Tao Te Ching

He who knows others is wise.
He who knows himself is illuminated.
He who defeats others is strong.
He who defeats himself is powerful.
He who knows happiness is rich.
He who keeps his path is wilful.

Be humble and you will become whole.
Bend and you will become straight.
Empty yourself and you will become full.
Wear yourself out and you will become new.

The wise man does not show off, and so he shines.
He does not make himself known, and so he is noticed.
He does not praise himself, and so he has merit.
And because he does not compete,
none in the world can compete with him.

In memory of Dr Richard Teo who finished his race

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

Hi good morning to all of you.

My voice is a bit hoarse, so please bear with me. I thought I’ll just introduce myself. My name is Richard, I’m a medical doctor. And I thought I’ll just share some thoughts of my life. It’s my pleasure to be invited by prof. Hopefully, it can get you thinking about how… as you pursue this.. embarking on your training to become dental surgeons, to think about other things as well.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Mono no aware (物の哀れ)

Mono no aware (物の哀れ), literally “the pathos of things”, and also translated as “an empathy toward things”, or “a sensitivity to ephemera”, is a Japanese term used to describe the awareness of impermanence (無常 mujō), or transience of things, and a gentle sadness (or wistfulness) at their passing.

The word is derived from the Japanese word mono (物), which means “thing”, and aware (哀れ), which was a Heian period expression of measured surprise (similar to “ah” or “oh”), translating roughly as “pathos”, “poignancy”, “deep feeling”, or “sensitivity”, or “aware”. Thus, mono no aware has frequently been translated as “the ‘ahh-ness’ of things”, life, and love. Awareness of the transience of all things heightens appreciation of their beauty, and evokes a gentle sadness at their passing.


One Silversea, Hong Kong, where I used to live in 2010-2011

Quote of the Week

“At present we have this rare and good human life of freedom and fortune, but it won’t last forever. We are certain to die and don’t know when. At death nothing at all but our spiritual practice will be of any use to us. That is the only thing worth doing—everything else is a futile waste of energy. We tire ourselves for the sake of reward and reputation and in our search for the kind of companions we prefer, but we can take none of these with us when we die. They must be left behind and only the imprints of negative actions we have performed in the process of trying to acquire them accompany us to our next rebirth. This is not hard to understand, but we must remember it and think about it till it affects the way we think and feel.”

~ Atisha’s Lamp for the Path to Enlightenment, by Geshe Sonam Rinchen, edited and translated by Ruth Sonam, page 31.

Dalai Lama Quote of the Week

Greed is a form of desire. However, it is an exaggerated form of desire, based on overexpectation. The true antidote of greed is contentment.

For a practicing Buddhist, for a Dharma practitioner, many practices can act as a kind of counterforce to greed: the realization of the value of seeking liberation or freedom from suffering, recognizing the underlying unsatisfactory nature of one’s existence, and so on. These views also help an individual to counteract greed. But in terms of an immediate response to greed, one way is to reflect upon the excesses of greed, what it does to one as an individual, where it leads. Greed leads one to a feeling of frustration, disappointment, a lot of confusion, and a lot of problems.

When it comes to dealing with greed, one thing which is quite characteristic is that although it arises from the desire to obtain something, it is not satisfied by obtaining it. Therefore, it becomes limitless or boundless, and that leads to trouble. The interesting thing about greed is that although the underlying motive is to seek satisfaction, as I pointed out, even after obtaining the object of one’s desire, one is still not satisfied. On the other hand, if one has a strong sense of contentment, it doesn’t matter whether one obtains the object or not; either way, one is still content.(p.32)

–from Healing Anger: The Power of Patience from a Buddhist Perspective by the Dalai Lama, translated by Geshe Thupten Jinpa, published by Snow Lion Publications

Jesus Teaches about Worry

1) Matthew 6:25-34

“Therefore I tell you, do not worry about your life, what you will eat or drink; or about your body, what you will wear. Is not life more important than food, and the body more important than clothes?

Look at the birds in the air; they do not sow or reap or store away in barns, and yet your heavenly Father feeds them. Are you not much more valuable than they?

Who of you by worrying can add a single hour to his life?

And why do you worry about clothes? See how the lilies of the field grow. They do not labor or spin.

Yet I tell you that not even Solomon in all his splendor was not dressed like one of these.
If that is how God clothes the grass of the field, which is here today and tomorrow is thrown into the fire, will he not much more clothe you, O you of little faith?

So do not worry, saying, ‘What shall we eat?’ or ‘What shall we drink’ or ‘What shall we wear?’
For the pagans run after all these things, and your heavenly Father knows that you need them.

But seek first his kingdom and his righteousness, and all these things will be given to you as well.

Therefore do not worry about tomorrow, for tomorrow will worry about itself. Each day has enough trouble of its own.”

2) The Serenity Prayer by Reinhold Niebuhr

God grant me the serenity
to accept the things I cannot change;
courage to change the things I can;
and wisdom to know the difference.

Living one day at a time;
Enjoying one moment at a time;
Accepting hardships as the pathway to peace;
Taking, as He did, this sinful world
as it is, not as I would have it;
Trusting that He will make all things right
if I surrender to His Will;
That I may be reasonably happy in this life
and supremely happy with Him
Forever in the next.
Amen.

Quote of the Week

“Developing a sense of good cheer in the face of adversity, you can specifically use adversity as the support for refuge and true spiritual development. I am discussing how you relate to your suffering, how you relate to your adversity, as it affects you in life and on the path.

Now, as you know, whenever you are suffering by way of the body, speech, and mind, be it physical illness or a mental affliction, this is a very big deal to you. Usually it appears as something major. Even if it’s minor, you make it into some great distress. If you lose a little money or if someone speaks nastily to you, it invokes a strong reaction. This is called “appearances arising as the enemy.” When your habituation to adversity reaches such a point that you actually fall prey to appearances arising as the enemy, it means that you no longer have patience for suffering.

…If you can’t bear the minor aspects of adversity in this, the best rebirth in cyclic existence, the precious human rebirth, what will you do when you’re reborn in the three lower realms? Samsara is so vast, so deep and limitless, and the number of sentient beings within samsara are equal to that. All of them want to be free; all of them desire liberation. You should consider then how unnecessary or pointless it is to think that your small problems in this fortunate life are so great, when in fact they really are not.

Any rebirth in this ocean of cyclic existence will by nature bring this type of discontent or suffering. Since you’ve been in this cycle of rebirths from beginningless time until now and you are still not free, it points out the fact that help is needed. Refuge is necessary. Adversity then becomes the support for training in refuge, which demonstrates that adversity is used to your advantage.”

~ Gyatrul Rinpoche, Meditation, Transformation, and Dream Yoga