He settled to his uncle!Should surgeons avoid surgery for relatives?

Wuhan Evening News (Reporter Jiang Mengqing Qi Yan) On August 24th, Wang Haiyu, deputy chief physician of the Heart Vascular Surgery of Wuhan Tongji Hospital, performed a complex and difficult "double -level" surgery for his uncle: Pulse bridge+aortic valve biological replacement. In his opinion, this is nothing in his own job. Colleagues Luo Li thinks that he is really "brave" and dare to "make a knife" for himself!

"Do you want to avoid relatives for surgery?" On this topic, Wang Haiyu shared this experience in the circle of friends and set off a medical talk.

In the comments, many colleagues and patients support: "Of course, the masters do not avoid relatives, do it more assured by yourself."

There are also some doubts and opposition voices: "Avoid" "Do you not panic with relatives" "I know that there are a lot of doctors who dare not perform surgery with my own direct relatives" ...

Some people still have a neutral view: "Look at the position", "Look at the mentality" ...

Comments from the circle of friends, patients and friends under the circle of friends.

Do not avoid relatives as the professional literacy of the artist

If you are too high, you can get up with confidence

Talking about the reason for his uncle, Wang Haiyu said: I and their family members felt "for granted."

In April of this year, the 69 -year -old uncle had a sudden cerebral infarction and was diagnosed with severe valve disease with heart disease and coronary heart disease. Wang Haizheng, who was a large heart of the heart, became uncle's uncle's "logical chapter". Doctor.

You can survive the perioperative surgery period. The uncle's family wants Wang Haizheng to have a surgery. "He is more assured in us, because there is any situation to ask at any time, and he will explain all the good and bad situation with us. Clearly. "Wang Haixun's uncle told reporters that in addition to his relatives, there is also trust in his technical ability and responsibility to patients.

In 19 years of medical treatment, Wang Haiyu had performed hundreds of Coronary Bridge surgery. He had been in professional training for many years.

It is understood that on August 30, Wang Haizheng's uncle had transferred from the intensive care unit to the general ward, restored to consciousness, and could spitting on and speaking.

In fact, this is not the first time he has treated his loved ones. More than ten years ago, his mother was injured and was sent to the emergency department of Tongji Hospital, which was the needle he had sewed his mother himself.

Wang Haizheng told reporters that when he was a child, his mother had a few trips in the "Ghost Gate" because of heart disease, which made him think of the idea of ​​medical treatment.

In his opinion, "the mission of the doctor is to cure the disease and save people, whether it is my patient or my relatives, and to bring them health by hard work, it is my responsibility and happiness as a doctor."

"We always emphasize treating patients as loved ones. When we meet our loved ones, don't you treat loved ones as loved ones?"

Regarding Wang Haiyu's choice, Professor Zhang Wanguang, his colleague Tongji Hospital hepatobiliary and pancreatic surgery, believes that if the doctor thinks he is very high, he can operate for them.

"For a self -confident surgeon, it is the best choice to give his family in person." Wang Haizheng's friends supported him.

Huo Yunxiang, director of the Department of Psychology, Wuhan Yifu Hospital, pointed out: "The more skilled the surgeon, the more you have a good sense of professional identity and pride. The objects are different, and the objects will not allow them to avoid the mentality. Whose responsibility I have, so that I have a stronger desire to fuck in person and relieve the pain of relatives and friends. The success of the operation will also deepen their pride and promote them to have a stronger motivation to study academic refinement. My career is even more peak. "

Wang Haixun (second from left) Dai surgery mirror surgery for patients in the screen.

Medical uncertainty

To move the knife for "yourself", you need to consider more psychological problems

In the 40 comments below Wang Haiyu's circle of friends, judging whether doctors need to avoid relatives, the most mentioned is the psychological quality and affordability of the doctor.

"Father of Modern Medicine" and Canadian clinician William Osler once said: Regardless of or surgery, there is no ability to compete with calmness -in any case, it is necessary to calm down and focus.

