2016-07-30

足球員的作戰心態


成功過了提名期,比賽才剛剛開始,去吃一人打邊爐鼓勵下自己。選舉期內,有十萬八千條例,最安全就是食自己。我承諾,選完會找朋友出去一起打邊爐(要AA制的,也是選舉條例),哈哈。

在足球比賽中,不論對手是誰,任何比數,在吹完場哨子之前,我會十分專心、全力以赴、攻守有序,這就是足球員的作戰心態。

現在是做實事的時候,一票一票的去拉,直至九月四日投票日,你會支持我… 一起去打邊爐嗎?

沛然敬上

EA Reference No. 001-0014

Date of Production/Printing/ Publication: 2016.7.30
Self production

2016-07-28

我的提名人、我的師父




感謝提名我的十八位醫生,找他們提名不是因為名氣,而是每一位都是陪伴我長大的良師益友,每一位都是有意思、有故事的。

為大家介紹第一位的提名人,是黎青龍教授,他是神童、肝臟科世界權威。他的花名叫做仔爺,原因無從證實,很多公司會稱呼上司老闆為乜哥乜姐乜爺,我們很多醫院部門也不例外。聽聞是那些年,有人叫他乜乜爺,他嫌名字太老,堅持要求叫做阿仔或龍仔,手下們那裡敢呢,結果大家都叫他「仔爺」好了。

十多年前,我有幸拜他為師,入門學習「腸胃肝臟科拳」,真的要簽紙向學院申請訓練。他有很多才華橫溢的徒弟,而我的資質不會是他的得意門生。相反,仔爺是我唯一的師父,也是最好的,一日為師,終身為父。

仔爺就像《射鵰英雄傳》及《神鵰俠侶》中的「周伯通」,是天生樂天派,喜歡無拘無束,是金庸小說中武功最絕頂的高手之一。我說仔爺的內科功力是最絕頂高手,相信沒有人敢有意見。這幾年,我的頭髮白了,而他卻愈來愈後生靚仔,那不是反老還童嗎?師父,為何沒有傳授這套內功心法給我呢?
兩個星期前,我打電話給他請求提名,他一口便答應了。

陳沛然醫生敬上

EA Reference No. 001-0012

Date of Production/Printing/ Publication: 2016.7.28
Self production

2016-07-26

為何參選?為何選我?



為何參選? 「不在其位,難謀其政」
  • 在出任會長兩年,我深刻體會到要為醫生業界爭取權益,以及改善醫療體系,只由一個公立醫生工會去推動有不少限制和困難。
  • 另外,在醫務委員會改革事件,政府有關當局誤導市民,分化醫生與病人,製造矛盾,使我非常痛心;
  • 這促使我下定決心,晉身立法會,在議會內為業界發聲,為港人做事。

為何選我?我無任何黨派背景、獨立專業、有心有力有承擔
  • 我是一個土生土長的香港屋邨仔,在香港成長、讀書、工作、成家立室。
  • 在足球場上,我打右中場,須兼顧助攻及防守,深明團隊合作之重要。如成功當選後,本人承諾會跟不同黨派議員多溝通,維護「業界權益、市民及香港健康」,共同向政府爭取改善公共事務。 
  • 如有幸獲業界及市民支持,當選後,我會轉為半職公立醫院醫生,繼續了解同業及病人的需要。
  • 本人承諾會定期「落區」接觸醫生及牙醫,亦會跟不同的醫生組織會面,聽取業界聲音,把業界將寶貴的意見帶入議會。 
  • 「我,陳沛然Pierre 係你立法會裡面嘅最佳隊友」。
多謝再多謝
  • 多謝18位提名小弟的名醫們,包括:
    • 我的師父仔爺;
    • 余教授、梁教授、潘教授、黃教授;
    • 袁醫生、歐醫生、曾醫生;
    • 各位工會學會領袖:楊醫生、郭醫生、蕭醫生、王醫生、董醫生;
    • 牙醫梁醫生會長、政府牙醫杜醫生、大學牙醫梁醫生、和私家牙醫衛醫生。
    • 你知道為何是18位呢?
  • 感謝我的太太,她說無論我決定參選與否、結果如何,都會支持我。順便一提,我穿的西裝,是當年為結婚而訂做的,十分有紀念價值。
  • 多謝我的前上司王醫生。
  • 感恩,希望上天給我的能力,可以「撐醫生、護病人、香港要健康」。
今天的花絮:
  • 上午返工巡病房、看門診,下午請半天假;
  • 下午交表,有驚無險,又到四點;
  • 黃昏繼續填表,天下間那裡有這麼多的表格呢?
  • 晚上要去拉票;
  • 再晚上趕去踢波,有一個入球。 (不要告訴我的選舉經理,因為我還有很多功課未交,偷偷地出去踢波,哈。)
  • 身為足球員,踢波是十分合理的,對嗎?

陳沛然醫生敬上
2016年7月26日




EA Reference No. 001-0009

Date of Production/Printing/ Publication: 2016.7.26
Self production

2016-07-23

陳沛然宣布參選2016年立法會選舉



致: 港聞採訪主任


採訪邀請

陳沛然宣布參選2016年立法會選舉(醫學界)

陳沛然醫生將於726日(星期二)下午向選舉主任提交參選表格,報名參2016年立法會醫學界功能組別的選舉。

現誠邀 貴新聞機構派員採訪,詳情如下:



日期:

2016726日(星期二)

時間:

下午2

地點:

香港添美道2號政府總部東翼地下


陳沛然醫生簡歷

  • 2000年香港大學醫學院畢業,在瑪麗醫院工作10年,轉到律敦治醫院亦已5年多,現職內科副顧問醫生腸胃肝臟科專科醫生。
  • 2006年加入香港公共醫療醫生協會,於2014年當上會長,2016年以歷年最高票數當選醫務委員會的選舉委員。愛好踢足球、寫網頁、寫專欄,喜歡跟三個女兒玩耍和看圖書。
  • 出任會長兩年期間,積極發動醫生聯署及靜坐行動,為醫管局醫生成功緊守薪酬不會跟公務員脱鈎,額外加薪3%
傳媒查詢

