Have I become a mask face?

  ”Post-visit reflection” is an article category just set up today. The way of life of a TCM practitioner, as advocated by the sages, is to spend the daytime in clinical practice and helping the world, and the night in reading and thinking. At the end of each clinic, there will be some academic or humanistic thoughts and feelings, so I set up this category in the hope of recording these thoughts and feelings. Today’s reflection is: Have I become a mask face?  Doctors will face a lot of life and death, and they will also face a lot of patients. I remember the first time I faced a patient who passed away in the ward, my heart was extremely shocked, all kinds of feelings came to my mind, thinking of my own life, thinking of my loved ones, thinking of all kinds of things, even sleepless nights, but at that time I remember my superior doctor calm, calm, skillful handling of various matters, not affected at all, and even laughing as usual. I couldn’t understand it at the time and thought it was numbness. When the next day I was not sleeping well due to yesterday’s emotional distress, so that the work state is very poor, I reflected, doctors need to face too much life and death, if every time to grieve, empathy, first of all, affect the medical judgment, followed by injury to the body, so to speak, is harmful to people and themselves. Putting a “protective shell” on your heart is actually a kind of protection for your patients and for yourself.  In addition to life and death, doctors will face many patients. There are many types of people, some are cold and warm-hearted, while others are warm and welcoming. I am closer to the former, I don’t show warm and fuzzy outside, but inside, I think of others everywhere, serious and responsible, which can only be found after a long time together. This character, on the one hand, is genetic, on the other hand, there is also the influence of reading the Analects of Confucius when I was a child, “Qiao-hua, fresh also benevolent”, there may be a deviation in understanding at the time, but in reality, to a certain extent contributed to the trend of their own character. The gastroenterology department has a large outpatient volume, often seeing 30-40 patients in half a day, sometimes more, often too busy to go to the bathroom or drink water in the middle of the day, even when listening to the patient’s statement of condition, but also in the computer for electronic medical records, if not for the need to see the tongue and feel the pulse, really may not even have the time to look at the patient. In such cases, it is often very contradictory to wish to give more care to the patient, but time does not allow it. Today, I met a 29-year-old female patient in the outpatient clinic with anemia, H. pylori infection, and a recent examination also revealed bilateral breast enlargement and nodules, probably because of this, the patient was very anxious and kept stating her recent period of distress and confusion, but there were many more patients behind me, and after explaining the necessary medical advice, I went to the next patient with a short answer and a “mask face After explaining the necessary medical advice, I walked to the next patient’s consultation process with a short answer and a “mask face. At that time, I did not feel anything busy, and on the way home, the despondency of this patient, which I felt vaguely at that time, came back to my mind at this time. I realized my “mask face” at that time. If I could smile and briefly comfort her with a few words of encouragement, at least with a smiling face, instead of a routine, her despondency might have been much less.  Reject the masked face and be a warm healer.