?Confessions of a Ph.D. from Union Medical College: Why I didn’t become a doctor
Confessions of a Ph.D. from Union Medical College: Why I didn’t become a doctor
When I was 17 years old, out of a vague longing for a certain kind of life, I applied for the best medical school in China. Until a month before I submitted my application form, I had not thought that one day I would become a medical student. At this moment, a friend told me about a documentary she had watched. It talked about Lin Qiaozhi, a famous doctor in the Department of Obstetrics and Gynecology of Union Medical College Hospital. He said how she had superb medical skills and was a good person. She also said how famous the gray brick and green tiled medical school was. To train first-class medical students. The picture sketched in a few words hit a certain nerve in me in an instant. Because when I was 17 years old, I always hoped that I could take a different path than others. While I feel that these eight years of medical life will be full of hardships, I also feel that it will be unusual and unconventional.
After the 30 new classmates in the same grade met, they began to exchange ideals. Most of the girls were inspired by Lin Qiaozhi to enter Union Hospital and determined to become famous contemporary doctors. But soon, these brilliance and joy were diluted, and what followed was one long-term test after another in real life: we swore the Hippocratic Oath, bit the bullet and dissected the corpse for half a year, and gave the whole family sleepily in the morning. Patients in the ward were given needles and blood drawn, rushed to perform surgeries on appendicitis patients, and studied by themselves until after 12 o'clock late at night every night. Until finally, we piled together several thick books on housewives and children that we had learned over the years, and trapped ourselves in the classroom for a month, in total darkness. Then passed the lengthy graduation exam.
I counted, in addition to elective courses, in the past 8 years, presidents of all sizes have taken 59 subjects. And during these eight years, I have been thinking about a question: If medicine itself is an imperfect science, then doctors who engage in medicine have chosen a career that carries a heavy humanitarian burden but is self-aware of the process. . This profession carries God-like expectations from patients, but it cannot escape the identity of a mortal and the trivial realities that need to be faced around them.
I graduated eight years later and did not become a doctor. On the day of graduation, I wore a doctor's suit, and my supervisor wore a tie with YALE on it. We took a photo and said goodbye. My tutor, who graduated from a church school in my early years, looked at me and couldn't help but said: "It's a pity that you don't want to be a doctor."
During that time, my mother often said on the phone that it was difficult to go upstairs, which indicated that her rheumatic heart disease was getting worse. I asked her to come to Beijing for a review, and if possible, perform an interventional balloon dilation surgery, which is not very intensive and can solve some problems. Relying on the relationships accumulated in the hospital, I made careful arrangements in advance. But just before treatment, a required test revealed severe mitral stenosis and a blood clot in her valve. The doctor said that balloon dilation would definitely not be possible in this situation, and if it was done, it would have to be a thoracotomy. The moment I got the checklist, I couldn't help but shed tears.
For me, whose monthly living allowance was only more than 200 yuan at that time, the surgery fee of 50,000 yuan was a huge number. Where could I raise this huge sum of money? That night, according to the experimental plan, I had to go to the Dahongmen Slaughterhouse in Fengtai District to pick up 10 pig eyes and come back for the experiment. Unlike the increasingly silent world outside, the slaughterhouse opens at midnight. I first waited for an hour in the dark night. After the workers went to work, I walked across the bloody ground, listened to the pitiful cries of the pigs before they died, and watched the workers deftly gouge out the eyes of five pigs with knives. I quickly paid 50 yuan and fled the scene.
I carried the ice box containing the pig eyes back to the dark laboratory, suppressed my drowsiness, and worked in the underground laboratory until dawn. When I went back, my mother was still waiting for me. She told me firmly: "I have decided not to do surgery for the time being." As a medical student, I failed to convince my mother. Of course, my mother and I both understood: Even if my mother was persuaded by me, I would not be able to afford this huge surgery fee.
This night is unforgettable for me.
