Saturday, March 03, 2007

瓊漿玉液

昨天我手中握著一瓶藥劑,清澈無色的液體總量 0.3 毫升,要價將近台幣六萬元(不是盧布)。

在被賦予使用這瓶藥劑的資格之前,必須先獲得病患書面同意,準備妥當多份申請書,與藥政處的公文往返,以及忙碌工作中無暇覺察的等待。

終於被核准使用,再次與家屬聯絡說明,姊姊囑咐我不要讓罹病的妹妹知道這藥的價格,否則她會不願家人花錢而放棄治療,我明白她對妹妹的用心也就遵辦。

約定好手術時間,請藥劑科緊急專案採購藥品,開立藥單給家屬批價領藥,總算我手中握著這瓶量少卻昂貴的藥,據稱是方圓兩百里內使用的第一瓶(消息來源是藥廠業務代表)。

藥盒中附上一支 1 毫升針筒,一個 5 微米過濾針頭;我將空針與針頭組合好,插入消毒好的藥瓶橡皮頭開始抽藥,經歷百戰的雙手雖不會顫抖,心底還是掛著絶不能有任何閃失的忐忑。

模擬國稅局的精神,抽乾瓶內所有藥劑,除去殘存在過濾針頭中的部分,剩餘 0.25 毫升,換上 27 號無菌針頭排掉空氣,最後要注射進入眼球的是 0.05 毫升,也就是 0.5 毫克。

因為已經在腦中排練無數回了,眼內注射的手術很順利,今早病患回來檢查,沒有嚴重發炎或細菌感染的現象,視力居然已經進步了兩行。

真正寶貴的不只是價格高昂的藥物本身,沒有病家與醫師的互信,親屬對患者的支持,再好的藥物也無法單獨發揮它最大的功效,家人的關愛更是甘美的漿汁。

5 comments:

May Kuo said...

Dear Blinddoc,

10mg/ml x 0.05ml=0.5mg, the recommended dose by the US FDA; no surprise to me on its efficacy; be sure of performing the injection at the OR with strict sterilization confirmed prior to the administration.
Good shot!!

May
3/4/'07

miaolinda said...

套用一句全國電器的廣告辭...
...實在“就甘心ㄟ”...

LJ said...

狂賀狂賀
blinddoc = First Lucentis doc
Can I call you LuLu from now?
LJ

blinddoc said...

Dear May,

This sky-high price will make my heart stop beating at the OR someday.

Could you try your best to make it more doctor-friendly in the near future?

It's not just for me; also for LJ, SJ, etc.

(Maybe they look strong outside; their hearts become soft indeed, you know.)


Dear linda

多謝您疼我入心


Dear noble J

Maybe the company has already registered "LuLu" as the trademark of Lucentis.

If so, I'm afraid May will sue me to hell.

If not, call me whatever you like.

May Kuo said...

Dear Blinddoc,

醫師"友情價"更高!!
Don't let others call you "TinTin".

May 3/5/'07