陳沛然立法會選辦公室聯絡人

Ms Gloria Ho
手機 : 9401xxxx
電郵:chanpierre2016@gmail.com

EA Reference No. 005-0005

Date of Production/Printing/ Publication: 2016.7.23
Self production




2016-07-21

E週刊專欄 - 五種愛的方式 (陳沛然醫生)



原文刊於E週刊專欄

那些年很難才追到我的太太,她跑得不快,而是性格十分特別,不喜歡名牌、不喜歡花言巧語、不需要幫忙十分獨立、也不喜歡行街睇戲食飯。很多年前,有一次因她其他事不高興一言不發,我坐在她旁陪伴着著也沒有說話,見有時間順便研究一下扭計骰,兩個小時沉默後,她說心情好了並向我道謝,那刻真的叫人摸不着頭腦。

之前參加了一個很好的親子教育課程,在這裏裡跟大家分享。課程共有五課,包括建立穩固的根基、滿足兒女的需求、為兒女立界線、培養健康的情緒、和記住最終目標。在第二課滿足兒女的需求中,介紹五種愛的方式:一對一的時間 (陪)、肯定的言詞 (讚)、肢體的接觸 (抱)、精心的禮物 (買)、和服務的行動 (幫)。功課是要回家問問自己的女兒,在五種愛的方式中,哪一種最能感到被愛?也按重要性順序排列。

大女兒自小很怕熱,所以她把抱抱放到最低,選擇了陪和幫為首兩位,相信是希望有人陪伴她做功課。二女兒比較鬼馬,今年太太為她安排了兩日一夜迪士尼作為生日禮物,去完之後仍然問為何沒有禮物?她說禮物應該有花紙包裝和有絲帶蝴蝶結,所以去迪士尼不算生日禮物,二女兒選擇精心的禮物為第一。三女兒還是幼小,她選擇了抱抱和陪伴,晚上飯後閱讀時間,她總是喜歡坐在爸媽的懷內看書聽故事。三個女兒感到被愛的方法都不同。

在陪伴一項,不一定要花很多錢,可以直接問對方喜歡一起做甚麼事,例如是去吃雪糕、一起跑步、一起看球賽或聽演唱會,一對一的時間才是最重要。在大女兒選擇的幫助,不是指找個工人姐姐幫她安排好所有事宜,而是要找機會額外為她做一點事,以行動表示對孩子的愛。我喜歡在教養小朋友中反思自己的不足,所以我專程問了太太五種愛的方式,而太太說最希望我能抽時間陪伴她和家人,其他的都不重要。認識了二十年,結婚也十年了,終於明白為何買東西買花沒有效用,也明白為何坐着玩兩小時扭計骰反而令她開懷。

表達愛的五種方式,源於蓋瑞‧巧門與羅斯‧甘伯在一九九七年合著的一本名叫《兒童愛之語》的書。各位朋友也可以玩玩這個遊戲,問問兒女或另一半,在五種愛的方式,陪、讚、抱、買、幫,哪一種最能感到被愛?希望大家能像我一樣,了解自己、男女朋友和家人多一點,也能愛得簡單直接。

2016-07-17

醫委會透視《一》關於研訊



我跟很多醫生一樣,都害怕香港醫務委員會議 (簡稱醫委會) 研訊,一來是怕惹上官非,二來我曾在專欄指出,根據醫委會年報,被告醫生在研訊中定罪率超過九成,可以說九死一生 [8]。

醫委會其中一項功能是研訊,在《醫生註冊條例》第161章21乙條目 ,有清晰的規則,我為大家解釋一下。

人物:
1) 審裁委員團有五至六人 (義務的,沒有人工或車馬費)
  • 1a) 五名醫委會委員;或
  • 1b) 不少於三名醫委會委員,以及兩名來自「非醫委會」人士組成審裁顧問委員團;
  • 1c) 成員中最少一名須是業外委員;
  • 1d) 過半數的審裁委員團須是註冊醫生。
2) 醫委會
  • 醫委會法律顧問一名;
  • 醫委會秘書一名、助理秘書兩名;
  • 即時翻譯員兩名 (如果需要以非英語作供);
  • 茶水部主管洪哥。
3) 辯方
  • 被告醫生一名;
  • 辯方律師,及助手;
  • 辯方醫生專家証人;
4) 控方
  • 控方律師,及助手;
  • 控方醫生專家証人;
5) 旁聽:市民、記者幾位。

第(2)至(4)人物都是受薪的,(1) 審裁委員團全是義務的。


地點:
  • 在黃竹坑醫專大樓四樓。
  • 由於場地不足是聆訊時間長九個塞車黑點之一,故此有人問可否租用醫專大樓其他地方、甚至酒店用作研訊?
  • 我說可能性不大,因為場地設施要包括可以容納二十人以上的大圓枱、咪和播音系統連錄音、一間房給即時翻譯員、一間房給醫委會秘書處、一間房給審裁委員團、控辯雙方各一間房,即是共要六間房。

時間:
  • 星期一至日七天,朝九晚六,可以因應情況加時。
  • 研訊最短可以半天,最長可以超過十天。
  • 最令人叫救命的是,如果研訊在連續星期六日兩天朝九晚六開庭,然後星期一照常上班。
  • 研訊不一定可以連續幾天進行,為了確保公正和延續性,同一個案要相同人物出現,所以要約下一個研訊日期,都要約齊以上(1)至(4)人物共十多人,還要有場地。
  • 例如第一天聆訊在六月,第二天是七月中星期六,第三天是星期日,再約第四天已經是過了暑假九月頭,第五天將會是十月中了。頭尾已經花了五個月。

過程:
  • 像真法庭一樣嚴謹。
  • 所有文件規格是法律文件,一大疊,長篇大論,很多很多英文啦。
  • 以英文為主要語言,可以要求用中文,但是事先要安排即時翻譯員。

非業界委員
醫生歡迎非業界委員,我覺得他們令醫委會更加有公信力,其他專業委員會未必有非業界委員。 在一天研訊朝九晚六,而我每次都會向非業界委員道謝

官方說,增加非業界委員,能夠增加醫委會透明度,我不同意。在谷哥網站搜尋,非業界委員從未對外公開透露任何有關醫委會的事情,如何透明呢?
我當上了醫委會直接選舉委員只有六個月,為介紹醫委會,親自建立了一個網站、寫了十幾篇文章、和做了兩個問卷調查。想增加醫委會透明度,找我不是更好嗎?


