周一清晨

这部医务剧的新颖之处在于剧本本身不只局限于讨论医患关系和疑难杂症，而是更多地讨论医院内部的质量管控问题、医院内部的自我纠错和反思机制以及医生的同行自律机制。

剧如其名，所谓Monday Mornings是每周一早上召开的切尔西医院外科诊室同行评议会议。主持人是外科主任（chief of staff)Dr. Hooten。Dr. Hooten总爱戴bow tie, 对患者耐心温柔，有求必应，对手下的医生则吹毛求疵以至于不近人情。他会为劝说一个病重的小女孩Trisha接受手术而应其要求剃个大光头，也会在周一早上的会议上质问妙医圣手Dr. Wilson的办公室恋情。

Dr. Hooten将一个个犯了或大或小错误的医生唤到台前，然后总是倒一杯白开水，撮一口，在众目睽睽下，开始他绵里藏针的发问。类似Grand Jury一般的inquisition让台上台下的医者从忙乱纷杂的救治中抽离出来，思考各种各样的医学难题、伦理问题、管理问题。通过这种inquisition, 向观众解释了了解一个患者的家族疾病史有多么重要，什么是advance directive以及为什么要尊重advance directive, 为什么医生要尽量避免成为自己家人的主治医生，如何与患者及其家属富有同情心的沟通同时不给医院和自己惹上不必要的官司，尊重当事人自主权与救死扶伤的使命之间的可能冲突与界限等等医学问题和医学伦理问题。可以说周一早上的会议其实是医学伦理委员会加疑难杂症研讨会的结合体。

这部剧没有回避外科医生长时间高强度共事而可能滋生的办公室恋情，但由于没有某些医务剧惯常的狗血混乱滚床单环节，情节上清爽不少。除了金童玉女颜值担当的Dr. Wilson和Dr. Ridgeway, 不乏有魅力的人设，比如频爆类似“Not do, dead”金句的亚裔医生Dr. Park, 十分关心肥胖问题总是心直口快吐槽美国人糖分摄入过量的心外科医生Dr.Napur，高大威猛风趣亲和敢摸Hooten老虎屁股绰号Big Cat的Dr. Villanueva, 外表冷冰冰内心也冷冰冰时刻像只秃鹰一样在濒死之人床前hover内心总把病人潜意识里分成三六九等但对器官移植给人类带来的福祉深信不疑并身体力行的Dr. Tierney，每一个角色都被诠释地有血有肉，丰富立体。

记得Dr. Hooten在劝十三岁的Trisha接受脑部手术的时候引用的希腊戏剧术语“deus ex machina”。所谓deus ex machina是指希腊戏剧中不合逻辑甚至有些荒谬的情节设置，但是这个情节设置却能将剧中难题迎刃而解，这天外救星般的情节设置是欧里庇得斯的惯用伎俩。这预示着在医学昌明的当下，手拿手术刀的妙手们可能就是患者们意料之外的救星。作为患者，在看这部剧的时候，希望可以从中找到信心和力量。

Are the odds against you? Yes.

Is it game over? Hell, no.

然而无论医学发展到何等昌明的地步，也不能忽视人性本身。正如Dr. Hooten所言，“I look around the hospital. I see such brilliant minds and gifted hands. All these science and technology. Why do we need humanity?”

Episode 1:

1.Medical devices pay for Dr.Tierney ‘s heart and ambulatory wing, revealed some interest relationships between device corporations and doctors.

2.Dr.Martin didn’t do a full physical examination for Mary when he first saw her, even no X-rays, no blood work, made a cursory conclusion——prescribed extra strength Tylenol for her according to the retrospect, regardless of the possibility of bone cancer, just allowed metastatic cancer to run amok for four months. Dr.Martin was good at separating the conjoined twins, rebuilding the shattered faces ,but had at least killed three people. He was known as 007 among peers and colleagues cause license to kill.Actually, some doctors prefer complicated surgeries and make light of normal symptoms, leading to some misdiagnoses, at the same time, patients always complain about expensive examining cost, misunderstanding their doctors in charge.

