Ling Feng: Head of the department of surgery nerve of Xuanwu Hospital of Capital University of Medical Sciences, professor of department of neurosurgery of Capital University of Medical Sciences, doctoral supervisor, director of the centre of cerebrovascular diseases in Beijing, chief of research institute of cerebrovascular diseases of Capital University of Medical Sciences. Hold director, the director of cerebrovascular diseases centre of institute of traditional Chinese medicine of Guangdong Province of the cerebrovascular diseases centre of medical college of Shanghai Tongji University concurrently, have taken the post as the scientific research institute of Chinese nerve under construction recently and carried out the chief of institute. The first goddess of our country is through surgery, neuropathy Neo-Confucianism Dr., it is first in our country that gets involved in the neural radiology doctor too. I think that it cures the disease to cure the disease. It has no relation with anything beyond curing the disease with your name, profit. What you want to consider is the patient, you use it on patients just whole-heartedly. The law ice-cold, agreeable has effection, has moral integrity. When you have knowledge, have science, judge, you must also have effection to the patient. In the intersection of we and Corey, I requirement if patient appear pupil to be scattered and old, medical personnel want little to rescue without exception. You do not have even posture of trotting, have you done the best? If you want to do the best to seize every minute and second. Can shake our pursuit of a lifetime if I do not think the relationship between doctors and patients nervous. Since the thing persisting in the ambition and pursuing, how can change for any things in this way? A lot of of enterprising spirit to medical science of mine are the patient coming from me, their pursuit and understanding to life is encouraging me constantly. Leaderette: Choose pluralistic era in such a value of today, how to become a good doctor, how to weigh the advantage and disadvantages, stand fast at one's own job faith in the adverse circumstance? Succeed in, treat and cure bang once if the intersection of Capital University of Medical Sciences and the intersection of Xuanwu Hospital and Ling Feng Professor, expert of department of neurosurgery, that enjoy a widespread reputation, on the cultural and educational young man's key teacher's advanced class for research work of medical science of institution of higher education of Ministry of Education that the medical department of Peking University held not long ago, combine experience and feeling of practising medicine in more than 30 years by oneself, has carried on the sincere exchange on cultural and educational topic and everybody of medical science that the students cared about. Ling Feng: About the cultural and educational educational problem, in fact I do not understand very much either, so say accurately, I am a person who stand trial here, whether or a person asked. Everybody had something that wants to ask, or hope to discuss with me, I will exchange with everybody candidly. Q: If it should be the important incident that you become famous to treat and cure the bang home and abroad, why dare you bring Liu HaiRuo back at that time? If has not brought back, how will you think in the heart? What is the situation after bringing back? Ling Feng: About bang like treatment,speak a lot of media already very clearly. If ask what kind of idea brings her back I start from, I feel very simple, want to cure the disease, rescue people. Because she needs me to rescue, we are bearing this duty, should do naturally. Are a lot of people asking too, were you sure at that time? I say that is not sure; You will certainly know at that time whether she could do it, I said I did not know either. But if will not have cured afterwards, someone will certainly say I boasted originally, may lose all standing and reputation, make oneself very in straitened circumstances. But I had not expected these at all at that time, I only thought of it a bit, but I should do the best. In any case, the patient needs to rescue, I will take every care to rescue soon. Whether can rescue, that is not what I can have the final say on. We are only an ordinary doctor, and all fetus of human body too. We can only use all intelligence, knowledge, ability, go to do things diligently, but may not be certain to do well both. The doctor cures the disease, succeed in failing too; It had five it imprison it cut six brilliance,grief that be failed too. However, because can't pass by Mai city, you are ashy all one's life; Can't say either five will close and cut six, you are terribly brilliant all one's life. I felt I have done the best, I am very steady and sure, why say on the external world, that is not my thing. I do not know Liu HaiRuo before me for the profit for the name, have not expected either oneself will be linked up with her. It take back bang like,calling on it is for patient in this, calling of motherland too to a great extent. The embassy stationed abroad phones me, require me to appraise a medical treatment, and finish all diplomatic procedures overnight, can I say that does not go? I had not expected at all before going that there were so many things later. Just requiring me to do the verification of death of a brain at that time, the graduate student that I wanted me surfed the Net and collected the qualification standards about the brain death of various countries, have seen No. one on the plane. But before leaving, I phoned president Zhang Jian and talked about my