Is This Reporter Also Paying Off Debts Today? Chapter 40

lover

“Our neuromedicine, or the vertical fields under each subdivision, will face the following three characteristics: high precision in diagnosis and treatment technology, high complexity of patient conditions, and high uncertainty after treatment. Combining these three characteristics, doctors will form a professional ethics system with ‘benevolence as the core and fine skills as wings.'” Teacher Xu drew a simple “flying” eagle on the blackboard next to the curtain, and wrote “benevolence” on its body, and “Jingshu” on the wings on both sides.

The students were about to draw the eagle on the blackboard in their notebooks when they saw him draw a big cross on the eagle: “However, in practice, we are restricted by various factors, such as the various systems of the hospital where we are located, and the instruments we have on hand to examine patients.The level of technology, between doctors and patients, between doctors, between doctors and hospitals, or among the medical representatives you may often come into contact with in the future, etc., etc., there are entangled interests in various relationships. These factors will make us fall into the dilemma between humanistic ideals and practical survival.”

Lu Huaichu did not follow the others in drawing the eagle. He stared at Teacher Xu and the screen, unconsciously turning the pen in circles in his hand.

He thought of the days he spent as an intern in the hospital during every holiday. The phenomenon mentioned in Mr. Xu’s paper was a place in the hospital where the sun could not shine.

In order to pursue the efficiency of the department and meet the unreasonable assessment standards set by the hospital, some doctors give priority to recommending surgery instead of more appropriate drug treatment for patients whose condition is still in the early stage. Only in this way can the number of examinations, hospitalizations, surgeries and medication reach the standard.

When Lu Huaichu was an intern in the department, faced with such a situation, he would wait for the patient’s family members to leave and ask his teaching doctor: “Why not prescribe him medicine? There is no need for surgery at all for early symptoms.”

The teaching doctor always gave him a blank look and used the tone of dealing with an idiot: “Those who have assessments must meet the targets.”

Assessments and indicators, these things in name only, are they more important than a human life?This is the question in Lu Huaichu’s mind.

Encountering this situation several times again, Lu Huaichu felt very tormented. After watching a group of family members who accompanied an old man to see a doctor out of the office, Lu Huaichu couldn’t help it. He rushed out and followed him. He found the eldest brother who was the head of the family and explained to him that the old man was only suffering from early symptoms and that he could use several medicines.Treatment can effectively control the disease, but the risk of surgery will increase accordingly as you get older, and there is a high probability of leaving sequelae. At that time, both the quality of life of the elderly and the difficulty of caring for the family will be difficult to estimate. These are things that the teaching doctor did not tell the family just now.

In order to complete his assessment and reach his targets.

Lu Huaichu was thanked by the family, and the teacher was complained to the mayor’s hotline.

This hospital was ordered to make rectifications by relevant departments. Naturally, Lu Huaichu could no longer continue his internship here. He returned home with a large stack of professional books, and buried himself in books every day to study hard, as if to punish himself.

Punishing myself for why I didn’t have the courage to tell the truth until the end, so that so many patients who didn’t have to undergo the knife went to the operating table without knowing anything.

For those outrageous assessments, for those so-called indicators.

“Teacher Xu, I have another question to ask you.”

The lecture ended and the students left one after another. Xu Guodong once again wiped the sweat from his face with the small handkerchief. The two-hour lecture made him feel inadequate at his age.

Hearing the voice, he looked up and put on his glasses again. It was a student who often sat in the front row and liked to interact with him, but he didn’t know his name yet. Xu Guodong’s voice was a little hoarse and a little tired: “Okay, tell us what the problem is, and we will discuss it together.”

Xu Guodong does not like “answers”, but prefers “discussions”.In his view, there is no single correct answer to any problem. Different positions and different values ​​naturally lead to different answers.

If it is an “answer”, it means that you have determined the nature of the question yourself. No one can casually determine the nature of anything.

“Teacher, when ideals and reality conflict, how do you choose? When your lover and your patient are on both sides of the scale, how do you balance it?”

Xu Guodong slowly opened the bench under the desk, sat on it, rubbed his stiff and sore waist, and thought about Lu Huaichu’s question.

After a long time, he slowly spoke: “I have been working in the industry for more than 40 years, and I have seen too many conflicts that are sharper and darker than you can imagine. But I still choose to stick here, and together with thousands of colleagues who have the same ideals as me, hold on to the bottom line and find an exit. This is what we people have been doing.”

