醫聲論壇

http://tw.nextmedia.com/applenews/artic ... D/20110507

【邱俊吉╱台北報導】醫生求成名，最快方法可能是上電視、當名嘴，但有一個醫師，遇到媒體的口頭禪總是「我不是藝人，別找我」；擺明不喜曝光，偏偏知名度奇高，除留心醫藥消息的民眾外，關切政治新聞的人也對他耳熟能詳，他就是治療外科重症權威、台大醫院創傷醫學部主任柯文哲。


挺深綠 不怕談政治
柯文哲是「葉克膜」（ExtraCorporeal Membrane Oxygenation，簡稱ECMO，體外心肺循環機）頂尖專家，透過他與台大創傷醫學團隊的多年努力，在全台各地應已從鬼門關前救回數百名患者，包括在2006年遭逢重大車禍的台中市市長夫人邵曉鈴，當時也有賴台大團隊南下，才助邵死裡逃生。
邵曉鈴重生，意外使葉克膜暴紅，某些民眾不明就裡，還四處打聽哪裡可找到這個「葉醫師」，台大在2008年發表一名年輕原住民裝上葉克膜117天後恢復過來、創下世界紀錄後，更使葉克膜在台知名度達到頂峰。國泰醫院心臟外科主任侯紹敏便說，台灣葉克膜經驗獨步全球，「台大醫院確實立下汗馬功勞」，關鍵在柯文哲與他的團隊，「豁出去搶救每個有一絲希望的患者」。
柯文哲能成為名醫中的名醫，除了葉克膜外，敢談政治也是一大原因，他曾公開批評台大寵壞前總統陳水扁女婿趙建銘，也曾公開保證悠遊卡公司前董事長連勝文遭槍擊案屬實，還留 下名言：「我是深綠，我講的難道不信嗎？」是醫界獨一無二的政治「大聲公」。
然而，柯文哲平時對私領域卻著墨不多，僅坦言與父親相處不錯。他說，父親支持他做的每件事，「老爸以前搞房地產，賺很多錢」，且「到現在還會給我壓歲錢」，所以他做什麼都不愁缺錢，連「我幾年前心情不好，想出家，老爸也說會幫我蓋廟」。至於現在還想不想出家，柯則大笑說，「目前不想了」。


當醫生 老爸決定的
談到行醫動機，柯文哲則老實說：「我沒想過當醫生，當年聯考志願是老爸幫我填的。」走進創傷醫學，也是「台大問我要不要接主任，我就接了」；但當他決定投入後，一定勇往直前，這就是「柯式哲學」：對自己的選擇，永遠「衝衝衝」。

熊哥 寫:http://tw.nextmedia.com/applenews/article/art_id/33371636/IssueID/20110507

【邱俊吉╱台北報導】醫生求成名，最快方法可能是上電視、當名嘴，但有一個醫師，遇到媒體的口頭禪總是「我不是藝人，別找我」；擺明不喜曝光，偏偏知名度奇高，除留心醫藥消息的民眾外，關切政治新聞的人也對他耳熟能詳，他就是治療外科重症權威、台大醫院創傷醫學部主任柯文哲。


挺深綠 不怕談政治
柯文哲是「葉克膜」（ExtraCorporeal Membrane Oxygenation，簡稱ECMO，體外心肺循環機）頂尖專家，透過他與台大創傷醫學團隊的多年努力，在全台各地應已從鬼門關前救回數百名患者，包括在2006年遭逢重大車禍的台中市市長夫人邵曉鈴，當時也有賴台大團隊南下，才助邵死裡逃生。
邵曉鈴重生，意外使葉克膜暴紅，某些民眾不明就裡，還四處打聽哪裡可找到這個「葉醫師」，台大在2008年發表一名年輕原住民裝上葉克膜117天後恢復過來、創下世界紀錄後，更使葉克膜在台知名度達到頂峰。國泰醫院心臟外科主任侯紹敏便說，台灣葉克膜經驗獨步全球，「台大醫院確實立下汗馬功勞」，關鍵在柯文哲與他的團隊，「豁出去搶救每個有一絲希望的患者」。
柯文哲能成為名醫中的名醫，除了葉克膜外，敢談政治也是一大原因，他曾公開批評台大寵壞前總統陳水扁女婿趙建銘，也曾公開保證悠遊卡公司前董事長連勝文遭槍擊案屬實，還留 下名言：「我是深綠，我講的難道不信嗎？」是醫界獨一無二的政治「大聲公」。
然而，柯文哲平時對私領域卻著墨不多，僅坦言與父親相處不錯。他說，父親支持他做的每件事，「老爸以前搞房地產，賺很多錢」，且「到現在還會給我壓歲錢」，所以他做什麼都不愁缺錢，連「我幾年前心情不好，想出家，老爸也說會幫我蓋廟」。至於現在還想不想出家，柯則大笑說，「目前不想了」。


