[Script Info]
Title: 
[Events]
Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:16.10,0:00:19.33,Default,,0000,0000,0000,,主持人要我講正向的破壞
Dialogue: 0,0:00:19.33,0:00:20.63,Default,,0000,0000,0000,,我當時想了老半天
Dialogue: 0,0:00:20.63,0:00:22.92,Default,,0000,0000,0000,,想說不如講自己的故事好了
Dialogue: 0,0:00:22.92,0:00:26.71,Default,,0000,0000,0000,,在台灣的醫生裡面
Dialogue: 0,0:00:26.71,0:00:30.26,Default,,0000,0000,0000,,我大概是看過死人最多的醫生
Dialogue: 0,0:00:30.26,0:00:32.94,Default,,0000,0000,0000,,在生死之間看過最多
Dialogue: 0,0:00:32.94,0:00:36.83,Default,,0000,0000,0000,,所以要我來講生死的故事應該是最恰當
Dialogue: 0,0:00:36.83,0:00:38.82,Default,,0000,0000,0000,,台灣最有名的醫生
Dialogue: 0,0:00:38.82,0:00:40.04,Default,,0000,0000,0000,,有人開玩笑說是葉醫師
Dialogue: 0,0:00:40.04,0:00:42.94,Default,,0000,0000,0000,,很多人都聽過這個笑話
Dialogue: 0,0:00:42.94,0:00:44.43,Default,,0000,0000,0000,,邵曉玲事件後
Dialogue: 0,0:00:44.43,0:00:46.50,Default,,0000,0000,0000,,有人跑到柳營奇美醫院
Dialogue: 0,0:00:46.50,0:00:48.80,Default,,0000,0000,0000,,說要找一位葉醫師
Dialogue: 0,0:00:48.80,0:00:49.87,Default,,0000,0000,0000,,他們急診室出來說
Dialogue: 0,0:00:49.87,0:00:51.65,Default,,0000,0000,0000,,我們沒有一個姓葉的
Dialogue: 0,0:00:51.65,0:00:52.88,Default,,0000,0000,0000,,那個民眾說有有有
Dialogue: 0,0:00:52.88,0:00:55.93,Default,,0000,0000,0000,,有個叫葉克膜的\N
Dialogue: 0,0:00:55.93,0:00:59.54,Default,,0000,0000,0000,,當年邵曉玲就是被他救起來了
Dialogue: 0,0:00:59.54,0:01:01.04,Default,,0000,0000,0000,,其實葉克膜很簡單\N
Dialogue: 0,0:01:01.04,0:01:03.65,Default,,0000,0000,0000,,他就是靜脈血頸流出來
Dialogue: 0,0:01:03.65,0:01:04.84,Default,,0000,0000,0000,,經過一個pump
Dialogue: 0,0:01:04.84,0:01:05.93,Default,,0000,0000,0000,,就是人工心臟\N
Dialogue: 0,0:01:05.93,0:01:07.18,Default,,0000,0000,0000,,再經過一個氧合器
Dialogue: 0,0:01:07.18,0:01:08.18,Default,,0000,0000,0000,,就是人工肺臟
Dialogue: 0,0:01:08.18,0:01:09.48,Default,,0000,0000,0000,,再送回身體
Dialogue: 0,0:01:09.48,0:01:12.82,Default,,0000,0000,0000,,就是暫時取代心肺功能
Dialogue: 0,0:01:12.82,0:01:14.33,Default,,0000,0000,0000,,那實體上大概就是這個樣子
Dialogue: 0,0:01:14.33,0:01:17.21,Default,,0000,0000,0000,,就是一個主機當人工心臟\N
Dialogue: 0,0:01:17.21,0:01:20.39,Default,,0000,0000,0000,,到氧合氣再送回去
Dialogue: 0,0:01:20.39,0:01:22.34,Default,,0000,0000,0000,,這個葉克膜
Dialogue: 0,0:01:22.34,0:01:24.62,Default,,0000,0000,0000,,在邵曉玲之前
Dialogue: 0,0:01:24.62,0:01:27.23,Default,,0000,0000,0000,,台大醫院在1994年就有葉克膜
Dialogue: 0,0:01:27.23,0:01:29.73,Default,,0000,0000,0000,,已經用很久了
Dialogue: 0,0:01:29.73,0:01:31.43,Default,,0000,0000,0000,,邵曉玲事件算是
Dialogue: 0,0:01:31.43,0:01:33.07,Default,,0000,0000,0000,,十年寒窗無人問
Dialogue: 0,0:01:33.07,0:01:35.97,Default,,0000,0000,0000,,一舉成名天下知
Dialogue: 0,0:01:35.97,0:01:37.48,Default,,0000,0000,0000,,我想是這樣的
Dialogue: 0,0:01:37.48,0:01:41.12,Default,,0000,0000,0000,,葉克膜在台灣的新聞媒體炒作之下\N
Dialogue: 0,0:01:41.12,0:01:43.45,Default,,0000,0000,0000,,的確它有非常成功的案例
Dialogue: 0,0:01:43.45,0:01:46.35,Default,,0000,0000,0000,,像這個是周杰倫的舞群
Dialogue: 0,0:01:46.35,0:01:48.39,Default,,0000,0000,0000,,有一天猛爆性心肌炎\N
Dialogue: 0,0:01:48.39,0:01:50.74,Default,,0000,0000,0000,,心臟就不跳了
Dialogue: 0,0:01:50.74,0:01:52.51,Default,,0000,0000,0000,,那為什麼這張幻燈片\N
Dialogue: 0,0:01:52.51,0:01:56.28,Default,,0000,0000,0000,,他躺在床上時我特別照一張？
Dialogue: 0,0:01:56.28,0:01:57.66,Default,,0000,0000,0000,,他的眼睛大大的\N
Dialogue: 0,0:01:57.66,0:01:59.34,Default,,0000,0000,0000,,看著他的螢幕
Dialogue: 0,0:01:59.34,0:02:01.35,Default,,0000,0000,0000,,可是他的螢幕全部都是平的
Dialogue: 0,0:02:01.35,0:02:03.03,Default,,0000,0000,0000,,因為他猛爆性心肌炎
Dialogue: 0,0:02:03.03,0:02:05.16,Default,,0000,0000,0000,,他的心臟不跳了
Dialogue: 0,0:02:05.16,0:02:06.93,Default,,0000,0000,0000,,幾乎是停止的
Dialogue: 0,0:02:06.93,0:02:10.43,Default,,0000,0000,0000,,這是一百倍底下的心肌切片
