Author Introduction
Qiu Fa-zu (1914-2008) was a native of Hangzhou, Zhejiang Province. Qiu Fazu is a renowned medical doctor, the main pioneer of modern general surgery in China, one of the main founders and founding fathers of liver and gallbladder surgery and organ transplantation surgery, the pioneer of surgical treatment of advanced schistosomiasis, and a senior member of the Chinese Academy of Sciences, and is known as the "Father of Chinese Surgery". He is known as the "Father of Chinese Surgery". He is famous for his precise knife skills, which are known as "Qiu's knife skills" in the medical field.
A doctor is a man whose health is dependent on his life, whose life is dependent on him, and whose life is dependent on his death, which is a great responsibility. The road to becoming a good doctor never ends. Mr. Qiu Fa Zu's old work is still deafening when I reread it!
I graduated from the doctor has been 67 years, I often ask myself, walking in the forest 67 years, whether every patient through my clinic to feel the warmth, whether to do the patient's thoughts, anxious patient's urgency. I am y convinced that I have not done enough, in my 67 years of surgical career, there are errors, mistakes, late at night when I can not sleep often make me ashamed and uneasy.
When I read the Spring and Autumn "Zuo Zhuan" in my early years, I remembered a sentence: "Too on the establishment of virtue, followed by the establishment of merit, followed by the establishment of speech." To establish virtue is to be a person, to establish merit is to do things, and to establish speech is to do learning. We, as doctors, are the ones doing the learning, but being a human being is the minimum requirement. Therefore, I often think about how to be a man, do things and do the truth of learning.
First, how to be a man
How to be a man? This question is very difficult to answer, can only rely on their own to feel, to think. I have been thinking for a long time, and I feel more to do a doctor, a good doctor, first of all should be a good person. What is a good person, that is, to be honest, upright, to be modest, decent, to care for others than to care for themselves, to become a person with an open mind.
First, be honest.
Last year I encountered two things that made me very unsettled.
One is a master's degree student in my hospital, with a letter of recommendation to my alma mater, Shanghai Tongji University Tongji Hospital. But he worked very poorly, the performance is not good, a check that the letter of recommendation is fake, he wrote it himself.
This is the first time I've ever seen a person who has been in the same position as me.
Another thing is that a doctor in a hospital wrote a paper after his training in Germany, which was published in the journal of the hospital last year (in English). As the submission was accompanied by two letters from these two Germans, agreed to publish. This year, it was discovered by these two German authors that they did not agree to publish this paper because the research work was not done by him alone. We made further inquiries and found that the two letters from the German authors agreeing to publish were fake, written by him and signed on his behalf. Now the German author insisted him to make a public apology in our journal (English version) in both English and German and demanded to cancel this thesis. There is an old Chinese saying: If you want people to know, unless you do not do it. Doing something dishonest, sooner or later there will be problems.
A few days ago, I read a short review in the People's Daily on November 15, 2004: the famous physicist and Nobel Prize winner Ding Zhaozhong in the South China Airlines for the academic report, a student raised three questions, Ding Zhaozhong said, "I do not know", the so-called "three questions, three do not know! "
This is the first time I've ever seen a student in the world who has been in the world for a long time, and I've never seen one.
Also, one of the world's three great tenors, Pavarotti in a large concert to the climax, suddenly stopped. At that time, the audience was in an uproar, Pavarotti said frankly that he had forgotten the lyrics, please forgive us, the result of the whole audience broke out in applause.
The old saying goes, "To know is to know, not to know is not to know, is to know." To know is to know, not to know is not to know. This kind of frankness and honesty is a virtue that every doctor or every scientist should have and is indispensable. I have always believed that the most honest and truthful people are the smartest people.
Second, be humble.
Some people come back from abroad or get a doctoral degree, and I believe he has done a lot of productive work in one area of a specialty. But he lacks knowledge in other areas, such as in clinical handling of patients with different conditions, and needs to ask for more advice. I am 90 years old and I do not know much about new technologies and theories such as computers, nanotechnology, cytokines and genes, etc. I always ask my postgraduates for advice, and I do not lose face because of this, on the contrary, they respect me more. Don't think that you are superior after being a surgeon or getting a doctorate degree. Think about it, a driver, an electrician, if they have the opportunity to study medicine, they will also become a very good surgeon.
Third, respect others and teachers.
Fourth, be tolerant of others.
To be open-minded and kind to others, especially if you are a department leader or a superior doctor, you should pay attention to do this.
