Episode 1:
1.Medical devices pay for Dr.Tierney ‘s heart and ambulatory wing, revealed some interest relationships between device corporations and doctors.
2.Dr.Martin didn’t do a full physical examination for Mary when he first saw her, even no X-rays, no blood work, made a cursory conclusion——prescribed extra strength Tylenol for her according to the retrospect, regardless of the possibility of bone cancer, just allowed metastatic cancer to run amok for four months. Dr.Martin was good at separating the conjoined twins, rebuilding the shattered faces ,but had at least killed three people. He was known as 007 among peers and colleagues cause license to kill.Actually, some doctors prefer complicated surgeries and make light of normal symptoms, leading to some misdiagnoses, at the same time, patients always complain about expensive examining cost, misunderstanding their doctors in charge.
3.Dr.Wilson failed to save the little boy Quinn McDaniels’ life due to uncontrollable bleeder. Quinn’s CT scan releaved a massive temporal-lobe tumor, which appeared malignant, so Dr.Wilson decided to operate immediately but he didn’t discuss it with his colleagues. The boy had never met his father but unfortunately his father has Von Willebrand’s disease. The doctor’s arrogance, unwillingness to seek a consult, neglecting to get a full and thorough history are responsible for the boy’s death though Dr.Wilson is not only one of the best surgeons in the world but also a committed and compassionate doctor who treated the little boy as if he were his son.What a tragedy, I had to admit that arrogance is fatal to each doctor as well as to people of all fields…
Episode two:
1.Dr. Park used Deep brain stimulation to treat a patient who was troubled by intention tremor, but DBS maybe the last resort. The operation was successful at that time, but later, the patient, Beth, prosecuted Dr. Park for she was left with an overactive libido. Dr. Park blamed her and the lawyer very strictly, in fact Beth begged Park to stop her tremor and was willing to receive the dangerous operation herself, but now she comes with lawyer, asking for money. Dr. Park’s words stimulated Beth, she dismissed the lawsuit and gave him a portraiture, she was a painter before. Beth conveyed her profound apology and sincere gratitude, this really touched me, brain is so mysterious that we cannot foresee what will happen after DBS. Such is human nature that people sometimes bite the hand that feeds one.
2.Dr. Tierney breached in protocol towards his donor, one of the patient donors Mr. Jasper wasn’t deceased but Dr. Tierney determined incorrectly that he was brain dead though he asked the neuro resident to examine Jasper and Jasper even reflect to the doctor’s commands. The transplant stuff is exciting, Dr. Tierney was called predator, a vulture trolling around the ICU, scavenging to harvest organs, not to be annoyed with annoying little things. Buck has been done his job well for 20 years, he has run a transport service that has made Chelsea one of the highest-volume centers in the country and keep the success high at the same time. This time he saved four lives, but neglected humanity and discriminated black people.
3.Dr. Ridgeway allowed Dr. Robidaux, a doctor-in-training, to operate on Miss Cash’s brain cause she thought Robidaux was perfectly capable of handling a Meningioma and that what a teaching hospital is. But because of Robidaux’s lack of experience, Cash’s olfactory nerve was damaged and unfortunately she was a chief. I have to say Ridgeway didn’t do any wrong but she is indisputably blame for this accident though the risk is permitted by the patients before the operation. No practice, no progress, no one hatches from an egg as a polished surgeon, but this is so unfair to the patient. The only way to avoid such tragedy is to perfect medico’s skill, hu…I guess Dr. Robidaux was so sorry.