當醫生 老爸決定的
談到行醫動機，柯文哲則老實說：「我沒想過當醫生，當年聯考志願是老爸幫我填的。」走進創傷醫學，也是「台大問我要不要接主任，我就接了」；但當他決定投入後，一定勇往直前，這就是「柯式哲學」：對自己的選擇，永遠「衝衝衝」。

這就是他的巴庫

可惜大部分的醫師沒這種老爸

台灣級的專家

很感性,好心腸的醫師

所以有個富爸爸很重要,
這樣才能只為興趣工作,
而不為五斗米折腰.

看過一些在台大待的前輩或是老師們
有一些真的是世傳醫師家庭
或者是經濟優渥的家庭背景

所以可以讓他們無後顧之憂地在台大裡面打拼


其實像是日劇的白色巨塔裡面的
財前教授
也是毫無經濟後顧之憂
他的老爸--老婆的爸爸
太有錢啦
只希望這個兒子--招贅的
可以幫他爭點面子就好了

對不起
我有家人要養
長輩又沒遺產留給我
每分錢都是靠自己一滴一滴存下來
賠一個就負債一輩子不能翻身
所以我不能豁出去
套句小犬說的話
既然家中經濟不佳
花錢做事更要慎重考慮
一步都不能賭

豁出去的意思是 : 管他健保局...?

TC 寫:豁出去的意思是 : 管他健保局...?

　　台大虧的是國家錢　醫師不用賠　　當然豁出去囉

抓去醫師要賠的醫院當Ｖ　才知到是真是假囉

在ECMO的領域,柯P確實是世界級的專家
台大是全世界第二大的ECMO Center

surgmania 寫:在ECMO的領域,柯P確實是世界級的專家
台大是全世界第二大的ECMO Center

台灣這麼少人為什麼可以有第二大的ｃｅｎｔｅｒ？？

image 寫:

surgmania 寫:在ECMO的領域,柯P確實是世界級的專家
台大是全世界第二大的ECMO Center

台灣這麼少人為什麼可以有第二大的ｃｅｎｔｅｒ？？

感謝健保德政

surgmania 寫:在ECMO的領域,柯P確實是世界級的專家
台大是全世界第二大的ECMO Center

ELSO is proud to showcase those centers who have been designated as a Center of Excellence



Through September 2012
(listed in the order the application was received)

UCLA Medical Center
Los Angeles, CA

St. Louis Children's Hospital
St. Louis, MO

Children's Memorial Hospital
Chicago, IL

Rainbow Babies and Children's Hospital
Cleveland, OH

Children's Medical Center of Dallas
Dallas, TX

Arnold Palmer Medical Center
Orlando, FL

Children’s Memorial Hermann Hospital
Houston, TX

Children's Hospital at Yale-New Haven
New Haven, CT

Radboud University Nijmegen Medical Center
Nijmegen, The Netherlands

Mayo Clinic
Rochester, MN

Miami Children's Hospital
Miami, FL

Children’s Hospitals and Clinics
Minneapolis, MN

Our Lady's Children's Hospital
Dublin, Ireland

Medical University of South Carolina
Charleston, SC

Children's Hospital of Wisconsin
Milwaukee, WI

Cook Children's Medical Center
Fort Worth, TX

Hanuola – ECMO Program of Hawaii
Honolulu, HI

Medical College of Georgia
Augusta, GA

Children’s Mercy Hospital and Clinics
Kansas City, MO

Monroe Carell Jr. Children’s Hospital at Vanderbilt
Nashville, TN

All Children's Hospital
St. Petersburg, FL

Louisiana State University Health Sciences Center
Shreveport, LA

Children’s Hospital of Philadelphia
Philadelphia, PA

Christus Santa Rosa Children’s Hospital
San Antonio, TX

LeBonheur Children’s Medical Center
Memphis, TN





Through September 2011
(listed in the order the application was received)

