Chinese medicine and western medicine have their own advantages and characteristics in professional technology. The advantages of western medicine lie in the precision of testing instruments, superb surgery, complicated organ transplantation and advanced rescue methods. The advantage of traditional Chinese medicine is precisely the weakness of western medicine. The dialectical treatment of traditional Chinese medicine is accurate, flexible and mysterious, which has its unique characteristics in the diagnosis and treatment of many diseases. Such as the diagnosis and treatment of functional diseases, degenerative diseases, viral diseases, phlegm and blood stasis and difficult diseases. People have a deep understanding of Chinese medicine, and quite a few people like Chinese medicine. With the rapid development and evolution of society, people's requirements for health and longevity are constantly improving, and the demand for the treatment basis and nourishing function of traditional Chinese medicine is more urgent.
It is difficult to learn Chinese medicine, and it is even more difficult to learn essence. However, if you want to study medicine, you must learn essence. At least, you must establish the goal of "learning essence" in order to become an excellent Chinese medicine practitioner. How can we achieve this goal? According to my personal experience in studying medicine, there are two main points: First, study hard. It is not enough to use "sweating like a pig" to describe the books of Chinese medicine. Reading books of traditional Chinese medicine, we should not only know and understand, but also familiarize ourselves with reading and memory, and even remember many important contents. For example, TCM diagnostics, TCM prescriptions, TCM internal medicine, TCM gynecology, TCM pediatrics, treatise on febrile diseases, synopsis of the golden chamber and so on. If we want to have a deep theoretical foundation, we must also learn Neijing well. Reading Chinese medicine books, we should be good at mastery. The theories of TCM are all derived from Huangdi Neijing, and the clinical courses of TCM are all derived from the experience accumulation and practice summary of doctors in past dynasties.
During this month, I deeply realized what I should do as a doctor. During this period, people constantly questioned doctors, told me their stories, and told me what they had experienced and were mistaken by quacks. And I hope I can give them an explanation, a gesture of asking me to explain.
In previous theoretical classes, teachers often mentioned that the current medical environment is not good, and we should learn to protect ourselves. It sounded like a joke at that time, and now I deeply realize the helplessness of the teachers. During the internship, I often meet some patients who are difficult to "cope". The teacher's method of treating such patients is simple-no treatment! It seems unreasonable and not responsible enough for patients, but it makes sense to think about it carefully. First of all, this is a kind of protection for yourself; Secondly, it is also a responsibility to other patients. Need to supplement the background, there are more than 100 patients coming to the acupuncture room every day, plus about 20 patients in the ward, all patients have to deal with them personally, so the teacher is very busy every day. If we spend a lot of time and energy on an unreasonable patient, it is undoubtedly a waste of medical resources.
As medical personnel in the new era, we must clearly understand our environment. We should save lives, but we should learn to protect ourselves. Teachers are sure of the diseases they treat, and will not easily treat diseases beyond their ability. Although the teacher has told the patients that they can be cured, they often meet some patients, asking the doctors to ensure that the treatment is effective and repeatedly questioning the doctors' ability. For such patients, the teacher will not treat them. I have seen a similar plot in my mind before, but I didn't expect it to happen to me now, and it is so real and the frequency is so high. A patient came to consult for four times and was rejected by the teacher for this reason. Come to think of it, being a doctor is not easy. After more than ten years, I finally have my own place. At this time, if you meet a patient who finds fault, or tell a story, your whole career may be over.
A patient once told me that doctors must be kind. I asked at that time: if a doctor is full of goodwill and his medical skills are poor, is this ok? When the quality of all walks of life is declining, why should doctors be asked to be lofty forever?
As doctors, we treat patients with conscience. In order to help the injured better, we have an obligation to improve our professional level. I just think that an unscrupulous businessman selling water-injected meat is not qualified to ask others to abide by morality. Of course, I'm not saying that this patient is an unscrupulous businessman selling water-injected meat. I just want to say that people are equal. If you don't abide by the moral bottom line, why do you ask others like this? I'm not excusing doctors, I just want to say that society belongs to everyone, as long as everyone does their job well. Everyone abides by morality, and there will be no unscrupulous quacks. Society is a whole, and you have no right to isolate doctors. Objectively speaking, I agree that every doctor must have a kind heart. On the other hand, if a person with low morality asks me to be kind, at least I don't feel happy.