During lunch the next day, the instructor said to me: "I heard that Corey's quota is tight, and this year's quota has been used up. Some things are very messy now. But it's okay. Do you think this will work? I I still have almost 30,000 US dollars in my scientific research fund account. I can go to the dean and ask you to stay in the ophthalmology department. I will use the scientific research funds to pay your salary and take you to the outpatient clinic. In this way, we can draw money every week from now on. Go to the library for two and a half days, discuss the problem together, and teach you everything I know.
I believe you will be a promising doctor. "The life he described made me yearn for and be tempted for a moment, but I was soon overwhelmed by the reality.
I didn't dare to look into the old man's eyes, and I really didn't know how to tell him. Just yesterday, I I had made up my mind to leave the hospital and go to the United States to do scientific research. I finally gritted my teeth and told my mentor: “I don’t plan to be a doctor anymore. "
"What a pity, why? "The old man was very surprised.
Why don't you become a doctor? There are some reasons that I can't tell the old man. He has been so simple in his thoughts and optimistic in his life. He can understand the spirit of an ordinary doctor in our era. Does he think that medicine now needs to solve not only technology and knowledge, but also other problems that are too grand and complicated to solve? Can he accept that the era of Zhang Xiaoqian and Lin Qiaozhi has become like an innocent fairy tale era? Is it gone forever? Can he tell me how a young medical student who has a sense of destiny and pursues richness and diversity can achieve inner happiness and peace in his life of pursuing medicine?
8 years ago, I chose to study medicine because of Lin Qiaozhi, Liuliwa, and the people who saved lives and injured. During these 8 years, I have tasted the happiness of studying medicine, and like my classmates, I have put in unimaginable hardships to learn medical knowledge. . But this happiness and hardship are gradually diluted in the stew of small individuals, huge societies, rapidly changing times, and scientific progress.
A little-known pain.
At the class reunion, a classmate who rotated in the emergency room asked everyone: "A patient with severe trauma and bleeding in a car accident was sent to the emergency room. There was no guarantor and no one paid the hospitalization deposit. His financial situation is unknown, should he be treated? "If we follow the education we received in school to save lives and heal the wounded, of course there is no need to think twice and rescue immediately. But according to the results of education in actual hospitals, the first question is who will pay the medical expenses? If the doctor on duty is driven by a sense of responsibility that arises spontaneously , saving lives and rescuing patients regardless of cost will most likely be reprimanded by the hospital in the end.
In addition, if the patient cannot get the medicine because he has no money, it is a bit unfair to just accuse the doctor of not saving people. As we all know, in modern times. The hospital has a strict division of labor, and the doctor is just a small member of the larger system. He cannot command the entire hospital, not even the pharmacy. It is different from the authority of the old Chinese medicine doctor who treated patients and prescribed medicine at home in the past. But in the social news section of the newspaper. You can often see reports like this on the Internet: The patient's life is at stake, but the doctor refuses to save him. It seems that all doctors are snobbish and only treat the rich and not the poor.
We often simplify this matter to a matter between the doctor and the patient, forgetting that the medical environment in which the doctor and patient are located is only the doctor, who is the person who represents the medical treatment and faces us face to face. Patients’ dissatisfaction and grievances about medicine, medical care, and the insurance system should not be passed on to doctors.
One survey asked: "Have you ever encountered doctor-patient disputes in clinical work?" ? Among the more than 200 doctors surveyed, most of the answers were "too many," "I just met one," and "my colleague was beaten two days ago." Basically every doctor surveyed. There have been disputes between doctors and patients, which ranged from being scolded and separated from each other; to severe cases, the patient went to court, and even the doctor suffered violence. When asked what they were most afraid of, almost all the doctors surveyed said: " "Medical disputes".