Second, how to do
Here to do things, that is, how to do doctors, especially surgeons. 1939, I started my surgical career at the University Hospital of Munich, Germany. It was a year into my surgical career before my mentor allowed me to perform my first appendicitis operation. I remember the third appendectomy I performed, on a middle-aged woman who died suddenly on the fifth day after the operation. Although the autopsy did not reveal any problems with the surgery, my mentor stared at me with a serious and cold gaze. He said to me, "She (the deceased) was the mother of four children!" These words from 67 years ago are y imprinted in my memory, always educating me and influencing my style and attitude throughout my 67-year surgical career.
In 1947, I traveled back to China to practice medicine, and when I was working in Shanghai, a female teacher came to the clinic. 10 years ago, she had a caesarean section, and since then she often suffered from indigestion, constipation, and frequent abdominal pain. I repeatedly examined her abdomen and felt a mass the size of an adult's fist and decided to operate on her. What I saw after opening the abdomen surprised me, it turned out to be a surgical cloth towel, shrunken into a ball, firmly wrapped by intestinal loops. This foreign body remained in the abdominal cavity for 10 years! The female teacher in the restoration of health after handwriting a banner: "born withered up rotten", very happy to give me.
Such an incident illustrates a problem, that is, the doctor in the work as long as there is a little bit of negligence, will cause the patient many years of pain, and even lifelong disability. I think that if this patient is the family of the surgeon in charge, he will be very careful to double-check the abdominal cavity after the operation, lest there be a foreign body left behind. You know, a patient is willing to lose consciousness in the state of general anesthesia, let the doctor in his (her) flesh on the knife, this is to the doctor to put how much trust ah! The patient's high level of trust in the doctor should win the doctor to treat him as a relative! The doctor's attitude, even if only a word, will seriously affect the patient's mood and life.
I remember 20 years ago, a female bank employee came to me in tears, said she suffered from incurable diseases - "thyroid cancer". This was a hasty diagnosis made by a surgeon at a hospital outpatient clinic. On that day, four members of her family hugged each other and cried all night long. I carefully asked her medical history and examined her neck, and concluded that she was suffering from subacute thyroiditis caused by a viral infection. After medication, the goiter subsided and the symptoms disappeared after 3 weeks. The patient's whole family was naturally grateful. This incident shows that if a doctor makes a wrong diagnosis thoughtlessly and rashly, it will cause grief to the patient and his/her whole family. The doctor should be very careful with his words!
Once, an old woman came to the clinic and said she had been suffering from stomach discomfort for a long time. I asked about the history of the disease, and then let her lie down, and carefully touch and check her abdomen. After the examination, she held my hand tightly for a long time and said, "You are really a good doctor. I have been to six or seven hospitals, but no doctor has ever examined my stomach by touching it. You are the first doctor who has examined me." I was extremely impressed by these words. I thought that a simple routine examination like this, which every doctor should do, could be of such great comfort to a patient. This shows that many of our doctors have not thought about what the patients are thinking. On another occasion, an old pediatrician with a duodenal ulcer came to me for a consultation. I saw a niche shadow in the duodenal bulb on the X-ray, and the diagnosis was already clear, so I stopped giving him an abdominal examination. The old doctor went back and said: "I am very disappointed that Dr. Qiu did not touch my stomach even though he said the treatment opinion". This again makes me think, a doctor with a disease will have this idea, then, an ordinary patient has this idea is more understandable.
On a Sunday 30 years ago, I went to a very large state-run watch store on Zhongshan Road in Hankou to have my watch repaired. I asked a lesbian on duty, "This watch is rattling when I shake it, please take a look at it, okay?" She shook it and immediately gave it back to me, saying, "It can't be repaired, there are no parts." I carefully repeated, "Please open it and take a look", and she gave me an impatient look and said, "It just works, there are no parts." At this time, I stumbled upon another corner of this store, where sat Comrade Lao Hu, who was my patient and also an employee of this store. I immediately walked over and asked him to check the reason why this watch shook up and rattled. He opened the cover on the back of the watch and found that a screw had come loose. He turned the screw into place and the watch was fixed. I was very happy, but angry, and pointed my finger and said, "That comrade said it could not be repaired, and would not even look at it; I am going to reproach him." Old Comrade Hu suddenly burst out laughing and said, "Dr. Qiu, forget it, forget it! Isn't it still the same as if you doctors were seeing a patient?" When I heard this, I couldn't help but blush a little, make a harrumph, say thank you and say goodbye. For decades, I have always remembered these words, "Isn't it still the same as your doctor's visit?" This sentence y inspired me, so that my mood for a long time to calm down.
