Title: Because I am a doctor
Author: Chen Gang
Date of publication: March 214
Book number: 9787122191823
Price: 29.8 yuan
folio: 32 folio
Publisher.
On April 7, 212, just after the Qingming small holiday, Cheng Junhao listened to the "survival rules" explained by the former chief resident, and started a one-year general hospitalization career with three other young doctors, Shen Yifan, Mi Mengni and Su Qiaoqiao. This year, they had a wonderful life: failure, victory, injury, love, struggle, and holding their heads high ... In this year, the stories that happened in the ward were enough to make people feel all kinds of things in the world: joy, expectation, gratitude, hope, disappointment, despair, tears of joy, laughter, longing for life, fear of death, and life. /1
Unselected road? /7
A "box" that can't be closed? /2
take the sickle from death? /37
"firemen" fighting fires everywhere? /57
jianzong and qizong? /7
Keep watch, and there is hope when you keep watch? /89
respective golden weeks? /18
sword of Damocles? /129
the weight of the soul? /148
The blooming of flowers is a moment of beauty? /168
the footsteps of spring? /192
carving time? /218
At the end of April, 214, at the end of the night shift in the third line of Cardiology Department, I walked out of the old West Gate of Union Medical College Hospital, turned to Wangfujing, stepped in at the moment when Xinhua Bookstore opened at 9: 3, and bought this book "Because I am a doctor".
On the subway home, I turned to the first page, and then I experienced clinical adventures again and again, life trust again and again, and emotional agitation again and again with the four chief internal medicine residents in the book ... until I stood with them at the grave of Shu Xuexian, a pregnant woman with terminal tumor who chose to give up treatment to avoid the influence of chemotherapy on her fetus in her abdomen, my eyes staring at the stars gradually blurred.
1.
The life of the chief resident of internal medicine is boring and full of challenges, with consultation, duty, and consultation day after day, and every time I face a new patient, I feel like walking on thin ice, and the laboratory tests are in danger. The chest radiograph of electrocardiogram is ferocious, and a string in every doctor's heart is tense! What makes them go all the way forward under great pressure, still persist and work tirelessly?
Even when eating, the patient's condition was discussed, and even the Lancet was opened on the iPad. I remember a chief duty officer told me that we are different from others. We just work in another place after work. Many people outside the medical circle may find it puzzling. Is there really such a fascinating thing? Can you forget the pressure, forget the rest, and spend your life pursuing it? My answer-yes, just because we are doctors, we have reverence, fascination and pursuit of life science.
Please don't use so-called "dedication" to lower our character. Medicine is a fascinating and divine thing in our eyes, and we love her from the heart, which is as great as love and affection in essence. If you can understand this love for medicine, then you will understand that doctors are crazy, persistent and desperate.
A reporter from a C TV station once asked me: Do you think medicine is a profession or a career? I just want to say that you haven't realized my love for medicine. One of my colleagues has been complaining about his low income and tiredness at work, and he is always wary of personal attacks on himself. Wechat is full of "negative energy", but once he is on the operating table, he immediately goes all out and strives for perfection, one after another, tirelessly; Once you discuss the clinical condition, you will be full of energy, get to the bottom of it, quote extensively, and the literature guide will be endless-I just want to say, hey, I know your deep love for medicine.
Mi Mengni, the heroine in the book, risked her life to intubate an AIDS patient. Unfortunately, she was exposed to her occupation and still resolutely participated in the rescue until the patient was stable. I'm sure this is a real example with a prototype. There are countless examples in the hospital, the director of the internal medicine intensive care unit, breathing support for a patient during radiation exposure; Gui, a resident of internal medicine in rotating emergency department, didn't realize that his body temperature was higher than that of the patients with fever last night until the handover from work ... < P > Please don't use the so-called "dedication" to bias our judgment. Why are we like this? My answer-just because we are doctors, we have selfless love for every patient. Just like this, we often forget ourselves. Don't think I'm making up a story. Don't think I'm hypocritical. If you don't believe me, please come to the hospital. We can't bear to see the withering of life, and we can't bear to see the fleeting years like flowers-just like Shu Xuexian in the book. If you can understand this unforgettable love for people, you will understand our illogical actions.
