The doctor's diary

Doctor's diary: rotating doctor's diary

The so-called rotating doctor, as we all know, is a kind of doctor between resident and intern. In fact, it is just the newly recruited college graduates, and the hospital was founded to let them learn all subjects better than interns. I am one of them. I entered a county-level Chinese medicine hospital. I studied western medicine. When I first entered the hospital, I thought I would be very unaccustomed, because the medical records of traditional Chinese medicine are very different from those of western medicine, and the diagnosis ideas are different. Who knows that the Chinese medicine department of a Chinese medicine hospital has basically been westernized, or the hospital emphasizes that the Chinese medicine department must have the treatment rate of Chinese medicine, I believe that Chinese medicine will disappear in our hospital. The reason is simple: Chinese medicine is cheap and unprofitable. The government is so unreasonable that it only gives the Chinese medicine hospital110 financial allocation, which is equivalent to the people's hospital. It is also required to build Chinese medicine hospitals into a model of county-level Chinese medicine hospitals in the province, to be self-financing, to feed so many people in the hospital, and to build new wards (the old wards are really ugly, so there will be no new patients in the hospital).

Now, which two sessions have further pushed the hospital to the forefront? They only know how to help patients think from the patient's point of view. Does anyone think on the side of the hospital doctor? In high-risk industries, the monthly salary is only a little. Usually, hospitals are busy supporting their families every day, and they have to pay five or six thousand tuition fees from time to time. Tired, I really feel very tired, although I am just a rotation doctor. Who doesn't want to live with low risk, low workload, high income, high welfare and more rest days? Who thought of a doctor? No matter which doctor pats his chest, he won't tell a patient that he can completely cure his illness. Everyone is different, just like the simplest cold, for many reasons. Who can guarantee that he will be cured in three days? This high-risk industry has now become the target of attack by the NPC and CPPCC, which really makes me sad. I really don't understand what those people who ask questions really mean and whether they have done their work well. I will definitely not ask my next generation to study medicine, and I will also ask the children of people I know not to study medicine.

The relationship between doctors and patients is extremely tense at present. Some time ago, another patient in the hospital made trouble without reason. He refused to listen and asked for 500,000 yuan. The hospital counselor refused, and then the patient slept in front of the hospital every day, which had a very bad influence on the hospital. But who will handle it? People can't die in the hospital now. As long as they die, they have to lose money. As long as you go to the hospital, you have to lose money. Pay more and pay less. Hospitals can't accept drug kickbacks and lose money every day. What top ten hospitals should be built, and the government allocates so little money. Where is the way out for hospitals, especially county hospitals? Now the hospital is in debt. Who will help the hospital return it? It's not just that hospitals are required to generate their own income, so wages can't be paid now.

Being a doctor really needs to live less 10 years and worry about it every day. When I was in the ICU of western medicine, I saw that the director there went to work every day. A man in his 40 s and nearly 50 s had to work every night.

A director I know calculated with me: his monthly salary plus bonus is more than 3000, and his annual salary is about 40 thousand. He has to pay more than 20,000 yuan for his children's schooling and living expenses. After buying a car, he has to pay back at least 20 thousand a year (he hasn't bought a car yet), and he has to pay back the mortgage every year. The monthly expenses add up to 20 thousand a year. Calculate how much is left, and I am sick at ordinary times. It's no use just talking for so long.

It's just one point anyway. I hope everyone can understand that it is not easy to be a doctor. Although I am still a rotation doctor, although I have no experience, I know that the road ahead will be very difficult and painful.

Doctor's Diary Part II: A Doctor's Diary of People's Feelings

Today is the development period of the Party's mass line education practice. According to the arrangement of the General Party Branch of yingshan county Hospital of Traditional Chinese Medicine, I carried out educational practice activities to overcome the situation.

Have a morning meeting at 8 o'clock in the morning, make rounds to see patients, make doctor's orders, make prescriptions, change clothes, and go to the sixth floor for surgery at 9: 30. Go to the fifth floor of the hospital to write medical records in the afternoon.

Today in the hospital, I tried my best to overcome the situation at work. Some doctors and nurses in our hospital have a floating work style, impetuous and eager for quick success, and can't settle down to study and work. Can't sink to the grassroots. As a doctor in a second-class Chinese medicine hospital, I feel that I should keep in touch with the masses in my work and be proactive in my work. I can't wait for the dean and director of the hospital to arrange my work. Practice five things every day, and doctors play a leading role in the diagnosis and treatment of diseases. After the patient is admitted to the hospital, the doctor in charge should make arrangements early, because he is a surgeon, and the most important thing is surgery, which has a great influence on the patient and his family. He should fully communicate with patients and their families to gain their trust and understanding. This requires our doctors to calm down and work to ensure that most of their time and energy are spent on hospitals, wards and patients. The doctor's work is practical, the patient is at ease, the hospital leaders are at ease, and they are at ease. Our own medical technology has also improved.

