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Understanding society at the age of 14 - reading notes for you who want to be a doctor

2022-04-23 22:08:00 【InfoQ】

14 Understand society at the age of -《 To you who want to be a doctor 》 Reading notes

introduction

It's hard to avoid stopping when you see such a title , But even if I don't want to be a doctor, I still think it's a very rewarding book after reading it , For those who aspire to become doctors, this book is probably in “ Pour cold water ”, Because the life-saving profession is both an angel and a devil .

This book was also written by a famous doctor , It's true that the book was written by the doctor , But the writing is very different from the doctor's serious face .

But the Japanese gave the author a “ The hand of God ” The title is true, but it doesn't hold

resources

unfortunately 14 I can't find resources on the Internet , Even if we use special means to go outside the wall, the world still can't find resources , Finally spent. 200 Ocean bought all series and a complete set of physical books （ It's disgusting ）, So if readers have e-book resources, they are willing to ask for them for a fee hhhh.

Personal evaluation

Although I know nothing about the doctor industry, I was still attracted by the author's words when reading this book , Seeing that the author is the first case of gastroepiploic right artery bypass grafting in the world, I still admire .

Ordinary occupations can probably regard their professional achievements as encouragement and praise , The surgeon who may witness death every day is always fighting with death , This achievement of saving the world is just something they should do in their daily work , therefore “

What should be done

” There is no doubt that doctors are under the greatest pressure .

Modern people seem to have lost patience and responsibility, and become less and less responsible for their work , Personally engaged in IT Take the industry as an example, sometimes there are some small BUG It's harmless when the user doesn't find it , Perhaps there will be no money loss. At most, you can suffer a scolding and correct it in time , However, once a doctor makes a mistake, he will not only lose his job, but even ruin a family , Probably no industry needs more responsibility than doctors , Rich knowledge and imagination ,

Doctors are both gods and Demons

Finally, after reading this book, there is not only a little less dislike for doctors , More is a bit more respect for doctors .

Collection of good sentences

People have unlimited potential , Growth stops because people lose their initiative , There is no limit to the possibility of people .

Imagining the vision of success and strong desire is the premise that doctors will not make mistakes , It is also universal in everything

It is better to enjoy life fully than to fear death .

Your life is like taking the fastest train to the front of the front carriage , What's the scenery around you? You've never seen it ？ When life passes through the breath of death and full of vitality, the feeling is completely different .

Once you realize the shortness of life , The outlook on life will change
.

It's better to expect and expect and rejoice , The door of the unknown world is opening .

There are four kinds of people in the world ： The creator 、 Picky 、 vandals 、 Users , As long as they are not picky, they probably won't live in this world and have trouble .

Unfortunately, life is not equal , Although everyone has a life , But the length of everyone's life 、 The pain of death varies .

Harvest

If you have a physical book, you can see the corresponding text in the catalogue

How to develop ability

part , I believe anyone can gain something after reading it , If time is limited and you don't want to see the following content, you can also see the following summary , It is also where I think this book can bring me some value and in-depth thinking ：

Absolute confidence
： No one is born with absolute confidence , And no one can keep absolutely calm in life and death scenes , There can be no mistake in the tightrope profession of surgeon , You need to constantly prove yourself in experience and success “ I can do it ”, Countless rehearsals were successful before standing on the operating table , From believing that you can't make mistakes to affirming that you can't make mistakes is the process of maturity and absolute self-confidence .

Enterprising heart
： Set reasonable enterprising goals according to your position , People will not be content with the status quo and have no enterprising spirit . Even without mature skills and technology, make progress a little every day , It is also a process of small growth , Better than being content with the status quo .

Imagine success
： If the doctor doesn't imagine the scene from entering the operating room to leaving the hospital happily , Then become a qualified “ Athletes ”.

Try your best to succeed and try your best to fail
： If we put failure as the mother of success in the profession of doctor , This is no different from encouraging murderers to kill , As the author said, if not 4950 And only 50 An irreparable life , There is no difference between a doctor and an executioner , He will never achieve what he has achieved , Even so , Even if thousands of people are saved, every life that is not saved will cause endless psychological trauma and pain .