實習記者 陳沛然醫生報導


小弟其他有關醫委會的文章
  1. 醫委會改革專題報導網站
  2. What is MCHK? 什麼是醫委會?
  3. 政府提高委任比例是出於政治考慮?
  4. 我支持張生張太伸冤
  5. 「混淆視聽」「魚目混珠、偷換概念」「有明顯利益衝突」
  6. 給張宇人議員的公開信
  7. 張宇人道歉,但沒有收回「標時死更多病人論」
  8. 請女兒十年後不要在香港讀醫科
  9. 我是「‪多餘醫生‬」
  10. 速讀的技巧
  11. 醫醫相衛?
  12. 米豬蓮兩星級的香港醫療
  13. 醫生十年之鳥盡弓藏
  14. 釘牌的後裔
  15. HKAM問卷調查- 中期報告
  16. 改革醫委會草案未能通過之後



2016-07-15

改革醫委會草案未能通過之後



1) 拉倒醫委會改革草案,是三輸的局面。我不相信醫生業界跟全港市民利益存在矛盾,醫生跟病人本來同坐一條船。

2) 我支持醫療改革,包括醫委會改革。

3) 我反對的由政府提出「假改革」,對政府和親政府的人全力抹黑醫生十分反感,相信要花很長時間,才能修補由政府造成的撕裂。

4) 我認為現在醫委會內可以做得更多,去回應市民病人的訴求,所以我才爭取直選入醫委會。相信有行政方法加快處理投訴時間,包括:加快拿醫療報告、加快獨立專家意見、加快法律意見、加快排期、場地安排。

5) 我承諾,會以醫生和醫委會直選委會身份,努力推動「真正的醫委會改革」。

6) 感謝騮哥多年來的努力,支持騮哥。

陳沛然醫生敬上
2016年7月16日

我更適合去選「體育、演藝、文化及出版界功能界別」?

http://paper.hket.com/article/1463145/醫學界議席%20泛民陳沛然勝算高

除了陳沛然三隻字,其他都不同意。

1. 我是足球員,又演過戲做茄哩啡,又沒甚文化,也是專欄作家,最適合去選「體育、演藝、文化及出版界功能界別」。我的副業是電腦程式員,「資訊科技界功能界別」也可以。


2. 我喜歡吃飯,但是不是泛民,從未加入任何政黨,也從未能接觸任何一位泛民議員,3%時我都想要所有立法會議員電話號碼伸冤,結果都是沒有。

3. 什麼是「贏在起跑線?」就是未報名就話你贏,救命x1。

最慘的是我在寫經濟日報專欄,但是卻沒有權限看到全文,救命 x2 啊。


2016-07-14

E週刊專欄「居屋醫院」「直資診所」(陳沛然醫生)



E週刊專欄「居屋醫院」「直資診所」(陳沛然醫生)

作為前線醫生一分子,每天都要照顧病人生老病死,我們知道病人的痛苦,公共醫生的無奈是明知政府資源永遠有限,也要盡力幫助最多病人。

「為何非緊急新症要排兩年?可否快一點?」「為何半緊急電腦掃描要等一星期?」「為何在門診登記後要等一個小時?可否快一點?」「不想用非專利藥物,可否用正廠靚藥?」
「我們會盡力盡快幫助你,如果不想等,有些自費掃描和自費藥物計劃,你會考慮嗎?」「不會考慮花錢,盡快和醫好我,是你醫生的責任。」

在香港,有很多社會問題,醫療、房屋、教育、基建、政治等。在房屋和教育政策中,我認為有東西是可以給醫療借鏡的。

房屋,我在小時候要排公屋,終於等到上樓,一家四口住在二百呎沒有房間的屋內,家徒四壁,唯一的窗正正對着著整個屋村的垃圾站。一直住到大學後,媽媽抽到居屋,把公屋還了,生活得到改善。結婚買一間房子,是補了地價的細小居屋。我感激當年政府居屋政策令我有向上流的機會,也感恩太太甘心跟窮小子一起儲首期、一起供樓。看到近十年政策傾向高地價、曾停售停建居屋、只有排公屋和豪宅選擇,我明白新一代的困難和不滿。

教育,近年來有很多家長不滿,學位世襲制、小班教學、外籍老師比例、國民教育、全港性系統評估等等,我看到有直資這個中間的選擇後,那些不滿傳統學校的家長,不會坐在「公共」學校然後嚷着又要平又要好,而會用腳投票選擇直資學校或私校。

香港醫療的困局,是公立醫院提供近九成的住院服務,但是總醫療開支,一半在私家一半在公家;醫生人手也是一樣,一半人手照顧九成住院病人。政府和市民都不想在公共醫療多付金錢,但是兩方面又要醫療服務「又平又快又好」,我明白一般市民無法負擔私家醫生醫院費用,只好被困在醫管局內投訴、鬧和爭取最好最快的。

怎樣才能增加對公共醫療的資源投放?政府不會額外為醫療增加「經常性」開支,市民病人不肯加稅,有善長總理每年捐一百億給醫管局改善醫療質素嗎? 香港醫療沒有「居屋醫院」或「直資診所」, 政府之前推出的自願醫保計劃,是給病人的「中間」選擇,好的地方是「開源」,也可以幫助「分流」少部分非緊急和排期耐的病症到私家,已經可以緩和病人的怨氣及醫護的壓力,當然醫保也有高行政費和濫用等問題。

我在想「居屋醫院」「直資診所」是否公共醫療的出路呢?

2016-07-13

我的一天有多少小時?



