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見實習(2) 小兒科

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兒童就是純真和遺忘,
是一種新生,是一場遊戲,
一個自己轉動的圈圈,一種最先存在的運動,
一種神聖的肯定。
                    《查拉圖斯特拉如是說》
                                                                               

                                                                               
第二科course,
小兒科。
                                                                               
如預料一般的,
忙碌又甜蜜。
                                                                               

                                                                               
有人說,
兒童是國家未來的棟樑。
                                                                               
只可惜,有些人,卻永遠也長不大。
                                                                               

                                                                               
7個同學,彷彿7個team,
在病房,ICU等等地方,
流竄著。
                                                                               
Clerk在醫院,
一直都是所謂的foreign body,
既擋路,動作又慢。
                                                                               
問十答不出一,
卻又喜歡在醫院中,
裝模作樣,自以為已經是醫生。
                                                                               

                                                                               
每天都有不同的進度與作業,
搶病人,寫note,查房,唸書。
 

                                                                               
"Today, I felt sad for my p't, for those MR children;
 not only them, but also for their parents.
                                                                               
 I saw desperate in their eyes,
 while hearing the Dr.'s final diagnosis
 and that their children won't be as well as others.
 (even if they are diligent enough)
                                                                               
 I felt really sad."
                                                                               
我記下了這段心得,
當我跟小兒神經科門診的時候。
                                                                               

                                                                               
當父母,
真的很不容易。
                                                                               
幫小孩子把屎把尿,
生病了要看醫生。
  
因為,永遠的愛,
驅使著他們,
不管再忙再累,
總算是自己的骨肉。
                                                                               

                                                                               
有個2歲Down Syndrome的小女孩,
某一天來到了我們門診。
                                                                               
小小的年紀,
卻已見證了各式各樣的疾患。
                                                                               
她,頸部垂在爸爸有力的膀臂上,
兩眼無神的看穿了白袍之內的我們,
其實也是同樣的無助。
                                                                               
不斷的咳嗽。
                                                                               
突然,一個噴嚏,
弄得她滿臉都是鼻涕,
連眼睛都蓋住了。
   
她卻無力掙扎。
                                                                               
Pneumonia,肺炎。
                                                                               
媽媽只能,
既憐愛又不好意思的拭去,
臉上的障礙物,
好方便我們做進一步的檢查。
                                                                               

                                                                               
單獨跟醫師去彰基開會。 (約會!?)
                                                                               
開心。
                                                                               

                                                                               
當我們進行醫學倫理研討的時候。
                                                                               
"早產兒存在的意義,
 是否僅僅能證實,
 台大先進的醫療技術,
 好在教科書上記上一筆,
 早產400gm成功案例?
                                                                               
 他是否活著有尊嚴?
 他作為人的價值在哪?"
                                                                               
我疑惑的問著。
                                                                               
"我們不是上帝,我們不能決定人的生死。"
                                                                               
醫生的標準答案。
                                                                               
但私下,跟著幾位同學,
我們做了一個新的結論。
                                                                               
"我們不是上帝,但藉由我們的手,
 我們可以決定他將來會如何。"
                                                                               

                                                                               
耶穌便叫一個小孩子來,
使他站在他們當中,說:
我實在告訴你們,你們若不回轉,
變成小孩子的樣式,斷不得進天國。
所以,凡自己謙卑像這小孩子的,
他在天國裡就是最大的。
凡為我的名接待一個像這小孩子的,
就是接待我。
                    《太18:2~5》
                                                                               

                                                                               
是的。
                                                                               
                                                                               
    

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