idea. I said I would do verification of death of brain this time, perhaps there are several kinds of situations. The first kind of situation is patient's certain brain death, then must certainly give up. The second kind of situation, the patient may not be the brain death, if the other side would like to rescue, then. That is most afraid is the third kind, she is not the brain death, the other side does not rescue either, then what to do? The president asks my opinion, I say it is really that last kind of situation, Laszo only backwards. Then the president leaves it up to me, if I think that can draw back, then draw back, the hospital will support wholeheartedly. I think this is a kind of humanity too, it is a kind of responsibility. In fact, we did not think of any trouble, sustain economic losses,etc. at that time, think of a word, if this patient needs to rescue, we must go to rescue by every means to the family Laszo. In fact, no matter what is done, I think that it cures the disease to cure the disease. It has no relation with anything beyond curing the disease with your name, profit. What you want to consider is the patient, you use it on patients just whole-heartedly. Q: While meeting the patient with very heavy condition on clinic, if the patient family members sign and agree to give up treating, the hospital will generally respect relatives' opinion. But I listened to the expert of hygiene law saying recently, if the patient really died in the hospital in case of not cancelling the medical contract, once make a noise and go to court, his relatives and hospitals should all become the defendant. At this moment, doctors are in the awkward condition with hard to tolerate legal principle. Why will solve you and your group meet such a problem at work? Ling Feng: This kind of situation is really often met, especially our department of neurosurgery, have dealings with life and death everyday. There are some patients, we thought and has not really managed in terms of medical science, and people's family of disease is powerless. In this case, if family members propose letting him " leave " ,Then we will let, he " Leave " ,Everyone is not the immortal, can't be guaranteed to cure all ills. But I have met some situations, relatives put forward and will not rescue, but we think and still rescue, we will be persuaded hard. I give two examples for you. I have ever met and managed a 9 -year-old child, he has an enormous aneurysm. Can only do the operation and close all his blood supply arteries Close, form the thrombus slowly, then use? Pei of drum � footpath between fields Piao of �� looks �� prevent blocks of U from wish to shine in summer ��? Moisture in the soil and leech �� * �� play ��, drum of ��, faint still The chirp is contrary to ��� to dash for ward Lai Yang's eggplant �� badly Dragonfly the intersection of ���� and the intersection of belly and the intersection of Fei and Mo step on �� eggplant ����, drum of bud, rank, contrary to �� while being bad the intersection of Ba and the intersection of cave and the intersection of bone and Qu wish silly ��, caution of Na, only nearly in front of the broken �Ҫ� Dusk of plinth U pay spring onions> Does the river cliff disease Chuan of �� beat up Long cherry and rue and flash �� in female target spring of �� particularly? We observe by bed of him totally at that time, one place guided to think bleed, turn medicine amount down at once; See, wake up, strengthen, a bit, cannot give nurse the intersection of the next one and intact doctor's order the intersection of medicine and quantity at once. We are guarding rescuing in 7 days and 7 nights in the room, the child's parents squated in 7 days and 7 nights at the gate, it is worn out mentally and physically. They tell me at this moment: "Director Ling, though you are rescuing everyday, has already done the best, we think that had no hopes, also endure soon, the child will endure hardships, let's demand to give up. " But I know anticoagulatorily and can have insisted on for two weeks, it is hopeful to bring back to life. And the patient has the response to any operation of mine, I think this lets the doctor make one of the most important points of the decision to accord with. What patient did not react as you became, you were at one's wit's end. If the patient has the response, then should also be cured. Then I tell parents whether child get stage that give up yet, prop up for one more week good even, besides, give up. The child's father does business, either because can not prop up without money, or think the child has endured hardships very much. They agree to insist on one week more with me finally. Doctor unwilling to give up, parents, and how willing to to give up own childly? So we insist one week dogged. Having probably passed for two weeks, the child really turns better slowly. One month later, the child is fully recovered. After the 6 year follow up a case by regular visits to, aneurysm of child, no, the brain stem returned to normal. This child is educated in the university in Melbourne now, and the ordinary child is nothing different. But there is example without money of family. I meet one neck prolong the intersection of juncture and the intersection of spinal and odd-shaped patient of blood vessel. The very difficult to make operation, pathological change lie in front of spinal, I want from following to reverse spinal and brain stem, but unavoidably pull the spinal while transferred to. The patient totally keeps breathing by the breathing machine after operation, four limbs are paralysed, but consciousness is very clear. It is described that her