogue: 0,0:04:25.48,0:04:26.71,Default,,0000,0000,0000,,When he was transfer to NTU hospital,
Dialogue: 0,0:04:26.71,0:04:28.53,Default,,0000,0000,0000,,they had to use two ECMOs
Dialogue: 0,0:04:28.53,0:04:30.25,Default,,0000,0000,0000,,because he had no heart.
Dialogue: 0,0:04:30.25,0:04:31.24,Default,,0000,0000,0000,,Look at the screen,
Dialogue: 0,0:04:31.24,0:04:32.73,Default,,0000,0000,0000,,two ECMOs.
Dialogue: 0,0:04:32.73,0:04:34.38,Default,,0000,0000,0000,,It’s really incredible I have to say.
Dialogue: 0,0:04:34.38,0:04:35.51,Default,,0000,0000,0000,,He had no heart,
Dialogue: 0,0:04:35.51,0:04:37.75,Default,,0000,0000,0000,,so ECG showed flat lines.
Dialogue: 0,0:04:37.75,0:04:40.88,Default,,0000,0000,0000,,There is no heart after all.
Dialogue: 0,0:04:40.88,0:04:42.43,Default,,0000,0000,0000,,This is his CT result.
Dialogue: 0,0:04:42.43,0:04:43.28,Default,,0000,0000,0000,,There should have been a heart
Dialogue: 0,0:04:43.28,0:04:45.92,Default,,0000,0000,0000,,in his thorax.
Dialogue: 0,0:04:45.92,0:04:47.03,Default,,0000,0000,0000,,However, there was no heart.
Dialogue: 0,0:04:47.03,0:04:49.39,Default,,0000,0000,0000,,There were only tubes.
Dialogue: 0,0:04:49.39,0:04:51.28,Default,,0000,0000,0000,,After 16 days,
Dialogue: 0,0:04:51.28,0:04:53.48,Default,,0000,0000,0000,,they did the heart transplant surgery.
Dialogue: 0,0:04:53.48,0:04:56.41,Default,,0000,0000,0000,,Cardiologist surgeon Dr.Wan showed me this.
Dialogue: 0,0:04:56.41,0:04:58.47,Default,,0000,0000,0000,,He said that when he was doing the surgery,
Dialogue: 0,0:04:58.47,0:04:59.49,Default,,0000,0000,0000,,he should have seen a heart in the thorax
Dialogue: 0,0:04:59.49,0:05:01.94,Default,,0000,0000,0000,,after opening his chest.
Dialogue: 0,0:05:01.94,0:05:03.83,Default,,0000,0000,0000,,But there were only tubes
Dialogue: 0,0:05:03.83,0:05:06.63,Default,,0000,0000,0000,,connecting to the ECMO.
Dialogue: 0,0:05:06.63,0:05:09.18,Default,,0000,0000,0000,,The patient had no heart at all.
Dialogue: 0,0:05:09.18,0:05:12.20,Default,,0000,0000,0000,,And after the surgery,
Dialogue: 0,0:05:12.20,0:05:15.32,Default,,0000,0000,0000,,he was discharged.
Dialogue: 0,0:05:15.32,0:05:18.83,Default,,0000,0000,0000,,This is The Straits Times in Singapore.
Dialogue: 0,0:05:18.83,0:05:22.16,Default,,0000,0000,0000,,A friend of mine sent me the e-mail from Singapore.
Dialogue: 0,0:05:22.16,0:05:24.59,Default,,0000,0000,0000,,He told me that we were in the newspapers.
Dialogue: 0,0:05:24.59,0:05:26.33,Default,,0000,0000,0000,,16 days without heart
.
Dialogue: 0,0:05:26.33,0:05:27.99,Default,,0000,0000,0000,,A person had lived for 16 days without heart.
Dialogue: 0,0:05:27.99,0:05:29.22,Default,,0000,0000,0000,,But after receiving heart transplant,
Dialogue: 0,0:05:29.22,0:05:33.34,Default,,0000,0000,0000,,he still went home healthily.
Dialogue: 0,0:05:33.34,0:05:35.10,Default,,0000,0000,0000,,This is the other case.
Dialogue: 0,0:05:35.10,0:05:39.21,Default,,0000,0000,0000,,He’s a 26-year-old aboriginal.
Dialogue: 0,0:05:39.21,0:05:41.37,Default,,0000,0000,0000,,He went swimming when he was seriously drunk.
Dialogue: 0,0:05:41.37,0:05:45.08,Default,,0000,0000,0000,,He thought he was Li Bai I guess.
Dialogue: 0,0:05:45.08,0:05:47.18,Default,,0000,0000,0000,,But the pond was really dirty.
Dialogue: 0,0:05:47.18,0:05:48.22,Default,,0000,0000,0000,,He choked on water.
Dialogue: 0,0:05:48.22,0:05:49.62,Default,,0000,0000,0000,,As a result, he suffered from serious pneumonia.
Dialogue: 0,0:05:49.62,0:05:51.41,Default,,0000,0000,0000,,It was terrible.
Dialogue: 0,0:05:51.41,0:05:53.39,Default,,0000,0000,0000,,He’d relied on ECMO for 117 days.
Dialogue: 0,0:05:53.39,0:05:55.19,Default,,0000,0000,0000,,Look at his lungs.
Dialogue: 0,0:05:55.19,0:05:55.98,Default,,0000,0000,0000,,This is a serious pneumonia,
Dialogue: 0,0:05:55.98,0:05:57.38,Default,,0000,0000,0000,,due to choke on water.
Dialogue: 0,0:05:57.38,0:05:59.82,Default,,0000,0000,0000,,This is called cute respiratory distress syndrome.
Dialogue: 0,0:05:59.82,0:06:01.95,Default,,0000,0000,0000,,The lungs became white.
Dialogue: 0,0:06:01.95,0:06:05.09,Default,,0000,0000,0000,,He had used ECMO for 117 days.
Dialogue: 0,0:06:05.09,0:06:09.52,Default,,0000,0000,0000,,We can see clearly from this picture.
Dialogue: 0,0:06:09.52,0:06:11.86,Default,,0000,0000,0000,,His respiratory minute volume
Dialogue: 0,0:06:11.86,0:06:13.49,Default,,0000,0000,0000,,had not exceed 100 c.c
Dialogue: 0,0:06:13.49,0:06:15.16,Default,,0000,0000,0000,,for almost one month.
Dialogue: 0,0:06:15.16,0:06:18.02,Default,,0000,0000,0000,,But he still recovered.
