听了杨医生的故事，你对于全科医生和社区卫生服务中心有何看法？如果每个人都能在自己的社区、在家的附件接触到杨医生这样美好的全科医生，难道不是一件特别美好的事吗？ 给我们留言，或点击“阅读原文”，进入微博#你好全科医生#话题页面，加入我们的讨论，分享你的观点和故事！ Hello patient, #HelloGP – Through the Eyes of the Doctor Today we’d like to introduce you to Dr Yang, a GP at Yuetan Community Health Centre. Listen to her story about what it’s like to be a GP. “When I first met this particular patient she was a woman in her 50s - the only word I can use to describe her is ‘gloom’. She was overweight. She frowned all the time. She never offered even the faintest smile. ‘Please give me the medicine on this prescription’, she would ask. She was very economical with her words. ‘Dear Madam’, I would smile to her and say, ’May I know your diet and exercise plans?’ Silence. I did not know how to end the awkwardness. The lady would just grab her medicine from my hand and leave. The same situation repeated time and time again. When I asked the same question for the tenth time, I finally got a response from the lady. ‘Please do not ask any more. Just give me the medicine. I will get a diagnosis from tertiary hospitals. My diseases cannot be cured.’ But I kept trying. Finally, one day, she told me what she ate for lunch and dinner, and her symptoms of heart palpitation at night. To me, these symptoms indicated that she was suffering from low blood glucose, and thus the current medicine was not suitable for her. When I advised her to change her medicine, she just left me with one sentence, ‘Do not market new medicine to me; I know you just want your kickbacks.’
The next time this lady came in for her medicine, I focused more on providing advice around diet and exercise. At the same time, I talked a little about the mechanism of different medicines for diabetes. After several conversations like this, I began to talk more about the mechanism of the medicine I recommended for her, and how this medicine could work better for her. I managed to persuade the lady to try a new type of medicine. After several days the lady returned to my office, but this time with a smile on her face – for the first time. ‘Hi Doctor Yang,’ she said. ‘I want to thank you for your suggestion of the medicine. The suffering at night has gradually dissipated after I started taking the new medicine. Thank you so much.’ Everything seemed to become brighter for this patient after that day. You see, the real effect of my advice is that this lady came to trust me, and started to take my advice about her daily diet and exercise plans. With the coordination of suitable medicine, healthy diet and regular exercise, the lady succeeded in losing over 15kg! Moreover, she looks much better and smiles more readily. Every time she comes to me, she always says, ‘You know, I feel I am growing younger.’
Right now, the lady’s blood glucose level is well-controlled and in the healthy range, she is knows how to test her own blood glucose levels, and she is very happy knowing that her blood glucose level is now normal. Furthermore, through our interaction she has become like a friend or a family member to me now. She knows we get so busy on the night shift here at the Community Health Centre, that we sometimes do not even have time to have dinner – so she often cooks for me and sends the hot dishes to our office! These dishes are just what people usually eat at home, which makes me feel so warmly appreciated. Helping patients like this lady to develop healthy lifestyles over time, and take better charge of managing her own health, makes me realize and appreciate the meaning of my job as a GP. I do not only offer them medicines, but also useful health advice – according to their own specific conditions and based on my relationship with them as a person. What is more, during the treatment process, I can establish a tight personal connection with my patients. I understand their feelings, and I think it is true the other way around. Given the doctor-patient relationship can sometimes be tense; I really appreciate the warmth my patients bring to me.”
What are your thoughts about GPs and Community Health Centers after listening to D Yang’s story? Wouldn’t it be great when everyone has access to a wonderful GP like Dr Yang, in their local community, close to where they live? Join our discussion using #HelloGP on Weibo through 'Read more', share your views and story with us!
