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白い巨塔~財前は悪くない~

白い巨塔~悪いのは里見~

 田宮二郎版を見たときに思ったのは、確かに里見=善人、財前=悪人と描かれてきたけど、最終回の一つ手前位から「もしかして、財前、悪くないんじゃ?」ということ。 今回のもようやく次回が最終回だそうですが、なんか最初から「悪いのは里見だろ? 財前はその天才的な腕で、切っただけだろ? 医局に指導医がいないのは全員無能だからか?それにしても酷すぎるぞ。」と突っ込みまくりでした。途中で公言すると顰蹙買いそうだから黙ってましたけど。
 外科部長だからって、天才的な腕を持っているとは限らない(臨床よりも研究)、というほうが、大学病院の問題としてはヤバいらしいので、その点からも財前には非は無いと思います。
 「ブラックジャックによろしく」とか「医龍メディカルドラゴン」とかもありますが、「研修医なな子」も必読ですよ。淡々としてる分、問題がストレートに伝わります。
(追記)
 財前は、もちろん胃なんか切りません(簡単すぎるから)。食道は何度かやっていましたね。食道はすぐに閉塞するし、術式もとても難しい、リンパへの転移も容易、というやっかいなものです。食道は前からは気管に邪魔され、後ろからは背骨に邪魔されて簡単にアプローチできません。従って、肺ごと気管を剥がして、アプローチして、切除。リンパに転移してたら見つけ次第取り去ります。切り取った後の部分ひっぱて繋げます。長さが足りなかったら小腸?を少し切って継ぎ足すらしいです。 消化器系よりも呼吸器系へのダメージが大きいそうです。だから呼吸器系では地域で一番、元肺結核療養所の七国山病院…じゃなかった新山手病院で父がオペをしてそろそろ一年になります。一月しないで死んじゃったけど。糖尿病持ってるとこういう時にかなり不利(回復がよろしくない)なので、皆様気をつけましょうね。
…ああ、だからあの弁当屋の息子が頭くるんだよ、なんだよあいつ、ふざけんなよ。財前自身がそうであるように、体開けてみて「あらら」ってのはいっくらでもある話なんだよ。財前が切ってダメならあきらめろよ。原告側がよってったかって財前殺したようなもんだよ(予告編で明らかだから、いいよね)。
 患者側にこれっぽっちも感情移入できないと、全編これ、財前の受難の物語になってしまうのです。我々は安易な医療過誤訴訟によって、天才的な外科医を失ったのです。

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それにしても、寄ってたかって財前のCTみてた全員がファーストステージで良かった良かった根治可能と言っていたのに、腹開けてみたらビックリ!という第一外科っていったい。

Posted by: ポップンポール | 2004.03.15 at 12:40 PM

こんにちわぁー。ご無沙汰してまーす。
わたしは、最初から、山崎豊子の本を読んだ時から財前派です。
http://it1127.cocolog-nifty.com/it1127/2004/01/post_12.html
一概に言えないのですが、「無能な善人」より「有能な悪人」の方が好きですね。
里見を見ているとどうしても「偽善」を感じてしまいます。

Posted by: it1127 | 2004.03.15 at 03:52 PM

>ポップンボール 様
 CTでは分からないところに、ってのはあるみたいですね。それこそ運の無い。
 MRIじゃいけないのでしょうかね。CTのほうがボケた画像だって医者の人が言ってたんですけど。TV的には、昔の建設現場みたいな騒音になるからやらないのでしょうか?

> it1127 様
 へぇ、原作の時点でそういう見方がアリなんですか。里見さんも有能なんですけどね。変に善人なところが玉に瑕。
 財前のケースを考えると結局、医療訴訟は困難だが望みを捨てるな(表の主題)、しかしどんなに努力しても誤診はあるので、安易な訴訟は禁物(裏の主題)という事なのでしょうか?

Posted by: satoshis | 2004.03.15 at 04:14 PM

satoshisさん、リンク[左サイドバー]ありがとうございます。
あと書き忘れていたこと。
もし「テレビ朝日」だったらどうだろー。

Posted by: it1127 | 2004.03.15 at 06:26 PM

原作が書かれたときとは、医療技術も医療訴訟も全然違ってきていますからね(原作は私が生まれる前の時代のお話)。
もともと山崎豊子も「第1審で原告敗訴、里美先生は大学を追われてしまう」話で完結させるつもりだったんだそうで。
(それを覆して続・白い巨塔書かせたのが世論だという..)

>MRIじゃいけないのでしょうかね

肺癌ではMRIはあまり撮らないと夫は申しておりました。でもCT画像でリンパ節の転移の有無がわかるのは超能力者だそうです。

Posted by: 「あ」 | 2004.03.15 at 06:45 PM

> it1127 様
 テレ朝だったら、スマステーションとタイアップするでしょうね。劇中にも出るとか。

> 「あ」様
 MRIでは映らなくてCTでもみつけられない、ですか。やっぱり開けてみないと分からない事も多いみたいです。
 見方によっては財前が悪くない印象になる後半は、ある意味、世間へのしっぺ返しなのかもしれませんね。

Posted by: satoshis | 2004.03.15 at 11:38 PM

発言一部訂正いたします。夫曰く、
「あのCT画像1枚見ただけではリンパ節転移はわからんよ」

胸膜播種や腹膜播種はCTでも見えない厄介者で、これはやっぱり開けてみないとわからないとのことでした。

Posted by: 「あ」 | 2004.03.18 at 10:22 PM

白い巨塔大好きです。山崎豊子が亡くなってしまったのを本当に悔やみますね。本当に素晴らしい作家さんでした。本題に戻りますが 私も財前教授は全く悪くないのと大学病院のイメージを下げて手術がしにくくなる医者達 訴訟まで起こされてはたまったもんじゃないですね。弁当屋はただの八つ当たりで憎悪を財前の責任に負わせたかったAFOだと思ってます。弁当屋の弁護士、弁当屋の息子も母もただの言いがかりだと。。財前にたとえそれが診断ミスであったとしてもあの初期状態の肺への転移は見極めるのは困難だったわけで彼がミスしたという事実があってもそれは訴えられるレベルのものではないと思ってます。

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