There is a saying that goes like this: "Golden eye, silver surgery, exhausting and tired obstetrics and gynecology, greasy and crooked internal medicine, not worth a penny in pediatrics, and do not go to the emergency department when you die." It can be seen that pediatrics and emergency departments have become synonymous with the hardships and dilemmas in hospitals, and the smell has changed. But to say that pediatrics and emergency departments are the two most tired departments in the hospital, where should the cardiology department with the most patient numbers go?
So, what is the ranking of the most bitter and tired departments in the hospital? This article gives a ranking from the network, unofficial opinion, for reference only.
Seventh place: Psychiatry
Reasons for selection: Patients with unstable conditions are often personally attacked, and the occupational risk is high.
Don't write your medical records with your back to the door in an inpatient ward, because a doctor once did this when a patient "sneaked" from behind with a chair. Although with the improvement of the relevant systems of hospitals and the improvement of the concept and ability of medical staff to deal with emergencies, such personal injuries have become rare, but they cannot be completely avoided. A doctor once met a retired female judo athlete who became ill because she suspected her husband of cheating, and once suddenly took another female patient as a junior and had a seizure, and seven or eight people restrained her.
Sixth place: Anesthesiology
Reasons for selection: Surgical expansion is too fast, operating room staffing can not keep up, overload work.
The tiredness of the anesthesiologist is bitter, the success of a surgery not only tests the skills of the surgeon, the left and right of the anesthesiologist are also very important, but in the surgical operation, the anesthesiologist always becomes an obscure "supporting role".
When surgery, anesthesiologists have to stay from beginning to end, and the hospital has cardiothoracic surgery, neurosurgery, general surgery, orthopedic surgery, etc., but there is only one anesthesiology department, so which department needs to do surgery, which department has their presence. This is also why the news reports that the sudden death of doctors is mostly anesthesiologists.
Fifth place: Obstetrics and Gynecology
Reasons for selection: People are more tired, and things outside of surgery are more complicated. It is not just a life, but an entire family.
There is a saying in obstetrics and gynecology: a woman should be a man's messenger, and a man should be a beast. In obstetrics and gynecology, it is also common to stay overnight, with one less bed and a doctor always missing a few.
When an obstetrician spends too much energy on how to use his brain to persuade patients and their families to accept the treatment plan, the end is also very challenging for the heart: one second is eager to kill you, and the next second suddenly kneels in front of you. The most relaxed moment for an obstetrician is to operate in the operating room.
Obstetrics and gynecology are faced with pregnant women every day, all of which are more than two lives, and the psychological pressure is huge.
Fourth place: Emergency Department
Reasons for selection: Never know what the next patient is, catch up with the crowd and have to stay up all night every night, and young doctors often break 20 days a month! It is also the department that is most likely to cause medical disputes.
Although the emergency department looks idle and writes relatively few cases, emergencies are always only unexpected and not seen. Car accidents, drowning, electric shocks, and even patients who fall into the toilet and suffocate also need to be rescued by the emergency department. The emergency department is always in a state of readiness and does not stop for a moment.
Most importantly, patients and their families are often emotional when they visit the emergency department, which can easily lead to medical trouble. The emergency department is in the "first line of defense" of medical troubles.
3rd place: Cardiology
Reasons for selection: many sick numbers, high work intensity, heavy atmosphere, radiation hazards.
The cardiology emergency department claims to be the most in the hospital, and it is always a luxury to sleep a full night in the cardiology department, even if you sleep all day the next day.
If you do interventional treatment, wear a lead suit and eat radiation, women will grow old fast. The flower-like girl went in, and the mother-in-law withered face came out, not to mention the impact on fertility.
Most of the cardiology patients are critically ill patients, and they die in minutes to show you, which can easily cause medical disputes and heart fatigue.
Second place: Pediatrics
Reasons for selection: Children sometimes cannot take the initiative to tell you the condition, it is difficult to judge; children are difficult to control, parents' emotions are easy to lose control, resulting in high work intensity of pediatricians and special mental pressure.