During my internship, I met several typical cases, which made me sit up and take notice of the curative effect of acupuncture in traditional Chinese medicine.
The first case is a 19-year-old girl with left facial pain 1 year and severe facial muscle atrophy. After a month of treatment, facial muscles gradually recovered. Due to school reasons, he stopped treatment and his left face has basically returned to normal. In this regard, western medicine is helpless. As a clinical medical student of western medicine, this is very tempting, and a few simple stitches have such a magical effect.
The second case is a child with sequelae of cerebral palsy. From 9 months to 1 year and a half, acupuncture treatment basically returned to normal, and treatment is still continuing. At the same time, there are more than ten patients who come here to treat children with cerebral palsy every day.
For patients with secondary muscle weakness, once treated, it has a considerable curative effect and can obviously improve the symptoms of cervical and lumbar problems ...
There was an acute abdomen patient who rolled all over the floor in pain, and Demerol was useless, so he went to consult with Chinese medicine. I went with my brother, and when I saw that the patient was in unbearable pain, I took the four points first and added people. The patient's pain is relieved immediately and he can lie in bed calmly for further treatment.
Such cases are too numerous to mention. In a word, during the one-month internship in the acupuncture room of the hospital, I really realized what is "extensive and profound". In addition, I also deeply understand what helplessness is!
Summary of traditional Chinese medicine practice in internal medicine for 3 months, respectively in gastroenterology, respiratory medicine and oncology. Let's talk about the gains and feelings of the three subjects respectively. In the first month of graduation internship, I was assigned to the respiratory department. I just walked out of the school classroom and came to the ward, and I was assigned to such a busy department. I don't know if it's misfortune or luck. The symptoms of respiratory diseases are similar, but in such a fast-paced department, how to distinguish common seasonal susceptible diseases such as colds or coughs from early manifestations of serious diseases such as lobar pneumonia and cor pulmonale really tests doctors' solid clinical skills and quick judgment on the nature of diseases. Starting with the simple posting of the laboratory sheet, everything starts from this busy department. After understanding the basic model of hospital treatment, we began to explore the pathogenesis and treatment rules of some common respiratory diseases. Now the diagnosis and treatment of common respiratory diseases have been further mastered on the basis of textbook knowledge. Next, I went to the oncology department, where the treatment of tumors by Chinese medicine, combined with chemotherapy by western medicine, achieved the purpose of eliminating tumors, eliminating water and relieving pain to a certain extent through the infiltration of Chinese medicine. The second month's internship made me comfortable with routine work such as medical record writing, saving more time to observe patients. The patients in oncology department are relatively stable, and the diseases are mainly malignant tumors of various organs. Patients are generally divided into two parts, one is the patients whose tumors were found earlier and were controlled and recovered after chemotherapy, and the other is the advanced malignant tumor, which is only in the life-sustaining stage now. No matter what kind of patients, there are parts that we need to observe and learn. A month is neither too long nor too short. I've been observing two patients. Judging from the diagnosis, treatment, laboratory tests and the situation after treatment, I think that only by doing internship can we really learn something. Finally, I came to the Department of Gastroenterology, which is the difference between outpatient practice and ward practice, and it raised my understanding of the profession of doctor to a new height. A large number of patients, narrow space and noisy environment require doctors to observe calmly and make the closest correct diagnosis as quickly as possible. Only years of medical experience and rich clinical experience can do this. At the same time, during the outpatient practice, I deeply realized the importance of learning Chinese medicine to understand and follow the sects. There are only a dozen prescriptions commonly used by each doctor, but the reason why he can become a famous doctor is that he uses the most appropriate compatibility in dosage addition and subtraction while deeply understanding the condition. Therefore, as medical students, our first task now is to lay a good foundation and memorize the four books and five classics for clinical application in the future, instead of blindly pursuing folk remedies, only knowing the surface but not the inside.