3.Dr.Wilson failed to save the little boy Quinn McDaniels’ life due to uncontrollable bleeder. Quinn’s CT scan releaved a massive temporal-lobe tumor, which appeared malignant, so Dr.Wilson decided to operate immediately but he didn’t discuss it with his colleagues. The boy had never met his father but unfortunately his father has Von Willebrand’s disease. The doctor’s arrogance, unwillingness to seek a consult, neglecting to get a full and thorough history are responsible for the boy’s death though Dr.Wilson is not only one of the best surgeons in the world but also a committed and compassionate doctor who treated the little boy as if he were his son.What a tragedy, I had to admit that arrogance is fatal to each doctor as well as to people of all fields…

Episode two:

1.Dr. Park used Deep brain stimulation to treat a patient who was troubled by intention tremor, but DBS maybe the last resort. The operation was successful at that time, but later, the patient, Beth, prosecuted Dr. Park for she was left with an overactive libido. Dr. Park blamed her and the lawyer very strictly, in fact Beth begged Park to stop her tremor and was willing to receive the dangerous operation herself, but now she comes with lawyer, asking for money. Dr. Park’s words stimulated Beth, she dismissed the lawsuit and gave him a portraiture, she was a painter before. Beth conveyed her profound apology and sincere gratitude, this really touched me, brain is so mysterious that we cannot foresee what will happen after DBS. Such is human nature that people sometimes bite the hand that feeds one.

2.Dr. Tierney breached in protocol towards his donor, one of the patient donors Mr. Jasper wasn’t deceased but Dr. Tierney determined incorrectly that he was brain dead though he asked the neuro resident to examine Jasper and Jasper even reflect to the doctor’s commands. The transplant stuff is exciting, Dr. Tierney was called predator, a vulture trolling around the ICU, scavenging to harvest organs, not to be annoyed with annoying little things. Buck has been done his job well for 20 years, he has run a transport service that has made Chelsea one of the highest-volume centers in the country and keep the success high at the same time. This time he saved four lives, but neglected humanity and discriminated black people.

3.Dr. Ridgeway allowed Dr. Robidaux, a doctor-in-training, to operate on Miss Cash’s brain cause she thought Robidaux was perfectly capable of handling a Meningioma and that what a teaching hospital is. But because of Robidaux’s lack of experience, Cash’s olfactory nerve was damaged and unfortunately she was a chief. I have to say Ridgeway didn’t do any wrong but she is indisputably blame for this accident though the risk is permitted by the patients before the operation. No practice, no progress, no one hatches from an egg as a polished surgeon, but this is so unfair to the patient. The only way to avoid such tragedy is to perfect medico’s skill, hu…I guess Dr. Robidaux was so sorry.

（to be continued... the passage is originally written by me , no reprints without permission)

医患伦理是大学里单独的课程不是没有原因的。它可以黑就是黑白就是白，但是也可以在边界的模糊里找到人性的弱点或者光芒。

医疗剧着重伦理是这部剧最大的亮点：没有眼花缭乱的名词和炫技，重头戏从来不在病房或者是手术室，而是他们开会的会议室，是主任的那一张桌子和上面那一壶透明的水，是医生被叫上来做个人陈述的那一方讲台。站上讲台后他们在主人眼里也像那壶水一样透明，做过什么想的是什么全部在主任眼里无所遁形（其实很好奇主任是怎么知道这么多细节的）。但没有人可以像那壶水一样四平八稳，纯净无垢。神圣的医生也有犯错的时候，也有自己的私心，也会罔顾伦理的存在自走自路。主任也不例外。在看的时候最大的感受就是医生要兼顾治疗和伦理真的很不容易。两者之间经常会有不可调和的矛盾出现。

失望的点可能是生硬的个人生活和感情线。可能是想在第二季展开吧，看下来感觉很突兀。

冲着医学奇迹和炫技来的可以去看豪斯医生，不然你会发现这部剧其实很失望，因为它讲的更多的是人性的弱点以及在医疗系统在伦理面前的矛盾和无可奈何。