Dialogue: 0,0:06:18.02,0:06:19.46,Default,,0000,0000,0000,,So
Dialogue: 0,0:06:19.46,0:06:21.23,Default,,0000,0000,0000,,in the previous cases,
Dialogue: 0,0:06:21.23,0:06:22.96,Default,,0000,0000,0000,,the man lived without heart,
Dialogue: 0,0:06:22.96,0:06:24.61,Default,,0000,0000,0000,,the man with heart that couldn’t beat,
Dialogue: 0,0:06:24.61,0:06:27.11,Default,,0000,0000,0000,,or the one’s lungs did not work,
Dialogue: 0,0:06:27.11,0:06:29.31,Default,,0000,0000,0000,,they all rode out with the use of ECMO.
Dialogue: 0,0:06:29.31,0:06:32.59,Default,,0000,0000,0000,,Even though they’d waited for 9 days
Dialogue: 0,0:06:32.59,0:06:34.60,Default,,0000,0000,0000,,or even 100 days.
Dialogue: 0,0:06:34.60,0:06:36.37,Default,,0000,0000,0000,,They are still alive
Dialogue: 0,0:06:36.37,0:06:37.83,Default,,0000,0000,0000,,after heart
Dialogue: 0,0:06:37.83,0:06:39.52,Default,,0000,0000,0000,,and lungs transplant.
Dialogue: 0,0:06:39.52,0:06:41.63,Default,,0000,0000,0000,,It is really incredible.
Dialogue: 0,0:06:41.63,0:06:42.82,Default,,0000,0000,0000,,To be honest,
Dialogue: 0,0:06:42.82,0:06:44.58,Default,,0000,0000,0000,,with the media
Dialogue: 0,0:06:44.58,0:06:45.73,Default,,0000,0000,0000,,and those successful cases,
Dialogue: 0,0:06:45.73,0:06:47.66,Default,,0000,0000,0000,,ECMO seems to be really famous
Dialogue: 0,0:06:47.66,0:06:48.70,Default,,0000,0000,0000,,around the island.
Dialogue: 0,0:06:48.70,0:06:50.57,Default,,0000,0000,0000,,Of course there are successful cases,
Dialogue: 0,0:06:50.57,0:06:52.26,Default,,0000,0000,0000,,such as the cases I’ve mentioned
Dialogue: 0,0:06:52.26,0:06:53.76,Default,,0000,0000,0000,,and Shao.
Dialogue: 0,0:06:53.76,0:06:55.33,Default,,0000,0000,0000,,However,
Dialogue: 0,0:06:55.33,0:06:56.40,Default,,0000,0000,0000,,The media usually
Dialogue: 0,0:06:56.40,0:06:58.21,Default,,0000,0000,0000,,only writes the successful ones.
Dialogue: 0,0:06:58.21,0:06:59.41,Default,,0000,0000,0000,,They don’t write failure ones.
Dialogue: 0,0:06:59.41,0:07:00.94,Default,,0000,0000,0000,,So we usually can’t see them.
Dialogue: 0,0:07:00.94,0:07:04.12,Default,,0000,0000,0000,,As a Critical care medicine doctor,
Dialogue: 0,0:07:04.12,0:07:06.32,Default,,0000,0000,0000,,I am absolutely to see the successful cases.
Dialogue: 0,0:07:06.32,0:07:08.19,Default,,0000,0000,0000,,Nevertheless, there are unsuccessful ones.
Dialogue: 0,0:07:08.19,0:07:12.95,Default,,0000,0000,0000,,This baby was one and half months old.
Dialogue: 0,0:07:12.95,0:07:14.77,Default,,0000,0000,0000,,He suffered from Congenital Heart Disease.
Dialogue: 0,0:07:14.77,0:07:16.32,Default,,0000,0000,0000,,After heart transplant,
Dialogue: 0,0:07:16.32,0:07:17.89,Default,,0000,0000,0000,,he still could not live without a heart-lung machine.
Dialogue: 0,0:07:17.89,0:07:19.64,Default,,0000,0000,0000,,So
Dialogue: 0,0:07:19.64,0:07:20.67,Default,,0000,0000,0000,,they used ECMO
Dialogue: 0,0:07:20.67,0:07:21.96,Default,,0000,0000,0000,,connected to his heart.
Dialogue: 0,0:07:21.96,0:07:22.99,Default,,0000,0000,0000,,But not in three days,
Dialogue: 0,0:07:22.99,0:07:24.21,Default,,0000,0000,0000,,his feet turned black.
Dialogue: 0,0:07:24.21,0:07:25.38,Default,,0000,0000,0000,,Let’s zoom in.
Dialogue: 0,0:07:25.38,0:07:27.03,Default,,0000,0000,0000,,Look at his feet.
Dialogue: 0,0:07:27.03,0:07:28.49,Default,,0000,0000,0000,,So now, as a doctor.
Dialogue: 0,0:07:28.49,0:07:29.99,Default,,0000,0000,0000,,You had to make the call.
Dialogue: 0,0:07:29.99,0:07:31.51,Default,,0000,0000,0000,,Are you going to save his life,
Dialogue: 0,0:07:31.51,0:07:32.62,Default,,0000,0000,0000,,by having his feet amputated.
Dialogue: 0,0:07:32.62,0:07:33.58,Default,,0000,0000,0000,,Or will you just give up
Dialogue: 0,0:07:33.58,0:07:34.84,Default,,0000,0000,0000,,let him go?
Dialogue: 0,0:07:34.84,0:07:37.70,Default,,0000,0000,0000,,No matter what you do, you will suffer from pressure.
Dialogue: 0,0:07:37.70,0:07:40.09,Default,,0000,0000,0000,,But if you can’t make the call,
Dialogue: 0,0:07:40.09,0:07:42.11,Default,,0000,0000,0000,,This one is definitely much more difficult.
Dialogue: 0,0:07:42.11,0:07:44.83,Default,,0000,0000,0000,,This is a 7-year-old boy
Dialogue: 0,0:07:44.83,0:07:46.15,Default,,0000,0000,0000,,suffering from pneumoniae septicemia
Dialogue: 0,0:07:46.15,0:07:48.96,Default,,0000,0000,0000,,It resulted in cute respiratory distress syndrome.
Dialogue: 0,0:07:48.96,0:07:51.54,Default,,0000,0000,0000,,So they used ECMO.
Dialogue: 0,0:07:51.54,0:07:53.83,Default,,0000,0000,0000,,After using ECMO,
Dialogue: 0,0:07:53.83,0:07:55.04,Default,,0000,0000,0000,,there was complication.
Dialogue: 0,0:07:55.04,0:07:56.89,Default,,0000,0000,0000,,His limbs all became black.
Dialogue: 0,0:07:56.89,0:07:58.49,Default,,0000,0000,0000,,He stared at you with his eyes open wide
Dialogue: 0,0:07:58.49,0:07:59.32,Default,,0000,0000,0000,,consciously.