I have been engaged in surgery for 67 years, in which I have seen and heard a lot of errors and even accidents in medical work. Of course, health care workers work very hard, and the vast majority of them are serving patients very well. However, it should also be recognized that a small number of health care workers have a hard attitude towards patients, have no patience and are unwilling to listen to what patients have to say. In the out-patient department of the hospital, we see that many patients have traveled a long way to the clinic, and they hold high hopes that they can be helped, diagnosed and treated. However, when they come to the clinic, some doctors speak in a few words and do not give any explanation; some of them even treat patients with a cold face and reprimand them. We health care workers in the patient to see a doctor, treatment, in the mind should form such a concept, which is - if sitting or lying in front of your patient is your loved ones, how do you when?
Third, how to do learning
Doing learning, is how to make a contribution to the people.
First, be diligent.
A person in his life to some achievements, need three conditions: ① IQ; ② opportunity; ③ diligence. We must cherish every minute! I remember five years ago during the National Surgical Academic Conference in Yichang City, Hubei Province, we had a half-day clinic. I examined a female patient with goiter who needed surgery. This female patient requested that I schedule the surgery for Tuesday, Wednesday, and Thursday. At the time I was puzzled and asked her why. She said that the surgeon had played mah-jongg all night on Sunday and was not refreshed on Monday, while she had to play mah-jongg again on Friday and began to be inattentive again. I was shocked to hear that although this phenomenon is a minority, it has its universality. How to love the time to read more books, for themselves, for the patient is beneficial.
Second, to build a good foundation and expand your knowledge.
I have always advocated that young doctors rotation system, do not immediately set specialties; specialties are needed, but too specialized is not good. Also in Yichang during the surgical conference, I heard that orthopedics doctors specialize in spine, some in spine surgery specializing in cervical spine, and even only three cervical vertebrae above, which is obviously not conducive to the growth of young doctors. It is important to know that the foundation is the root, and only when the roots are deep can the leaves flourish. Only on a broad and solid foundation can you learn solid professional knowledge and further have the ability to create.
Third, we must be diligent in thinking and good at exploring.
Prof. Wu Jieping, in his article "Growth of a Surgeon", said that before surgery for appendicitis, one should consider: is the appendix located in the medial, lateral, or behind the appendix? Are there any adhesions around the appendix? How responsive is the peritoneum? Are there any fecal stones in the appendiceal lumen? Nowadays, there are many advanced equipments, such as CT, MRI, B-mode ultrasound, etc. Many young doctors rely too much on these advanced equipments to diagnose diseases and forget to conduct the most necessary physical examination. My teacher once said: reading X-rays can distinguish three kinds of doctors: bad doctors, only read the report, do not read the film; better doctors read the report first, and then read the film; the best doctor is to read the film first, and then read the report.
Fourth, to do the study must be rigorous and realistic, focusing on scientific ethics.
In recent years, China's medical development has been rapid, medical research achievements, but on the other hand, a kind of impatience and the phenomenon of quick success and instant benefit also appeared in the field of academic research. Recently, I read a review article by Prof. Zhu Pre and other professors on the lack of rigor and truthfulness in scientific research style, which cited several abnormal phenomena, such as: some clinical research papers misrepresented the cases, fictitious results of follow-up, and arbitrarily exaggerated the therapeutic effect; some papers were sloppy, with many typos, and lacked the necessary statistical processing; and some papers were very simple in their methodology and results, but their conclusions were unlimitedly exaggerated, and said that they were "advanced" or "advanced" in the field. Some papers have simple methods and results, but the conclusions are infinitely exaggerated and said to be "advanced" or "leading"; some research topics are broken down into a number of papers and published in different magazines; some papers even plagiarize other people's manuscripts, and copy tables or illustrations from other books, but do not specify the source, thus infringing on the intellectual property rights of other people. Some papers even plagiarize other people's manuscripts and copy tables or illustrations from other books without citing the sources, thus violating other people's intellectual property rights. This phenomenon is becoming more and more serious, and it is urgently expected that medical researchers, especially the younger generation, should pay attention to this phenomenon. I also hope that the leaders of medical disciplines, especially graduate school supervisors, on their students' scientific research work and the papers written, to review and review in detail, do not be impetuous, and advocate seeking truth from facts, pay attention to scientific ethics, and establish a correct scientific style.
It has been 67 years since I graduated, and I have y realized the importance of being, doing, and learning in this long period of time. I sincerely hope that the younger generation of surgeons will cherish their time, study hard, think hard, and become a good and excellent doctor and an outstanding surgeon.
Finally, I put forward a sentence: "To be a man, we must know enough; to do things, we must not know enough; to do learning, we must know the inadequacy", and I would like to encourage with all my colleagues ****.