Dialogue: 0,0:02:10.43,0:02:11.88,Default,,0000,0000,0000,,就是病理切片
Dialogue: 0,0:02:11.88,0:02:13.21,Default,,0000,0000,0000,,在一百倍底下\N
Dialogue: 0,0:02:13.21,0:02:15.41,Default,,0000,0000,0000,,還不是看得很清楚
Dialogue: 0,0:02:15.41,0:02:18.54,Default,,0000,0000,0000,,如果到四百倍底下就很明顯了
Dialogue: 0,0:02:18.54,0:02:21.35,Default,,0000,0000,0000,,藍色一點一點的就是淋巴球
Dialogue: 0,0:02:21.35,0:02:25.73,Default,,0000,0000,0000,,所以很清楚這是個很厲害的猛爆性心肌炎
Dialogue: 0,0:02:25.73,0:02:29.17,Default,,0000,0000,0000,,整個心臟都被淋巴球浸潤
Dialogue: 0,0:02:29.17,0:02:32.63,Default,,0000,0000,0000,,心臟幾乎就不跳了停止了
Dialogue: 0,0:02:32.63,0:02:36.75,Default,,0000,0000,0000,,他的眼睛大大的看著他的螢幕
Dialogue: 0,0:02:36.75,0:02:40.25,Default,,0000,0000,0000,,他的心臟幾乎已經不動了
Dialogue: 0,0:02:40.25,0:02:43.88,Default,,0000,0000,0000,,可是在九天之後
Dialogue: 0,0:02:43.88,0:02:44.74,Default,,0000,0000,0000,,心臟加腎臟移植
Dialogue: 0,0:02:44.74,0:02:46.67,Default,,0000,0000,0000,,他不到一個月就回去跳舞了
Dialogue: 0,0:02:46.67,0:02:49.64,Default,,0000,0000,0000,,所以這是現代醫學的奇蹟\N
Dialogue: 0,0:02:49.64,0:02:52.04,Default,,0000,0000,0000,,在醫學的文獻上
Dialogue: 0,0:02:52.04,0:02:55.29,Default,,0000,0000,0000,,CPR最久還有救回來的就是這個案例
Dialogue: 0,0:02:55.29,0:02:57.01,Default,,0000,0000,0000,,4個小時
Dialogue: 0,0:02:57.01,0:03:00.68,Default,,0000,0000,0000,,因為他是從國泰醫院CPR壓到台大醫院
Dialogue: 0,0:03:00.68,0:03:02.74,Default,,0000,0000,0000,,在台大醫院要裝葉克膜的時候
Dialogue: 0,0:03:02.74,0:03:05.13,Default,,0000,0000,0000,,發現強心劑已經打了一百支了
Dialogue: 0,0:03:05.13,0:03:06.52,Default,,0000,0000,0000,,所以骨動脈骨靜脈
Dialogue: 0,0:03:06.52,0:03:08.22,Default,,0000,0000,0000,,已經縮的比鉛筆還細了\N
Dialogue: 0,0:03:08.22,0:03:10.04,Default,,0000,0000,0000,,所以突然切開這個傷口
Dialogue: 0,0:03:10.04,0:03:10.97,Default,,0000,0000,0000,,要放的時候
Dialogue: 0,0:03:10.97,0:03:12.06,Default,,0000,0000,0000,,管子放不進去
Dialogue: 0,0:03:12.06,0:03:13.17,Default,,0000,0000,0000,,所以再繼續壓
Dialogue: 0,0:03:13.17,0:03:14.47,Default,,0000,0000,0000,,壓到開刀房\N
Dialogue: 0,0:03:14.47,0:03:15.36,Default,,0000,0000,0000,,直接鋸胸
Dialogue: 0,0:03:15.36,0:03:17.77,Default,,0000,0000,0000,,從上面放葉克膜\N
Dialogue: 0,0:03:17.77,0:03:22.14,Default,,0000,0000,0000,,在這個聽起來很神奇的案例\N
Dialogue: 0,0:03:22.14,0:03:26.07,Default,,0000,0000,0000,,所以我每次說這是現代醫學的奇蹟
Dialogue: 0,0:03:26.07,0:03:29.87,Default,,0000,0000,0000,,一個人九天幾乎沒有心臟功能
Dialogue: 0,0:03:29.87,0:03:33.82,Default,,0000,0000,0000,,在心臟移植跟腎臟移植之後
Dialogue: 0,0:03:33.82,0:03:36.41,Default,,0000,0000,0000,,經歷四小時CPR\N
Dialogue: 0,0:03:36.41,0:03:38.42,Default,,0000,0000,0000,,還可以救回來
Dialogue: 0,0:03:38.42,0:03:40.59,Default,,0000,0000,0000,,這是另外一個案例\N
Dialogue: 0,0:03:40.59,0:03:41.88,Default,,0000,0000,0000,,還寫個什麼全球首例
Dialogue: 0,0:03:41.88,0:03:43.51,Default,,0000,0000,0000,,台灣奇蹟
Dialogue: 0,0:03:43.51,0:03:46.25,Default,,0000,0000,0000,,男無心臟活16天
Dialogue: 0,0:03:46.25,0:03:49.58,Default,,0000,0000,0000,,這是一個56歲的男生
Dialogue: 0,0:03:49.58,0:03:51.16,Default,,0000,0000,0000,,他蛀牙
Dialogue: 0,0:03:51.16,0:03:52.97,Default,,0000,0000,0000,,細菌後來就跑到血流裡面
Dialogue: 0,0:03:52.97,0:03:54.23,Default,,0000,0000,0000,,跑到心臟\N
Dialogue: 0,0:03:54.23,0:03:56.35,Default,,0000,0000,0000,,後來就化膿
Dialogue: 0,0:03:56.35,0:03:57.66,Default,,0000,0000,0000,,在其他醫院
Dialogue: 0,0:03:57.66,0:03:59.54,Default,,0000,0000,0000,,打開心臟看一看\N
Dialogue: 0,0:03:59.54,0:04:00.44,Default,,0000,0000,0000,,這好像爛爛的
Dialogue: 0,0:04:00.44,0:04:01.80,Default,,0000,0000,0000,,給它剪一剪
Dialogue: 0,0:04:01.80,0:04:02.63,Default,,0000,0000,0000,,這裡也爛爛的
Dialogue: 0,0:04:02.63,0:04:03.86,Default,,0000,0000,0000,,也給他剪一剪
Dialogue: 0,0:04:03.86,0:04:06.69,Default,,0000,0000,0000,,最後整個心臟都剪掉了
Dialogue: 0,0:04:06.69,0:04:07.91,Default,,0000,0000,0000,,那怎麼辦?