有朋友問我的一天有多少小時?
我回答:16小時,因為要睡8小時。

今天的工作:
0800-0900 趕了一篇稿
0900-1330 巡病房和看門診
1330-1530 趕去開醫委會
1530-1700 趕回醫院
1700-1830 趕及寫好網站第二草稿
1830-2000 向學院老闆和電腦公司負責人,講解建議新網站設計
2000-2100 趕開另一緊急會議
2130-2200 趕回家看看女兒和太太
2215-2300 一個人慢慢地吃火鍋
2300-2400 趕回去寫網站交功課

今天更有一份大禮物從天而降,要感謝太太和弟弟。美中不足是缺席足球訓練。

有人追問:為何可以一天做那麼多工作?
答:
(說笑版) 唔駛急,最緊要快。
(認真版) 答案是專心和感恩,能力都是上天所賜的,希望能用在撑同事和幫病人。

2016-07-10

我是「‪多餘醫生‬」

  • 十五年前,‪政府曾開動輿論機器說‬ 我是「‪多餘醫生‬」,要人工減半、乞求工作。
  • 十三年前,「多餘醫生」被推入沙士戰場,我沒有退縮。
  • 十二年前,醫管局推出「肥雞餐」,請走超過1000名醫生護士,剩下來的工作,由「多餘醫生」加辛處理。當年都是急症室爆滿、病房爆滿、流感高峰期、門診輪候時間長。
  • 十多年來,「多餘醫生」每星期工作超過70小時、連續當值36小時,也捱過了。
  • 十年前,公務員減薪,‪政府又開動輿論機器說‬ 醫生跟公務員「掛鈎」,所以醫生一定要減人工。
  • 五年前,眼見有很多「多餘醫生」沒有訓練機會、不能續約、心灰意冷,心情就像十個救火的少年。
  • 半年前,公務員獲額外加人工,在 2015年 10月13至17日 的一星期中,政府派出行會成員、局長副局長、某些傳媒機器,‪‎政府再三開動輿論機器說‬ 醫生跟公務員「已經脱鈎」。
  • 今天,‪為了醫委會改革,政府的輿論機器又再啟動‬ ,全力抹黑醫生。各位官員、議員、和打手啊,
    • 為何你們要這樣對待照顧你們和你家人的醫生呢?
    • 為何你們平日要打電話、放下咭片、找我們幫助時,又有另一張嘴臉呢?
陳沛然醫生

2016-07-07

E週刊專欄 - 醫生十年之鳥盡弓藏(陳沛然醫生)


原文刊於E週刊專欄

最近有朋友寫了一封電話短訊給我,勸說早日離開醫管局,內容是這樣的:「……飛鳥盡,良弓藏;狡兔死,走狗烹……」

上星期,大女兒在看成語故事書,剛好看到兔死狗烹的故事,她不明白向我求教。在2000多年之前的戰國時代,越王經過忍辱投降、臥薪嘗膽、十年生聚、十年教訓,靠兩個大功臣范蠡和文種,最終打敗了吳國。勝利之後范蠡雖然可以享受榮華富貴,但是他不貪戀,反而隱居田野,並且寫了一封信給文種,勸他也早日離開宮廷,信的內容是這樣的:「……飛鳥盡,良弓藏;狡兔死,走狗烹……」,最後文種被越王賜死。成語是諷刺一些只可共患難,不可同享樂的人,讀小學三年級的女兒說不明白,身為爸爸的我差不多40歲也不明白。

我在2000年畢業就被標籤為「多餘醫生」,當年經濟差,政府收入減少,醫療開支撥款也減,官方開動輿論機器說不需要我,說畢業後不一定可以做醫生,大可以去賣藥。翻查醫管局2000年年報第151頁,只有4222名醫生,反而今天有5900個醫生,卻說人手不足要引入海外醫生,十分諷刺。

2001年,我的同學中有10%找不到工作,有一半以上沒有專科訓練,更有人只拿到一年甚至半年的合約。見工時主管問我:「工作沒有訓練機會,接受嗎?」「就算有訓練都不會是專科訓練,接受嗎?」「就算有機會專科訓練,6年後不會續約,接受嗎?」幾經辛苦才乞求到工作。

2002年,那時人手也是不足,官方為了再慳錢推出「肥雞餐」,送走幾百個醫生護士,留下「多餘醫生」一個人做兩份。2003年沙士降臨,沒有專科訓練的同學,新來新豬肉的被推入沙士病房,戰勝沙士後有些同學意興闌珊、有些不被續約、有些找不到專科訓練位而離開醫管局。2004年,我才知道舊制的師兄人工比我高一倍,但仍然咬緊牙關去完成專科訓練。2009年公務員加薪,幾經辛苦才能爭取醫管局同事跟公務員掛鈎,我們這批新入職的「多餘醫生」除外。2015年3%事件中,官方仍然想脫鈎,有很多朋友對我說,官方根本沒有誠意挽留有經驗的專科醫生,走一個高人工的,補回一個低人工新醫生更具成本效益。

在《2016 年醫生註冊(修訂)條例草案》,立法會參考資料摘要引言中,清楚點出修訂目的是便利非本地培訓醫生(特別是專科醫生)到港執業,並再一次開動輿論機器抹黑醫生。我曾經親耳聽到,希望吸引港人子女40多歲非本地培訓的醫生回港執業,我當場駁斥說,我和我的同學師兄妹也是40多歲有經驗的本地培訓專科醫生,為何要鳥盡弓藏,兔死狗烹?

2016-07-04

我支持張生張太伸冤


  1. 我支持張生張太伸冤。
  2. 蔡明欣‬(醫生)是英國名牌大學畢業的海外醫生,當年回歸前不用考香港執業試,就可以免試回港行醫,曾在中文大學威爾斯親王醫院婦產科工作。
  3. 當年有權決定不受理的人,只有 ‪醫委會初級偵訊委員會‬ 小組主席或副主席有此權力,即是 ‪劉允怡教授‬ 、霍泰輝教授或羅致廉醫生,而劉允怡教授和霍泰輝教授跟蔡明欣一樣,也是在中文大學工作的。劉允怡教授由2006至2011年任醫委會初級偵訊委員會小組主席,在2012年升任為醫委會主席。
  4. 2008年至2009年,案件已進入司法程序,醫委會不能同時開庭。
  5. 2009年至2014年1月,是5年時間。
  6. 涉案醫生只有四五個人,不是全香港醫生「醫醫相衛」。
  7. 在2012年的‎DR美容事故‬,我們醫生也很想為病人伸冤,至今2016年仍未開庭審,法庭未完案前,醫委會不能開庭。
陳沛然醫生

我也愛數學



看到曾主席又出難題,我在下午一時放午飯時間回答。

https://tsangyoksing.hk/2016/07/04/%E8%BF%B7%E6%88%80%E6%95%B8%E5%AD%B8/

森林裡有三種動物,山雞、黃狼和九頭鳥。三種動物合共有100個頭和100隻腳,問山雞、黃狼和九頭鳥各有幾隻?

