帶著興奮的心情，完成在貧民區醫院最後一晚的通宵當值，朋友七點鐘便著我去醫院飯堂吃早餐，為了陪他（在飯堂的大電視上）看周嘉儀和龔偉怡，就算幾疲累我也捨命陪君子。
朋友笑說，今日必定是大跌市，跌千點勢在必行。可是，飯堂其他同事倒沒有他那麼豁達。每一個吃早餐的人，對著財經新聞，都是神色凝重，沒有朝氣。
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臨離開醫院前接獲一張術前諮詢，去為快將接受手術，現住在其他科病房的病人接受緊急手術前進行內科評估。當我去到看這位病人時，發現他心律不正的情況再次翻發，雖然神志清醒，但血壓偏低，隨時有生命危險。我和麻醉醫生商量後，決定取消手術，並著護士安排定心針以及強心針，以及安排內科病房預備床位，準備接收一名危急病人。此時，冷不放其中一位護士懶洋洋說：「要預訂病房，你要先寫好你的諮詢紀錄，我們再將這頁傳真，他們才能辦妥。」
我已帶點不滿地回應：「現在是救命緊要，我寫兩隻字有什麼困難，但打過電話叫他們準備儀器，並提醒他們病人危殆倒是最重要。」
那護士死死地氣去致電該病房，而該病房亦說十分鐘內會準備好病床和儀器，我們只需要把諮詢紀錄傳真給他們便成事了。
病人數分鐘後稍為穩定，我也開始將治療紀錄登記在案。卻聽到那護士一直單單打打地說：要填好諮詢紀錄才可以轉病房的，不完成不得轉病房云云。
此時此刻，我對這位護士的憤怒已經達到極點：你這是什麼意思？什麼態度？打電話通知對方病房，是要令對方為治療病人有所準備。人命緊要？抑或是文書手續緊要？更何況，我是被諮詢的醫生，我要寫一隻字有什麼困難？我是被邀請來參與你的病人的治療工作，而不是被你呼呼喝喝左軀右使。你究竟緊張那位病人，抑或緊張那張寫上「往內科病房」數隻字的紙張？
官僚者，就是愛在人命關頭，彰顯自己的權力、地位以及勢力。
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下午茶時間路過快餐店，看到范巧茹重出江湖，眼袋深陷，疲累非常。
不知是因為最近金融動盪，令她工作量大增；抑或是生產後休息不足，並且要養住個ＢＢ，所以累透倦極呢？
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晚上九時，前往百佳買菜。
平日晚上九時的百佳，人頭湧湧，收銀機每條龍往往有超過二十人排隊；而賣壽司的地方會有二三十人圍著搶購半價壽司。
但今天非常奇怪，整個百佳冷清非常，平時十個收銀機台，只開放了三個。每條龍也只有兩三個等候。搶壽司的人大幅減到只有五至十個。
我懷疑，很多人突然人間蒸發。究竟是內地奶製品有三聚氰胺，所以引起消費者信心恐慌？抑或因為股市太差，令大家無心消費？
我問一問位收銀員，她支吾其詞地說：「還是託賴，今天不算太忙呢…」就再沒有回答我的問題。
我開始擔心，在消費力下降的情況下，有幾多工作會因此失去。
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十時半看到這段新聞，你擔心嗎：
北京有民眾搶購奶粉
2008-09-16 HKT 22:41
國家質檢總局在22間公司共69個批次的奶粉，驗出三聚氰胺之後，北京有超市，出現搶購奶粉的情況，有民眾購買一箱箱從外國入口的奶粉，有人先購買少量應急。部份外國入口的奶粉，晚上已經售清。
11個回應
九月 17, 2008 at 12:17 pm
昨晚我在沙田第一城的銀城商場，也是相當冷清的，個商場連冷氣都好似無開。
世界變了！
九月 17, 2008 at 12:46 pm
此時此刻，我對這位護士的憤怒已經達到極點：你這是什麼意思？什麼態度？打電話通知對方病房，是要令對方為治療病人有所準備。人命緊要？抑或是文書手續緊要？更何況，我是被諮詢的醫生，我要寫一隻字有什麼困難？我是被邀請來參與你的病人的治療工作，而不是被你呼呼喝喝左軀右使。你究竟緊張那位病人，抑或緊張那張寫上「往內科病房」數隻字的紙張？…….
