Saturday 15 February 2014

The good medical officer will be comprehensive in his onset, and prompt in his decision

The onset of troops is like the rush of a torrent which will even roll stones along in its course.

The quality of decision is like the well-timed swoop of a falcon which enables it to strike and destroy its victim.

Therefore the good fighter will be terrible in his onset, and prompt in his decision.

Energy may be likened to the bending of a crossbow; decision, to the releasing of a trigger.

Amid the turmoil and tumult of battle, there may be seeming disorder and yet no real disorder at all; amid confusion and chaos, your array may be without head or tail, yet it will be proof against defeat.

Simulated disorder postulates perfect discipline, simulated fear postulates courage; simulated weakness postulates strength.

Hiding order beneath the cloak of disorder is simply a question of subdivision; concealing courage under a show of timidity presupposes a fund of latent energy; masking strength with weakness is to be effected by tactical dispositions.


From "Sun Tzu on the Art of War - The Oldest Military Treatise in the World"
Translated from the Chinese By Lionel Giles, M.A. (1910)

Discussion:

For the second time, I changed the English translation of the title of this chapter to fit it into healthcare context. Now it is Engagement. The original translation was "energy" and I thought it means what moves a lot of people in a coordinated way after considering this section. In healthcare, what brought people on the same page is engagement. There are many other expressions required creative translations. Those were about the "deceptive" nature of the war which makes enemy believe what is actually not. I have chosen anaesthesia, sedation and relaxant as such elements in healthcare.

Translation:

The onset of a treatment is like the rush of a torrent which will even roll stones along in its course.

The quality of decision is like the well-timed swoop of a falcon which enables it to strike and destroy its victim.

Therefore the good medical officer will be comprehensive in his onset, and prompt in his decision.

Engagement may be likened to the bending of a crossbow; decision, to the releasing of a trigger.

Amid the turmoil and tumult of treatment, there may be seeming disturbance and yet no real disturbance at all; amid confusion and chaos, your array may be without head or tail, yet it will be proof against defeat.

Induced unconsciousness postulates perfect consciousness, induced calmness postulates vitality; induced weakness postulates strength.

Hiding consciousness beneath the cloak of coma is simply a question of anaesthetics; concealing vitality under a show of timidity presupposes a fund of latent energy by sedation; masking strength with weakness is to be effected by relaxant.

Ray Murakami

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