In the gloomy haze of late spring, I still believe that my deep love for medicine and people is a lamp, which will not go out even though it is flickering. I watched the resignation of more than a dozen medical colleagues. When I turned around, I saw more busy medical comrades. I shed tears for many colleagues who died in hospital violence. When I turned around, I saw a long line of patients waiting outside my clinic. I believe that we are watching the same thing together.
We can question everything, but we don't question our deep love. You can question everything about us, but you are not allowed to question our persistence.
In the early spring of 197s, a poet raised a shocking question about a distorted society. Today, I say my answer-meanness, after all, is the epitaph of the despicable, noble and always the passport of the noble.
The English title of "Because I am a doctor" is OathofAngels, and I think the author also answered with his oath.
II.
The system of chief resident in the Department of Internal Medicine of Union Medical College has continued since it was established in 1921. I have the honor to be a member of the chief duty in the Department of Internal Medicine and work in this position for one year. In front of me, countless medical masters have stepped out of this post, and behind me, there will be countless new medical talents joining the ranks of the general duty of internal medicine. Many hospitals in China do not have this position, and they are replaced by second-line specialists. However, Concord has been preserved and gradually developed, becoming a platform for comprehensively training a doctor's abilities in medical treatment, teaching, management, coordination and communication. From the fierce competition for the general duty campaign to the hard work and bloody battles of the general duty for one year-after stepping down from this platform, many things are different.
The training on duty always brings a sense of smell, an indescribable sense of smell that goes deep into the bone marrow to judge critical illness. Perhaps this sense of smell will allow you to predict the deterioration of a disease in advance, so that you can fight back in advance before the "enemy" presses forward and attacks in an all-round way. The chief duty officers of internal medicine have experienced the dark wind in the month, the fierce patients with knives, and survived the big wind and waves. Perhaps their professional knowledge is not as good as that of specialists, but with the overall situation, they have strong psychological endurance and will have confidence in future clinical work. Perhaps after entering the junior college, their knowledge of internal medicine will be forgotten and outdated. After all, people's ability is limited and medical progress is infinite, but the basic knowledge, learning methods and thinking context of internal medicine will be retained forever. In the face of difficulties, it may depend on this comprehensive thinking.
One year's total duty career will inevitably lead to many disputes, trivial matters and face-breaking, and the ability of communication, coordination and compromise will be cultivated unconsciously. During my one-year duty as the chief internal medicine officer, after the successful tracheal intubation, the patient was stable. I lay on the ventilator, fine-tuned the parameters, caught my breath, looked around, and at one time I had the temperament of a horizontal knife. It's been a long time since I left this post. I recently reviewed my notes at that time, and sometimes I was amazed. I even understand this! -I forgot it all now!
an old leader of mine often said that an attending physician who has never been on duty will expose his history at some critical moments. I can't deny it.
Union Medical College Hospital claims to be the first in comprehensive strength in China. I think the chief resident system of internal medicine has definitely made a contribution.
Third,
From the perspective of literary criticism, Master Chen's masterpiece Because he is a doctor is equally remarkable.
The novel consists of independent stories, which are connected in series by the experiences of four chief internal medicine officers. It seems to be jumping and falling, but in fact it is well-structured. Several clear main lines run through the book.
