歲月麻醉

Anesthesia,Joyful Life
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大家來作vertebroplasty

影像科,以前叫做放射線科,現在跑到第一線,又叫做介入影像醫學科,這是繼疼痛科,神經外科,骨科外,又有一個學科近來搶食這塊大餅!


為甚麼要扯到這個議題呢?君不見二線科醫師要想出頭天,不想辦法鑽到一線來,那是永遠沒有出路的。幕後英雄沒有掌聲就罷了,沒有叮噹聲,就苦一點也可以接受,如果沒有尊嚴,那是孰可忍孰不可忍!

近日大陸丁香論壇有幾個帖子在討論麻醉科的前途問題,有人說,疼痛與重症獨立於麻醉外,是自毀長城,所謂團結就是力量,在大麻醉科底下,可以分次專,但若獨立一科,甚至獨立一個學會,這是小鼻子小眼睛的作法,麻醉將疼痛與重症抽離了,怪不得人家會說你是技術學科,而不是醫學科technician NOT physician!

緊急氣道-丁香指南帖子內提到,急診插管,已經將麻醉科的RSI整碗偷走,麻醉科沒有了氣道管理的話語權,不只開刀房外的鎮靜麻醉會被拿走,開刀房內的麻醉開刀可能都不保,麻醉科就等著被併吞,或解散了,Miller大師的警語,2050麻醉消失,不是未來式,而是進行式!

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