WEBVTT

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（電話鈴聲）
調度員：這裡是911報案中心。

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護理師：嗨，我需要有人前往
科克蘭的生命護理中心，

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情況十分危急，拜託了。

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我們國家在這幾個月內，
長期照顧演變成長期的災難。

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護理助理在領每小時 13 鎂的時薪的同時，
還得擔心自己的生命安全。

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這位是我的母親，她覺得自己只是感冒了。

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而我擔心她會不會得了新冠肺炎。

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員工的流失、住民的流失……

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要對付這個看不見的病毒幾乎是不可能的。

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這並不僅只是關於新冠肺炎病毒而已，

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這揭露了殘破的療養院產業

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長年來所擁有的這些問題。

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（戲劇性的配樂）

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﹝美國僅有 1% 的人口生活在長照設施中，﹞

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﹝但新冠肺炎的死亡案例中
有 40% 發生在這些場所。﹞

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﹝在病毒開始大流行的關鍵的前幾個月，﹞

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﹝也就是 2020 年的二月到六月，﹞

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﹝期間所發生的事情，
由實際在場的人士現身說法。﹞

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﹝驚魂 18 週—美國療養院悲劇的時間表﹞

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在住進生命護理中心之前，我們看了新聞。

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我們非常清楚中國的武漢爆發了一種病毒。

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但是從來不會聯想到它後來
會登陸於西雅圖地區。

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所以這出乎我們的意料之外。

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而不只是中國，自從病毒在上個月
中國中部城市的武漢首次出現之後，

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它已散播到鄰近的國家。

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現在，在美國，這個情況對美國公眾來說，

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風險還算是低的，但話說回來，
情況有可能會改變。

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（戲劇性的配樂）

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﹝二月下旬—疫情爆發﹞

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我們選擇生命護理中心，
因為它有五顆星的評價。

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我們在 26 號星期三的兩點鐘
幫我媽辦理了入住手續，

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我們以為這是為了調養康復的短暫停留，

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而就在那天，我們遇到了
此生中最重大的挑戰。

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﹝華盛頓州科克蘭生命護理中心﹞

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﹝證實他們有美國第一個發生於
護理中心的確診案例。﹞

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我們在 2020 年 2 月 28 號被通知說

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科克蘭的生命護理中心有確診的病患。

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我們得知這裡有兩個人被測出
對冠狀病毒有陽性反應。

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其中一個是 40 幾歲的健康照顧工作者。

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另外一位，則是 70 幾歲的病人。

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我知道在我們的設施中有新冠病毒
是一個非常重大的問題。

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在長期照顧當中，我們會管控很多東西。

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流感絕對是其中的一個。

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但這個比流感還嚴重太多了。

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我們對無症狀也可傳染這件事完全不知情。

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我們沒有可以檢測的管道。

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（電話聲撥號聲）

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調度員：這裡是911報案中心。

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護理師：我是科克蘭生命護理中心的○○，
我們這裡有一個病人。

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她正在發高燒，而她……
嗯……流感檢測出來是陰性。

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而這個地方有……呃……
感染新冠病毒的風險。

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調度員：嗯哼……那你知不知道
她在過去 14 天當中有去過中國嗎？

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護理師：喔，不不不。她沒去過其他地方。

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星期六早上，我們接到了
生命護理中心的電話，

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通知說有兩人已經被確認說有感染到病毒，

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而當時他們跟我們說，他們將會實施封院。

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訪視是不被允許的。我陷入了絕望。

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我跳上車，開到那裡，呃……
希望能把我媽帶出來。

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疾病管制與預防中心正在隔離
從武漢抵達的上千位乘客。

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很不幸地，我們沒有
從中國那裡得到很多資訊。

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這一切的轉捩點，

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特別是對療養院而言，

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發生周末的西雅圖……呃，
也就是該棟科克蘭的機構的所在地。

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我記得我打電話到副總統的辦公室去，

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而我們心裡充滿了一種急迫感。

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提姆‧季理安：我們都看著
關於流行病的電影長大，

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電影裡政府人員和廂型車
會突擊進來並控制情況，

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而我一直期待那樣的情節會發生。

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但政府的反應根本就是十分缺乏。

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我們知道我們沒有所需的個人防護裝備。

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已經有員工請假不能來上班，
因為他們生病了。

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病人一開始狀態很好，但接著在幾小時內，

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他們會沒有反應或有呼吸困難。

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在最初的幾天，我們以極快的速度

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將病人送到醫院去。

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（戲劇性的配樂）

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﹝在接下來的幾週，﹞

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﹝將有100位護理中心住民被檢測出
對病毒有陽性反應，﹞

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﹝而 37 位患者則會死亡。﹞

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﹝三月上旬—熱點疫區﹞

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今天，全國的療養院

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正忙亂地升級安全程序。

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疫情立刻就往南邊擴散，

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純粹是因為人員短缺與防護裝備的缺乏。

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護理助理開始聯絡我們

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尋求任何建議或指導，
而恐懼感加劇的非常快速。

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我們能拿到口罩嗎？我應該去上班嗎？
我該辭職嗎？

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我該怎麼保護自己？
我們能得到真相嗎？

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我們一開始只有一個表格。

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在當時沒有人在國家的層級上
對這個進行追蹤。

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我們走訪每一個州，請求公開檔案，

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詢問以確認確診與死亡的人數。

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談到療養院，它有一定程度的複雜性。

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我們送出物資，也提供他們進行檢測的指導。

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但是很多時候，我們發現

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員工並沒有確實了解如何使用防護裝備。

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有時你拿到的東西看起來
一點都不像個人防護裝備。

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我們其中一個成員還收到緊急災難管理署送的
保險套，當成是個人防護裝備。

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說實話，療養院受到的待遇比醫院還差。

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我們是健保系統的繼子，可以這麼說。

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而我們沒有第一個拿到個人防護裝備。

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我們沒有獲得所需的資訊與檢測

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無論是否有任何的流行病與傳染。

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原來，你是不許接受檢測的，

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除非你有出現新冠肺炎的症狀。

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如果我真的把我媽從生命護理中心帶出來，

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我甚麼地方都不能帶她去，

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因為現在她已經暴露在風險中，
而且她需要醫療照顧。

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在 10 號的早上，她打電話給我說她生病了。

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她有咳嗽，而她說：
「我好冷。我需要喝熱茶。

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我需要一些可以止咳的喉糖。
請妳幫我買這些東西，

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好讓我可以防患未然。」

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我打電會給周圍的人說：
「我媽媽生病了。你能告訴我甚麼嗎？」

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一位護理師說：「你的媽媽是陽性。」

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﹝3 月 11 日﹞

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﹝世界衛生組織宣布
新型冠狀病毒肺炎的全球大流行。﹞

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﹝﹞

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﹝﹞

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﹝﹞

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﹝﹞

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﹝﹞

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﹝﹞

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﹝﹞

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