The 23rd National Ophthalmology Academic Annual Meeting of Chinese Medical Association was held in beautiful Hangzhou as scheduled. 65438+On September 3rd, 30 ophthalmologists from China, more precisely 30 big coffee makers of vitreoretinal surgery, came to the exhibition hall of Alcon booth to make the launching ceremony for "Fingertip Light".
I will accompany Professor Li Xiaorong to the ceremony. The purpose is simple. Can I get a free copy? Planners, publishing company leaders, editors-in-chief and some experts spoke at the launching ceremony respectively. I thought it was time to give away books for free at the end, but I heard that I need to buy them at tomorrow's book signing. In this noisy era, there are not many people reading, and some people will spend money to buy books. At the signing ceremony the next day, I was shocked, and there was an endless stream of people buying books. It was also at this time that I was lucky enough to get a copy. I took out this book on the high-speed train back to Tianjin. First of all, I want to see what is written in this book. Second, I spent five long hours on the high-speed rail.
When I read on, I found that I was out of control. The words of 30 big coffees in the book keep hitting my heart, my eyes turn red from time to time, I think of myself from time to time, and I think of several books I have read recently, such as The Story of a Doctor by Professor Lang Jinghe, The Practice of Doctors by Dr. Artu Gwende, Associate Professor of Surgery at Harvard Medical School, and The Best.
After working hard for many days at the meeting, my eyes were too astringent to turn and my books could not be put down. Every time I see experts, I will think of their appearance, such as Professor Li's simplicity and efficiency, Professor Li's gentleness and gentleness, Professor Xu Gezhi's slowness and so on, and their appearance will emerge in front of my eyes. I didn't put down my book until the high-speed train arrived at Tianjin South Railway Station. At this time, I also read the poem "Flying from holiness-to Zhao Peiquan, director of ophthalmology at Xinhua Hospital" given by the patient to Professor Zhao Peiquan.
Philosophy begins with medicine, and medicine retreats from philosophy. Every professor in the book tells his own career as a doctor and his own growth story. Generally speaking, it is a sublimation from inheritance to humanistic thinking. This reminds me of a sentence in Professor Lang Jinghe's book, that the majestic trend lies in the shoulders of giants; The power of thunder depends on the energy contained in the earth. The growth of every doctor is inseparable from this growth curve.
The beauty of medicine lies in the blooming of thinking flowers, from thinking (taught by teachers and practiced by students) to thinking, from shallow thinking to deep thinking, from smooth thinking to reflection, from technical thinking to philosophical thinking. Life must go through complexity (chaos, worry, uncertainty, contingency and diversity), and then pursue the realm of pure beauty, but perfection will never be achieved, and life will inevitably move towards nirvana.
From sublimation and innovation in inheritance, to humanistic care for every patient, to public health's high concern for diseases, is the essence of this book. Every professor is grateful to the tutor who led him into ophthalmology and pointed out the way for himself. Innovation is the soul of every doctor. Without innovation, there will be no development. Innovation includes taking the initiative to absorb and introduce new technologies and ideas in time, as well as innovation after self-reflection.
Professor Wang Fang's "Wang Fang didn't make the patient, but the patient made Wang Fang", Professor Wang's "compassion for the patient is a concrete manifestation of the doctor's medical ethics" and Professor Lu Hai's "I think it's unfair to the patient. He just hung up the number and waited a little late, but he should enjoy the same rights as the first patient, and I shouldn't say that I am tired". These are the professor's thoughts on humanistic care.
Medicine is not a cold equipment and scalpel, but a face of fresh life and the society involved by each individual. Even if we work hard for it, from shrinking our eyes to not shrinking, from being exposed to light, it will change the meaning of each individual's life, from being suicidal to being willing to live, never splitting up the family, to supporting the family and making contributions to society.