The practice of Chinese medicine is coming to an end. During this month's internship, I abide by the laws and regulations of the hospital and various departments of the hospital, respect teachers, unite with my classmates, be strict with myself, and strive not to be late, leave early, be absent from work without reason and leave my post without authorization. Treat patients kindly, have a good attitude, and strive to apply the theoretical knowledge and basic skills learned to practice. In this process, I constantly sum up my learning methods and clinical experience, strive to improve my ability to think independently, solve problems independently and work independently, and constantly cultivate my lofty thoughts and good professional ethics of serving the people wholeheartedly.
During my internship in this department, I will abide by labor discipline, work hard, study hard, and be able to apply what I have learned from books to practice. Under the guidance of the teacher, I have basically mastered the nursing and some basic operations of some common diseases in traditional Chinese medicine, which made me realize the particularity and necessity of clinical work from an intern to a nurse. What I learned in school before was all theoretical, but now I find that what I saw in my actual work is not as simple as I thought, nor as typical as what I wrote in the book. At work, I often rely on my usual experience. Only by practicing and having good experience can I gradually accumulate experience.
Summary of Chinese Medicine 5 Unconsciously, I ended my internship in the First Affiliated Hospital. This is my first real clinical experience in four years in college. For me, everything is so fresh, leaving the rough books and facing the real patients, I also acted as a fake intern. We received simple training before the next course, but these trainings are far from enough for us who have never been exposed to clinical work. We still need to adapt and learn a lot. I summed up my experience in learning internal medicine of traditional Chinese medicine as follows:
1, inheriting and innovating, being civilized and pragmatic. The short eight words of the school motto are eternal memories before entering and leaving the school gate, and there are too many things to inherit. The spirit of the predecessors is the most important, then the way of thinking, and finally the medicine and so on. Innovation, mode of thinking and medical innovation, civilization, modesty and rationality, pragmatism and sureness, no matter what line or industry you do, this university will not be in vain.
2. Treat patients and save lives and care for the heart. Nowadays, too many diseases start from the heart. We can only treat people's body and mind, but this is another huge and distant project. During my study, I have been thinking about this problem constantly. How to treat people's hearts? Looking at people with Buddha's heart, everyone is a Buddha, and machines look at people. Everyone is a demon, and a hundred flowers blossom, and buddha magic has thoughts. The world is full of knowledge and the cultivation of human feelings is an article. The final answer is to realize the truth with self-nature. I want to be an example, not an example of the times and history, but my own. If you do well, you will naturally be visited. If you ask him to visit, give him some advice and dispel doubts, you can naturally heal people's hearts. There is still a long way to go. Whether you are a doctor or not, you must have a doctor's heart.
There are many students who want to go to the hospital for internship, and there are also many students who plan to take the postgraduate entrance examination. This means that we should arrange our time reasonably. For me, internship is the first priority. After all, there is only one time, and time is precious and cannot be wasted. Because of this, I am determined to exercise myself well during my internship. Whether I will become a doctor in the future or not, I must lay a solid foundation on the road of study to deal with various problems in my future life. It is important to set a goal during the internship. Without goals, we have no direction to make progress. My goal is to cultivate my clinical thinking, master the diagnosis and treatment of common clinical diseases and frequently-occurring diseases, master various clinical operation techniques and master emergency treatment, so that I can treat some miscellaneous diseases with integrated traditional Chinese and western medicine. After setting a goal, work towards it. Doing things with goals is twice as effective as doing things without goals.
4. To adapt to the difference between hospital study and classroom study, students who have just practiced may have a deep understanding. There are no classrooms, textbooks, homework and exams. I was dizzy at first, too. I don't think I can do too much, there is too much work waiting for us to do.
I think: learn while doing, and doing is learning. Since clinical learning should be "practice first", it means that you have to do everything about diagnosis, rescue, observation and treatment. You spend most of your time working in departments instead of reading books, which requires us to adapt to clinical learning methods. It's not like some students say that working in the ward is busy and tiring, and you can't learn anything. In fact, this is an inappropriate method. My adaptation method is to combine clinical reading, go to work to see a doctor and read books after work; For example, if a patient with rheumatoid arthritis comes, I will read this chapter of rheumatoid arthritis first, master its diagnosis and treatment standards, and then observe the situation of patients with rheumatoid arthritis and compare it with books, books-practice-books-and then practice. Reading beforehand can guide your clinical practice, while reading afterwards can correct, supplement and deepen your clinical practice. For us interns who have just left school, studying in school is for learning, and studying in clinical work is for practice.