First of all, it is a theme of "inheritance". From the beginning, Yang Zong handed over the shift to Cheng Junhao, a novice on duty, to a former chief on duty called the mobile encyclopedia, who described the feeling of the chief on duty with an English poem, to several times in the article, Professor Lan taught the experience to the young chief on duty, and finally, Cheng Junhao, an experienced and stunted "old man", handed over the shift to Yao Xi, the new chief on duty. A clue of inheritance is clearly presented. This is undoubtedly a kind of inheritance of medical knowledge and clinical responsibility, and a manifestation of the metabolism of Union Medical College Hospital passed down from generation to generation. This clear clue is handled quietly by the author, which makes readers taste it, and it coincides with a kind of connection between the novel, echoing before and after, and it is really a master's handwriting.
If "inheritance" is only reflected in medicine and responsibility, it is too small to look down on this novel. The inheritance of life is also a vein. But this context is more obscure, maybe it's just my over-interpretation. One of the outstanding stories of this life inheritance is that Shu Xuexian left the hope of life to the fetus in the womb and chose death-giving up chemotherapy. The mother's life is passed on to the baby. Another story is that the parents of a young man who died of rabies agreed to an autopsy, using a cold corpse to convey a kind of fiery life. As Professor Lan said, "We can find the answer to the disease that the child failed to diagnose before his death, and this answer may help more people in the future ..."
Second, it is the theme of "choice". This theme is very clear. The opening chapter is presented with an eye-catching title-the road not chosen, which is then unfolded through an English poem and runs through the book. The chief duty officers chose medicine and the rescue without hesitation, while Shu Xuexian chose death and left the hope of life to the fetus-this is the climax of the book, and it is also the main reason why I cry again and again, which I will discuss repeatedly. Is the choice of the protagonists in the book also our choice in reality? This is a heavy proposition.
"baby" is a common image in literary works, which usually represents new life, hope, love and beauty. Many excellent poems, plays and novels have achieved touching artistic effects through the rational use of baby images. This book is no exception. Of course, the baby appears in this book as the endorsement of a new life and a new force. This is the third theme of the book "New Life". Needless to say, Shu Xuexian gave birth to a healthy baby by caesarean section, giving the four chief attendants a kind of confidence, love and hope. Similarly, the new chief duty officer took office in the last chapter, representing the cutting-edge medical science, marching forward firmly in the footsteps of predecessors.
As the author wrote, "I know that he is the chief resident of internal medicine in Beijing Xihe Hospital in the new year, and he represents Excellence." Reading this passage over and over again, I am often excited and excited. New forces are always exciting. Perhaps there are too many negatives in this world, but a crisp cry of a baby in the dark night will definitely announce the arrival of dawn.
in addition, the writing skills in this book are extraordinary and convincing. I have always been very demanding of words, and I often scoff at mediocre works, and I often boast that it is difficult to find my right person in amateur poetry and prose writing, but Master Chen's novels are really admirable. And look forward to Master Chen's next masterpiece. There was an unconfirmed gossip that the hospital propaganda department hoped that there would be excellent works combining popular science and humanities.
I thought it was an impossible task. But Master Chen turned this request into reality. In addition to the humanistic depth, the book also carries out popular science education through the clinical sentiment at the end of each chapter. The perfect combination of humanities and popular science, and the patient education and communication in the process of telling stories, this is a master's stroke, and the internal strength of "Qi Zong" is profound. Moreover, the footnotes of clinical technical terms in the book are also very interesting, which have the effect of artistic narration and objective withdrawal, avoiding readers from getting too involved in the play and leaving us room for objective thinking. Alas, at this point, I only like it.
Finally, thank Master Chen for letting me appear twice at the beginning and the end of the novel and distributing lines. Yang Zong wanted to say, "Cheng Junhao, congratulations, your novel is going to sell like hot cakes. I still have a lot of experience saved during my tenure as chief resident, so I'll leave it to you when you write a prequel. "
it's been three years since I finished writing this book, and I served as the last night shift of the chief internal medicine officer. A late spring is about to pass, and the sun in early summer is on the horizon not far away.
(This article is from Dr. Yang Deyan, Department of Cardiology, Peking Union Medical College Hospital)