The diseases mentioned most in the book are retinopathy of prematurity, diabetic retinopathy, eye trauma (especially fireworks explosion injury) and intraocular tumor, all of which mention that we should pay attention to diseases from the height of public health. In fact, this is also the highest thinking of the medical road. No matter how many doctors, no matter how superb doctors, can never cure all patients. The ultimate goal is to prevent and screen early, reduce the number of patients and reduce the number of patients in the late stage from the perspective of public health. This also reflects the nature and responsibilities of doctors on the other hand. We don't want to see more patients.
The biggest feature of medicine is uncertainty and complexity. Both doctors and patients should accept the clinical complexity and preset an open mind in order to experience the joy of technological conquest and transcendence; Only in this way can we realize that medical skill is the uncertainty of mind, unpredictability and omniscience. Half is intuitive thinking, half is evidence-based thinking, one is evidence-based after intuition, and the other is intuition after evidence.
The secret of medicine lies in transcending uncertainty and pursuing perfection. Patients are worried because they can't be diagnosed, doctors are in a dilemma because they can't be diagnosed, medical expenses rise because of uncertainty, and public opinion questions the scientific nature of medicine because of uncertainty. Suffering from all kinds of uncertainties, doctors should change their attitude, do not regard presenting certainty as the only value of their profession, and appease confused patients and restless family members with friendliness and affection. Speaking of this, it is necessary to talk about the doctor-patient relationship.
In the era when the doctor-patient relationship is so tense, there are countless examples of harmonious doctor-patient relationship, such as the scented tea received by Professor Li after his death, Professor Tang Shibo's "three cows" and Professor Xu Gezhi's crispy rice. The tension between doctors and patients is the result of many factors, including system problems, management problems, service problems, technical problems and medical essence problems. Some problems can't be solved by our doctors. With the development of the times and the progress of society, it will be gradually improved one day.
As a doctor, it is enough to live up to your conscience. Speaking of living up to one's conscience, it is easier said than done. Doctors need to insist on practicing from both technical and medical ethics. Strict control of medical quality is the most important guarantee to reduce the contradiction between doctors and patients. In ancient Chinese medicine, doctors were divided into upper doctors, traditional Chinese doctors and lower doctors from the perspective of preventive medicine. In fact, at present, our doctors can also be divided into "upper doctors, Chinese medicine practitioners and lower doctors". Upper-level doctors refer to good medical skills and are good at appeasing patients, while Chinese medicine refers to poor medical skills but good at appeasing patients, while lower-level doctors refer to poor medical skills and will not appease patients. Constantly improving one's diagnosis and treatment level and constantly practicing to improve oneself to the "best level" are limited by the diligence, personal ability and talent of each doctor, and the diagnosis and treatment level of each doctor is still different. If we try our best, we can live up to our conscience. Good medical ethics can be cultivated step by step. Most patients will be satisfied if they think from the patient's point of view and treat the patient as their own relatives. Satisfied treatment effect and good medical ethics, I believe the doctor-patient relationship in your hands must be correct. There are unreasonable patients. After all, very few patients are reasonable. There must be objective reasons for the contradiction between doctors and patients, but we should also reflect on ourselves from our own perspective, whether the service attitude is bad, whether there are defects in the diagnosis and treatment process, and whether the decision is timely and correct. Constantly reflect and improve, and strive to become a good doctor.
Finally, talk about the qualities that a doctor should have. Professor Hui mentioned the motto of "sincerity, diligence, wisdom and determination", and Professor Lang Jinghe also mentioned the doctor's decision of "prudence, prudence, fear and fear", as well as the qualities that modern doctors should have, such as "careful observer, patient listener and keen communicator", which are all warnings for doctors to practice medicine all their lives. Being a surgeon is even harder. In fact, surgery is a craft, which requires an eagle's eye, a lion's heart and a woman's hand. It contains a high degree of skill and is full of technological thinking.
Since colleagues have chosen the profession of doctor, it means giving, dedication, continuous learning and no effort. No holidays, on call, case discussion before work, business study after work. This is our living condition. No industry can appreciate the happiness that patients bring to you after recovery. Come on, we are working hard for the expectation of patients and the medical cause of our motherland.
Finally, in the words of Professor Lang Jinghe, we can't guarantee to treat every patient well, but we must ensure to treat every patient well.