18岁高考女生手绘住院经历,打动福建医生;这对医患刷爆朋友圈

2017-08-17 章微 海峡都市报

福建晋江一名18岁高考生“包子”,因先天性心脏病,在福建省立医院住院20多天。 期间,她写下、画下一组亲历手记:“我住院那会,亲眼目睹,一个护士被病人骂,说她没医德。我当时很想起身骂回去,可我不够勇敢。“

福建晋江一名18岁高考生“包子”,因先天性心脏病,在福建省立医院住院20多天。

期间,她写下、画下一组亲历手记:“我住院那会,亲眼目睹,一个护士被病人骂,说她没医德。我当时很想起身骂回去,可我不够勇敢。“

她说:“我们是请求医护人员挽留我们生命、延续生命长度的,不是来闹的。医院其实是有温情的地方,不要让医德关怀没有了避风港湾。”


做完手术的“包子”,即将迎来大学生活
 
“包子”的主刀医生——54岁陈雷医生把“包子”姑娘的手记发布到网络上,并写到:心脏外科手术有很多不可预见性,一些病人只看结果,一旦没达到预期,马上翻脸无情。很长一段时间,医生们都是战战兢兢,如履薄冰。而小姑娘“微笑快乐的文字,让我的眼睛变得更加清澈如水。终于在今天医患关系紧张中,找到了一个宁静美丽的港湾”。
   
这一来一往,像极了一幅画面:百余年前,广济医院(现为浙医附二)梅藤更医师查房,小患者彬彬有礼地向梅医师鞠躬,梅医师深深鞠躬回礼。


正如陈雷医生很喜欢的一首法语歌《And the winner is》中的歌词一样:

最终获胜者是爱!   

挂着点滴  坚持高考

“包子”是福建泉州晋江市的一名高中生,今年18岁。
   
去年10月,高考体检,发现她的心脏比其他同学大。当地医生把“包子”妈妈叫去,狠狠“批评”了一顿:你是怎么做妈妈的,小孩心破了这么大的洞,现在才来,很危险的。
   

“包子”从小到大体育成绩都不错,不料高考前查出先心病

这个“洞”就是“先天性房间隔缺损”。简单说,心脏左心房和右心房之间本来应该封闭的,但包子的有一个4厘米的破“洞”,导致心脏泵血时,血流乱了,心脏负担大了,后果就是心脏要拼命工作,心脏就会“过劳肥”,比一般人的心脏大。
 
听到这个结果,“包子”确实诧异。因为从小到大,她的体育成绩都不错,不仅是学校三级跳亚军,还是羽毛球校队的。当然,偶尔运动量大的时候,她会喘,胸口闷。但从来没有和“先天性心脏病”联系在一起。
 
一路上“包子”是哭着回来的。因为她害怕,下一秒,自己便不复存在了。
   
一家子决定在高考后做手术“补心”。

但考前一个月,“包子”持续发烧、口腔溃疡、脚肿,连上楼都要背。但她没有放弃,高考每科的间隙打着点滴,坚持参加高考。 

 医生:过两天你就生龙活虎啦 

高考结束后,“包子”来到福建省立医院心外一科,迎接人生第二次“大考”。

福建省立医院心外一科副主任,副主任医师黄烽,第一次见到“包子”,职业敏感告诉他:这个病人走几步就喘,心脏负担已经比较重。
 
一检查,是“先天性房间隔缺损”,已经心衰合并淋巴管炎,导致下肢肿胀。
 
“这种病发展较慢,平时也很可能没有征兆。没有经验的医生也比较难发现。”黄烽医生说:“但一旦发现,通常病情已经发展得比较严重了。”
 
