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六言.有感
作者:USMedEdu
发表时间:2010-09-15
更新时间:2010-09-28
浏览:1809次
评论:4篇
地址:140.
::: 栏目 :::
现代医学vs“中医”
社会、艺术与医学
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中外医学网站精选
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生物医学人物
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USMLE复习和考试
申请和面试住院医生
住院医生生活和工作
FELLOWSHIP
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医学科普及问题解答
美加医学院申请/MCA
中美医学临床教育比
医学新进展及新闻
社会医学伦理

六言.有感

力刀

http://www.mitbbs.com/article_t/MedicalCareer/31371615.html


来时枫国草绿,归去叶将枯黄。
当年理想成灰,怒视坦克机枪。
北极凌厉朔风,风城刺骨雪霜。
来时孑然一身,患难夫妻儿郎。
十年坎坷漂泊,铁心重上考场。
一分过线分数,不惑住院奔忙。

离家两载三处,专科又是一双。
募捐艾滋孤儿,海外国内同行。
码文辅导学友,血泪熬墨文章。
学成已知天命,鬓霜少年心狂。
钱财名利如烟,输赢又有何妨?
回首一场征程,了此一生不枉!

9/15/2010



【 在 ship2008 (oldcat) 的大作中提到: 】
: 身份才刚转绿,灵魂早已枯黄。
: 理想燃成灰烬,青春不再芳香。
: 洛杉矶的熏风,纽约城的雪霜。
: 来时孑然一身,忽然儿女成行。
: 田纳西烙肉饼,爱荷华练刀枪。
: 逝去的已逝去,活着的各奔忙。
: 菜园韭菜花间,蝴蝶忽单忽双。
: party越开越大,老友聚散无常。
: 生如高斯分布,偶然竟似必然。
: 死如牛顿积分,临终面积相当。
: 人生了无根蒂,尘土随风飞扬。
: 胜败无法统计,转眼东方西方。
...................



--

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共有4条评论
1   [USMcdEdu 于 2011-02-07 20:57:11 提到] [FROM: 199.]
发信人: USMedEdu (US_CMGs), 信区: Biology
标 题: Re: 生活是美丽的。
发信站: BBS 未名空间站 (Thu Jan 27 18:13:03 2011, 美东)

Terra Firma — A Journey from Migrant Farm Labor
to Neurosurgery

Alfredo Quiñones-Hinojosa, M.D.

http://content.nejm.org/cgi/reprint/357/6/529.pdf
“You will spend the rest of
your life working in the
fields,” my cousin told me when
I arrived in the United States in
the mid-1980s. This fate indeed
appeared likely: a 19-
year-old illegal migrant
farm worker, I
had no English language
skills and no
dependable means of
support. I had grown
up in a small Mexican
farming community,
where I began
working at my father’s
gas station at
the age of 5. Our
family was poor, and
we were subject to the diseases
of poverty: my earliest memory
is of my infant sister’s death
from diarrhea when I was 3 years
old. But my parents worked long
hours and had always made
enough money to feed us, until
an economic crisis hit our country
in the 1970s. Then they could
no longer support the family,
and although I trained to be a
teacher, I could not put enough
food on the table either.
Desperate for a livable income,
I packed my few belongings
and, with $65 in my pocket,
crossed the U.S. border illegally.
The first time I hopped the fence
into California, I was caught
and sent back to Mexico, but I
tried again and succeeded. I am
not condoning illegal immigration;
honestly, at the time, the
law was far from the front of my
mind. I was merely responding
to the dream of a better life, the
hope of escaping poverty so that
one day I could return home triumphant.
Reality, however, posed
a stark contrast to the dream. I
spent long days in the fields picking
fruits and vegetables, sleeping
under leaky camper shells,
eating anything I could get, with
hands bloodied from pulling
weeds — the very same hands
that today perform brain surgery.
My days as a farm worker
taught me a great deal about
economics, politics, and society.
I learned that being illegal and
poor in a foreign country could
be more painful than any poverty
I had previously experienced.
I learned that our society sometimes
treats us differently depending
on the places we have
been and the education we have
obtained. When my cousin told
me I would never escape that life
of poverty, I became determined
to prove him wrong. I took night
Copyright © 2007 Massachusetts Medical Society. All rights reserved.
Downloaded from www.nejm.org at THE OHIO STATE UNIV on August 26, 2007 .
PERSPECTIVE
n engl j med 357;6 www.nejm.org august 9, 200530 7
jobs as a janitor and subsequently
as a welder that allowed me to
attend a community college where
I could learn English.
In 1989, while I was working
for a railroad company as a welder
and high-pressure valve specialist,
I had an accident that
caused me to reevaluate my life
once again. I fell into a tank car
that was used to carry liquefied
petroleum gas. My father was
working at the same company.
Hearing a coworker’s cry for help,
he tried to get into the tank; fortunately,
someone stopped him. It
was my brother-in-law, Ramon,
who climbed in and saved my
life. He was taken out of the
tank unconscious but regained
consciousness quickly. By the time
I was rescued, my heart rate had
slowed almost to zero, but I was
resuscitated in time. When I
awoke, I saw a person dressed all
in white and was flooded with a
sense of security, confidence, and
protection, knowing that a doctor
was taking care of me. Although
it was clear to me that our
poverty and inability to speak English
usually translated into suboptimal
health care for my community,
the moment I saw this
physician at my bedside, I felt I
had reached terra firma, that I had
a guardian.
After community college, I was
accepted at the University of California,
Berkeley, where a combination
of excellent mentorship,
scholarships, and my own passion
for math and science led me to
research in the neurosciences. One
of my mentors there convinced
me, despite my skepticism, that
I could go anywhere I wanted for
medical school. Thanks to such
support and encouragement, I
eventually went to Harvard Medical
School. As I pursued my own
education, I became increasingly
aware of the need and responsibility
we have to educate our country’s
poor.
It is no secret that minority
communities have the highest
dropout rates and the lowest
educational achievement levels
in the country. The pathway to
higher education and professional
training programs is not
“primed” for minority students.
In 1994, when I started medical
school, members of minority
groups made up about 18% of
the U.S. population but accounted
for only 3.7% of the faculty in
U.S. medical schools. I was very
fortunate to find outstanding
minority role models, but though
their quality was high, their numbers
