外科医生的**境界:做内科医生!

2017-07-17 郭树忠 MedSci原创

然而,内科医生是越来越热衷于用外科手段解决内科问题。


很多外科医生有“嗜刀”的毛病,特别喜欢动刀子,对非手术的方法从心底里排斥,来了病人总琢磨着怎么做手术。

但是,动刀子必然意味着痛苦,伴随着伤口的疼痛、感染、活动受限等一系列问题,患者的精神和肉体都备受折磨。

所以我一直羡慕内科,开几样药物让病人服下,立刻药到病除,患者不受罪,病也好了,这是多么美好的事情。

不过近年来的内科有一些奇怪的迹象,出现了内科外科化的趋势,心脏内科医生张嘴闭嘴是“手术”,往冠状动脉里置放支架已经成为他们的主业,而消化内镜的医生天天在做内镜辅助下的微创手术。总之,内科医生是越来越热衷于用外科手段解决内科问题。

与内科相反,外科医生倒是越来越热衷于内科用药,很多肿瘤医生在手术之外对化疗可以说是情有独钟。

我作为一位整形外科医生,一直有一个原则,那就是尽最大可能减轻患者痛苦。如果能不用手术的就不手术。比方说,我一直积极推动非手术美容技术的应用,有了心得安口服治疗血管瘤的新技术,能不开刀的血管瘤我就尽量不开刀。

最近还出现了硅胶耳牵引支架,这无疑对耳整形大夫的市场是一个冲击,但我积极给患者家属推荐这种方法,有同事质疑我,病人都用支架牵引好了,你那把刀往哪里放。但我觉得,只要是好方法,一定要给病人用,刀用不用,不是需要优先考虑的问题。

耳先天异常包括结构缺损和形态畸形两种,结构缺损包括小耳畸形和无耳畸形,形态异常则很多,包括招风耳、垂耳等多种畸形。

实际上,接近一半的孩子出生时耳朵有一定程度畸形,多数出生后一年畸形自动矫正,但也有一部分人需要借助外力来矫正,这就是耳畸形矫正器的用武之地。

只有非手术方法矫正效果不好,我才用手术进行矫正。

病人的利益高于一切,能用非手术治疗好的最好先尝试非手术方法,动用手术刀应该是不得已而为之。做一个好的外科医生,最高境界是成为“内科医生”。

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    2017-07-19 虈亣靌

    学习了,谢谢分享

    0

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    2017-07-18 蔬菜

    说得很好,外科医生加上内科的思维就很强大

    0

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    2017-07-17 131****1460

    学习了受益匪浅

    0

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    2017-07-17 杨利洪

    学习了分享了

    0

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