Chapter 29 April 12

Today, the big brother threw a film for me to watch.A huge benign tumor, deep in the brain.He said, let me show you what it means to be a quack doctor.Fortunately, the tumor is benign. If it were malignant, the patient would have died long ago. After the patient was diagnosed with a tumor by the local hospital, the local hospital advised her to use a photon knife instead of surgery.The doctor said that this equipment is very advanced and the treatment cost is cheaper than surgery.The patient spent about 30,000 yuan after seeing it for a year, but the problem was not solved, so he came to our hospital.

This tumor is too big, no matter the gamma knife or the photon knife, the radiation dose is not enough to harm the tumor, and the tumor will continue to grow.And because of the radiation, the tumor will form a scar body and the texture will harden.After a normal person is injured, the scar marks are harder than the surrounding skin.When the patient's initial diagnosis came out, the local hospital should advise the patient to see a doctor in a large hospital for surgical resection to reduce the size of the tumor, and then use other methods to control the growth of the tumor. I asked my brother, "How did you talk to the patient?"

The elder brother said: "I sent her to the hospital without telling her. I can't tell her that her current bad condition is caused by the doctor." I am also very helpless.Many minor illnesses have turned into serious illnesses, and serious illnesses have turned into terminal illnesses, all of which are caused by doctors' misjudgment.The patient will feel that the doctor is unscrupulous and delays her treatment to make money.But I know that the vast majority of doctors are not good enough.This is a vicious circle.If a second-tier or even third-tier city does not introduce advanced medical equipment, their specialty or many departments will give up.When patients are sick, they go directly to specialized hospitals in big cities.How can we see a doctor without patients and equipment?If you don't give up, you have to be determined to spend a lot of money.After investing in the equipment, it must be used. Otherwise, how will the money for the equipment be returned, and how can the doctor's diagnosis level be improved?The judgment of many cases is beyond their level. They have seen very few, and they don't know which diseases can be used with this instrument, and which diseases can't be used. They can only explore slowly in practice.

And this practice is at the cost of life. If the Shenwai hospitals in small cities all over the country give up their own development, the result will definitely be that there are only two or three Shenwai hospitals in China, and all others will be closed. Compared with hand surgery in some remote areas, the level of hand surgery in big cities is not much higher.Because of the hand surgery in prefectures and counties, it is often encountered that working farmers accidentally break their fingers and take their severed fingers to the hospital for stitches.This case is more common than in big cities.This is how local doctors are trained.Without microscopic equipment, a very simple microscope can perform this complex operation.

There is no other, but the hand is familiar. A person has only one life, and whose life to practice with is a difficult problem. The director's words of wisdom: behind every famous doctor, there are several lives on his back. Now fewer and fewer people are willing to bear their lives, so there will probably be fewer and fewer famous doctors. In the morning, I went to the ward rounds, and the patient in the 41st bed would not allow me to touch her, and refused to talk to me.Because she wants the team leader to come and check in person.I explained to her that the group leader is not in charge of the ward, I am in charge of the ward, and postoperative healing is my responsibility. She looked distrustful and questioned every dose of medicine I prescribed.

If every patient is like this, the profession of doctor will be broken in our place.After the team leaders retired and passed away, no one can see a doctor anymore. If all the patients are only treated in our hospital, the specialty of Shenwai will be discontinued in other cities. There is already this trend. I don't know where the balance is. The patient admitted yesterday had a ruffian on the back of his neck. He went to the local hospital to see a doctor. The hospital treated it as a skin disease. It grew from a mung bean to a thumb to a table tennis ball.When I arrived at our hospital, it was already the size of a peach, and it was diagnosed as terminal cancer.If he had been here in the first place, maybe life would be business as usual now.

To be or not to be (survival or death) choice. No solution for a little doctor like me. six six: Let me answer a few questions of general outrage and confusion. 1. How can you be so unserious in the operating room!You are saving lives! When I wrote about the real operating room, I also hesitated, fearing that writing so realistically would cause discomfort to the patients.In fact, Professor Wu is right to be worried.He insisted not to let me watch his operation, because he would put on airs, not relax and not free, and he had to show me the glory and grandeur of a doctor.And that way he felt constrained.

I think that if the patient puts himself in the position of himself lying on the hospital bed in such pain, and the doctor flirts with him, he must feel uncomfortable and feel that life is not respected. After three weeks of squatting, I can explain it to everyone, and I also want to see how many readers can understand it.If you can't understand, I'll show you a non-real operating room, solemn and tense. Surgery is a part of a doctor's job, just like the conductor chatting with the driver when selling tickets, the salesperson exchanging life information with each other when selling clothes, and the newspaper reporter chatting a few gossips when working.