were low.
Given my background, perhaps
it is not surprising that I
did not discover the field of neurosurgery
until I was a medical
student. I vividly remember when,
in my third year of medical
school, I first witnessed neurosurgeons
peeling back the dura
and exposing a real, live, throbbing
human brain. I recall feeling
absolute awe and humility —
and an immediate and deep
recognition of the intimacy between
a patient and a doctor.
That year, one of my professors
strongly encouraged me to
go into primary care, arguing
that it was the best way for me
to serve my Hispanic immigrant
community. Although I had initially
intended to return to Mexico
triumphant, I had since fallen
in love with this country, and
I soon found myself immersed
in and committed to the betterment
of U.S. society. With my
sights set on neurosurgery after
medical school, I followed my
heart and instincts and have tried
to contribute to my community
and the larger society in my own
way. I see a career in academic
medicine as an opportunity not
only to improve our understanding
and treatment of human diseases
but also to provide leadership
within medicine and support
to future scientists, medical students,
and physician scientists
from minority and nonminority
groups alike.
Terra Firma — A Journey from Migrant Farm Labor to Neurosurgery
Copyright © 2007 Massachusetts Medical Society. All rights reserved.
Downloaded from www.nejm.org at THE OHIO STATE UNIV on August 26, 2007 .
n engl j med 357;6 www.nejm.org august 9, 2007
PERSPECTIVE
531
My grandmother was the medicine
woman in the small town in
rural Mexico where I grew up.
As I have gotten older, I have
come to recognize the crucial
role she played not only in instilling
in me the value of healing
but also in determining the
fate and future of others. She was
my first role model, and throughout
my life I have depended on
the help of my mentors in pursuing
my dreams. Like many other
illegal immigrants, I arrived in
the United States able only to
contemplate those dreams — I
was not at that point on solid
ground. From the fields of the
San Joaquin Valley in California
to the field of neurosurgery, it
has been quite a journey. Today,
as a neurosurgeon and researcher,
I am taking part in the larger
journey of medicine, both caring
for patients and conducting
clinical and translational research
on brain cancer that I hope will
lead to innovative ways of fighting
devastating disease. And as
a citizen of the United States, I am
also participating in the great
journey of this country. For immigrants
like me, this voyage still
means the pursuit of a better
life — and the opportunity to
give back to society.
An interview with Dr. Quiñones-Hinojosa
can be heard at www.nejm.org.
Dr. Quiñones-Hinojosa is an assistant professor
of neurosurgery and oncology and
director of the brain-tumor stem-cell laboratory
at Johns Hopkins School of Medicine,
Baltimore, and director of the braintumor
program at the Johns Hopkins
Bayview campus.
Copyright © 2007 Massachusetts Medical Society.
Terra Firma — A Journey from Migrant Farm Labor to Neurosurgery
Pay for Performance, Version 2.0?
Thomas H. Lee, M.D.
“Old wine in a new bottle.” “A
financial gamble.” “An early
glimpse of the next generation of
pay for performance.” All these
appraisals have been applied to
Geisinger Health System’s new approach
to elective coronary-artery
bypass grafting (CABG), which
has been described with words
rarely invoked in health care, such
as “promise” and “guarantee.”
Geisinger, an integrated health
care delivery system in northeastern
Pennsylvania, promises
that 40 key processes will be
completed for every patient who
undergoes elective CABG — even
though several of the “benchmarks”
are to be reached before
or after hospitalization. And although
Geisinger cannot guarantee
good clinical outcomes, it
charges a standard flat rate that
covers care for related complications
during the 90 days after
surgery.
As a member of Geisinger’s
board of directors, I have watched
this program evolve over the past
year, and I see truth in all three
of the above assessments. Many
of the core components of the
program are familiar, but this
sort of application of those components
represents a foray into
the unknown. Since a front-page
article in the New York Times on
May 17, 2007, drew national attention
to the Geisinger program,
other hospitals have been
watching closely and wondering
whether they, too, should go
down this road. Those who examine
it closely will quickly discover
that the program is less
about cardiac surgery than about
the search for an alternative to
traditional fee-for-service care.
The basic concept is far from
radical. The seven cardiac surgeons
in the Geisinger delivery
system agreed on 40 processes
that should be completed during
the care of every patient undergoing
elective CABG. Most of
the “Proven Care Benchmarks”
come directly from guidelines
established by the American College
of Cardiology and the American
Heart Association (ACC–AHA)
(see box). These steps (such as
the administration of preoperative
antibiotics at a specified time)
are prominent in the critical pathways
in use for cardiac surgery
at many other hospitals.
The list does not force the surgeons
to practice “cookbook medicine.”
For example, they do not
necessarily have to use epiaortic
echocardiography to screen for
atheromata before manipulating
the aorta. But the protocol requires
that they consider this test
and document the reason if they
decide not to use it.
Closer inspection reveals some
other items on the list that would
be new to most critical pathways
for CABG. The first benchmark
that must be documented is a
statement of the indication for
CABG according to the ACC–AHA
guidelines.1 These guidelines de-
Copyright © 2007 Massachusetts Medical Society. All rights reserved.

