Solving the Doctor-patient dilemma: Relying on the system without understanding

Hospital letter, Hope, love I met a man I thought was going to die in the O.R., and all the people thought he was dying. But the doctors and nurses knew that they could not do it. The man was rescued after more than 10 hours of rescue. Even the doctor said with a sweat, "he's lucky!"　　"So I hope that the patient's family, more grateful to the doctor, less censure, to know that the gods bless again, the doctor gave up treatment, the pipe a pull, nothing." In the hospital to stay this section, let me very clearly realize that no matter what attitude of your sick family, doctors and nurses wronged, the heart is Steelyard, not because the family does not understand, entanglement, noisy and give up a life. The Bible says that there are three things in this world that are most important to humans, FAITH (letter), HOPE (Hope), Love (AI).　　I think the best interpretation of the three words I can see is the hospital. I used to see a doctor in the operating room. A stitch in the meninges, this is a near-lost craft, because time-consuming and laborious, most people use artificial meningeal paste patch finished. I asked him why you did such a job! He answered me: "I practise craft, art does not press body."　　"Later, I know that the patient from Fojian rural, annual income can not afford this operation, a meninges to 800 yuan, he used his time and craft, for his province." He did such a good deed, and the patient lying in the hospital bed would never know that the news media would not report his kindness. If it happens not to be my side, and many words to ask, such things will be annihilated.　　I know he also take a red envelope, also take kickbacks, also recommend the most expensive medicine to the rich, but at the same time, he and his colleagues, every month in order to pay for the people who can not afford to escape the fund. If we have a perfect health insurance system, drug fair competition into the market, by the patient's own choice, the doctor only prescription rights and no marketing rights, the state to improve the treatment of doctors and professional skills of treatment, and the drug because the channel unimpeded price, the health insurance Bureau is not only allocated a fixed amount of hospital, the balance of the hospital itself to solve　　Then, we may be able to get out of the direct confrontation between doctors and patients, we will not put the original system of problems, directly to the integrity between people.　　Attitude decides doctor-patient contradiction?　　I met a very interesting doctor at the hospital, and at one point I turned my whole judgment on the doctor. He is the director of the Dean's office in the hospital dealing with the doctor-patient dispute, and he himself is a doctor.　　He told me that the novel you wrote was floating on the surface: I tell you the truth: 60% of the Doctor-patient dispute, the responsibility is in the hospital.　　This sentence is very shocking to me! He said, what does the patient come to the hospital for? Doctor.　　Who has nothing to do with full food, to the hospital to fight a fight to get some money flowers? Patients come to make trouble, because medical treatment is not smooth, that is, there are problems. What kind of questions? I think it's a matter of attitude. Sometimes the doctor's sense of responsibility is not enough, omissions, sometimes bad attitude, interpretation is not in place;The patient's expectations were too high to be met at last.　　All this is a doctor's problem. ' When you walk through hospitals, most doctors may experience complaints in their careers, ' he says, ' but there are a few complaints. I always think that this is the black sheep, is that these people have broken the quality of the medical team. They have no sense of responsibility, no compassion, no compassion, a patient as a machine and an operator. Their mantra is that factory products have 2% of defective rate, we doctors see 100 patients a day, how can not be wrong two or three times? Have this attitude put here, he does not deserve to be a doctor, this and you pay high and low, fair and unfair have no relation.　　You increase the pain of the patient, you lengthen the treatment process, you spend more money on the patient, you are bad. He said, I work all life, outpatient clinic one day more than 80, each patient a minute or two. My surgery also had success and failure, but none of the patients complained about me. Because I hearts with my heart. What's the difficulty in laughing at a patient when he enters the door? What's the difficulty of adding a word to your tone of voice?　　The people who come to see the doctor, you when they are your parents, your brothers and sisters, your children, you will call down to condescending? He says most patients are reasonable. Your work is in place, and most of them can understand it.　　