Dialogue: 0,0:07:59.32,0:08:00.71,Default,,0000,0000,0000,,He could even ask for water when he was thirsty.
Dialogue: 0,0:08:00.71,0:08:02.64,Default,,0000,0000,0000,,But as a doctor,
Dialogue: 0,0:08:02.64,0:08:04.54,Default,,0000,0000,0000,,you have to make a decision.
Dialogue: 0,0:08:04.54,0:08:05.96,Default,,0000,0000,0000,,If you’re going to save him,
Dialogue: 0,0:08:05.96,0:08:07.54,Default,,0000,0000,0000,,you have to cut off his limbs
Dialogue: 0,0:08:07.54,0:08:08.98,Default,,0000,0000,0000,,all his limbs.
Dialogue: 0,0:08:08.98,0:08:10.87,Default,,0000,0000,0000,,And if you give up,
Dialogue: 0,0:08:10.87,0:08:12.33,Default,,0000,0000,0000,,you have to turn off the ECMO.
Dialogue: 0,0:08:12.33,0:08:14.08,Default,,0000,0000,0000,,Now think of this:
Dialogue: 0,0:08:14.08,0:08:16.30,Default,,0000,0000,0000,,two roads diverged in the yellow woods.
Dialogue: 0,0:08:16.30,0:08:17.80,Default,,0000,0000,0000,,The patient is conscious.
Dialogue: 0,0:08:17.80,0:08:21.89,Default,,0000,0000,0000,,Well, the doctor is conscious, too.
Dialogue: 0,0:08:21.89,0:08:23.79,Default,,0000,0000,0000,,But how do you ask the boy,
Dialogue: 0,0:08:23.79,0:08:24.88,Default,,0000,0000,0000,," hey if you want to go on,
Dialogue: 0,0:08:24.88,0:08:26.59,Default,,0000,0000,0000,,I have to have your limbs amputated,
Dialogue: 0,0:08:26.59,0:08:28.49,Default,,0000,0000,0000,,all your limbs.
Dialogue: 0,0:08:28.49,0:08:30.40,Default,,0000,0000,0000,,Or if you do not want to go on,
Dialogue: 0,0:08:30.40,0:08:32.40,Default,,0000,0000,0000,,I will turn off the machine."
Dialogue: 0,0:08:32.40,0:08:34.42,Default,,0000,0000,0000,,How do you talk about life and death
Dialogue: 0,0:08:34.42,0:08:37.57,Default,,0000,0000,0000,,with a 7-year-old.
Dialogue: 0,0:08:37.57,0:08:41.51,Default,,0000,0000,0000,,As a critical care medicine doctor,
Dialogue: 0,0:08:41.51,0:08:43.80,Default,,0000,0000,0000,,let me tell you my experiences in the past years.
Dialogue: 0,0:08:43.80,0:08:45.05,Default,,0000,0000,0000,,In the beginning,
Dialogue: 0,0:08:45.05,0:08:47.81,Default,,0000,0000,0000,,I saw a patient.
Dialogue: 0,0:08:47.81,0:08:48.65,Default,,0000,0000,0000,,Gradually,
Dialogue: 0,0:08:48.65,0:08:49.84,Default,,0000,0000,0000,,I saw only a disease.
Dialogue: 0,0:08:49.84,0:08:51.26,Default,,0000,0000,0000,,I saw a heart only.
Dialogue: 0,0:08:51.26,0:08:53.12,Default,,0000,0000,0000,,Fortunately, when I turned fifty
Dialogue: 0,0:08:53.12,0:08:56.58,Default,,0000,0000,0000,,I gradually saw a patient again.
Dialogue: 0,0:08:56.58,0:08:58.08,Default,,0000,0000,0000,,To be frank,
Dialogue: 0,0:08:58.08,0:09:00.50,Default,,0000,0000,0000,,I am good at studying.
Dialogue: 0,0:09:00.50,0:09:02.09,Default,,0000,0000,0000,,I had done heart transplant,
Dialogue: 0,0:09:02.09,0:09:03.06,Default,,0000,0000,0000,,lungs transplant,
Dialogue: 0,0:09:03.06,0:09:04.07,Default,,0000,0000,0000,,ECMO
Dialogue: 0,0:09:04.07,0:09:05.14,Default,,0000,0000,0000,,when I was about 30.
Dialogue: 0,0:09:05.14,0:09:07.89,Default,,0000,0000,0000,,I was the youngest chief doctor in NTU hospital.
Dialogue: 0,0:09:07.89,0:09:09.52,Default,,0000,0000,0000,,Chief of surgical intensive care unit.
Dialogue: 0,0:09:09.52,0:09:11.92,Default,,0000,0000,0000,,I was in Taiwan Organ Registry and Sharing Center.
Dialogue: 0,0:09:11.92,0:09:13.14,Default,,0000,0000,0000,,And I was the vice chief of Trauma Unit.
Dialogue: 0,0:09:13.14,0:09:15.74,Default,,0000,0000,0000,,In my thirties,
Dialogue: 0,0:09:15.74,0:09:17.21,Default,,0000,0000,0000,,I thought
Dialogue: 0,0:09:17.21,0:09:20.14,Default,,0000,0000,0000,,medicine was such an awesome thing.
Dialogue: 0,0:09:20.14,0:09:21.68,Default,,0000,0000,0000,,It solved everything.
Dialogue: 0,0:09:21.68,0:09:23.98,Default,,0000,0000,0000,,But in my forties,
Dialogue: 0,0:09:23.98,0:09:25.41,Default,,0000,0000,0000,,There are so many unsuccessful cases
Dialogue: 0,0:09:25.41,0:09:27.12,Default,,0000,0000,0000,,with the use of ECMO.
Dialogue: 0,0:09:27.12,0:09:28.05,Default,,0000,0000,0000,,Sometimes the families of the patients asked me,
Dialogue: 0,0:09:28.05,0:09:29.24,Default,,0000,0000,0000,,“why was Shao saved,
Dialogue: 0,0:09:29.24,0:09:31.93,Default,,0000,0000,0000,,while my family members weren’t ?”
Dialogue: 0,0:09:31.93,0:09:33.22,Default,,0000,0000,0000,,I don’t know how to answer the questions.
Dialogue: 0,0:09:33.22,0:09:36.50,Default,,0000,0000,0000,,I couldn’t say because he or she was not Shao, could I?
Dialogue: 0,0:09:36.50,0:09:37.39,Default,,0000,0000,0000,,Or they asked me,
Dialogue: 0,0:09:37.39,0:09:39.23,Default,,0000,0000,0000,,“why does his limbs turned black?”
