嚴防住院醫生猝死年齡提前：別讓生命爲制度“陪葬”
在醫療這片看似神聖的領域裏，卻隱藏着令人痛心疾首的暗流——年輕住院醫生猝死年齡提前。最近，一篇關於年輕醫生猝死的帖子，如同一把鋒利的手術刀，精準地剖開了醫療行業那光鮮外表下不爲人知的傷痛。
“你透支健康換來的優秀，不過是檔案裏隨時可替換的幾行宋體字。而單位的運轉齒輪從未因此停滯半分。”這幾句話，字字誅心，道盡了住院醫生的無奈與悲哀。他們就像被上了發條的機器，沒日沒夜地工作，在病房、手術室之間奔波。爲了所謂的“優秀”，爲了能在職稱評定、職業晉升中佔得一席之地，他們不惜以健康爲代價。然而，在醫院的宏大敘事裏，他們不過是微不足道的“螺絲釘”。當某一天，這顆“螺絲釘”因過度磨損而崩壞，醫院很快就會換上一顆新的，繼續運轉。
有個真實的例子，一位年輕的住院醫生，剛參加工作沒幾年，爲了能在科室裏嶄露頭角，主動承擔了大量的工作任務。他經常連續值班幾十個小時，困了就趴在辦公桌上眯一會兒，餓了就隨便喫口泡麪。長期的勞累和壓力，讓他的身體不堪重負。終於，在一個平常的夜晚，他倒在了工作崗位上，再也沒有醒來。他的檔案裏，或許會多幾行表彰他工作努力的文字，但這些文字，能換回他年輕的生命嗎？能彌補他父母失去兒子的痛苦嗎？能彌補他未完成的人生夢想嗎？
“人生不是用紅頭文件丈量的，而是用看見花開、聽見雨聲的瞬間拼湊的。”住院醫生們也是人，他們也有自己的生活，有自己的夢想和追求。他們也想在閒暇時光，陪家人喫一頓溫馨的晚餐，和朋友一起看一場電影，在夕陽下漫步，感受大自然的美好。然而，現實卻讓他們無暇顧及這些。他們熬的夜、拼的命、流的淚，最後都成了輕飄飄的白A4紙，而他們錯過的晚霞、失約的晚餐、沒牽到的手，纔是永遠無法補錄的人生正文。
更讓人痛心的是，當我們習慣用“白衣天使”的道德光環掩蓋醫生用人制度缺陷，用“醫者仁心”的崇高敘事消解醫生職業保障時，這場以醫生持續經年的生命透支，終將以另一種方式反饋到患者身上。一個長期處於疲憊和壓力狀態下的醫生，其醫療質量必然受到影響。他們可能會在診斷時出現失誤，在手術時出現差錯，從而給患者帶來不可挽回的傷害。這就像一個惡性循環，醫生用自己的生命透支換取患者的健康，但最終卻因爲自己的健康問題，無法爲患者提供優質的醫療服務。
我們不妨看看國外的醫療制度。在一些發達國家，醫生的工作時間有嚴格的限制，他們有充足的休息時間來恢復體力和精力。同時，醫院也會爲醫生提供完善的職業保障和心理支持，讓他們能夠在一個健康、和諧的環境中工作。這樣的制度，不僅保障了醫生的身心健康，也提高了醫療服務的質量。相比之下，我們的醫療制度還存在很多不足之處。
“最後，只有自己是自己生命的第一責任人！”這句話，既是對住院醫生的警示，也是對整個社會的呼籲。住院醫生們，你們要懂得愛護自己的身體，不要爲了所謂的“優秀”而過度透支自己的健康。同時，醫院和社會也應該承擔起相應的責任，改革醫生用人制度，完善職業保障體系，爲醫生創造一個良好的工作環境。
我們不能讓住院醫生猝死年齡提前成爲醫療行業的常態，不能讓年輕的生命爲制度的缺陷“陪葬”。讓我們共同努力，嚴防住院醫生猝死年齡提前，讓每一位醫生都能在救死扶傷的同時，也能擁有健康、幸福的人生。因爲，只有醫生健康了，患者才能得到更好的治療，我們的社會才能更加和諧美好。
作者簡介：梁世傑 中醫高年資主治醫師，本科學歷，從事中醫臨牀工作24年，積累了較豐富的臨牀經驗。師從首都醫科大學附屬北京中醫院肝病科主任醫師、著名老中醫陳勇，侍診多載，深得器重，盡得真傳！擅用“商湯經方分類療法”、專病專方結合“焦樹德學術思想”“關幼波十綱辨證”學術思想治療疑難雜症爲特色。現任北京樹德堂中醫研究院研究員，北京中醫藥薪火傳承新3+3工程—焦樹德門人（陳勇）傳承工作站研究員，國際易聯易學與養生專委會常務理事，中國中醫藥研究促進會焦樹德學術傳承專業委員會委員，中國藥文化研究會中醫藥慢病防治分會首批癌症領域入庫專家。榮獲2020年中國中醫藥研究促進會仲景醫學分會舉辦的第八屆醫聖仲景南陽論壇“經方名醫”榮譽稱號。2023年首屆京津冀“扁鵲杯”燕趙醫學研究主題徵文優秀獎獲得者。事蹟入選《當代科學家》雜誌、《中華英才》雜誌。
Prevent the premature death of resident doctors: don''t let life be "buried" by the system
In the seemingly sacred field of medicine, there is a hidden current that is heartbreaking - the sudden death of young resident doctors at an early age. Recently, a post about the sudden death of young doctors, like a sharp surgical knife, precisely opened up the hidden pain under the bright appearance of the medical industry.
