The People's Daily review the doctor-patient relationship: doctors focus on disease should focus on the people 
 
 
The 2014-09-12 
 

Source: People's Daily 

        Textbook is dead, and people's living. For the feeling of the disease, patients will always be the most authoritative and most say "experts" 
 
        Recently, the people's hospital of Beijing university professor cummins p. cardiac-specific troponin tells a story: a patient after stent, the doctor said to do very well, through the inspection found no symptoms, but the patient back to sleep every night, after said stents in heart, doctors don't believe it. Later, the doctor is also suffered from myocardial infarction, after put the bracket, just know a person's time in the evening, stent really loud in the heart. 
 
        Understand stents, it seems, "sighs", is not easy. For a doctor, if not experience, may never believe that patients. In fact, the reason is simple: the disease in patients, feel is good, most patients with voice. Not because the doctors think that surgery was a success, the patient should not be sad. Textbook is dead and is alive. On the feeling of the disease, the patient is always the most authoritative and most "experts" say. 
 
        The hardest part of between doctor and patient, and empathy. Doctors in observation, patients in the experience, a "standing next to the bed," a "lie on the bed," how can feel the same? Many years ago, the Beijing military region general hospital surgical department expert XMC comfort gastric cancer, had three times surgery, total removal of the stomach. On his deathbed, he was with tube, and can't eat. He told colleagues that he had done all his life of stomach cancer surgery, thought that the more clean cut, the better, just understand how painful at this time. For advanced gastric cancer patients, even retain a little stomach, quality of life will be much higher. 
 
        From the point of view of medical disease standard, a person as long as the normal physiological indicators, is healthy. But the people, after all, not a machine but flesh with the feelings of senior life. From the standard medical point of view, the patient's feeling is first. The doctor must be paid close attention to the patient, respect the patient's feelings, and not only focus on the disease itself. 
 
        In recent years, many medical disputes have a common characteristic: after completion of an operation, the patient subjective feeling is very bad, no exceptions and medical examination, the doctor thinks is very successful. In fact, the objective indicators and cannot entirely replace subjective feeling. Many doctors simply tried heal, and that treatment must have the pain, the patient should bear. In fact, some patients pain is unbearable, this will directly cause the patient to the treatment effect. Because of the lack of a common criterion, between the doctor-patient conflict easily. 
 
        Nowadays, more and more advanced medical technology, the doctor-patient relationship is more and more nervous. Why have high satisfaction low technology era, high-tech era with low satisfaction? Perhaps this is pure biomedical mode "bane" : heavy technology, light feeling; Objective, subjective; Evidence-based, narrative; Medical treatment, care. As a result, doctors do, the more the more medical dispute; The doctor promised the more, the more patient complaints. Medical occupied the commanding heights of the technology, lost the commanding heights of the humanities. Therefore, medicine can't following the trajectory of technology first, and should pay more attention to the feelings of people, from disease standard towards a person standard. 
 
        Moral can make up for the defect of technology, and the technology is unable to make up for the defect of moral. A doctor, even mastered all human medical knowledge, so there will be medical error, it is not for man's will. To reduce the inherent defects of medical treatment, the only way is to pay close attention to the patient, the basic requirements of the standard, medicine. Although some doctors senior, but neglect the patient, ignore the suffering of patients, and make the patient's fear; Although some doctors young, attentively to protect patients, paying attention to the patient, is considered by patients as "doctor". 
 
        American sociologist Holland believed that the healer had four "life buoy" : technology charm, personality, warm companion, soul comfort. Technology "rebound" is important, the remaining three human "life buoy" more indispensable. Disease focus, pay more attention to people; Read, read more. This is the highest state of the healer!