Dialogue: 0,0:09:39.23,0:09:40.13,Default,,0000,0000,0000,,If I had known,
Dialogue: 0,0:09:40.13,0:09:41.05,Default,,0000,0000,0000,,I would definitely avoid it.
Dialogue: 0,0:09:41.05,0:09:42.35,Default,,0000,0000,0000,,I did not know.
Dialogue: 0,0:09:42.35,0:09:44.44,Default,,0000,0000,0000,,When I was in my forties,
Dialogue: 0,0:09:44.44,0:09:46.49,Default,,0000,0000,0000,,I thought that
Dialogue: 0,0:09:46.49,0:09:49.55,Default,,0000,0000,0000,,why could not some patients be saved?
Dialogue: 0,0:09:49.55,0:09:51.56,Default,,0000,0000,0000,,Finally, when I was about 50
Dialogue: 0,0:09:51.56,0:09:54.06,Default,,0000,0000,0000,,the principle dawned on me.
Dialogue: 0,0:09:54.06,0:09:56.66,Default,,0000,0000,0000,,It’s like a poetry said, "for, everywhere, no trace of her can be seen.
Dialogue: 0,0:09:56.66,0:09:57.53,Default,,0000,0000,0000,,When, all of a sudden, I turned about.
Dialogue: 0,0:09:57.53,0:09:59.65,Default,,0000,0000,0000,,It’s her. Where lanterns are few and far between."
Dialogue: 0,0:09:59.65,0:10:00.44,Default,,0000,0000,0000,,One day,
Dialogue: 0,0:10:00.44,0:10:01.88,Default,,0000,0000,0000,,it dawned on me that
Dialogue: 0,0:10:01.88,0:10:04.14,Default,,0000,0000,0000,,doctors are people, not God.
Dialogue: 0,0:10:04.14,0:10:05.26,Default,,0000,0000,0000,,All we can do is try our best.
Dialogue: 0,0:10:05.26,0:10:08.06,Default,,0000,0000,0000,,That’s it.
Dialogue: 0,0:10:08.06,0:10:10.28,Default,,0000,0000,0000,,It’s just like seasons.
Dialogue: 0,0:10:10.28,0:10:11.14,Default,,0000,0000,0000,,There are spring, summer
Dialogue: 0,0:10:11.14,0:10:13.20,Default,,0000,0000,0000,,autumn, and winter.
Dialogue: 0,0:10:13.20,0:10:15.45,Default,,0000,0000,0000,,Medicine has its limit,
Dialogue: 0,0:10:15.45,0:10:18.01,Default,,0000,0000,0000,,no matter how well developed is the science.
Dialogue: 0,0:10:18.01,0:10:19.24,Default,,0000,0000,0000,,With today’s technology,
Dialogue: 0,0:10:19.24,0:10:19.92,Default,,0000,0000,0000,,we can still be live
Dialogue: 0,0:10:19.92,0:10:20.50,Default,,0000,0000,0000,,without heart
Dialogue: 0,0:10:20.50,0:10:21.53,Default,,0000,0000,0000,,without lungs
Dialogue: 0,0:10:21.53,0:10:21.89,Default,,0000,0000,0000,,without kidney
Dialogue: 0,0:10:21.89,0:10:23.17,Default,,0000,0000,0000,,or without liver.
Dialogue: 0,0:10:23.17,0:10:26.16,Default,,0000,0000,0000,,But we can’t rely on machines
Dialogue: 0,0:10:26.16,0:10:27.98,Default,,0000,0000,0000,,for our whole lives.
Dialogue: 0,0:10:27.98,0:10:30.49,Default,,0000,0000,0000,,Medicines has its limit.
Dialogue: 0,0:10:30.49,0:10:32.70,Default,,0000,0000,0000,,It’s just like
Dialogue: 0,0:10:32.70,0:10:35.60,Default,,0000,0000,0000,,the gardeners
Dialogue: 0,0:10:35.60,0:10:37.17,Default,,0000,0000,0000,,can’t change seasons at all.
Dialogue: 0,0:10:37.17,0:10:39.07,Default,,0000,0000,0000,,All the gardeners can do
Dialogue: 0,0:10:39.07,0:10:42.22,Default,,0000,0000,0000,,is to make the flowers prettier in seasons.
Dialogue: 0,0:10:42.22,0:10:43.49,Default,,0000,0000,0000,,As a doctors,
Dialogue: 0,0:10:43.49,0:10:45.81,Default,,0000,0000,0000,,can we change birth, aging, sickness or death?
Dialogue: 0,0:10:45.81,0:10:46.73,Default,,0000,0000,0000,,Well,
Dialogue: 0,0:10:46.73,0:10:47.99,Default,,0000,0000,0000,,of course not.
Dialogue: 0,0:10:47.99,0:10:49.46,Default,,0000,0000,0000,,As a doctor,
Dialogue: 0,0:10:49.46,0:10:52.36,Default,,0000,0000,0000,,All we can do, is to make people
Dialogue: 0,0:10:52.36,0:10:53.69,Default,,0000,0000,0000,,live a little better when they’re alive.
Dialogue: 0,0:10:53.69,0:10:54.56,Default,,0000,0000,0000,,That’s all.
Dialogue: 0,0:10:54.56,0:10:55.36,Default,,0000,0000,0000,,So
Dialogue: 0,0:10:55.36,0:10:57.11,Default,,0000,0000,0000,,I came to realize that
Dialogue: 0,0:10:57.11,0:11:01.23,Default,,0000,0000,0000,,doctors are just the gardeners in the life of garden.
Dialogue: 0,0:11:01.23,0:11:05.38,Default,,0000,0000,0000,,As a gardener,
Dialogue: 0,0:11:05.38,0:11:07.31,Default,,0000,0000,0000,,how to face the withered plants
Dialogue: 0,0:11:07.31,0:11:09.07,Default,,0000,0000,0000,,is a question.
Dialogue: 0,0:11:09.07,0:11:11.56,Default,,0000,0000,0000,,As an expert of critical care medicine,
Dialogue: 0,0:11:11.56,0:11:14.93,Default,,0000,0000,0000,,how do I face death?
Dialogue: 0,0:11:14.93,0:11:16.88,Default,,0000,0000,0000,,From scientific aspect of death,
Dialogue: 0,0:11:16.88,0:11:19.29,Default,,0000,0000,0000,,or precisely, from physical and chemical aspects of death.
Dialogue: 0,0:11:19.29,0:11:20.62,Default,,0000,0000,0000,,Every physical reaction ,
Dialogue: 0,0:11:20.62,0:11:21.55,Default,,0000,0000,0000,,or chemical reaction,
Dialogue: 0,0:11:21.55,0:11:22.40,Default,,0000,0000,0000,,tends to achieve minimum energy
Dialogue: 0,0:11:22.40,0:11:23.42,Default,,0000,0000,0000,,and maximum entropy.
