There, he came across the "four sights": an old crippled man, a diseased man, a decaying corpse, and finally an ascetic.

这里，他经历“四个境象”：一个年老的残疾人；一个患病的人；一具腐朽的尸体，最后是一个苦行修道者。

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When the stapler hit the wall, I had been in the operating room for more than four hours, struggling to remove a diseased segment of colon from someone I'll call Mr. Baker, a 330-pound middle-aged man.

WSJ: Book Excerpt: Confessions of a Surgeon