—— Four or five days in Lake District 2.
The First Affiliated Hospital of Guangzhou Medical College was established in 1903, formerly known as Guangzhou Workers' Hospital, and later renamed as 198 1. The hospital is located in Chang Di, near the Pearl River, with convenient transportation and beautiful environment. The hospital has a strong medical technical force, with more than 10 academicians from Zhong Nanshan and other national engineering institutes and outstanding experts from provinces and cities, and more than .300 employees1. It is a three-level first-class hospital with complete disciplines, advanced equipment and first-class service.
On June 265438+1October 2 1, a five-day probation period began in the second district of our hospital. Lake Area 2 belongs to the respiratory ward of Guangzhou Huyan Research Institute headed by Academician Zhong Nanshan. Guangzhou Eye Protection Institute was established in June 1979, and made great contributions to the society and the country during the SARS in 2003. Lake area 2 has 47 beds, but it is often saturated or even in short supply. During the five days of my internship, a patient waited in the doctor's office for nearly half a day before getting the hospital bed reserved a few days ago. The sickbeds in Lake Area II are managed by a medical team of about 7 people, with Zhang Nuofu and Ye Feng as directors and Wu Hua and Luo Qun as directors. Each group consists of attending doctors, advanced students and interns from Hu Yan Institute.
Doctors are also teachers.
Doctors have a heavy workload every day. Generally speaking, the official working hours start at eight in the morning. First, at the end of the shift, the nurse and the doctor on duty reported the ward situation the night before. The nurse on duty should summarize the situation of the whole ward, including intensive care and newly admitted patients, while the intern on duty should make a detailed report on the signs, diagnosis, observation of signs and medication of some patients, and then be supplemented by the attending doctor.
I was a little dizzy during the whole shift. But strangely, all the doctors and nurses present were just looking at the medical records or thinking about something. Only the report of sudden severe illness will arouse everyone's discussion. It seems that I am the only one taking stupid notes, but it's quite messy. Later, my brother and sister threw me several stacks of medical records, and I didn't know until I looked through them. Yes, all my records were so pale. New patient, the record on the medical record card is much more detailed than mine; Physical examination, medication, diagnosis and other records on the medical record card are quite detailed. However, every medical record card becomes very thick and heavy because of the detailed information. How can we understand it? "In fact, every medical record card is regular: routine checklist, long-term doctor's advice, temporary doctor's advice, admission record, patient's medical record, checklist, discharge record, hospitalization record, guardianship record, etc. It must be listed according to the regulations and put into the medical record card at the specified time. " I see. No wonder the doctor just looked through the medical records and didn't make any records when he was handed over. If you have anything to know, just look through the medical records. "Thank you for your advice!"
In the hospital, almost everyone, including patients, is my teacher. Especially teachers such as dr. zhang and Director Wu Hua, I benefited a lot from their words.
"Patients are our best teachers as doctors, but the knowledge in books should also be firmly grasped." In this short five-day internship, this sentence appears most frequently in the quotations of teacher Zhang, head of the department. In the case discussion after class, the teacher will insert some questions from time to time, mainly to inspect the advanced students and interns. Often the teacher feels dissatisfied and sternly throws down a sentence "Go back to study!" " ""forgetting is like making fun of a patient's life! "Teachers take a fancy to textbooks. On one occasion, a doctor at the Hu Yan Institute was unable to answer a diagnostic question. The teacher was a little annoyed and kept nagging this sentence and ordered the whole group of doctors to look for the book Diagnostics. It's spectacular. The whole doctor's office searched everything for a textbook? In fact, I am afraid of teacher Zhang's strictness! It's still the first day of probation, rounds. In the crowded rounds, I thought that I, a trainee doctor who didn't know any professional knowledge, would be ignored, so in the end I just got a trainee signature. However, I was drunk as soon as I took out my notebook: "You ~ you answer this question: What is CA? "What? I-I don't know. Although my senior quietly told me the answer behind my back, it was obvious that the teacher was not happy to see this blatant "cheating". But because I was just an intern, he shook his head and said nothing. But suddenly, I have a sense of loss, and I feel that this white coat on me is far less sacred than the teacher.
