摘要：在医疗这片看似神圣的领域里，却隐藏着令人痛心疾首的暗流——年轻住院医生猝死年龄提前。最近，一篇关于年轻医生猝死的帖子，如同一把锋利的手术刀，精准地剖开了医疗行业那光鲜外表下不为人知的伤痛。
在医疗这片看似神圣的领域里，却隐藏着令人痛心疾首的暗流——年轻住院医生猝死年龄提前。最近，一篇关于年轻医生猝死的帖子，如同一把锋利的手术刀，精准地剖开了医疗行业那光鲜外表下不为人知的伤痛。
“你透支健康换来的优秀，不过是档案里随时可替换的几行宋体字。而单位的运转齿轮从未因此停滞半分。”这几句话，字字诛心，道尽了住院医生的无奈与悲哀。他们就像被上了发条的机器，没日没夜地工作，在病房、手术室之间奔波。为了所谓的“优秀”，为了能在职称评定、职业晋升中占得一席之地，他们不惜以健康为代价。然而，在医院的宏大叙事里，他们不过是微不足道的“螺丝钉”。当某一天，这颗“螺丝钉”因过度磨损而崩坏，医院很快就会换上一颗新的，继续运转。
有个真实的例子，一位年轻的住院医生，刚参加工作没几年，为了能在科室里崭露头角，主动承担了大量的工作任务。他经常连续值班几十个小时，困了就趴在办公桌上眯一会儿，饿了就随便吃口泡面。长期的劳累和压力，让他的身体不堪重负。终于，在一个平常的夜晚，他倒在了工作岗位上，再也没有醒来。他的档案里，或许会多几行表彰他工作努力的文字，但这些文字，能换回他年轻的生命吗？能弥补他父母失去儿子的痛苦吗？能弥补他未完成的人生梦想吗？
“人生不是用红头文件丈量的，而是用看见花开、听见雨声的瞬间拼凑的。”住院医生们也是人，他们也有自己的生活，有自己的梦想和追求。他们也想在闲暇时光，陪家人吃一顿温馨的晚餐，和朋友一起看一场电影，在夕阳下漫步，感受大自然的美好。然而，现实却让他们无暇顾及这些。他们熬的夜、拼的命、流的泪，最后都成了轻飘飘的白A4纸，而他们错过的晚霞、失约的晚餐、没牵到的手，才是永远无法补录的人生正文。
更让人痛心的是，当我们习惯用“白衣天使”的道德光环掩盖医生用人制度缺陷，用“医者仁心”的崇高叙事消解医生职业保障时，这场以医生持续经年的生命透支，终将以另一种方式反馈到患者身上。一个长期处于疲惫和压力状态下的医生，其医疗质量必然受到影响。他们可能会在诊断时出现失误，在手术时出现差错，从而给患者带来不可挽回的伤害。这就像一个恶性循环，医生用自己的生命透支换取患者的健康，但最终却因为自己的健康问题，无法为患者提供优质的医疗服务。
我们不妨看看国外的医疗制度。在一些发达国家，医生的工作时间有严格的限制，他们有充足的休息时间来恢复体力和精力。同时，医院也会为医生提供完善的职业保障和心理支持，让他们能够在一个健康、和谐的环境中工作。这样的制度，不仅保障了医生的身心健康，也提高了医疗服务的质量。相比之下，我们的医疗制度还存在很多不足之处。
“最后，只有自己是自己生命的第一责任人！”这句话，既是对住院医生的警示，也是对整个社会的呼吁。住院医生们，你们要懂得爱护自己的身体，不要为了所谓的“优秀”而过度透支自己的健康。同时，医院和社会也应该承担起相应的责任，改革医生用人制度，完善职业保障体系，为医生创造一个良好的工作环境。
我们不能让住院医生猝死年龄提前成为医疗行业的常态，不能让年轻的生命为制度的缺陷“陪葬”。让我们共同努力，严防住院医生猝死年龄提前，让每一位医生都能在救死扶伤的同时，也能拥有健康、幸福的人生。因为，只有医生健康了，患者才能得到更好的治疗，我们的社会才能更加和谐美好。
作者简介：梁世杰 中医高年资主治医师，本科学历，从事中医临床工作24年，积累了较丰富的临床经验。师从首都医科大学附属北京中医院肝病科主任医师、著名老中医陈勇，侍诊多载，深得器重，尽得真传！擅用“商汤经方分类疗法”、专病专方结合“焦树德学术思想”“关幼波十纲辨证”学术思想治疗疑难杂症为特色。现任北京树德堂中医研究院研究员，北京中医药薪火传承新3+3工程—焦树德门人（陈勇）传承工作站研究员，国际易联易学与养生专委会常务理事，中国中医药研究促进会焦树德学术传承专业委员会委员，中国药文化研究会中医药慢病防治分会首批癌症领域入库专家。荣获2020年中国中医药研究促进会仲景医学分会举办的第八届医圣仲景南阳论坛“经方名医”荣誉称号。2023年首届京津冀“扁鹊杯”燕赵医学研究主题征文优秀奖获得者。事迹入选《当代科学家》杂志、《中华英才》杂志。
Prevent the premature death of resident doctors: don't let life be "buried" by the system
In the seemingly sacred field of medicine, there is a hidden current that is heartbreaking - the sudden death of young resident doctors at an early age. Recently, a post about the sudden death of young doctors, like a sharp surgical knife, precisely opened up the hidden pain under the bright appearance of the medical industry.
