[問題] 從什麼時候開始想"我的主治醫師生涯"?
身為一個大大Center的小小住院醫師
面對醫療環境的現況
我覺得我是渾然不知的
(就像是如果連值沒離開醫院,連外面天氣冷熱晴雨都不知道)
當完成住院醫師訓練
踏出這間醫院之後
我不確定我看到的病人種類有什麼不同
(號稱這就是為什麼要PGY的理由)
這種狀態就像是
醫學院七年念完
小的學藝不精
連個感冒也不會看
看到頭痛,發燒,想吐的感冒症狀
都是急急忙忙先想"先把腦膜炎排除再說"
可是排除完之後
除了知道病人不緊急
卻不知道有什麼方式可以讓病人早點痊癒
但是在center裡面
不是cancer就還是cancer與infection
可是這佔了每個症狀的比例究竟是多還是少
從學生,實習醫師,住院醫師,總醫師一路走來
都是為了要變成一個主治醫師正式獨當一面作準備
然而
等到變成可以獨當一面的醫師之後
到底我們會面臨的醫療現況
是不是都是我們能恰如其分處理的?
哪些東西叫作是基本?
從來沒講過
而且也一直是跟社會脫節的
就拿感冒來講
到底感冒該喝熱的或冰的,證據在哪?
到底是該止咳還是要讓它盡量咳?
到底燒了幾個小時或多高才叫做不正常?
維他命C如果對感冒好,要吃到多大量,等於吃哪些東西多少分量?
一堆民眾可能會問的問題
但是我卻沒把握可以都講得很好
但是民眾可能會因為你穿著白袍
用一種泰然自若的神情講著
所以就都相信了
而我也只能告訴我自己
"大部分的時候這些東西對恢復真的也不是決定性的重要,所以沒差"
講到這邊只是想問大家
不管你是不是已經獨當一面
或者你是醫學生,住院醫師,總醫師等
什麼時候你可能才會發現
拋開你的各科聖經之外可能還有很多所謂的"常識"得準備
又是怎麼準備起?
以下不開放"船到橋頭自然直"的想法
--
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◆ From: 140.116.253.37
※ 編輯: kontsuki 來自: 140.116.253.37 (06/28 22:45)
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※ milkitty:轉錄至看板 YP85-312 06/29 20:27
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