Dialogue: 0,0:04:07.91,0:04:13.14,Default,,0000,0000,0000,,轉到台大醫院去
Dialogue: 0,0:04:13.14,0:04:17.13,Default,,0000,0000,0000,,反正我是這樣講臺大醫院是台灣最後一道防線
Dialogue: 0,0:04:17.13,0:04:19.73,Default,,0000,0000,0000,,還是要做沒辦法
Dialogue: 0,0:04:19.73,0:04:21.67,Default,,0000,0000,0000,,剛才是有心臟不會跳
Dialogue: 0,0:04:21.67,0:04:22.70,Default,,0000,0000,0000,,這個更厲害
Dialogue: 0,0:04:22.70,0:04:23.73,Default,,0000,0000,0000,,這個是連心臟都沒有
Dialogue: 0,0:04:23.73,0:04:25.29,Default,,0000,0000,0000,,剪掉了
Dialogue: 0,0:04:25.29,0:04:27.17,Default,,0000,0000,0000,,到台大醫院的時候
Dialogue: 0,0:04:27.17,0:04:28.31,Default,,0000,0000,0000,,因為幾乎沒有心臟功能
Dialogue: 0,0:04:28.31,0:04:30.11,Default,,0000,0000,0000,,所以用兩台葉克膜\N
Dialogue: 0,0:04:30.11,0:04:31.36,Default,,0000,0000,0000,,看銀幕上\N
Dialogue: 0,0:04:31.36,0:04:32.69,Default,,0000,0000,0000,,兩台葉克膜\N
Dialogue: 0,0:04:32.69,0:04:33.90,Default,,0000,0000,0000,,這個更厲害
Dialogue: 0,0:04:33.90,0:04:35.41,Default,,0000,0000,0000,,這個是連心臟都沒有
Dialogue: 0,0:04:35.41,0:04:37.77,Default,,0000,0000,0000,,心電圖乾脆就一條線了
Dialogue: 0,0:04:37.77,0:04:39.86,Default,,0000,0000,0000,,連想都不用想了\N
Dialogue: 0,0:04:39.86,0:04:42.22,Default,,0000,0000,0000,,這是給他做電腦斷層
Dialogue: 0,0:04:42.22,0:04:43.14,Default,,0000,0000,0000,,理論上\N
Dialogue: 0,0:04:43.14,0:04:45.69,Default,,0000,0000,0000,,胸腔中間應該有個心臟
Dialogue: 0,0:04:45.69,0:04:47.19,Default,,0000,0000,0000,,可是現在沒有心臟
Dialogue: 0,0:04:47.19,0:04:49.26,Default,,0000,0000,0000,,只看到一些管子
Dialogue: 0,0:04:49.26,0:04:50.85,Default,,0000,0000,0000,,這個病人在十六天以後
Dialogue: 0,0:04:50.85,0:04:53.45,Default,,0000,0000,0000,,我們給他做心臟移植
Dialogue: 0,0:04:53.45,0:04:56.32,Default,,0000,0000,0000,,這個是心臟外科汪教授給我看的
Dialogue: 0,0:04:56.32,0:04:58.40,Default,,0000,0000,0000,,他說他那時給他做心臟移植
Dialogue: 0,0:04:58.40,0:04:59.72,Default,,0000,0000,0000,,鋸胸以後\N
Dialogue: 0,0:04:59.72,0:05:01.49,Default,,0000,0000,0000,,理論上應該有個心臟在中間
Dialogue: 0,0:05:01.49,0:05:03.55,Default,,0000,0000,0000,,他只看到一些塑膠管子
Dialogue: 0,0:05:03.55,0:05:05.49,Default,,0000,0000,0000,,接到葉克膜上
Dialogue: 0,0:05:05.49,0:05:09.03,Default,,0000,0000,0000,,所以這個病人是完全沒有心臟\N
Dialogue: 0,0:05:09.03,0:05:11.36,Default,,0000,0000,0000,,十六天以後再做心臟移植\N
Dialogue: 0,0:05:11.36,0:05:15.09,Default,,0000,0000,0000,,還是很清醒地回家
Dialogue: 0,0:05:15.09,0:05:18.19,Default,,0000,0000,0000,,這個是新加坡海峽日報的報紙
Dialogue: 0,0:05:18.19,0:05:21.64,Default,,0000,0000,0000,,有一天有個廠商從新加坡寄e-mail給我
Dialogue: 0,0:05:21.64,0:05:24.53,Default,,0000,0000,0000,,說你們在新加坡上了報紙
Dialogue: 0,0:05:24.53,0:05:26.20,Default,,0000,0000,0000,,16 days without heart
Dialogue: 0,0:05:26.20,0:05:28.02,Default,,0000,0000,0000,,一個人沒有心臟十六天
Dialogue: 0,0:05:28.02,0:05:29.10,Default,,0000,0000,0000,,經過心臟移植以後
Dialogue: 0,0:05:29.10,0:05:33.28,Default,,0000,0000,0000,,還是很健康的回家
Dialogue: 0,0:05:33.28,0:05:35.18,Default,,0000,0000,0000,,這是另外一個案例
Dialogue: 0,0:05:35.18,0:05:39.01,Default,,0000,0000,0000,,這是一個二十六歲的原住民\N
Dialogue: 0,0:05:39.01,0:05:40.86,Default,,0000,0000,0000,,喝酒醉後還去游泳\N
Dialogue: 0,0:05:40.86,0:05:44.92,Default,,0000,0000,0000,,他還以為他是李白\N
Dialogue: 0,0:05:44.92,0:05:46.85,Default,,0000,0000,0000,,台灣的池塘太髒了\N
Dialogue: 0,0:05:46.85,0:05:48.14,Default,,0000,0000,0000,,所以他一嗆到\N
Dialogue: 0,0:05:48.14,0:05:48.96,Default,,0000,0000,0000,,不得了
Dialogue: 0,0:05:48.96,0:05:50.66,Default,,0000,0000,0000,,就很嚴重的肺炎了
Dialogue: 0,0:05:50.66,0:05:53.10,Default,,0000,0000,0000,,這個葉克膜用了117天\N
Dialogue: 0,0:05:53.10,0:05:54.23,Default,,0000,0000,0000,,你看他的肺臟
Dialogue: 0,0:05:54.23,0:05:55.67,Default,,0000,0000,0000,,因為嗆到以後\N
Dialogue: 0,0:05:55.67,0:05:57.37,Default,,0000,0000,0000,,幾乎引起很厲害的肺炎
Dialogue: 0,0:05:57.37,0:05:59.16,Default,,0000,0000,0000,,這個叫急性呼吸窘迫症
Dialogue: 0,0:05:59.16,0:06:01.05,Default,,0000,0000,0000,,整個肺臟都白掉了
Dialogue: 0,0:06:01.05,0:06:04.95,Default,,0000,0000,0000,,這個葉克膜用了117天
Dialogue: 0,0:06:04.95,0:06:09.37,Default,,0000,0000,0000,,從這個圖可以很清楚地看到
Dialogue: 0,0:06:09.37,0:06:11.64,Default,,0000,0000,0000,,他有差不多長達一個多月的時間
Dialogue: 0,0:06:11.64,0:06:13.18,Default,,0000,0000,0000,,呼吸的通氣量
Dialogue: 0,0:06:13.18,0:06:14.72,Default,,0000,0000,0000,,不到100c.c\N
Dialogue: 0,0:06:14.72,0:06:18.06,Default,,0000,0000,0000,,不過最後還是慢慢恢復
Dialogue: 0,0:06:18.06,0:06:19.39,Default,,0000,0000,0000,,所以
Dialogue: 0,0:06:19.39,0:06:21.17,Default,,0000,0000,0000,,從剛才的案例裡面
Dialogue: 0,0:06:21.17,0:06:22.93,Default,,0000,0000,0000,,沒有心臟\N
Dialogue: 0,0:06:22.93,0:06:24.72,Default,,0000,0000,0000,,甚至有心臟不會跳
Dialogue: 0,0:06:24.72,0:06:27.01,Default,,0000,0000,0000,,甚至幾乎完全沒有肺臟功能
Dialogue: 0,0:06:27.01,0:06:29.31,Default,,0000,0000,0000,,在葉克膜的使用之下
Dialogue: 0,0:06:29.31,0:06:32.50,Default,,0000,0000,0000,,壞的就算經過九天十六天\N
Dialogue: 0,0:06:32.50,0:06:34.63,Default,,0000,0000,0000,,甚至可以到一百多天
Dialogue: 0,0:06:34.63,0:06:35.87,Default,,0000,0000,0000,,然後可以經過心臟移植
Dialogue: 0,0:06:35.87,0:06:37.72,Default,,0000,0000,0000,,甚至肺臟移植
Dialogue: 0,0:06:37.72,0:06:39.42,Default,,0000,0000,0000,,或是等他自己好
Dialogue: 0,0:06:39.42,0:06:41.56,Default,,0000,0000,0000,,這實在太神奇了
