今天(10月29日)是我加入北榮精神科醫療團隊後，第一次去看阿扁。同時林信男教授、陳喬琪教授與我都正式進入，參與阿扁總統在精神科的治療。
昨天住天龍城沒事，今早九點二十分就到北榮，中正樓祝福阿扁的支持者，被強迫驅離，紙鶴不見了，那角落零零星星散佈病人與病家。慨嘆台北不是我的家，當然北榮絕對也不是阿扁的家！
郭教授怕我迷路，在中正樓大廳等我，帶我穿過中正樓，到思源樓坐電梯到五樓，接空橋抵精神樓，轉幾個彎，終於上二樓門禁深嚴的精神病房，打開嚴密關卡，終於在九點半開始為阿扁看診。這一路上如同阿扁的就醫，坎坷如迷宮的路。
幸妤也在，由於治療尚未開始，阿扁神經學與精神科的症狀依舊，倒是環境適應與進食營養的改善讓他寬舒不少。
⋯⋯
我的診療進行一個小時，神經與精神都看。十點半林信男教授與陳喬琪教授加入，跟他們簡報我的進度後，他們繼續補強看診，也認為還沒有改善。
很可惡的是，我們看診時，北監除了錄影、錄音筆外，還有一位在旁邊筆記記錄。這違反精神衛生法，陳總統說很多症狀都不敢說，怕被送回北監。我們嚴正抗議，獲得周主任回應，爭取以後我們看病時跟他一樣都要清場。看著精神科辦公室外的日內瓦宣言，不禁感慨！
十一點我們三人到周元華主任辦公室討論治療計劃，包括環境與生活改善，心理治療時間與分工，住台北的周主任、林教授與陳教授每週一次正式一小時的會談，我負責臨床神經學評估，我們每兩週會討論與共識一次，真正提升到總統級的醫療。
我也建議作業治療是否可讓阿扁總統訓練使用電腦，平常也給他一臺電腦使用。陳總統說他要從輸入學起，電腦訓練，會請作業治療專家來評估。我們都鼓勵他，維持鬥志與希望，林教授對阿扁說「天總是攏會光」。
十一點半過後，周主任帶我們實地勘察陳總統活動與運動空間，與實地說明行將安排的活動治療。
出來後才發現精神大樓從後面正門進不去，從前面進去是思源樓，從旁邊看是長青樓，到北榮精神科真的是「坎坷如迷宮的路」，但是正如對陳總統說的「天總是攏會光」。
2012-10-29
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(Translated by Prof. Jay Tu)
Dr. Chen Shuen-Shun (陳順勝教授), who is the deputy director of Kaohsiung Cheng-Kung Hospital and an expert in neurology and psychology, visited President Chen on Oct. 29 to conduct the first psychiatric treatment
for President Chen. He wrote the following article to describe the treatment process. (original article in Hanji) He is also the doctor who testified in a Legislator Yuan hearing to link the mini-strokes to the slurred speech of President Chen using MRI images.
He first described his impression of Taipei Veteran General Hospital (TVGH) since last time he visited President Chen there. First of all, all supporters on the first floor lobby had been evicted by the policy. The origamy cranes made by supporters to wish President Chen well were gone. He was led to the fifth floor and walked through a connecting corridor to the psychiatric building and finally arrived at the second floor where President Chen was staying. He started his treatment session at 9:30. He noticed that there was no improvement in President Chen's neurological and psychological symptoms; nevertheless, his living condition has improved immensely over the hell cell in the prison. At 10:30, two other doctors, Dr. Lin Shin-Nan and Dr. Chen Chiao-Chi (林信男教授與陳喬琪教授), joined him. Both of these two doctors are entrusted by President Chen. Dr. Lin works for Taiwan University Hospital and Dr. Chen Chiao-Chi for Ma-Kai Hospital. Both agreed that President Chen had shown no signs of improvements.
Most shockingly, during the treatment session, the prison authority not only recorded the treatment session with a camcorder and a voice recorder, but also stationed a person to take notes, right next to the doctors. This was a serious violation of psychiatric treatment law of Taiwan. President Chen was reluctant to describe many incidents because he was afraid that he would be sent back to the prison if he revealed too much. The doctors issued a stern protest to the director of psychiatric department of TVGH, Dr. Chou(精神科主任周元華醫師), and requested to have confidentiality in future sessions. The doctors looked at the Declaration of Geneva posted on the wall and sighed deeply.
At 11 am, all three doctors met Director Chou at his office to discuss future treatments. Director Chou, Dr. Lin and Dr. Chen Chiao-Chi will meet once a week for an hour to discuss the treatment and the progress, while Dr. Chen Shuen-Shen will join them every other week because he lives in Kaohsiung. All doctors agreed to treat President Chen the way a former president deserves. Dr. Chen Shuen-Shen also suggested to provide a computer for President Chen while President Chen admitted that he did not know how to type Hanji on a computer. The doctors encouraged him to take it on and keep it on. Dr. Lin told President Chen that "However long the night, the dawn will break."
At 11:30, all doctors went outside to inspect the outdoor settings for exercise and activities needed for treatments. Dr. Chen Shuen-Shen observed that the psychiatric building seems to locate deep in a maze. It took such an effort to just get in, very much like his personal journey to join the medical team for President Chen or the struggles President Chen had to go through in order to get treated. However, Dr. Chen believe that "However long the night, the dawn will break." We shall overcome!
