Union Medical College after graduating seven turn eight years, I would stay at Union Hospital medical work. For me, in fact, work and do not work no difference, because you live in Union Hospital nurse before graduating floor hut 5-story, go to work after graduation, still living in that layer, still living in a small room, no difference . I did not feel that they graduated, some differences did not feel anything after graduation and graduation before their own, until I got married after leaving Concord. Why graduation nothing has changed for me?
But I know what causes it? Because we live and work environment and our occupations and other different.
I do not know if you recognize this thing? That we live and work in an environment that hospital, the working environment and the nature of our profession and most industries are not the same.
Hospital is more like a school, a doctor, a nurse is more like a student for a lifetime. I am 48 years old, I did not feel grown up. I’m still constantly learning, as long as this day was wearing a white lab coat, you have to learn, this is our profession and other professions not the same place.
I feel like 2020 than 2019 to grow up a lot, really particularly evident. This “grow up” is how come it? Because in the first half of 2020, I experienced a “new crown virus.” This experience is very big influence on me, it can be said to be imbued with every bit of me, every drop.
2020 February 5, Bin Cao explain the drug clinical trial program in Wuhan
My understanding of life, the view of colleagues, students demands to his son, as well as exchanges and wife …… we are still young, married and later after slowly realize that for a family, this decision family atmosphere and vitality, in the husband, father.
rule
这篇文章的题目叫《rule与culture》。狭义的rule，对咱们医生来说就是诊疗规范、政策规定。
各位大夫和护士，接受医学教育有很多年了，从学解剖开始，为什么要学这些知识？因为这些知识都凝结为咱们的诊疗规范。诊疗规范可是几十年上百年，前辈们一点一滴积累下来的。这就是rule。
这些rule有些是每个专业的医生每一个科室都必须遵守的。我给大家举一个很简单的例子：大夫值夜班，一个病人发烧了，值班护士叫值班大夫，告诉大夫这个病人发烧了，大夫该怎么办？
There are two different doctors a connecting door does not open directly to the nurse to the sentence “Give paracetamol”; second doctor quickly got up, went to the patient’s bedside, the patient asked in detail about what is uncomfortable? Some began to have a fever? Burn how high? Sweating yet? You cold? Take your blood pressure measurement of blood pressure patient, measured about his pulse ……
rule告诉我们什么？当住院病人出现病情变化的时候，值班医生必须马上到病人床边去询问病人的症状，查体，并且做出判断，基于判断给予处置。这就叫rule。
不服从rule的大夫怎么办？不好意思，这种人就不能再当大夫。这件事情给病人造成什么损失了吗？没有。病人死了吗？没死。致残了吗？也没有。但是，这个事件却直接导致这个值班大夫辞职。为什么？他触犯了做医生的底线，值班大夫不看病人，你怎么处理？这就叫rule。
rule能改吗？能改！所有rule，每一条rule都是建立在我们现有的循证医学证据的基础上。随着科学技术进步，有了更多更新的证据作支持的时候，是可以改。但是，要想改rule，必须得有非常充分的证据，这一点是非常重要的。
在2020年上半年的时候，我们看到了大量的没有证据的治疗方法，有时候就是道听途说，有时候是某一个专家的一家之言，就变成了治疗的方案，这是完全不可取的。作为年轻医生，你们在成长的时候，一定要养成这样的思维，即对所有的rule，都必须要看其背后的证据，看证据链是否充分。看病人的时候，你的上级大夫给你下了指示，你一定要反问他一句：你有证据吗？大家别不敢说。一定要养成这个思维，即使是这位上级大夫脾气非常暴躁，也不是那么好相处。你不敢当面说他的不对，但是你的内心要想一想，他给你的这条指示是有证据的吗？只要是讲rule的大夫，一定是自己善于思考的，绝对不能人云亦云。你如果只知道回答“好的”，就变成一个别人推一步走一步，说一句干一句的人，那不好意思，没前途了。或者说你选错了职业，医生和护士这个岗位不适合你。一个人活不了多少年，而这个职业就是你的有限的存活期当中，最正确的选择。你一旦选错职业，直接决定了这一生是失败的。换句话说，直接就被人宣判了死刑，只是你等的时间长一点。不好意思，不应该在大家这么年轻的时候就给大家谈死亡。但每一个人生最明确的答案，就是我会死亡。
这是我给大家说的“rule”。
刚才我说的只是非常窄的一部分，实际上还有很多不同的rule，比如说那天我查房看见一个年轻男大夫穿着短裤到病房上班，我把他叫过来，我说你知道吗，在医院里不能穿短裤上班。他说不知道。他不知道，这是我们在素质教育当中出现的问题，是非常严重的失误。
大家知道，站直了，这是rule；坐直了，这是rule；当别人说话的时候，我仔细听，这是rule；只要进了中日医院大门，男孩子不准穿短裤，这是rule；女孩子不准浓妆艳抹，这是rule。因为你面对的对象不一样，因为面对的都是患者，你的神态，你的体态，你的语言，还有你的穿着，都要适合于这样一个场所，都要适合于你去面对的患者。这是我想给大家说的第一个问题——rule。
culture
第二个问题就是culture。什么叫culture？我的理解是，所谓的culture就是一群人所共同相信的、执行的价值观、荣誉观或者是羞耻观。首先得相信共同的价值观，其次得知道自觉维护价值观，珍惜荣誉。
医院有各种各样的规章制度，医务部门、护理部门、科研部门、教育部门……所有部门都有rule。一条一款，不是针对谁制定的，也不是为了谁制定，而是为了这个集体制定的。一条一款，也有不足的地方。想让任何一个制度满足所有人，让所有人都高兴，那是不可能的。
Any one of the system is to minimize the discontent. For example, hospital regulations 8:00 to go to work. I met a basic research scientist meeting this morning, he asked me what time do you go to work every day? I replied that at the hospital before 7:00. He said: I can not, I just 10:00 into the laboratory.