Dialogue: 0,0:06:41.56,0:06:42.95,Default,,0000,0000,0000,,所以坦白講
Dialogue: 0,0:06:42.95,0:06:44.98,Default,,0000,0000,0000,,葉克膜會在台灣的歷史上
Dialogue: 0,0:06:44.98,0:06:46.15,Default,,0000,0000,0000,,會這麼有名
Dialogue: 0,0:06:46.15,0:06:47.56,Default,,0000,0000,0000,,在媒體的炒作之下
Dialogue: 0,0:06:47.56,0:06:48.55,Default,,0000,0000,0000,,這麼有名\N
Dialogue: 0,0:06:48.55,0:06:50.56,Default,,0000,0000,0000,,他還是有些很成功的案例
Dialogue: 0,0:06:50.56,0:06:51.97,Default,,0000,0000,0000,,當然也包括邵曉玲
Dialogue: 0,0:06:51.97,0:06:53.72,Default,,0000,0000,0000,,星星王子\N
Dialogue: 0,0:06:53.72,0:06:55.69,Default,,0000,0000,0000,,可是是這樣\N
Dialogue: 0,0:06:55.69,0:06:57.03,Default,,0000,0000,0000,,通常媒體
Dialogue: 0,0:06:57.03,0:06:58.22,Default,,0000,0000,0000,,成功地會拿出來報導
Dialogue: 0,0:06:58.22,0:06:59.68,Default,,0000,0000,0000,,失敗的他就不會講了
Dialogue: 0,0:06:59.68,0:07:00.86,Default,,0000,0000,0000,,藏起來了
Dialogue: 0,0:07:00.86,0:07:03.76,Default,,0000,0000,0000,,做一個重症醫學的醫生
Dialogue: 0,0:07:03.76,0:07:06.39,Default,,0000,0000,0000,,看到成功的案例當然很高興
Dialogue: 0,0:07:06.39,0:07:08.12,Default,,0000,0000,0000,,可是失敗的
Dialogue: 0,0:07:08.12,0:07:10.98,Default,,0000,0000,0000,,這是一個出生一個半月\N
Dialogue: 0,0:07:10.98,0:07:13.74,Default,,0000,0000,0000,,先天性心臟病
Dialogue: 0,0:07:13.74,0:07:15.98,Default,,0000,0000,0000,,心臟手術以後\N
Dialogue: 0,0:07:15.98,0:07:17.77,Default,,0000,0000,0000,,沒辦法脫離心肺機\N
Dialogue: 0,0:07:17.77,0:07:19.58,Default,,0000,0000,0000,,所以裝了葉克膜
Dialogue: 0,0:07:19.58,0:07:20.81,Default,,0000,0000,0000,,就插在心臟上
Dialogue: 0,0:07:20.81,0:07:21.96,Default,,0000,0000,0000,,裝葉克膜
Dialogue: 0,0:07:21.96,0:07:22.91,Default,,0000,0000,0000,,可是不到三天
Dialogue: 0,0:07:22.91,0:07:24.12,Default,,0000,0000,0000,,腳就黑掉了
Dialogue: 0,0:07:24.12,0:07:25.56,Default,,0000,0000,0000,,我們看看他的特寫
Dialogue: 0,0:07:25.56,0:07:27.16,Default,,0000,0000,0000,,腳黑掉了
Dialogue: 0,0:07:27.16,0:07:28.34,Default,,0000,0000,0000,,這時候作為一個醫生
Dialogue: 0,0:07:28.34,0:07:29.64,Default,,0000,0000,0000,,他就面臨一個選擇
Dialogue: 0,0:07:29.64,0:07:31.26,Default,,0000,0000,0000,,你是要把雙腳剁掉
Dialogue: 0,0:07:31.26,0:07:32.41,Default,,0000,0000,0000,,繼續再救
Dialogue: 0,0:07:32.41,0:07:33.35,Default,,0000,0000,0000,,還是算了
Dialogue: 0,0:07:33.35,0:07:34.59,Default,,0000,0000,0000,,不要再玩了
Dialogue: 0,0:07:34.59,0:07:37.61,Default,,0000,0000,0000,,這就是一個很大的壓力
Dialogue: 0,0:07:37.61,0:07:40.01,Default,,0000,0000,0000,,如果這一題你都這麼困難決定的話
Dialogue: 0,0:07:40.01,0:07:41.13,Default,,0000,0000,0000,,那這一題更困難\N
Dialogue: 0,0:07:41.13,0:07:43.91,Default,,0000,0000,0000,,這是一個七歲的男生\N
Dialogue: 0,0:07:43.91,0:07:45.76,Default,,0000,0000,0000,,肺炎雙球菌敗血症
Dialogue: 0,0:07:45.76,0:07:48.89,Default,,0000,0000,0000,,後來引起呼吸窘迫症\N
Dialogue: 0,0:07:48.89,0:07:50.59,Default,,0000,0000,0000,,後來裝了葉克膜\N
Dialogue: 0,0:07:50.59,0:07:52.84,Default,,0000,0000,0000,,可是葉克膜裝下去後
Dialogue: 0,0:07:52.84,0:07:54.100,Default,,0000,0000,0000,,出現併發症\N
Dialogue: 0,0:07:54.100,0:07:57.36,Default,,0000,0000,0000,,四肢都黑掉了\N
Dialogue: 0,0:07:57.36,0:07:58.48,Default,,0000,0000,0000,,他眼睛大大的看著你
Dialogue: 0,0:07:58.48,0:07:59.48,Default,,0000,0000,0000,,意識清楚\N
Dialogue: 0,0:07:59.48,0:08:00.50,Default,,0000,0000,0000,,也會討水喝
Dialogue: 0,0:08:00.50,0:08:02.51,Default,,0000,0000,0000,,可是做一個醫生
Dialogue: 0,0:08:02.51,0:08:03.100,Default,,0000,0000,0000,,你面臨一個選擇
Dialogue: 0,0:08:03.100,0:08:05.99,Default,,0000,0000,0000,,你如果要救他的話
Dialogue: 0,0:08:05.99,0:08:07.63,Default,,0000,0000,0000,,要把四肢剁掉\N
Dialogue: 0,0:08:07.63,0:08:08.94,Default,,0000,0000,0000,,繼續再救\N
Dialogue: 0,0:08:08.94,0:08:10.96,Default,,0000,0000,0000,,那如果不救的話
Dialogue: 0,0:08:10.96,0:08:12.36,Default,,0000,0000,0000,,機器就要關掉
Dialogue: 0,0:08:12.36,0:08:13.95,Default,,0000,0000,0000,,你想想看\N
Dialogue: 0,0:08:13.95,0:08:15.59,Default,,0000,0000,0000,,在生死之間\N
Dialogue: 0,0:08:15.59,0:08:18.03,Default,,0000,0000,0000,,病人頭腦清楚
Dialogue: 0,0:08:18.03,0:08:21.84,Default,,0000,0000,0000,,當然醫生頭腦也是清楚\N
Dialogue: 0,0:08:21.84,0:08:23.83,Default,,0000,0000,0000,,可是我要怎麼跟他講\N
Dialogue: 0,0:08:23.83,0:08:25.31,Default,,0000,0000,0000,,小弟弟\N
Dialogue: 0,0:08:25.31,0:08:26.58,Default,,0000,0000,0000,,你如果要活下去的話\N
Dialogue: 0,0:08:26.58,0:08:28.57,Default,,0000,0000,0000,,我要把四肢剁掉
Dialogue: 0,0:08:28.57,0:08:30.26,Default,,0000,0000,0000,,還是你就算了
Dialogue: 0,0:08:30.26,0:08:31.50,Default,,0000,0000,0000,,你就不願意再活了\N
Dialogue: 0,0:08:31.50,0:08:34.20,Default,,0000,0000,0000,,你如何跟一個七歲的男生
Dialogue: 0,0:08:34.20,0:08:37.43,Default,,0000,0000,0000,,講這種生死的問題
Dialogue: 0,0:08:37.43,0:08:41.56,Default,,0000,0000,0000,,這就是我當一個重症醫學專家\N
Dialogue: 0,0:08:41.56,0:08:43.39,Default,,0000,0000,0000,,我的心路歷程
Dialogue: 0,0:08:43.39,0:08:45.20,Default,,0000,0000,0000,,一開始見山是山
Dialogue: 0,0:08:45.20,0:08:47.79,Default,,0000,0000,0000,,就是我有看到一個病人\N
Dialogue: 0,0:08:47.79,0:08:48.75,Default,,0000,0000,0000,,後來慢慢地\N
Dialogue: 0,0:08:48.75,0:08:49.68,Default,,0000,0000,0000,,我只看到一個病
Dialogue: 0,0:08:49.68,0:08:51.44,Default,,0000,0000,0000,,看到一個心臟
Dialogue: 0,0:08:51.44,0:08:53.16,Default,,0000,0000,0000,,還好我過了五十歲以後
