透過「網路直播手術過程」賺大錢的美國醫師Dr Roxy，後來怎麼了？ - TNL The News Lens 關鍵評論網
美國曾有位醫師網路直播手術過程還大賺錢，後來她怎麼了？
這位醫師網路暱稱Dr Roxy，2018年時就因為在網路上分享醫療照片、影片，被美國俄亥俄州醫學委員會警告。2021年她又收到一次警告，這次除了醫學倫理問題，還包括醫術的質疑，要求補強醫學教育。
隨著TikTok普及，Dr Roxy的影響力越來越大。她的直播內容包括術前訪談、術後照片、手術費用。TikTok直播時，她會對著鏡頭講話，一邊手術一邊對網友講解，甚至回答來自其超過82.5萬名追蹤者的問題。
Dr Roxy主攻女性胸部整形手術，也提供隆乳、抽脂與腹部拉皮等綜合性療程。2022年暫停醫師執照前，她的手術排程已安排到兩年後，每月進行約80至100台隆乳手術，每年數千例「巴西提臀術」。隆乳手術費6600美元，抽脂、拉皮等大手術索價1萬5000～2萬美元。
俄亥俄州醫學委員會吊銷她執照主要依據三個直播案例：
抽脂手術後出現腹部劇痛及感染跡象，一週後檢查發現小腸多處穿孔並伴隨壞死性軟組織感染，導致需要多次手術補救。
抽脂與肚臍疝氣修補術後劇烈腹痛，再入院檢查發現橫紋肌溶解症與小腸有6處穿孔及多處連續性撕裂傷。
乳房整型手術後出現乳房大量出血、噁心、心搏過速等症狀，乳房嚴重感染，導致雙側乳房植入物全部取出，進行清創手術。
外界普遍認為，Dr Roxy過度關注她的TikTok 帳號，直播會讓她分心，影響她那本來就不太精湛的醫術。但也確實，她能有那麼多病人，就是因為TikTok直播號召而來。有病人說，當初是被Dr. Roxy「充滿熱情、鼓勵女性自信」的網路形象所吸引，但沒想到術後出了問題，卻感覺醫生並沒有提供應有的照護和善後。
Dr Roxy辯解，她希望「打破醫師與病患之間那道可怕的高牆」。她說病患有簽署同意書，授權「Dr. Roxy」直播手術過程，藉此去除人們對手術的神秘感。「我們做的事情有點像是教育，也回答大家的問題，有時候也有點有趣、搞笑」，Dr Roxy 陳述。
2022年11月，醫學委員會以未遵守患者隱私與醫學倫理要求、對至少三名患者的治療未符合最低照護標準、以及過度沉迷社群網站導致對患者的安全不負責任，明確指出Dr Roxy違反了數項俄亥俄州醫療法規條文，強調她繼續行醫將對公眾構成威脅，暫停她的醫師執照，表示可在30天內申請聽證會提出異議。
2023年5月舉行聽證會，Dr Roxy解釋在網路上分享手術影音是出於善意，且得到患者同意，希望透過公開透明來消除大眾對整形手術的神秘感，而那三例不良結果是醫療行為本來就會有的風險。
不過，醫學委員會以及檢方不接受Dr Roxy的辯解。他們認為，一次又一次的直播沒有必要，過度的TokTok直播混淆了醫師與病人間應有的專業界線，而她對社群網站的沉迷，直接影響了患者照護。
聽證會中檢視影片，Dr Roxy在為患者實施需要高度專注的手術時，曾轉頭朝向鏡頭，導致器械誤傷患者內臟。檢方痛批Dr Roxy罔顧手術重大風險，行為舉止嚴重偏離專業，「社群媒體宣傳對她而言似乎比病人的生命還重要」。
有委員會成員認為，「Dr Roxy的所作所為更像是在追逐網紅效應，她對網路聲量的專注超過了對病人生命的重視」。而且2018年與2021年已經兩度警告過Dr Roxy，所以最後判決，永久吊銷她在俄亥俄州行醫資格。
實務上，Dr Roxy已經無法在美國行醫，從此消聲匿跡，TikTok帳號也不再公開。專業人士追逐網紅效應，會有什麼負面效應？這是最極端的例子，也是美國的經典案例。
本文經陳豐偉授權轉載，原文刊載於此 延伸閱讀 當護理師也成為敘事者，病⼈的故事才會留下來
傅志遠《拚命》：在我看來，醫療是個最沒有「是非」的行業
從醫學倫理觀點，看柯文哲的「洩密」爭議
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責任編輯：朱家儀
核稿編輯：丁肇九
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