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“Medicine is a science of uncertainty and an art of probability” (Sir William Osler, Canadian physician)

Author:

Wong In Luck Wil

Tsuen Wan Government Secondary School

Published: 

September 4th, 2025

This submission was awarded Second Place in the Sir William Osler Narrative Award of the Ethos High School Essay Competition 2025.

In a voiceless corner, the hospital room was just pulsing with a subdued tension, the kind that settles in places where life and its absence brush against each other. Machines hummed their mechanical lullabies, so soft and so rhythmic, as the seamless lights flickered faintly like distant stars high above in the glorious sky. Yet, the intense stillness in the air had always been greater than their sound—a stillness which carried the weight of something ephemeral: the hollow pauses between heartbeats, the silence before such uncertain answers, and perhaps also the gauzy boundary separating certainty from the vast unknown.

That special day, Quinn stood at the foot of the bed, with her arms clasped across her chest—not in withdrawal, but as though holding herself together. She had stood here before, in rooms like this, surrounded by the sacred ministrations of medicine. Yet today was completely different. There was a weight in the air that felt sharper, heavier—not the crushing inevitability of futility but the trembling possibility of something utterly uncertain, something neither lost nor guaranteed.

On the creaking bed had laid poor Lyric, her body was remnants of its former self. Once a violinist whose music could silence the world, and her hands lay dormant now, too ethereal to cradle a bow. Her skin, translucent as parchment, traced with delicate veins, seemed almost fragile enough to shatter beneath the glare. Yet her eyes burned—not with desperation, but with a smoldering focus, steady and unyielding. They were the gaze of someone who had learned to see in the lightened dark.

"Quinn," Lyric whispered, her voice as soft as the wind. "What are the chances?"

The question lingered and retained in the air, suspended like a brilliant note left unresolved. It was a tragic pity. Medicine had taught Quinn to calculate, to measure, to predict. It had trained her in the language of numbers, probabilities, and outcomes. And nonetheless, for all its precision, medicine had also taught her this: that certainty was a mirage that could disintegrate anytime. The flesh could be dissected, its pathways charted, but the space where science met the soul and spirits remained beyond reach.

"The odds are unclear," Quinn said finally, her voice so low but unwavering. "But I would say possibilities remain."

Lyric smiled—a faint, knowing curve of her lips. It wasn’t the smile of resignation, but one of very quiet understanding. She nodded, as if she had always known what Quinn was only beginning to grasp: that life was never an equation to be solved, but a graceful melody to be felt. Its beauty lay not in its certainties, but in its questions.

The days that followed unfurled like the movements and variations of a symphony, every one of them carrying its own rhythm. Some mornings, Lyric’s laughter rose like an unexpected melody, bright and defiant, filling the room with light. On others, she lay motionless, her breath a moth’s wing against the pain’s gravity, and her body had been a battlefield where medicine fought against inevitability. Yet even in her stillness, she remained present—perhaps her spirit unbroken, her gaze steady, as if fixed on something just beyond the horizon.

One evening, as the sun spilled gold across the sky and the moon painted the heavens in shades of violet, Lyric turned her head toward the window. The glow softened her face, casting it in hues so warm they seemed to defy the transient nature of her body.

"Do you think about sunsets?" she asked, her voice quiet, almost wistful.

Quinn followed her gaze. "Sometimes," she replied. "They’re gone so quickly,"

Lyric murmured, her eyes never leaving the horizon. "But that’s what makes them beautiful, don’t you think? The fact that they don’t last."

Quinn said nothing. The truth of Lyric’s words settled over her like a tide, pulling her into their profound stillness. Beauty, she realized, was never diminished by impermanence—it was created by it. A sunset’s brevity was not a tragedy but a gift, urging those who watched to savor its fleeting colors. Perhaps life was no different. Its fragility wasn’t a flaw; it was the source of its meaning.

Weeks passed, each one a fragile balance of hope and surrender. Then, on a dawn freighted with impending snow, a package arrived. Inside was a journal, its leather cover soft with wear. The pages were filled with Lyric’s handwriting—exquisite, deliberate—interspersed with sketches of violins, wildflowers, and sunsets half-finished, as though time had run out before they could be completed.

Quinn’s fingers trembled as she turned the pages, her breath catching on a passage written in bold, flowing ink:

Life isn’t about certainty. It’s about possibility—the spaces where science meets the soul, where hope takes root even in the shadow of despair. My music taught me that the pauses between notes carry as much meaning as the notes themselves. And now, Quinn, you’ve shown me that medicine is its own kind of art.

Quinn closed the journal and pressed it to her chest, her throat tighter than the strings of a book. For years, she had sought certainty, clinging to data as though it could shield her from the vulnerability of not knowing. But Lyric had given her something far greater: the courage to dwell in possibility, to see it not as a void but as a place where meaning could take root.

The end came softly, as winter mornings often do—pale illumination filtering through the window, bathing the room in silver. Quinn sat by Lyric’s bedside, her hand wrapped around Lyric’s frail fingers. Each inhalation grew slower, fainter, until they faded into stillness.

"Thank you," Lyric whispered, her voice barely audible, a thread of sound slipping through the quiet.

"For what?" Quinn asked, her voice breaking.

"For walking with me," Lyric said, her eyes closing. "Even when the path had no map."

And then—silence. Not the emptiness of loss, but the kind of silence that exists between movements in a symphony: a pause filled with meaning, where one note has ended and the next has yet to begin. It was not an ending, but a breath held in the vast space where possibility retains.

Seasons later, Quinn would continue to tarry sometimes. She found herself standing at the edge of twilight, watching the sky bloom with colors too vivid to hold. She thought of Lyric—not with sorrow, but with gratitude. Gratitude for the music she had created, for the truths she had revealed, and for the courage she had inspired.

As the sun slipped below the horizon, Quinn whispered into the fading light:

"Medicine is a science of uncertainty and an art of probability."

The words felt like a revelation, carrying the weight of everything she had come to understand. Medicine, she realized, was not about conquering uncertainty but about dwelling within it. Like music, it was not the notes alone that mattered, but the silences between them—the spaces where meaning lived.

And in that moment, the veil between what was known and what was possible felt less like a barrier and more like a threshold—where science and soul meet, where every unanswered question is not a failure but an invitation.

To attend.
To abide.
To believe in the beauty of the unseen.

Explore other winning essays from the Ethos High School Essay Competition 2025

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