Downloaded from www.nejm.org at THE OHIO STATE UNIV on August 26, 2007 .
--
力刀 于加拿大
北美中国医(学)生教育网站:
http://bbs.cmgforum.net or http://cmgforum.net
MITBBS_美国医学教育博客(USMedEdu):
http://www.mitbbs.com/pc/index.php?id=USMedEdu
MITBBS美加临床医学考版俱乐部(Pre_Resident_Club):

发信人: USMedEdu (US_CMGs), 信区: Biology
标 题: Re: 生活是美丽的。
发信站: BBS 未名空间站 (Thu Jan 27 18:13:03 2011, 美东)

Terra Firma — A Journey from Migrant Farm Labor
to Neurosurgery

Alfredo Quiñones-Hinojosa, M.D.

http://content.nejm.org/cgi/reprint/357/6/529.pdf
“You will spend the rest of
your life working in the
fields,” my cousin told me when
I arrived in the United States in
the mid-1980s. This fate indeed
appeared likely: a 19-
year-old illegal migrant
farm worker, I
had no English language
skills and no
dependable means of
support. I had grown
up in a small Mexican
farming community,
where I began
working at my father’s
gas station at
the age of 5. Our
family was poor, and
we were subject to the diseases
of poverty: my earliest memory
is of my infant sister’s death
from diarrhea when I was 3 years
old. But my parents worked long
hours and had always made
enough money to feed us, until
an economic crisis hit our country
in the 1970s. Then they could
no longer support the family,
and although I trained to be a
teacher, I could not put enough
food on the table either.
Desperate for a livable income,
I packed my few belongings
and, with $65 in my pocket,
crossed the U.S. border illegally.
The first time I hopped the fence
into California, I was caught
and sent back to Mexico, but I
tried again and succeeded. I am
not condoning illegal immigration;
honestly, at the time, the
law was far from the front of my
mind. I was merely responding
to the dream of a better life, the
hope of escaping poverty so that
one day I could return home triumphant.
Reality, however, posed
a stark contrast to the dream. I
spent long days in the fields picking
fruits and vegetables, sleeping
under leaky camper shells,
eating anything I could get, with
hands bloodied from pulling
weeds — the very same hands
that today perform brain surgery.
My days as a farm worker
taught me a great deal about
economics, politics, and society.
I learned that being illegal and
poor in a foreign country could
be more painful than any poverty
I had previously experienced.
I learned that our society sometimes
treats us differently depending
on the places we have
been and the education we have
obtained. When my cousin told
me I would never escape that life
of poverty, I became determined
to prove him wrong. I took night
Copyright © 2007 Massachusetts Medical Society. All rights reserved.
Downloaded from www.nejm.org at THE OHIO STATE UNIV on August 26, 2007 .
PERSPECTIVE
n engl j med 357;6 www.nejm.org august 9, 200530 7
jobs as a janitor and subsequently
as a welder that allowed me to
attend a community college where
I could learn English.
In 1989, while I was working
for a railroad company as a welder
and high-pressure valve specialist,
I had an accident that
caused me to reevaluate my life
once again. I fell into a tank car
that was used to carry liquefied
petroleum gas. My father was
working at the same company.
Hearing a coworker’s cry for help,
he tried to get into the tank; fortunately,
someone stopped him. It
was my brother-in-law, Ramon,
who climbed in and saved my
life. He was taken out of the
tank unconscious but regained
consciousness quickly. By the time
I was rescued, my heart rate had
slowed almost to zero, but I was
resuscitated in time. When I
awoke, I saw a person dressed all
in white and was flooded with a
sense of security, confidence, and
protection, knowing that a doctor
was taking care of me. Although
it was clear to me that our
poverty and inability to speak English
usually translated into suboptimal
health care for my community,
the moment I saw this
physician at my bedside, I felt I
had reached terra firma, that I had
a guardian.
After community college, I was
accepted at the University of California,
Berkeley, where a combination
of excellent mentorship,
scholarships, and my own passion
for math and science led me to
research in the neurosciences. One
of my mentors there convinced
me, despite my skepticism, that
I could go anywhere I wanted for
medical school. Thanks to such
support and encouragement, I
eventually went to Harvard Medical
School. As I pursued my own
education, I became increasingly
aware of the need and responsibility
we have to educate our country’s
poor.
It is no secret that minority
communities have the highest
dropout rates and the lowest
educational achievement levels
in the country. The pathway to
higher education and professional
training programs is not
“primed” for minority students.
In 1994, when I started medical
school, members of minority
groups made up about 18% of
the U.S. population but accounted
for only 3.7% of the faculty in
U.S. medical schools. I was very
fortunate to find outstanding
minority role models, but though
their quality was high, their numbers
were low.
Given my background, perhaps
it is not surprising that I
did not discover the field of neurosurgery
until I was a medical
student. I vividly remember when,
in my third year of medical
school, I first witnessed neurosurgeons
peeling back the dura
and exposing a real, live, throbbing
human brain. I recall feeling
absolute awe and humility —
and an immediate and deep
recognition of the intimacy between
a patient and a doctor.
That year, one of my professors
strongly encouraged me to
go into primary care, arguing
that it was the best way for me
to serve my Hispanic immigrant
community. Although I had initially
intended to return to Mexico
triumphant, I had since fallen
in love with this country, and
I soon found myself immersed
in and committed to the betterment
of U.S. society. With my
sights set on neurosurgery after
medical school, I followed my
heart and instincts and have tried
to contribute to my community
and the larger society in my own
way. I see a career in academic
medicine as an opportunity not
only to improve our understanding
and treatment of human diseases
but also to provide leadership
within medicine and support
to future scientists, medical students,
and physician scientists
from minority and nonminority
groups alike.
Terra Firma — A Journey from Migrant Farm Labor to Neurosurgery
Copyright © 2007 Massachusetts Medical Society. All rights reserved.
Downloaded from www.nejm.org at THE OHIO STATE UNIV on August 26, 2007 .
n engl j med 357;6 www.nejm.org august 9, 2007
PERSPECTIVE
531
My grandmother was the medicine
woman in the small town in
rural Mexico where I grew up.
As I have gotten older, I have
come to recognize the crucial
role she played not only in instilling
in me the value of healing
but also in determining the
fate and future of others. She was
my first role model, and throughout
my life I have depended on
the help of my mentors in pursuing
my dreams. Like many other
illegal immigrants, I arrived in
the United States able only to
contemplate those dreams — I
was not at that point on solid
ground. From the fields of the
San Joaquin Valley in California
to the field of neurosurgery, it
has been quite a journey. Today,
as a neurosurgeon and researcher,
I am taking part in the larger
journey of medicine, both caring
for patients and conducting
clinical and translational research
on brain cancer that I hope will
lead to innovative ways of fighting
devastating disease. And as
a citizen of the United States, I am
also participating in the great
journey of this country. For immigrants
like me, this voyage still
means the pursuit of a better
life — and the opportunity to
give back to society.
An interview with Dr. Quiñones-Hinojosa
can be heard at www.nejm.org.
Dr. Quiñones-Hinojosa is an assistant professor
of neurosurgery and oncology and
director of the brain-tumor stem-cell laboratory
at Johns Hopkins School of Medicine,
Baltimore, and director of the braintumor
program at the Johns Hopkins
Bayview campus.
Copyright © 2007 Massachusetts Medical Society.
Terra Firma — A Journey from Migrant Farm Labor to Neurosurgery
Pay for Performance, Version 2.0?
Thomas H. Lee, M.D.
“Old wine in a new bottle.” “A
financial gamble.” “An early
glimpse of the next generation of
pay for performance.” All these
appraisals have been applied to
Geisinger Health System’s new approach
to elective coronary-artery
bypass grafting (CABG), which
has been described with words
rarely invoked in health care, such
as “promise” and “guarantee.”
Geisinger, an integrated health
care delivery system in northeastern
Pennsylvania, promises
that 40 key processes will be
completed for every patient who
undergoes elective CABG — even
though several of the “benchmarks”
are to be reached before
or after hospitalization. And although
Geisinger cannot guarantee
good clinical outcomes, it
charges a standard flat rate that
covers care for related complications
during the 90 days after
surgery.
As a member of Geisinger’s
board of directors, I have watched
this program evolve over the past
year, and I see truth in all three
of the above assessments. Many
of the core components of the
program are familiar, but this
sort of application of those components
represents a foray into
the unknown. Since a front-page
article in the New York Times on
May 17, 2007, drew national attention
to the Geisinger program,
other hospitals have been
watching closely and wondering
whether they, too, should go
down this road. Those who examine
it closely will quickly discover
that the program is less
about cardiac surgery than about
the search for an alternative to
traditional fee-for-service care.
The basic concept is far from
radical. The seven cardiac surgeons
in the Geisinger delivery
system agreed on 40 processes
that should be completed during
the care of every patient undergoing
elective CABG. Most of
the “Proven Care Benchmarks”
come directly from guidelines
established by the American College
of Cardiology and the American
Heart Association (ACC–AHA)
(see box). These steps (such as
the administration of preoperative
antibiotics at a specified time)
are prominent in the critical pathways
in use for cardiac surgery
at many other hospitals.
The list does not force the surgeons
to practice “cookbook medicine.”
For example, they do not
necessarily have to use epiaortic
echocardiography to screen for
atheromata before manipulating
the aorta. But the protocol requires
that they consider this test
and document the reason if they
decide not to use it.
Closer inspection reveals some
other items on the list that would
be new to most critical pathways
for CABG. The first benchmark
that must be documented is a
statement of the indication for
CABG according to the ACC–AHA
guidelines.1 These guidelines de-
Copyright © 2007 Massachusetts Medical Society. All rights reserved.

Downloaded from www.nejm.org at THE OHIO STATE UNIV on August 26, 2007 .
--
力刀 于加拿大
北美中国医(学)生教育网站:
http://bbs.cmgforum.net or http://cmgforum.net
MITBBS_美国医学教育博客(USMedEdu):
http://www.mitbbs.com/pc/index.php?id=USMedEdu
MITBBS美加临床医学考版俱乐部(Pre_Resident_Club):

发信人: USMedEdu (US_CMGs), 信区: Biology
标 题: Re: 生活是美丽的。
发信站: BBS 未名空间站 (Thu Jan 27 18:13:03 2011, 美东)

Terra Firma — A Journey from Migrant Farm Labor
to Neurosurgery

Alfredo Quiñones-Hinojosa, M.D.

