標題： 這是嚇不倒我的...
時間： 西元2009年10月31日 (週六) 01時35分54秒
半夜突然喘起來 + 劇烈胸痛 + 冒冷汗 + 休克 + 血氧降低 + 心跳快 + 到天亮沒尿
胸部 X 光顯示 mediastinal widening, 過去有高血壓
R/O AMI
R/O pulmonary embolusm
R/O aortic dissection
同時合併 septic shock + DIC
輸血後產生 anaphylaxis，又出現 R/O acute lung injury
即使是這樣，還是嚇不倒我的，內科住院醫師沒在怕的...
後來才知道，真正可怕的，不是急症，而是...
病人需要緊急做檢查，卻從早上等到中午，就是等不到
終於送到了，檢查區人員卻一副事不關己的模樣，你急他不急
運送危急病人，卻缺少必要的監測和急救設備，也完全借不到，
甚至連氧氣筒存量都不足，而各單位各自為政，有器材的也不肯借你
需要緊急更換用藥，卻怎麼也等不到感染科可使用後線抗生素的許可
需要急做 PTGBD，萬事具備，就是推來推去，找不到肯幫你做的放射科醫師
你知道該做什麼，也做了所有你能做的，卻看著病人
因為制度的死板、僵化，和種種缺失，以及不同單位間的互相推託
而一分一秒的，在你眼前，走向惡化的道路...
從區域醫院到醫學中心，建築的規模變大了，人與人之間的距離也是
沒想到現在的我，會如此懷念曾經待過的小醫院...
今天，我花了一個早上，打了無數電話，一直忙到下午...
才終於做好了我以前在小醫院，只需要半小時就可以完成的事情
這個月以來，對醫學中心我開始有了不一樣的感受...
發表時間： 西元2009年10月31日 (週六) 01時35分54秒
評論與迴響 (17)
| 人氣：2460
評論與迴響：
→ 於 2009-10-31 02:29AM 發表 (來自：59.115.178.*)
結論：若沒有足夠銀子, 請不要去大醫院 (是這樣的嗎？)
→ 於 2009-10-31 09:16AM 發表 (來自：114.32.143.*)
結論應該是：如果等太久，可以暗示家屬找立委或民代催一下…
→ 於 2009-10-31 11:39AM 發表 (來自：140.128.101.*)
大醫院本來就僅適合大人物啊~XD
→ 於 2009-10-31 04:10PM 發表 (來自：220.130.184.*)
電影裡面的情節,
在美國, 只要跟對方說, 你不處理就會收到法院開庭通知。
在台灣, 可能是自己先收到白眼或是黑函, 或是汽車多了刮痕....
→ 於 2009-11-01 08:50PM 發表 (來自：59.105.25.*)
嗯，你剛去，需要建立人際關係。這好像是大型醫院的潛規矩。
要不然就要有大V的老虎在後面，要不然就要等你當上主治醫師在院務會議上放炮，建立標準流程。
想不到住院急件竟然會出現你說的狀況，這家醫院是？
→ 於 2009-11-02 10:16AM 發表 (來自：60.248.165.*)
缺少整合，缺少團隊心態，缺少同理心 <== (不把生命當一回事)，現在太多醫院都是這樣，像你這樣有心的醫生太少了。
→ 於 2009-11-03 09:07PM 發表 (來自：163.15.163.*)
在醫院的生活就是到處去拜託
→ 於 2009-11-04 10:53AM 發表 (來自：61.14.177.*)
你真的是個好醫師，希望可以一直堅持下去。
→ 於 2009-11-05 04:22AM 發表 (來自：163.29.81.*)
那就回來嘛
哈哈
→ 於 2009-11-16 04:44PM 發表 (來自：124.72.212.*)
加油哦
→ 於 2009-11-23 11:17PM 發表 (來自：220.134.80.*)
[邀請] - 急重症繼續教育資訊平台
網路是雙面刃, 端看你如何使用
facebook 並不只是偷菜,養魚這樣的娛樂性質而已;
由新光急診張志華主任主導創設的 "facebook 急重症繼續教育資訊平台",
由許多專家高手常在裡面討論醫療相關的新知,
也歡迎您的加入討論~~
→ 於 2009-11-23 11:17PM 發表 (來自：220.134.80.*)
[邀請] - 急重症繼續教育資訊平台
網路是雙面刃, 端看你如何使用
facebook 並不只是偷菜,養魚這樣的娛樂性質而已;
由新光急診張志華主任主導創設的 "facebook 急重症繼續教育資訊平台",
由許多專家高手常在裡面討論醫療相關的新知,
也歡迎您的加入討論~~
→ 於 2009-12-14 04:51PM 發表 (來自：220.135.48.*)
生病就是去醫院受罪XD"
→ 於 2010-02-05 08:21PM 發表 (來自：114.137.159.*)
不是第一線的戰鬥人員，永遠搞不清楚醫師和護士要的是什麼
我好多次都想把電話直接拿給家屬，讓那些該死的技術人員還是放射科醫師自己跟家屬解釋他們心中的苦！
→ 於 2010-05-30 07:16AM 發表 (來自：219.81.232.*)
這不是Dissecting嗎, 這是超急症吧, 病人沒被搞死, 真是萬幸.
→ 於 2010-08-06 11:09AM 發表 (來自：59.58.187.*)
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