機智醫生Hospital Playlist其中一集好有感受

腦外科住院醫生許善彬發現病人在活組織抽檢後發現右瞳孔有輕微放大，擔心可能有術後出血的機會，希望進行腦部電腦掃描。

但向研究醫生（Fellow）商討後被打發，更「教育」了一番，認為她不應該那麼「滕雞」，再觀察一下。

但許善彬仍然心感憂慮，大概是醫生的直覺吧，便每15-30分鐘檢查病人一次，發現瞳孔放大情況愈來愈嚴重，清醒程度更開始惡化。

為了病人的安全，許善彬再次向研究醫生商討但同樣地被打發。最後許善彬按捺不住在電話中大聲反擊

「我認為病人有腦出血的跡象，病人如果出事是不是你負責？」

最後成功安排腦掃描並發現腦內出血，急需進行緊急手術清除血塊及止血，成功救回病人一命。

許善彬其後向研究醫生就態度不良，大聲向資深醫生說話而道歉。及後許善彬向主角之一的蔡頌和教授debrief，教授向許善彬說她做得不夠好，起初許善彬以為自己大聲向研究醫生說話態良不良，開罪了前輩。

但其實教授想帶出的是，如果擔心病人生命安全的話，應該據理力爭，不應該害怕前輩的壓力。病人的生命永遠是最優先的考慮，他/她是某人的家人，是重要的生命。

這其實對所有初級醫生來講真的感受很深

殘酷的現實告訴我們不是每個資深醫生都如蔡頌和教授或機智五子一樣那麼隨和又沒有架子。很多時候初級醫生的疑問或憂慮都會被高級醫生以一兩句便打發，或高級醫生說

「你幫我安排A, B, C」便掛電話，連提問的時間都沒有

「總之他需要ABC，你去處理」，令你不敢問下去

又或者一副極為condescending的語氣去回答你的疑問或憂慮

久而久之，不少初級醫生便會變得愈來愈保守，深怕問錯問題會被標誌為「問題醫生」或那「不聽話的Junior」。

醫學界仍然是非常重階級觀念的地方，得罪senior雖然未必會令你做不到想做的專科，但絕對會令你的路比別人難行。

事業vs病人

這看似反射般便能選擇的答案，在這醫療系統裡卻非想像般的簡單。

這兩天 #羅智強 議員的 #疫苗乞丐 說讓我很感慨，然而讓我更感慨或不解的是，有些朋友對外交的本質似乎不是那麼了解。

我要說的是，對request這個字的理解。

沒錯，在路透社的最初報導中，是有提到這批兩萬劑 #立陶宛 的疫苗捐贈，是應台灣「請求」（request）。

但，request跟乞丐，兩者可以劃上等號嗎？

當然不行。

原因很簡單。外交工作，每天都是在request。

👉request for a meeting 請求拜會

👉request for kind response 請求善意回應

👉request for email reply 請求電郵回復

👉request for apology 要求道歉

👉request for your immediate attention on this matter 請求立即關注此事

我還可以一直寫下去。真的寫不完。

而且，不是只有小國會向大國request，大國也會向小國request。大國之間、小國之間，都會request。國家與國家之間，原本就會相互request 。

Request 怎麼會等於乞討？

說個小故事。

我還記得我當年外派洛杉磯的日子。當時的處長，指派我去負責新墨西哥州業務。

New Mexico State，對許多台灣人來說很陌生。我接下這個州的政務聯繫業務時，一個聯繫的電郵或電話都沒有。

所以我該怎麼辦？

只能Google。

我打了無數通的電話，寫了無數封電郵，只為了request 對方的回應，讓我自我介紹，請求對方安排時間，讓我搭飛機過去轄訪。

當時的我，並沒有覺得我自己是乞丐。新墨西哥州的友人，也沒有覺得我是乞丐。儘管我們雙方在通信往返之間，我講了無數次的request。

幾個月後，新墨西哥州參、眾議會聯合通過支持台灣參與國際組織的決議案，然後我帶了一個新墨西哥州議會參議長十人訪團回台灣。距離上次新墨西哥州出現這些友台舉措，已經是約莫七年前的事了。