5. Pay attention to details. When working in the ward, we should not only remember the main symptoms, signs and auxiliary examinations of patients, but also remember the specific methods and all the treatment details: drug name, dosage form, dosage, route and method of administration, etc. This requires us to pay attention to details. We should often make rounds, communicate with patients, understand the changes of patients' condition, their past history, drug allergy history and so on. Take blood pressure for patients with hypertension, make a diet plan for patients with diabetes, dress and change medicine for injured patients and so on.
6. Cultivating thinking in clinical work, I think it is necessary to cultivate rigorous clinical thinking, which is what I lack. Clinical thinking is the basic thinking form for clinicians to form a preliminary clinical diagnosis and formulate a reasonable treatment plan after contacting patients, and it is the basic skill of clinicians. The key to correct clinical thinking is to cultivate rigorous clinical thinking, ask interns to ask detailed and correct medical history and physical examination, and grasp the relevant information of all diseases of patients as much as possible. Although there are many advanced examination equipment, auxiliary examination can only help diagnose and confirm the results, and only detailed medical history and reliable signs are the objective basis for reasonable analysis of diseases. In addition, strict logical thinking should be established. In the process of internship, we interns should be good at thinking and diligent in thinking, but we should avoid unscientific and imprecise "association". It is necessary to encode the patient information selectively, consider all aspects of "symptoms" in combination with the patient's main manifestations and related background factors, grasp the essence of the problem, and find relevant theories to explain in a limited way, and finally get the correct diagnosis and treatment plan.
7. Actually, personally, I think this is also indispensable in life. Enlightenment can only be understood, not expressed. Enlightenment. In fact, the experience of TCM practice is far more than the above points. What I want in my heart is heaven. Our hearts are full of the world and love. Nature can bring love to you. Your side is full of love. Isn't your world a world of love?
The world is suffering. During my internship in the hospital, I saw the things behind many patients, their families, dedication, responsibility, commitment, efforts, sweat, tears, glory and mission. Hey, look at the world with a kind heart, everyone is good! See the world with a magical heart, the world is crazy!
A flower and a world, a leaf and a bodhi, the direction of the heart is heaven.
Before this semester, I visited Grandpa Jia, the only Taoist in Prince Cave of Wudang Mountain. His clear eyes pierced my soul, and his heartfelt words revealed our responsibilities, what I wanted, and what I thought, for the world, for humans, for animals, for plants, and for the big yin and yang. The essence, du and responsibility left by history will be handed down from generation to generation, and we will bear it!
I am a great China doctor! Bring the world to the light with vigorous culture and ideas.
Summary of Chinese medicine 6 In Chinese medicine, I am very grateful to the head nurse for her guidance, which makes me fully feel the importance of communicating with people in clinical work. Communication ability is not innate, but the result of rich humanistic knowledge and accumulated clinical experience. Let me gradually understand that "our work is not a career, but a career", so that I can keep a positive heart no matter what problems I encounter in my future work.
Chinese medicine is a very United team, which is not only reflected in the fact that colleagues are like a family, but also care more for patients than relatives. Head nurses attach great importance to patients' psychological care, health education and standardized services, close the relationship between nurses and patients, improve patients' satisfaction with nursing work, which is an opportunity to test and exercise nurses' knowledge structure and comprehensive ability, enhance nurses' role in collecting and sorting out medical education networks during patients' rehabilitation, and enhance their sense of self-worth and enthusiasm for learning knowledge. "Everyone in Chinese medicine has a different division of labor, but the purpose is for the development of Chinese medicine, so that patients can recover better and faster, improve their quality of life and maintain harmonious social development.
Our medical staff shoulder the heavy responsibility of saving lives, bearing the trust of the country, society and people, and shouldering the heavy responsibility of saving the world. Therefore, as a medical worker, I feel extremely honored, which will always inspire me to go on this road without regrets. Taking the hospital as my home is my choice with no regrets in my life.