Let's put it this way, the hardships and helplessness of pediatrics are condensed in this little story:
"Doctor, the child has a fever of 39 degrees"
"Burn so high first a spanking needle to reduce fever "
"No, spanking hurts too much"
"Is there an oral antipyretic drug, drink it first"
"No, she doesn't drink medicine, or she will come to the hospital."
"Then check a blood picture to see, listen to the lungs no problem, the throat does not need to be red, the mental state is also very good, a little nasal congestion, no other symptoms, is a cold "
"Just have a fever, don't look it up"
"Then go home, feed warm boiled water below 38.5 degrees warm water rub bath to cool down, do not cover too much, feed oral fever drugs above 38.5 degrees, and continue to have a high fever without returning to see a doctor again."
"Burn so high, you let us go home, what is the child's responsibility for ah"
"Then hit the hanging bottle, use some anti-fever medicine, burn such a high rehydration solution"
"It's a cold, let's get injections, and then say that the child is too small to shoot and can't play"
"So what do you say?"
"How do you talk about it, you're a doctor, I'm a doctor, ask me what to do"
"This does not agree, that does not cooperate, can not treat you ah."
"Spending money is to buy your service, what attitude do you have, will you see a doctor, will not look at the number to return to me"
Pediatrics has long been reduced to the worst department, many practitioners are reluctant to choose pediatrics, and now the domestic pediatrician shortage is huge, it is an indisputable fact, pediatricians are called bitter and poor, and there are hospitals that have not been recruited for three years. According to the data, as of 2013, there were more than 220 million children aged 0 to 14 in mainland China, and only 118,000 pediatric practicing assistant physicians, about 0.53 pediatric practicing assistant physicians per 1,000 children. There is a shortage of at least 200,000 paediatricians on the mainland.
Top of the list: Laboratory
Reason for selection: The examiner is a group that cannot be illuminated by the spotlight, they are the minesweepers of the new crown virus, the nucleic acid specimen is still in danger after leaving the body, the aerosol produced by the isolated patient's serum is frightening, and each timely and accurate test report is the battle mark of their frontline.
"White + black", "5 + 2" is the working time of the tester, wearing thick protective clothing, in the ultra-negative pressure state, high-intensity work, has become the norm for every nucleic acid tester. In the biological safety cabinet, when the nucleic acid extraction is carried out, it is necessary to pick up the sampling tube again and again for screwing and adding samples, and the same action is repeated thousands of times a day, often tired of back pain, stiff fingers, and some nucleic acid testers are even more likely to get tenosynovitis.
Source: Xinhua News Agency
Busy is the label of the laboratory department, they can't catch up with the fragrant meals, hot noodles, but they will definitely catch up with the fresh stool specimens, because they are busy to test these specimens at the first time, the taste is very high.
Due to the large workload, it is normal for the inspector to have several positions, and all kinds of skills must be known, one-handed pulling of the lid, two-handed operation of dozens of instruments, clinical examination, biochemistry, immunity, microorganisms, blood transfusion, fever diagnosis, nucleic acid testing... Testing people is like a brick, moving wherever it is needed. Sometimes machines also "lose their temper", and once the machine failure causes the test report to be issued on time, they will be blamed and insulted by the patient for no reason.
The machines in the laboratory department ring day and night, and the clinical phone calls are urged over and over again! There are many inspection reports that cannot be written, and the pens of the laboratory department are always insufficient! Some people show off their wealth and drive incense cars, some people show off their wealth and live in luxury houses, and some people show off their wealth all by pen! No! Except for the pen! There was also a box of from the inpatient department and a basket of pus and sputum from the respiratory department!
Are the morning specimens all done? Is my arm sore? Low back pain? Tired? Sore, sore, tired is right! Have you finished your report?! Today is another day of hard work! Come on, test people!
Only by entering this line, can you truly appreciate the doctor's difficulty, in fact, which department is hard, there is no most tired, only more tired.
Here, for every medical worker who pays seriously, I would like to say that I have worked hard and praise you!
【References】
Zhang Guohua. In the past two years, the front-line testers are too tired, can they be better?
Source: Inspection Starry Sky
Editor: Ren Mileage Reviewer: Xiao Ran