Welldone dr fat.
get the principle right and educate the staff.
The standard of healthcare rests with the standard of the doctors, NOT the nurses or the administrators.
Nurses and adminstrators are very good at demanding rights and status, but when responsibilities comes, they will step back and let the doctors to take the blame.
The problem of the doctors training is that we lose the ability to be assertive at the rioght moment with the right skill.
Not easy to be a leader.
with nursing eduation at degree level, the nursing profession is deviating towards administration from clinical patient caring.Just look at the nurses lego representative and know the product.
九月 17, 2008 at 1:14 pm
Another doctor: 呢種人行行都有，唔關護唔護士事既。
對病人家屬呼呼喝喝的社工，我也遇過一個。
九月 17, 2008 at 10:48 pm
這樣的護士都有？欺負醫生？我覺得為服務、為病人著想，今次應打她報告！
九月 18, 2008 at 10:03 am
《老友狗狗》 — I watched the movie with my daughters, very touching, throwing the basball into the bush and the dog hesitated, the trust and the symbol. and the girl who baked cookies…
九月 18, 2008 at 10:06 am
sorry, the dog film comment was for fongyun.
Be careful with your money, it may be hindsight, but DO NOT think you can buy cheap (stock), if you still has money. It will get cheaper.
九月 18, 2008 at 10:02 pm
今個星期的負面新聞：金融海嘯+三聚氰胺，我都領晒﹗(AIA + 伊利牛奶)唉﹗
九月 18, 2008 at 10:55 pm
護士的態度是有問題, 但她的反應可能基於病房間的一套程序. 須知道護士經常因身在前線而受各方壓力與責駡, 跟程序做是休保護自己的方法. 要有信心和受支持的同事才能作出反程序的辦事方法.
九月 19, 2008 at 12:35 am
對不起，換了是我，實罵。
那一刻什麼才是最重要的，正常人已能分辨出來，不能分辨的人，水準就是below standard。
老實說，這種事，在QM 我從來沒見過發生，大夥兒都是盡量配合，病人隨時說起行就起行的。
九月 19, 2008 at 4:10 pm
hello Sandie, exactly, (while I acknowlegde I know many many good sense nurses and many stubborn doctors)
護士的態度是有問題, 但她的反應可能基於病房間的一套程序. 須知道護士經常因身在前線而受各方壓力 ( mostly from other nurses and admin)與責駡, 跟程序做是休保護自己的方法. …. that is the problem of the current training, is this nurse just too well trained or badly trained ?
that’s why doctors have to be the leader, 要有信心和受支持的同事( eg dr fat)才能作出反程序 ( with dr fat’s back up, if the DOM or ward man challenged why the procedure was not done STEP by STEP, instead of simultaneously 的辦事方法. ( QM or PWH has no such problem, is because the prof and doctors know time is very important in urgent situiation and have educated the staff.
( I always want to do a research study, which is to time the time needed for getting patient ready to transfer, as from the time a decision was made so by the consulting doctor.)
I have many similar episodes like these before, to yell was a very primitive educational tool. If we all waited for paperwork to be done first, we may as well went back to the canteen and finished the ox river first.
(and the patient will lose his / her breath (ie life) while waiting for the IV stand, patient label or extra bed sheet, or waiting for the next shift ward maid to push the bed, as the current one is having cup of tea.)
十一月 7, 2008 at 4:35 pm
因為有時候那個護士都身不由己，可能她的身邊有許多那樣的人