設定:
山雞 = C,     每隻有1個頭和2隻腳
黃狼 = W,    每隻有1個頭和4隻腳
九頭鳥 = B, 每隻有9個頭和2隻腳

第一條件是100個頭:1C+1W+9B = 100
第二條件是100隻腳:2C+4W+2B = 100

[1] 簡化數式
2C+4W+2B = 100
1C+2W+1B = 50

[2] 數式相減
(1C+1W+9B) - (1C+2W+1B) = 100 -50
8B-W = 50
8B-50 = W

[3] 仔細觀察
看看 (1C+1W+9B = 100),B 不可能超過10
看看 8B-50 = W,B 最少是 7
那麼將B的可能性縮減至 = 7, 8, 9, 10

[4] 試試看
如果 B=7, (8B-50 = W) W=6, (1C+1W+9B = 100), C = 31 >>  但第二條件是100隻腳 2C+4W+2B = 100 成立。

如果 B=8, (8B-50 = W) W=14, (1C+1W+9B = 100), C = 14 >>  第二條件是100隻腳 2C+4W+2B = 100 成立。

[5] 答案有兩個
森林裡有三種動物,山雞、黃狼和九頭鳥。
三種動物合共有100個頭和100隻腳,
山雞有31隻、黃狼有6隻和九頭鳥有7隻,或 
山雞有14隻、黃狼有14隻和九頭鳥有8隻。

====================================================

過了一段時間,森林裡三種動物的數目都減少了。有人再去點算一次,發現假如每隻動物都多長1個頭和1隻腳,那末剛好仍是共有100個頭和100隻腳。森林裡現在最多還有幾隻動物?

設定:
山雞 = C,     每隻有2個頭和3隻腳
黃狼 = W,    每隻有2個頭和5隻腳
九頭鳥 = B, 每隻有10個頭和3隻腳

第一條件是100個頭:2C+2W+10B = 100
第二條件是100隻腳:3C+5W+3B = 100

重覆以上步驟
[1] 簡化數式
1C+1W+5B = 50
3C+5W+3B = 100

[2] 數式相減
(1C+1W+5B)*3 - (3C+5W+3B) = 150 - 100
12B-2W = 50
W = 6B-25

[3] 仔細觀察
看看 (2C+2W+10B = 100),B 不可能超過9
看看 W = 6B-25,B 最少是 5
那麼將B的可能性縮減至 = 5, 6, 7, 8, 9, 10

[4] 試試看
......

答案也有兩個:
30隻 (山雞有20隻、黃狼有5隻和九頭鳥有5隻。)
26隻 (山雞有9隻、黃狼有11隻和九頭鳥有6隻。)

森林裡現在最多還有幾隻動物? 最終答案是30隻。

陳沛然醫生敬上
2016年7月4日13:19
更新版本:    22:54


2016-07-03

HKAM問卷調查- 中期報告



背景:
  • 2016年6月29日醫學會在立法會外靜坐,同日香港醫學專科學院發出聲明,公開支持政府。
  • 2016年6月30日,小弟在下午收到大量醫生短訊,宣示不滿並向我尋求協助,在下午6時我以個人身份向醫生發出電子問卷。








方法:
  • 用谷歌網上程式,設立電子問
卷 http://bit.ly/surveytoHKAM2016,在2016年6月30日6 時開始收集數據。
  • 問卷是用英文,問題包括:
    • (Q1) Do you agree HKAM to represent you, as one of 7300+ HKAM fellows, in the Medical Council?
    • (Q2) Do you agree that HKAM has a special role in the Medical Council, because of a statutory body to ensure the quality and standard of medical practitioners in HK?
    • (Q3) Do you agree HKAM to support the Government's proposal at this stage?
    • (Q4) Do you agree that HKAM should hope the proposed reform of Medical Council would finally take place in order for the Medical Council to function more effectively and efficiently in the future?
    • (Q5) Do you agree HKAM to publicize the statement on behalf of fellows without proper survey or collection of opinion?
    • (Q6) Do you agree to call for an EGM to clarify the current situation?
    • Surname, Given Name
    • Working place
    • MCHK Registration number
    • MCHK specialist registration number
    • College
    • Email address
    • Other comments
數據分析:
  • 親自核對每一個回應,翻查醫委會網頁,核對醫生名字、基本註冊編號、專科醫生註冊編號、和專科學院。
  • 如有懷疑個案,會發一個電郵給那一位醫生,去澄清疑問。
結果:
  • 一個人共花了10小時核對資料。
  • 由2016年6月30日18:00 至 2016年7月3日18:00 共72小時內,
  • 一共收到超過    1030 份回覆,
    • 空白:          10
    • 重覆:          19
    • 資料錯誤:  83
    • 不是fellow: 153          
    • 有效數目:765       (截至2016年7月3日18:00)
  • 六條問題的回覆數據如下表:
  • (Q1) 75.2% 受訪的專科醫生不同意 香港醫學專科學院 (醫專) 能代表他。
  • (Q2) 71.0% 受訪的專科醫生同意醫專的法定功能是確保香港專科醫生的質素和水平。
  • (Q3) 97.8% 受訪的專科醫生不同意醫專支持政府增加四名業外委員的建議。
  • (Q4) 77.0% 受訪的專科醫生不同意醫專希望醫委會的改革修訂建議最終獲得通過。
  • (Q5) 94.6% 受訪的專科醫生不同意醫專在未有向院士會員調查或意見收集前發出立場聲明。
  • (Q6) 93.6% 受訪的專科醫生同意召開緊急會員大會。

