Thursday, September 8, 2011

心电图 vs 爱情?


今天是在内科部门第二个礼拜。

在例常的内科小组讨论里,今早我们谈论了关于如何辨别病人心电图(ELECTROCARDIOGRAM)的报告。

我们这组的导师是一位人称:
“走路的字典”(Walking dictionary)的姑息治疗专科医生(Palliative care)

~Dr S.B.~
(恕不具其名讳-未得许可)

一如往常,他的教学方法还是很特别。让我们捉住重点之余,亦能印象深刻。

今天的文章受了他点点的启发。。所以想分享分享一下。。

图一:正常的心电传导路线
(normal impulse conduction system of heart)
首先。。要说说我们心脏的电导系统的小小故事。。

正常心脏都有“起博细胞”(pacemaker cells),会产生“心冲动”(cardiac impulse)的频率。。它们位于:Sinus node, AV node和心脏些许其它部位。

这群细胞负责控制我们的心律(heart rate),让心脏跳动、打泵。。。

这群小细胞,尤以位于Sinus node和AV node的较强,而Sinus node比起AV node又更强。所以在Sinus node产生的频率会带动起整个心律,然后产生心跳。
图二:正常的心脏结构和正常的心电图(ECG)
心电图-ECG,是我们测量心率、心律等的一种图测表。

而正常的心电图就正如上图所示的般,有其一定的频率和节奏。每个起伏的波奏(wave)都有它一定的样式。

身为医科生,我们所要学习的心电图当然不只正常的而已。而不正常的心电图,又因不同病情、不同病人而有着如繁星不同的变异。

接下来的几种心电图都是不正常的。。而Dr S.B.就用了些感情上的情况来比喻:

图三:第一度房室传导阻滞的心电图
(First degree AV block)

图三的心电图,通常表示病人有可能有心脏冠状动脉疾病(Coronary artery disease)、急性心脏风湿性瓣膜病(Rheumatic heart disease)、digoxin toxicity或者体内电解质紊乱(electrolyte disturbance)。

在感情里的风波,他和她在一起久了、厌倦了、有了距离感。。就如上面的心电图,比正常心电图的频率延长。。

而久而久之。。zzzzzzz。。或许会演变成图四,或许会演变成图五。。

有时候,爱情会让人如飞蛾扑火般的盲目吧。。 
或许并非你/妳不好。。
有时候,自己或许也没那么爱。。
但却太在意对方对你/妳的好。。不愿放手。。

或许,妳/你那半悬着的心,总会划出他/她让人痴迷的美丽。。
但當一切尘埃落定,再也沒有最初的期待和神秘,大家在一起的那双人座。。也终将拆离。。

图四:第二度房室传导阻滞(Mobitz type 1)的心电图
(Second degree AV block mobitz type 1)

如果好像图四的心电图般,情况或许会好些。。图四的样式,是感情距离越来越远了,争吵了、冷战了。。但你/妳单方面力持,她/他不舍。。突然间,他和她/她和他,又忽然间和好。。变回正常的心电图。。

但一个会开始不珍惜你/妳的她/他。。过了不久,也将固态重萌。。距离又在越来越远。。辛苦的,还是自己。。

There's always that person, no matter how long it's been or how bad they treated you, you will always find an excuse to forgive them...

but...

If someone really loves you...they wouldn't let you slip away no matter how big the situation is...

他/她不再喜欢她/他。。他/她再怎么追也没有用。。。
如果他/她喜欢妳/你,你/妳根本无需过分的强加追求。。
或许有天,她/他被你/妳给重新打动,但最终大多终将再次分手。。她/他一样会离开你/妳。。



图五:第三度房室阻滞
(Complete heart block)

演变成图五的心电图。。心肌梗死(Myocardial infarction)或Fibrosis of bundle of His的心电图。。

你/妳或许从不是她/他心目中的理想伴侣。。

No more tears... no more lies... no more trouble in my life... 
I'm done, You're gone... 
And we can't even say a Goodbye to each other...

LOL...It's funny how strangers become lovers, but at the same time lovers can become strangers...




10 comments:

St said...

so in a conclusion,to prevent myocardiac infarction,pls do not fall in love n must enjoy to become single..lol
:-)

Yam Yam said...

wow shiau thin! >_< haha...

St said...

haha..dnt u agree? Haha

Yam Yam said...

>_< my left hemisphere of brain totally agree with it but right hemisphere of brain is objecting my left hemisphere now...

Anonymous said...

Haha..u gt medical student syndrome liao la..all relate to medical terms..lol:-P

Yam Yam said...

Haha...nono...just suddenly gt the inspiration when attending the tutorial discussion this morning... btw, u r?

St said...

Sorry ya,i'm st oso.just nw accidentally press n so becum no name.lol..anyway,post more blog la,is interesting to c medical terms tht translate into chinese..haha

Yam Yam said...

haha... thx for support!!! ^^

ong said...

when u fail to achieve one happiness, dun ever try hard to achieve it anymore. just leave it naturally and it will come back to u eventually. try to look around and search for other happiness..... sometimes, the deeper u go, the more entangled u r. i am like u also btw.. a lot of unsolved problem and yet keep in heart ><

Yam Yam said...

Rui Ming there? =) i know...i ard let go day by day... minute by minute... why bother of those not appreciating us right? ya, as u said, love to family, love of brotherhood, love of friends, love to nature, love to career and studies etc... =)

anyway, if u gt any problems or stories... can share with me oso la... don't keep solely in heart... =) cheer~ great day ahead~ =)))