What would you encounter if you became an obstetrician-gynecologist?
At first, Sir thought it was a comedy.
The female patient is on all fours, waiting for the doctor's treatment.
Having children? No, it's to take out something else...
The battle-hardened Dr. Adam said, small scenes. The lower body he had dealt with over the years was like the pocket of a little tinker bell, and everything magical had been pulled out.
however.
It turns out he's still young.
Just when he took out a Jianda egg and was about to throw it away, the female patient said: Don't throw it, open it.
Why, you still want to recycle?
A confused Doctor Adam opened the Kenda egg and saw:
Surprise！
A diamond ring!
It turned out that this visit was a marriage proposal carefully planned by the woman for her boyfriend, and the boyfriend was very touched, and the two embraced happily.
What else can you say as a doctor, that... Congratulations.
Delivery.
This time it's really time to have a baby.
The delivery room is dilapidated, the hygiene is not cleaned, the mother has endured these, she has a little request:
Can you leave the placenta for her to eat?
At the last moment, she couldn't care about the pain, and she was engrossed in "supervising the worker", afraid that the doctor would steal her placenta.
Dr. Adam was not surprised either.
When he moved to remove the placenta.
At this time, the pregnant woman wondered:
This is the placenta, so what am I eating here now?
Dr. Adam calmly replied: That's your blood clot.
The next second, a mouthful of old blood sprayed on his suit shirt...
Oh, and you ask the doctor why he wore a suit to deliver the baby?
Because on this day, he was supposed to dress up and receive the inspection of the leaders.
Right now......
Welcome to this British "top three hospital".
Don't think you're on the big stage of drama.
The pain is still on the right side:
"Pain Is Inevitable"
This Is Going to Hurt
This month's BBC new drama, Douban 9.4.
In one episode, Sir has become addicted to it.
British humor, accurate restoration of the profession, and those details that are sometimes heartwarming and sometimes heartwarming.
Adapted from Adam Kay's memoirs.
He worked as an obstetrician and gynecologist for six years before switching careers to becoming a comedy writer.
This memoir writes about his secret experiences as a doctor and why he abandoned his career.
Comedy, perhaps, is an anesthetic.
We need it, to calmly face those wounds as we recount the past.
01
The story is in 2006.
As soon as the opening scene, we can see the hospital in chaos.
At the door, a pregnant woman struggled to make her way, looking bad.
Take a closer look, even more ominous.
The baby's hand has come out, it is not a normal vaginal birth, and the pregnant woman must undergo a caesarean section immediately or there will be danger.
One hundred thousand people were in a hurry, so Adam could only take her to cut a short way and take the freight elevator up.
As soon as we arrived at the department, the colleagues were ready to advance to the operating room:
Boom!
Saury.
Adam didn't even have time to change the surgical gown, so he directly underwent surgery.
Blood stained his crotch, and when the director walked into the office, he saw something like this...
Why is it so messed up?
It was too late to work overtime last night, and Adam slept in the car for the night.
At 8:06 a.m., Adam was woken up by a rushing telephone ringing— a hospital colleague urging him to get to work.
This is already the norm.
The intensity of work is 90 hours a week, and I can fall asleep standing, and I can fall asleep when driving and waiting for a red light.
Work so hard, you must earn more.
But in fact, the days are still pitiful.
The dirty clothes had to be compensated by themselves, and the day's salary was lost.
No way, Adam is still a surrogate registered physician, the bottom of the British doctor hierarchy.
Adam's boss, the consultant physician (equivalent to director) Lockhart, began counting his absences as soon as he arrived.
"I heard you were ten minutes late
He also almost killed a patient in the freight elevator
Then I had a caesarean section in civilian clothes."
He didn't make much money, and work left his life in tatters.
Lovers don't see each other all day.
Best friends don't ask him to be best man when they get married, because a phone call can be called away at any time.
In the eyes of the patient he was Dr. Adam.
But Adam knew he was a cow and a horse.
So, he estimated that he was going to change careers...
