After reading the article--- “To Xiaoxiayaoyouzi, re psychosomatic medicine and placebos” written by Mary, and all the replies of it, I do feel so sorry and sad...
To be frank, since the first day when I stepped into the door of medical university, I decided to learn something useful to help people in need. In the past, I always thought that “doctor” is a kind of respectable occupation because of its holy responsibility to heal wounded and rescue the dying. So I try my best to study hard. I am really so excited when I became a doctor in the end last year. I do enjoy myself in my job in spite of the hard working sometimes. Whenever seeing my patients recovered or become better after accepting my therapy or hearing my friends and patients call me “angel in white clothes”, I do fell so happy and gratified, just like a child getting her candy from the kindergarten teacher as a prize.
However, today, when finished reading these articles, I felt so sad and depressed. I am really so sorry to get to know so many unfair and evil phenomena in the reality. To tell the truth, I do know little about medical ethics. I am not clear whether doctors in the small clinics would do like this, but as I know, educated doctors in the big hospitals are impossible to do such a kind of evil thing---earning or even cheating patients’ money by selling some useless drugs or false drugs. At least I haven’t seen this in the doctors I know. It is really incredible! I am really so sad when I know that many people dislike or even hate doctors. I have nothing to say, but just feel depressed and discouraged…
In my opinion, medicine is sure to be a professional and complicated subject. To be frank, I have learnt medicine for seven years, but I still know so little about it. There are still so many knowledge that I have to learn step by step. Furthermore, what I should learn is not only the theory but also valuable experiences in clinic cases. “Anyone should keep on studying even he is already an experienced doctor.” I still remember one of my teachers told me before.
As I know, to be a doctor is not as easy as someone think. It is really not wise and dangerous for people to take drugs by themselves just searching for it on the net but not going to see the doctor. As we know, sometimes a simple symptom is not just as simple as you think. For example, when someone feels a little headache, if he just takes some analgesics by himself but not gong to see the doctor, it will be dangerous. Because headache can be a common symptom of all kinds of severe diseases such as cerebral hemorrhage, infection of central nervous system, brain tumor, hypertension crisis or other systemic diseases. What’s more, any drug has its side effects. Some drugs will even cause addition, resistance, toxic reaction, etc. if they are used incorrectly. So a good doctor shouldn’t make the diagnosis just according to one or two symptoms that patients describe but should synthesize all clinical materials including symptoms, sighs, assistant examination results etc. and make a comprehensive analysis before making judgment. Only when the diagnosis is definitive, doctors should make an accurate therapy plan based on the different situation of individuals, including the dose, course of treatment and drug combination etc. Besides these, doctors should also take measure to prevent and cure the side effects of the drugs.
According to placebo, I think it is mostly used in the medical experiments (which were applied to the cases of controlled group) but really seldom used in the clinical cases as I know, no matter in physical illness or psychological illness. Actually, in psychological illness (such as anxiety, depression, neurasthenia, hypochondria etc.), we usually use sedative, antidepressant, anti-psychotic medications such as Fluoxetive, seroxat, haloperidol, clozapine etc. but not use placebo. Furthermore, even using placebo, it doesn’t mean cheating patients but just a kind of mental therapy method I think. Of course this is only my idea, maybe it is not right.
Maybe what I said is not right, or even something extreme. If so, I am really so sorry. But I do feel so depressed, sad and angry with all the evil phenomena in the reality. I know that it is impossible for me to change anything. What I can do now is just to work hard and help people in need as possible as I can, using what I have learnt in school. I am not sure whether I can do it, but I will try my best. If we doctors ever did something unkind or worse to you, I do feel so sorry about it. I hope you can forgive us. Really so sorry...
feier