What they want is an equal treatment, a breath of contention. His story was validated by my experience as an undercover doctor in the hospital. For a person who has no medical background at all, I am extremely surprised that I have played a role that even the doctors cannot. The sick are Touyi, they just see a nice face in a white coat, a photograph and a brand name, and they talk like a straw.　　My doctor friends, after they had finished their work, transferred such a part of the patient to me, and my function was to lend my ears and my compassion, plus my tenderness and soft language. I took a good part of the time to listen to them say the origin of disease, family disputes, the boss of Cruelty, the future of worry, and even the number of mortgages did not yet wait, hear the emotional place, I will put forward my views and even give a hug.　　After I left the hospital for several months, there are patients with people asking about the "Doctor Zhang, people are very good."　　So I tried to tell the doctor friends, if you change a soft tone, more than a word of love, the patient and the family, all hate you. Re-establish a virtuous circle, must have one side, first reach out the hand.　　In contrast, it may be simpler for doctors.　　This is why I write "mind", I hope it can open a door for both sides, frame a bridge, from mutual suspicion and hostility, to mutual exchange of understanding, as far as possible to trust the world, we can increase the sense of security, happiness. Solve the Doctor-patient problem: Do not rely on understanding, rely on the system author: Southern Weekend reporter Chai from Shanghai I have been exposed to a number of bizarre medical disputes aggrieved, for such patients, I think extravagant talk about "understanding" is almost a joke. I thinkThe only way to heal their pain is through the law to make them a justice, if the law is unfair, then the law must be changed. I think it is important to establish a mechanism for the benefit of good doctors and for the elimination of bad doctors.　　But unfortunately, in reality, in the "open a single commission", "drug rebate" and other adverse mechanisms, I saw that the good doctor was eliminated, the bad doctor instead profit. One July 26 evening, I and the writer 661 to participate in Shanghai television station A conversation class program, the topic is the doctor-patient relations.　　On the day of the show, I read the electronic version of mind and 66 articles for the Southern weekend, then sent a message to the host: "I am completely different from my 66 position and I hope you are prepared." The program was very difficult. It is often 66 to express an opinion, and I oppose it.　　The moderator tried to pull the topic back to the "harmony" track ... 66 on the scene to answer my question, is that she went to the hospital "undercover", was approved by the hospital leadership (but she said most doctors do not know, I doubt). And, according to what she said in her article, she was friends with the Dean of the hospital.　　It is hard to imagine a doctor's position in such a way as to go undercover. After a "undercover", from no medical experience of the 66 said she has been able to read the film, divided clear whether the tumor is benign or malignant.　　Later, the doctor no longer carry her, "in front of my face to tell a dirty joke." In the moderator and 66, the doctor-patient conflict seems to be an attitude problem, the two sides communication is not in place, causing misunderstanding, and then intensified contradictions. In 66 words, it is "hope that it can open a door for (doctor) both sides, a bridge, from mutual suspicion and hostility, to mutual exchange understanding." "In my opinion, this is obviously an extravagant hope."　　The problem of doctor-patient contradiction is more than "attitude". China's medical disputes are as many as 1 million a year, and 70% are "taking a direct confrontation with the hospital" approach. So many medical disputes, such a serious conflict, obviously not because the doctors and patients "understanding" not enough to cause, or even because of what "doctor expensive, difficult to see a doctor" caused.　　I have many years of experience in medical reporting recognized that many medical disputes behind, in fact, hide a lot of crime problems, and these evils, and can not be solved in the legal system, so it became a human tragedy, so that both doctors and patients become victims. In the second program, I gave the example of Wang Wanlin, a doctor who died in a medical dispute 10 years ago: Wang Wanlin was killed by his patient leukemia Peng, Peng sentenced to death, and Wang Wanlin was awarded the title "Good Doctor of the People" by the local health department. However, it has been noted that at that time, the practice of practicing physician law had been implemented, Wang Wanlin did not practise medical certificate, supposedly can not practise medicine; the revised Drug Administration Law also came into effect, and the "rapid blood-clotting agent" he used for patients was not registered, which was counterfeit; The Medical Malpractice Ordinance has also been implemented,　　The medical device he invented to treat leukemia is actually an illegal product. Before Peng, many leukemia patients hadThe health Department reported it, but neither of them had any claim that they died in succession. Counterfeit drugs, false instruments, fake surgery, no medical certificate, Peng killed, it is such a person.　　