Progressive
leaders who are repeatedly in the spotlight must often
bear a lot of pressure from others. Such leaders are hard
to come by, but there is one at the Tzu Chi General
Hospital in Hualien, Taiwan. Although Lin Shinn-zong has
served as superintendent for less than two years, many
advances have been made at the hospital. A medical pioneer
and exceptional neurosurgeon, Lin stays ahead of the game.
A great Father's Day present
One humid summer day in July 2002, Lin's parents came
to visit their son at the Dalin Tzu Chi Hospital, where
Lin was temporarily seeing patients. Even though Lin
couldn't spend much time with his parents, his mother
briefly mentioned that his father had fainted the previous
month and that he had quickly recovered without any
unusual signs. This caught Lin's attention, and he quickly
made arrangements for his father to get a checkup. As Lin
suspected, his father had a cerebral aneurysm. The
diagnosis indicated a marble-sized tumor near a major vein
in his head; if the tumor got any larger, it would cause
the vein to rupture. Lin immediately scheduled an
operation for his father at the end of the month.
Operating on his own father, Lin became the first in
the world to devise the "keyhole" technique in
brain tumor operations. The keyhole operation was
conducted by making a small incision approximately three
centimeters wide above the right eye. A scope was then
inserted into the skull, allowing Lin to remove the tumor
in eight hours. His keyhole procedure was the first to be
successfully completed in the most complex part of the
central nervous system in the brain. Elsewhere in the
world, only one doctor in Germany has used a similar
technique.
Throughout the procedure, Lin was calm and steady
despite his kinship to the patient. To smooth the process,
Lin did not explain too much about the complexity of the
operation to his father; he was not too worried because
the vein had not ruptured, which would have complicated
matters. Since Lin had long been familiar with the
surgical procedures, he was confident and at ease during
the operation.
After the surgery, Lin's father resumed his life as
usual with only a minor scar on his right forehead. He was
happy to know that his own son had taken care of the
problem for him with his medical skills and expertise. It
was the best gift a son could ever give his
father--health.
Cream of the crop
Lin grew up in Tainan County, southern Taiwan, in a
family with one younger sister and two older brothers. He
was raised in the countryside, which fostered his interest
and curiosity towards living organisms and the natural
environment. As a child, Lin led a simple life. He would
make toys and kites out of plants and leaves, go fishing,
catch frogs and insects, and play games with other
children.
When Lin was in high school, his father, a civil
engineer, asked him if he would study the same field as
him. But Lin was interested in biology and decided to
become a doctor. Thirty percent of the students who
graduated from his high school went on to medical
school. Along with several classmates, Lin entered the
National Defense Medical Center for his seven-year
university study and medical program.
Ever since college, Lin has had a habit of helping
others. During his first four years, he was a class
note-taker who would write down key points presented by
the teacher and hand out notes to others. The night before
exams, he would help classmates review the material. If
students failed a class, they would have to stay behind
and repeat it until they passed. So many of them were
grateful that there were note-takers like Lin.
Lin developed excellent study and exercise habits in
school. He would start reviewing and studying weeks before
exams. Each time he reviewed, he would become more
familiar with the material until he knew it by heart. In
his physiology course (the most difficult course during
the second year), he received the highest score--97%, more
than ten percent higher than the second highest score.
Outside of classes, Lin enjoyed long-distance running and
jogging. He also became the school’s ping-pong leader
and won a number of competitions.
In 1980, Lin graduated as valedictorian of his class at
the National Defense Medical Center. When his friends and
classmates asked how he was able to do so well, Lin said
it was because he had married early and could save time
and energy concentrating on his studies while the rest of
them were outside dating and looking for girlfriends.
Indeed, Lin had married right after high school. He met
his wife during the first year of junior high school; they
were neighbors and were together constantly for six years
before marriage.
After graduating, Lin became a clinical teaching
assistant at the National Defense Medical Center and a
resident doctor at the Tri-Service General Hospital. He
chose to work in the surgery department, the best in the
hospital, where he specialized in neuroscience because it
was the most challenging field.
