一名专硕规培生的麻辣三年

2018-02-26 石建静医学界

三年规培生活麻辣多姿！

015年，我写过一篇文章总结我的5年医学本科生活，那就是酸爽，像老坛酸菜一样酸爽！2018年，我仍然写一篇文章总结我的3年专硕临床规培生活，那就是麻辣，像重庆火锅一样麻辣！

麻--时间的“麻木”

3年，我对时间是麻木的，基本没有时间概念，完全没有了寒暑假。何为专硕临床规培，说白了，就是白天在医院临床上实习，周六周日或者晚间时间完成硕士课程。

研一，因为刚进科，需要花时间熟悉医院的各种诊疗流程和病例系统。第一个科是消化科，每天7点起床，有时候病人中午来了，就和老师一起处理病人，等到回寝室都1点多了，下午2点半又得去医院。6点下班后买个粥冲去教室上课。上完课后，身为一名心理咨询师，有时候还得回机构录访客案例，一天就这么过去了！

研二，还要准备文章开题、论文发表、各种各样的考试！三年来，日复一日，过着同样的生活，尤其在急诊，早上去了就开始干活，当你可以休息的时候，一看表，已经12点多了，基本对时间麻木。之前的本科，我都是在想，什么时间要去安排什么事做，而研究生，我在想，我要把这件事安排在什么时间！虽然每天很累，但晚上躺下来回想一天所做的事，还是挺充实的！

麻--思维的“麻木”

研一，我接触病人，心里想的是：“天哪，这病人怎么这么重！真可怜！能治好吗？”

研二，我接触病人，心里想的是：“这病人病情重，诊断是啥？目前症状是为啥引起的？之后可能发生什么情况，我该怎么预防？还需要做啥化验检查评估病情，明确诊断？”

研三，我接触病人，心里想的是：“上述我想到的，怎么和病人和家属沟通？需要用什么药来治疗？药贵不贵，家属能否负担？病人能否配合治疗？有没有更好的治疗方案？”

研一，参与抢救病人，脑袋想的是：“你不能死，坚持，你得活下来！”研二，参与抢救病人，脑袋想的是：“病人是怎么个状态？有啥需要紧急处理的？大概得抢救流程？请啥科会诊？”研三，参与抢救病人，脑袋想的是：“抢救的同时更多的是沟通！”

3年来形成了基本的临床思维，见到啥症状，脑子像过电影一样分析。这种思维的“麻木”，或许也是一种学习成果吧！

麻--情感的“麻木”

之前读本科的时候，心里想的，病人有啥难治的，对症对因就好了呗！（这跟患者和家属的心理差不多）但规培的三年让我明白，大多数的病是不能治愈的，身体是个整体，牵一发而动全身！

见过15岁猝死的少年，见过40多岁死亡的中年，见过靠呼吸机维持生命的老年...三年来，我参与抢救的有37人，眼睁睁看着病人死亡的有16人，当时病人死亡，我会哭，现在不会了，或许这就是情感的“麻木”！

白天在医院，看到的是想活却活不了的人，晚上在咨询室，看到的是活的好好的却要自杀的人。情感上的“麻木”，让我明白敬畏生命，珍爱生命，这是最大的学习收获！所以平安夜在内分泌科值班时，我会给病人送去苹果，一起唱歌；我有时候会和信任我的病人聊天，帮助他们缓解压力，学会放下；我会送病人一些小礼物（我精心设计的服药单），关心或许也是一种药物！

3年除了这样的“麻木”外

更多的是“辣”

辣是一种喜悦。当自己想的方案和带教老师一致时，当病人在我们治疗下好转出院时，当病人指标哪怕恢复一点，症状哪怕改善一点时，当病人创造生命奇迹时，那种喜悦，兴奋，比吃泰椒还要“辣”！

辣是一种挑战。当遇到诊断不明的患者，当遇到不会看的影像检查，当科里举行疑难病例讨论时，当全院大会诊时，那种挑战，让我的每一个细胞都蠢蠢欲动，各主任的分析更是让我醍醐灌顶，像吃了辣椒后急需水一样，渴望自己多灌点知识！

辣是一种温度。当患者说一句感恩的话时，当患者很真诚的关心我们时，哪怕只是一个微笑，心里都暖暖的！3年里，还有一种温度让我热热的，那就是各科带教老师，姜老师，戴老师，窦老师，刘老师，陶老师，谷老师，王老师，周老师，郭老师等都特别认真耐心地教了我很多临床的经验性知识，感恩的心比吃了辣椒还要辣！

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2018-04-24 ms5187542471278033

#规培生#

77 0
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2018-03-04 zb1235672

好消息.值得借鉴

123 0
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2018-02-28 naiwu81

#规培#

73 0
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2018-02-27 一个字-牛

路漫漫.其修远兮

108 0
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2018-02-27 明月清辉

谢谢分享.学习了

0 0
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2018-02-27 天涯183

非常好的文章.学习了

106 0
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2018-02-27 忠诚向上

好好学习天天向上

97 0
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2018-02-27 wzb521zf

一起学习学习

66 0
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2018-02-27 yjs木玉

好好好好好好好好

62 0
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2018-02-27 三生有幸9135

学习一下谢谢分享

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