Dialogue: 0,0:08:53.16,0:08:55.61,Default,,0000,0000,0000,,我又慢慢看到了病人\N
Dialogue: 0,0:08:55.61,0:08:57.97,Default,,0000,0000,0000,,其實也不瞞各位
Dialogue: 0,0:08:57.97,0:09:00.37,Default,,0000,0000,0000,,我也算是個很會讀書的人
Dialogue: 0,0:09:00.37,0:09:02.08,Default,,0000,0000,0000,,我在三十幾歲的時候\N
Dialogue: 0,0:09:02.08,0:09:03.24,Default,,0000,0000,0000,,心臟移植
Dialogue: 0,0:09:03.24,0:09:04.00,Default,,0000,0000,0000,,肺臟移植
Dialogue: 0,0:09:04.00,0:09:05.27,Default,,0000,0000,0000,,葉克膜啦
Dialogue: 0,0:09:05.27,0:09:08.00,Default,,0000,0000,0000,,我還是台大醫院最早當主任的
Dialogue: 0,0:09:08.00,0:09:09.47,Default,,0000,0000,0000,,外科加護病房主任\N
Dialogue: 0,0:09:09.47,0:09:12.10,Default,,0000,0000,0000,,全國器官移植登錄系統
Dialogue: 0,0:09:12.10,0:09:13.78,Default,,0000,0000,0000,,還當創傷部副主任
Dialogue: 0,0:09:13.78,0:09:16.16,Default,,0000,0000,0000,,在我三十幾歲的時候
Dialogue: 0,0:09:16.16,0:09:17.51,Default,,0000,0000,0000,,在一路過程當中
Dialogue: 0,0:09:17.51,0:09:20.26,Default,,0000,0000,0000,,我覺得這醫學多厲害\N
Dialogue: 0,0:09:20.26,0:09:21.74,Default,,0000,0000,0000,,什麼都可以解決
Dialogue: 0,0:09:21.74,0:09:23.27,Default,,0000,0000,0000,,可是到了四十歲以後\N
Dialogue: 0,0:09:23.27,0:09:25.53,Default,,0000,0000,0000,,常常有裝了葉克膜
Dialogue: 0,0:09:25.53,0:09:27.15,Default,,0000,0000,0000,,還是失敗的case
Dialogue: 0,0:09:27.15,0:09:28.09,Default,,0000,0000,0000,,家屬問我說
Dialogue: 0,0:09:28.09,0:09:29.39,Default,,0000,0000,0000,,為什麼邵曉玲救得回來
Dialogue: 0,0:09:29.39,0:09:32.07,Default,,0000,0000,0000,,我的親人救不回來
Dialogue: 0,0:09:32.07,0:09:33.43,Default,,0000,0000,0000,,我也不曉得怎麼跟他回答
Dialogue: 0,0:09:33.43,0:09:36.63,Default,,0000,0000,0000,,難道跟他說因為他不是邵曉玲嗎
Dialogue: 0,0:09:36.63,0:09:37.55,Default,,0000,0000,0000,,不然就問我說\N
Dialogue: 0,0:09:37.55,0:09:39.71,Default,,0000,0000,0000,,為什麼那個四肢會黑掉
Dialogue: 0,0:09:39.71,0:09:40.44,Default,,0000,0000,0000,,我要是知道
Dialogue: 0,0:09:40.44,0:09:41.34,Default,,0000,0000,0000,,我就會避免了
Dialogue: 0,0:09:41.34,0:09:42.58,Default,,0000,0000,0000,,我就是不知道\N
Dialogue: 0,0:09:42.58,0:09:44.68,Default,,0000,0000,0000,,所以在四十幾歲的時候
Dialogue: 0,0:09:44.68,0:09:47.08,Default,,0000,0000,0000,,會覺得說\N
Dialogue: 0,0:09:47.08,0:09:48.54,Default,,0000,0000,0000,,為什麼這個病人會救不回來呢
Dialogue: 0,0:09:48.54,0:09:51.79,Default,,0000,0000,0000,,慢慢地到五十歲以後
Dialogue: 0,0:09:51.79,0:09:54.03,Default,,0000,0000,0000,,終於想通一個道理
Dialogue: 0,0:09:54.03,0:09:56.33,Default,,0000,0000,0000,,眾里尋她千百度\N
Dialogue: 0,0:09:56.33,0:09:57.30,Default,,0000,0000,0000,,驀然回首\N
Dialogue: 0,0:09:57.30,0:09:59.72,Default,,0000,0000,0000,,那人正在燈火闌珊處
Dialogue: 0,0:09:59.72,0:10:01.07,Default,,0000,0000,0000,,有一天
Dialogue: 0,0:10:01.07,0:10:02.50,Default,,0000,0000,0000,,我終於領略一個道理\N
Dialogue: 0,0:10:02.50,0:10:04.60,Default,,0000,0000,0000,,醫生是人不是神
Dialogue: 0,0:10:04.60,0:10:05.83,Default,,0000,0000,0000,,我們只能盡力\N
Dialogue: 0,0:10:05.83,0:10:07.08,Default,,0000,0000,0000,,就這樣而已
Dialogue: 0,0:10:07.08,0:10:10.22,Default,,0000,0000,0000,,我慢慢就想通一個道理\N
Dialogue: 0,0:10:10.22,0:10:11.51,Default,,0000,0000,0000,,我們看四季
Dialogue: 0,0:10:11.51,0:10:13.50,Default,,0000,0000,0000,,有春夏秋冬\N
Dialogue: 0,0:10:13.50,0:10:15.59,Default,,0000,0000,0000,,其實醫學還是有極限\N
Dialogue: 0,0:10:15.59,0:10:16.63,Default,,0000,0000,0000,,不管人類的科學怎麼發達\N
Dialogue: 0,0:10:16.63,0:10:19.02,Default,,0000,0000,0000,,以現在的科技
Dialogue: 0,0:10:19.02,0:10:20.52,Default,,0000,0000,0000,,沒有心臟
Dialogue: 0,0:10:20.52,0:10:20.94,Default,,0000,0000,0000,,沒有肺臟
Dialogue: 0,0:10:20.94,0:10:21.49,Default,,0000,0000,0000,,沒有肝臟
Dialogue: 0,0:10:21.49,0:10:22.38,Default,,0000,0000,0000,,沒有腎臟
Dialogue: 0,0:10:22.38,0:10:23.70,Default,,0000,0000,0000,,都還可以存活
Dialogue: 0,0:10:23.70,0:10:26.07,Default,,0000,0000,0000,,但是難道我們可以裝著機器\N
Dialogue: 0,0:10:26.07,0:10:27.75,Default,,0000,0000,0000,,一輩子下去嗎？
Dialogue: 0,0:10:27.75,0:10:30.30,Default,,0000,0000,0000,,所以醫學還是有它的極限
Dialogue: 0,0:10:30.30,0:10:32.35,Default,,0000,0000,0000,,後來我就想通一個道理\N
Dialogue: 0,0:10:32.35,0:10:35.06,Default,,0000,0000,0000,,園丁能不能改變春夏秋冬
Dialogue: 0,0:10:35.06,0:10:37.44,Default,,0000,0000,0000,,當然沒有辦法
Dialogue: 0,0:10:37.44,0:10:39.65,Default,,0000,0000,0000,,園丁只是讓花
Dialogue: 0,0:10:39.65,0:10:41.93,Default,,0000,0000,0000,,在春夏秋冬時開得好看一點
Dialogue: 0,0:10:41.93,0:10:43.21,Default,,0000,0000,0000,,當一個醫生
Dialogue: 0,0:10:43.21,0:10:45.91,Default,,0000,0000,0000,,有辦法去改變生老病死嗎
Dialogue: 0,0:10:45.91,0:10:47.76,Default,,0000,0000,0000,,坦白講\N
Dialogue: 0,0:10:47.76,0:10:48.92,Default,,0000,0000,0000,,很困難
Dialogue: 0,0:10:48.92,0:10:50.24,Default,,0000,0000,0000,,當一個醫生
Dialogue: 0,0:10:50.24,0:10:52.37,Default,,0000,0000,0000,,只是讓人在生老病死之間
Dialogue: 0,0:10:52.37,0:10:53.58,Default,,0000,0000,0000,,活得好看一點
Dialogue: 0,0:10:53.58,0:10:54.76,Default,,0000,0000,0000,,就這樣而已
Dialogue: 0,0:10:54.76,0:10:55.88,Default,,0000,0000,0000,,所以慢慢的
Dialogue: 0,0:10:55.88,0:10:57.39,Default,,0000,0000,0000,,我想通一個道理\N
Dialogue: 0,0:10:57.39,0:10:59.79,Default,,0000,0000,0000,,醫生只是生命花園的園丁\N
Dialogue: 0,0:11:01.59,0:11:05.56,Default,,0000,0000,0000,,但是醫師是個生命花園的園丁