"The excellence you have gained by depleting your health is nothing more than a few lines of Song typeface that can be replaced at any time in the file. And the gears of the unit have never stopped moving for a moment." These words, each one cutting to the heart, reveal the helplessness and sorrow of resident doctors. They are like machines with springs, working day and night, moving between the ward and the operating room. For the so-called "excellence," for a place in the title evaluation and career promotion, they are willing to sacrifice their health. However, in the grand narrative of the hospital, they are just insignificant "screws." When one day, this "screw" breaks due to excessive wear, the hospital will quickly replace it with a new one and continue to operate.
There is a real example: a young resident doctor who had just started working a few years ago, in order to make a name for himself in the department, took on a lot of work tasks on his own initiative. He often worked for dozens of hours in a row, and when he was tired, he would take a nap on his desk. When he was hungry, he would just eat some instant noodles. The long-term fatigue and pressure took a heavy toll on his body. Finally, on a normal night, he collapsed on the job and never woke up again. His file may have a few more lines of commendations for his hard work, but can these words replace his young life? Can they compensate for the pain of his parents losing their son? Can they compensate for the unfulfilled dreams of his life?
“Life is not measured by red documents, but by the moments of seeing flowers bloom and hearing the sound of rain.” Resident doctors are also human beings, they have their own lives, their own dreams and pursuits. They also want to spend leisure time with their families for a warm dinner, watch a movie with friends, take a walk under the sunset, and feel the beauty of nature. However, reality makes them unable to care about these things. The nights they stay up, the efforts they make, and the tears they shed, all end up as blank A4 paper, while the missed sunsets, the dinner they missed, and the hands they didn’t hold are the main text of life that can never be recorded.
What is even more heartbreaking is that when we habitually use the moral halo of "white-clothed angels" to cover up the shortcomings of the doctor's personnel system, and use the noble narrative of "doctors with benevolent hearts" to dissolve the doctor's professional security, this situation, which has been going on for years, will eventually be reflected in patients in another way. A doctor who has been in a state of fatigue and stress for a long time will inevitably affect the quality of medical care. They may make mistakes in diagnosis and errors in surgery, thereby causing irreparable harm to patients. This is like a vicious circle, where doctors use their own life depletion to exchange for patients' health, but ultimately, due to their own health problems, they are unable to provide high-quality medical services for patients.
Let's take a look at the medical system in other countries. In some developed countries, doctors have strict working hours, and they have sufficient rest time to recover their physical and mental energy. At the same time, hospitals also provide doctors with perfect professional guarantees and psychological support, so that they can work in a healthy and harmonious environment. Such a system not only guarantees the physical and mental health of doctors, but also improves the quality of medical services. Compared with this, our medical system still has many shortcomings.
"In the end, only you are the first person responsible for your own life!" This sentence is both a warning to resident doctors and an appeal to the whole society. Resident doctors, you should know how to take care of your own body and not overextend your health for the so-called "excellence." At the same time, hospitals and society should also take on their corresponding responsibilities, reform the doctor employment system, improve the professional security system, and create a good working environment for doctors.
We cannot let the sudden death of resident doctors at an early age become the norm in the medical industry, nor can we let young lives be "buried" for the shortcomings of the system. Let us work together to prevent the sudden death of resident doctors at a young age and allow every doctor to have a healthy and happy life while saving lives. Because only when doctors are healthy can patients receive better treatment, and our society can be more harmonious and beautiful.
Author Bio: Liang Shijie is a senior medical practitioner in traditional Chinese medicine with an undergraduate degree. He has been engaged in traditional medicine clinical work for 24 years and has accumulated a wealth of clinical experience. Following Chen Yong, chief physician of liver disease at Beijing Traditional Medicine Hospital, affiliated with Capital Medical University, and renowned old Chinese medicine, he has been treated for many years and received great attention. He specializes in the treatment of difficult diseases using "conversational traditional therapy" and special treatments combined with the academic ideas of Jiao Shude and Guan Yubo's ten-level diagnosis.He is currently a researcher at the Shude Tang TCM Research Institute in Beijing, a fellow at the new 3 + 3 project of traditional Chinese medicine flame inheritance in Beijing - a scholar at the inheritance workstation of Jiao Shude's protégés (Chen Yong),He is a standing committee member of the International Expert Committee on E-learning and Health Care, a member of the Jiao Shude Academic Heritage Special Committee of the Chinese Association for the Advancement of Chinese Medicine Research, and the first cancer specialist to be included in the chapter of the Chinese Pharmaceutical Culture Research Association. Won the 2020 China Association for the Promotion of Traditional Chinese Medicine Zhongjing Medical Branch held the eighth session of the Medical Saint Zhongjing Nanyang Forum "Classic Prescription Famous Doctor" honorary title. The winner of the first Beijing-Tianjin-Hebei "Pingui Cup" Yanzhao Medical Research Essay Award in 2023. His work was featured in the journal Current Scientist and the journal Chinese Talent.
来源：首都专家梁世杰一点号