(to be continued... the passage is originally written by me , no reprints without permission)
建議大家看完幾集以后或是全部看完后再來(lái)看劇評(píng),謝謝。
我看過(guò)的第一部醫(yī)療劇是產(chǎn)科醫(yī)生,評(píng)分不高,也沒(méi)有產(chǎn)科男醫(yī)生火。大概就是出事了,一個(gè)男醫(yī)生一個(gè)女醫(yī)生輪流救或者一起救,之后化險(xiǎn)為夷。劇情中最打動(dòng)人心的是一個(gè)艾滋病人在醫(yī)院生產(chǎn)造成了大眾的不滿(mǎn)甚至轉(zhuǎn)院,而肖程卻不顧這些照樣幫她們做手術(shù)。最后手術(shù)成功,皆大歡喜。
各種膚色,各種國(guó)家的人,因?yàn)橥粋€(gè)職業(yè)聚集在Chelsea General。而在311室舉行的會(huì)議每次都會(huì)以實(shí)際案例和醫(yī)生為基礎(chǔ),讓他們看清自己職業(yè)上性格上的不足,因此更好的對(duì)待患者。對(duì)醫(yī)療事故的發(fā)生,cheif of staff表示zero tolerance。
這部劇讓我看到了醫(yī)生的責(zé)任,精準(zhǔn)和嚴(yán)肅。為患者服務(wù)時(shí),他們需要一絲不茍,出了一點(diǎn)差錯(cuò)要負(fù)全部責(zé)任。與此同時(shí)也要照顧患者和家屬的心情,尊重他們的選擇。于是在醫(yī)院中,我們不會(huì)看到強(qiáng)迫,只有勸說(shuō),哪怕是“Not do, dead.”這樣沒(méi)有人情味的話(huà)。
但從中揭露的更是人性中善良,有愛(ài)的那一面。作為外科或是神經(jīng)科醫(yī)生,他們做手術(shù)時(shí)只需要在意局部,但對(duì)待患者時(shí)需要注意整體,包括他們的心情,意愿和家屬的想法。他們不只是拿手術(shù)刀的人,也是一個(gè)個(gè)有愛(ài)心,很認(rèn)真、善良的人。比如一個(gè)13歲的女孩Trisha拒絕接受治療,原因是她想把人生最后的幾個(gè)月活的更好,更有趣,而不是身上插滿(mǎn)管子。醫(yī)生們找她談話(huà)時(shí)先表示了尊重,再說(shuō)出了生命的意義和奇跡的發(fā)生,最終她答應(yīng)了做手術(shù)。cheif of staff為了使她開(kāi)心,愿意把自己的頭發(fā)剃光像她一樣bald。這無(wú)疑是至高的尊重和信任,也是一種程度上的try their best。
傳言這部劇已被砍,不會(huì)有第二季,對(duì)此我表示深深的遺憾和無(wú)奈。美國(guó)有許多這樣8集10集的短劇,揭露的是社會(huì)中美好的一面,人性中善良的一面。但因?yàn)闆](méi)有炒作和一些吸引人的劇情,他們沒(méi)有火起來(lái),甚至找不到資源。在這推薦人人視頻,美劇基本都可以搜到。
在《周一清晨》中有著許許多多醫(yī)療事件中事件,它們都充滿(mǎn)著矛盾,十分復(fù)雜,但在生活中又常有發(fā)生??v觀(guān)全劇,其中一個(gè)情節(jié)最令我印象深刻。
這個(gè)事件大致是一個(gè)未成年女孩被馬踢到了胸部,診斷為心包淤血,急需實(shí)施心包穿刺抽出淤血及積液。隨后女孩的父母來(lái)到醫(yī)院,宣稱(chēng)他們和他們的女兒都是基督教科學(xué)派信徒。這是一個(gè)認(rèn)為物質(zhì)是虛幻的,疾病只能靠調(diào)整精神來(lái)治療的教派,所以他們要求把女兒接走,放棄治療。此時(shí)醫(yī)生Dr. Villanueva當(dāng)機(jī)立斷以簡(jiǎn)單包扎為由秘密進(jìn)行了手術(shù),救了小女孩一命,也機(jī)智地瞞天過(guò)海躲過(guò)了訴訟。