The scientist’s father is a retired old doctor, his father urging him to go to work every morning in the back, and why? Because his father was a doctor. So, our job requirements before 8:00 to the hospital, and even some sections 7:30 or 7:00 shift, to make everyone happy? can not. But for the collectivity and team, you must be so request. A similar system there.
认可医院的culture，从现在开始，就应该相信，而且我想大家也必然会相信，只要努力，只要付出，一定能够收获自己应得的。
I am 48 years old, one day I chat and Corey young gay, we all feel the pressure of life is very large, I understand, in particular, is a graduate school outside the provinces and moved to Beijing job of these colleagues.
I am also a stranger, after graduation, I would like to live in Union Hospital nurses floor after the wedding rent in Tongzhou.
After get off work came from Union Hospital Wangfujing, grow in four, sat down East Fourth Ring Road, then down to the bus. At that time only two trips the bus, the trip is 311, 312 a trip, sitting up to 312 head Xinhua Street, the car had to take a “little bouncing” to get home. A half-hour one-way, this is my life’s first place to stay.
After children, we moved from the Fengtai, Tongzhou, Changping moved from Fengtai, Changping and from the East, from the East to the sun, from sunrise to Haidian, from Haidian to the West, from the West back to the sun. This is what I, as a 48-year-old doctor, after graduating from college to now, the path of life in the city of Beijing.
Now if you want to graduate young doctor today, tomorrow to buy a big house, in addition to the very wealthy parents, basically impossible, you should not even think about it altogether. Because you have received higher education, as long as the step by step, get down to work, the others will have.
我认为青年医生具备或者部分具备，而且将来必然要具备的一些好的culture要素，大概有以下几点：
First, be honest. Since childhood, my parents taught us are not allowed to lie, when the school does not guarantee exam cheating, fraud does homework to the teacher, this thing easy. Is not easy to work in the future, the face of the complicated social, but also to maintain a lifetime honest, this thing is very, very difficult. As an adult, you have to secure in the future over a lifetime, this must be done. Very often think, “I lied, people do not know”, but at least one person knows, that’s your own. The most important is to live at ease. In addition to your own, plus who knows? God knows, not to say that no one knows. You live for yourself, not for others, not for the teacher, not for parents, not for the director, it is for myself.
Second, equality. Young people have come to me a while ago, head down to the office Kazakhstan waist. I say you put the body stand up straight, head up, looking at me. You are an individual, we are all equal. You and a person next to you any more than you older people, younger than you are equal. That you put on a white coat, work into the various departments, hospitals should be paid to you, because you pay labor, does not owe. If owe, we owe only the parents, because they gave birth to us, our culture, in addition we do not owe anyone. Bayao straightened, looked up, so as to mean you are a real man.
Third, self-confidence. Confidence is not self-esteem. In English, it is confident Self-confidence, self-esteem is Self-esteem. Self-esteem, if you can grasp relatively accurate, this is a good quality. But many people are not allowed to grasp the extent of self-esteem, which is troublesome. Like twist watch, screw the intensity slightly larger point, it becomes a bad thing. I have seen some comrades, because the leadership of the inspection department, did not look at him, you did not sleep one night, the next day also specifically called to the yard and asked: “President yesterday neither take the time and I shook hands, did not look at me, this is why? “this is self-esteem. Datailielie between colleagues, say shallow depth, are able to accept, it is shining. Self-esteem without any help. In English there are two other emotions, one is anxiety, one is anger. These two emotions is part of our life. anxiety What does it mean? Anxiety and tension, and even depression, these feelings can be expressed using the word. Another emotion is anger, self-esteem is too easy to anger, and the more I said nothing more he has something. Therefore, self-confidence rather than self-esteem.
那么，自信从何而来？只有一个办法，经历事儿。经历是最宝贵的，尤其是那些特别难的，特别让人崩溃的事情。两个人，经历了非常非常难的事，一个崩溃了，不好意思，没有自信。另一个挺过来了，就有了自信。这是第三个culture要素。
Fourth, reading. A lot of new knowledge, the simple truth, for example, you want to know how the legal system of ancient Rome is healthy, you need to read, it is very important. Read books they are interested in maintaining their own interests, to keep for life, love for life. One of the greatest “music” in what? I think the biggest “music” is to be needed. But does every hospital, some departments have such a person, this person does not merit the slightest. Please stay away from this person, do not become such a person. If you are experiencing such a person, do away, because they can be contagious. Originally you still want to help colleagues a little idea, but after such a person is infected, you will be happy to help it lose the advantage of others. Why? Because I help others, others are needed, is not paid, it is from the heart. Did not discuss the return of this and get a sense of well-being is the strongest.