“I have seen patients with advanced brain tumors who can’t even stand up and have no family members. They kneel down and beg me alone, saying that they don’t want to die. Can I try those high-priced targeted drugs again? But I know that his life has entered a countdown. No matter how high-priced targeted drugs are, they have minimal effect on him. They may even accelerate his death because his body’s immune system is now broken. That is a patient I met in my seventh year of practice.”

“After working for a few more years, I gradually gained some fame in this field. When talking about Xu Guodong, everyone can roughly describe it, ‘Oh, he is the one studying neurology. He is not tall, has not much hair but is not bald, is a bit hunched, and wears glasses.’ At that time, scientific research tasks were also heavy. He flew all over the country every weekend to listen to lectures, give reports, and participate in academic conferences.If you can publish an article in this top journal, you won’t have to worry about your career in this life. At that time, someone advised me, ‘Beautify your data, and it will be fine if you publish it in a top journal.’ He said it euphemistically, but I heard it very clearly.‘Beautify’, doesn’t it mean that I am falsifying?The beautified data is obviously contrary to the real situation I observed in the clinic.”

“I was very confused at that time. My teacher had passed away, but I still had a few senior brothers. When I asked them, they scolded me for being stubborn and laughed at me for not being able to make a big difference in my life. That day I understood that we were different. What I insisted on was something they scorned and dismissed. It would even be regarded as a joke after dinner. Later I stopped looking for them. I haven’t sent out that paper yet because I haven’t conquered it clinically.”

Lu Huai was entranced when he first heard it, and his brows furrowed unconsciously.

“Look, I can still teach you every day and treat patients. My perseverance is useful.” Xu Guodong took off his glasses and wiped them carefully with a glasses cloth.

Lu Huaichu suddenly discovered that after taking off his glasses, the old man in front of him always had a smile on his face.

An innocent, clean smile.

“My wife also scolded me for being stupid. She always compared me with those senior brothers, saying how promising they were and how useless I was. How could anyone at my age still circle around patients and students every day, and who didn’t crowd around and look at people through their nostrils? I just listened to what she said. If you go in this way, you will come out immediately.” He pointed to his left ear, and then to his right ear.

The two looked at each other and smiled.

“So you see, stick to your ideals and integrate into reality. No one is right or wrong. If you choose to stick to your ideals, you have to accept ‘imperfect persistence’. In the process of your persistence, you must sacrifice a lot of things. If you choose to integrate into reality, it is understandable. Doctors are also human beings. They also need to eat and earn money to support their families. Without this white coat, we are just ordinary people in this world.”

“Just like one of my senior brothers, when they laughed at me, I was so angry that I ran away with a red face. Later, when I calmed down and thought about it, they just wanted to climb up. What’s wrong with climbing up? This is what they stick to. It’s just that I don’t agree with their persistence.”

“As for what you said about how to balance between a lover and a patient, if my wife were here today and heard this question you asked, she would definitely scold me again. My choice is the latter, and I have been sorry for her all these years. If you think about it carefully, I may be a good colleague at work, but at home, I am an unqualified husband and an unqualified father. In the past, at homeI didn’t dare to ask for leave for anything, for fear that if I left, no one would take care of the patient.Ultimately, the reason was that the quality of doctors at that time was uneven, so my wife took care of all the big and small things at home, including the birth of the child, the first time he spoke, the first time he walked, the first time he went to school… I was absent from all of them.” Xu Guodong’s voice choked up when he said this.

“I work hard to train so many students and share my clinical experience and breakthrough discoveries with my colleagues without reservation, in order to train many good doctors who are worthy of our entrustment and worthy of the trust of patients. At that time, if I could live my life over again, I think I would choose the former.”

“Young people, instead of worrying about how to balance here, it is better to follow your heart. Don’t let yourself regret it, that is the best choice.”

Follow your heart and don’t let yourself regret it.

After Xu Guodong left, Lu Huaichu packed his things and walked slowly to the library.

When the lanterns came on, the library was ablaze.

“Dean Xu, you told me at that time that no matter what choice I made, I should follow my heart and not regret it. My colleagues are all very skilled in medical skills. They can only do better than me in the surgeries I can do. If I can’t let go of anything here, I am the only one who can do it.student, Ake, I am not a good teacher.If he follows me, his future may be delayed, but this time I will entrust him to a good teacher.” Lu Huaichu handed his resignation letter to Xu Guodong again: “Dean Xu… I will be firm and choose my lover.”

Banxia novel, a lot of fun