How to comfort the doctor when the heat on duty is uncomfortable?

There was once a very popular game called Theme Hospital, in which players needed to design and run a hospital. Players should manage and expand the scale, improve their reputation and deal with all kinds of emergencies through reasonable hospital design and personnel arrangement. The game is full of eccentricity and humor, and one of the details is to be careful not to make doctors too tired, otherwise it will reduce work efficiency and affect hospital operation.

What is the situation when the game crosses into reality?

At 8: 30 on Saturday morning, when I appeared in the respiratory ward of the Fourth Affiliated Hospital of Hebei Medical University, the doctors were conducting routine morning rounds. Sideways through the crowded corridor crowded with extra beds, I slowed down and counted nine figures in white, mostly young faces, and two doctors who looked about forty years old.

12: 05, I was just leaving. In addition to the doctors on duty, there are four doctors in a temporary office in a ward. They are busy in front of the computer. The delivery man knocked at the door and came in. The doctor on duty paid the money, but put the food aside because there were family members to reflect the symptoms of headache and irritability.

As a doctor, nothing is more familiar to me than this scene. I asked them, "Do you feel tired?" A female doctor turned around and asked, "Are you tired? You are a doctor yourself. Do you still need to ask us how we feel? " What makes the doctor so tired? After a silence, everyone began to discuss.

Doctors are not protected by labor law.

Many doctors have heard this sentence when they first entered the profession. The particularity of work determines that it is impossible for doctors to enjoy the 9-to-5 work and rest system, and "8-to-8" has long been the norm. Someone joked that the doctor's job is "36524, white plus black", which means that he doesn't rest 365 days a year, stands by 24 hours, and works continuously day and night.

Nowadays, in the face of more and more outpatient visits, many hospitals have begun to implement the activity of "no holiday hospitals", that is to say, no matter what day, outpatient clinics (excluding emergency departments) are guaranteed to have doctors visiting them, and even the visiting time is extended to late. Once I took my child to hang up the emergency number at nine o'clock in the evening, but I was told that there was a doctor on duty at the clinic.

There is a joke circulating on the Internet, saying that one of the similarities between doctors and triads is that "in the dark night, when you receive a phone call, you grab a guy and go outside". Almost every doctor has the experience of being called to the hospital at home during breaks. On one occasion, hand, foot and mouth disease broke out and a large number of children poured into the hospital. The night doctor couldn't cope, and the parents complained. The Medical Service quickly coordinated and sent three doctors back to the hospital. The three doctors were busy until the next night. One of the female doctors was driven back to the hospital by her husband. Her husband thought she would go back soon, so he waited in the parking lot and slept until dawn. When my mother-in-law heard this, she was so angry that she ignored her for several days.

Night shift is a compulsory course for doctors. Many hospitals implement a 24-hour resident duty system. Even if they work the night shift, they can't rest. There is no longest continuous working time, only longer. General hospitalization is a necessary experience for doctors to grow up, which often requires doctors to stick to their posts in hospitals for half a year or even a year. Hong Kong TVB filmed a medical TV series "oncall36 Hours" to show the busy work of doctors.

"We are not protected by labor law. How can the hospital let us go to work? In this environment, everyone is the same. Can you say that you are tired and do nothing? " A young doctor said.

Not only tired, but also physically and mentally exhausted.

"Physical fatigue is nothing. If this job is enjoyable, no matter how tired you are, you will feel a sense of accomplishment. But now the situation is physical and mental fatigue, and psychological fatigue is even worse. A male doctor said this. " My wish is simple, that is, I can hide in a deserted place and be quiet for 48 hours without being disturbed by the ward or any patients. I am satisfied to have 48 hours like this. "

Everyone agrees that it is not physical fatigue but psychological fatigue that reduces the doctor's pleasure. Every day at work is the accumulation of negative energy: crowded clinics and wards, noisy environment, endless patients, inexplicable accusations, and patients' distrustful eyes. It's really hard to be in a good mood when you are surrounded by these things from morning till night. Being a doctor is too stressful. "said a doctor.

