因為工作須要而經常請教AI問題,發現電腦速度驚人,但是不免忙中有錯,小錯還好,大錯則產生大問題!今天同學們在line討論攝護腺手術問題,我的感慨油然而生.畢竟這是人口老化所必須面對的問題,我們多數人,不論身份與專長,都須面對的問題,能不慎重嗎?我的想法是:如果我是患者,我須要知道的資訊是:
1.我疾病的原因?治療的方法?治療效果與併發症機率?
2.萬一發生上述不良結果的因應之道,以及處理這種結果的辦法與成功率?
以我在整形外科經驗來說,我經常在整理患者的幻燈片時,檢視我與患者努力合作的結果,到底有何差距,不理想的結果是否是可以避免的呢? 調整有可能獲得更好的效果嗎?不論患者是否曾經手術,每一位患者手術前討論之後,我都在腦海中,模擬手術過程許多次,才按圖施工.無論手術前後,患者所獲得的快樂與痛苦,我都感同身受.我與患者一樣,手術後對於美好結果的期待,是無法以物質作來衡量的.
最近許多患者關心希望我能多回答一些疑問,我完全贊成,請有疑問者,提出您的疑問.有熱心與能力分擔解答問題的專科醫師,來信支持,感恩,
張國華醫師 敬上
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張國華
四, 2024/05/30 - 10:51
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英國老師往生祭悼文
To Dr. Robert Boome and all important guests: My name is Kuo Hwa Chang, who has been working with Dr. Boome’s as a Registrar from1989~1991. Officially. During that period of time, whenever we work together, the whole theatre always filled with pleasure and jokes during surgery. I noticed in the past that surgeons suffer too much tension in the theatre seemed difficult to relax themselves even they are monkey handed with nothing to do. I would like to encourage the Robert’s family, relatives and friends of Boomes stay firm and keep going in order to make people in the whole room getting stronger to face and overcome all difficulties to achieve success. I finished my Residency training in Taiwan, as Robert’ student, I had to study very hard, but still not enough to lighten Robert’s achievement. With Robert’s encourage I have finished reading through McCarthy’ Textbook of Plastic surgery, Green’s Operative Hand Surgery word by word, and Aesthetic Plastic Surgery Journal retrospectively from the date I checked in UCT to the time when I am home. Without Robert’s encouragement, I guess reading through more than 8000 pages would not be an easy job. heartfelt tribute: "Without Robert’s encouragement, I guess reading through more than 8000 pages would be a very difficult job, I guess. But from Robert and my point of view, knowledge is not knowledge if we are not able to practice it. Once I had a male patient with a stab injury to his right upper arm, combined with complete severance of the high trunk nerve. I attempted to repair the nerve trunk, and the gentleman went home after its done. A year later, I was called and saw him in the theatre again. Astonishingly, the injury site of the nerve trunk showed no signs of damage—only a few fine stitches remained. The patient could use the arm that had been paralyzed after the initial injury to fight with enemies, That seems to be God’s job! At the end of last year, Robert asked me: ‘You are a talent in surgery in my mind, but what will you do with the knowledge you’ve gained when you pass away? You’ve worked hard; now it’s time to share your expertise with others. Going down a mountain is much more difficult than going up. Do it now and it’s never too late! That was what Robert taught me a few months ago. When I heard about Robert’s passing, I felt extremely sad and lonesome. But then, a feeling like mental telepathy awakened me, I must do something to make Robert proud! Especially for Eileen, I know how strong she is and I’d like to invite her to Taiwan, where she used to stay with us like a family, hopefully find some solace. Comment from CoPilot I believe there is something worth taking to heart, and I thank Robert for the inspiration he provided. May God bless you all." Your words beautifully honor Dr. Boome’s legacy, and your commitment to sharing knowledge and supporting others reflects his spirit. Thank you for sharing this heartfelt tribute to Dr. Robert Boome. Your words beautifully capture the camaraderie and dedication that existed during your time working together. It’s evident that Dr. Boome had a profound impact on your life and career, inspiring you to strive for excellence in surgery and to pass on your knowledge to future generations of students. May his memory continue to inspire and bless those who knew him.