這件事情本身而言,醫(yī)生的做法是違法的?!夺t(yī)療機(jī)構(gòu)管理?xiàng)l例》第 33條規(guī)定,醫(yī)療機(jī)構(gòu)施行手術(shù)、特殊檢查或特殊治療時(shí),必須經(jīng)得患者同意,此時(shí)醫(yī)生本應(yīng)和小女孩父母簽訂知情同意書(shū)才可實(shí)施手術(shù);但另一方面,看著本可以治療好的患者放棄治療,這與醫(yī)生天生的職業(yè)宗旨產(chǎn)生了極大的沖突??梢哉f(shuō),放棄治療這一問(wèn)題,在道德和法律之間,都有著極大的矛盾點(diǎn)和復(fù)雜點(diǎn)。
2015年11月2日,在四川眉山市人民醫(yī)院重癥監(jiān)護(hù)室,男子鄭某等家屬在探視時(shí)將母親朱某的呼吸管拔掉,后朱某死亡。呼吸機(jī)報(bào)警后護(hù)理人員要去接呼吸機(jī),遭到家屬阻止。隨后鄭某表示因經(jīng)濟(jì)原因無(wú)法繼續(xù)治療,但他也因此被起訴故意殺人罪。
沒(méi)有簽協(xié)議書(shū)私自拔管,這個(gè)荒謬的事件體現(xiàn)了我國(guó)現(xiàn)階段公民法制觀(guān)念的缺失。放棄治療并不是一個(gè)簡(jiǎn)單的概念,是需要法律和道德約束的一個(gè)復(fù)雜的問(wèn)題。
放大點(diǎn)說(shuō),放棄治療有很多情況。從放棄治療的發(fā)起者來(lái)講,分為患者本人和患者家屬兩種,而醫(yī)療機(jī)構(gòu)本身不能做出放棄治療決策。從放棄治療的原因來(lái)講,大致可分為醫(yī)學(xué)上的、經(jīng)濟(jì)上的和道德精神層面的。
在我國(guó),生命權(quán)作為公民一項(xiàng)基本權(quán)利受到憲法的保護(hù)?!睹穹ㄍ▌t》規(guī)定公民享有生命健康權(quán),執(zhí)業(yè)醫(yī)師法》第 25 條規(guī)定,對(duì)急?;颊哚t(yī)師應(yīng)當(dāng)采取緊急措施進(jìn)行診治,不得拒絕急救處置,這體現(xiàn)了公民的生命權(quán)不可侵犯,所以醫(yī)療機(jī)構(gòu)不具有放棄治療的權(quán)力。通常情況下,放棄治療要由患者本人決定,但有一些情況如患者為無(wú)法履行民事責(zé)任的未成年人、處于昏迷狀態(tài)下的患者、有精神疾病的患者等,此時(shí)要由患者監(jiān)護(hù)人或家屬替患者進(jìn)行決策。
家屬?zèng)Q策是爭(zhēng)論最多的話(huà)題,一般認(rèn)為需要觀(guān)察患者為限制民事行為能力人還是無(wú)行為能力人。《中華人民共和國(guó)民法通則》第十二條規(guī)定:十周歲以上的未成年人是限制民事行為能力人,不滿(mǎn)十周歲的未成年人是無(wú)民事行為能力人,第十三條規(guī)定不能辨認(rèn)自己行為的精神病人是無(wú)民事行為能力人。對(duì)于限制行為能力人,可根據(jù)患者理解醫(yī)療決策的能力和程度來(lái)判斷是由患者自行決定,還是由代理人全權(quán)決定;對(duì)于無(wú)能力患者時(shí),曾經(jīng)有過(guò)行為能力,但沒(méi)有留下任何明確表示,應(yīng)當(dāng)由代理人代為執(zhí)行。倫理學(xué)將代理人代替被代理人做決定的形式稱(chēng)為"替代判斷",應(yīng)盡量符合被代理人的喜好、價(jià)值觀(guān),并維護(hù)其最高利益。但這種決策還是免不了過(guò)于主觀(guān)。