For patients, this is a matter of life and death, but if a doctor has been doing every operation for decades and is ready for every operation, as a patient, you believe that this is high. quality surgery?Everyone has gone through the college entrance examination. In fact, students who do well in the exam, or students who perform exceptionally well, are definitely not those who suffer from insomnia every night.Students sweating profusely during exams.Relaxation does not mean omissions, or underestimation of the enemy. Relaxation is the best way to work. When I observed the doctor's operation, it was very painful.I felt very tired, my body was stiff behind my hands, because I couldn't touch the safe area, that position made me extremely tired, and I had to turn around every few minutes.Under the microscope, all parts of the doctor’s body are stiff, only the wrists and fingers move, and there are some very strange postures, which look abnormal and they can’t feel it. cervical spondylosis.

An operation can take as short as one hour and as long as seven or eight hours. The mind itself is highly tense, and the atmosphere is not relaxed, and it is unbearable. I remember that there are eight words on the main building of my university, and I think these eight words are very suitable for use in the operating room: unity, tension, seriousness, and liveliness. If you can understand, you are very good patients.If the vast majority of people find it unacceptable, I'll see if it should be changed into an operating room in the eyes of comrades! Of course I hope everyone is healthy.

2. Patients and doctors. The unlucky doctor sees first, and the lucky doctor sees last.This is what Dr. Yao told me.When I went to the clinic in the past two days, I fainted from laughter. I think the person who invented this sentence is too smart. Today, I went to the outpatient clinic, and one of the patients said: "I have to come to a top three hospital for medical treatment! The hospitals in the area are all big ones, and they don't look good at problems, and they make people spend money indiscriminately." Her eyesight was bad and she had a fever. She went to see an internal medicine department, then another department of ENT, another department, and another department. After all investigations, there was no reason. In the end, the doctor suspected that she had a tumor in her brain, and asked her to go to XX Hospital for an X-ray.The film showed a pituitary tumor.She praised from the bottom of her heart: "The XX hospital is still of a high level!" I burst out laughing, the doctors in front were really unlucky, they only saw the sick. I don't laugh at the ignorance of patients at all. I just said to the doctor, if I am sick, please forgive my ignorance.Because I really don't know the way.When a test sheet is printed out, how many people can correctly understand the data on it?No doctor's explanation.How many people know what went wrong?If we ask more questions, please don't be impatient, or laugh that we don't even have basic common sense.A person will never understand the nature of this disease until he is ill.If a patient is full of technical terms, "I take 15 insulin every day, my prolactin is 3 times higher than normal, I..." This person has already experienced the baptism of the disease. 3. The doctor's implication. A certain doctor told me a joke, and I laughed and felt helpless after hearing it. He said that a friend entrusted by a friend asked him to operate.He said that you should not rush to open it, and go through all the inspections first, and wait and see when you go home. If you don’t grow up further, you won’t open it for the time being.You go back and discuss it with your family. It is estimated that the patient went home and thought about it all night, and found him the next day, and said, "Doctor, can you let me be hospitalized earlier, just let it go." The doctor said: "What are you thinking nonsense! You are my friend's friend, I absolutely did not mean that, I am seriously urging you, this is not an emergency, it is not that you have to be hospitalized today and have surgery tomorrow. You have made me very embarrassed. " I know him well enough that I know he won't lie to me.He is also very helpless, he said, many times I have to be very careful in what I say, and others will think about it for a long time if you say anything casually. I said neither heavy nor light. Many red envelopes were stuffed into me by others.Maybe he was also uncomfortable and felt that I was asking for it.But I really don't. He said that people are really complicated nowadays, and people of all colors have different qualities, so look at the world. The world sees other people's eyes differently, so you must have strong judgment. He said I was simple.Because I believe whatever he says to me.After a long time, he doesn't have to spend time speculating on my thoughts, but speaks directly.This is his favorite state. The way you see the world is the way the world sees you.You are complicated.The world is very complicated.You are simple, the world is very simple. Is this world complicated or not? Can the viewers give me an answer? 