From 1978 to now, 37 years have passed.
The roller coaster of China’s reform and opening up has been a windy ride.
Hospitals are getting bigger and bigger, and more and more surgeries are being performed.
Can the heart of the patient, the heart of the doctor, still be heart to heart?
In the field of joint surgery, knee and hip: can you (the patient) and I (the doctor) still have a good misunderstanding?
If you send a questionnaire to all doctors and ask whether patients nowadays are better or worse communicators than patients in the past? Is it better to talk and talk well or is it not good to talk and talk well?
I believe that the majority of the 100 doctors will choose “not as good as before”, that is, of course, less communicative and less talkative than in the past.
We have performed more than 1,000 cases of periacetabular osteotomy in the field of anterior hip. We are one of the leaders in Asia. We take responsibility for each and every one of our patients. We have set up 3 micro groups for patients after osteotomy. I am on this group almost several times a day to answer the questions that are being asked by our friends.
This is also a daunting task given to me by our joint surgery department.
Don’t forget, I just graduated from medical school 5+3 (8 years) this year and was assigned to the department as a resident who is glued to the department almost 24 hours a day. My daily tasks.
1. attending surgeries (on average, more than a dozen per week)
2.Management of inpatients (responsible for all the work of the chief resident of “osteotomy”, including the coordination of the “work” of the five doctors in training).
3.Pre-operative talk for surgery (the process is hard and verbose, the voice is smoking).
4.Appointment of patients in the queue and notification of bed arrangements.
5.Guidance of functional exercise for patients under review (tedious process, repeated corrections, “correction”).
6.Study medical knowledge day and night (every time in the pondering and thinking to memorize).
7.Preparing lectures in the department (part of the production of PPT for lectures in the Department of Orthopedics and our department).
8, management of joint surgery WeChat public platform (weekly on a WeChat with 3 reprints).
9, answering the endless questions of patients online () with WeChat group.
10, every time when the international meeting, domestic meeting, I am one of the “miscellaneous” main force (such as picking up foreigners at the airport, the venue slide show, production and editing demonstration video, etc.).
Therefore, I am on the starting line of a lifelong specialty of joint surgery.
I especially hope that the misunderstanding between you (the patient) and me (the doctor) can be solved like melting ice and snow. I especially hope that the guidance and Q&A appearing in the WeChat group can be one for ten.
My lovely patients, can you use all your intelligence and intelligence to follow my ideas and training actions?
Let’s take an example first: for example, in the 3 WeChat groups of “osteotomy”, in order to guide the post-operative patients to take good gait videos, I specifically sent an issue of WeChat on October 3, “After osteotomy, how to take your video? .
I was expecting that this painstakingly produced, graphic and dynamic micro-letter would give us a surprise – all the post-operative gait videos would be qualified.
However, we were greatly disappointed. What about the misunderstanding between you (the patient) and me (the doctor)? Why is it so hard to solve this misunderstanding on this gait video?
We told you to try to “expose”, ask to wear tight shorts and undershirts, do not wear dark pants, do not wear coats, do not wear skirts, how do you still wear the same? So easy to pass the video, we still can not see your “true face of the mountain”. Because, only the legs to the hip can be “exposed” as much as possible “exposed”, we can see your gait, in order to judge the effect of rehabilitation exercise according to your gait, in order to guide you to the next step how to scientific training.
I clearly told you that the position of the video camera should be as high as your hips, and that you should shoot horizontally (because it looks good on the computer, so we can judge accurately). You just refuse to lower the position of the phone, just refuse to shoot across the phone. We can only laugh at the “misunderstanding” camera you took.
Another example: I explained N times in the preoperative problems, postoperative in the group always over and over again still asking.
When to start the patient’s independent leg lifting and elastic band exercise after surgery?
What time after surgery can weight-bearing?
Is it normal to have pain in the hip joint for a while after surgery?
What should I do if I have been walking with a limp for a long time after surgery?
What exercises can I do after surgery?
When is the post-operative review date? Who should I call? Do I need to register?
I also gave an example: I paid special attention to post-operative rehabilitation exercises and taught them very carefully, such as how to train the gluteus medius with an elastic band while lying on the side, and how to train joint mobility with the help of the family members by breaking the leg. Each patient listened carefully, and some even took pictures and videos with their cell phones. However, when the patients and their relatives returned home, it was as if they had “amnesia”, and the training of the gluteus medius and joint mobility was left to their own devices.
I struggled for a long time before making up my mind to write this article.
I really don’t blame you, my lovely patients.
I really hope that when you return home, you will exercise as much as you did with us in our ward.
Knees and hips, your (patients) and my (doctors) misunderstandings, will definitely be dissipated.