Kosair Children’s Hospital
Louisville, KY

Nationwide Children’s Hospital
Columbus, OH

Cincinnati Children's Hospital Medical Center
Cincinnati, OH

Seattle Children’s Hospital
Seattle, WA

Wake Forest University Baptist Medical Center
Winston Salem, NC

St. Christopher's Hospital for Children
Philadelphia, PA

James Whitcomb Riley Hospital for Children
Indianapolis, IN

ECMO Centrum Karolinska
Stockholm, Sweden

Children's Healthcare of Atlanta at Egleston
Atlanta, GA

Children's Hospital of Michigan
Detroit, MI

Children's Hospital of Illinois
Peoria, IL

University of Minnesota Medical Center
Minneapolis, MN

Royal Hospital for Sick Children
Glasgow, Scotland

Duke University Hospital
Durham, NC

University of Michigan
Ann Arbor, MI

LSPCH @ Stanford
Palo Alto, CA

Children's Hospital of Pittsburgh of UPMC
Pittsburgh, PA

Children's National Medical Center
Washington, DC

Phoenix Children's Hospital
Phoenix, AZ

UCSF Children’s Hospital at UCSF Medical Center
San Francisco, CA

San Diego Regional ECMO Program
San Diego, CA

Stollery Children' Hospital
Edmonton, Canada

Women and Children's Hospital of Buffalo
Buffalo, NY

Miami Valley Hospital
Dayton, OH



NTUH

我說的是ECMO
請睜大你的眼睛

Taiwan is a member of ELSO
http://www.elso.med.umich.edu/Member.asp

But NTUH being the 2nd largest centre of ECMO hmm
really?

surgmania 寫:我說的是ECMO
請睜大你的眼睛

ECMO 和 ELSO 關係都不知道 也敢來胡扯

1000度近視眼睜大也沒用 去找副眼鏡再讀點書吧

williamtingyeh 寫:Taiwan is a member of ELSO
http://www.elso.med.umich.edu/Member.asp

But NTUH being the 2nd largest centre of ECMO hmm
really?

大不大這看沒列入評鑑

好不好就很清楚了

Extracorporeal Life Support Organization

Center of Excellence

http://www.elso.med.umich.edu/Award.html

自1989成立以來

stockk 寫:

williamtingyeh 寫:Taiwan is a member of ELSO
http://www.elso.med.umich.edu/Member.asp

But NTUH being the 2nd largest centre of ECMO hmm
really?

大不大這看沒列入評鑑

好不好就很清楚了

Extracorporeal Life Support Organization

Center of Excellence

http://www.elso.med.umich.edu/Award.html

自1989成立以來

Yeah it's quite true
We had a lecture on ECMO at the Royal Hospital for Sick Children in Glasgow during my medical school days.

Come on men, what's your point??
Ko P is not good enough?
Fine, you smart guys with gut go ahead and take it.

Who can show me how they evaluated the execellence of ELSO?

BTW, there is no ECMO center in Japan listed in the ELSO.
What does that mean?

williamtingyeh 寫:

stockk 寫:

williamtingyeh 寫:Taiwan is a member of ELSO
http://www.elso.med.umich.edu/Member.asp

But NTUH being the 2nd largest centre of ECMO hmm
really?

大不大這看沒列入評鑑

好不好就很清楚了

Extracorporeal Life Support Organization

Center of Excellence

http://www.elso.med.umich.edu/Award.html

自1989成立以來

Yeah it's quite true
We had a lecture on ECMO at the Royal Hospital for Sick Children in Glasgow during my medical school days.

just a lecture that can comfort you enough

genome 寫:Come on men, what's your point??
Ko P is not good enough?
Fine, you smart guys with gut go ahead and take it.

Who can show me how they evaluated the execellence of ELSO?

BTW, there is no ECMO center in Japan listed in the ELSO.
What does that mean?

of course japan is not good enough

everyone has his OWN special field , can the Ko take other's work ??
what an odd thinking process u have

surgmania 寫:台大是全世界第二大的ECMO Center

印度全世界第二大的人口大國

當印度人很光榮嗎?

stockk 寫:everyone has his OWN special field , can the Ko take other's work ??
what an odd thinking process u have

Umm.... sounds like Ko has quite a few back seat drivers.

genome 寫:

stockk 寫:everyone has his OWN special field , can the Ko take other's work ??
what an odd thinking process u have

Umm.... sounds like Ko has quite a few back seat drivers.

all r back seat drivers if they don't agree with u

stockk 寫:

williamtingyeh 寫:

stockk 寫:

williamtingyeh 寫:Taiwan is a member of ELSO
http://www.elso.med.umich.edu/Member.asp

But NTUH being the 2nd largest centre of ECMO hmm
really?

