Dr Chih-Hung Chang, Nephrologist,
New Hung Yuan Clinic
前長庚腎臟科醫師,分享醫療資訊,用HDF(Hemodiafiltration)、HD(Hemodialysis)、新式延展性血液透析術(HDx)治療尿毒症患者,包含高雄市、苓雅區、鳳山、前鎮、小港、大寮、鳥松等區,也接受國外腎友來台旅遊透析(Travel dialysis)和居護所合作居家醫療服務。
另外,缺乏同理心,也是一項問題,例如,有次患者淚流滿面談到自己親人的過世,醫師下一句話就問 “How is your abdominal pain?”
另外,「A good bedside manner is simply good medicine.」
醫師也是需要表現地有禮貌,具良好的溝通技巧的,例如作者的同事有一次就說了一個例子:一位控制很差的DM患者,遇到一位熱心的女meta醫師,
“I can’t continue to do this anymore,” he told her, on the verge of tears. “I’ve just given up.”
She placed a hand on his shoulder and just sat with him. After a pause, she said: “You have a heart that still beats, and legs you can still walk on — many of my patients don’t have that privilege.”
Five years later, recalling this episode, her patient credits her with inspiring him to take better care of himself. The entire encounter took less than five minutes.
然而並不是所有事都是令人開心的,也有在Christmas Eve被診斷出brain cancer,但是患者又想急著出院回家過節。在美國,Christmas或是過年前後,醫院的死亡率是比較高的(是經由統計57 million official death certificates produced in the United States between 1979 and 2004),此外交通意外也比較多。