Bitterness and tiredness are only the first layers of pain.
Looking further in, everywhere is written collapse.
02
General medical dramas are about the benevolence of healers.
But what's special about "Pain Inevitable" is that it's about an imperfect doctor.
For example, he has a poisonous tongue.
He will take revenge.
The pregnant woman was a racist, got into a fight with him, and called him a fool ×.
Colleagues who have been discriminated against have said, don't let you stand up for me, and people are pregnant.
But Adam retaliated in his own way:
When the wound was stitched, her tattoo was deliberately sewn.
He sometimes appeared very unprofessional, for example, wanting to attend a patient's funeral.
He also makes mistakes.
During the day, because he was so busy, he did not do a more detailed blood test for a difficult pregnant woman and let her go home.
Returning to the hospital in the evening, the woman was rushed to:
It is a very serious preeclampsia.
The 25-week-old woman (five or six months) had to undergo a caesarean section quickly.
Because of the urgency of the incident, coupled with Adam's misjudgment of the situation.
And, a little selfishness to make a difference.
He did not inform the more senior doctors and took the operation alone.
Who knows, the surgery was far more sinister than he thought.
The woman's wound began to bleed like a fountain, and the difficulty of the operation was beyond his ability.
Fortunately, the midwife privately informed Adam's boss in advance for insurance.
Dr. Lockhart arrived in time to save the mother's life.
The other side.
The 25-week-old premature baby is still lying in a nursery box, not knowing when it will be out of danger.
Because of their own negligence, their own misjudgment, their own selfishness.
Almost killed a mother and son.
The profession of doctors, more cruel than ordinary people, does not have a painful exit.
Once slackened.
A catastrophic collapse could be faced.
Adam fell into deep guilt and self-blame.
He often saw the illusion of infants and mothers dying.
Worse yet.
The accident led to anonymous complaints from patients and a colleague, and Adam was likely to lose his medical career.
So, was Adam disallowed from practicing medicine and leaving obstetrics and gynecology?
Again, it's not.
Despite his imperfections, he still wants to do his best to help patients, but the whole industry is much crueler than he thinks.
03
Why did you become a doctor?
Xiao Bai of the department, Adam's assistant physician Shuti.
Pakistani immigrants, from low-class families, being a doctor is her way up.
Work 14 hours a day, and also squeeze out time to review and pass exams.
The enormous pressure put her on the brink of crumbling.
Obviously feeling breathless, he had to hold back tears and lie to his parents on the phone, afraid that they would be disappointed.
"Because they thought I was good"
Adam, on the other hand, came from an elite family.
He became a doctor because his father was a doctor, and he was taught from an early age that he had to succeed in this way.
The more you give, the more you pay back.
But what exactly does this reward mean?
By chance, Adam finally saw it.
Before, he had learned how realistic the world was.
A friend's wife, 21 weeks pregnant, was joking that maybe Adam would deliver the baby for you.
She immediately said impossible:
A friend who has married a beautiful wife, lives in a big house, drives a good car, and is now ready to have children, all going to a private hospital.
Such a life is so smooth.
In contrast, Adam was only pressed to the ground and rubbed.
Even his only commendable place, the doctor, is not popular in the eyes of others.
Who made him a doctor in a public hospital.
Who wants to go to a public hospital, but if they have a choice?
Because of the shortage of medical resources, the bed is always in a state of emergency, and every day there is a headache to send those patients out of the hospital.
The facilities are old, the wards are chaotic, and the conditions are constant.
On this to see the doctor, nothing more than the map has medical insurance, free.
Before advancing into the operating room, ask clearly:
Once, Adam's boss, Dr. Lockhart, introduced him to a day shift at the private hospital where he was sitting.
Adam opened his eyes.
Luxurious five-star hotel-like decoration, state-of-the-art equipment and the most attentive service.
Because of the high cost, there are very few patients.
For the first time since Adam was a doctor, he was so idle... Idle enough to do indescribable things with the waiter.