4. Red envelopes. There are two types of red envelopes: the first one is preoperative red envelopes, so you can buy them with peace of mind.Many patients may hear it from hearsay, and may think that this is an unspoken rule. I must send a red envelope to the doctor before the operation, so that he will prescribe it to my relatives properly. I'll tell you now: wRONG.Based on my observations of N’s tertiary hospitals, they will take it seriously if you give it or not. They will never retaliate against you because you didn’t give a red envelope. They will wipe your wound to make you infected and stay for a few more days. The red envelope is actually a reassurance for the patient's family. But is there any difference between giving red envelopes and not giving red envelopes?Have. The difference is not on the operating table, but in the postoperative care.If you give a red envelope, the doctor will feel mental pressure, and he will be nervous if you have a big or small problem, because he feels that he owes you in his heart.Surgeon, logically speaking, after the operation is successful, there is basically nothing to do with him.Your red envelope.Maybe he will care about the next three to five years, if there is something in the middle of the night, even if it is a headache or sores on the soles of the feet, he will not refuse to call and ask. In addition, if you give a red envelope, the doctor will put himself in your place to consider the cost issue and other issues that have nothing to do with treatment. If you have any unspeakable difficulties, tell the doctor, and he will try to solve it for you (doctors, comrades, don’t hit me ). The second type is postoperative red envelopes.This red envelope is my favorite.I'm sure the doctor will be happy to accept it.If the number is not too large.Some patients were not sent before the operation, but they were taken care of by the doctor during the operation, and the doctor did not treat them differently after the operation. During the long recovery process, the doctor has been caring for them.After the patient is fully recovered, the red envelope is specially sent to express his gratitude. You can't refuse that kind of gratitude, and it has little to do with money.The strange souvenirs brought by some patients are so cute.I believe that the doctor can take this red envelope with peace of mind and no sense of guilt.It is not easy to get the red envelope before the operation. In case of any accident, it is not easy to get it back, and it is very embarrassing.Postoperative red envelopes are the most comfortable.I hope that everyone will give this kind of red envelopes in the future. In fact, each one does not need to be too big or too much, just like a birthday or a friend’s wedding. But if every recovering person gives it, the number should be amazing (HlA HIA HIAHIA ). 4. Gray income. There is no doubt that doctors have gray income. I would like to ask a question, in China, are there any jobs with gray income? As a writer and screenwriter, I first admit that I have gray income.They invited me to collect folk songs and entertained them with delicious food and drinks. In fact, the purpose is to get closer and have the opportunity to cooperate in the future. I go to TV stations to do programs, and some TV stations will give red envelopes to express their gratitude.If they don't give it, I won't go in the future.I am serious.You laugh at me and tell the truth.My time is precious now, there is no need to participate in some programs that waste my time, and increase the ratings for you, it is not good for me.In fact, I make more money writing books, and I type more words in an hour than all other income.But if you give me a red envelope, I will be very happy. Next time you invite me, I am embarrassed not to go.I went back to see my son, and an investment company reimbursed me for air tickets. If I want to watch a drama or concert, I will definitely get a free ticket. This is all my gray income. Is there any gray income for journalists to publish articles, especially soft articles (advertising articles)?Answer yourself! Those engaged in education and enrollment, leaders of various institutions, do you have any gray income?Answer yourself! Gray income is already a part of GD's body. Doctors' gray income makes us feel uncomfortable because they will eventually be passed on to patients. But if doctors don't get gray income, they can't live.This is no joke. A doctor who has worked for ten years has a basic salary of more than 2,000 yuan and a bonus of 3,000 to 4,000 yuan. In a place like Shanghai, he cannot afford a house or a car.A person who wakes up at six o'clock in the morning and goes to bed at twelve o'clock in the evening, and may not be able to fall asleep, has been oppressed for ten years or more without asking for anything in return, and he can't live up to Lei Feng. Doctors are human beings, not saints. Recently, the army has greatly improved the treatment, and it is said that the salary has increased by 50%. The salary of civil servants increases every year, so more and more people apply for the exam. The cost of a doctor prescribing an operation is estimated to have not increased in ten years.I heard that the standards for approving the cost of appendix surgery in Children's Hospital were still set in 1958. reasonable? Everyone has a desire to pursue a decent life.If you can get a reasonable return in a decent way.I believe that no one is willing to do things that lower their personality and challenge their dignity. Of course, it does not rule out that human greed is infinite.Otherwise, how could there be corrupt officials who spend hundreds of millions of dollars and still not be shot. At the end of such a long defense article, I would like to say: Don't test people's moral bottom line. It takes thousands of years to establish a moral system, but it may only take a few years or ten years to destroy it. Those unfair things happen every day under everyone's noses, because there is a downward reference, each of us does not feel that we are falling, and there are always people who are worse than ourselves. I am not a mouse in this society. Spiritually align with the low standard, materially align with the high standard. This is the reason why we are not happy every day even though we live in a society with great material abundance.