美國(guó)率先提出的生存意愿書(shū)我認(rèn)為是值得現(xiàn)階段推廣的法律條文,生存意愿書(shū)又叫做生前預(yù)囑,它是由某人做出的一份聲明,內(nèi)容是當(dāng)他將來(lái)沒(méi)有能力同意或拒絕某項(xiàng)醫(yī)療手段時(shí),應(yīng)用或不應(yīng)采用哪些醫(yī)學(xué)手段。生前預(yù)囑只有患者失去行為能力時(shí)才可生效,有行為能力時(shí)可隨時(shí)更改。在美劇《周一清晨》中也有提到生前預(yù)囑的問(wèn)題。第三集中樸醫(yī)生為年老的男病人做手術(shù),之后病人腦死亡,身體臟器卻依舊活著,他沒(méi)有遵從病人的生前預(yù)囑讓他死亡,而是用了呼吸機(jī)維持生命。然后,醫(yī)生問(wèn)病人年邁的妻子“你打算怎么辦?”,老太太最終不得不選擇遵從先生生前愿望讓他死亡。主任為此批評(píng)了樸醫(yī)生,因?yàn)樗J(rèn)為生前預(yù)囑存在的一個(gè)價(jià)值就是減少家屬在決策時(shí)的痛苦,讓家屬選擇放棄治療等于是內(nèi)心的一次煎熬。從這個(gè)層面上講,生前預(yù)囑恰恰體現(xiàn)了醫(yī)療人文下的對(duì)患者和生命的尊重。
現(xiàn)階段我國(guó)的醫(yī)療環(huán)境不斷惡化,醫(yī)患矛盾不斷。一方面是社會(huì)法制觀(guān)念太弱,患者沒(méi)有通過(guò)法律維權(quán)的意識(shí),一些法律規(guī)定的醫(yī)療問(wèn)題得不到規(guī)范的管理;另一方面,患者的知情權(quán)和自主權(quán)在醫(yī)療過(guò)程中常常被剝奪,尊重患者自主性將很快成為中國(guó)未來(lái)人文醫(yī)學(xué)發(fā)展的重要內(nèi)容。只有做到完善立法、加強(qiáng)醫(yī)療人員相關(guān)內(nèi)容的提醒,才能在放棄治療等重大的醫(yī)療問(wèn)題上少出錯(cuò)、少糾紛。
因B站Up主「大物是也」的 Reaction 而得知此劇,在看了原劇集之后,終于也去看他們的講解了。—— 2022.03.28:【周一清晨】醫(yī)生盲目自信,后果會(huì)有多嚴(yán)重?!→ https://www.bilibili.com/video/BV1Mi4y1C7Z8 —— 2022.03.29:【周一清晨】移植科醫(yī)生抉擇有多難?13歲女孩為何拒絕治療?這一集的醫(yī)學(xué)倫理絕了!→ https://www.bilibili.com/video/BV1UL4y1j7T7 …… —— 2022.08.22:【周一清晨】器官捐獻(xiàn)無(wú)償,移植費(fèi)用卻不低?why?!→ https://www.bilibili.com/video/BV1HB4y1z7zz
自省,謙卑,人文關(guān)懷。
看幾集就明白這劇為什么會(huì)被砍,雖然感情戲上沒(méi)安排全部醫(yī)生互滾一遍只是安排了一對(duì)出軌,但為了增加沖突夸大了很多別的方面,例如英語(yǔ)差到連說(shuō)話(huà)都有問(wèn)題的韓國(guó)醫(yī)生是怎樣通過(guò)論文那一關(guān)而當(dāng)上醫(yī)院腦科一把手的這根本就不可能好嗎雖然效果挺好笑,有些問(wèn)題還是值得一看的,如器官捐贈(zèng)
沒(méi)有炫技,收視低迷,敏感話(huà)題,這部沒(méi)什么商業(yè)價(jià)值十集被砍的劇,在業(yè)內(nèi)風(fēng)靡甚至被奉為準(zhǔn)則。切爾西綜合醫(yī)院里面展現(xiàn)的醫(yī)患關(guān)系、信仰沖突、人生哲學(xué),我一個(gè)外行人,被周一清晨的311會(huì)議重建三觀(guān)。
