This article was written by Shi Huanzhong
Study in medicine is a profession with a very low pain threshold.
Death is not a joyous event in any age or country. Fear of death is the eternal theme of human beings and the strongest fear emotion of human beings.
Think about it, a living person is pushed into the belly of the stove shortly after the heartbeat and breathing stops, and it only takes an hour to turn into a pile of ashes, who can’t be afraid ?
There is a grotesque phenomenon that makes one’s heart skip a beat and can only be understood and unspeakable, and that is the widespread presence of “doctors in any specialty, and I am especially worried that I will suffer from this specialty. related malignant diseases”. This unfounded concern may be related to the excessive exposure and subtle influence of daily work. The reality shows that such concerns have never been supported by evidence, but doctors are especially afraid.
For example, a pulmonologist is more likely to worry about lung cancer than a tumor in the digestive tract; similarly, a gastroenterologist is more likely to worry about colon cancer than kidney cancer. much stronger.
It is human nature to be lazy. Due to the ease of excretion over the years, I have never left a specimen to test the routine of bowel and bladder during the physical examination over the years. First of all, this is a wrong approach, and there is no reason for anyone to be lazy. Secondly, the normal state of the urinary system and digestive system can be reflected from the results of other physical examination items.
Again, the reasons for being lazy include professional insensitivity. Anyone who goes to a middle-aged pulmonologist for a physical exam, I absolutely don’t believe anyone would fail a chest X-ray or low-dose CT. Very few people miss the physical examination in a certain year due to their focus on work, but this item is indispensable as long as the physical examination is required.
Approaching the end of the annual medical examination for the staff of the hospital, I asked a few colleagues in the department during the chat: Are you particularly nervous when doing CT? Worried about chilling ground glass shadows in the lung fields? Never panic when checking other items including colonoscopy, right? Almost all of my colleagues answered the above three questions with brisk and knowing smiles piercing the screen, and all gave an affirmative answer of “yes”.
Only one sister-in-law showed fearlessness and said she was not afraid; I asked why she was not afraid, and the answer was that she had a physical examination every year, last year her CT was normal, and even if she had ground glass nodules this year, it was an early stage; Just do it, what are you afraid of?
What my sister-in-law said was scientific truth, and there was really no reason to be unfounded. The most serious consequence was a story about a small hole in the thoracic surgery.
The problem is that there are hardly any outpatient visits or ward rounds without seeing a variety of ground glass, small nodules, massive shadows, atelectasis, enlarged hilar shadows, S sign , blunt costophrenic angle, mediastinal fixation, cauliflower under bronchoscopy, bronchial lumen compression and stenosis…
Looking too much, no matter how strong-willed respiratory doctors are, there will be times when they will break down. Because of the scourge of occupational diseases, I believe that many pulmonologists will touch their supraclavicular fossa while taking a bath, first left and then right.
Respiratory doctors must do low-dose CT for physical examination. When lying on the examination bed, the buttocks generally “shake side by side”, and the first thing after jumping out of bed (usually after dressing before the jacket) is a stride to the computer to look at each scan tomography.
After confirming that my lungs are cloudless and blue sky, I feel that my life is easy and worry-free. In addition, there will be a series of good things in a series of good things: since the CT is normal, then all the other physical examination items must be normal, and it doesn’t matter if they are checked or not.
The biggest sadness is that when doctors comfort their patients, they are all masters of articulation. Once it is their turn to spread a bit of frosted glass, they have never seen anyone who is not stupid.
strong>Most of the mental states collapsed in a very short period of time. From this aspect, it is easier for non-medical personnel to avoid and escape, while it is almost impossible for medical practitioners to be confused.
The truth is, who in the world is not afraid of death? Respiratory doctors are also afraid.
June 4, 2020