Let's dress up the hospital with hardworking hands, put the pursuit of faith in the hospital, dedicate our passion to the hospital, and spread love to the hearts of every patient.
Summary of Department of Traditional Chinese Medicine 7 1. Study hard, integrate theory with practice, and constantly improve your working ability.
In the practice of traditional Chinese medicine, I always regard learning as an important way and method to acquire new knowledge, master methods, improve ability and solve problems, and earnestly arm my mind with theory, guide practice and promote work. Only by actively thinking and actively using your existing knowledge in social practice can we test the usefulness of knowledge in practice. During the two-month internship, my biggest feeling is that we have learned a lot of theoretical knowledge in school, but it is rarely used in social practice, and theory and practice are greatly out of touch.
As for the future study and life, I can't find the direction and I can't apply what I have learned. At the same time, continuous learning at work is also an effective way to make up for one's own shortcomings. In the information age, society is changing and people are changing. If you don't study, you will fall behind. Through the practice of these two months, combined with the actual situation of the post work of traditional Chinese medicine, I have carefully studied the policies, management systems and work regulations of the post work of traditional Chinese medicine, and effectively solved the difficulties in the work. Through the study of these work regulations, I have further deepened my understanding of all the work and been able to carry out all the work pragmatically.
Second, the existing problems
Although some efforts have been made, there is still a big gap from the requirements of the leaders. For example, the theoretical level and working ability need to be further improved, and I am not familiar with the post of Chinese medicine. These problems, I am determined to improve and solve the internship report in the future work and study, so that I can do my job better.
During this month, I deeply realized what I should do as a doctor. During this period, people constantly questioned doctors, told me their stories, and told me what they had experienced and were mistaken by quacks. And I hope I can give them an explanation, a gesture of asking me to explain.
In previous theoretical classes, teachers often mentioned that the current medical environment is not good, and we should learn to protect ourselves. It sounded like a joke at that time, and now I deeply realize the helplessness of the teachers. During the internship, I often meet some patients who are difficult to "cope". The teacher's method of treating such patients is simple-no treatment! It seems unreasonable and not responsible enough for patients, but it makes sense to think about it carefully. First of all, this is a kind of protection for yourself; Secondly, it is also a responsibility to other patients. Need to supplement the background, there are more than 100 patients coming to the acupuncture room every day, plus about 20 patients in the ward, all patients have to deal with them personally, so the teacher is very busy every day. If we spend a lot of time and energy on an unreasonable patient, it is undoubtedly a waste of medical resources.
As medical personnel in the new era, we must clearly understand our environment. We should save lives, but we should learn to protect ourselves. Teachers are sure of their own diseases and will not easily treat diseases beyond their ability. Although the teacher has told the patients that they can be cured, they often meet some patients, asking the doctors to ensure that the treatment is effective and repeatedly questioning the doctors' ability. For such patients, the teacher will not treat them. I have seen a similar plot in my mind before, but I didn't expect it to happen to me now, and it is so real and the frequency is so high. A patient came to consult for four times and was rejected by the teacher for this reason. Come to think of it, being a doctor is not easy. After more than ten years, I finally have my own place. At this time, if you meet a patient who finds fault, or tell a story, your whole career may be over.
A patient once told me that doctors must be kind. I asked at that time: if a doctor is full of goodwill and his medical skills are poor, is this ok? When the quality of all walks of life is declining, why should doctors be asked to be lofty forever?
As doctors, we treat patients with conscience. In order to help the injured better, we have an obligation to improve our professional level. I just think that an unscrupulous businessman selling water-injected meat is not qualified to ask others to abide by morality. Of course, I'm not saying that this patient is an unscrupulous businessman selling water-injected meat. I just want to say that people are equal. If you don't abide by the moral bottom line, why do you ask others like this? I'm not excusing doctors, I just want to say that society belongs to everyone, as long as everyone does their job well. Everyone abides by morality, and there will be no unscrupulous quacks. Society is a whole, and you have no right to isolate doctors. Objectively speaking, I agree that every doctor must have a kind heart. On the other hand, if a person with low morality asks me to be kind, at least I don't feel happy.