The biggest pressure is the fear of doctor-patient disputes. Almost all doctors have seen or experienced medical disputes. "It is no problem for patients to go through legal procedures, but the problem is that more patients choose medical disputes. Banners were pulled at the entrance of the hospital, wreaths were placed, and a mourning hall was set up. The patients around were whispering. Fighting alone makes you sick and tired, not to mention personal danger. The most annoying thing is that many doctors have struggled for a long time and have not achieved their goals. The doctors involved can't go to work for months or even years. "

"Most patients are good, and some people come to see a doctor to save money. Don't say anything when you meet such a patient, just think that you have had bad luck for eight generations and can't forget it once. " A female doctor said, "In fact, we all want to treat our patients well, because some ill-intentioned patients lead doctors to regard patients as potential' enemies' and take preventive medical care. We can check whether we can do it, and we can't miss or misdiagnose it! " But who is the victim? Still an ordinary patient. I can't help it. I will know after the doctor-patient dispute. I really can't afford it. "

There is also great pressure on doctors themselves. "As a doctor, your first duty is to relieve the pain for patients. Medicine is a progressive subject, which needs lifelong learning. I was very tired when I came home from work. After finishing the housework, I still have to read books, documents and learn the latest things. In fact, no one asked you to do this, but you can't stand being helpless in the face of patients. This is the doctor's sense of mission. " A doctor said this.

In Weibo, a doctor said, "The so-called meanness is the only rest day this month, but I ran back to the hospital because I was really worried." The doctor cares about his patients. In hospitals, it is common to work overtime voluntarily, mainly because patients are not at ease. "I always feel that if I can't see my patient, I will be uneasy all day. I still can't help running to the ward when I know that there is a doctor on duty." A doctor said this.

In teaching hospitals, doctors are responsible for teaching and scientific research in addition to their already busy clinical tasks, giving lectures to students at regular intervals every week, or taking interns to practice in hospitals. It takes a lot of time just to make courseware. However, under the current doctoral evaluation mechanism, there are no topics and papers, and even the promotion of professional titles is difficult. "Who can stand people with the same qualifications as directors, deputy chief physicians or attending physicians? No matter how hard it is, we must engage in scientific research. I really can't afford to lose this person. "

I don't know how to release the pressure.

At work, it is the accumulation of negative energy, and it is not necessarily easy to go home. Housework, trivial matters of life, children's education, and the company of the elderly are all on doctors. Some people think that this is an "unbearable weight".

"Sometimes when I am in a bad mood, I will get angry with my family when I get home. I know it's wrong, but it's hard to control my emotions. When I was a doctor, I had great motivation to think that I could take good care of my family. In fact, you don't care about them at all. It's your family who survived. With this in mind, I feel particularly indebted to my family. " A female doctor said this.

A male doctor who just joined the work told me that his monthly salary is less than 2000, and his monthly rent is 1500. "Fortunately, the hospital has a meal allowance, or even he can't support himself. I have to reach out and ask for money from home when something happens, which makes me very embarrassed. " The male doctor is going to get married next year: "There is definitely no house. Let's fight for a few years. Fortunately, my girlfriend is also a doctor, and they understand each other. If not, they can't even get married. "

"Now you feel very lucky. When you get married, you will know that both husband and wife are doctors' troubles. Two people don't touch home all day, no one does housework, no one takes children, and the home is not like home, and the contradiction will erupt and escalate! " The people next to him teased him.

"I don't care so much, at least now we are fine." The male doctor said helplessly.

All kinds of pressures accumulate together, will the doctor release them correctly? Some people say they will go to the gym, others say they will go shopping, watch movies and eat. "In fact, there is not much influence. Still unhappy at work. I know very well that you can't work with emotion, otherwise it will bring more trouble and patients won't understand your bad mood. I am so tired every day, and I will get used to it. "

As for seeing a psychiatrist, no one has considered it.

Working in this state, every doctor is overdrawing his physical or mental health. I feel even sadder to see the news that more and more doctors are dying from overwork. Doctors, the patron saint of health, how to protect the interests of patients if they can't even protect their own health?

In the game of "theme hospital", doctors who are tired will affect the operation of the hospital and even quit the hospital. But in reality, no matter how tired doctors are, they still have to continue the same work. Some people say that "doctors are made of special materials". Can the real society also formulate reasonable and humanized "rules of the game" and abide by them?