In recent years, there have been frequent cases of sudden death of doctors in China, and they tend to be younger. is a high-risk industry.
Doctors live shorter on average?
p>In 2021, a German lifespan study spanning more than 500 years created a large new dataset of more than 30,000 scholars, from the 16th century to the early 20th century. In the study, where academics working in the medical profession are singled out, the research shows that, whether in universities large or small, or in more advanced academies, The life expectancy of medical practitioners is consistently lower than that of academics in other professions. While the life expectancy of scholars in other majors began to climb after the 18th century, comrades who studied medicine were still dragging down their average life expectancy, for nearly a hundred years. . 
Source: Document ScreenshotIn fact, as early as 2019, the average life expectancy of Indian doctors released by the Indian Medical Association (IMA) showed that, The average life expectancy in India is 72 years, a difference of 13 years. anaesthesiologists have the highest rate of sudden deathorthopedics, cardiovascular medicine Then “death from overwork” means that in the non-physiological labor process, the normal working rules and living rules of the laborers are destroyed, Fatigue accumulates in the body and transfers to a state of overwork, resulting in blood pressure, arteriosclerosis, and fatal status. At this stage, especially under the epidemic, doctors are generally overworked. Before the epidemic in 2017, a retrospective study published in “Public Health” pointed out – Overwork is the silent killer of Chinese doctors, karoshi has become a serious problem in China, and doctors are also prone to sudden death. 
Source: Document Screenshot<1img class="content_title" height="300" layout="vresponsive" sizes="(min-width: 0 320px) src="https://mmbiz.qpic.cn/mmbiz_png/qLewz3HlQmETvQaw0ZBXVubZBohP2447Nu7DkrrGhf0fdDVvicmnde97CtfQukZWvvRmAUdZJStEoM8M466pvwA/640" width="600">(A).2013-2015 The age of the sudden death doctor. (B). Distribution of karoshi deaths by province in China from 2013 to 2015. (C). Distribution of consecutive working hours of sudden death doctors from 2013 to 2015. (D). Physician karoshi deaths by specialty from 2013 to 2015. The study summarizes the reported cases of overworked physician deaths between 2013 and 2015 and found that— before the sudden death occurred, more than half of the physicians had worked continuously8 ~12 h, 11 of them worked continuously for ≥ 24 h (Fig. 1C). Sudden death was most common in anesthesiology, accounting for 26.1% of all cases, followed by orthopedicsand Cardiovascular Medicine (Figure 1D). The study also found that from 2013 to 2015, Chinathe number of karoshi deaths among doctors increased. It has previously been reported that the leading medical cause of karoshi is heart attackand stress-induced stroke. However, these are not the only reasons why doctors die from overwork, low wages, a large shortage of medical practitioners, etc., have also been found to be the reasons for the disease in the group of doctors. Why are Chinese doctors so tired? The main reason is the lack of medical resources. China accounts for 22% of the world’s population, but China has only 2% of the world’s medical resources. In China, it is served by 1.2 doctors per 1,000 people on average, compared to 2.8 doctors per 1,000 people in developed countries. Anesthesiologists in developed countries typically manage500-1000cases per year, while in China, Each anesthesiologist needs to manage approximately 1500 cases per year. This may explain the finding above: Korean death occurs most often in anesthesiologists. The relationship between anesthesiologists’ brain states (eg, brain wasting, cerebral fatigue syndrome, and lethargy) and work intensity may also account for their increased risk of sudden death. Poor doctor-patient relationship, low wages of medical staff >Psychological stress and work stress is another reason for the increase in the rate of sudden death from overwork among doctors. According to the study, from 2003 to 2013, there were 101 serious medical violence incidents in China, resulting in the death of 24 doctors and nurses. Even today, Chinese medical staff still face the risk of injury from time to time at work, which will undoubtedly increase their psychological pressure for practitioners. A review of the literature on karoshi revealed that work stress increases catecholamines (epinephrine and norepinephrine) in humans. hormone) and cortisol, which are often responsible for atherosclerosis, but also increase cardiovascular disease and Risk of stroke. Psychosocial pressures from research and teaching, coupled with low wages,reduced medical school enrollment and fewer medical majors. This further exacerbates the scarcity of medical resources. On the other hand, doctors are usually negligent about their own health, which will lead to an increase in the prevalence of underlying diseases in the physician group. How many of the top ten “karoshi” red flags have you caught?
Japan’s “Korean Death” Prevention Association has warned the bodyTen red flags:
1, “General’s Belly” is early;
2. Hair loss, alopecia areata, premature alopecia;
3. Go to the bathroom frequently;
4, decreased sexual ability;
5, decreased memory;
6. The mental arithmetic ability is getting worse and worse;
7. Do things Often regret, irritable, irritable, pessimistic, difficult to control their emotions;
8, the ability to concentrate is getting worse and worse;
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9. Sleeping time is getting shorter and shorter, and waking up is also difficult to get rid of fatigue;
< p>10. Frequent headaches, tinnitus, dizziness, and no results from examination.
Any of the above two is a “yellow light” warning period, so don’t worry at this time. But change your habits. Those with the above three to five items are the “red light” forecast period, indicating that there are signs of excessive fatigue. Those with more than six items are two “red light” dangerous periods, which must be paid high attention and intervention.
(The author took a seat and won at least 4 items, and has already started to tremble in the 30-degree summer
Write at the endThe general overwork of the medical staff, This is both a medical problem and a social one. To solve this problem, public hospital reform is imminent. calling for attention“the problem of general overwork in medical care” has been going on for quite some time, but it is still unclear how long the road ahead is. To go, we never know. The author believes that relevant regulations should be formulated and implemented as soon as possible to ensure reasonable working hours for medical workers, so as to prevent and reduce the phenomenon of karoshi of medical workers. We should also continue to speak out and call on the public to give medical workers more understanding and trust in order to reduce the psychological and social pressure of medical workers.
First issue: Clove Medical Students
Source of title image: Tu Wo Creative
Image source in the text: related literature
References: [1] Stelter R, de la Croix D, Myrskyl M. Leaders and Laggards in Life Expectancy Among European Scholars From the Sixteenth to the Early Twentieth Century. Demography. 2021 Feb 1;58(1):111-135.[2] Shan HP, Yang XH, Zhan XL, Feng CC, Li YQ, Guo LL, Jin HM. Overwork is a silent killer of Chinese doctors: a review of Karoshi in China 2013-2015. Public Health. 2017 Jun;147:98-100. doi: 10.1016/j.puhe.2017.02.014.[3] Cheng Y, Park J, Kim Y, et al. The recognition of occupational diseases attributed to heavy workloads: experiences in Japan, Korea, and Taiwan[J]. International archives of occupational and environmental health, 2012, 85(7): 791-799.[4 ] Y. Cao. Doctors’ Karoshi into the pain of industry. China Hosp CEO, 2 (2015), pp. 52-54.[5] X. Zhang. The correlation studies between the anesthesiologist brain state and working intensity, in med ical college. Shandong University, Jinan (2015).[6] Y. Pan, X.H. Yang, J.P. He, Y.H. Gu, X.L. Zhan, H.F. Gu, et al. To be or not to be a doctor, that is the question: a review of serious incidents of violence against doctors in China from 2003–2013. J Public Health, 23 (2015), pp. 111-116.< span>（▲▼Slide up and down to view all content）