Lin was the first doctor at Tri-Service Hospital to
attend research seminars and medical events abroad. He
once went to Japan to observe a doctor's neurosurgery
techniques. During his sixth year of residency, his
superior asked him if he was interested in going abroad to
get a Ph.D. At the time, Lin had published two papers in
international magazines. After he completed his residency
in 1986, he received a scholarship from the National
Science Council in Taiwan to study at the State University
of New York at Stony Brook. He finished his doctoral
program in an incredibly short time--three out of the five
years it normally takes. In 1989, Lin returned to Taiwan
and began doing work in various fields of neuroscience,
including the use of fetal dopamine tissue in treating
Parkinson's disease, studying malignant brain tumors, and
getting involved in cell and gene therapy treatment.
In white for the first time
"It's been a long time since I've worn this white
shirt and coat. I used to wear so many different colored
shirts back then," chuckled Lin, recalling his first
day of work at Hualien Tzu Chi Hospital.
He has been there since more than two years ago, but he
came to know Tzu Chi five years before that. In 1996, Tzu
Chi Vice President Lin Pi-yu (in charge of the
foundation's medical mission) approached Lin at
Tri-Service General Hospital. She introduced Tzu Chi to
him and informed him of their need to recruit talented,
professional doctors. Afterwards, she approached Li
Chao-chun, Lin's good friend and colleague. Lin and Li had
agreed that they would work as a team in the same hospital
wherever they went. But through a turn of events involving
unclear communications, Li ended up signing with Hualien
Hospital before Lin did.
Li
Chao-chun worked at Hualien for about five years before
Lin came. During that interval, however, Li kept
encouraging Lin to work at Hualien. When Li finally told
him about a proposal he was presenting to Master Cheng
Yen, Lin became interested and later had a chance to go
see the Master at the Tzu Chi Kuandu complex. He was
amazed by the conduct of the Tzu Chi members there. When
he first saw the Master, he sensed a calming presence
about her and felt that she was very kind and amiable; he
immediately respected her. He was also very comfortable
and at ease.
In December 2001, Lin finally came to work at Hualien
Tzu Chi Hospital. With his medical background and
experience, including a Master's degree in medical
management from Tulane University in Louisiana, Lin
accepted a position as vice-superintendent upon entering
the hospital.
In 2002, Chen Ying-ho, the former superintendent, asked
Lin if he would be willing to take the position. Chen felt
that Lin was a good candidate because he had solid
teaching experience and medical training. Surprised as he
was, Lin accepted and became superintendent in July of
that year. Today, the biggest challenge for him remains
fulfilling all his roles as superintendent. Besides taking
care of hospital duties, administrative work, and clinical
work, Lin also has to provide services, teach students,
conduct research, write reports, and finally promote the
cultural and humanistic side of the hospital.
Loving treatment
Lin is patient and caring towards his patients, who are
mostly elderly people enduring immense pain from
neurological diseases. Dr. Shyu Woei-cherng gave a vivid
example. He acted out the difficulties cerebral palsy
patients had, such as the restriction and paralysis of
limbs, the inability to talk clearly, and contorted facial
expressions. One time when Lin had such a patient, he was
very tolerant and understanding of his limitations. Keen
and observant, Lin discovered another way to communicate
through the patient's eyes.
Lin treats patients like family members. Suzy Chan, a
medical apparatus manager, described how the wife of a
Parkinson's disease patient had once told her about an
incident when her husband urinated in the hospital bed
when she wasn't there. Lin was nearby and saw what
happened; he went to bring the patient some clothes and
proceeded to help him change and clean up. Not until later
did a nurse come by to help. The patient's wife was
surprised that Lin, a doctor, would do such things
firsthand to help a patient.
Other doctors and hospital staff members have noted the
superintendent's friendliness and ability to soothe
patients. Lin gives patients a lot of encouragement and
enables them to feel at peace. A nurse in the neurosurgery
department reveals a characteristic about Lin: he often
tells patients to show gratitude to their family members.
Patients and family members foster warm feelings from this
and get along even better afterwards.
Hsu Ling-ling, a hospital staff member, had a personal
experience that left a deep impression on her while she
was in the hospital after an operation. Lin was about to
go abroad on a trip and told her that he would visit when
he came back. As he had promised, the hospital staff
member woke up to see him by her bedside after he had
flown in the night before. She was stunned to see him
there extremely early in the morning, right after his
trip. The unexpected surprise really moved her.