In the face of such a doctor, how do you make the patient "understand"? But I do not want to point the finger at Wang Wanlin, just as I do not want to blame the doctor for the conflict. What I want to ask is, who told Wang Wanlin to practise illegally in broad daylight? And how does such a doctor become a "good doctor of the People"?　　If someone could correct his practice and investigate his wrongful acts, would it not lead to such an end? Wang Wanlin Of course is a case. But the phenomenon of "illegal medical practice" is by no means merely individual. Last year, the female professor of Peking University Hospital Chongzho as a death case, let us know how many of the country has not graduated medical students in the absence of superior medical supervision and guidance of independent practice, and how serious consequences.　　And even the Chongzho as the party responsible for the case, has not been prosecuted by any law. I've been exposed to a number of bizarre medical disputes. Aggrieved: Among them, there are diabetics who died of glucose transfusion, and there were six consecutive craniotomy to become vegetative, because they wanted to find out that the disease died in the examination; These people are trying to solve the problem through legal channels, but they are required to do medical malpractice identification, and the identification of the experts do not need to bear any responsibility, and finally their lawsuit mostly lost.　　A patient who has been petitioning for a long time carries a knife and is ready to commit suicide at the health service or court. Can this be explained by an "attitude" question? For such patients, I think it is almost a joke to talk about "understanding". I think the only way to heal their pain is to pass the law and make them a justice, if the law is unfair, then the law must be changed.　　The tort liability law, which came into force July 1 this year, incorporates the "medical damage" as a special section, and the "Medical Malpractice Treatment Ordinance" withdrew from the lawsuit, which I think is a great step forward. If we have to say "attitude", I think the first is the attitude of the medical side, "the medical side" is not only a doctor, but also the Dean, are they really thinking about the red envelopes or half open? For the Ministry of Health expressly prohibited "open a single commission" is strictly implemented or responded? Is the black sheep of the doctor resolutely removed or deliberately indulged?　　This attitude is really important. 66 There is a point of view: The vast majority of doctors are good, the bad is only a very few. This is universal, and no one can oppose it. But I think it is meaningless, I think the important thing is how to establish a mechanism for good doctors to benefit from the elimination of bad doctors. But unfortunately, I don't see it in reality. On the contrary, in the "open a single commission", "drug rebate" and other adverse mechanisms, I saw that the good doctor was eliminated, the bad doctor instead profit. such as Hu Weimin, Xiao Qiwei, Chen Xiaolan, Wang Sheyuan, and so on, which were reported by the media in previous years, are most difficult to escape this fate. Before the show, I deliberately checked the internet six years ago, the price of the two houses in Harbin, the price of expensive medical treatment, found that the original stand outThe Wang Xie of the truth is not known, but his chief, Yi Lingfan (according to media reports), who had forced him to falsify his medical records, had a certified medical certificate last year after 5 years of being disqualified from practicing medicine. Reading "Mind" a great harvest, is to correct my previous "doctor" stereotypes. The book mentions a detail: Section director Old Chen was "medical make" siege, a person was blocked in the office, colleagues are very worried, the results of a sentence to the deputy Dean everyone Peace of Mind: "Old Chen Black and white Road on no he can't do." He has his own way.　　Sure enough, Lao Chen managed to call for help, and soon, the underworld came up to 350 people, will be "medical noisy" surrounded. According to the general definition: "medical care" refers to the patients employed in medical disputes, together with the patient's family, through the "Set Hall", tracking, beating medical staff and other means to pressure the hospital to profit from the people. But seeing "mind", I know that the original medical treatment can also be used for hospitals.　　Moreover, because the use of "people on the underworld", the effect is far better than the suffering side of the "Doctor." I hope this is a fictional detail, otherwise I can't imagine the future of the doctor-patient relationship.