Human weakness
今天我给大家谈了这两件事，一是rule，第二是culture。下面补充一点，给大家谈谈Human weakness。Human weakness我觉得有三条，第一条懒惰，站着不如坐着，坐着不如躺着，每个人，包括我自己都有懒惰的时候。第二条是贪婪。第三条是以自我为中心。
The first is laziness. Everyone is willing to do light province, but there is a limit to be lazy, that the work should be completed, and then the day after the completion of lazy, no question. But the problem lie? Is the difference between people. Now we are on the starting line, after 10 years, will widen the gap after 20 years, the main reason is to run faster than those who are relatively less lazy, and those Paode is because too lazy, and this is your own reasons. You may encounter a powerful leader, powerful director or professor, he would urge a bit, but the main thing is on its own, it can not.
The second is greed. Greed is what? We all like this, including myself. Originally out of the meeting is not hungry, eat the results to the point, on a large table food, they eat. When hungry, eat those things, it is entirely damage to the body, which is called greed.
对于人来说，非常重要的是什么？是知道自己要什么。最难的是什么？是人得知道自己不要什么或者不能要什么。这就需要有rule，有社会规范的约束。
Greed, especially in the future when we hand inside some power, some power can dominate others, when greed becomes very dangerous. Many leaders say they are innocent sacked, he said to the people to review: I do not want to, I have to let him take, forcing me to take. It seems a very poor way, it was actually greed, you close the door, and gifts one can break down the door? Hit your meal? Not like that, comrades. It is not because you want to take up? right? We pay particular attention to, bit by bit throughout the greed we live and work.
Article self-centered. Everyone concerned about their name, when my name should appear in it but did not appear uncomfortable, when the name was wrong, uncomfortable, when my views are not respected by others when sick. I wrote an article was reprinted others, I handle every traffic glad, in fact, others read 1000 times and 2000 times to see what’s the difference? No difference, but inside my heart there is a vanity bug. This is a question of self.
Of course, I do not let us lose the pursuit of academic career, I would like to remind that young people need to succeed. But I do not mind that. Life because the answer is clear, everyone had to know that they have just about the same. Do not ourselves seriously, others for their evaluation, deaf, that really did not happen, that is, people’s opinion of you does not exist in the world; if you do not care to hear, then listen to it. Because everyone evaluation of another person are too casual, not worthy of care. His evaluation into your heart, not worth it. You do not deserve to an unrelated person to evaluate the impact on your personal life. You do not want to be influenced by the outside world, can only be myself a very objective assessment of their own, do not be too seriously their own, only to do it, to be able to really live out your own. You only live out your own, is the real success, the other is not called success.
从现在开始，大家成为了中日医院的一员，成为曹彬大夫的同事了。医院需要你们的知识、你们的情感、你们的culture输入到这个大家庭。中日医院就像一个人，我们又从外面获得了新鲜的营养和血液，这样中日医院这个“人”才能保持健康。按照经典的物理学理论，一个体系如果没有外界输入，这个体系只能够趋向死亡。这就是薛定谔的熵理论——奥地利最著名的物理学家，而且这个人的头像印在了奥地利的纸币上。如果大家感兴趣，可以去了解了解。
I recommend to you a book, this is a very important book Schrodinger, the title is called “What is life.”
Cao Bin, chief physician, professor and doctoral tutor, China-Japan Friendship Hospital, vice president, respiratory and critical care medicine department director, deputy director of the National Center for Respiratory Medicine, Chinese Academy of Medical Sciences Respiratory Disease Research Institute.
Academician of the China Academy of Medical Sciences, Chinese Society of Respiratory Diseases, director-elect members,
ClinicalRespiratoryJournal deputy editor, EBioMedicine consulting editor, members ClinicalMicrobiologyandInfection (CMI) Scientific Committee, International Society for influenza and respiratory virus infections (ISIRV) antiviral Group (AVG) members. He has won the 2020 national crown fight against new outbreaks of pneumonia advanced individual, 2018 Outstanding Contribution Award breathing Academic, 2017 National Science and Technology Progress Award (Grand Prize), 2014 Jieping – Paul Janssen Pharmaceutical Medicine Prize. Long-term commitment to research on key scientific issues emerging from acute respiratory infections and sudden respiratory infectious diseases, viral pneumonia system elucidate disease characteristics, first proposed the concept of “viral infection poisoning” of great value in the treatment of severe viral infection; as the first or a liability author (including co) published in the LANCET, NEJM on the eight, four achievement write WHO, NIH guide, led the development of China pneumonia and influenza treatment guidelines, to participate in the development of new WHO guidelines crown pneumonia.
Source: MD News
