Recently, because the patient’s family did not prescribe drugs and injections according to the medical records, Xining City Third People’s Hospital, a female doctor was slapped and kicked, resulting in hearing loss. According to the police, the incident, the young man holding a 10-month-old child, in the female doctor Wang Mou department to see the doctor, when the man took out the medical records issued by the Red Cross Hospital of Qinghai Province, hope that the female doctor Wang Mou in accordance with the medical records written on the drug, to his child prescribed medication and injections. The female doctor read the medical record and said that a drug written in the medical record may cause the child to go into shock, as a doctor, she can not just prescribe drugs to patients, but the man believes that the experts of the Red Cross Hospital in Qinghai Province, there is no problem, and insisted that the female doctor prescribe drugs and injections. In this way, the two argued, the man took the medical record book towards the female doctor Wang Mou face. In the tear, the man slapped the female doctor Wangmou, followed by two kicks to the stomach of the female doctor Wangmou. (February 19, “West Coast City News”) Shanghai Changhai Hospital, Department of Chinese Medicine, Cheng Binbin As a doctor, very annoyed with one thing, is that the patient “ordered” you to prescribe drugs and injections. Why are you so confident? Because, “This is a prescription from a specialist!” Okay! If my opinion and your expert’s opinion are not too different, fine, just prescribe it. But the question is, if our opinions conflict, or even diametrically opposed, and I simply do not agree with his treatment, should I also copy the prescription? How should you choose in front of an aggressive patient? Another factor to consider is that the disease and the human body are in a constant state of change, and when there is a new change in the condition, the treatment should be adjusted. It is definitely not possible to adapt to the original prescription. But in life, you will see a lot of stubborn patients, regardless of the prescription of Chinese medicine or Western medicine, they adhere to a prescription for many years, trying to cure everything forever. For example, if he has a cold, he comes to you and prescribes cephalosporin and diflucan, and he says, “That’s what the director prescribed last time. Back to this “headache”: doctors, “experts” prescribed, do you listen to the words? Do you follow them? In my first few years of practice, I wavered on this sensitive issue and did not have my own opinion. Sometimes the patient was so aggressive that I would give in to the situation in order to calm down. “I’ll just give you a prescription once, and I hope I won’t run into such an unreasonable patient again.” When professional knowledge and experience are not mature enough, it is difficult for you to have your own independent judgment. It takes a certain amount of courage, as well as professionalism, to completely subvert a prescription prescribed by a specialist and deny it. But how should you make a decision when you are not capable of judging the reasonableness of a prescription? My answer is that your prescription represents your opinion. By prescribing an “expert prescription,” you are on the same side as the expert, and you must bear all the consequences of the prescription. The question is, since you have no way to identify the truth of the prescription, why do you have to carry this “responsibility” for others, risking the lives of patients to do experiments? Who will take the “bullet” for us? In 2011, when I was still working as a general practitioner in a community clinic of a second-tier hospital, such an incident happened. One day, when a colleague was seeing an elderly patient, he chose to copy the prescription directly without thinking when faced with a repeat patient. The patient was suffering from an “upper sensation” and the initial consultation was with the director, who prescribed two infusion drugs. I don’t know if the patient asked him to prescribe the same medication, or if it was his own instinct to follow the “authority”, the prescription for the infusion came out. As a result, the patient suddenly died during the infusion process, because of the completely blind copy of the prescription, some basic procedures like taking blood pressure and asking for a clear medical history were not implemented, and the family bit the bullet and said it was the injection that killed him. Soon, this medical dispute became a big deal, the affected party forced the hospital to stop the body, and the police were out in force. The incident caused the hospital and the doctors involved headaches, reputation, months of time passed, after compensation and apology, the incident only slowly subsided. Coincidentally, I switched shifts with this colleague on that day, and it seemed to outsiders that he took the “bullet” for me. And I think about this is, not necessarily. Because that year began, I have quietly become “rebellious”. I would not easily prescribe fluids to people without clinical evidence of high fever and dehydration. And I often refuse patients who ask me to prescribe specialists – if I have a different opinion on the treatment. I also don’t participate in any “economic arms race” where others cater to infusion-loving patients and prescribe infusions to the point of eye-rolling in pursuit of business. In the face of the medical representative who came to my door, my attitude was clearer: you can work, but don’t interfere and influence my prescriptions. With the accumulation of clinical experience, in this matter, my attitude is becoming more and more distinct. The first rule of being a doctor – is to be responsible for the patient, only responsible enough for the patient, which is the best protection for their own practice of medicine, my personal experience of this time makes me more convinced of this point. The best prescription In the practice of medicine, you honestly follow the principles of medical treatment, do not succumb to the so-called “expert opinion”, nor to the patient to inflict violence, not blindly follow the so-called “popular”. If you know and are sure, you will treat honestly and carefully. If you don’t know and are not sure, you tell the patient the truth and let him choose another one. Never pretend to understand in order to make money, and hard to go straight on, not to please! Just like the female doctor in the news, even if you have “expert prescription”, even if the “patient fist fight”, she still did not decide to change her decision – not to give you a copy of the prescription this This is my prescription. The patient does not understand this powerful relationship, but the doctor is a person who understands, so she insists on the principle. If a beating can take care of a child’s life and not take unnecessary risks, and can educate a parent by example not to take risks with their child and abuse drugs. Then, the payoff and sacrifice may be worth it. Of course parents also have to pay a heavy price for their recklessness and rudeness, can be ignorant, but not to go to violence, otherwise you are bound to pay the price. I only hope that, after paying this heavy price, the family of the child can appreciate the pains of the doctor who is responsible for you. The best prescription is always the prescription of the doctor’s independent judgment, not the prescription of complete blind obedience. Knowledge, skills and experience are important, but the most important thing is the doctor’s independent thinking and opinion. In a medical scene without experts, even a small one is an expert. Doctors should take the patient’s life interests as the first point of consideration in everything and provide the most reliable medical solution for the patient, instead of going for blind obedience and superstition. The more you don’t know, the more you don’t implement blindly. Sometimes, “doctors say they don’t know” is the most responsible prescription for patients, seemingly ruthless but the most compassionate choice.