In the minds of more and more people, the image of doctors has never been as ambiguous as it is today. But few people know exactly the hard work and risks of the doctor's profession. A survey found that Conclusion: “Doctors have become some of the unhealthiest people in the world today. They die younger than most, are more likely to commit suicide, are more likely to suffer from heart disease and stomach ulcers, are in greater need of psychological counseling than other groups, and are more likely to drink and take drugs than their contemporaries. Their marriage didn't last long, and they faltered under tremendous pressure and were overwhelmed. "
When a doctor becomes a patient
There was an old American professor who had been practicing medicine for 50 years. In his later years, he learned that he had throat cancer. He became a patient. He started from "standing in "Beside the hospital bed" suddenly became "lying on the hospital bed". Re-examining the medicine, hospitals and doctors in front of him, he suddenly gained a different meaning - the meaning of being a patient.
He recalled that he used to be aloof and accustomed to giving orders as a doctor, but after he became a cancer patient, his experience and mood were exactly the same as those of other patients: he did not dare to face the truth about the disease, he was laughed at by nurses for having a "short neck", and medical staff ignored his dignity. , the commercial medical environment in front of him blindly pursues profit maximization...
He himself began to realize that, in fact, "of course these problems existed before I became ill, but it was not until I became a patient that When I came back to work again, my horizons were opened.” (Workplace Motivational Sun) When can a doctor truly understand the problems faced by his patients? Perhaps he can only realize it from the day he becomes a patient.
This old professor compared his feelings after the role change: When he was a doctor, he was used to making life-or-death decisions for patients, and he was used to having power. But when he was a patient, these powers disappeared without a trace. After becoming a patient, although he also knew a few acquaintances, he could only do one thing like all patients—wait, wait, and wait. He would often encounter situations where he had to wait for an hour but only spent 5 minutes seeing a doctor. In the role of "patient", he finally realized how profound a doctor's compassion is to the patient. After this highly respected doctor became a patient, he also experienced the unfortunate experience of being "misdiagnosed" by doctors twice. He could have sued the doctor who misdiagnosed him, but looking back on all his years of practicing medicine, he had never been sued by a patient, but he must have made similar mistakes himself.
As he said: Every painful experience in front of me reminds me of the situation when I was practicing medicine. I am more willing to tell myself and young doctors about these experiences, so as to help them practice medicine in the future. teaching materials. He said in the preface to the book "A Taste of My Own Medicine": "If I could do it all over again, I would practice medicine in a completely different way. Unfortunately, life does not allow people to start over. Opportunity. All I can do is tell you what happened to me, and hope that you and I can learn from it."
About patients: Who is the good doctor you need
Are doctors with a kind attitude the good doctors we need? Are doctors with great reputations the good doctors we need?
I have seen three such doctors.
A female doctor is a kind-hearted woman. She always speaks softly and cares and sympathizes with her patients. In the course of his association with her, the patient is sure to satisfy his strong desire for human touch. But this doctor was still an associate professor until he was 50 years old. Colleagues commented that her clinical logic was not very clear, she rarely updated her knowledge, and she had no tangible scientific research results.
One of them went abroad to study for a doctorate in pharmacology after becoming an associate professor. He had his own laboratory in the United States and published many scientific research articles. Then one day, he returned to China to develop and continue to return to clinical practice. Because of his scientific research advantages, he soon obtained the title of professor in the hospital and became the director of the department. But when it comes to actual surgery, his skills are actually not as good as that of an attending doctor who spends time in the clinic every day. However, an ordinary patient cannot know or judge such internal information in the outpatient clinic.
There is another doctor who is very good at doing cardiac catheterization, but he has a fatal weakness in his career, which is that he has a bachelor's degree. This flaw in his diploma directly affected his promotion and the possibility of attending various societies and obtaining prestigious titles. In the eyes of an uninformed patient, one cannot understand his true clinical skills, which are the medical skills that patients care about most.
So, how do we choose a good doctor for ourselves? In the current doctor evaluation system, a senior doctor's academic achievements or administrative titles will bring more fame to the doctor. But for specific patients, what is more important is the human touch and medical skills. If it is really impossible to have both, then medical skills should be more important to the patient.