sight is very difficult, there is aspiration seeking survival but so helpless. Her family is very poor, she lives in to guard the room, her husband sleeps in the garden, the meals can not be all eaten. They have borrowed 40,000 yuan altogether. But 3 weeks later, the nurse who guards the room tells me, this patient begins to owe the money, owed 80,000 yuan altogether finally. If the patient has no money to continue treating yet, the doctor should be punished. But I see she has already begun to resume, if we do not rescue her, she certainly dies; If we rescue her, owe some money? The money has been used up and still can be earned, the human life can not be on. So I say, owe first, deduct our bonus at most. Buckle bonus, spike mine first. This patient lives in to guard the room, doctor and nurse all specially do the best to help her. Live 1 month, she really can take away person who breathe, upper limbs resume too. After going back to the ward, her husband pushes her and walks in the courtyard with the wheelchair every day, can take a walk and run. She has left 2000 yuan and a letter for us, say that does not really get up, if live, know more flowers. The money later, the hospital deducted the complete one in proportion. Everybody think deduct, buckle, bring one life back to life as you, heart glad, will not produce because of deducting money sadly. Later on I learn, this patient totally returned to normal, also gave birth to the child. Later on her husband went out to work as a temporary labourer to earn money, brought a bag of rice and 2000 yuan to return us. It is said we help her to return the money, she is very moved. We have only accepted the rice, return 2000 yuan to her. But she thinks this sum of money is that doctors help what she have, then has donated money to a local leukemia patient. The love is being so transmitted constantly. Meeting this kind of situation, we can't speak Yes or No briefly with a formula, can't be complete the usage is come to weigh. The law ice-cold, agreeable has effection, has moral integrity. When you have knowledge, have science, judge, you must also have effection to the patient. Q: It was in 1999 that I cured the undergraduate course to graduate from the north, I have 1/3 of the classmates who were not engaged in the medical trade now. One before the I bring up, teach teacher died suddenly the patient's relatives are pursuing and attacking, and give up becoming a doctor. How do you see this question? In present state, with what kind of psychology should our doctor face? In addition, I see silk banner in the other hospitals, but in the department of neurosurgery of Xuanwu Hospital, I have not seen a silk banner, why? Ling Feng: In fact I think that the most important thing is to remember we are doctors. Doing to a doctor has a kind of respect and sincerity revered on life soon. When you feel the life to respect and revere, you are a kind of some mood, what it is one kind feel? When you revere to a thing very much, you do not dare to touch easily, you will stretch every nerve. When you respect the life, you will do whole-heartedly. Even if failed, others can feel this emotion of yours. Patient and relative too passionate, he will know you make well and badly, whether you finally do the best or not do the best. So in the intersection of we and Corey, I requirement if patient appear pupil to be scattered and old, medical personnel want little to rescue without exception. You do not have even posture of trotting, have you done the best? If you want to do the best to seize every minute and second. If the patient is dead, doctor and nurse rescuing in all participation should send the patient to the gate together, explain the whole course with relatives. Perhaps anyone feels we are a bit affectedly unconventional, show patient relative on purpose, in fact this is feeling for others. If your family has encountered such a big a thing, the laughing and joking appearance of each of others, what do you feel? It is amazing to certainly receive very much. I have run into patients too to look for nuisance. One day, we were having a meeting, patient relatives rushed into the office, to hit the person soon, ask you directly where a director is. Some young doctors block in front of me at once, protect me. I say that needn't be so, ask him to come in, any problem sit and come down and discuss. I say I have already known the process of the thing, we really have places wrong, make a self-criticism to you. This has several kinds of situations wrong, one knows perfectly well that still makes a mistake on purpose wrong, this can't be tolerated. Another kind is that our knowledge range is limited, can not be rich and all open. As us on condition that know Having made a mistake, I admit I am wrong, but this did not mean I injure you on purpose. His air came down at that time, said this was pleasant to the most ear heard over these days. So by the look of this, can shake our pursuit of a lifetime if I do not think the relationship between doctors and patients nervous. Since the thing persisting in the ambition and pursuing, how can change for any things in this way? Talking about the thing of the silk banner, first, I do not maintain the patient gives the silk banner, I think that is wasted. Second, I think it is for expressing gratitude to us that the patient gives the purpose of the silk banner. Just know in the heart, needn't hang. What we should hang out should encourage, mould the thing of us constantly. A calligraphy work has hung at the gate of ICU of our department, has written 8 words above: " the direct bearing of the health, the life