{"id":6988,"date":"2017-07-10T00:00:00","date_gmt":"2017-07-09T16:00:00","guid":{"rendered":"\/\/www.afterroberto.com\/?guid=8e02bf8d9046f75aa916ce969a8c21b4"},"modified":"2018-08-21T12:13:08","modified_gmt":"2018-08-21T04:13:08","slug":"%e5%85%92%e8%a8%80%e8%87%aa%e5%be%97%ef%bc%9a%e6%b0%b8%e9%81%a0%e7%9a%84%e6%84%9b%e9%ba%97%e7%b5%b2","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/%e5%85%92%e8%a8%80%e8%87%aa%e5%be%97%ef%bc%9a%e6%b0%b8%e9%81%a0%e7%9a%84%e6%84%9b%e9%ba%97%e7%b5%b2\/","title":{"rendered":"\u5152\u8a00\u81ea\u5f97\uff1a\u6c38\u9060\u7684\u611b\u9e97\u7d72"},"content":{"rendered":"

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\u548c\u592a\u592a\u53bb\u5b8c\u4e86\u8001\u674e\u7684\u55aa\u79ae\uff0c\u56de\u5bb6\u9014\u4e2d\u8ac7\u5230\u7576\u5e74\u7684\u8001\u674e\u98a8\u83ef\u6b63\u8302\uff0c\u665a\u5e74\u537b\u7d66\u8001\u4eba\u7661\u5446\u75c7\u6298\u78e8\u6b86\u76e1\uff0c\u66f4\u6210\u5bb6\u4eba\u9577\u671f\u8ca0\u7d2f\uff0c\u4e0d\u7981\u611f\u6168\u842c\u5206\u3002\u8a71\u984c\u4e0d\u671f\u7136\u5730\u626f\u5230\u4e86\u6211\u5011\u5169\u5e74\u524d\u770b\u904e\u7684\u4e00\u9f63\u8377\u674e\u6d3b\u96fb\u5f71\u300a\u6c38\u9060\u7684\u611b\u9e97\u7d72\u300b\uff08Still Alice\uff09\u3002\u96fb\u5f71\u6539\u7de8\u81ea\u540c\u540d\u66a2\u92b7\u5c0f\u8aaa\uff0c\u4f5c\u8005\u8389\u838e\uff0e\u6f54\u8afe\u5a03\uff08Lisa Genova\uff09\u8f49\u70ba\u5168\u8077\u4f5c\u5bb6\u524d\uff0c\u662f\u5f9e\u4e8b\u8166\u795e\u7d93\u7814\u7a76\u7684\u79d1\u5b78\u5bb6\uff0c\u66fe\u5728\u8036\u9b6f\u548c\u54c8\u4f5b\u5927\u5b78\u91ab\u5b78\u9662\u3001\u7f8e\u570b\u570b\u5bb6\u885b\u751f\u7814\u7a76\u6240\u5de5\u4f5c\u3002\u96fb\u5f71\u672c\u4f86\u53ea\u662f\u5c0f\u672c\u6295\u8cc7\uff0c\u54ea\u77e5\u653e\u6620\u5f8c\u537b\u5927\u53d7\u6b61\u8fce\uff0c\u5973\u4e3b\u89d2\u8331\u8389\u5b89\uff0e\u6469\u4e9e\u6191\u7cbe\u6e5b\u6f14\u6280\u7372\u734e\u7121\u6578\uff0c\u66f4\u6210\u4e862015\u5e74\u7684\u5967\u65af\u5361\u5f71\u540e\u3002<\/p>\n

\u4e2d\u5e74\u5931\u667a \u63d0\u65e9\u5b9a\u4e0b\u300c\u6b7b\u4ea1\u8a08\u5283\u300d<\/p>\n

