Born baby-faced, closer to sick children … Chen Xizhou's "medical" days in Penghu

Born with a baby face, it narrowed the distance with sick children ... Chen Xizhou worked as a "doctor" in Penghu for three years and seven months, which was the time when Chen Xizhou, director of pediatrics at Neihu Third Army General Hospital, stayed in Penghu. After graduating from National Defense Medical College, he went to Penghu as a medical officer and returned to Penghu 22 years later. Let's listen to what he said about the wind in Penghu, the sea in Penghu and the local medical environment. Dr. Chen Xizhou, who graduated from Kaohsiung Middle School, decided to study medicine because his father was ill in high school and he was interested in biomedicine. He said with a smile that apart from these two reasons, southerners generally think that "doctor" is a glorious profession, so his family also supported him to study medicine at that time. As for why choose pediatrics? Chen Xizhou, with a baby face, said with a smile, "I look like a child and have something to do with it." But in fact, at that time, he struggled in internal medicine, surgery and pediatrics for a long time, and finally chose pediatrics, because he thought that people's health in childhood would affect the development of the next few decades, and the impact was not small, so he decided to join pediatrics.

Twenty-two years later, Dr. Chen Xizhou returned to work in Penghu. It has been 26 years since I graduated from National Defense Medical College and entered the three armed forces. As an officer, he first worked as a medical officer in Penghu, then went to the health company, then to the clinic and then to the naval hospital. He stayed in Penghu for two years before being transferred back to the island. Chen Xizhou recalled that there was no medical insurance at that time (1980), and these novice medical officers had to take part in itinerant medical treatment and free clinic, and often provided medical services in different villages. At that time, the veterans of the older generation were not dead, and many old people were often seen waiting in line to see a doctor. In the Republic of China 102, he returned to his familiar Penghu and served as the president of three Penghu branches for three years and seven months. He said that from the absence of health insurance to today's health insurance era, Penghu's medical physique has improved a lot, but after all, it is an outlying island, and the current medical care still cannot fully meet the needs of local residents; The resident population is less than 70,000, and there are only about 170 doctors in clinics and hospitals. The doctor-patient ratio is still slightly lower than the level on the island.

Talking about medical resources is still incomplete. Because the employed population in Penghu is not only fishing, military education, but also sightseeing, many people choose to work on the island and leave their children to their grandparents, thus forming the phenomenon that the medical population in Penghu is mostly elderly and children. Chen Xizhou said that according to his observation, the population composition of Penghu has not changed much in the past 20 years, but tourism and local construction have made great progress. At present, there are three hospitals in Penghu, namely, Penghu Hospital (Housheng Hospital), Huimin Hospital (Church Hospital) and Sanzong Penghu Branch, forming a situation of 1 small two hospitals. Penghu Branch and Penghu Hospital are regional hospitals; Three of them are also teaching hospitals, focusing on acute and severe diseases, trauma, neurosurgery, orthopedics and women and children, and can perform major operations; Huimin mainly focuses on long-term photos and rehabilitation; Penghu Hospital is characterized by cardiac catheterization room and psychiatric ward. This also highlights the shortage of medical resources in Penghu, that is, no hospital can provide a complete department for people to seek medical treatment. He said that there are only three emergency departments for women and children in Penghu. Usually, they have a doctor in the emergency room and a doctor in the ward. Once the emergency volume increases, the doctor on duty in the ward needs to come down to support.

Born with a baby face, it narrowed the distance with sick children ... Chen Xizhou worked as a "doctor" in Penghu for three years and seven months, which was the time when Chen Xizhou, director of pediatrics at Neihu Third Army General Hospital, stayed in Penghu. After graduating from National Defense Medical College, he went to Penghu as a medical officer and returned to Penghu 22 years later. Let's listen to what he said about the wind in Penghu, the sea in Penghu and the local medical environment. Chen Xizhou lamented that medical manpower flows frequently in outlying islands, and the biggest problem is that doctors cannot take root. Penghu Branch of the Third General Administration has put forward many incentive measures, including studying at home and abroad and applying for training. But the effect is still not good. He said that as long as he lives in Penghu for 1 year, he can understand why doctors' families are unwilling to stay in Penghu. Penghu is very comfortable in summer and bitterly cold in winter, so you usually have to drive when you go out. The families of these doctors usually want to go back to Taiwan Province Province after half a year. Even doctors who are resident in Penghu are mostly from both sides of Penghu and on the island, and there are not many real families moving to Penghu. He pointed out that leaving home is an incentive for doctors at public expense, because a year can reach two years, and two years can reach four years, which means that they can repay their "student loans" and regain their freedom soon. However, because most students at public expense want to further their studies and study abroad, few people stay.