http://content.nejm.org/cgi/reprint/357/6/529.pdf
“You will spend the rest of
your life working in the
fields,” my cousin told me when
I arrived in the United States in
the mid-1980s. This fate indeed
appeared likely: a 19-
year-old illegal migrant
farm worker, I
had no English language
skills and no
dependable means of
support. I had grown
up in a small Mexican
farming community,
where I began
working at my father’s
gas station at
the age of 5. Our
family was poor, and
we were subject to the diseases
of poverty: my earliest memory
is of my infant sister’s death
from diarrhea when I was 3 years
old. But my parents worked long
hours and had always made
enough money to feed us, until
an economic crisis hit our country
in the 1970s. Then they could
no longer support the family,
and although I trained to be a
teacher, I could not put enough
food on the table either.
Desperate for a livable income,
I packed my few belongings
and, with $65 in my pocket,
crossed the U.S. border illegally.
The first time I hopped the fence
into California, I was caught
and sent back to Mexico, but I
tried again and succeeded. I am
not condoning illegal immigration;
honestly, at the time, the
law was far from the front of my
mind. I was merely responding
to the dream of a better life, the
hope of escaping poverty so that
one day I could return home triumphant.
Reality, however, posed
a stark contrast to the dream. I
spent long days in the fields picking
fruits and vegetables, sleeping
under leaky camper shells,
eating anything I could get, with
hands bloodied from pulling
weeds — the very same hands
that today perform brain surgery.
My days as a farm worker
taught me a great deal about
economics, politics, and society.
I learned that being illegal and
poor in a foreign country could
be more painful than any poverty
I had previously experienced.
I learned that our society sometimes
treats us differently depending
on the places we have
been and the education we have
obtained. When my cousin told
me I would never escape that life
of poverty, I became determined
to prove him wrong. I took night
Copyright © 2007 Massachusetts Medical Society. All rights reserved.
Downloaded from www.nejm.org at THE OHIO STATE UNIV on August 26, 2007 .
PERSPECTIVE
n engl j med 357;6 www.nejm.org august 9, 200530 7
jobs as a janitor and subsequently
as a welder that allowed me to
attend a community college where
I could learn English.
In 1989, while I was working
for a railroad company as a welder
and high-pressure valve specialist,
I had an accident that
caused me to reevaluate my life
once again. I fell into a tank car
that was used to carry liquefied
petroleum gas. My father was
working at the same company.
Hearing a coworker’s cry for help,
he tried to get into the tank; fortunately,
someone stopped him. It
was my brother-in-law, Ramon,
who climbed in and saved my
life. He was taken out of the
tank unconscious but regained
consciousness quickly. By the time
I was rescued, my heart rate had
slowed almost to zero, but I was
resuscitated in time. When I
awoke, I saw a person dressed all
in white and was flooded with a
sense of security, confidence, and
protection, knowing that a doctor
was taking care of me. Although
it was clear to me that our
poverty and inability to speak English
usually translated into suboptimal
health care for my community,
the moment I saw this
physician at my bedside, I felt I
had reached terra firma, that I had
a guardian.
After community college, I was
accepted at the University of California,
Berkeley, where a combination
of excellent mentorship,
scholarships, and my own passion
for math and science led me to
research in the neurosciences. One
of my mentors there convinced
me, despite my skepticism, that
I could go anywhere I wanted for
medical school. Thanks to such
support and encouragement, I
eventually went to Harvard Medical
School. As I pursued my own
education, I became increasingly
aware of the need and responsibility
we have to educate our country’s
poor.
It is no secret that minority
communities have the highest
dropout rates and the lowest
educational achievement levels
in the country. The pathway to
higher education and professional
training programs is not
“primed” for minority students.
In 1994, when I started medical
school, members of minority
groups made up about 18% of
the U.S. population but accounted
for only 3.7% of the faculty in
U.S. medical schools. I was very
fortunate to find outstanding
minority role models, but though
their quality was high, their numbers
were low.
Given my background, perhaps
it is not surprising that I
did not discover the field of neurosurgery
until I was a medical
student. I vividly remember when,
in my third year of medical
school, I first witnessed neurosurgeons
peeling back the dura
and exposing a real, live, throbbing
human brain. I recall feeling
absolute awe and humility —
and an immediate and deep
recognition of the intimacy between
a patient and a doctor.
That year, one of my professors
strongly encouraged me to
go into primary care, arguing
that it was the best way for me
to serve my Hispanic immigrant
community. Although I had initially
intended to return to Mexico
triumphant, I had since fallen
in love with this country, and
I soon found myself immersed
in and committed to the betterment
of U.S. society. With my
sights set on neurosurgery after
medical school, I followed my
heart and instincts and have tried
to contribute to my community
and the larger society in my own
way. I see a career in academic
medicine as an opportunity not
only to improve our understanding
and treatment of human diseases
but also to provide leadership
within medicine and support
to future scientists, medical students,
and physician scientists
from minority and nonminority
groups alike.
Terra Firma — A Journey from Migrant Farm Labor to Neurosurgery
Copyright © 2007 Massachusetts Medical Society. All rights reserved.
Downloaded from www.nejm.org at THE OHIO STATE UNIV on August 26, 2007 .
n engl j med 357;6 www.nejm.org august 9, 2007
PERSPECTIVE
531
My grandmother was the medicine
woman in the small town in
rural Mexico where I grew up.
As I have gotten older, I have
come to recognize the crucial
role she played not only in instilling
in me the value of healing
but also in determining the
fate and future of others. She was
my first role model, and throughout
my life I have depended on
the help of my mentors in pursuing
my dreams. Like many other
illegal immigrants, I arrived in
the United States able only to
contemplate those dreams — I
was not at that point on solid
ground. From the fields of the
San Joaquin Valley in California
to the field of neurosurgery, it
has been quite a journey. Today,
as a neurosurgeon and researcher,
I am taking part in the larger
journey of medicine, both caring
for patients and conducting
clinical and translational research
on brain cancer that I hope will
lead to innovative ways of fighting
devastating disease. And as
a citizen of the United States, I am
also participating in the great
journey of this country. For immigrants
like me, this voyage still
means the pursuit of a better
life — and the opportunity to
give back to society.
An interview with Dr. Quiñones-Hinojosa
can be heard at www.nejm.org.
Dr. Quiñones-Hinojosa is an assistant professor
of neurosurgery and oncology and
director of the brain-tumor stem-cell laboratory
at Johns Hopkins School of Medicine,
Baltimore, and director of the braintumor
program at the Johns Hopkins
Bayview campus.
Copyright © 2007 Massachusetts Medical Society.
Terra Firma — A Journey from Migrant Farm Labor to Neurosurgery
Pay for Performance, Version 2.0?
Thomas H. Lee, M.D.
“Old wine in a new bottle.” “A
financial gamble.” “An early
glimpse of the next generation of
pay for performance.” All these
appraisals have been applied to
Geisinger Health System’s new approach
to elective coronary-artery
bypass grafting (CABG), which
has been described with words
rarely invoked in health care, such
as “promise” and “guarantee.”
Geisinger, an integrated health
care delivery system in northeastern
Pennsylvania, promises
that 40 key processes will be
completed for every patient who
undergoes elective CABG — even
though several of the “benchmarks”
are to be reached before
or after hospitalization. And although
Geisinger cannot guarantee
good clinical outcomes, it
charges a standard flat rate that
covers care for related complications
during the 90 days after
surgery.
As a member of Geisinger’s
board of directors, I have watched
this program evolve over the past
year, and I see truth in all three
of the above assessments. Many
of the core components of the
program are familiar, but this
sort of application of those components
represents a foray into
the unknown. Since a front-page
article in the New York Times on
May 17, 2007, drew national attention
to the Geisinger program,
other hospitals have been
watching closely and wondering
whether they, too, should go
down this road. Those who examine
it closely will quickly discover
that the program is less
about cardiac surgery than about
the search for an alternative to
traditional fee-for-service care.
The basic concept is far from
radical. The seven cardiac surgeons
in the Geisinger delivery
system agreed on 40 processes
that should be completed during
the care of every patient undergoing
elective CABG. Most of
the “Proven Care Benchmarks”
come directly from guidelines
established by the American College
of Cardiology and the American
Heart Association (ACC–AHA)
(see box). These steps (such as
the administration of preoperative
antibiotics at a specified time)
are prominent in the critical pathways
in use for cardiac surgery
at many other hospitals.
The list does not force the surgeons
to practice “cookbook medicine.”
For example, they do not
necessarily have to use epiaortic
echocardiography to screen for
atheromata before manipulating
the aorta. But the protocol requires
that they consider this test
and document the reason if they
decide not to use it.
Closer inspection reveals some
other items on the list that would
be new to most critical pathways
for CABG. The first benchmark
that must be documented is a
statement of the indication for
CABG according to the ACC–AHA
guidelines.1 These guidelines de-
Copyright © 2007 Massachusetts Medical Society. All rights reserved.