Dialogue: 0,0:11:05.56,0:11:07.57,Default,,0000,0000,0000,,面對草木的枯榮
Dialogue: 0,0:11:07.57,0:11:09.98,Default,,0000,0000,0000,,他到底要怎麼去面對
Dialogue: 0,0:11:09.98,0:11:11.90,Default,,0000,0000,0000,,所以作為一個重症醫學的專家\N
Dialogue: 0,0:11:11.90,0:11:15.27,Default,,0000,0000,0000,,我如何去面對死亡\N
Dialogue: 0,0:11:15.27,0:11:16.88,Default,,0000,0000,0000,,就死亡的科學觀來講\N
Dialogue: 0,0:11:16.88,0:11:18.99,Default,,0000,0000,0000,,如果從物理化學來講
Dialogue: 0,0:11:18.99,0:11:20.57,Default,,0000,0000,0000,,一切的物理反應
Dialogue: 0,0:11:20.57,0:11:21.85,Default,,0000,0000,0000,,物理化學反應
Dialogue: 0,0:11:21.85,0:11:23.43,Default,,0000,0000,0000,,應該是最低能量
Dialogue: 0,0:11:23.43,0:11:24.68,Default,,0000,0000,0000,,最大亂度
Dialogue: 0,0:11:24.68,0:11:27.08,Default,,0000,0000,0000,,所謂的Delta S要大於等於零\N
Dialogue: 0,0:11:27.08,0:11:29.49,Default,,0000,0000,0000,,當然有人說Delta S大於零到底怎麼來的
Dialogue: 0,0:11:29.49,0:11:31.70,Default,,0000,0000,0000,,有人認為是大爆炸理論
Dialogue: 0,0:11:31.70,0:11:34.00,Default,,0000,0000,0000,,因為大爆炸整個宇宙在擴充\N
Dialogue: 0,0:11:34.00,0:11:36.46,Default,,0000,0000,0000,,所以Delta S會大於零
Dialogue: 0,0:11:36.46,0:11:37.85,Default,,0000,0000,0000,,或是這樣\N
Dialogue: 0,0:11:37.85,0:11:39.30,Default,,0000,0000,0000,,宇宙定理有沒有恆一性
Dialogue: 0,0:11:39.30,0:11:40.52,Default,,0000,0000,0000,,坦白講\N
Dialogue: 0,0:11:40.52,0:11:41.75,Default,,0000,0000,0000,,我也不知道
Dialogue: 0,0:11:41.75,0:11:43.31,Default,,0000,0000,0000,,所以有一句話
Dialogue: 0,0:11:43.31,0:11:46.16,Default,,0000,0000,0000,,夏蟲不可語冬雪
Dialogue: 0,0:11:46.16,0:11:47.84,Default,,0000,0000,0000,,就是說夏天的蟲\N
Dialogue: 0,0:11:47.84,0:11:49.03,Default,,0000,0000,0000,,沒有辦法講冬天的事情
Dialogue: 0,0:11:49.03,0:11:50.62,Default,,0000,0000,0000,,因為他活不了那麼久
Dialogue: 0,0:11:50.62,0:11:52.69,Default,,0000,0000,0000,,到底宇宙的物理
Dialogue: 0,0:11:52.69,0:11:53.91,Default,,0000,0000,0000,,有沒有恆一性\N
Dialogue: 0,0:11:53.91,0:11:55.52,Default,,0000,0000,0000,,在無限的空間和時間當中\N
Dialogue: 0,0:11:55.52,0:11:56.71,Default,,0000,0000,0000,,有沒有恆一性
Dialogue: 0,0:11:56.71,0:11:58.36,Default,,0000,0000,0000,,坦白講\N
Dialogue: 0,0:11:58.36,0:11:59.60,Default,,0000,0000,0000,,我不知道
Dialogue: 0,0:11:59.60,0:12:01.24,Default,,0000,0000,0000,,但是至少
Dialogue: 0,0:12:01.24,0:12:02.36,Default,,0000,0000,0000,,在我們可以感受的範圍內
Dialogue: 0,0:12:02.36,0:12:03.76,Default,,0000,0000,0000,,Delta S還是大於零
Dialogue: 0,0:12:03.76,0:12:05.70,Default,,0000,0000,0000,,什麼叫Delta S大於零呢
Dialogue: 0,0:12:05.70,0:12:06.84,Default,,0000,0000,0000,,理論上\N
Dialogue: 0,0:12:06.84,0:12:07.60,Default,,0000,0000,0000,,一切要最低能量最大亂度
Dialogue: 0,0:12:07.60,0:12:09.72,Default,,0000,0000,0000,,越來越混亂\N
Dialogue: 0,0:12:09.72,0:12:10.96,Default,,0000,0000,0000,,所以我的存在
Dialogue: 0,0:12:10.96,0:12:12.59,Default,,0000,0000,0000,,Delta小於零\N
Dialogue: 0,0:12:12.59,0:12:15.34,Default,,0000,0000,0000,,他是違反整個物理化學的反應
Dialogue: 0,0:12:15.34,0:12:17.08,Default,,0000,0000,0000,,那如何看待生死
Dialogue: 0,0:12:17.08,0:12:19.06,Default,,0000,0000,0000,,其實是這樣的
Dialogue: 0,0:12:19.06,0:12:21.08,Default,,0000,0000,0000,,我們常常只看到我
Dialogue: 0,0:12:21.08,0:12:23.10,Default,,0000,0000,0000,,沒有看到我們是個宇宙\N
Dialogue: 0,0:12:23.10,0:12:24.30,Default,,0000,0000,0000,,我加上環境才是個宇宙
Dialogue: 0,0:12:24.30,0:12:26.77,Default,,0000,0000,0000,,所以Delta S total
Dialogue: 0,0:12:26.77,0:12:29.64,Default,,0000,0000,0000,,Delta S system 加 Delta S surrounding\N
Dialogue: 0,0:12:29.64,0:12:31.69,Default,,0000,0000,0000,,所以\N
Dialogue: 0,0:12:31.69,0:12:33.27,Default,,0000,0000,0000,,這個很重要的概念
Dialogue: 0,0:12:33.27,0:12:35.76,Default,,0000,0000,0000,,任何有組織的團體
Dialogue: 0,0:12:35.76,0:12:37.34,Default,,0000,0000,0000,,他都是不穩定的
Dialogue: 0,0:12:37.34,0:12:39.84,Default,,0000,0000,0000,,他必須破壞環境
Dialogue: 0,0:12:39.84,0:12:41.41,Default,,0000,0000,0000,,所以雖然Delta S小於零\N
Dialogue: 0,0:12:41.41,0:12:43.51,Default,,0000,0000,0000,,但是我要破壞整個環境
Dialogue: 0,0:12:43.51,0:12:44.96,Default,,0000,0000,0000,,讓Delta S大於零\N
Dialogue: 0,0:12:44.96,0:12:46.86,Default,,0000,0000,0000,,加起來還是要大於零
Dialogue: 0,0:12:46.86,0:12:48.27,Default,,0000,0000,0000,,所以我的存在
Dialogue: 0,0:12:48.27,0:12:49.76,Default,,0000,0000,0000,,就是要破壞這個環境
Dialogue: 0,0:12:49.76,0:12:51.24,Default,,0000,0000,0000,,當有一天\N
Dialogue: 0,0:12:51.24,0:12:52.77,Default,,0000,0000,0000,,我再也不能破壞這個環境的時候
Dialogue: 0,0:12:52.77,0:12:54.44,Default,,0000,0000,0000,,我只好破壞我自己
Dialogue: 0,0:12:54.44,0:12:56.85,Default,,0000,0000,0000,,因為我還是要維持Delta S大於零\N
Dialogue: 0,0:12:56.85,0:12:58.03,Default,,0000,0000,0000,,所以存在之目的是為了破壞
Dialogue: 0,0:12:58.03,0:12:59.69,Default,,0000,0000,0000,,當不能再破壞時\N
Dialogue: 0,0:12:59.69,0:13:01.34,Default,,0000,0000,0000,,只好破壞自己
Dialogue: 0,0:13:01.34,0:13:02.56,Default,,0000,0000,0000,,這個叫死亡\N
Dialogue: 0,0:13:02.56,0:13:04.54,Default,,0000,0000,0000,,這是從物理化學的觀點來看待死亡
Dialogue: 0,0:13:04.54,0:13:06.16,Default,,0000,0000,0000,,可是\N
Dialogue: 0,0:13:06.16,0:13:08.62,Default,,0000,0000,0000,,做一個醫生
Dialogue: 0,0:13:08.62,0:13:10.58,Default,,0000,0000,0000,,物理化學我懂\N
Dialogue: 0,0:13:10.58,0:13:12.72,Default,,0000,0000,0000,,可是如果去看待人生呢\N