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\u611b\u9e97\u7d72\u7684\u6b7b\u4ea1\u8a08\u5283\u6700\u7d42\u6c92\u6709\u6210\u529f\uff0c\u4f46\u537b\u5f15\u8d77\u6211\u5f88\u5927\u7684\u5171\u9cf4\u3002\u4eba\u751f\u5728\u4e16\uff0c\u4e00\u5b9a\u8981\u6d3b\u5f97\u6709\u5c0a\u56b4\u624d\u6d3b\u5f97\u6709\u610f\u7fa9\u3002\u8981\u662f\u50cf\u8001\u674e\u90a3\u6a23\uff0c\u8a8d\u77e5\u81ea\u7406\u80fd\u529b\u5168\u5931\uff0c\u8eba\u5728\u7240\u4e0a\u53ea\u662f\u500b\u6c92\u6709\u9748\u9b42\u601d\u60f3\u7684\u8ec0\u6bbc\uff0c\u90a3\u6a23\u7684\u751f\u5b58\u53c8\u6709\u4ec0\u9ebc\u610f\u7fa9\u3002\u300c\u6211\u4e0d\u8981\u505a\u8001\u674e\uff0c\u5c07\u4f86\u4e5f\u8981\u50cf\u611b\u9e97\u7d72\u90a3\u6a23\u70ba\u81ea\u5df1\u5b9a\u500b\u6b7b\u4ea1\u8a08\u5283\u300d\uff0c\u6211\u5c0d\u592a\u592a\u8aaa\u3002\u300c\u8aaa\u5f97\u5bb9\u6613\u300d\uff0c\u592a\u592a\u770b\u4e8b\u7269\u5f9e\u4f86\u6bd4\u6211\u5168\u9762\ufe55\u300c\u50cf\u8001\u674e\u90a3\u6a23\u5931\u667a\u53c8\u5931\u53bb\u6d3b\u52d5\u80fd\u529b\uff0c\u600e\u6a23\u81ea\u884c\u4e86\u65b7\uff1f\u5373\u4f7f\u50cf\u611b\u9e97\u7d72\u90a3\u6a23\u8a08\u5283\u5468\u8a73\uff0c\u6389\u4e86\u85e5\u4e38\u5f8c\u4e0d\u4e5f\u56e0\u5931\u667a\u628a\u81ea\u5df1\u7684\u6b7b\u4ea1\u8a08\u5283\u5fd8\u5f97\u4e00\u4e7e\u4e8c\u6de8\uff1f\u300d\u770b\u4f86\u81ea\u884c\u4e86\u65b7\u771f\u7684\u4e0d\u662f\u8fa6\u6cd5\uff0c\u9084\u662f\u627e\u627e\u4e2d\u6587\u5927\u5b78\u751f\u547d\u502b\u7406\u5b78\u4e2d\u5fc3\u7684\u65b0\u4efb\u7e3d\u76e3\u5340\u7d50\u6210\u91ab\u751f\uff0c\u554f\u4ed6\u6709\u6c92\u6709\u8208\u8da3\u91cd\u555f\u300c\u5b89\u6a02\u6b7b\u300d\u7684\u8a0e\u8ad6\u3002<\/p>\n

\u6587\uff1a\u970d\u6cf0\u8f1d\uff08\u4e2d\u5927\u526f\u6821\u9577\uff0c\u5152\u79d1\u5c08\u79d1\u91ab\u751f\uff09<\/p>\n

https:\/\/health2.mingpao.com\/ftp\/Health2\/20170710\/news\/_10yd104.jpg\u300a\u6c38\u9060\u7684\u611b\u9e97\u7d72\u300b\u5287\u7167;<\/inline><\/p>\n","protected":false},"excerpt":{"rendered":"