Downloaded from www.nejm.org at THE OHIO STATE UNIV on August 26, 2007 .
--
力刀 于加拿大
北美中国医(学)生教育网站:
http://bbs.cmgforum.net or http://cmgforum.net
MITBBS_美国医学教育博客(USMedEdu):
http://www.mitbbs.com/pc/index.php?id=USMedEdu
MITBBS美加临床医学考版俱乐部(Pre_Resident_Club):

 
2   [DrNewbie 于 2010-11-19 01:06:52 提到] [FROM: 98.]
Medi is back to its glory days in the absence of the obnoxious barking from the MadDog!!! Does anyone think there are some indispensable tips he actually learned from his private club? His club is such a joke.

I cant believe this kind of idiot exists in this world. Two words to describe this piece of human trash: shameless and stupid. USMedEdu, aka, MadDog, put the following thread in his blog and bold it in the front page. Yet, clearly, the answers he endorsed are the worst answers. The answer I provided got a nod from an English forum. Does he understand the concept of shame or logic? Not only he speaks/writes shitty English, he cant think straight either. And now he wants to drag everyone down with him. PITY! What kind of dumb ass slaps his own face in public? What a joke!
无极: 住院医生面试碰到的尴尬事( 力刀评注推荐及麦地网友讨论)

Doc has successfully sabotaged a good learning club. At the peak, the pre_resident_english_corner had over 95 members and hundreds of posts. Congratulations! I will jot down a few expressions and new words here and there for myself mostly. Sorry friends. I let you down. You guys are the only losers as the bystanders caught in the cross-fire between the two warring parties. Ironically, both of the two people at war came out as the only two 'winners'. Doc can claim his star power. I can focus on my study.

Clearly, this USMedEd cant think straight anymore at his age. To give his credit where credit is due, he is still good at copying/pasting of the posts written by others. Follow his rubbish advice at your peril. We can write a laundry list of his shitty advice. This is a guy who cant keep his job for long. I am still wondering why he had to side with the losing party in a political struggle at work as he put it in one of his posts. Most people would not get involved. Only confrontational and aggressive douche bags would go for it. They can be burned again and again and are still clueless as it is just bad luck and not their faults whatsoever.

It is not just me saying this. Read this:
[snowfox01 于 2010-11-02 17:25:32 提到] [FROM: 134.74.]
Dr.Newbie:Please be nice to this old man。
难道你没看见你把他生命中唯一的支柱----收集各种贴子,然后大言不惭的copy&post 到自己的网页。给打碎了。同时,他在麦地的“一手遮天” 用那二十年前的狗屁经验来误导新人,也让你给揭穿了。我能理解他的恼羞成怒。他也没几天了,就让他乐呵乐呵吧。

There is no doubt that my English is better than anyone else including Eric and that lumcsomething. I was actually touched by the applications to my club every day during this short time. While I am still trying to figuring out the best way to get people energized and the best way to help, it went kaboom. It is such a pity. Just imagine how much more I can help once I get into residency and finish it.

I am sorry it has gone this far. This dokknife has been attacking me relentlessly on anything I write for no good reason. I have to stand up for myself. He said it himself: He does not care whether I am right or wrong. So he makes it personal. Now, he got it. It is personal between him and me.

Feel free to say hello to me at your leisure. I dont have time to play with this piece of human trash and a sadist who excels in copying/pasting and who cant keep his jobs for long. Let him have his schadenfreude from how the ex-boss who canned him got divorced. Let him brag how successful he is in dismantling a learning place.

Lets watch which comes first: I get into residency or he got fired.

并爱好给人改错的蠢人的发言更充分地反映出其愚蠢和无知,她的所谓良好英语在她的愚蠢脑袋支配下成了砸她自己脚的石头。此人在麦地已经贩卖了无数的垃圾和错误得东西。我实在无法忍受这种蠢人无休无止地误导CMG.
-----Doc.
乌龟总是对眼王八,狼和狈总是为奸。
你和这个混球对上眼很正常。装糊涂装黄花大姑娘真有坐台小姐得姿态嘛。
-----Doc
你这WSN还真是咸吃萝卜蛋操心.
-----Doc
耗子乌龟王八苍蝇和垃圾.
-----Doc
狗屁不懂的蠢货,愚蠢跳粱BSO牛Xer还真是第一次出现。各位可以饱眼福了.
-----Doc
换王八壳子来口水的蠢货的蠢言蠢语愚不可及的暴露,她懂个狗P.
-----Doc

You all think this is acceptable and a good presentation of character? What I said back is half what he has said to me. Every time I make an apology to him, I got spit-at-your-face response in return.

It is a pity to see a good club falling apart. At least I have the decency not to use my club as a venting joint. I am sorry that you are put between a rock and a hard place. I will understand if you have to quit the club. You are always welcome to use a majia and check us out. This club is not intended as a base for isolation or a launch pad for personal attacks. It is a place purely devoted to English skills. It is a really a shame that Doc would pull people out of a club just to make people take sides. I dont see how he sabotages an educational club would help his cause. Yes, he has succeeded in pulling 20 people out of my English club and he can claim it is a win-lose-lose situation for himself. But ultimately, it is a lose-lose-lose situation.


1 [DrNewbie 于 2010-11-08 22:03:16 提到][删除][修改] [FROM: 98.119.]
Do you have any traces of honor and integrity left in your body? What a piece of human trash. How hard is it to admit you were wrong? What a stupid, arrogant, crazy bitch. Your bark is worse than your bite. Pathetic loser. You promote a 'clean' medi. Yet, you started a club for the sole purpose of shitting in it.You are a disgrace to the human race.

Read this and you know how it started and what I said is exactly what Doc said to me in English. And he said it a dozen of times to me.

http://www.mitbbs.com/pc/pccon_7773_142905.html

1 [DrNewbie 于 2010-11-08 23:51:41 提到][删除][修改]

What I said is half of what you have said to me. What are you whining about? Be a man. Fight fair and square. Dont just shit in your own compound. You thought you will get sympathy from your followers? What you get is despise from your sympathizers.

2 [DrNewbie 于 2010-11-08 23:05:40 提到][删除][修改]
Clearly you have no comprehension of English. You have a low EQ. You are clueless here. Why dont you shut your mouth? Be a man and make an apology to me. I have apologized to you a dozen of times. What I get is spit-at-my-face every time in return. Do you have any integrity and honor left in u?