"As long as you open your eyes, you must clearly realize that you are a doctor and face life!" When he said this, Mr. Zhang was talking about several medical accidents that happened in the First Affiliated Hospital. How to be a good doctor? Not only to put an end to medical accidents, but also to take life seriously. When I used to watch the news, I always felt that those medical accidents were so far away that I only sighed a few times. Now, I suddenly feel the heaviness of this shoulder. Doctors, a sacred profession, are faced with life and must maintain a high degree of sobriety. Being a doctor is also a tiring job. Personal experience, you found that "the body is the capital of the revolution!" That's absolutely right. Because I'm just an intern, I don't have to fill out medical records, and it's not my turn to discuss treatment plans or stand on the operating table. But because of this, I have more time to see clearly the profession of doctor. Under the aura of "angels in white", it is heavy. From eight o'clock in the morning, I often make rounds until twelve o'clock, and from two o'clock to five or six o'clock in the afternoon, I am still very busy. In case of emergency or surgery, I have to shuttle in the ward, so that I can't even squeeze out the time to eat. In addition, the doctor's busy constantly running around. There is a doctor's office, but these chairs have never been heated. A pair of legs that seem to have different strength can stand all day and continue to work, like a robot, with the same energy. However, we still have to make a sober diagnosis and face life soberly.
This is the strength of doctors.
Doctor-patient harmony
When I was an intern, I liked rounds in the morning after work best. Put on a mask, take out a notebook and follow a group of white coats around the ward. This seems to be the meaning of the existence of doctors. Because of patients, doctors have the meaning and reason to exist. But in this society, the relationship between doctors and patients has become more and more tense. Doctors are more timid than treating patients, and patients are more suspicious of doctors than dependent on them.
Most of the patients in the second district of Lake are elderly people over 60 years old. Patients with respiratory diseases, such as respiratory infection, pneumonia, chronic obstructive pulmonary disease, etc. It is even difficult to speak, and the communication during ward rounds has become mostly dependent on the doctor's ability to observe words and observe colors. Not to brag, the doctors and nurses in the First Affiliated Hospital of Guangzhou Medical University have strong observation and communication skills, which can win the respect of patients. Taking off the white coat, I feel like a family, very warm.
Although the anti-Africa influence of Hu Yan Institute is quite far-reaching. But the doctor-patient relationship here is not much better. "It's harder to find Wu Hua (the chief physician of Lake No.2 District) than to see Wang Huahua!" A patient's family came directly to the doctor's office because they were worried about their mother's illness. However, Mr. Wu is having an operation upstairs. Bad attitude, "silence is golden" has become the wisdom of innocent doctors here. But how bad it is at ordinary times, it will still converge in front of the authority of doctors. The most frequent conflict between doctors and patients in the second district of Lake is the dispute over hospital beds. It may be related to the authority of this institute, and there are few disputes that question doctors' medical skills. I'm just a little impatient with unskilled interns sometimes. But perhaps because of the reputation of this institute, the beds here are always saturated. Because of a small mistake in communication between doctors and nurses, many times, old patients are still waiting in bed for discharge, and new patients are waiting for a long time at the nurse station with oxygen bags. Of course, these situations should not be common, but many times the disharmony between doctors and patients is not only related to the communication between doctors and patients, but more importantly, it is necessary to understand that medical workers themselves have great room for improvement.
Wearing a white coat not only represents a solid medical equipment, but also represents a sense of responsibility. A doctor doesn't care whether the patients he handles can be handed over to other departments or whether the patients can be handed over to nurses. On the contrary, doctors are a strong service industry, representing the trust and sustenance of life. Therefore, the doctor-patient harmony, even if we can't get involved in rewriting the medical system, we should try our best to maintain the doctor-patient harmony with our own authority and responsibility.
Trial conclusion
After the short five-day internship, the teacher asked me what I had learned. Actually, I can't answer it either. The doctor's life is so busy that I feel that my mood is also involved, leaving only messy things to sort out.
The five-day probation period seems a little short. But that's enough. As a sophomore medical student, I don't have much professional knowledge. Even if I have accumulated some knowledge these days, I am afraid I will forget it on the day I take the doctor's license exam. It is important to have a solid grasp of basic knowledge. But not anymore. Teacher Zhang's question made me fully feel the important influence of the study of teaching materials on clinical planning. So I don't think some of the diagnostic knowledge I have recorded these days is meaningful, and I don't think it's useful to know about ECG testing. I feel that when I come to practice at this time, I am more familiar with the identity of a doctor, feel the atmosphere of the hospital, and fully realize the significance of life to a doctor and the importance of life to us.
It is said that people only feel the preciousness of life when they get to the hospital. I think, in order to cherish my life, I will work harder to enrich my medical library.