Dialogue: 0,0:11:23.42,0:11:26.61,Default,,0000,0000,0000,,Delta S is always positive.
Dialogue: 0,0:11:26.61,0:11:29.52,Default,,0000,0000,0000,,Some will ask where does the relation come from?
Dialogue: 0,0:11:29.52,0:11:31.32,Default,,0000,0000,0000,,Some people believe it came from the Big Bang Theory.
Dialogue: 0,0:11:31.32,0:11:33.75,Default,,0000,0000,0000,,The universe is expanding due to the Big Bang Theory,
Dialogue: 0,0:11:33.75,0:11:35.83,Default,,0000,0000,0000,,delta S is always positive.
Dialogue: 0,0:11:35.83,0:11:36.70,Default,,0000,0000,0000,,Or
Dialogue: 0,0:11:36.70,0:11:38.78,Default,,0000,0000,0000,,is there universality in the laws of universe ?
Dialogue: 0,0:11:38.78,0:11:39.35,Default,,0000,0000,0000,,Honestly,
Dialogue: 0,0:11:39.35,0:11:40.24,Default,,0000,0000,0000,,I don’t know either.
Dialogue: 0,0:11:40.24,0:11:41.72,Default,,0000,0000,0000,,There’s an old saying
Dialogue: 0,0:11:41.72,0:11:46.17,Default,,0000,0000,0000,,Blind men can judge no colours
Dialogue: 0,0:11:46.17,0:11:47.33,Default,,0000,0000,0000,,Blind people
Dialogue: 0,0:11:47.33,0:11:48.64,Default,,0000,0000,0000,,can’t talk about colours
Dialogue: 0,0:11:48.64,0:11:50.44,Default,,0000,0000,0000,,because they can see nothing.
Dialogue: 0,0:11:50.44,0:11:52.26,Default,,0000,0000,0000,,is there universality
Dialogue: 0,0:11:52.26,0:11:53.45,Default,,0000,0000,0000,,in the laws of universe ?
Dialogue: 0,0:11:53.45,0:11:55.30,Default,,0000,0000,0000,,Is there university
Dialogue: 0,0:11:55.30,0:11:55.99,Default,,0000,0000,0000,,in the unlimited space and time .
Dialogue: 0,0:11:55.99,0:11:56.48,Default,,0000,0000,0000,,Frankly,
Dialogue: 0,0:11:56.48,0:11:57.54,Default,,0000,0000,0000,,I don’t know.
Dialogue: 0,0:11:57.54,0:11:58.56,Default,,0000,0000,0000,,But at least,
Dialogue: 0,0:11:58.56,0:12:00.60,Default,,0000,0000,0000,,among the scope we’re in
Dialogue: 0,0:12:00.60,0:12:02.62,Default,,0000,0000,0000,,delta S is still positive.
Dialogue: 0,0:12:02.62,0:12:04.49,Default,,0000,0000,0000,,What does it mean when we say delta S is positive?
Dialogue: 0,0:12:04.49,0:12:05.30,Default,,0000,0000,0000,,In theory,
Dialogue: 0,0:12:05.30,0:12:07.16,Default,,0000,0000,0000,,it should be minimum energy and maximum entropy.
Dialogue: 0,0:12:07.16,0:12:08.18,Default,,0000,0000,0000,,So it all becomes more chaotic.
Dialogue: 0,0:12:08.18,0:12:10.14,Default,,0000,0000,0000,,My existence
Dialogue: 0,0:12:10.14,0:12:11.36,Default,,0000,0000,0000,,would mean a negative delta S
Dialogue: 0,0:12:11.36,0:12:14.96,Default,,0000,0000,0000,,and this disobey the theory.
Dialogue: 0,0:12:14.96,0:12:17.20,Default,,0000,0000,0000,,Then how should we view life and death?
Dialogue: 0,0:12:17.20,0:12:18.61,Default,,0000,0000,0000,,Actually,
Dialogue: 0,0:12:18.61,0:12:20.68,Default,,0000,0000,0000,,we often see ourselves only.
Dialogue: 0,0:12:20.68,0:12:22.60,Default,,0000,0000,0000,,We don’t realize that we are in the universe.
Dialogue: 0,0:12:22.60,0:12:24.92,Default,,0000,0000,0000,,The universe is the combination of we and the environment.
Dialogue: 0,0:12:24.92,0:12:26.35,Default,,0000,0000,0000,,So total delta S
Dialogue: 0,0:12:26.35,0:12:29.45,Default,,0000,0000,0000,,equals to delta S system and delta S surrounding.
Dialogue: 0,0:12:29.45,0:12:30.44,Default,,0000,0000,0000,,So
Dialogue: 0,0:12:30.44,0:12:32.63,Default,,0000,0000,0000,,this is an important concept.
Dialogue: 0,0:12:32.63,0:12:35.20,Default,,0000,0000,0000,,Any organized group
Dialogue: 0,0:12:35.20,0:12:37.24,Default,,0000,0000,0000,,are unstable.
Dialogue: 0,0:12:37.24,0:12:39.43,Default,,0000,0000,0000,,It has to destroy the environment.
Dialogue: 0,0:12:39.43,0:12:41.18,Default,,0000,0000,0000,,Delta S is negative,
Dialogue: 0,0:12:41.18,0:12:43.28,Default,,0000,0000,0000,,however, it should be positive.
Dialogue: 0,0:12:43.28,0:12:44.56,Default,,0000,0000,0000,,As a result, it will destroy the environment
Dialogue: 0,0:12:44.56,0:12:46.36,Default,,0000,0000,0000,,to make the equation positive.
Dialogue: 0,0:12:46.36,0:12:47.19,Default,,0000,0000,0000,,So my existence
Dialogue: 0,0:12:47.19,0:12:49.33,Default,,0000,0000,0000,,is to destroy the environment.
Dialogue: 0,0:12:49.33,0:12:50.30,Default,,0000,0000,0000,,Until one day,
Dialogue: 0,0:12:50.30,0:12:52.06,Default,,0000,0000,0000,,when I can no longer destroy the environment,
Dialogue: 0,0:12:52.06,0:12:53.66,Default,,0000,0000,0000,,can I destroy myself only.
Dialogue: 0,0:12:53.66,0:12:56.40,Default,,0000,0000,0000,,Delta S should maintain positive,
Dialogue: 0,0:12:56.40,0:12:58.21,Default,,0000,0000,0000,,so to exist is to destroy.