3. All said and done. You truly think you gain the upper hand by locking me outside? You truly think I will lose without getting into your club? Seriously, dont flatter yourself. I have connections to match into a good University program already. I personally know a couple of Chinese PDs and American PDs. Give me a break already.
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共有2条评论
1 [Viky 于 2010-11-12 09:42:23 提到][删除] [FROM: 152.11.]
劝lz别跟那个老250浪费时间了。。
 
3   [USMedEdu 于 2010-09-27 13:33:23 提到] [FROM: 140.]
发信人: changeisgood (飞猪), 信区: GunsAndGears
标 题: Re: 大刀要去加拿大了,大伙开枪为他壮行
发信站: BBS 未名空间站 (Fri Sep 24 16:46:26 2010, 美东)

感我力刀兄长,舞刀亦会弄枪。
柳叶轻削红黄,精钢怒指无常。
上敬宗祖乡香,下怜蜉蝣伤殇。
纵览古今文章,横扫无脑轻狂。
如今挥袖北往,莫言酸心费枉。
任使乾坤荡漾,不过再干一场!
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 88.71.]

 
4   [USMedEdu 于 2010-09-27 13:28:12 提到] [FROM: 140.]
发信人: ctsm (sharpshooter), 信区: MedicalCareer
标 题: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sat Sep 25 10:58:10 2010, 美东)

http://www.mitbbs.com/article_t/MedicalCareer/31371615.html


发信人: USMedEdu (US_CMGs), 信区: Tennis
标 题: 要去加拿大了,酸一把。。。。。。
发信站: BBS 未名空间站 (Thu Sep 23 18:06:48 2010, 美东)

要去加拿大了,酸一把。。。。。。


20年前洋插队第一站是加拿大落的脚,后来到美国讨生活。转了一大圈,又要回加
拿大讨饭了,酸一把。。。。。。

好在社会主义加拿大生活舒适安逸铁饭碗,俺决定以后每年回NY看USO顺便参加
球友爬梯,会会老朋友。




六言.有感

力刀


来时枫国草绿,归去叶将枯黄。
当年理想成灰,怒视坦克机枪。
北极凌厉朔风,风城刺骨雪霜。
来时孑然一身,患难夫妻儿郎。
十年坎坷漂泊,铁心重上考场。
一分过线分数,不惑住院奔忙。

离家两载三处,专科又是一双。
募捐艾滋孤儿,海外国内同行。
码文辅导学友,血泪熬墨文章。
学成已知天命,鬓霜少年心狂。
钱财名利如烟,输赢又有何妨?
回首一场征程,了此一生不枉!

9/15/2010


--

※ 修改:·ctsm 於 Sep 25 10:59:06 2010 修改本文·[FROM: 24.196.]
※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 24.196.]






一分钟测试你的外汇常识、投资潜能
现代都市女性新选择:是做“主妇”还是嫁“煮夫”?(图)
中国打美国1.6分,美国打中国1分;台湾1.6分;不需签约,没有最低消费
中文电视选择太多,到底哪家更适合你?
IBM最新招聘职位(更新)申请从速!
南京航空航天大学2010年诚聘海外英才


cqfly

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[ 2 ]

发信人: cqfly (cq), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sat Sep 25 11:12:31 2010, 美东)

祝愿老刀先生搬迁顺利,盼闲时多给我们指导和建议.

--

※ 修改:·cqfly 於 Sep 25 11:15:57 2010 修改本文·[FROM: 76.113.]
※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 76.113.]







ada

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[ 3 ]

发信人: ada (ada), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sat Sep 25 12:20:21 2010, 美东)

刀大哥保重,定要先照顾好自己和家人。到哪迟早你都是被仰视的那位。麦地永远支持
你。祝福!
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 74.136.]







SUMO2009
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[ 4 ]

发信人: SUMO2009 (sumo), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sat Sep 25 12:33:33 2010, 美东)



祝福老刀大哥:搬家顺利,以后的工作和生活幸福

--

※ 修改:·SUMO2009 於 Sep 25 13:57:18 2010 修改本文·[FROM: 192.5.]
※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 192.5.]







bufushu

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[ 5 ]

发信人: bufushu (bufu), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sat Sep 25 13:39:48 2010, 美东)

莫愁前路无知己
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 192.55.]







lovelypony
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发信人: lovelypony (lovelypony), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sat Sep 25 13:52:18 2010, 美东)

除了老刀会不能去了,网络无界限吧。祝福老刀一切顺心!
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 164.107.]







fckdsb

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[ 7 ]

发信人: fckdsb (GFDS), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sat Sep 25 14:27:01 2010, 美东)

老大,我就喜欢你这样的人生,来加拿大把,我给你接风,
只要不嫌弃我们这嘎答寒酸,你完全可以成我们的精神领袖了

逆风,Acne,lao ben 你们赶紧露脸,上来祝福一把

刀,你太酸了,我肯定很多人都误会了,看大多数回帖就知道了,我也是 Second thought 才回过味来,你是那儿钱多,往那儿钻,还酸一把说又要回加拿大了,惹人同情,你来加拿大挣30万绿纸,一半是要交政府的,我这里刚刚修理了一个和政府抗税的,进了局子,拍你一下


【 在 ctsm (sharpshooter) 的大作中提到: 】
: 发信人: USMedEdu (US_CMGs), 信区: Tennis
: 标 题: 要去加拿大了,酸一把。。。。。。
: 发信站: BBS 未名空间站 (Thu Sep 23 18:06:48 2010, 美东)
: 要去加拿大了,酸一把。。。。。。
: 20年前洋插队第一站是加拿大落的脚,后来到美国讨生活。转了一大圈,又要回加
: 拿大讨饭了,酸一把。。。。。。
: 好在社会主义加拿大生活舒适安逸铁饭碗,俺决定以后每年回NY看USO顺便参加
: 球友爬梯,会会老朋友。
: 六言.有感
: 力刀
: ...................





--

※ 修改:·fckdsb 於 Sep 25 14:50:57 2010 修改本文·[FROM: 72.38.]
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grad15
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[ 8 ]

发信人: grad15 (GI), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sat Sep 25 14:40:54 2010, 美东)

也因得到过老刀的诚肯指点,不论结果如何,只想说一声,好人一生平安。
--

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grad15
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[ 9 ]

发信人: grad15 (GI), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sat Sep 25 14:41:57 2010, 美东)

也因MATCH一事得到过老刀的诚肯指点,不论结果如何,只想说一声,好人一生平安。

--

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jeeep
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[ 10 ]

发信人: jeeep (JEEP), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sat Sep 25 16:18:30 2010, 美东)

祝平安顺利!!
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 71.232.]







happymonk
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[ 11 ]

发信人: happymonk (下山和尚), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sat Sep 25 17:07:38 2010, 美东)

我是一个老CMG,虽然没有面聆老刀教诲,但收益老刀雄文颇多,祝福老刀,
也祝老刀精神薪火相传,发扬光大!

