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fjguo
暱稱:泡泡龍
個人介紹:因為喜歡潛水,潛水會產生許多泡泡,加上我屬龍,所以自稱泡泡龍

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吸菸名醫難逃肺癌魔掌---悼李宇宙醫師
分類:心情筆記
泡泡龍(fjguo) | 2007/6/7 上午 02:40:49


寫這篇文章可能已經有點晚了,因為李宇宙醫師已經於5月13日離我們而去 .....

對我而言,李醫師是一位既熟悉又有點距離的學長。同樣畢業於高雄醫學大學,對這位傑出的學長早有耳聞。除了精神醫學的成就,他也是阿米巴詩社的成員,在學生期間就展現不平凡的人文關懷及領袖特質。

不過阿米巴詩社的學長們好像還有另一個特質--吸菸。就我認識的學生社團裡,詩社的吸菸率是最高的,可能是詩人的情懷,覺得吸菸具有一種浪漫的氣質,也是促進靈感的工具。

到了臺大醫院工作,終於見到這位傳奇中的學長。因為一起做研究計畫的關係,常常有接觸,他淵博的學識,溫文儒雅的談吐,以及對醫學教育的熱心投入,令我深感這位學長不是浪得虛名。然而他吸菸的傳聞,也從藥商那裡間接得知。

在醫院裡,醫師吸菸不是可以公開表白的事情,總是在暗中進行。聽說會吸菸的醫師有一個固定吸菸的場所,他們會在那裡吸吸菸,聊聊天,以舒緩工作的情緒。幾年前臺大醫院曾進行一次吸菸調查,承認有吸菸行為的醫師約有十幾位,然而都沒有出現在後續的戒菸班裡,所以醫師吸菸是不能曝光的。

為什麼明知對身體有害的醫師還會吸菸呢?這是個耐人尋味的問題。吸菸的習慣通常是在青少年時期養成,我很少聽到病人說吸菸是30歲以後才開始的習慣。根據國民健康局的調查,國人吸菸最常見的原因是好奇,所以我推測醫師吸菸也是在學生時期因為好奇而開始的。進入住院醫師的階段,因為工作壓力大,吸菸的習慣更不容易戒除,而一直延續到擔任主治醫師,陷於尼古丁成癮而無法自拔。

流行病學的研究及基因的研究都證實吸菸是一種和遺傳體質相關的疾病,這可以以解釋為什麼有人容易上癮有人卻不會,即使是醫師也難免帶有菸癮的基因。菸草是高度成癮性的物質,吸菸則是一種慢性病,沒有經過專業的指導,要自己靠意志力戒除是很難的。即使是醫師,也會陷於戒不掉菸癮的困境。

在研究計畫結束以後,就和李醫師比較少接觸。後來聽說他得肺癌,上醫院網路查詢他的住院病歷,得知肺癌已經轉移無法手術,不禁姍然淚下,因為這樣已經判了死刑,很難有復原的機會。

最後一次見到李醫師是在他的辦公室,此時說話已經有點上氣不接下氣。我找一些精神疾病的問題當話匣子,和他東聊西聊,最後兩人相對無言,我只能說:加油了,學長。他說:我還有很多事想做呢!

後來聽說他出書,應該是了了心願。立功、立德、立言,他都辦到了。


唯一的遺憾,是我身為戒菸專業醫師,卻沒有和他談過戒菸的事。這項醫師之間的禁忌話題,應該隨著李醫師的教訓,隨風而去吧。

相關網址:
醫師李宇宙罹癌 決退休當志工 http://www.epochtimes.com/b5/6/7/23/n1395490.htm
李宇宙今天不寫病歷 書寫醫界人文情懷 http://www.epochtimes.com/b5/6/7/22/n1395231.htm
今天不寫病歷:一位精神科醫師的人文情懷 http://www.books.com.tw/books/series/series9867574796-1.php
台大名醫李宇宙 肺癌轉移病逝 http://linshi.twbbs.org/blog/medfront/74836

回應 (4) | 人氣 (39324) | 推薦 (6727) | 轉寄 (0)
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(我正努力的戒菸訪客) 於 2011/10/31 上午 11:12:38 回應 |
很遺憾李醫師...

抽菸讓我感覺"厭倦"了,很可怕的形容,不過是真的.
當時,抽也難過不抽也難過.
決心戒菸後,2個月內偷抽過兩次.

然後愛吃甜食發胖,也決定繼續戒菸.
儘管我非常愛美.

抽菸讓我不舒服.很不舒服.
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大喜108(skyxo108) 於 2009/3/16 下午 04:38:52 回應 |
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(庭郁) 於 2007/10/5 下午 08:07:00 回應 |
我曾在王浩威'陳永興等為李醫師舉辦的新書茶會上,採訪過當時接受治療中的李醫師,聽他自述得知罹癌時的想法竟是:怎麼辦,我還有半包菸沒有抽完?想來真是全天下癮君子與菸愛恨糾葛的縮影.

後來在誠品看到李醫師談睡眠的書上架,翻了自序留筆的時間,約是他走前數月,感慨萬千.
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michael(Michael) 於 2007/7/10 下午 11:57:10 回應 |
希望李醫師一路好走....

這個案例帶給我們很大的省思

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* 請問一下有最新的paper有關...
* 可否借引用此文章?謝謝。
* 可見香菸的危害比我知道的更多.
* 很遺憾李醫師...
* 但如果他把菸蒂沖到馬桶裡呢?
* 很溫馨,拍的很有FU。
* Dear IVAN(ivanw...
* 我引用囉 
* 抽菸可以防憂鬱症或焦慮症的理論...
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