"The excellence you have gained by depleting your health is nothing more than a few lines of Song typeface that can be replaced at any time in the file. And the gears of the unit have never stopped moving for a moment." These words, each one cutting to the heart, reveal the helplessness and sorrow of resident doctors. They are like machines with springs, working day and night, moving between the ward and the operating room. For the so-called "excellence," for a place in the title evaluation and career promotion, they are willing to sacrifice their health. However, in the grand narrative of the hospital, they are just insignificant "screws." When one day, this "screw" breaks due to excessive wear, the hospital will quickly replace it with a new one and continue to operate.
There is a real example: a young resident doctor who had just started working a few years ago, in order to make a name for himself in the department, took on a lot of work tasks on his own initiative. He often worked for dozens of hours in a row, and when he was tired, he would take a nap on his desk. When he was hungry, he would just eat some instant noodles. The long-term fatigue and pressure took a heavy toll on his body. Finally, on a normal night, he collapsed on the job and never woke up again. His file may have a few more lines of commendations for his hard work, but can these words replace his young life? Can they compensate for the pain of his parents losing their son? Can they compensate for the unfulfilled dreams of his life?
“Life is not measured by red documents, but by the moments of seeing flowers bloom and hearing the sound of rain.” Resident doctors are also human beings, they have their own lives, their own dreams and pursuits. They also want to spend leisure time with their families for a warm dinner, watch a movie with friends, take a walk under the sunset, and feel the beauty of nature. However, reality makes them unable to care about these things. The nights they stay up, the efforts they make, and the tears they shed, all end up as blank A4 paper, while the missed sunsets, the dinner they missed, and the hands they didn’t hold are the main text of life that can never be recorded.
What is even more heartbreaking is that when we habitually use the moral halo of "white-clothed angels" to cover up the shortcomings of the doctor''s personnel system, and use the noble narrative of "doctors with benevolent hearts" to dissolve the doctor''s professional security, this situation, which has been going on for years, will eventually be reflected in patients in another way. A doctor who has been in a state of fatigue and stress for a long time will inevitably affect the quality of medical care. They may make mistakes in diagnosis and errors in surgery, thereby causing irreparable harm to patients. This is like a vicious circle, where doctors use their own life depletion to exchange for patients'' health, but ultimately, due to their own health problems, they are unable to provide high-quality medical services for patients.
Let''s take a look at the medical system in other countries. In some developed countries, doctors have strict working hours, and they have sufficient rest time to recover their physical and mental energy. At the same time, hospitals also provide doctors with perfect professional guarantees and psychological support, so that they can work in a healthy and harmonious environment. Such a system not only guarantees the physical and mental health of doctors, but also improves the quality of medical services. Compared with this, our medical system still has many shortcomings.
"In the end, only you are the first person responsible for your own life!" This sentence is both a warning to resident doctors and an appeal to the whole society. Resident doctors, you should know how to take care of your own body and not overextend your health for the so-called "excellence." At the same time, hospitals and society should also take on their corresponding responsibilities, reform the doctor employment system, improve the professional security system, and create a good working environment for doctors.
We cannot let the sudden death of resident doctors at an early age become the norm in the medical industry, nor can we let young lives be "buried" for the shortcomings of the system. Let us work together to prevent the sudden death of resident doctors at a young age and allow every doctor to have a healthy and happy life while saving lives. Because only when doctors are healthy can patients receive better treatment, and our society can be more harmonious and beautiful.
Author Bio: Liang Shijie is a senior medical practitioner in traditional Chinese medicine with an undergraduate degree. He has been engaged in traditional medicine clinical work for 24 years and has accumulated a wealth of clinical experience. Following Chen Yong, chief physician of liver disease at Beijing Traditional Medicine Hospital, affiliated with Capital Medical University, and renowned old Chinese medicine, he has been treated for many years and received great attention. He specializes in the treatment of difficult diseases using "conversational traditional therapy" and special treatments combined with the academic ideas of Jiao Shude and Guan Yubo''s ten-level diagnosis.He is currently a researcher at the Shude Tang TCM Research Institute in Beijing, a fellow at the new 3 + 3 project of traditional Chinese medicine flame inheritance in Beijing - a scholar at the inheritance workstation of Jiao Shude''s protégés (Chen Yong),He is a standing committee member of the International Expert Committee on E-learning and Health Care, a member of the Jiao Shude Academic Heritage Special Committee of the Chinese Association for the Advancement of Chinese Medicine Research, and the first cancer specialist to be included in the chapter of the Chinese Pharmaceutical Culture Research Association. Won the 2020 China Association for the Promotion of Traditional Chinese Medicine Zhongjing Medical Branch held the eighth session of the Medical Saint Zhongjing Nanyang Forum "Classic Prescription Famous Doctor" honorary title. The winner of the first Beijing-Tianjin-Hebei "Pingui Cup" Yanzhao Medical Research Essay Award in 2023. His work was featured in the journal Current Scientist and the journal Chinese Talent.