对福建省立心外科的医生来说,这个手术并不难。医生任飞安慰“包子”:这只是小手术,过两天,你这种性格,就可以生龙活虎了。


摘自“包子”的住院日记

心脏"暂停",重获新生

7月3日,“包子”被推进手术室。她的心脏大了 30%~40%,且异常敏感,手术器械轻微触碰,心律就出现失常,血压马上往下掉。
   
黄烽说,这是一颗长期饱受压力的心脏。
   
建立体外循环之后,将心脏停跳,医生们将左心房和右心房之间的洞,用生物补片细修补上。
   
手术顺利,用时 2小时30分钟。
 
这原本寻常的手术,却因为“包子”的有心记录,变得温情满满。
 
“在这,我开始走进一个节奏快而有序,纷杂确实温暖的前线。由于不懂医学,心想‘一旦心停止了跳动,是不是意味着死亡’。后来才明白医学已是如此先进,有体外循环机(在手术中代替停跳的心肺)。Heart是心脏的英文,拆开来就是H(hand)是手,需要我们用手呵护生命的脆弱;ear是耳,用来聆听生命的意义;T(temperature)是温度,来感受彼此的温暖。”


“包子”说遇见省立,开始新生

白色绝不冰冷

“包子”在住院手记中写道:麻醉师、医生、护士,这里的人都是善良的天使,救死扶伤。白色,是单调的色,但绝不是冷冰冷的色调。在这里,我遇到了最负责的医护人员“
          
术前,躺在手术台上。麻醉师问我多重多重,我说47公斤,166厘米。麻醉师夸“这是中国好身材”。
 
黄烽医生安慰我:没事的,伤口还算小,很漂亮,以后都可以穿低胸装。
 
护士姐姐老是交代:早点睡哦,慢点走呀。


 摘自“包子”的住院手记

“包子”记住了黄烽医生超爱喝可乐,任飞医生爱吃小龙虾。还把同学点给她的小龙虾和可乐,偷偷拿给医生吃。

她还偷偷替医护人员打抱不平:


摘自“包子”住院日记

出院用画和手记告别

7月14日,“包子”康复出院,给福建省立医院心外一科画了一幅全家福。还给几个医生画了画像,还写了藏头诗表示感谢。
 

包子画的福建省立医院心外一科全家福

在她眼里,陈雷主任是60年代的憨叔:

 
在她眼里,黄烽医生是“可乐哥”:


她给任飞医生写的藏头诗上附上
“the doctor,good job”:

   
她说:医生不是有的新闻中那样硬,但很少有患者站在医生的角度去看。希望自己的住院经历对医生有一个不一样的解读。也能温暖医生的心!

医生回信 刷爆朋友圈

“包子”的画和文字,触动了平时略显严肃的医生。

陈雷是福建省立医院心外一科主任医师,已经54岁,粗犷的外表下有颗文艺的心。
 
他把“包子”的住院手记发到网上,并附上自己的感言:“那微笑快乐的文字,让我的眼睛变得更加清澈如水。终于在今天医患关系紧张中,找到了一个宁静美丽的港湾”。
 
陈雷医生写到:

“To Cure Sometimes, To Relieve Often, To Comfort Always。
 这是长眠在纽约东北部的撒拉纳克湖畔的特鲁多医生的,中文翻译简洁而富有哲理:有时是治愈;常常是帮助;总是去安慰。
     
有时去治愈说明了,不管医学技术多么进步,不管人们花费了多少金钱,人类仍然会生病和死亡,因为医学不能治愈每一个疾病,不能治愈每一个病人。对此,医生要明白,病人也要理解,不能对医学抱有不切实际的幻想。

但这句铭言更重要的是说明了医务工作者的职责,我们不仅仅是要治疗、治愈疾病,更多的是要去帮助和去安慰病人。
 
古希腊医学之父希波克拉底曾有一句名言:“医生有三件法宝,第一是语言,第二是药物,第三是手术刀。”在医疗服务中重视语言的作用,也正说明了医学是一门人学。抽去医学的人文性,就抛弃了医学的本质属性。”
    