A friend suffered from uterine fibroids and needed surgery. I originally thought that laparoscopy could solve the problem, so she asked me who to see. I gave her the names of two experts. As a result, after reading it, she told me that an expert told her that because the fibroids were in a tricky location with blood vessels and urinary tracts surrounding them, laparoscopy might not be able to solve the problem, and laparotomy might be necessary.
I asked a fellow doctor, and the doctor understood immediately and said that because this doctor's surgical style is overly careful, someone might take two hours to perform the surgery, but she might take three hours. A position that someone might not feel is dangerous, she might feel is risky.
I immediately told my friend what I said, and she exclaimed: There is so much knowledge in this! I asked her: "Are you willing to have three holes in your stomach for laparoscopy? Or are you willing to take the risk of laparotomy?" Since this is the only operation, you must find a way to find one that is most suitable for your condition. Good doctor.
So, what are the medical skills of Chinese doctors? A professor of immunology in China said to me bluntly: "Don't think that the rheumatology immunology in the United States is very strong. They just have a say in scientific research, have funds to carry out basic research, and produce more laboratory results than us. If the discussion In terms of clinical experience, I feel that they are really not as good as us, and some doctors in China are better. I have been exposed to several cases of systemic lupus erythematosus in the morning. We have many patients and many types of diseases. But in the United States, if one When a patient with systemic lupus erythematosus is admitted to the ward, almost all interns, residents, and professors from the internal medicine department will come to see him."
Modern Smart Patient
One of my patients. A friend was admitted to the obstetrics and gynecology oncology ward. When she entered, she held "Don't Let the Doctor Kill You" in her hand. Her behavior effectively challenged the doctor's authority. Doctors call such patients "prick-headed" patients. For example, my college classmate in the Department of Obstetrics and Gynecology said bluntly: I like patients from the countryside who are honest and don't ask a question, while those intellectuals in the city, especially female intellectuals, do everything. Damn, there are so many questions, it makes my scalp numb just looking at them. I don’t know which day I will cause trouble for you.
The friend holding "Don't Let the Doctors Kill You" continues to act in accordance with her own inner goals and desires. Because in her opinion, her ultimate goal is to get the best medical treatment and plan for her own health. Why watch "Don't Let the Doctors Kill You"? Her explanation was: This is my first time being hospitalized. I have to understand the real situation of the medical field. I have to look at all aspects, good and bad, and then I will know how to prevent problems before they happen.
Naturally, she also had a lot of questions when facing the doctor. For example, when the doctor chooses a treatment plan for her, she will ask the doctor why he recommended surgery first and then chemotherapy, and ask that doctor why he recommended chemotherapy first and then surgery. As a result, she found that there was no significant difference in the efficacy of the two treatment options. It was just that the two doctors had different treatment philosophies and different treatment habits.
According to her recollection, almost every day during ward rounds, when the doctor came to her bed, she would smile and prepare at least two or three questions. Not only that, she also found a textbook on obstetrics and gynecology from medical school and read it back and forth several times. She provides a detailed understanding of the history, evolution, and current international advances in the treatment of her disease. Some of the anecdotes and stories I had never heard before.
When intubating her veins for chemotherapy drugs, the pain made her scream, but the result was that the most experienced nurse in the ward was hired to intubate her. . The old nurse used a unique trick and walked away lightly. When she was finally discharged from the hospital, she asked the old professor in charge of the ward: Is my understanding of this disease now equivalent to that of a medical student? The old professor had to nod his head in admiration and said: Your level is not limited to medical college. Some undergraduate students may not study as deeply as you.
During the treatment process, such a "thorn-headed" patient has been fighting for the best medical treatment forcefully but friendly, trying to be equal to the doctor, and trying to put himself in a position where he can be with the doctor. Conversation location. In the end, she won the doctor's attention and went home with a healthy conscience. Not only that, she even made friends with one or two of the doctors. So much so that when she goes to the outpatient clinic for a review, the doctor will come back to say hello to her like an old friend and ask questions.