Lin never gives up on his patients; he does whatever he
can to fulfill their requests. His secretary explained how
a good friend of Lin's once drove all the way from Tainan
to Hualien to show Lin an x-ray for someone with a serious
condition. Even though other doctors had labeled the case
hopeless, Lin unhesitatingly took the case. One doctor
pointed out a quality that makes the superintendent
different from other doctors: Lin shows a different
attitude towards patients with little chance for
survival--he gives them hope and cheers them up even as
they are approaching death.
Lin is sensitive and considerate of patients' needs.
One time, he instructed hospital staff to shave off as
little hair as possible on a young female patient and to
make the smallest surgical incisions to minimize scarring
on her face. He was receptive and magnanimous in
considering the patient's appearance instead of conducting
matters for the sake of convenience.
After learning and adapting to the Tzu Chi culture,
Superintendent Lin is more able to relate to his patients
and feels gratitude in serving them. When he was at
Tri-Service General Hospital, he would merely ask patients
simple questions. At other hospitals, doctors were taught
to keep a distance from patients to maintain a proper
working relationship. But at Hualien, Lin has become more
candid and has gotten closer to his patients. Only one
thing seems to stand in the way--he is frequently unable
to give more time to others because of his extremely busy
schedule.
Throughout his career, Lin has seen many kinds of
patients: some are amiable and agree to whatever doctors
suggest, and some are absolutely defiant. Master Cheng Yen
has taught Tzu Chi hospital staff to "enter the
patients' hearts" in order to understand and treat
them well. Lin states, "One needs to develop and
practice skills in dealing with such patients. The
hospital is like a field or place of spiritual
cultivation, because you encounter many different kinds of
people and challenges." He feels that the more
difficult the challenge, the more humble one becomes.
Currently, Lin is promoting the concept of "loving
treatment" at the hospital, one of Master Cheng Yen's
ideals. It is challenging because it involves giving and
spreading love to patients so that in turn, they may
activate the love inside themselves. In order to do this,
doctors must see from the patient's perspective and
consider their feelings while treating them. Some hospital
staff members have mentioned that loving treatment may
often be lacking in hospitals because doctors are so busy;
now that medical care is improving in Taiwan, doctors
could work on changing their relations with patients.
Perhaps one of the biggest changes Lin has gone through
comes from promoting loving treatment at the hospital.
Because of this, he has become more gentle and loving as a
doctor.
The locomotive
Han Hung-chih, a researcher at the Core Lab for
Clinical and Medical Research (a research center for the
neuroscience department) in the hospital, said that a
successful person often has the "three Cs': clarity,
commitment, and courage." Lin seems to fit this
category because he has a clear mind with clear goals,
passion and complete devotion to his work, and courage to
take on new challenges.
Some doctors have remarked how confident and assertive
Lin is, but he's not conservative in trying new things.
One neurosurgeon gave an example: Lin often finds and does
new things without keeping them to himself; he shares the
information and seeks others to work with him. Even though
Lin is open-minded, he still maintains strong principles
and high expectations regarding his work and conduct.
Lin is often the first to do things that others find
difficult. Various doctors have pointed out his
intelligence and industriousness. He works hard to do
whatever he can to resolve problems. He is quick and
insightful in discerning matters, so he is
constantly ahead. But being in the spotlight is not easy
or ideal; those around Lin may feel competition or envy.
One doctor makes a third point about Lin: he possesses a
high degree of emotional intelligence because he knows how
to handle various social influences without being impacted
by them.
Several doctors think of Lin as a locomotive. The
superintendent is like the locomotive, always in the lead.
He not only leads others, but also pulls them along with
him. While Lin leads them forward, some may feel pressure
in keeping up with him because of his fast pace and high
standards. Nevertheless, Lin serves as a role model who
always strives to do his best.
A glass always full
"One word seems to describe him:
super-optimist," stated Dr. Li Chao-chun. Lin treats
patients with an optimistic attitude and instills
confidence and hope in them. Some doctors may grimly tell
patients of their dim prospects for survival, but Lin adds
a positive tone by using more uplifting words to convey
serious matters in a relaxed way. Patients can still feel
at ease with themselves afterwards.
"His smile is like sunshine," reflected
Master Te Hsu, a nun from the Abode of Still Thoughts.
Others have commented on Lin's cheerful nature and ability
to radiate a positive aura. Many hospital staff members
have never seen Lin tired; he always seems to have spirit
and energy.