一直舍不得看掉的最后一集真是最后一集了,DEK大神在有線(xiàn)臺(tái)的試水口碑成功收視不成功,但我愛(ài)這部劇,攝影、臺(tái)詞、場(chǎng)景、配樂(lè)...沒(méi)有賣(mài)腐調(diào)侃,沒(méi)有大爪馬,嚴(yán)謹(jǐn)而又真誠(chéng),只是過(guò)于專(zhuān)業(yè)的視角讓它本身就找不到它的觀(guān)眾群。#AShowThatYouWillMiss#
Monday Morning應(yīng)該是我迄今為止看過(guò)的最好的醫(yī)療劇。醫(yī)療劇不該是煽情騙眼淚的,更不該是沒(méi)完沒(méi)了的滾床單的。醫(yī)療劇也不該只是冷靜客觀(guān)地分析病例,它應(yīng)該就是像MM這樣,有深度地發(fā)掘醫(yī)患關(guān)系和醫(yī)學(xué)倫理的作品。因?yàn)獒t(yī)學(xué)從來(lái)都不是一門(mén)冰冷的學(xué)科,在醫(yī)生與病患的種種接觸中,它有了屬于自己的溫度。
去年的年度遺珠啊,很久沒(méi)看過(guò)這么正的醫(yī)療正劇了。
樸醫(yī)生噶有魅力的~
這么好的劇,怎么就沒(méi)續(xù)訂啊
優(yōu)秀的劇集,在我眼里它就是醫(yī)院版的《新聞編輯室》,每一場(chǎng)例會(huì)都不是簡(jiǎn)單的灌輸某種價(jià)值觀(guān),而是不同思想的碰撞,然后把決定權(quán)交給觀(guān)眾。不明白這么好的劇為什么會(huì)被砍~
愛(ài)死這樣的醫(yī)療劇了,完全就是我想看的,每一集都很深刻,每個(gè)人都喜歡,主任的刀子嘴豆腐心,BigCat強(qiáng)壯的外表下有一顆體貼人的心,Ty和Tina看似很完美的一對(duì),但能夠在一起卻是建立在男方小三女方出軌的基礎(chǔ)上,Park和Syd都是不擅于表達(dá)但其實(shí)很為患者著想,典型的嘴硬,Buck表現(xiàn)的像個(gè)壞蛋但心不壞
一集棄,想學(xué)GA,其實(shí)給GA提鞋都不配。
一間無(wú)所顧忌的會(huì)議室里,關(guān)于醫(yī)療規(guī)范、倫理、道德、法律、人文關(guān)懷等方面的省視和討論。
在case上比House簡(jiǎn)單但又真實(shí),比GA平淡但也真實(shí),是個(gè)不可多得的醫(yī)務(wù)劇,對(duì)人性的分析還算透徹,那些生活中受人尊重的中產(chǎn)階級(jí)醫(yī)生,有著強(qiáng)烈工作滿(mǎn)足感和充實(shí)感的醫(yī)生,一般也不太會(huì)有十分陰暗和齷齪的想法,所以在道德制高點(diǎn)上就虛了那么點(diǎn),有點(diǎn)上帝視角是難免的。我是醫(yī)生,這個(gè)劇給我很大啟發(fā)。
很有意思。
作為劇集,的確嚴(yán)肅了些,但對(duì)于我們這些行醫(yī)者,確是不可多得的好劇。提醒我們?cè)偌?xì)致些、再用心些,別讓“行醫(yī)者”成“行兇者”……
有血有肉
拿這部和格蕾評(píng)高低就跟拿好媳婦兒與suits相比較沒(méi)兩樣
有人說(shuō)它過(guò)于偏重醫(yī)療案例而收視率低,但我卻覺(jué)得它已經(jīng)講述得很貼地氣了,既生動(dòng)又不枯燥。上一次看腦外科醫(yī)療劇被感動(dòng)得稀里嘩啦的還是韓劇《Brain》,觸目驚心的手術(shù)現(xiàn)場(chǎng)、牽腸掛肚的醫(yī)患關(guān)系。除了這些,這部劇最精彩之處還在于其獨(dú)有的周一清晨例會(huì),類(lèi)似公開(kāi)處刑的現(xiàn)場(chǎng)卻道出發(fā)人深省的無(wú)盡的醫(yī)學(xué)倫理關(guān)系大討論,這種人文關(guān)懷值得每一個(gè)醫(yī)護(hù)工作者以及病患和家屬學(xué)習(xí)。
原以為是肥皂劇,演員也沒(méi)有特別好看的。但每集都深刻探討人性道德,醫(yī)學(xué)界和法律界一樣,永遠(yuǎn)離不開(kāi)對(duì)人心根本的追求。