An old practice of experts puzzled

 An old practice of experts puzzled experts
many opportunities for contacts with the old, the practice for years want them to talk about feelings, often because of the rush, always Expert great respect, is what I respect them, they only talk with me. But I do not deep in some inexperienced, arrogant the number on your academic achievements, not when you take the first few in the academic top spot, a man may not have high technology and extraordinary achievement, but must learn to respect others and behave according to their conscience. If officials must is the conscience act play fair, honest work; If you are a doctor practicing medicine must be conscience, scientific practice, practice integrity.
today, do not know what that reminds me of one of Guangdong's orthopedic specialist Professor Li Fobao in Affiliated Hospital of Zhongshan University Hospital over the tenth anniversary of the General Assembly Whampoa some speech. Although I do not have all of his recorded speeches, but he gave me a paper. The paper quality do not light, almost orthopedic paper? philosophical treatise almost ? or the medical humanities thesis?
with basic medical, materials science related disciplines and technologies, polar promote the progress of spinal surgery, spinal surgery in the treatment of important technical support and development opportunities for Professor Li Fobao told me, in particular, within a variety of new plants, such as the fusion cage in the maintenance of disc height and promote the advantages of fusion, artificial disc, artificial intervertebral disc nucleus in maintaining the physiological activity of the advantages, flexibility in reducing the degeneration of the fixed terms of technology benefits, etc., its design philosophy are the views put forward a lot of progress. However, in specific clinical applications, many prominent contradictions in the different treatment options, such as: is the choice of conventional or minimally invasive techniques revealed, is the choice of technology is still strong and flexible fixed-fixed, is the application of non-fusion technology, or 360. fusion, and so on. how dazzling the treatment of measures to make the right choice or should the most fundamental principle of medical talk. < br> Professor Li Fobao Dialectical describes life in the sports, life can not reverse the natural course of illness and death, the body itself in the outside world will appear under stress, such as osteophyte formation, calcification and other soft tissue degenerative changes affected by the labor intensity, and with age and gradually increased. On the other side, even without regard to age, stress and other factors, only the inorganic contact with the human body itself, there will be secondary changes. He said that all the plants applications as the foreign body is bound to bring the surrounding inflammatory reaction and scar formation, as physiological alternatives aseptic loosening of artificial joint will inevitably end, if the installation of plants, including violation of the principles of biomechanics, it will speed up the the appearance of degenerative changes. Thus, while the plants have a tremendous variety of glossy design and theoretical advantages, but in actual clinical applications, these applications are always within the plant can not avoid some problems: ① foreign body reaction (scar , calcification, ossification) exists; ② placed within the plant is difficult to meet the normal bio-mechanical mechanism; ③ within the interface of the host plants to absorb and dissolve; ④ degenerative diseases caused by structural changes will lead to the abnormal location within the plant, and eventually may cause failure of the plant. These issues are challenges throughout the clinical effect of application of the plant, but also gives us the long-term efficacy of these expensive devices to maintain marked with a question mark; application of these instruments, the organization has not degenerated it? prosthesis will not shift it? effect of surgery you can maintain long?
someone asked him: . medicine is still experimental science, practice is the sole criterion for testing truth, in this medical practice in the long term summed up the universal law. a person's experience is always limited, and only good at medicine on the development process to explore the universality of the law, combined with the experience of fellow, and ultimately will form their own rational choice principle of operation.
he said, the medical need us to change from time to time appear in the clinical point of view that are not correct, or some absolute one-sided point of view, especially the blind pursuit of . nothing. Moreover, even if the new foreign technology, foreign experts have applauded the response is also a bomb. the medical profession itself to continue to make some noises, But the effect does not seem to improve much. direction, s One well-known educator, said: , the former president of Peking Union Medical College, Mr. Budd also mentioned in: I despise those who craftsmen medical thinking as purely technical, they only see the scalpel, the scalpel can not see the existence of the people behind. Education is the key person, not the right person, the knife in danger. Therefore, as a doctor, do not forget their basic mission, and do not forget the basic medical essentials in the face of thinking all kinds of market economy, to learn to identify, do not follow the crowd, do not let your heart tarnished coins. change the look at photographs, laboratory, do not ask the status of a history of signs; change the starting point of operation, from the idea of responsibility, technology, communication is the key; change the one-sided evaluation of new technologies, emphasizing the needs of patients first, not contending, irresponsible promotion; change the views of the advanced and backward, advanced standards should be used minimal trauma and cost of cure patients, but the trauma and cost of using the maximum cure the patient should be representative of the backward; change the most promising people's views, the most respected medical problems should be caught, and work hard solve practical problems for the patient, the persistent problem of clinical doctors, and not up with the