Are doctors and patients always irreconcilable enemies? The softest thing about communication between two mortals is frankness and sincerity. Being a patient who attracts the doctor's attention without turning him off requires certain public relations skills. This sounds a bit sad and tragic, but it can also be regarded as a solution for us to face the reality calmly.
What is the current reality? Doctors did not learn communication skills when they were in school, and there is no competitive environment or professional training that requires them to pay attention to communication skills after working. The doctor-patient relationship is moving in the opposite direction, and more and more doctors and patients are beginning to take precautions instead of dialogue.
When a patient becomes a doctor
The experience of a female patient in the United States is thought-provoking: she has had dual identities throughout her life: a full-time patient and a full-time doctor. She suffered from a rare form of congenital immunodeficiency syndrome and was hospitalized several times for infections. She suffered from numerous infections, had numerous bone marrow biopsies, and was warned again and again by doctors that you could develop lymphoma or other cancers at any time. She was lying in so much pain on the hospital bed that she begged to die. Later, she decided to study medicine. The reason is simply that a sick person wants to know more about his or her illness in order to better understand that body and regain control over it.
Another reason is that she must intravenously inject antibodies and interferons every month. This cost alone is a huge astronomical figure for her, and being a doctor can reduce this cost. The two reasons taken together represent the dual spiritual and material demands placed on a person facing illness. If no one else can help, do it yourself! Being a doctor also solves the medical expenses. She later became a doctor and wrote:
"The patients I met shaped the kind of doctor I became. I knew the profession inside and out. I knew more than just what was wrong with my body. , and what it means to the person behind the sick body.
"Anyway, if you are sick, the last thing you want to hear is the doctor's own problems.
"I can use my own patient experience in reverse. I treat patients as I would ask doctors to treat me. This experience is more helpful for my communication with patients." < /p>
This female doctor, who was born with a congenital immune deficiency, has a unique way of understanding the disease, fear and impermanence that run through life. What she tells everyone is: the world is not as bad as we think.
Whether it is a doctor or a patient, I am grateful for every kind word and every careful examination. You must know that "controlling the disease is not easy." And, “Disease prevails and eventually triumphs. We will fail, of course, and death prevails. When I was a medical student, I knew that the career I chose to pursue was a destiny—a beautiful and glorious one. Failure. ”
Modern Medical Dilemmas: Good Doctors and “Ox” Doctors
A friend had a lump on her breast. More than half a year ago, she went to see a breast surgeon who was in his 70s. One day, I received a call from this friend with an anxious tone. She said she had just had a B-ultrasound. The order said: The breast mass had unclear edges and abundant blood flow. It was suspected to be a malignant tumor. My friend was in an extremely low mood.
The next day, she took the B-ultrasound results to see the old expert again. The old expert still insisted: "It's hard to say it's malignant at the moment. Trust my hands, let's find a master to do a B-ultrasound." A friend found a B-ultrasound expert and did it again, and the result of the second B-ultrasound was: The edges are not clear, the blood flow is not abundant, and the breasts are hyperplasia. Follow-up is recommended. The two results were completely opposite. She couldn't laugh or cry. She was at a loss and didn't know who to believe.
Tortured by these two results, my friend seemed to become a "Qiu Ju" who was obsessed with seeking explanations, and he went to see many doctors in other hospitals in Beijing non-stop. Without exception, these doctors' advice is: cut it out and take a look. Once the pathology results come out, everything will be clear. She turned to me and asked for my advice as a medical student. What I said was exactly the same as those doctors. She went to ask the old expert again, but the old expert still said: Don't perform surgery casually, trust my hands.