討論:
(英文字母排列)
    1. Adding members of council , especially layman , would not increase efficiency of the council and especially on medical issues or accidents
    2. A pre-mature and disurespectful response from HKAM, not even try to seek opinions from fellows.
    3. appointed member : elected members = 1:1
    4. Better to arrange some formal survey because all information here are available from the internet and the validity of this sort of survey may be challenged by the academy administration.
    5. Can we seek legal advice on the act of HKAM to publish this letter for "represent" all fellows without obtaining a consent
    6. Can't represent us without proper discussion. 我們不被代表
    7. Clarification from MCHK on the current issue is mandatory
    8. Don't support the proposal
    9. Donald Li should resign for abusing his powers!
    10. EGM ASAP , to be held after Office Hours
    11. Extremely disappointed with HKAM autocratic manner
    12. felt insulted to be represented in this way
    13. Given the diverse views from the medical profession on the various proposed amendments, HKAM should only confine its comment on the part related to its role in the MC.
    14. HKAM accrediting specialists does not translate into representation
    15. HKAM cannot present me in the issue on medical council reform
    16. HKAM could only reflect my professionalism in clinical aspect and nothing else, particularly political views and decisions!!!
    17. HKAM does not represent me!
    18. HKAM is a professional institution for the training of post-graduate doctors, recognition of standard achieved and continuous education. It should stay politically neutral and up-keep the significance of professional autonomy. The current bill in question is just a political action not related to our professional standard, so stay out of the business since
    19. HKAM does not have our mandate to represent us in these issues.
    20. HkAM not represent us ,only for medical qualification register only
    21. HKAM is only a Academic organization. It has no right to represent it's members on any opinion besides academic accreditation.
    22. HKAM should not make public statement without having survey among members. An
    23. EGM should be called for to cancel the statement and a survey should be held to collect members' opinions about medical council reform. 
    24. HKAM should not represent us without any survey.
    25. HKAM should withdraw this statement.
    26. HKAM should withdraw her statement and do a proper survey on members' view first.
    27. HKAM must do proper survey before making any public statements
    28. HKAM need to withdraw the 29June 2016 letter as no survey has been performed. The person who had posted the letter should apology. HkAM should apologize to the all doctors and fellows
    29. I absolutely obliged with the power & authority of the Academy in maintaining &control of the education & academic standards of the fellows! But I disagreed that it can represent my voice regarding this issue without asking!
    30. I am very angry about HKAM announcing the statement supporting the government without even doing a poll among its members asking for our views and opinions. And who is that to do this from behind?
    31. I didn't receive the email from HKAM informing us about the position statement. This is odd as I used to receive emails from HKAM with regard to newsletter, announcement ...etc. The next thing I got is already the EGM email. I am just wondering if the missing of such an important email is a coincidence or HKAM is trying to bypass the Fellows
    32. I do not support government proposal on the hkmc
    33. I do not trust the current chief executive (ie, Mr CY Leung) and his team.
    34. I don't agree on the addition of extra lay persons In the medical council.
    35. I feel disappointed for HKAM to publish this statement for the HKMC reform without conducting proper survey to the fellows. This statement is certainly invalid.
    36. I personally absolutely object the government proposal, how can HKAM present me without asking me about my opinion beforehand?
    37. I strongly disagree to the publicize the position statement of the HKAM on behalf of the fellows without any survey or collection of opinions!
    38. I think the college should support the establishment of independent PIC to facilitate the hearing of complaints
    39. I would support the gov bill if the power to elect HKAM representative to MCHK is returned to all specialists
    40. If finally HKAM has representative in Medical Council, that one should be elected by all fellows.
    41. If HKAM not respect the fellow opinion, and only want to serve the government; I suggest fellow should not submit their annual fee next year as HKAM has lost its function to safeguard of HK medical profession quality.
    42. In the letter dated 19 April 2016 to all Fellows from HKAM, in the last paragraph, we were asked to take note of the development and express our views if a consultation process IS established. However, I don't think I have received a formal consultation from HKAM in these months
    43. Issue such statement will confuse the public about the stand point of local specialists. The academy should never issue any position statement without call upon or proper inform all the fellows. In addition, the academy cannot represent fellow in Medical Council because we are not being informed or asked to vote for such representatives in the Council. Moreover, such representative is a 小圈子選舉。
    44. It is a very rude and stupid action that HKAM gave the position statement without asking our opinion .HKAM is not representing me, at least in this issue. I strongly request HKAM give our fellows a good explanation on this issue.
    45. It's outrageous to publish something on our behalf without our consent
    46. May I request the HKAM to have a proper survey among the specialists before making important decisions and supporting the Government's proposals?
    47. No one can represent me on this ultra major problem, I strongly against the government proposal on adding four layman and need of approval of Leung CY!
    48. One doctor one vote to elect the representative in MCHK
    49. Outrageous!
    50. Our council oppose the bill of amendment, I do not understand why HKAM told the public that we support it. This is frankly a lie.
    51. Petition to sue HKAM for making a statement on our behalf without prior consent
    52. Please ask HKAM president to explain the way to get consensus from all colleges. From secretary phone's reply, an email was sent to president of each colleges. It presumed that the president agreed to support statement if no reply from the president, like an opt-in policy. She cannot confirm that every president is well received before the statement announced.
    53. Please DO NOT publicize anything without consulting your fellows what they think or allowing them enough time to respond
    54. please do proper survey before making statement.
    55. Please don't represent me
    56. Please have a complete survey before any public statement
    57. Proposal: Paid expert opinion to fasten the process for patient‘s complaints
    58. Regret HKAM on issuing the above statement without the fellows consensus
    59. Should not be appointed by the government. Can either be elected by popular vote or appointed by a council elected by popular vote.
    60. Support EGM
    61. Thanks Pierre. Any specific symbolic icon for the current protest like 「怒」?
    62. The act of HKAM is totally unacceptable.
    63. The HKAM should not speak for all the fellows without proper and thorough survey.
    64. The now proposed reform had a lot of room for further discussion
    65. The opinion expressed in the HKAM statement signify the kind of representation the Academy will present at the HK Medical Council - usurping the number represented while not taking the trouble to consult those whom they claim to represent.
    66. The position statement is an expression of political stand. I want to see HKAM continue serve s as an academic body to maintain the professional standard. I do not want to see
    67. HKAM becomes a political body. In the future, when I vote for the council member, I want to vote someone whom I trust his / her ability to maintain the standard, not someone who shares same political stand of myself.
    68. The president of HKAM should resign.
    69. This is ridiculous for HKAM to announce this statement Without notifying the fellow members!
    70. There are also concerns about the unusually short consultation period (months) and intended hasty enactment of the Bill and the outcry of hk doctor have NOT been addressed
      • (1) HK made No reference to the details of the proposed Bill;
      • (2) HKAM did not explain why they thought the Government proposal is the best
      • (3) HKAM did not explain why they did not accept Dr Leung Ka Lau ( our Legco representative) 's proposal which includes 6 laymen into HK Medical Council ( even more laymen); 
      • (4) HKAM has not addressed to the concerns and worries from the Medical Professionals 
      • (5) HKAM failed to address the issue of how to safeguard Professional Independence and how to prevent it from manipulation from the Government or other external sources
    71. VERY ANGRY ABOUT THE STATEMENT WITHOUT PRIOR POLL
    72. Very disappointed at this false statement without proper consultation 
    73. Very disappointed in the HKAM
    74. We need good consciousness for our profession
    75. We should call an EGM to pass a vote of non confidence on our Academy President
    76. We want to have our vote on who to represent us!
    77. What justifies HKAM to represent all of us without asking for a poll / vote beforehand?!
    78. You make up a crisis
    79. 整個所謂改革只是為了引入大陸醫生,嚴重影響香港醫療質素。HKAM 未經諮詢會員擅自表達立場,可恥至極。
    80. 被代表,我感到非常憤怒及驚訝
結論:
  1. 醫專在2016年6月29日關於 2016 年醫生註冊(修訂)條例草案立場聲明中的四點中,大部份受訪的專科醫生不同意其中三項。
  2. 94.6% 受訪的專科醫生不同意醫專在未有向院士會員調查或意見收集前發出立場聲明。
  3. 93.6% 受訪的專科醫生同意召開緊急會員大會。
  4. 請其他專科醫生填問卷 http://bit.ly/surveytoHKAM2016,直至2016年7月16日12:00 止,14:00在醫專大樓開召開緊急會員大會。


