【Introduction of Famous Doctors】Li Qiuyan (left), chief physician of Xiyuan Hospital of China Academy of Chinese Medical Sciences, studied under Professor Weng Weiliang, a master of traditional Chinese medicine, and Professor Shi Dazhuo, a scholar of Qihuang, as the inheritor of the national famous old Chinese medicine of the State Administration of Traditional Chinese Medicine, he is good at the combination of traditional Chinese medicine and western medicine for diseases of the endocrine system.
In the minds of students, she is both a strict teacher and a friend who has forgotten her years; in the eyes of colleagues, she is not only a professional and capable business expert, but also a secretary who is proficient in managing walking "with the wind"; in the minds of patients, she is not only a skilled doctor, but also a relative who puts herself in the patient's shoes and has a temperature. She is Li Qiuyan, chief physician of Xiyuan Hospital of China Academy of Chinese Medical Sciences.
In addition to the combination of traditional Chinese medicine and western medicine in the treatment of endocrine system diseases, Li Qiuyan's (second from the right) research direction emphasizes comprehensiveness.
Become a "white coat" and make your childhood dream come true
"When I was a child, whenever I talked about ideals, many people hoped to become a scientist when they grew up. In my eyes, there has always been a mysterious, intimate, and needed image, that is, the white coat doctor next to us. "When Li Qiuyan was a child living in the hutongs of Miyun in Beijing, there was a relative who practiced medicine at home, and whenever someone in the family was sick or uncomfortable, she always had various ways to help everyone, and when necessary, she would help everyone get injections or prescribe some pills... Since then, the dream of becoming a doctor when she grows up has been rooted in Li Qiuyan's heart.
Li Qiuyan, who always had the dream of practicing medicine, continued to work hard and was finally admitted to Beijing University of Traditional Chinese Medicine. As the first student in her hometown to be admitted to the Department of Traditional Chinese Medicine of Beijing College of Traditional Chinese Medicine, she became the pride of the whole family and attracted the attention of the villagers. Traditional Chinese medicine needs to be studied for 6 consecutive years in college, compared with 4 years in ordinary universities, Li Qiuyan's road to study is particularly long, and she is often mistaken by villagers as "repeating grades".
After graduating from the bachelor's degree, Li Qiuyan studied for a master's degree and a doctorate degree. As a populous country in the world, the mainland has a huge number of patients with endocrine system and nutritional metabolic diseases, and seeing that patients with related diseases have been tormented by illness for a long time, she chose the endocrinology major at the beginning of her work without hesitation, hoping to help more patients recover their health through their own efforts.
In addition to the combination of traditional Chinese medicine and Western medicine in the treatment of endocrine system diseases, Li Qiuyan's research direction emphasizes comprehensiveness. Li Qiuyan said that Chinese medicine pays attention to individualized dialectics, holistic treatment, and comprehensive maintenance, and many TCM doctors only focus on their research directions. "Clinically, many patients have diseases that are not only physically unwell, but also have psychological and spiritual effects. The holistic view of TCM can bring substantial help to patients. The embodiment, severity and means of treating the same disease in different patients are all changed, that is, the so-called 'same disease and different treatment'. ”
When talking about many people's concept of "Western medicine cures emergencies, Chinese medicine cures chronic diseases", Li Qiuyan put forward her own views. "Chinese medicine believes that urgent treatment is the symptom, and slow is the root cause. When the body's resistance is low and the virus catches a cold, Chinese medicine will focus on dispelling evil spirits in treatment and slightly correct it. In daily life, through the conditioning methods of traditional Chinese medicine, the role of curing the root cause can be achieved by enhancing the body's resistance and other ways. "Whether it is Chinese medicine or Western medicine, it has its own unique advantages in the treatment of diseases, and the two should take each other's essence to remove their dross."