She went for another mammography examination, and the result also showed breast hyperplasia. The day she took the results to see the old expert's clinic, there were several patients in front of her, and she sat in the corridor waiting. At this time, a middle-aged woman suddenly broke into the old expert's consulting room, rushed forward, and punched the old expert. The 70-year-old expert was beaten until his hair was messy and his expression was painful. When *** took away the old expert and the female patient, the tall man saw my friend in the crowd, straightened his face, and said: "Let's come another day, don't register, come directly.
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The female patient who hit someone had seen an old expert 5 years ago. At that time, because the breast cancer was in an advanced stage, the old expert mobilized the patient to have a mastectomy, otherwise the risk of recurrence would be high. . This female patient had a vaginal incision, but her life never relapsed. However, her life changed dramatically because of the disease and the operation: she was laid off from her job, divorced, and was in financial distress. . This female patient attributed her current miserable life to the fact that the old expert recommended her to undergo surgery five years ago. Therefore, five years later, she came to the outpatient clinic to vent her resentment against the old expert. < /p>
My friend asked me why other doctors suggested that she cut out the lump and look at the pathological results. Why did the veteran expert suggest that she should not perform the operation easily at the risk of being manipulated by the patient? Please believe her. My own hands?
When the law intervenes in the relationship between doctors and patients, and when our lives are filled with complaints, wariness and even hostility towards doctors, doctors become increasingly demanding from their patients. In return, they gradually learned to protect themselves when making decisions for patients, and gave the patients a clear, definite and measurable result. The nature of the lump was unknown, so she was advised to leave it alone, and the truth would be revealed after the pathology results came out. Such doctors are considered good doctors in a legal society. They look at all breast lumps and cannot determine whether they are benign or malignant. Sometimes, they would advise the patient to forget about it and remove it themselves.
But the veteran experts hope to minimize the impact on the patient’s quality of life and do not want the patient to undergo another surgery for no reason. **Has a very important symbolic meaning to women. A *** that has been cut by a knife is ultimately an incomplete ***. "He did not hesitate to take the risk of being complained and misunderstood, and told the patient what he thought was the most appropriate choice. "Please trust my hands. "In this case, I don't know how many doctors can say it now, and I don't know how many of those patients who come with wariness and vigilance are willing to believe this sincere doctor? Is it possible? After the meeting, the tumor turned out to be malignant, and he sued the doctor?
"What did he want? "My friend asked me this.
I said, this may be the difference between a modern good doctor and an endangered "cow" doctor. A surgical giant like Qiu Fazu does not blindly praise " Scalpel first" doctrine, but advocates that "those who can do without surgery do not need surgery; those who can have small surgery can solve the problem with small surgery; if they must use large surgery, they should do it thoroughly and accurately. Good."
Only treating diseases, not treating people anymore
If there are two doctors in front of you, one has superb medical skills but is indifferent to others, and the other has mediocre medical skills but is kind to others, Which one would you choose? My friend Xiao He said that if she could only choose one, she would choose the latter. The doctor must be humane first. Xiao He’s experience of seeing a doctor happened during the few months when he was bullied by his boss. As a victim of "politics", she was extremely depressed. She often felt tightness in her chest, difficulty breathing, fast heartbeat, and numbness in her hands and feet. Her neck also looked a little swollen, and she thought it was hyperthyroidism. She went to the hospital to see several departments, and the doctors all gave her tests. Then he looked at the test results and said - it's okay, just go home and stay.
"Finally, I saw an endocrinologist. After she looked at the test results, she seemed to like me. Maybe it happened that she was not too busy that day, so she asked me if I had experienced any shock or trouble recently. Seeing how kind-hearted she was, I started talking about how she had been bullied by her boss for several months. As a result, after the chat, I felt much better. Later she told me it was called hyperventilation syndrome. I used the method she taught, exhaling and inhaling into a plastic bag when I felt uncomfortable, and I felt much better. "
But the development of medicine may come at the cost of losing warmth. George Sutton, known as the "Father of Modern Science," asserted as early as the 1940s: "The progress of science , has caused most scientists to stray further and further away from their paradise to study more specialized and technical problems. The depth of research is increasing while its scope is shrinking. In a broad sense, quite a few scientists are no longer scientists, but have become technical experts and engineers, or have become administrators, operators, and people who are smart and capable and good at making money.