Dialogue: 0,0:12:58.21,0:12:59.27,Default,,0000,0000,0000,,When you’re unable to destroy,
Dialogue: 0,0:12:59.27,0:13:00.31,Default,,0000,0000,0000,,you can only destroy yourself.
Dialogue: 0,0:13:00.31,0:13:01.64,Default,,0000,0000,0000,,This is death.
Dialogue: 0,0:13:01.64,0:13:04.92,Default,,0000,0000,0000,,This is death from physical and chemical aspects.
Dialogue: 0,0:13:04.92,0:13:07.54,Default,,0000,0000,0000,,However,
Dialogue: 0,0:13:07.54,0:13:08.80,Default,,0000,0000,0000,,as a doctor,
Dialogue: 0,0:13:08.80,0:13:10.88,Default,,0000,0000,0000,,I understand physics and chemistry.
Dialogue: 0,0:13:10.88,0:13:13.16,Default,,0000,0000,0000,,How do I think of life?
Dialogue: 0,0:13:13.16,0:13:14.76,Default,,0000,0000,0000,,One day,
Dialogue: 0,0:13:14.76,0:13:15.62,Default,,0000,0000,0000,,when I took round in the intensive care units.
Dialogue: 0,0:13:15.62,0:13:16.91,Default,,0000,0000,0000,,I came to realize
Dialogue: 0,0:13:16.91,0:13:18.62,Default,,0000,0000,0000,,that there are only two kind of outcomes in lives.
Dialogue: 0,0:13:18.62,0:13:19.29,Default,,0000,0000,0000,,One is with tubes insertion,
Dialogue: 0,0:13:19.29,0:13:21.53,Default,,0000,0000,0000,,while the other is not.
Dialogue: 0,0:13:21.53,0:13:24.34,Default,,0000,0000,0000,,But they’re all called death.
Dialogue: 0,0:13:24.34,0:13:26.86,Default,,0000,0000,0000,,Death is an immutable law.
Dialogue: 0,0:13:26.86,0:13:27.80,Default,,0000,0000,0000,,So
Dialogue: 0,0:13:27.80,0:13:30.78,Default,,0000,0000,0000,,how do we think of death?
Dialogue: 0,0:13:30.78,0:13:33.69,Default,,0000,0000,0000,,I have a flip point of view.
Dialogue: 0,0:13:33.69,0:13:35.84,Default,,0000,0000,0000,,If you ask me what death is.
Dialogue: 0,0:13:35.84,0:13:37.49,Default,,0000,0000,0000,,I will ask you:
Dialogue: 0,0:13:37.49,0:13:40.50,Default,,0000,0000,0000,,what is life?
Dialogue: 0,0:13:40.50,0:13:41.45,Default,,0000,0000,0000,,You guys came here
Dialogue: 0,0:13:41.45,0:13:43.15,Default,,0000,0000,0000,,to attend a lecture.
Dialogue: 0,0:13:43.15,0:13:45.16,Default,,0000,0000,0000,,I hope you can do one thing when you leave.
Dialogue: 0,0:13:45.16,0:13:46.57,Default,,0000,0000,0000,,Tonight, when you are going to sleep,
Dialogue: 0,0:13:46.57,0:13:47.43,Default,,0000,0000,0000,,when you’re lying on your bed,
Dialogue: 0,0:13:47.43,0:13:49.02,Default,,0000,0000,0000,,ask yourself a question:
Dialogue: 0,0:13:49.02,0:13:58.42,Default,,0000,0000,0000,,what is being alive?
Dialogue: 0,0:13:58.42,0:13:59.21,Default,,0000,0000,0000,,Because
Dialogue: 0,0:13:59.21,0:14:00.62,Default,,0000,0000,0000,,when you think of the question
Dialogue: 0,0:14:00.62,0:14:02.55,Default,,0000,0000,0000,,we have to think of a question:
Dialogue: 0,0:14:02.55,0:14:03.83,Default,,0000,0000,0000,,what is life ?
Dialogue: 0,0:14:03.83,0:14:05.91,Default,,0000,0000,0000,,My answer to the question is this:
Dialogue: 0,0:14:05.91,0:14:07.17,Default,,0000,0000,0000,,when you’re searching for the answer to the question,
Dialogue: 0,0:14:07.17,0:14:10.51,Default,,0000,0000,0000,,it is the answer to the question.
Dialogue: 0,0:14:10.51,0:14:12.33,Default,,0000,0000,0000,,Everyone dies eventually.
Dialogue: 0,0:14:12.33,0:14:14.20,Default,,0000,0000,0000,,No when will set death
Dialogue: 0,0:14:14.20,0:14:15.40,Default,,0000,0000,0000,,as the goal of life.
Dialogue: 0,0:14:15.40,0:14:17.30,Default,,0000,0000,0000,,Life is a process.
Dialogue: 0,0:14:17.30,0:14:20.08,Default,,0000,0000,0000,,We keep searching
Dialogue: 0,0:14:20.08,0:14:21.37,Default,,0000,0000,0000,,for the answer
Dialogue: 0,0:14:21.37,0:14:23.53,Default,,0000,0000,0000,,to what being alive is
Dialogue: 0,0:14:23.53,0:14:25.13,Default,,0000,0000,0000,,in our life.
Dialogue: 0,0:14:25.13,0:14:27.40,Default,,0000,0000,0000,,So when you’re searching,
Dialogue: 0,0:14:27.40,0:14:29.04,Default,,0000,0000,0000,,that is the very answer to the question.
Dialogue: 0,0:14:29.04,0:14:31.25,Default,,0000,0000,0000,,Death is not the goal of life.
Dialogue: 0,0:14:31.25,0:14:33.49,Default,,0000,0000,0000,,Life is a process.
Dialogue: 0,0:14:33.49,0:14:37.56,Default,,0000,0000,0000,,Recently, I always share the story of feces.
Dialogue: 0,0:14:37.56,0:14:39.11,Default,,0000,0000,0000,,My teacher was going to retire,
Dialogue: 0,0:14:39.11,0:14:39.67,Default,,0000,0000,0000,,he said,
Dialogue: 0,0:14:39.67,0:14:40.56,Default,,0000,0000,0000,,"
 I am going to retire,
Dialogue: 0,0:14:40.56,0:14:41.38,Default,,0000,0000,0000,,let’s go to somewhere fancy."
Dialogue: 0,0:14:41.38,0:14:42.48,Default,,0000,0000,0000,,So
Dialogue: 0,0:14:42.48,0:14:44.39,Default,,0000,0000,0000,,My teacher, my schoolmate and I
Dialogue: 0,0:14:44.39,0:14:46.50,Default,,0000,0000,0000,,went to a French restaurant at Sheraton.