"If a surgeon performs surgery for his loved ones, you may consider psychological problems." Professor Liu Xin, director of the Medical Law and Ethics Research Center of China University of Political Science and Law, said that from the perspective of psychology, because there is a close relationship, there is a relationship that exists, and there is a relationship. Often judgment, emotions, thinking, and even some behaviors of people have a delicate impact that we cannot predict.

Liu Xin talked about a case that had happened in Beijing. The couple worked in the hospital. The wife was an ordinary physician and her husband was anesthesia. The anesthesiologist on duty on the day of his wife was not his husband, but the husband wanted to operate anesthesia himself, so he discussed with his colleagues on duty that night. As a result, an extraordinary annexation of the ductual duct. Although the child was kept, it caused his wife to be paraplegia unexpectedly.

"The operation process is not always smooth. When a doctor wants to have a prediction and countermeasures for the" worst situation '. If you encounter complications in time during surgery or postoperative complications, considering that the patient is a relative, how many doctors can be able to do it. Always be calm? You need to get a question mark. "Said Ye Ping, deputy director of the Department of Cardiovascular Department of Wuhan Central Hospital.

Doctors who doctors, the more psychological stress may be a doctor.

For doctors with a "psychological burden" and weaker pressure resistance, if the surgery is in a state of tension for a long time, it will damage its own physical and mental health. Huo Yunxiang, director of the Department of Psychology, Wuhan Yifu Hospital, was recently invited to a special surgery consultation at a three -hospital hospital.

After the operation of the light car, he was cooked by the uncle, and he was in anxiety. He always felt that the wound was not sewn and uneasy. He couldn't sleep at night.

Huo Yunxiang hinted on him, and after using some placebo and a little antimicable drug, the symptoms of anxiety of the professor gradually reduced.

Professor Liu Xin admits that many doctors may not have any psychological burdens on the mild relatives and friends, but if they involve surgical operations, they dare not get started. After all, special affection is in it, sometimes it is difficult to break through.

On the premise of choice

Should the doctor "avoid" surgery for loved ones

From a legal perspective, Professor Liu Xin, director of the Medical Law and Ethics Research Center of China University of Political Science and Law, introduced that "avoidance" usually refers to a third party living in a neutral position. The allocation of resources is made. The exercise of medical behavior mainly involves both doctors and patients, and does not involve third parties. The medical rights are not certain privileges. Therefore, from a legal perspective, there is no "avoidance".

However, "whether the surgeon avoids relatives" is still worth exploring whether to avoid relatives and patients.

From the perspective of medical ethics, Professor Liu Xin believes that when medical resources are scarce, how to distribute this scarce resources may cause suspicion of the public, and at this time, you must consider whether to avoid it. For example, a well -known old expert can only look at 10 expert numbers a day. In order to leave a number for relatives, only 9 numbers can be placed. Then it can affect the fairness of social resources and should be avoided.

Moreover, some surgery involves the hidden and sensitive parts of the human body. Even if the surgery of these parts does not involve, often the patient's surgery is in a state of body surgery. Between the doctors and patients with affection and friendship Embarrassment.

The reporter searched for "Is the surgeon for surgery for his own loved ones?" A reporter appeared 6 related questions. Of the nearly 100 answers, most netizens thought that "theoretically it can be done, but it is not recommended to go to battle."

Zhihu Certified Doctors of the Huashan Hospital Affiliated to Fudan University Answer: In 2021, I gave my mother and performed arthroscopy cleaning surgery. In addition, I have also performed surgery for Dabo and grandmother. But if it is broken, there must be a psychological preparation that can't be lifted in front of the family.

In addition, from the perspective of medical safety, Professor Liu Xin also suggested that it is best to avoid surgery and risky and creative treatment for loved ones.

"A conventional surgery, although the doctor is usually skilled, but after superimposed the family factors, it is often inevitable to fall into over worry and restlessness, which will affect specific operational progress and rhythm." Proposal that if there is an emergency, if it is an operation that can be selected, doctors should try to avoid surgery for relatives or creative operations.

[Edit: Yu Lina]

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