陳沛然醫生敬上
2016年7月3日

後記
2016年7月4日:加上「受訪的」(戴頭盔先)

About HKAM council







REFERENCES



2016-07-02

HKAM問卷調查- 初期報告 (先看留言)


背景:

  • 2016年6月29日醫學會在立法會外靜坐,同日香港醫學專科學院發出聲明,公開支持政府。
  • 2016年6月30日,小弟在下午收到大量醫生短訊,宣示不滿並向我尋求協助,在下午6時我以個人身份向醫生發出電子問卷。

方法:

  • 用谷歌網上程式,設立電子問卷 http://bit.ly/surveytoHKAM2016,在2016年6月30日6 時開始收集數據。
  • 問題包括:
    • (Q1) Do you agree HKAM to represent you, as one of 7300+ HKAM fellows, in the Medical Council?
    • (Q2) Do you agree that HKAM has a special role in the Medical Council, because of a statutory body to ensure the quality and standard of medical practitioners in HK?
    • (Q3) Do you agree HKAM to support the Government's proposal at this stage?
    • (Q4) Do you agree that HKAM should hope the proposed reform of Medical Council would finally take place in order for the Medical Council to function more effectively and efficiently in the future?
    • (Q5) Do you agree HKAM to publicize the statement on behalf of fellows without proper survey or collection of opinion?
    • (Q6) Do you agree to call for an EGM to clarify the current situation?
    • Surname, Given Name
    • Working place
    • MCHK Registration number
    • MCHK specialist registration number
    • College
    • Email address
    • Other comments
數據分析:

  • 親自核對每一個回應,翻查醫委會網頁,核對醫生名字、基本註冊編號、專科醫生註冊編號、和專科學院。
  • 如有懷疑個案,會發一個電郵給那一位醫生,去澄清疑問。
結果:
  • 一個人,共花了XX小時核對資料。
  • 由2016年6月30日18:00 至今,
  • 一共收到超過    1000 份回覆,
    • 空白:        T/F
    • 重覆:        T/F
    • 沒填名字:T/F
    • 資料錯誤:T/F
    • 不是fellow: T/F             
    • 有效數目:T/F
  • 其他意見 (英文字母排列)

