"The Doctor's Effort"
The author of the book, Atul Gwonde, is an Indian-American surgeon and journalist. The book elaborates a lot on the difference between India and the United States from the perspective of a surgeon, allowing us to see the real differences caused by the difference in the medical system between a populous India and the highly technologically advanced United States.
Rising doctor-patient disputes, inexplicable sexual harassment, tricky medical malpractice, high medical expenses, unequal income... When the novice doctor Attu becomes the solitary Dr. Gravind, when the medical technique is far from solving the problem, how does he and his fellow healers face it? What challenges await him next? The real story of "the benevolence of the healer" is unfolding.
This book tells the social and medical aspects of its implications through small stories. Suitable for the medical profession, policy makers and the general public. In the case of today's frequent medical accidents in China, I think everyone can read how much effort doctors have made in the development process of history, and how much adaptation to reality has led to today's medical treatment. Patients complain about hospitals, but China's hospitals, the medical system is still inclined to patients, doctors sweating, trying to treat patients, but patients backhand a doctor hurt...
At its core, there is a paradox: it works very well, but it is never good enough. This is especially inappropriate in China. Dr. Tao Yong said on the talk show: "I said this patient, you are really unreasonable. There were so many people in the hospital at that time, you could cut me with precision. Doesn't that mean that vision recovery is particularly good? What more effect do you want? Dr. Tao Yong spoke humorously, but he fiercely revealed the terrible nature of the real TCM-patient relationship, he saved him from blindness, and he made him unable to operate again. Maybe the patient feels that he should recover a little better and better, but ignores this and how much effort the doctor needs to put in. "Although it is impossible to live a normal life without two arms and one leg alone, we still hope that doctors will not give up." Despite the unprecedented severity of the injuries of the wounded, we still hope that doctors will strive for the recovery of survivors. We hope that they will be able to fight for it and find a solution. "This is the true portrayal of the doctor's heart, especially in the eye problem, more like walking on thin ice, often hear the doctor in the emphasis, people, completely invisible, and can feel a little light and can see a little is completely different, so every time will do their best to win the opportunity to see the light again for the patient."
The secret of medicine lies in transcending uncertainty to pursue perfection. The beauty of medicine lies in the blooming of the flower of thinking, from non-thinking (teacher teaching, student practice) to contemplation, from shallow thinking to deep thinking, from shun thinking to reflection, from technical thinking to philosophical thinking. I used to think that the biggest difficulty in a doctor's career was learning skills. At first, you are confident that everything is in your own hands, and the ensuing failure will immediately knock you down. But slowly, I found that learning is not the most difficult part, and even high-intensity work is not the most terrible, although sometimes tiredness can bring you to the brink of collapse. In fact, the most difficult part of a doctor is to understand where the limits of his ability are and what things he is unable to control.
The promotion of the doctor does not require the talent of excellence, it needs diligence, it needs a clear concept of right and wrong, and it needs a spirit of ingenuity. And most importantly, it requires the willingness to try. But coincidentally, which patient wants to be tried? This is another paradox, a resident doctor needs five years of undergraduate, three years of regular training, eight years to train a qualified doctor, they need more opportunities to try to become a more excellent doctor. As patients, you may not think that their encouragement to the doctor can make them more scrappy, their discomfort, the doctor will empathize, will want to break through the medical difficulties, which is vividly displayed in "Heartwarming Offer 3". I hope that there will be a little more tolerance and understanding between doctors and patients.
When medical students come out of the white tower, the position of doctor will be connected with all spheres of society, and they will face countless moral dilemmas and bear the consequences of mistakes. Medicine is not a panacea, and it cannot determine the right or wrong of the doctor-patient relationship.
In November 2020, Biden plans to establish a working group on COVID-19, with Arthur Gravind planning to be a member. I think it's inextricably linked to the experiences in his book. In the book, I began to introduce the matter of washing hands. The hospital where Semmelweis works gives birth to about 3,000 women a year, and the mortality rate is more than 20%, which is quite staggering. By contrast, the maternal mortality rate for home deliveries is only 1 per cent. Semmelweis judged that the doctors were to blame for this result, and they spread the bacteria around with their hands. In fact, this is the real doctor's refinement, everyone will open the book will see, just to wash hands, it takes a lot of time and energy to understand, correct, and finally the system, please do not ignore the disinfection of this matter will cause harm to the doctor's hand.
Author Atul. A 2010 associate professor of surgery at Harvard Medical School, Gerwend, who was named one of Time Magazine's "100 Influential People, is a young White House health policy adviser who lays out the little-known truths about the health care system.
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