When Chen Xizhou first arrived in Penghu, he didn't quite understand the Taiwanese spoken by the local people. Later, he learned that the Taiwanese language spoken by Penghu people has many ancient river sounds. He usually goes fishing in the sea on holidays, and sometimes he visits several village heads' houses or goes fishing in intertidal zones. He said with a smile that Penghu people are sincere, honest and straightforward, and there is no pressure to get along. They will call a spade a spade what advice they have on medical care, and will not hold back just because they are the dean. This is what makes him feel happiest. He also shared that there are many customs with local cultural characteristics in Penghu, such as "hens and bitches" that must be eaten from winter to the sun, which is unique to Penghu. Chickpea is an animal-shaped rice food. It uses rice balls to knead into models of cows, sheep, pigs, fish, chickens and ducks instead of three kinds of animals, in order to pray for the prosperity of six livestock and bumper harvests in the coming year. The temples in Penghu will also launch the traditional activity of "seeking turtles" during the Lantern Festival. The rule of seeking turtles is to pray to the gods for the items displayed in the case (there were many fat turtles made of cake powder and sugar water in the early days), tell the gods about the items, uses and added value in the coming year, and ask the gods for permission. Those who get the "scroll of scripture" can register at the temple and bring back the "subject matter" to bless their work safety and good health in the coming year.

Born with a baby face, it narrowed the distance with sick children ... Chen Xizhou worked as a "doctor" in Penghu for three years and seven months, which was the time when Chen Xizhou, director of pediatrics at Neihu Third Army General Hospital, stayed in Penghu. After graduating from National Defense Medical College, he went to Penghu as a medical officer and returned to Penghu 22 years later. Let's listen to what he said about the wind in Penghu, the sea in Penghu and the local medical environment. Chen Xizhou, who had a standard baby face before seeing a pediatrician, laughed at his own advantages and disadvantages. During his tenure as the dean of Penghu Branch, people often said to him in surprise, "Are you the dean? ! On the other hand, when seeing a doctor, he also used his baby face to close the distance with his children. When many parents take their children to see a doctor, they are often surprised to say, "Dr. Chen, it is rare that my children don't cry when they see a doctor, and they are not afraid of doctors and uncles." 」

Many novice doctors will "forget" some professional medical terms when they see a doctor, which often confuses parents. Chen Xizhou said that he usually tells new doctors to "communicate so that patients can understand." He emphasized that patience and carefulness are the basic characteristics of a famous pediatrician, and keen observation is also needed. Because most children can't clearly express their symptoms, parents may not be able to truthfully convey their children's state. A child's eyes and actions may have their meanings. "To some extent, a doctor is like a fortune teller. From the moment a child steps into a clinic, he will begin to read those words." He smiled.

The doctor-patient relationship is in my heart. As a doctor, the pain and suffering of patients are in my heart. Chen Xizhou bluntly said that in many cases, in order to encourage family members, it is often necessary to hide their emotions, but doctors are human after all, but they have more medical knowledge than the general public. Some patients have prepared a bunch of tough questions just to disappoint the doctors. This situation will make the doctor-patient relationship tense. As the saying goes, "the doctor is blind, and the sick are blessed." It is a blessing for the patient to meet the right doctor, but the patient should give the doctor enough trust and support when seeking medical treatment. Chen Xizhou said that several of his patients went to primary school, junior high school, high school and even university from preschool, and some children even left society and would come back to find him. "When the physical condition of these children with chronic diseases is gradually improving, the heartfelt sense of accomplishment is really indescribable. 」