大不大這看沒列入評鑑

好不好就很清楚了

Extracorporeal Life Support Organization

Center of Excellence

http://www.elso.med.umich.edu/Award.html

自1989成立以來

Yeah it's quite true
We had a lecture on ECMO at the Royal Hospital for Sick Children in Glasgow during my medical school days.

just a lecture that can comfort you enough

oh well, i was merely reminded of those good old med school days and lectures held in the royal hospital of sick children about the use of ECMO, when i saw our teaching hospital's name on the list you posted. The Paeds Surgeon who gave us the talk actually mentioned that NTUH holds the record of for the longest survivor on ECMO

對於這位葉醫師--葉克膜ECMO
其實不熟
剛剛酷狗一下
發現這篇文章
http://www.epochtimes.com/b5/9/1/16/n2399073.htm

裡面提到台灣雖然算是後進
但是累積的案例卻高居全球第二


這個部分
怪不得之前柯P要提出無效醫療的問題


光是這位葉醫師
一年就可以吃掉好多健保的總額了啦

http://baike.baidu.com/view/961498.htm

1953年Gibbon為心臟手術實施的體外循環其具有劃時代的意義。 這不但使心臟外科迅猛發展，同時也將為急救專科譜寫新的篇章。 在心臟手術期間，體外循環可以短期完全替代心肺，而可以實施心臟內視鏡手術。

從第一例體外循環就產生，但始終突破不了維持數小時的時間限制。 直到1972年，Hill報導3天的體外循環成功搶救外傷患者。 於是一些醫院相繼開展ECMO，但很快因低成功率而告一段落。 八十年代一些醫院將ECMO用於新生兒呼吸衰竭取得成功。 1993年Zwushenberrger等對5000例ECMO治療的呼吸衰竭患兒調查表明，其生存率為82%，而常規治療死亡率為80%。 這又激發了人們的研究熱情，並於1994年做出階段性的總結：ECMO對新生兒的療效優於成人，對呼吸功能衰竭療效優於心臟功能衰竭。 隨著醫療技術、材料技術、機械技術的不斷發展，ECMO的支持時間不斷延長，成人的療效不斷提高，從而被更廣泛地用於臨床危重急救。 甚至一些醫療中心將ECMO裝置定為救護車基本配置，使ECMO走向院前而更好地發揮急救功能。...................

ECMO在台灣快變成醫院吸錢機了吧...健保局對急診大多不太會刪...以致於ECMO的量......................

williamtingyeh 寫:

stockk 寫:

williamtingyeh 寫:

stockk 寫:

williamtingyeh 寫:Taiwan is a member of ELSO
http://www.elso.med.umich.edu/Member.asp

But NTUH being the 2nd largest centre of ECMO hmm
really?

大不大這看沒列入評鑑

好不好就很清楚了

Extracorporeal Life Support Organization

Center of Excellence

http://www.elso.med.umich.edu/Award.html

自1989成立以來

Yeah it's quite true
We had a lecture on ECMO at the Royal Hospital "OF" Sick Children in Glasgow during my medical school days.

just a lecture that can comfort you enough

oh well, i was merely reminded of those good old med school days and lectures held in theRoyal Hospital OF Sick Children about the use of ECMO, when i saw our teaching hospital's name on the list you posted. The Paeds Surgeon who gave us the talk actually mentioned that NTUH holds the record of for the longest survivor on ECMO

u should ask the Paeds Surgeon study harder

BTW . i don't think u r a MEDICAL student of "Royal Hospital for Sick Children"

well ................................

Royal Hospital OF Sick Children ERR...........







'

williamtingyeh 寫:

stockk 寫:

williamtingyeh 寫:

stockk 寫:

williamtingyeh 寫:Taiwan is a member of ELSO
http://www.elso.med.umich.edu/Member.asp

But NTUH being the 2nd largest centre of ECMO hmm
really?

大不大這看沒列入評鑑

好不好就很清楚了

Extracorporeal Life Support Organization

Center of Excellence

http://www.elso.med.umich.edu/Award.html

自1989成立以來

Yeah it's quite true
We had a lecture on ECMO at the Royal Hospital for Sick Children in Glasgow during my medical school days.

just a lecture that can comfort you enough

oh well, i was merely reminded of those good old med school days and lectures held in the royal hospital of sick children about the use of ECMO, when i saw our teaching hospital's name on the list you posted. The Paeds Surgeon who gave us the talk actually mentioned that NTUH holds the record of for the longest survivor on ECMO