Dialogue: 0,0:13:12.72,0:13:14.67,Default,,0000,0000,0000,,有一天我在加護病房
Dialogue: 0,0:13:14.67,0:13:16.48,Default,,0000,0000,0000,,在巡房時
Dialogue: 0,0:13:16.48,0:13:18.12,Default,,0000,0000,0000,,突然大徹大悟\N
Dialogue: 0,0:13:18.12,0:13:19.54,Default,,0000,0000,0000,,人生的結局只有兩種
Dialogue: 0,0:13:19.54,0:13:21.18,Default,,0000,0000,0000,,一個有插管\N
Dialogue: 0,0:13:21.18,0:13:22.44,Default,,0000,0000,0000,,一個沒插管
Dialogue: 0,0:13:22.44,0:13:24.41,Default,,0000,0000,0000,,但是都是死掉\N
Dialogue: 0,0:13:24.41,9:59:59.99,Default,,0000,0000,0000,,所以死亡是個普遍存在的現象
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,那到底
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,我們如何看待死亡呢
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,其實這個問題我有個翻轉的想法
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,你問我什麼叫死亡
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,我如此的回答
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,怎樣才算是活著
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,所以今天各位
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,來這裡聽演講
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,我希望你們回家以後\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,今天晚上睡覺的時候
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,躺在床上
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,問自己一個問題
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,怎樣才算是活著\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,因為
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,怎樣才算是活著
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,我們要思考一個問題
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,什麼是人生\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,我對這個問題的答案是這樣
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,追求這個問題的答案
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,就是這個問題的答案\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,因為人一定會死
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,沒有人會把死亡\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,當作人生的目的
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,所以人生只是個過程\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,因此這個過程當中
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,我們在這個過程當中\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,不斷去追尋一個問題
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,到底什麼才叫做活著
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,所以追求這個問題的答案\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,就是這個問題的答案
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,所以死亡不用當作是人生的目的
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,人生只是個過程
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,最近我常常去講一坨大便的啟示
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,有一次我的老師退休
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,就跟我說
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,老師要退休了\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,請好一點的\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,我說好啦好啦
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,我就跟我的學長和老師
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,到喜來登飯店二樓
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,法國餐廳\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,三個人吃了兩萬六千塊
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,我臉都快綠掉了
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,我怎麼吃這麼貴的東西\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,因為我也沒去過那種地方
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,亂點
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,也不曉得點了什麼菜
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,所以看到賬單的時候\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,兩萬六千塊
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,我第二天早上上廁所\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,一直看我的大便\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,我在想
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,這個花九千元才製造的東西
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,我看來看去\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,跟我平常在台大醫院地下室一樓
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,那個自助餐70塊的
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,我看不出差別
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,我在廁所裡突然大徹大悟\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,人生的榮華富貴\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,不過就是一陀大便
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,儒家還是中國最重要的思想\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,可是儒家他的優點\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,他把人提升到一個境界
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,可是你看看論語怎麼講
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,論語裡面說
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,未知生，焉知死\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,未能事人
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,焉能事鬼\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,生