The most concrete thing I did today was to overcome formalism. I went to the sixth floor for surgery this morning, and the operation was very successful. After the operation, I found the patient fat and heavy. I took off my surgical gown, helped the anesthesiologist and nurse to move the patient to the cart, took him to the ward with the anesthesiologist and nurse, and moved him to the hospital bed to help the patient feel comfortable. I will do such things more in my future work.

The third part of the doctor's diary: a model essay on the practice diary of hospital doctors in 20XX years.

On Friday, xx, XX, XX, the weather turned cloudy. On busy Fridays every week, there were a series of familiar and enthusiastic expectations, such as Professor Wang Zhibiao's routine rounds, lectures at two o'clock in the afternoon, film reading at five o'clock in the afternoon, seminar on benign uterine diseases at six o'clock in the afternoon, and yy voice at seven thirty in the evening. I am tired and happy. At 8 o'clock in the morning, the shift will be handed over 20 minutes earlier than usual. At the meeting, Lian repeatedly emphasized the humanistic care service and the development goal of modern five-star doctors in our hospital. At the same time, he once again standardized the "one-help-one" responsibility system-requiring every patient to be responsible for life during hospitalization, from the doctor-patient relationship to the friend relationship. Regardless of whether the former patient is sick or not, we should continue to pay attention to the patient's recent situation and care about the patient's health from the perspective of friends. This point has been fully affirmed by Professor Wang Zhibiao, who once again emphasized the purpose of establishing an international hospital full of humanistic care for patients.

Next came the words of the head nurse, and the story touched everyone present. Xiaoshi, a nurse who just graduated from school, is the responsible nurse for patients with uterine fibroids from Indonesia. This patient from Indonesia, due to regional differences, and the recent sudden cold weather in Chongqing, did not keep her clothes warm enough, which impressed nurse Xiaoshi. The next day, she took the clothes at home, especially her favorite clothes, to the hospital and personally gave them to the patients. At the same time, she took the coats that were inconvenient for the patients to clean home and washed them herself. A small, casual move, let us deeply admire and awe. There are many touching stories in Haifu Hospital, such as: the attending doctor insists on calling the patients in charge every day, the medical workers personally go to the bedside to care about the patients' food, clothing, housing and transportation, Professor Wang Zhibiao makes detailed rounds every Friday, and the hospital sends a car to the railway station or airport when the foreign patients leave the hospital. These are the routine routines of Haifu Hospital. I really envy the patients here because there are many friends who really care about and care for them.

Every day I live here, I will be moved by a small detail. Nurse Xiaoshi touched me, and so did many patients. Today, I was moved and shocked by the story of a patient with hysteromyoma. She is a patient from Fujian. After a lot of data collection and conversations with friends of 99 Uterine Network before seeing a doctor, she and her husband made up their minds to come to Chongqing Haifu Hospital for treatment. In this process, the patient's husband learned that ultrasonic ablation is a new technology. In the group conversation, some patients after treatment were positive and reserved, and still denied the technology. After careful analysis, they made a decisive decision and insisted on ultrasonic ablation treatment. If this story ends here, maybe you will say that every patient who sees a doctor is moved. Indeed, every patient is very touched, because they have a heart that dares to accept new things and a determination to try new technologies to fight diseases. They are all brave.

However, this story has a new plot, which shocked me. This patient with hysteromyoma from Fujian not only has many friends who advised her not to come to Chongqing for treatment, but even her sister, who is the director of obstetrics and gynecology, strongly opposes her considering ultrasonic ablation treatment. Having said that, I have to say that some medical workers are not clear about hifu technology at present, so I won't go into details here. I was even more shocked. If I am this patient, how much courage and determination do I need to make such a decision, and how much courage do I need to stick to myself when everyone around me is opposed to my practice! Maybe I will compromise with my sister, who is the director of obstetrics and gynecology. Maybe I don't have the courage to try new technology. Maybe I will think about it for a long time. However, our patient did. She stuck to her ideas and took a firm step. I admire and awe her persistence and determination. Here, I would like to thank the patients and friends for their support and trust. Your trust is the greatest motivation and hope for our progress. At 5 pm, the patient came back after reviewing mr films. When we watched the film together, we paid special attention to her grades. From the point of view of magnetic resonance, the ablation is good, and we are satisfied with it. She was glad that you came, which increased our faith and confidence in moving forward. At this time, my heart was inexplicably touched. Maybe as a doctor of Haifu, I live in contact. We need to touch ourselves and create more feelings for patients and friends.

At 6 o'clock in the evening, the symposium on benign uterine diseases arrived as scheduled. Everyone opened their hearts and talked with Kan Kan. When Professor Wang Zhibiao talked about inheritance and innovation, this topic attracted everyone present. Professor Wang met such a story when attending a meeting: when asked about the president of Peking University, what is the most commendable thing about Peking University, he was speechless; When asked what new achievements a department has every year, it is still silent. Peking University has inherited history, national culture and national spirit. However, what has it created? What have you created to stand in the world of science and technology? We don't want this result. We all hope that every university in China can innovate independently and embark on a brand-new road. However, the result is always.

It backfired. Inheritance and innovation go hand in hand, and both are indispensable. However, does the latter exist in our life? How many/much?