Dialogue: 0,0:14:46.50,0:14:48.96,Default,,0000,0000,0000,,And it’s on me.
Dialogue: 0,0:14:48.96,0:14:51.65,Default,,0000,0000,0000,,We spent 26,000 NT dollars.
Dialogue: 0,0:14:51.65,0:14:54.40,Default,,0000,0000,0000,,I was too astonished to speak.
Dialogue: 0,0:14:54.40,0:14:56.01,Default,,0000,0000,0000,,How could I eat something so expensive?
Dialogue: 0,0:14:56.01,0:14:57.91,Default,,0000,0000,0000,,I’d never been to that kind of restaurant.
Dialogue: 0,0:14:57.91,0:14:58.60,Default,,0000,0000,0000,,I had no idea
Dialogue: 0,0:14:58.60,0:14:59.99,Default,,0000,0000,0000,,about what I’d ordered.
Dialogue: 0,0:14:59.99,0:15:01.37,Default,,0000,0000,0000,,When I saw the bill,
Dialogue: 0,0:15:01.37,0:15:03.17,Default,,0000,0000,0000,,I almost collapsed.
Dialogue: 0,0:15:03.17,0:15:04.93,Default,,0000,0000,0000,,The next morning, in the restroom,
Dialogue: 0,0:15:04.93,0:15:09.08,Default,,0000,0000,0000,,I examined my feces carefully.
Dialogue: 0,0:15:09.08,0:15:10.61,Default,,0000,0000,0000,,I’d spent 9,000 NT dollars
Dialogue: 0,0:15:10.61,0:15:15.39,Default,,0000,0000,0000,,producing it.
Dialogue: 0,0:15:15.39,0:15:15.91,Default,,0000,0000,0000,,But I could not tell the difference
Dialogue: 0,0:15:15.91,0:15:18.39,Default,,0000,0000,0000,,with the meals in the cafeteria, which cost 70 NT dollars,
Dialogue: 0,0:15:18.39,0:15:19.80,Default,,0000,0000,0000,,at the NTU hospital.
Dialogue: 0,0:15:19.80,0:15:23.55,Default,,0000,0000,0000,,I just could not tell the difference.
Dialogue: 0,0:15:23.55,0:15:26.66,Default,,0000,0000,0000,,Then, in the restroom, I came to realize
Dialogue: 0,0:15:26.66,0:15:28.61,Default,,0000,0000,0000,,that all the wealth you can get
Dialogue: 0,0:15:28.61,0:15:35.67,Default,,0000,0000,0000,,is just feces.
Dialogue: 0,0:15:40.07,0:15:43.06,Default,,0000,0000,0000,,Confucianism is the most crucial ism in Chinese culture.
Dialogue: 0,0:15:43.08,0:15:45.61,Default,,0000,0000,0000,,Confucianism has its virtues.
Dialogue: 0,0:15:45.61,0:15:48.05,Default,,0000,0000,0000,,It talks about human.
Dialogue: 0,0:15:48.05,0:15:50.25,Default,,0000,0000,0000,,You can see the sayings in Confucian Analects as followed.
Dialogue: 0,0:15:50.25,0:15:51.10,Default,,0000,0000,0000,,While you do not know life,
Dialogue: 0,0:15:51.10,0:15:52.46,Default,,0000,0000,0000,,how can you know about death?
Dialogue: 0,0:15:52.46,0:15:53.06,Default,,0000,0000,0000,,While you are not able to serve men,
Dialogue: 0,0:15:53.06,0:15:54.47,Default,,0000,0000,0000,,how can you serve their spirits?
Dialogue: 0,0:15:54.47,0:15:55.22,Default,,0000,0000,0000,,When alive,
Dialogue: 0,0:15:55.22,0:15:55.62,Default,,0000,0000,0000,,be served according to propriety;
Dialogue: 0,0:15:55.62,0:15:56.02,Default,,0000,0000,0000,,that, when dead,
Dialogue: 0,0:15:56.02,0:15:56.92,Default,,0000,0000,0000,,they should be buried according to propriety;
Dialogue: 0,0:15:56.92,0:15:58.32,Default,,0000,0000,0000,,and that they should be sacrificed to according to propriety.
Dialogue: 0,0:15:58.32,0:15:59.98,Default,,0000,0000,0000,,Confucianism refuses to talk about death.
Dialogue: 0,0:15:59.98,0:16:00.96,Default,,0000,0000,0000,,If you keep asking,
Dialogue: 0,0:16:00.96,0:16:02.62,Default,,0000,0000,0000,,he would answer something about laying downing one's life for justice,
Dialogue: 0,0:16:02.62,0:16:04.29,Default,,0000,0000,0000,,or if a man in the morning hear the right way, he may die in the evening without regret,
Dialogue: 0,0:16:04.29,0:16:06.65,Default,,0000,0000,0000,,or sacrificing their lives to preserve their virtue complete.
Dialogue: 0,0:16:06.65,0:16:09.51,Default,,0000,0000,0000,,Confucianism avoids
Dialogue: 0,0:16:09.51,0:16:11.07,Default,,0000,0000,0000,,talking about death.
Dialogue: 0,0:16:11.07,0:16:12.28,Default,,0000,0000,0000,,It doesn’t want to discuss about it
Dialogue: 0,0:16:12.28,0:16:14.44,Default,,0000,0000,0000,,So
Dialogue: 0,0:16:14.44,0:16:15.29,Default,,0000,0000,0000,,it is enthusiastic
Dialogue: 0,0:16:15.29,0:16:15.99,Default,,0000,0000,0000,,about human,
Dialogue: 0,0:16:15.99,0:16:17.81,Default,,0000,0000,0000,,and it leaves others behind.
Dialogue: 0,0:16:17.81,0:16:19.56,Default,,0000,0000,0000,,It cares about the things you can see now.
Dialogue: 0,0:16:19.56,0:16:20.55,Default,,0000,0000,0000,,However,
Dialogue: 0,0:16:20.55,0:16:23.68,Default,,0000,0000,0000,,it doesn’t talk about death at all.
Dialogue: 0,0:16:23.68,0:16:26.10,Default,,0000,0000,0000,,The following is what I think.
Dialogue: 0,0:16:26.10,0:16:27.75,Default,,0000,0000,0000,,In Chinese culture,
Dialogue: 0,0:16:27.75,0:16:29.72,Default,,0000,0000,0000,,Confucianism is the most crucial thought.
Dialogue: 0,0:16:29.72,0:16:31.51,Default,,0000,0000,0000,,But we didn’t want to think of death in the past.
Dialogue: 0,0:16:31.51,0:16:33.37,Default,,0000,0000,0000,,We avoided talking about it.