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,事之以禮
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,死\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,葬之以禮
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,祭之以禮\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,他就是不想談論生死
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,你一直追問
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,他就說什麼是捨生取義\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,朝聞道夕死可矣
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,什麼有殺身以成仁
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,這個儒家對生死的態度\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,他採取逃避的態度
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,他不想討論\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,所以
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,他積極面
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,當然要有人\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,就不要管他
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,管你現在的東西就好
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,可是有個問題
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,他躲避了死亡的問題
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,我的想法是這樣\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,在這個中華文化圈裡\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,儒家還是中國最重要的思想
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,可是過去我們都不想面對生死
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,採取躲避的態度\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,這是我個人的看法
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,置於死地而後生\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,我們唯有能夠面對死亡\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,甚至開始凝視死亡的時候\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,才能轉過來看人生到底是什麼\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,所以人生終究會死亡\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,人生只是個過程
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,只是追求人生意義的過程
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,這是我個人的感想
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,其實我算是很聰明的人
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,體力也不錯
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,腳踏車第一次去騎就環島一圈回來
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,我是個比較聰明的人\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,身體也比較好
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,難道我用我的優勢
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,去欺負別人
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,去占人家便宜嗎\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,不是嘛
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,所以有時候\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,我們人比較有優勢\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,要感恩
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,萬一有這個能力
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,是不是應該去幫助別人\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,讓我們的人生更有意義
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,這叫感恩報恩\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,去法鼓山的時後
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,法師跟我講了老半天
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,就在講這個
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,感恩報恩\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,抱願不報怨
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,他說我也知道你受很多委屈
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,可是你不能抱願
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,應該是要有更遠大的宏願去幫助別人
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,所以我最後提出個概念\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,叫a的n次方
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,a如果大於1
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,a的n次方就無限大
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,a如果小於1
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,a的n次方很快就趨近於0\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,這句話什麼意思
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,我對社會的付出
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,多於我對社會得奪取
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,a就大於1
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,這個社會就越來越好
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,我對社會的奪取
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,多餘我對社會的付出
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,a就小於1
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,就越來越劣勢
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,所以我用最後這句話
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,作為今天演講的結束
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,面對挫折打擊不是最困難
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,最困難的是
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,面對各種挫折打擊\N
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,而沒有失去對人世的熱情
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,謝謝各位