Example is the best education
： It is highly recognized that the author does not need to impart knowledge to his children's education , Just set a correct and worthy example for children , At the same time, I also think that the problem of many bear children is ultimately the problem of family education ,“ It doesn't matter ” and “ I can't control it ” This excuse is undeniable .

Embracing challenges is embracing opportunities
： If the author doesn't have the desire to become a surgeon, he may become a professor , The author arrived 40 I'm still looking for a new surgical plan in my twenties , Constantly looking for new possibilities , Throughout the present 35 It is undoubtedly worth reflecting on the age when people are about to retire and be cut off by society .

Learning by example and imitation is the best way to learn
： Just like this book , The author seems to have some heartfelt words and experience that can't be learned , The so-called experience 、 Anticipation and intuition are more important than knowledge .

Life is not equal
： The reality is that everyone's life length is different , So living in the present is the best blessing for yourself .

It can be thought that the doctor can predict the root cause of your disease without a specific description of your condition , This experience and intuition cannot be brought about by knowledge .

Every day will face death

Doctors are the profession that sees the most pictures of life and death , We should not only bear the pressure of external family members , At the same time, accept your own pressure , Every doctor should not lose his cool judgment at any time .

Unlike a funeral home facing death , Doctors face the process of life falling , Hiding the essence of life in the hospital , as 《 Alive 》 The essence of core living is to live , Life in the world, taste all the sweets, bitters, bitters, bitters and salty to be perfect .

The heart is a lovely organ

The heart is at the junction of our left chest rib and lung , Beat more than 100000 times a day without fatigue , The weight of the heart is 130 To 200 Gram or so .

The heart's task is to deliver oxygen to the organs , It is often called arterial blood , And the blood that consumes oxygen is venous blood .

The heart may gradually fail for the following reasons ： One is coronary artery occlusion , The other is a damaged heart valve , Both of these problems are prone to heart muscle weakness .

The heart has four chambers , Left atrium right atrium , Left and right ventricles , Blood flows from the left ventricle to the atrium and pulmonary artery through strong pressure to the whole body , Finally, it returns to the right atrium through the pulmonary vein , The right atrium is sent from the lungs to the right ventricle and flows back to the left atrium and left ventricle after receiving oxygen through the pulmonary artery , Then complete the next cycle .

Liberal arts students directly follow the excerpts from the book , If there is any mistake, please correct it .

In order to ensure that there is no countercurrent when refluxing , There will be valves in the heart to ensure that blood can only flow in one direction .

The heart works a bit like an engine , It just brings a completely different value .

What would I do instead ？ From the perspective of a third party, although I think I will be rational and emotional , However, in such an environment, actions, words and deeds are usually inconsistent . The so-called unity of knowledge and practice , Probably the hardest thing to do .

Although surgery is a process that requires the cooperation of multiple people , But in fact, surgery is more often the responsibility of the surgeon alone , Because of the heavy responsibility, the chief surgeon is also under great pressure , Because patients and their families will only place their hopes on the surgeon .

Cardiac arrest is the real death ？ Whether cardiac arrest is the real stop is unknown , But brain dead people do seem to live in hell , The heart is undoubtedly an organ as important as the brain in the body , A mind control , One controls life .

The author thinks that the heart is very beautiful , To get heart patients back on track

Doctors are athletes

Interestingly, surgeons originated in

The barber in the barber shop

, In fact, if you think about it carefully, you can understand that the barber in the barber's shop will need all kinds of hemostasis and bandage if he cuts someone accidentally , Slowly, people specialized in dealing with wounds , Finally, it turns into a doctor , I think the origins of many professions are very interesting and surprising .

It's like a program C At the beginning, the birth of language was just that the author gradually developed into a programming language in order to help his wife watch recipes, cook vegetables and want to play games .

So why are doctors athletes ？ Because, like athletes, they need three most important characteristics ：

imagination , Skill and judgment

. Without these three, you can't be a qualified doctor .