is held " . Because we pass in and out ICU every day, and relatives can only look at two doors anxiously, can't enter. I write, here, want, let them know 8 word these it is one that rescue their relative people that the life takes seriously, we will take these 8 words to do, the patient family members will think that rest assured at least. In addition, when I want to let doctor and nurse see these 8 words everyday too, want to go to health and life in this room to all shoulder on our shoulder. The that is than on the silk banner more valuable thing. Q: Teacher that I am refined ethics course of medical college in Hunan of middle and southern university. While taught, we have made investigation, students all think the teaching of medical ethics produce effects very big. But after students work, there is no study content in this respect inside the hospital. When you accept the medical education originally, did the content of medical ethics still influence you now? How have you been keeping medical ethics all the time? Ling Feng: I am a worker-peasant-soldier student, medical ethics did not said, I had not had this lesson either at that time. But I think the morals are one's training and criterion all one's life, its idea should be carried throughout, do not only depend on having a few lessons and do. One's ethical level is trained and produced gradually, should be good at studying, realizing from patient, could serve them better in this way. A lot of years ago, I made a thromboembolism treatment for the odd-shaped child of blood vessel of a spinal, make her much better. Because of her family reason later, had no way to continue treating for her again, she has been totally paralysed finally. But her will is very strong, lie prone and finish college on classmates' back, still study abroad alone. She can already cook, drive now. From her body, I have seen self-confidently, have realized the tanacity of the life. And this lets me feel that solve the difficulty again, cure these children's disease, let them live better. In fact, a lot of of enterprising spirit to medical science of mine are the patient coming from me, their pursuit and understanding to life is encouraging me constantly. At the Paralympic Games, the disabled athlete creates the miracles with their strong will, bring the meaning of the life into full play. But I participate in the Olympic Games in terms of a doctor, besides above-mentioned respect, have also fallen into a kind of self-accusation and guilty that can't be spoken. We doctor, why can't we it cures theys to be wounded or disabled, let life of them so difficult? In their disability, besides congenital illness, is it because disease can not be cured that how much have? Cause by the doctor's mistaken diagnosis more or less? I can realize the disabled athlete's smile, include the gratitude to the society among them, to the wrong tolerance, there is a kind of dogged respect to life even more! I have a trouble odd-shaped patient of blood vessel of high neck end spinal, still four limbs are paralysed while leaving hospital. Because without money, she can only stay at home and become oneself recovering and doing exercises. While putting in order and browsing the case history, I often remember her. One day 8 years later, she takes the wheelchair to the hospital to see me, sends two pairs of shoe-pads that she embroidered personally to me. Holding this exquisite shoe-pad in hands, I feel all sorts of feelings well up: Does she only express a kind of grateful feeling to me? No! I think this transmits a kind of information to our medical personnel, this is a patient to the aspiration of the life, to the beautiful pursuit! So I propose respecting the life, revering the life in Corey. Revere life is when excising the nerve fiber of place you while being what is called, should handle very carefully, will accomplish the operation, the patient can resume and have no too great function obstacles. This is a doctor's responsibility. If our doctor knows that take away the patient's pathological change, then thought that had treated, that is incorrect. Quite right, tumor was taken away, but the patient has been paralysed, what operation is that to succeed? Strong willpower of those disabled athletes and spirit of striving, it is a kind of encouragement, one kind is moved, a kind of collision to our doctor. And this kind of collision will make you burning with righteous indignation, let you stop one's own work at all. You must do desperately, must grow and revere the life heart, want the care diligently, treat meticulously, can't let them have any obstacle. The doctor's morals and personal integrity so take place naturally, because we can experience a lot from patient every day, it is they that bring me to move and encourage. I do some notes too at ordinary times, can write a book while wanting to come down idly, write 100 patients' story. The inspiration that these patients give to me, it is not merely their thanks to you, more important, you can feel the warmth, couple of the family are affectionate from them, feel their love, pursuit to the undertaking to life You can even appreciate some philosophic theories from it, I think all these are very meaningful. Q: A media has criticized the department of neurosurgery of China for having the risk that abused abroad. Treat nerve, split disease with the intersection of nerve and surgical method, Ministry of Public Health ask, park, decontrol also to the technology, could you tell me how in this respect present progress is? Ling Feng: I think it is right that Ministry of Public Health shouts and stops. The