For such work, Adam could take a thousand pounds a day.
Who wouldn't want that?
So when doctors survive the most painful years in public hospitals, then they can go to private hospitals to "enjoy happiness".
The mothers who come here to give birth are mostly from the wealthy class and do not trust the British state's free public health care.
"I'm not the kind of person who can be born anywhere."
Ironically.
In the event of an emergency.
This luxurious private maternity hospital has no access to rescue drugs, blood and professionals.
In the end, the patient was transferred to a public hospital that he hated:
Again is the patient who has been transferred from the Holy Hopeless
One day they will kill people know
It's a shame that we don't know the patient's real money
Where the hell did it go
But what about public hospitals that can really save lives?
Whether it is the ward, the funds, the doctors, they are all stretched.
Every day is like a war, there is an endless fire, and negative emotions continue to accumulate until they erupt.
Doctors, patients, each in pain in a flawed system.
Like Adam's complaint at the hearing.
In the United States, every three weeks a doctor commits suicide overwhelmed.
But who really cares about their situation?
In the shadow of the epidemic in these two years.
The hardships and pressures of medical staff have been exposed to the public eye.
But dramatically.
In the praise of the eyes, they were given another mythological imagination.
Has everything really changed?
04
Pain is inevitable, forever.
It is precisely because of this that the gaps in pain, those occasional healing moments, are so precious.
A couple who have repeatedly failed to do IVF cry in front of Shuti.
Listen to the urging and noise of patients outside the door.
Tired and irritable, Shuti told them the cruel truth bluntly: there was no hope of getting pregnant.
I thought the couple would get angry.
The sad wife, however, thanked Shuti:
"Thank you doctor, thank you for being able to tell me the truth"
An elderly immigrant who came alone for medical treatment, could not speak English, and the hospital could not understand his illness.
Only Shuti, who is also an immigrant, can communicate with him.
After acting as an interpreter, the old man behind her suddenly stopped her and smiled at her.
"Thank you
This hospital is really lucky to have you."
"Pain Is Inevitable" is actually not just the pain and healing of doctors.
It is only in the hospital where the moment of life and death is staged at an extremely high speed, and the pain appears in the form of illness, the disturbances of life are condensed into a stage play under the shadowless lamp.
In Adam's upbringing, because of his mother's strictness and harshness, he developed a very unfriendly character.
He is like a hedgehog with spikes against everything, wrapping himself around himself, and others will be stabbed as soon as they approach.
When he encounters pain at work, even in the face of the boyfriend who has always loved him and cared for him, it is difficult for him to open his heart and take the initiative to seek help.
It wasn't until he was in the hospital that he met a patient.
An old lady with terminal gynecological cancer, living alone in the hospital, never had family and friends to come to see her.
She has a strange temper, is mean to others, and has a poisonous tongue to meet Adam.
The old lady, whom other doctors avoided, became Adam's most concerned person in the hospital.
How much she resembles herself.
On the day the old lady died suddenly.
Adam, accustomed to seeing the death of the sick, cried for the first time.
After experiencing a series of pains such as the death of the old lady, Shuti's depression and suicide, breaking up with her boyfriend, and a crisis at work.
What is quietly changing in Adam's heart.
Seeing her boyfriend who has been separated for several months, the other party casually asks about his recent situation.
For the first time, Adam threw away his armor in front of him and began to cry wildly.
If the pain and shadow in reality are inevitable.
In a vain attempt to hide pain and escape the shadow, can it be regarded as if the disease does not exist?
Perhaps, life is only a long time to seek medical treatment.
The pain is perpetual, and we are always looking for an occasional cure.
Lockhart once called Adam into his office.
Every time a child was delivered, he asked his mother for a photo as a souvenir, and now his office is plastered with a wall full of pictures of babies.
As an obstetrician-gynecologist who has to face severe pain and new births every day.
He explains the pain this way:
"There's a lot of bad things about this job
So, it's better to remember those good moments."
The picture in this article comes from the network
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