Although surgery is a group project , But no one would think that the responsibility would be shared with other assistants , Family members will not say to people other than the surgeon that they hope the operation can go smoothly and so on , The chief surgeon didn't come on stage to find a way to deal with this situation , In other words, the operation actually started long before entering the operating room , That is, as mentioned earlier, constantly building a picture of success in your mind , There is no possibility of failure .

imagination

Why do you need imagination , Because as a doctor, I can't judge the patient's condition before I see the emergency patient , At this time, we need to think about the mood of family members , Think about from entering the operating room to treating patients , Finally, the patient goes home safely. The whole process , You need to rehearse constantly in your mind . If you can't imagine success , You can't envision the path to success in a stressful operation .

On the other hand, imagination needs repeated rehearsals to form a subconscious to complete , This is also the difference between experts and ordinary people , The imagination of experts comes from the repeated rehearsal and rehearsal of the results while performing some professional processes , Similarly, you need to make continuous decisions in your mind .

Pre reading is a talent that can be trained , It's not height, a talent that can't be trained .

Judgment

When studying, there is the saying of continuing tomorrow , But there is no saying that the operation will continue tomorrow , Any judgment and decision should be made in a few seconds , This involves the most important criterion as a doctor , That is to keep calm at all times , Even if you have lost your calmness, you must not write panic on your face .

technology

In the book, it's hard for me to imagine a blood vessel transplant for coronary artery surgery , Blood vessel transplantation looks like grafting on the surface , But the difficulty is amazing , First, you need to open a 2 Mm hole , After that, the blood vessels need to be sealed with a thread much smaller than the hair

suture

, Yes, just like sewing clothes on blood vessels , So it takes amazing judgment and concentration .

It reminds me of watching the examination of Japanese surgeons in the past , You need to use tweezers to fold out a thousand paper cranes that are much smaller than the fingernail , It's hard to imagine how much effort and time it takes in daily life to complete .

In addition, a career like a doctor reminds me of a lawyer , In my personal opinion, the more you learn, the easier it is to lose your sensibility .

Difficulties in coronary artery transplantation ： We need to find blood vessels of moderate thickness that will not affect other organs , There are only a few available in the human body and it is difficult to find .

The first operation

Unlike most other firsts , The first operation is a matter of life and must not fail , For the patient's family in the book, it is said that the doctor is the first surgeon , It's hard to imagine how much pressure the author has , Just imagining can make your heart beat faster , You can imagine from your experience .

Doctors don't allow failure ,

Failure means death .

It's probably the only feeling I can feel nervous , The feeling of forgetting what you did after an operation is somewhat similar to that of not knowing what you did after an exam , But of course, the level of tension can't be compared at all .

Imagine success

Doctors are probably the people who need to imagine success most , At the same time, we need to rehearse the successful people , Because I am in the mood of never failing .

For the doctor team, there are three things ：

The goal is ： Have specific goals , Including steps , vision

Reach the target ： After setting a goal, you will try your best to achieve it .

Set an example ： Only by setting an example can we lead the team to achieve its goals , Only when you have absolute self-confidence can you lead the team to correct mistakes and achieve the right goals

Absolute confidence

Absolute confidence is a sign of a doctor's maturity , Even more experienced people will still be nervous when they stand on the operating table , So it's important to imagine a perfect result , The author is constantly imagining the picture of patients and their families walking out of the hospital happily , Improve your self-confidence and let yourself mature . When from the desire for success to the certainty that you will not fail and no longer fear death , It's probably a sign of a doctor's maturity .

That's because of absolute confidence , The author in 36 He completed the world's first right gastroepiploic artery bypass grafting at the age of , And in 40 After returning home at the age of, he received national attention , And be saved by more and more patients .

summary

The biggest audience of this book is probably medical students , I think it is a book that people with such lofty ideals as learning medicine, treating the sick and saving people should study carefully .

Another feeling after reading this book is ： ah ！ It turns out that doctors are also ordinary people .

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