同时弱弱地问一句:美国的执照可以在加国使吗?想将来去加国做老刀的弟子。
【 在 ctsm (sharpshooter) 的大作中提到: 】
: 发信人: USMedEdu (US_CMGs), 信区: Tennis
: 标 题: 要去加拿大了,酸一把。。。。。。
: 发信站: BBS 未名空间站 (Thu Sep 23 18:06:48 2010, 美东)
: 要去加拿大了,酸一把。。。。。。
: 20年前洋插队第一站是加拿大落的脚,后来到美国讨生活。转了一大圈,又要回加
: 拿大讨饭了,酸一把。。。。。。
: 好在社会主义加拿大生活舒适安逸铁饭碗,俺决定以后每年回NY看USO顺便参加
: 球友爬梯,会会老朋友。
: 六言.有感
: 力刀
: ...................



--

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dahai2
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[ 12 ]

发信人: dahai2 (dahai), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sat Sep 25 18:02:23 2010, 美东)

衷心祝福!!!
--

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yoghurt

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[ 13 ]

发信人: yoghurt (蒲公英), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sat Sep 25 18:23:18 2010, 美东)

All the best to you and your future career!!
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 66.73.]







USMLECMG08
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[ 14 ]

发信人: USMLECMG08 (Medstudent), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sat Sep 25 20:54:24 2010, 美东)

好人一生平安!!!

--

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huitailang

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[ 15 ]

发信人: huitailang (灰太郎), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sat Sep 25 22:04:25 2010, 美东)

祝好!!!
--

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woyuyingzhi

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[ 16 ]

发信人: woyuyingzhi (fee), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sat Sep 25 22:59:06 2010, 美东)

曾经受到过你的帮助。 多谢, 多保重。
--

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board08
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[ 17 ]

发信人: board08 (board08), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sat Sep 25 23:11:11 2010, 美东)

All the best!
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 72.181.]







supernav
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[ 18 ]

发信人: supernav (maize), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sat Sep 25 23:21:52 2010, 美东)

钱财名利如烟,输赢又有何妨?
回首一场征程,了此一生不枉

Feel the same thing.Good luck in Canada.
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 76.15.]







xinjing
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[ 19 ]

发信人: xinjing (jing), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sat Sep 25 23:45:35 2010, 美东)

祝愿老刀一切都好好好!
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 129.81.]







fogsail
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[ 20 ]

发信人: fogsail (pathguy), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sun Sep 26 00:30:22 2010, 美东)

Maybe u dont remember me, but I remember u, thanks for many sincerely
advices, including couple of phone conversations with me .. .Although we
never met, I appreciate your helps ...

道是世间多炎凉,一番侠骨难自藏。
山长地广有归处,夜雨剪烛忆他乡。
荣辱且付笑谈中,芳草天涯任翱翔。
是真名士自风流,倾盖之交勿相忘。
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 69.143.]


发信人: aDust (aDust), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sun Sep 26 01:16:09 2010, 美东)

来加拿大什么地方呀?希望我们在加拿大的考友能有缘和他见上一面。
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 99.248.]






一分钟测试你的外汇常识、投资潜能
现代都市女性新选择:是做“主妇”还是嫁“煮夫”?(图)
中国打美国1.6分,美国打中国1分;台湾1.6分;不需签约,没有最低消费
中文电视选择太多,到底哪家更适合你?
IBM最新招聘职位(更新)申请从速!
南京航空航天大学2010年诚聘海外英才


frankg
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[ 22 ]

发信人: frankg (FRANK), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sun Sep 26 03:55:30 2010, 美东)

呵呵,欢迎来到加拿大
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 128.189.]







Hilily

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[ 23 ]

发信人: Hilily (lily), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sun Sep 26 10:43:21 2010, 美东)

祝好人一生平安
--
We all come here for different reason at different time.

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 99.133.]







quesstion100
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[ 24 ]

发信人: quesstion100 (QQ), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sun Sep 26 10:46:25 2010, 美东)

曾经受到过你的指点,多谢. 好人一生平安。


--

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tcell
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[ 25 ]

发信人: tcell (非典型帅哥), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sun Sep 26 10:50:45 2010, 美东)

幸好还不远,呵呵。刀叔,保重啊!
--

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Amymama
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[ 26 ]

发信人: Amymama (mimi), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sun Sep 26 11:38:12 2010, 美东)

Best luck. You will have lots of friends no matter where you go!
--

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sunshadow

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[ 27 ]

发信人: sunshadow (影), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sun Sep 26 12:37:05 2010, 美东)

多保重,祝平安。
--
从今天起,我决定相信粮食和蔬菜,世人有良知,善有善报,付出必得收获,失败是成功之前最后一个步骤,以及我美貌无伦、才能盖世、deserve最美好的爱情。-- zeze

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FUZM
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[ 28 ]

发信人: FUZM (008), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sun Sep 26 13:50:28 2010, 美东)

老刀无论在哪里,都是我们的精神领袖!祝老刀加国快乐。
--
008

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houstongirl1
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[ 29 ]

发信人: houstongirl1 (HGxiaofan), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sun Sep 26 14:33:26 2010, 美东)

曾经受到过你的指点,多谢. 好人一生平安
--

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toutuanzi
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[ 30 ]

发信人: toutuanzi (Fanfan), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sun Sep 26 18:00:07 2010, 美东)

老刀是个大好人,多谢你的帮助,祝你一路顺风!!
--

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coalMiner

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[ 31 ]

发信人: coalMiner (mhz), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sun Sep 26 21:10:14 2010, 美东)

老刀一路顺风, 来纽约的话通知一下大家.
--

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lingzMainz

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[ 32 ]

发信人: lingzMainz (lingzMainz), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sun Sep 26 21:34:04 2010, 美东)

谢谢老刀的指点迷津,希望您还能常来麦地转转!
--

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strongbone
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[ 33 ]

发信人: strongbone (VD), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sun Sep 26 22:29:07 2010, 美东)

在家靠父母,出门靠朋友。真羡慕老刀在麦地这些年,赢得很多朋友的尊重。

去年给老刀发email请教。当天回信并留下他的电话,并约好通话时间。晚上8点打过去
,占线。第二天发email再约时间。老刀回信道歉说昨晚因辅导其他CMG超时,误了我的
电话。辅导过后再查,发现我的通话没有留下号码,所以无法当晚再给我回电话。这一
件事令本人非常感动。

--

※ 修改:·strongbone 於 Sep 26 22:29:57 2010 修改本文·[FROM: 75.34.]
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getbetter
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[ 34 ]

发信人: getbetter (benben), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sun Sep 26 23:51:31 2010, 美东)

来加拿大好。今年还为老刀担心呢。现在好了,只要健康,啥都好办。加拿大病理医生
年薪至少30-50万,并且加币接近美金,嘿嘿。

借人气问一下,有没有多伦多的CS考生,请和我联系。谢谢。

--

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jianchi
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[ 35 ]

发信人: jianchi (jianchi), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Sun Sep 26 23:58:52 2010, 美东)

曾受老刀帮助,多谢了。祝福一切顺利。
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SlowTractor
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[ 36 ]

发信人: SlowTractor (慢拖拉), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Mon Sep 27 01:47:57 2010, 美东)

祝平平安安!

【 在 ctsm (sharpshooter) 的大作中提到: 】
: 发信人: USMedEdu (US_CMGs), 信区: Tennis
: 标 题: 要去加拿大了,酸一把。。。。。。
: 发信站: BBS 未名空间站 (Thu Sep 23 18:06:48 2010, 美东)
: 要去加拿大了,酸一把。。。。。。
: 20年前洋插队第一站是加拿大落的脚,后来到美国讨生活。转了一大圈,又要回加
: 拿大讨饭了,酸一把。。。。。。
: 好在社会主义加拿大生活舒适安逸铁饭碗,俺决定以后每年回NY看USO顺便参加
: 球友爬梯,会会老朋友。
: 六言.有感
: 力刀
: ...................