    1. Adding members of council , especially layman , would not increase efficiency of the council and especially on medical issues or accidents
    2. A pre-mature and disurespectful response from HKAM, not even try to seek opinions from fellows.
    3. appointed member : elected members = 1:1
    4. Better to arrange some formal survey because all information here are available from the internet and the validity of this sort of survey may be challenged by the academy administration.
    5. Can we seek legal advice on the act of HKAM to publish this letter for "represent" all fellows without obtaining a consent
    6. Can't represent us without proper discussion. 我們不被代表
    7. Clarification from MCHK on the current issue is mandatory
    8. Don't support the proposal
    9. Donald Li should resign for abusing his powers!
    10. EGM ASAP , to be held after Office Hours
    11. Extremely disappointed with HKAM autocratic manner
    12. felt insulted to be represented in this way
    13. Given the diverse views from the medical profession on the various proposed amendments, HKAM should only confine its comment on the part related to its role in the MC.
    14. HKAM accrediting specialists does not translate into representation
    15. HKAM cannot present me in the issue on medical council reform
    16. HKAM could only reflect my professionalism in clinical aspect and nothing else, particularly political views and decisions!!!
    17. HKAM does not represent me!
    18. HKAM is a professional institution for the training of post-graduate doctors, recognition of standard achieved and continuous education. It should stay politically neutral and up-keep the significance of professional autonomy. The current bill in question is just a political action not related to our professional standard, so stay out of the business since
    19. HKAM does not have our mandate to represent us in these issues.
    20. HkAM not represent us ,only for medical qualification register only
    21. HKAM is only a Academic organization. It has no right to represent it's members on any opinion besides academic accreditation.
    22. HKAM should not make public statement without having survey among members. An
    23. EGM should be called for to cancel the statement and a survey should be held to collect members' opinions about medical council reform. 
    24. HKAM should not represent us without any survey.
    25. HKAM should withdraw this statement.
    26. HKAM should withdraw her statement and do a proper survey on members' view first.
    27. HKAM must do proper survey before making any public statements
    28. HKAM need to withdraw the 29June 2016 letter as no survey has been performed. The person who had posted the letter should apology. HkAM should apologize to the all doctors and fellows
    29. I absolutely obliged with the power & authority of the Academy in maintaining &control of the education & academic standards of the fellows! But I disagreed that it can represent my voice regarding this issue without asking!
    30. I am very angry about HKAM announcing the statement supporting the government without even doing a poll among its members asking for our views and opinions. And who is that to do this from behind?
    31. I didn't receive the email from HKAM informing us about the position statement. This is odd as I used to receive emails from HKAM with regard to newsletter, announcement ...etc. The next thing I got is already the EGM email. I am just wondering if the missing of such an important email is a coincidence or HKAM is trying to bypass the Fellows
    32. I do not support government proposal on the hkmc
    33. I do not trust the current chief executive (ie, Mr CY Leung) and his team.
    34. I don't agree on the addition of extra lay persons In the medical council.
    35. I feel disappointed for HKAM to publish this statement for the HKMC reform without conducting proper survey to the fellows. This statement is certainly invalid.
    36. I personally absolutely object the government proposal, how can HKAM present me without asking me about my opinion beforehand?
    37. I strongly disagree to the publicize the position statement of the HKAM on behalf of the fellows without any survey or collection of opinions!
    38. I think the college should support the establishment of independent PIC to facilitate the hearing of complaints
    39. I would support the gov bill if the power to elect HKAM representative to MCHK is returned to all specialists
    40. If finally HKAM has representative in Medical Council, that one should be elected by all fellows.
    41. If HKAM not respect the fellow opinion, and only want to serve the government; I suggest fellow should not submit their annual fee next year as HKAM has lost its function to safeguard of HK medical profession quality.
    42. In the letter dated 19 April 2016 to all Fellows from HKAM, in the last paragraph, we were asked to take note of the development and express our views if a consultation process IS established. However, I don't think I have received a formal consultation from HKAM in these months
    43. Issue such statement will confuse the public about the stand point of local specialists. The academy should never issue any position statement without call upon or proper inform all the fellows. In addition, the academy cannot represent fellow in Medical Council because we are not being informed or asked to vote for such representatives in the Council. Moreover, such representative is a 小圈子選舉。
    44. It is a very rude and stupid action that HKAM gave the position statement without asking our opinion .HKAM is not representing me, at least in this issue. I strongly request HKAM give our fellows a good explanation on this issue.
    45. It's outrageous to publish something on our behalf without our consent
    46. May I request the HKAM to have a proper survey among the specialists before making important decisions and supporting the Government's proposals?
    47. No one can represent me on this ultra major problem, I strongly against the government proposal on adding four layman and need of approval of Leung CY!
    48. One doctor one vote to elect the representative in MCHK
    49. Outrageous!
    50. Our council oppose the bill of amendment, I do not understand why HKAM told the public that we support it. This is frankly a lie.
    51. Petition to sue HKAM for making a statement on our behalf without prior consent
    52. Please ask HKAM president to explain the way to get consensus from all colleges. From secretary phone's reply, an email was sent to president of each colleges. It presumed that the president agreed to support statement if no reply from the president, like an opt-in policy. She cannot confirm that every president is well received before the statement announced.
    53. Please DO NOT publicize anything without consulting your fellows what they think or allowing them enough time to respond
    54. please do proper survey before making statement.
    55. Please don't represent me
    56. Please have a complete survey before any public statement
    57. Proposal: Paid expert opinion to fasten the process for patient‘s complaints
    58. Regret HKAM on issuing the above statement without the fellows consensus
    59. Should not be appointed by the government. Can either be elected by popular vote or appointed by a council elected by popular vote.
    60. Support EGM
    61. Thanks Pierre. Any specific symbolic icon for the current protest like 「怒」?
    62. The act of HKAM is totally unacceptable.
    63. The HKAM should not speak for all the fellows without proper and thorough survey.
    64. The now proposed reform had a lot of room for further discussion
    65. The opinion expressed in the HKAM statement signify the kind of representation the Academy will present at the HK Medical Council - usurping the number represented while not taking the trouble to consult those whom they claim to represent.
    66. The position statement is an expression of political stand. I want to see HKAM continue serve s as an academic body to maintain the professional standard. I do not want to see
    67. HKAM becomes a political body. In the future, when I vote for the council member, I want to vote someone whom I trust his / her ability to maintain the standard, not someone who shares same political stand of myself.
    68. The president of HKAM should resign.
    69. This is ridiculous for HKAM to announce this statement Without notifying the fellow members!
    70. There are also concerns about the unusually short consultation period (months) and intended hasty enactment of the Bill and the outcry of hk doctor have NOT been addressed
      • (1) HK made No reference to the details of the proposed Bill;
      • (2) HKAM did not explain why they thought the Government proposal is the best
      • (3) HKAM did not explain why they did not accept Dr Leung Ka Lau ( our Legco representative) 's proposal which includes 6 laymen into HK Medical Council ( even more laymen); 
      • (4) HKAM has not addressed to the concerns and worries from the Medical Professionals 
      • (5) HKAM failed to address the issue of how to safeguard Professional Independence and how to prevent it from manipulation from the Government or other external sources
    71. VERY ANGRY ABOUT THE STATEMENT WITHOUT PRIOR POLL
    72. Very disappointed at this false statement without proper consultation 
    73. Very disappointed in the HKAM
    74. We need good consciousness for our profession
    75. We should call an EGM to pass a vote of non confidence on our Academy President
    76. We want to have our vote on who to represent us!
    77. What justifies HKAM to represent all of us without asking for a poll / vote beforehand?!
    78. You make up a crisis
    79. 整個所謂改革只是為了引入大陸醫生,嚴重影響香港醫療質素。HKAM 未經諮詢會員擅自表達立場,可恥至極。
    80. 被代表,我感到非常憤怒及驚訝
結論:
  • T/F
  • 請繼續叫專科醫生填問卷 http://bit.ly/surveytoHKAM2016,仍然繼續收集數據,直至2016年7月16日12:00 止,14:00在醫專大樓開召開緊急會員大會。
陳沛然醫生敬上
2016年7月2日