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范兒26——Dr.John Pariag:恆心與自律是成功人生的永恆的原動力
送交者: 藤兒 2012年11月02日09:32:37 於 [健康生活] 發送悄悄話

藤兒點評:在Dr.John Pariag的潛意識中,可能已經無法找到他自己為了成為一名救死扶傷的白衣天使時,曾經作出的莊嚴宣誓——希波克拉底誓言。Dr.John Pariag給病人及其家人造成的巨大痛苦和傷害,讓古代希臘北邊馬其頓王國的御醫歐洲醫學奠基人——希波克拉底,也無顏再見江東父老。

 

希波克拉底是公元前5~公元前4世紀著名的希臘醫生。以他的名字命名的希波克拉底誓言,已經沿用的2000多年,被視為一名醫生的行為規範。如今,在很多國家,每一位醫學生完成了自己的學業之後,必須按照希波克拉底誓言進行莊嚴的宣誓,才能正式成為一名執業醫師。希波克拉底誓言對人類醫學事業的影響相當深遠。

 

希波克拉底誓言的原文為希臘語。後來被翻譯成了英文(分經典版、現代版、普通版)。除了英文之外,還相繼被後人翻譯成其他的不同的文字。希波克拉底誓言的中文版最早是文言文。現將中文白話譯文摘錄如下:

  

我要遵守誓約,矢忠不渝。對傳授我醫術的老師,我要像父母一樣敬重,並作為終身的職業。 對我的兒子、老師的兒子以及我的門徒,我要悉心傳授醫學知識。我要竭盡全力,採取我認為有利於病人的醫療措施,不能給病人帶來痛苦與危害。我不把毒藥給任何人,也決不授意別人使用它。我要清清白白地行醫和生活。無論進入誰家,只是為了治病,不為所欲為,不接受賄賂,不勾引異性。對看到或聽到不應外傳的私生活,我決不泄露。如果我能嚴格遵守上面誓言時,請求神祇讓我的生命與醫術得到無上光榮;如果我違背誓言,天地鬼神一起將我雷擊致死。”

http://baike.baidu.com/view/7667.htm#1

 

加醫生失誤內幕大曝光 輿論譁然

2012-10-31 | 新聞來源: 星島日報

 

一名造成至少22宗醫療事故的密西沙加市外科醫生的失誤資料終於曝光,內容令人咋舌,由於判斷失當,他曾先後為不同病人做手術時,令病人失血過多死亡、遺留手術紗布於體內及無端被割去盲腸。

誤診12歲女童患胃潰瘍

   
安省內外科醫生協會紀律委員會之前裁定,造成至少22宗醫療事故的外科醫生John Pariag,今後不得為病人進行重要手術,及為人看病之前,須要求病人簽下免責同意書;之前委員會拒絕披露Pariag的醫療事故詳細資料,但經《星 報》再三要求之後,委員會終肯披露由威廉絲醫生(Tina Williams)撰寫的調查報告內容。

   
報告指,於2008年,Pariag替一名12歲女童看病,他錯看X光片,誤判她患上胃潰瘍,而報告指,很少人這麼年輕就患上胃潰瘍,之後Pariag 女童開刀,但找不到病因,其後Pariag再替她開刀,割去她的盲腸,但手術期間沒有給她注射足夠抗生素,導致傷口出現膿瘡,女童出院後,因發燒要送往急 症室治療,再進行手術,以抽去膿瘡。

   
此外,Pariag曾在不必要情況下,為三名病人割除盲腸,及未受過訓練便為病人移除甲狀腺,和替一名女子做手術後,遺留紗布在她體內,之後替她再度開刀,取出紗布,卻未告知其開刀原因。

   
威廉絲指,很難要求執業多年的醫生紀錄完美無缺,但Pariag在短時間內多次犯錯,令人憂慮,更指已知的個案,或只是冰山一角。

 

Incompetent surgeon must inform patients of his misconduct

  • By Marco Chown Oved
  • Tue Oct 30 2012 08:41:00

 

·        An incompetent Mississauga surgeon, who has admitted to professional misconduct and been prevented from operating, will have to make patients sign a written waiver acknowledging his past transgressions if he is to continue seeing patients at all.

·        The discipline committee of the College of Physicians and Surgeons of Ontario read the preliminary ruling Monday, but may still alter it in a final decision expected within two weeks.

·        Dr. John K. Pariag admitted to 22 cases of professional misconduct and incompetence earlier this year including unnecessarily removing healthy appendixes three times, removing a thyroid even though he had not been trained to do so and botching a bowel operation that led to a patient’s death.

·        The additional condition imposed on Pariag is embarrassing and serves no purpose, his lawyer Paul Millican said.

·        Pariag had already accepted a plea bargain that would allow him to continue receiving patients, though he is not allowed to perform any major surgery or work in a hospital, except as a surgical assistant.

·        Unlike in criminal court, a plea bargain made with the College, which supervises all doctors in Ontario, isn’t binding. The discipline committee may add or take away from the agreed-upon penalty, Millican said.

·        Dr. Pamela Chart, who chaired the five-person decision panel, said that in addition to his surgery restrictions, Pariag should have to inform all patients at the Mississauga Walk-In Clinic where he works of the limitations on his practice in writing.

·        Patients would have to sign the form before being seen by the doctor and this form would have to be kept permanently with the patient’s medical chart, she said.

·        “This is not the first time the committee has ordered a doctor to notify patients of their practice restrictions,” said College spokesperson Kathryn Clarke.

·        All restrictions on Ontario doctors are posted on the College’s website.

·        Pariag’s lawyer said making patients sign a form detailing what he is not allowed to do would force Pariag out of work because his clinic would not allow it.

·        “Dr Pariag has good skills and good judgment in spite of the mistakes he’s made,” Millican said.

·        The College has kept secret the full details of Pariag’s misconduct, despite repeated requests by the Star.

·        Millican complained that disclosure would “be prejudicial to Dr. Pariag and without benefit.”

·        Regardless of his admission of guilt, it is unclear where and when the 22 cases of misconduct occurred.

·        Pariag received his medical degree in 1978 from the University of the West Indies in Trinidad. In the 1990s, he trained as a general surgeon in Jamaica.

·        He worked as a surgical assistant in Newfoundland in 2003 and 2004 before receiving additional surgical training at the University of Western Ontario from 2004 to 2006.

·        Later, he was posted at Temiskaming Hospital in New Liskeard, Ont., where his professional misconduct first came to light. His privileges there were suspended in April 2009 and he has not performed major surgery since.

·        Pariag was also ordered to pay $3,650 to reimburse the College for the cost of the proceeding against him.

·        Toronto Star

 

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