Medicine is really amazing and difficult to understand in many ways. The risk is so high, but the patient trusts us and gives us life to us and lets us play our freely. But when you approach us, you can see our frowns, our confused expressions, our successes and failures, and you will find that medicine is so chaotic, so troublesome and uncertain.
——"Doctor's Cultivation"
people will be born, old, sick and dead. We must deal with hospitals and doctors in our lives. Recently, I read a set of books related to hospitals and doctors, which gave me great thoughts. Today I will share this book with you, called "Doctor's Practice" , the author is Atu Gewende , which is the first part of the Doctor Gewende trilogy.
Let me introduce the author, Dr. Atu Gewende is an Indian-American doctor , and has studied at Stanford University , Oxford University and Harvard Medical School . After becoming a surgeon, facing some chronic diseases in the medical industry, he personally participated in and led the research and development and implementation of the global surgical list, greatly reducing the mortality rate caused by infection during surgery. After implementing the list in eight cities around the world, the mortality rate has dropped by 47%. In 2004, he was judged by the US " News Weekly ". In 2010, he was selected as the 3100 most influential figures in Times.
"The Doctor's Cultivation" tells more than a dozen stories he experienced personally, how to become a real surgeon, and also stories about some strange diseases and treatments. At the same time, it also shows us the importance of decision-making in the doctor-patient relationship.
After reading Ge Wende's book, in addition to learning and understanding many things, it is more convincing. thinks about some problems and situations that we may encounter during the medical treatment, and also countermeasures. will share with you a few stories from the book today and let’s talk about it together.
begins with how completed the surgical operation independently . Dr. Ge Wende's first operation was called implanting central venous catheter . A brief explanation is a surgery to install a special catheter in the patient's chest cavity, insert it into the vein, and replenish nutrition for patients who cannot eat through the vein.
However, when Dr. Ge Wende performed this operation for the first time, he forgot to put a medical towel on the patient. Later, he put the needle in the wrong position and directly pricked the patient's clavicle, which directly caused severe pain in the patient. Because of the nervous operation, I finally inserted the large needle into the patient's body. When I pulled the syringe back, I found that the needle did not enter the venous blood vessels at all. In the end, the doctor around him couldn't stand it anymore and helped him perform the surgery.
Doctor Ge Wende was still very embarrassed when he had this operation for the second time. Until the third time, he encountered a giant patient weighing 140 kilograms. Theoretically speaking, the fatter the patient, the more difficult it would be to perform this operation, but Dr. Ge Wende succeeded. He summarized his successful experience into two words: repetition.
Through this incident, he mentioned one thing in the book, said that in fact the hospital is wandering between giving the best care of patients and increasing the chances of training for newcomers. In fact, both traditional views and public opinion do not agree with the practice and practice of resident doctors through surgery because patients have the right to better medical care.
However, doctors who have not received training are harmful to everyone. If we do not allow those new doctors to practice during the treatment process, they will never get the opportunity to practice and will never become a qualified doctor.
At this point, I think as a patient, you must understand it. But to be honest, if you told me that the doctor who performed the surgery on me was the first time I had such an operation, I would probably keep trembling. So, this story tells me that it is not easy to be a doctor, and it is not easy to be a patient.
In the last few chapters of this book, Dr. Ge Wende led us to think about a very important question. is when facing some major medical choices. Who will do this medical decision, whether the patient will do it or the doctor will do it?
Ge Wende mentioned that there was a patient named Yixue. When she was 21 years old, she was unfortunately diagnosed with breast cancer . At that time, she had two choices, one was to remove all the resection, and the other was to remove only the cancer cells but retain the breasts. The survival rates of the two are similar, but if partially removed, it may recur, but if all resections are removed, Yixue is still very young and may not be very good for his future life.
Doctor told him these two options, and Yixue chose a surgery to partially remove and retain breasts. This case sparked fierce discussion in the American medical community at that time. Some doctors believed that if even doctors could hardly decide which therapy was better for patients, what choice would the patient have?
However, medical decisions may involve not only technical aspects, but also personal factors of the patient. For example, for Yixue, what is crucial? Should she retain her breasts and make her more confident in her future life, or completely avoid the crisis of recurrence? Only Yixue can give an answer to this question himself. As we said, Sometimes there are many things in life that are more important than life! But sometimes, the patient's own decision is likely to be wrong.
This book tells many failure cases, including judgment errors and operational errors. Doctors face various situations and problems and need to make judgments in a very short time and bear considerable pressure. Different aspects show the uncertainty of the world facing doctors and the complex factors that need to be considered when making decisions. Behind each medical phenomenon is the self-examination and practice of the surgeon group. After reading
After I finished reading it, I not only experienced the difficulties of being a doctor, but also learned a lot of the art of being a patient. So I think no matter whether you are a doctor or a patient in the future, Dr. Ge Wende's book "Doctor's Practice" should be read.