Dialogue: 0,0:16:33.37,0:16:36.35,Default,,0000,0000,0000,,There’s a common saying based onSunzi's Art of War:
Dialogue: 0,0:16:36.35,0:16:38.20,Default,,0000,0000,0000,,Placing somebidy on field of death and he will fight to live.
Dialogue: 0,0:16:38.20,0:16:40.22,Default,,0000,0000,0000,,Only when we face the death,
Dialogue: 0,0:16:40.22,0:16:43.72,Default,,0000,0000,0000,,seriously,
Dialogue: 0,0:16:43.72,0:16:47.74,Default,,0000,0000,0000,,can we ask what life is.
Dialogue: 0,0:16:47.74,0:16:49.93,Default,,0000,0000,0000,,We will all die in the end.
Dialogue: 0,0:16:49.93,0:16:51.37,Default,,0000,0000,0000,,Life is just a process,
Dialogue: 0,0:16:51.37,0:16:54.33,Default,,0000,0000,0000,,of searching for the meaning of being alive.
Dialogue: 0,0:16:54.33,0:16:56.78,Default,,0000,0000,0000,,This is my point of view.
Dialogue: 0,0:16:56.78,0:16:58.62,Default,,0000,0000,0000,,Actually, I am a smart person,
Dialogue: 0,0:16:58.62,0:16:59.93,Default,,0000,0000,0000,,and strong enough.
Dialogue: 0,0:16:59.93,0:17:03.44,Default,,0000,0000,0000,,I can travel around the island by bike.
Dialogue: 0,0:17:03.44,0:17:05.55,Default,,0000,0000,0000,,But can I
Dialogue: 0,0:17:05.55,0:17:07.81,Default,,0000,0000,0000,,bully others
Dialogue: 0,0:17:07.81,0:17:09.78,Default,,0000,0000,0000,,just because I am a little smarter,
Dialogue: 0,0:17:09.78,0:17:10.06,Default,,0000,0000,0000,,or a little stronger?
Dialogue: 0,0:17:10.06,0:17:11.27,Default,,0000,0000,0000,,Well,
Dialogue: 0,0:17:11.27,0:17:12.32,Default,,0000,0000,0000,,definitely not.
Dialogue: 0,0:17:12.32,0:17:13.42,Default,,0000,0000,0000,,So
Dialogue: 0,0:17:13.42,0:17:15.09,Default,,0000,0000,0000,,those who benefit from the society
Dialogue: 0,0:17:15.09,0:17:16.69,Default,,0000,0000,0000,,should be grateful.
Dialogue: 0,0:17:16.69,0:17:18.30,Default,,0000,0000,0000,,You should help others
Dialogue: 0,0:17:18.30,0:17:20.04,Default,,0000,0000,0000,,if you’re able to.
Dialogue: 0,0:17:20.04,0:17:21.92,Default,,0000,0000,0000,,That makes your life much more meaningful.
Dialogue: 0,0:17:21.92,0:17:23.57,Default,,0000,0000,0000,,It’s about gratitude.
Dialogue: 0,0:17:23.57,0:17:25.23,Default,,0000,0000,0000,,When I went to Dharma Drum Mountain,
Dialogue: 0,0:17:25.23,0:17:27.32,Default,,0000,0000,0000,,the master talked with me
Dialogue: 0,0:17:27.32,0:17:28.23,Default,,0000,0000,0000,,about gratitude.
Dialogue: 0,0:17:28.23,0:17:29.26,Default,,0000,0000,0000,,Being grateful.
Dialogue: 0,0:17:29.26,0:17:30.52,Default,,0000,0000,0000,,Being kind instead of being revengeful.
Dialogue: 0,0:17:30.52,0:17:33.15,Default,,0000,0000,0000,,“I know you are misunderstood,” he said,
Dialogue: 0,0:17:33.15,0:17:37.16,Default,,0000,0000,0000,,“but you can’t complain.
Dialogue: 0,0:17:37.16,0:17:40.17,Default,,0000,0000,0000,,You should help others instead.”
Dialogue: 0,0:17:40.17,0:17:41.63,Default,,0000,0000,0000,,At the end of my speech, let me share a concept with you.
Dialogue: 0,0:17:41.63,0:17:43.17,Default,,0000,0000,0000,,It is “a to the power of n.”
Dialogue: 0,0:17:43.17,0:17:44.35,Default,,0000,0000,0000,,If a is greater than 1,
Dialogue: 0,0:17:44.35,0:17:45.93,Default,,0000,0000,0000,,a to the power of n is infinity.
Dialogue: 0,0:17:45.93,0:17:47.08,Default,,0000,0000,0000,,If a is less than 1,
Dialogue: 0,0:17:47.08,0:17:50.04,Default,,0000,0000,0000,,a to the power will approach zero rapidly.
Dialogue: 0,0:17:50.04,0:17:51.83,Default,,0000,0000,0000,,What does that mean?
Dialogue: 0,0:17:51.83,0:17:53.18,Default,,0000,0000,0000,,If what I give to the society
Dialogue: 0,0:17:53.18,0:17:54.54,Default,,0000,0000,0000,,is greater than what I get from the society,
Dialogue: 0,0:17:54.54,0:17:55.81,Default,,0000,0000,0000,,a is greater than one.
Dialogue: 0,0:17:55.81,0:17:57.26,Default,,0000,0000,0000,,Our society will become better and better.
Dialogue: 0,0:17:57.26,0:17:58.61,Default,,0000,0000,0000,,If what I get from the society
Dialogue: 0,0:17:58.61,0:18:00.04,Default,,0000,0000,0000,,is greater than what I give to the society,
Dialogue: 0,0:18:00.04,0:18:00.99,Default,,0000,0000,0000,,a is less than 1
Dialogue: 0,0:18:00.99,0:18:02.58,Default,,0000,0000,0000,,Our society will become worse.
Dialogue: 0,0:18:02.58,0:18:04.49,Default,,0000,0000,0000,,And I end the my speech,
Dialogue: 0,0:18:04.49,0:18:07.20,Default,,0000,0000,0000,,with these words.
Dialogue: 0,0:18:07.20,0:18:09.39,Default,,0000,0000,0000,,Facing difficulties is not the hardest thing.
Dialogue: 0,0:18:09.39,0:18:10.38,Default,,0000,0000,0000,,The hardest thing is
Dialogue: 0,0:18:10.38,0:18:12.12,Default,,0000,0000,0000,,facing the difficulties
Dialogue: 0,0:18:12.12,0:18:12.12,Default,,0000,0000,0000,,without losing passion for your life and world.
Dialogue: 0,0:18:12.12,0:18:16.30,Default,,0000,0000,0000,,Thank you very much.