【明報專訊】朋友老李死了。他和我是世交，我們和他一家上下都相熟。老李享壽80歲，退休前是中學數學教師，年輕時是運動健將，田徑球類十八般武藝無一不精，退休之後更在慈善機構做了日子不短的義工。可惜他晚年患上了老人癡呆症，變得脾氣暴躁和疑心很重，常懷疑子女家人對自己有什麼不軌企圖，和子女的關係鬧得很不愉快，傭人給他冤枉偷東西而辭職不幹的也有好幾個。晚期的時候記憶力愈來愈衰退，連兒女媳婿和孫子也不認得，後來更因為中了風，行動不良要長期臥牀，進食如廁洗澡都全賴家人及外傭照顧，又完全喪失了語言能力，只是間中可能因為身體不適發出凄厲的慘叫聲。如是者纏綿病榻，如植物人般生活了兩年多，才因為感染肺炎逝世。<\/p>\n

和太太去完了老李的喪禮，回家途中談到當年的老李風華正茂，晚年卻給老人癡呆症折磨殆盡，更成家人長期負累，不禁感慨萬分。話題不期然地扯到了我們兩年前看過的一齣荷李活電影《永遠的愛麗絲》（Still Alice）。電影改編自同名暢銷小說，作者莉莎．潔諾娃（Lisa Genova）轉為全職作家前，是從事腦神經研究的科學家，曾在耶魯和哈佛大學醫學院、美國國家衛生研究所工作。電影本來只是小本投資，哪知放映後卻大受歡迎，女主角茱莉安．摩亞憑精湛演技獲獎無數，更成了2015年的奧斯卡影后。<\/p>\n

中年失智 提早定下「死亡計劃」<\/p>\n

電影裏茱莉安．摩亞飾演的愛麗絲，是一位名聲卓著的哈佛大學語言學教授，丈夫是名醫，三名兒女亦已長大成人，本來名成利就，家庭幸福。哪知50歲那一年，卻發現患上了家族遺傳的早發性阿茲海默症（Early-onset Alzheimer’s Disease），導致人到中年便已患上了老年癡呆症，逐漸失去記憶，以致事業、家庭和個人生活都起了莫大變化。其中我覺得最震撼的，是愛麗絲預見到自己有一天會完全失去記憶和認知能力，為了不讓自己沒有尊嚴，像「廢人」般活下去，預早為自己定下「死亡計劃」，把醫生處方給她每晚服用的安眠藥逐少逐少儲備下來，再在手提電話設定一系列有關自己的問題，每天作答。要是有一天答不到這些問題，那便表示記憶力已失，電話會自動播放她的錄音，指示她服用那些備用安眠藥，了結性命。<\/p>\n

愛麗絲的死亡計劃最終沒有成功，但卻引起我很大的共鳴。人生在世，一定要活得有尊嚴才活得有意義。要是像老李那樣，認知自理能力全失，躺在牀上只是個沒有靈魂思想的軀殼，那樣的生存又有什麼意義。「我不要做老李，將來也要像愛麗絲那樣為自己定個死亡計劃」，我對太太說。「說得容易」，太太看事物從來比我全面﹕「像老李那樣失智又失去活動能力，怎樣自行了斷？即使像愛麗絲那樣計劃周詳，掉了藥丸後不也因失智把自己的死亡計劃忘得一乾二淨？」看來自行了斷真的不是辦法，還是找找中文大學生命倫理學中心的新任總監區結成醫生，問他有沒有興趣重啟「安樂死」的討論。<\/p>\n

文：霍泰輝（中大副校長，兒科專科醫生）<\/p>\n

https:\/\/health2.mingpao.com\/ftp\/Health2\/20170710\/news\/_10yd104.jpg《永遠的愛麗絲》劇照;<\/inline><\/p>\n","protected":false},"author":2,"featured_media":6987,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[3],"tags":[626,1165],"class_list":["post-6988","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-3","tag-626","tag-1165"],"publishpress_future_action":{"enabled":false,"date":"2026-11-16 06:35:28","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category"},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/6988"}],"collection":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/comments?post=6988"}],"version-history":[{"count":0,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/6988\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media\/6987"}],"wp:attachment":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media?parent=6988"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/categories?post=6988"},{"taxonomy":"post_tag","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/tags?post=6988"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}