implementation of this technology must be set up on the basis of strict experiment, especially such irreversible damage operation. Once damage, the patient's personality will probably change. So I often say, how much do we really understand secret of the human body? In fact it is really only a drop in the ocean, very limited. Just because our understanding is limited, if not enough to revere to the life, you will damage carelessly, then will cause a lot of questions to patient. So we should have one to weigh while treating every patient. If the operation risk is greater than the natural risk, this kind of operation can't be done. In Corey, hand in the prediction scheme every morning, complete chief physicians and professors will analyze the prediction scheme, including examining Disconnected, risk that may meet in operation method, operation, how to go to prevent these risks, possible complications etc.. Are some prediction schemes erupted simultaneously? Slowly detailed to favore with � person who call out A forgive for raise bad-tempered? Suppose, have precise to investigate, think a certain natural risk of disease 2%, but operation have 20% the intersection of paralysis and risk, do you say this kind of operation is done or can't done? Some doctors will say, this kind of operation Zhang has done, Li has done too, does abroad too. I ask him, if the patient is your mother, do you do this operation? So when we do decision to the patient, must think, if this patient is my relative, how will I do. Not when you do not know how heavy on earth the life is, how heavily you weigh one's own life in the hand! Your life is multiple, how heavy the patient's life is. Q: You think what the sign of main respected doctor's absolute sincerity is, influencing key element, what is it? According to the clinical experiences of more than 30 years of yours, how many stages can the doctor's professional growth divide into? Ling Feng: Our goal is to become a qualified doctor. Six key elements of the absolute sincerity of respected doctor that Sun Simiao talked about needn't look for anything in fuller place either on very. If someone can do these well conscientiously, it is enough that I want. Did so 1500 years ago, it is very good that can extend by today. My own experience of taking up a job as a doctor for more than 30 years, is it the same that that grow into the big tree as the little tree? From inmature to move to maturity, from young to old age, from fire power being prosperous to decline to the fire power, over finally. (smile) Q: I think I should pay close attention to the medical worker too while paying close attention to the patient. While work and tape in so much years teach, how did you help the young medical worker to grow up in such aspects as law, ethics, humanity? Ling Feng: Our department will evaluate angel's nurse every year, and is all participated in by patient, doctor, nurses. I have proposed 8 words for our nurse of a department: Beautiful, gentle, intelligent, consummate. Corey's man doctor tells me, those 8 words which you proposed, the beauty is the first's. This beauty that I say not only points the physical beauty, the more important thing is the beautification of the mind. Our department has 8 angel's nurses now, they are really like little angel, can bring the happy, warm and care to people. I am designed for angel's nurse specially the angel badge, silver, very beautiful. I return the intersection of champion and the intersection of angel and nurse of us it buys construct the intersection of China and Lip river to be strange generation " The little angel " . It was never the second bought that I went over the whole world later, this became out of print. I hope the nurse can float by the patient like little beautiful angel, each patient has seen her smile. Speak lightly, movements should be gentle and operating wanting speciality,etc., let them remember these rules really have some difficulties, so I say, it is unnecessary for you to write something, just think about what kind the angel is, what you make into. On Nurses' Day, the nurses organized the lecture, discuss their feeling, one cried at that time after the man director transferring in the other places has heard. Everybody asks why he cries, he said he has heard the heartfelt wishes unseen for ages. The technological progress now, but people become number and number, make profit as one's only aim further, do operation, want, pick up, earn money large doing etc.. But hear these lovely children explain the devotion of the love, explain their understanding of patient, think immediately soul has been purified. I write one's own feeling as the first language of roll of department's yearbook every year, share with everybody as a kind of feeling. In 2005, what I wrote was " happy department of neurosurgery ", wanted to let everybody learn to realize from the work with miscellaneous agony happily. I have written a few words at the end of the article: "Go through the agony in exploration, it is happy to aftertaste in the discovery, bear the pressure in treating and curing, it is happy to enjoy in the recovery, overcome in cooperating narrowly, it is happy to taste in understanding, it is lonely to tolerate under study for action, distillation is happy in the achievement. " In 2006, I wrote a " appreciate each other ". The department of neurosurgery is so big, need a kind of cohesiveness very much, I like this word of appreciate very much, because it includes feeling grateful and tolerant, appreciates others are very beautiful thing. In 2007, I wrote <
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