認識新墨西哥州的友人，是我外交生涯最開心的事之一。

外交工作，基於平等互惠、相近理念。國家之間相互request 很正常，我們不會認為這是在乞討。

後來我在駐帛琉大使館服務，台灣對友邦雖然有援助計劃，但我們從來不會說友邦在向台灣「乞討」。我們用的詞，是「開發合作」（development cooperation )。

更別忘了，每年聯合國或世界衛生大會開會，台灣大使館也會request 帛琉政府幫我們在國際場域上仗義執言。

難道，帛琉會認為台灣在乞討嗎？並不會。因為這就是國際政治的本質。

向他國request 並不丟臉。

丟臉的是，無視每天幾千枚飛彈瞄準台灣以及不時派軍機來台灣上空叫囂的行為，反而對暴政政權搖尾乞憐，甚至還自我安慰「雙方有共識」。

去你X的共識。

先把飛彈撤下來，三個月不派飛機過來侵門踏戶，我們再來談談要不要有共識。

很難理解嗎？

國民黨的「乞丐說」外交思維，用一個英文字來形容很貼切：condescending。

意思是，總是用一種居高臨下、瞧不起對方的心態，在看待外交。

國民黨這個百年老店，該關了。

#Opinion by Au Ka-lun 區家麟｜"Arguably subject to interpretation, the words can also be found in commentaries in quite a number of party-run newspapers. Every time I run into them, I have a weird feeling. Why? Staring at the words and pondering over them, you will crack the reason that it connotes three different implications: 1, whenever there is a problem, the opposite side should take full responsibility; 2, Hong Kong people have to be governed; 3, I am empowered to govern you."

Read more: https://bit.ly/2RJBZ5r

"「任之由之」，可圈可點，這四字也見諸好些黨報的其他評論文章；每次讀到，總浮起莫名異樣。為甚麼呢？凝視這四個字，再細心咀嚼就會明白，原因很簡單，因為「不能任之由之」幾字，隱含了三種意態：一，出了問題，責任完全在對方；二，香港人是要管的；三，我有權來管你。"
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This beautiful view is in front of this award-winning, iconic, unforgettable and luxurious resort in Boracay Island, the Philippines.
But the only true about what I said is, “unforgettable”.

After a long walk from station 3 to DiscoveryS hores Boracay, I decided to grab my favorite pasta, aglio olio. There were a few people taking photos of food at the entrance and I was greeted by a guard who happened to be the owner, and the waiter of the resort.

His greetings was so warm, he asked if I had a QR code, which is required before you get in the island. His tone was so condescending and unfriendly, and so I thought, he was the owner, acting as a guard. I politely answered “yes, and I would not be able to get inside the island itself, if I did not have one.” Hence, my response for his already condescending voice. He answered back with a more condescending voice “I am just asking!” Which was then again, obvious from the first question he asked, because, it sounded with a question mark AND an exclamation point.

I eagerly asked if they had pasta, and he said he had to go inside first and check. When I was approaching him again, to ask if there serve pasta, he asked “what kind of pasta?”, now the guard became the waiter. I did not know a luxurious hotel hires a guard and a waiter at the same time.

The resort had a few people. Yes, which means there were plenty of vacant tables inside. He then approached me and ask me to dine it at a location where the table was filthy, the chair was dirty, and secluded from the rest of the guests. I confirmed four times with the manager if it was really their protocol, to let the walk-in guest eat there. Which was then a lie because I saw a few people dining it at the better place, not hotel guests, but walk-ins.

Discovery Shores Boracay Island, where the guard and manager discriminate people.
Discovery Shores Boracay Island, where they market their resort as luxurious but their service is rated as one star. No, let’s make it unrateable.
Discovery Shores Boracay Island, a place where people with Sony A7C and professional cameras are discriminated. Vloggers are not welcomed.
Discovery Shores where the guard is the owner, and the waiter. Where the operations manger is incapable.

Discovery Shores Boracay Island the Philippines, overrated and does not need the support of the people. Only people who discriminates supports a business that discriminates.

P.S, this is my personal experience, and with videos to support my claim. Some people around the area that this is owned by a congressman, where in the Philippines, you get killed if you speak against their businesses. So if something happens to me, you know who to find.

This beautiful view is in front of this award-winning, iconic, unforgettable and luxurious resort in Boracay Island, the Philippines.
But the only true about what I said is, “unforgettable”.