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This passage also applies to modern medicine. Medicine was originally a science that always needed to be people-centered, but now it is increasingly showing the cold temperament of professionalism.
Xiao He decided to go to the hospital again because of frequent back pain. When she asked me for my opinion, I said if you can take the trouble, then go for it, but she would definitely not get the doctor's conclusion that day. After painstaking preparation, she went to the hospital. First, she was assigned to the gynecology department by a female associate professor. The doctor prescribed a bunch of tests for her: blood routine, blood biochemistry, cervical scraping, and B test. Super... She couldn't even name many of the tests, and she didn't know what they were for. The doctor said she would come back after the results of these tests came out. A week later, after all the results came out, the doctor said: "The gynecology department is fine. Let's go to the nephrology department." She went to the nephrology department and had a bunch of tests. A week later, the results were normal. The doctor said coldly: I'm fine here. Let's go to the orthopedics department. Xiao He asked me, "This is what these medical students give patients." ? It was as if all I had left in their eyes was my anatomy, divided by organ systems. ”
In addition to simply blaming the decline in medical ethics and practice, in fact, the individual doctors cannot be entirely blamed for the embarrassing situation between doctors and patients that is so difficult to deal with today. In fact, each of them is facing There are two problems: on the one hand, patients continue to demand the humane touch of doctors, and on the other hand, the reality of the increasingly detailed division of labor in modern medicine. No wonder a wise man lamented: "Technical experts are so deeply immersed in his problems that other people in the world." Things no longer exist in his eyes, and his humanity may wither and die. "Because of the rapid development of modern medicine, the dialogue atmosphere that had existed for thousands of years between a doctor facing a patient has suddenly changed in just a few decades to "a doctor facing an organ" or even "several or several patients". "It's like a dozen doctors facing one patient." When we enter the hospital, it's like becoming a machine containing faulty parts. We go up the assembly line, and the doctor looks at the part he is responsible for, and for the doctor, this No matter who the parts come from, they are all the same. He only repairs them, just like the workers at the car repair station. 100 years ago, it was still the case that a doctor only faced one patient. Medicine does not have so many precise and quantitative examination instruments and indicators. It mainly relies on experience and feeling, and "human touch" became an important spice between doctors and patients at that time.
Today, doctors' emotions have become increasingly cold due to the loss of their former focus. Modern medicine seems to have entered an awkward situation at the humanistic level, and when medical "scientism" gradually becomes everyone's belief. , the warmth close to the common people may be the best medicine to cure people's indifference and prejudice against medicine.
My alma mater was a medical school supported by the Rockefeller Foundation in the early 20th century. It originally originated in China. , were inextricably linked to medical missionaries. At that time, the patients faced by "medical missionaries" included both body and soul.
When I was in school, the teacher once told us this history. : The school’s first public health professor, John B. Grant, was the first to endow the cold “white coat” with warmth. His solution was to establish a “Social Services Department” in Beijing. , to encourage doctors and nurses to go out of hospitals and go into alleys to close the relationship with citizens. Professor Lan Ansheng also invited Yan Yangchu, the "father of international civilian education," to give lectures at Union Hospital. Yan Yangchu earnestly warned the future doctors of Union Medical College: "You need a doctor. The mind of a scientist and the heart of a missionary. "
Chen Zhiqian, who was still a student at the time, was also in the audience and was deeply touched. Later, he took off his "white coat" and put on a "grey gown". He went to the countryside as a doctor and came to rural China. This As the "Father of Public Health in China", he is a doctor and his wife is a nurse. He is determined to bring more warmth to medicine and find a broader solution between doctors and patients.