心脏外科手术有很多不可预见性,很多病人只看结果,一旦没达到预期,马上翻脸无情。很长一段时间,医生们都是战战兢兢,如履薄冰。

但读“包子”的手记,让医生们更加懂得了爱,更明白了什么是真诚的祝福。
   

福建省立医院心外一科科室部分人员合影

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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmhead/Q3auHgzwzM7V1lG3lEERmrZh1ZAYgnIqsCAwFfLlOdXroVwBJqvTvw/0, createdBy=b2522082239, createdName=维维豆奶, createdTime=Fri Aug 18 09:16:08 CST 2017, time=2017-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234697, encodeId=aa9323469e2e, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmhead/Q3auHgzwzM7V1lG3lEERmrZh1ZAYgnIqsCAwFfLlOdXroVwBJqvTvw/0, createdBy=b2522082239, createdName=维维豆奶, createdTime=Fri Aug 18 09:15:53 CST 2017, time=2017-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234687, encodeId=fdc723468ede, content=学习了新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Fri Aug 18 08:59:51 CST 2017, time=2017-08-18, status=1, ipAttribution=)]
    2017-08-24 大爰

    学习了谢谢分享!!

    0

  3. 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Aug 24 10:16:09 CST 2017, time=2017-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1284678, encodeId=7dda12846e830, content=<a href='/topic/show?id=da9934342b5' target=_blank style='color:#2F92EE;'>#医患#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=34342, encryptionId=da9934342b5, topicName=医患)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0e3195, createdName=millore, createdTime=Sat Aug 19 14:27:00 CST 2017, time=2017-08-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234739, encodeId=f4d9234e392e, content=学习了,不错的,谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdqKgfW3nMpOkC3jXxiaW2po0PtglY5ZuVjERqKADW4HyMI8bcZXWlKgH7tEP9ULBoBzuQMibia4pr1s9rQPqLvqQJ/0, createdBy=e8c02060444, createdName=中医痴, createdTime=Fri Aug 18 11:26:22 CST 2017, time=2017-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234727, encodeId=32a8234e277d, content=谢谢分享,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Fri Aug 18 10:00:46 CST 2017, time=2017-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234720, encodeId=5b2c234e20a7, content=相互尊重,病人的理解是对医生的最大尊重。, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Fri Aug 18 09:52:48 CST 2017, time=2017-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234701, encodeId=be16234e0199, content=学习了,谢了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Fri Aug 18 09:17:52 CST 2017, time=2017-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234699, encodeId=36852346995d, content=很感, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmhead/Q3auHgzwzM7V1lG3lEERmrZh1ZAYgnIqsCAwFfLlOdXroVwBJqvTvw/0, createdBy=b2522082239, createdName=维维豆奶, createdTime=Fri Aug 18 09:16:08 CST 2017, time=2017-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234697, encodeId=aa9323469e2e, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmhead/Q3auHgzwzM7V1lG3lEERmrZh1ZAYgnIqsCAwFfLlOdXroVwBJqvTvw/0, createdBy=b2522082239, createdName=维维豆奶, createdTime=Fri Aug 18 09:15:53 CST 2017, time=2017-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234687, encodeId=fdc723468ede, content=学习了新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Fri Aug 18 08:59:51 CST 2017, time=2017-08-18, status=1, ipAttribution=)]
    2017-08-19 millore
  4. 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topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Fri Aug 18 08:59:51 CST 2017, time=2017-08-18, status=1, ipAttribution=)]
    2017-08-18 中医痴

    学习了,不错的,谢谢分享!

    0

  5. 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topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Fri Aug 18 08:59:51 CST 2017, time=2017-08-18, status=1, ipAttribution=)]
    2017-08-18 明月清辉

    谢谢分享,学习了

    0

  6. 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topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Fri Aug 18 08:59:51 CST 2017, time=2017-08-18, status=1, ipAttribution=)]
    2017-08-18 1e0f8808m18(暂无匿称)

    相互尊重,病人的理解是对医生的最大尊重。

    0

  7. 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    2017-08-18 惠映实验室

    学习了,谢了。

    0

  8. 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topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Fri Aug 18 08:59:51 CST 2017, time=2017-08-18, status=1, ipAttribution=)]
    2017-08-18 维维豆奶

    很感

    0

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    2017-08-18 维维豆奶

    学习了

    0

  10. 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    2017-08-18 Y—xianghai

    学习了新知识

    0