讚揚信

對上幾個月,醫館局因幾單醫療事故, 被市民狂插, 周局長疲於奔命，為醫療失誤而頻頻出鏡解畫。香港嘅醫療係咪真係咁差呢? 我個人認為香港整體醫療服務質素，應該優勝過好多地方同國家。凡有人嘅地方，就會有失誤，唔單單係香港呢笪地方。網友黑咪因意外入咗醫院，佢喺網誌裡面，都有讚揚過屯門醫院嘅醫護人員。

回想起5年前，我的弟弟因心臟出現問題要到伊利莎伯醫院做手術。 佢細個時，完全唔知自己有先天性心瓣過長。喺13歲嗰年，有一次感冒去睇醫生， 點知檢查之後發覺心臟有問題，醫生話情況好危險, 要即時做手術，如果唔做嘅話, 要24小時搵護士睇住，因為隨時有生命危險。嗰陣時邊有錢請護士？重話要24小時添! 我家姐問醫生, 做咗手術係咪會好得番？點知醫生話成功嘅機會率係50%, 另外50%可能會變植物人。聽完醫生呢番說話之後，我細佬決定唔做，心諗過得一日贃一日，總比做植物人好得多。因為無錢，所以無好似醫生咁講，請個護士24小時睇住。

我細佬起初都好驚，佢同我講，頭嗰幾晚，每晚都唔敢瞓，驚瞓著咗唔識醒。咁就累人累物喇! 之不過過吓一日，過吓又一星期，都無事發生，佢開始無咁驚，加上身體並無感到不適，佢漸漸將呢件事忘記。

點知喺30幾年後嘅某一日，佢為咗趕巴士而跑咗幾分鐘，上車之後抖唔到氣，嗰次以為死梗，好彩之後呼吸暢順番，但唔敢再返工。返到屋企之後，雖然抖到氣，但覺得個心重係翳住翳住，無辦法，唯有卜個心臟專科醫生睇吓。

醫生診斷過佢嘅情況之後，表示情況好危急，恐怕心臟負荷唔到，變成心衰竭，即係話個心臟壞死唔可以再用，咁就麻煩，所以一定要盡快做手術。跟住寫紙介紹佢去照心臟X光，然後再將X光片交返俾佢。

我大哥喺加拿大某間醫院嘅心臟科工作。我細佬將啲底片SCAN咗之後E俾我大佬，大佬睇完之後話醫生講得無錯，細佬一定要做手術，因為佢其中一塊心瓣過長，唔可以有效防止血液倒流，導致其中一邊心臟跳動次數比正常多，日積月累，已經比正常發 大咗一倍,情況真係好危急,有機會導致心衰竭。我問大哥細佬情況嘅時候，佢沉默咗一刻，無正面回答我嘅提問，佢剩係話會替細佬祈禱。我聽完之後知道情況唔樂觀，但對真正情況完全唔暸解，當時心裡感到非常不安。

我細佬其後收到顧問醫生通知，話已經將佢啲資料送咗去伊利沙伯醫院，嗰邊醫生會排期接見我細佬。過咗唔夠二星期，伊院心臟科主診醫生話已經安排好做手術嘅日期同時間，但喺做手術之前約見佢，講解手術嘅過程同埋手術面對嘅風險，重特別交帶，叫佢帶埋至親嘅屋企人一齊出席。

嗰朝我同細佬弟婦一齊去到約見地點。由一位馬醫生接見,馬醫生大約60零歲，架著一個粗框眼鏡，國字口面，俾我一個沉實穩重嘅學者印象。佢首先指出，心臟開刀係屬於高風險手術，就算預先睇過底片，商議好晒手術過程，但到正式開刀，見到個心臟嘅時候，處理方式會因實際情況而修改。

馬醫生繼續講，手術朝早8點開始，預計約5小時完成。首先要同病人全身麻醉，然後將流經心臟嘅血液，接駁去一部機器，作為臨時心臟，維持其他器官嘅氧料供應。跟住用手術電鋸，將病人胸口中間打直鋸開，之後將胸骨用儀器左右撐開，最盡撐開到6吋。之後用針葯將心臟打停，以便進行手術。

根據病情顯示，過長嘅心瓣有3種處理方式。第1種係以動物心瓣替換；第2種用金屬片代替；第3種係將病人過長嘅部份修補，裁剪到合適為止。如果用動物心瓣替換，大約可以用7年，之後要再施手術更換。用金屬片替換可以用20年，但由於血液好容易凝結喺金屬片表面，所以要長成期服食薄血丸，平日要好小心，因為如果有損傷，傷口唔係咁易埋口。故此最好就係用番病人自己經修補嘅心瓣。

當手術完成後，要用電將心臟擊活，等心臟恢復跳動。手術之後嘅24小時係最關鍵時刻，要用機器監察住個心臟，睇吓有無滲漏，如果超過呢段時間都測唔到嘅話，手術先至叫做成功。

馬醫生將整個手術過程交代得一清二楚，我聽完之後，手心冒汗。究竟手術用邊種方式進行，最後係咪成功？真係好講運氣。之前唔怪得大哥無出過聲喇，因為佢每日見慣類似嘅手術，知道風險有幾大。我之後打電通知大哥，佢好開心知道香港醫生肯同細佬做咁嘅手術。佢話呢啲咁覆雜嘅手術，加拿大好多醫生，為咗維持一個高嘅手術成功率，唔會冒咁大嘅風險同病人做呢類手術。所以唔好成日話外國嘅月亮一定比本地圓！

幸好最後手術成功，我為咗感謝醫護人員付出嘅努力，寫咗一封信讚揚各有份參與嘅醫生。

Dear Sirs,

    It happened on 2-8-2007. I looked at the wall-mounted clock incessantly through out the period from 8:00 a.m. to 2:00 p.m. while I was working in my office. Time moved slowly by. I was anxious at that critical moment because my younger brother was having a 6-hour heart surgery that morning. His situation was getting worse recently and his circumstances were overwhelming. Surgery was unavoidable as advised by a heart specialist. 

    While we were waiting outside ward H7 that morning for the surgery, we met Dr. Zhu who stopped and asked my brother if his wife had signed the document regarding the surgery in a concerned manner. Dr Zhu further explained to us briefly the whole process of the surgical operation. His kind and friendly approach relieved our worries and anxieties and directly strengthened the confidence of my brother. I was impressed by Dr Zhu who applied himself wholeheartedly to his work at all times.

    Two months ago, my brother’s case was referred to Dr Ma for following up. We went to visit Dr Ma for a surgery appointment. Dr Ma explained the situation to us explicitly and the risk my brother was going to face. He also told us what they would do during the operation. We had a rough concept of the surgery and I realized it was an ordeal for my brother and our relatives. Dr Ma conveyed the message to us in a professional way. His self-assured and positive manner gave us confidence in overcoming the difficulties.

   

    By virtue of their marvelous techniques and conscientious working manner, the surgical operation of my brother was turned out to be successful. My brother made speedy progress in recuperation under the good care of all nursing staff of ward A7 & H7 after the operation.

    In view of their outstanding performance, I write to express my sincere thanks to all staff of ward A7 & H7 and also the following doctors.  

   
    1 . Dr C.C.Ma
    2. Dr H L Cheung
    3. Dr W K Ng
    4. Dr T Zhu
    5. Dr W H Hui

   Yours faithfully,