Today, Li Qiuyan is not only the chief physician and deputy secretary of the party committee, but also brings more than 10 students such as masters, doctors and postdocs. In her opinion, whether it is clinical, scientific research, teaching or management, these are all mutually exclusive. "In the clinic, we will accumulate a lot of vivid cases, which is very helpful for teaching; in the process of taking students, we can gradually form our own academic views; in the teaching process, we can absorb some new knowledge; in management, if there is no good medical education, there is no experience in clinical exploration, and it is also a bad hospital management."
In the face of older patients, Li Qiuyan will hold their hands and carefully advise them over and over again.
The doctor did not prescribe medicine and was refunded the registration fee
Diabetic patients are a common group of people in Li Qiuyan's daily outpatient clinics, and in the treatment of diabetes, the drugs and means of Western medicine are relatively mature. In the prediabetes, when patients find blood glucose abnormalities, but they have not yet reached the diabetes indicators, traditional Chinese medicine, tea substitutes, lifestyle interventions and guidance can help people effectively slow down the process of diabetes.
Thyroid disease patients are also a more common group of outpatients, and the rising incidence of thyroid disease is related to a variety of factors, including radiation, diet, stress, etc. Li Qiuyan believes that thyroid diseases should be timely intervention and treatment, there is no need to panic excessively, taking thyroid nodules as an example, the increase in detection rate is largely due to the improvement of the level of physical examination, if you can not rest assured, you can ask the doctor to give the patient a reassuring pill.
"Many people like to compare their own test results on the Internet, in fact, many diseases are not what patients can judge, but should be based on the diagnosis of professional doctors." Li Qiuyan pointed out that taking the blood drawing results as an example, some of the indicators have many meanings, and some indicators do not require drug intervention even if they show an increase; some indicators need to be paid enough attention even if they are small gaps.
Many years ago, Li Qiuyan once met a male patient of about thirty years old in the outpatient clinic, who reported a series of physical discomforts such as insomnia, and in the process of asking about the medical history, Li Qiuyan learned that the patient was often on night shift and had an irregular diet. After "looking and asking", Li Qiuyan sincerely informed the patient that he did not need to carry out drug intervention, as long as the lifestyle adjustment was ok. What I did not expect was that because the drug was not prescribed, the patient thought that Li Qiuyan did not treat it seriously, and used this as an excuse to refund the registration fee.
"Many patients have such a misunderstanding, thinking that going to the hospital to see a doctor, the doctor must prescribe medicine after the end of the consultation, the disease is worth it." In fact, this concept is very incorrect, it is a three-point poison of medicine, and Chinese medicine is no exception. Many chinese medicines have the effect of treating diseases, but also accompanied by some side effects, can not be taken at will, after the end of the consultation, find that they do not need to carry out drug intervention, which is a good thing. Li Qiuyan reminded.
In Li Qiuyan's outpatient clinic, she often talks to patients about some small examples of "not calm" that have happened to her. "Some insomnia, anxiety and depression patients listened to my story, felt empathy, and were able to be relieved." As a doctor, Li Qiuyan believes that it is very important to have benevolence, and in the face of patients, it is necessary to have empathy, empathy with him, and empathy. Only by putting oneself in the patient's shoes can the doctor's medical skills be continuously strengthened.
Facing countless patients every day and advising her to pay attention to them back and forth, Li Qiuyan has never been anxious and impatient. In the face of older patients, she treats them like her own parents, holding their hands and carefully instructing them over and over again. A patient once sighed from the bottom of his heart: "I must come to your clinic once a week, even if it is to look at you and say a few words, it is the greatest comfort to my body and mind." "This dependence and trust is the greatest praise for doctors."
【Medical Sound】
I am worthy of this profession and my family. My efforts, efforts and achievements, this positive energy is driven by a subtle process. Usually, they may neglect to take care of their families, but when they see my dedication to patients and their own efforts, they will also hope to become a person with ideals and roles in society. ——Li Qiuyan
Beijing News reporter Zhang Zhaohui provided a picture of the interviewee
Proofreading Liu Baoqing