After a long walk from station 3 to DiscoveryS hores Boracay, I decided to grab my favorite pasta, aglio olio. There were a few people taking photos of food at the entrance and I was greeted by a guard who happened to be the owner, and the waiter of the resort.

His greetings was so warm, he asked if I had a QR code, which is required before you get in the island. His tone was so condescending and unfriendly, and so I thought, he was the owner, acting as a guard. I politely answered “yes, and I would not be able to get inside the island itself, if I did not have one.” Hence, my response for his already condescending voice. He answered back with a more condescending voice “I am just asking!” Which was then again, obvious from the first question he asked, because, it sounded with a question mark AND an exclamation point.

I eagerly asked if they had pasta, and he said he had to go inside first and check. When I was approaching him again, to ask if there serve pasta, he asked “what kind of pasta?”, now the guard became the waiter. I did not know a luxurious hotel hires a guard and a waiter at the same time.

The resort had a few people. Yes, which means there were plenty of vacant tables inside. He then approached me and ask me to dine it at a location where the table was filthy, the chair was dirty, and secluded from the rest of the guests. I confirmed four times with the manager if it was really their protocol, to let the walk-in guest eat there. Which was then a lie because I saw a few people dining it at the better place, not hotel guests, but walk-ins.

Discovery Shores Boracay Island, where the guard and manager discriminate people.
Discovery Shores Boracay Island, where they market their resort as luxurious but their service is rated as one star. No, let’s make it unrateable.
Discovery Shores Boracay Island, a place where people with Sony A7C and professional cameras are discriminated. Vloggers are not welcomed.
Discovery Shores where the guard is the owner, and the waiter. Where the operations manger is incapable.

Discovery Shores Boracay Island the Philippines, overrated and does not need the support of the people. Only people who discriminates supports a business that discriminates.

P.S, this is my personal experience, and with videos to support my claim. Some people around the area that this is owned by a congressman, where in the Philippines, you get killed if you speak against their businesses. So if something happens to me, you know who to find.

This beautiful view is in front of this award-winning, iconic, unforgettable and luxurious resort in Boracay Island, the Philippines.
But the only true about what I said is, “unforgettable”.

After a long walk from station 3 to DiscoveryS hores Boracay, I decided to grab my favorite pasta, aglio olio. There were a few people taking photos of food at the entrance and I was greeted by a guard who happened to be the owner, and the waiter of the resort.

His greetings was so warm, he asked if I had a QR code, which is required before you get in the island. His tone was so condescending and unfriendly, and so I thought, he was the owner, acting as a guard. I politely answered “yes, and I would not be able to get inside the island itself, if I did not have one.” Hence, my response for his already condescending voice. He answered back with a more condescending voice “I am just asking!” Which was then again, obvious from the first question he asked, because, it sounded with a question mark AND an exclamation point.

I eagerly asked if they had pasta, and he said he had to go inside first and check. When I was approaching him again, to ask if there serve pasta, he asked “what kind of pasta?”, now the guard became the waiter. I did not know a luxurious hotel hires a guard and a waiter at the same time.

The resort had a few people. Yes, which means there were plenty of vacant tables inside. He then approached me and ask me to dine it at a location where the table was filthy, the chair was dirty, and secluded from the rest of the guests. I confirmed four times with the manager if it was really their protocol, to let the walk-in guest eat there. Which was then a lie because I saw a few people dining it at the better place, not hotel guests, but walk-ins.

Discovery Shores Boracay Island, where the guard and manager discriminate people.
Discovery Shores Boracay Island, where they market their resort as luxurious but their service is rated as one star. No, let’s make it unrateable.
Discovery Shores Boracay Island, a place where people with Sony A7C and professional cameras are discriminated. Vloggers are not welcomed.
Discovery Shores where the guard is the owner, and the waiter. Where the operations manger is incapable.

Discovery Shores Boracay Island the Philippines, overrated and does not need the support of the people. Only people who discriminates supports a business that discriminates.

P.S, this is my personal experience, and with videos to support my claim. Some people around the area that this is owned by a congressman, where in the Philippines, you get killed if you speak against their businesses. So if something happens to me, you know who to find.