Lin is not only cheerful around people but also
vigorous and upbeat at work. He often looks in a positive
direction towards matters that others may see negatively
due to failed
attempts. Some doctors remarked that in medical treatment,
Lin often goes beyond the expected by looking further and
seeing if anything can still be done. He tries new methods
because of his belief in positive outcomes.
Dr. Ha Tie-Mu'er used a simile to describe Lin's
resolution: "like steel." Dr. Chen Wu-fu
demonstrated Lin's perseverance and physical stamina at
work--he and Lin once conducted an operation that lasted
28 hours. Amongst the neurosurgeons, Lin was the only one
who persisted without taking a break during the entire
procedure.
A visionary team leader
Lin has a "vision," a reason for doing
things. One doctor observed that to effectively
communicate on the same level with Lin, one needs to
present a vision, or evidence of some kind to convince
him. The superintendent also has many surprises about him.
During a presentation this same doctor gave many years
ago, Lin stood up and asked a question that amazed him.
The doctor thought that no one would know much about his
topic--he was flabbergasted to hear the depth and
knowledge of Lin's question. Thus, Lin seems to be able to
pinpoint and grasp the key points even of issues outside
his field of expertise.
A neurosurgeon explains another trait about Lin: he can
see trends. He seems to have the ability to accurately
predict what will happen in the field of medicine. In
research, for example, the superintendent knows where to
look to stay on top of developments. He has a strong
research background because he often goes abroad to attend
symposiums and events. In accumulating the latest
information, Lin strives to stay current and to bring the
hospital up-to-date. Since he sees and learns a lot during
his visits abroad, he encourages other doctors to get
involved with research and new developments.
Superintendent Lin is an interdependent leader who
emphasizes teamwork and cooperation. According to his
secretary, Hualien Hospital has recently changed in this
aspect because doctors work together now instead of
handling matters on their own. Within the neurosurgery
department, for example, some of the outpatient clinics
have been set up such that several doctors can see
patients together during the same time on a given day. Lin
has also been able to pull together different departments
and draw out their best qualities in working together.
Hospital staff members have observed how Lin promoted the
neurosurgery and neuroscience departments by improving the
overall work atmosphere. Both departments used to operate
individually without much teamwork or unity, but Lin
changed this.
Yen Hui-mei, a veteran hospital volunteer who has
served for over 18 years, notes how Lin has upgraded
teamwork and group treatment at Hualien Hospital to
promote the Tzu Chi culture and spirit. He encourages the
volunteers, who play a crucial role in facilitating
patient treatment at the hospital, to elevate the quality
of their services. In fact, the volunteers are now divided
into six groups to assist patients suffering from cancer,
diabetes, tuberculosis, stroke, neurological diseases, and
cardiovascular diseases. Master Te Hsu summed it up,
"The biggest change is the spirit of unity at the
hospital."
Since Lin came to Hualien, he has helped establish the
Core Lab and the Parkinson's Disease Center at the
hospital. In the Core Lab, ongoing projects include
research and development of new medicines, treatments for
cancers, malignant tumors, and strokes, stem cell
treatment, and gene therapy. In recent years, the
development rate at Hualien Hospital has jumped
dramatically. Lin says the hospital has been able to
advance quickly due to certain factors and developments.
For one, group treatment and teamwork is becoming more
apparent in practice. The hospital is gaining the
confidence and trust of more people, and more patients are
staying in the hospital to continue treatment rather than
transferring. Superintendent Lin will continue to endeavor
to bring in the newest and best technology, advance the
quality and level of services
at the hospital, promote "loving treatment," and
recruit more doctors to work at Hualien. Ultimately, he
hopes the hospital can become an internationally renowned
medical institution.
On the Tzu Chi path, Master Cheng Yen has been Lin's
greatest guide and mentor. Moved by her way of using
praise and gentle words to lead others, Superintendent Lin
strives to emulate her behavior and attitude towards
patients and hospital staff. He believes that the Master
has a vision because she clearly knows what she wants to
accomplish in the long run and takes small steps, one at a
time, to reach her goals. Inspired to take on her ideals
in the medical mission, Lin is always looking at the
"bigger picture" in the overall scheme of
things. Certainly, Lin's actions and ideals fit his
vision: he will continue to lead the hospital to a better
future.
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