--

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xlvivian

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[ 37 ]

发信人: xlvivian (Match2011), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Mon Sep 27 02:28:51 2010, 美东)

有幸参加了老刀会,觉得老刀真是大好人,这么为我们这些后来人服务。祝老刀全家一
切顺利,有空常回来。
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kevinshunli
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[ 38 ]

发信人: kevinshunli (kevin), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Mon Sep 27 08:27:52 2010, 美东)

欢迎老刀前辈回到加拿大。

潜水Mitbbs 好几年了。虽然没有直接联系,请教老刀, 但是他对后进晚辈无私奉献与
帮助,我确实受益匪浅。希望老刀事业生活顺利。
--

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PIONY
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[ 39 ]

发信人: PIONY (Friday5pm), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Mon Sep 27 10:43:19 2010, 美东)

老刀,保重!
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qinghai07

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[ 40 ]

发信人: qinghai07 (笨,也要活着), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Mon Sep 27 11:03:36 2010, 美东)

莫愁前路无知己,天下谁人不识君!
--
笨,也要活着!

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 128.231.]

发信人: USMedEdu (US_CMGs), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Mon Sep 27 12:45:47 2010, 美东)

多谢大家!

我还会常回来砸半截砖和砍砍什么人的。。。。。。。


很高兴能看到这3年来这个版越来越多的CMG成功。

只有大家团结互助,我们才能有更大的成功可能。

希望大家能明白这个浅显的道理:帮人也是更大的利己!

莫以善小而不为!


力刀
--

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发信人: meganli1998 (megan), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Mon Sep 27 12:58:13 2010, 美东)

曾受到您的指点. 无限祝福! 希望自己有一天也能帮助到别人.

【 在 USMedEdu (US_CMGs) 的大作中提到: 】
: 多谢大家!
: 我还会常回来砸半截砖和砍砍什么人的。。。。。。。
: 很高兴能看到这3年来这个版越来越多的CMG成功。
: 只有大家团结互助,我们才能有更大的成功可能。
: 希望大家能明白这个浅显的道理:帮人也是更大的利己!
: 莫以善小而不为!
: 力刀



--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 130.132.]



发信人: seeker9 (seeking for dream), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Mon Sep 27 13:09:27 2010, 美东)

老刀常回来看看。。。。。。。
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 76.174.]


发信人: meganli1998 (megan), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Mon Sep 27 12:58:13 2010, 美东)

曾受到您的指点. 无限祝福! 希望自己有一天也能帮助到别人.

【 在 USMedEdu (US_CMGs) 的大作中提到: 】
: 多谢大家!
: 我还会常回来砸半截砖和砍砍什么人的。。。。。。。
: 很高兴能看到这3年来这个版越来越多的CMG成功。
: 只有大家团结互助,我们才能有更大的成功可能。
: 希望大家能明白这个浅显的道理:帮人也是更大的利己!
: 莫以善小而不为!
: 力刀



--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 130.132.]


发信人: seeker9 (seeking for dream), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Mon Sep 27 13:09:27 2010, 美东)

老刀常回来看看。。。。。。。
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 76.174.]


发信人: xdxn (You will know), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Mon Sep 27 13:54:04 2010, 美东)

受益匪浅。祝一切顺利。
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 66.30.]


发信人: longbow (12345), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Mon Sep 27 14:26:34 2010, 美东)

受益匪浅。祝一切顺利。
--

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发信人: Sleepdream (sleepy), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Mon Sep 27 14:34:49 2010, 美东)


实实在在的好人,真诚不虚伪.难得.谢谢曾经的指点.真心祝福!
--

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发信人: USMedEdu (US_CMGs), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Mon Sep 27 16:35:01 2010, 美东)

as the old Chinese words said: 莫以善小而不为!

it's not difficult at all, as long as u have such a will and heart.

u do, you benefit others and yourself too!



【 在 meganli1998 (megan) 的大作中提到: 】
: 曾受到您的指点. 无限祝福! 希望自己有一天也能帮助到别人.



--

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发信人: mypath10 (Only you), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Mon Sep 27 16:44:24 2010, 美东)

All the best to you and your family! LaoDao!

United we stand!
XDJM Jiayou!

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发信人: firestar (麦地油菜), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Mon Sep 27 19:03:35 2010, 美东)

祝福刀客
多谢老刀的帮助和鼓励

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发信人: webs (观海), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Mon Sep 27 19:34:55 2010, 美东)

你为大家做了那么多好事,受过你帮助的人一定不会忘了你。

真心祝福你和全家一切都好!

还想继续看你的帖子,包括拍人的。
--

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发信人: Usmleboat (DREAMLOT), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Mon Sep 27 21:58:03 2010, 美东)

Wish you all the best!
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发信人: yangyang09 (Match2011 pathology), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Mon Sep 27 22:01:43 2010, 美东)

感谢老刀多年来对我们的无私奉献和帮助!
好人一生平安!
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 24.1.]


发信人: forsyth (小扁), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Mon Sep 27 23:00:20 2010, 美东)

真心祝福,一切顺利。
--


发信人: CSEH (EF), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Mon Sep 27 23:29:52 2010, 美东)

祝平安顺利!
--

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发信人: frankg (FRANK), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Tue Sep 28 03:47:37 2010, 美东)

不知道刀前辈是来加拿大哪里,西海岸还是安省,或者东部其他省份?
不知道方不方便让我们知道一个大概地址,好前去拜访

我在温哥华
好几次版聚都想参加来着,无奈距离实在太远
非常遗憾

不管怎么说,刀前辈所做的贡献大家有目共睹
尽心尽力,相当不易
非常敬佩!

也祝刀前辈生活和工作都平安顺利!

--

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pumkin2009
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[ 56 ]

发信人: pumkin2009 (pumkin), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Tue Sep 28 09:39:09 2010, 美东)

Thanks for your help, I wish you all the best and hope all your dreams come
true
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ship2008
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[ 57 ]

发信人: ship2008 (oldcat), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Tue Sep 28 09:55:07 2010, 美东)

Wish you can find some friends there to play tennis.
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发信人: sillybird (sillybird), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Tue Sep 28 10:01:47 2010, 美东)

祝您和家人健康平安,有空常来拍拍砖 :)
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laojifuli
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[ 59 ]

发信人: laojifuli (laojifuli), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Tue Sep 28 10:26:50 2010, 美东)

老刀居然要走了!!太令人震惊了!还指望找机会喝两杯呢。这两年忙着考试以及乱七
八糟的琐事,一直未能拜望,心想反正村东村西的,机会有的是。结果,转眼就天南地
北了。

教训:花开堪折直须折,莫使金樽空对月。

不知道去加国什么地方?whatever, 祝工作生活顺利如意,全家平安健康!
--

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fionaww

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[ 60 ]

发信人: fionaww (加州无鱼), 信区: MedicalCareer
标 题: Re: (ZT)老刀要去加拿大了,保重。
发信站: BBS 未名空间站 (Tue Sep 28 15:10:53 2010, 美东)

看老刀的文笔,就知道老刀是真男儿啦。可惜未曾谋面阿。
搬家很辛苦的,祝一路顺风,乔迁顺利!
--

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