Good Doctor Interview - Xiezhong Fu, MD

Probably with a lot of people, doctors are to make money , make a lot of money, and then there are social status, Hsieh admitted and we think it was the thought that physicians should be the best one road, one aspects of family, which many doctors, grandfather and uncle, also a physician, so it comes naturally to consider the School of Medicine; just into medical work after graduation, only to find that it seems from the outside and enter the White Tower, as if two completely not the same as the the world.

In Taiwan, there are a strange phenomenon is that Western medicine, Chinese medicine is not scientific, TCM Western kill; be able to put aside prejudices and patterns of set two medical doctors are rare, although the physician to read the Faculty of Medicine of the Western, traditional Chinese medicine very early contact practice after lack of deep Western (or health insurance restrictions), determined two years ago to combine Western medicine with acupuncture , because it is the Department of Neurology, MD, to learn the points to, is very much at home, combined with Chinese and Western medical practices, can make the patient less to do more than check directly solve the problem, and can stand on the point of view of the patient, it is no wonder Hsieh young, but by the respect and affirmation of the patient.

Postgraduates of content and mostly learned, but Hsieh read the Medical Information Science University of Tokyo, Japan, the theme of the doctoral research and referral system and medical expenses related to such a strange thing, when it comes to how to read Hsieh mentioned that the reason for his degree, because the various systems of the hospital intern done very dissatisfied, bent on reform; choose to go to Japan because of the family are in Japan, and their families in Japan , plus admitted to the Japanese Ministry of Education Scholarship (equivalent to the Taiwan Ministry of Education), the full fee plus the cost of living subsidy for two years, my family strong support to go to those schools.

In fact, high pharmacists Hsieh's father first get to know a gentleman by the traditional Japanese education, and his courteous in the home environment nurtured, it is no wonder Hsieh asked families have earned considerable humanities; education, Hsieh tells us, her parents are in Japan the background, the moral education of children is very heavy, that life can not send a fortune, but not against their conscience. In particular, the father of their children's education like the Japanese society is to take responsibility system for their own mistakes the consequences of worry (but winning by praise but thanks to his successful education?), And therefore to develop a child at home had a long history of independence ability to solve problems, they rarely ask: how do we go? own life must be responsible for their own.

Ask Hsieh of Chinese medicine What are the advantages?? Hsieh talked about: the advantages of Chinese medicine, holistic treatment, they care about is the time of diagnosis and treatment, and season hour of yin and yang, the real, virtual, etc., therefore conform day, Bottom of the natural along the rest of nature's laws of health, each person's body as a small universe in the eyes of Chinese medicine, each person is different; disadvantage is that because the medicine is mostly derived from nature, subject to extinct species, or land pollution and other issues, treatment effect will naturally discount Moreover, too many variables in the course of treatment, in addition to herbs (herbs different locations planted efficacy will vary); different people feel the pulse and acupuncture approaches are different, with the treatment effect is different (the same points to different people point selection bias), poor reproducibility.

That the science is to be able to reproduce (different people for different time and place of operation have the same effect), and Western medicine can be standardized nature is unable to accept. The advantages of Western medicine has advanced equipment, the course of treatment can be standardized (synthetic drugs, the same plant natural products have the same quality), the different treatment is still the same efficacy. Western medicine treatment for localized lesions as large as the processing of an organ, a small to a blood vessels and nerves. However, the same shortcomings of Western medicine (and perhaps also due to health care to fight the amount of credit), because the Division is fine, later, as in the medical organs or symptoms rather than heal the sick, and too practical and realistic, seeing is believing is true. Resulting in some medical methods can not be quantified or reproduce more than hold a negative attitude, or even opposed to patients receiving these treatments. The other hand, treatment trends in the world are in Western medicine diagnosed and treated by the medical environment in Taiwan is worrisome.

Anyone fatigue, asked once again will not be willing to re-enter the medical industry, Hsieh's reply was a smile, asked me 10 years ago, death will not even knowing the fire pit will jump into want to choose .... Why this change?? the Sheih mentioned: a decade ago, often face death or slim patients have a sense of powerlessness, in the face of pressure to save the life often makes me want to escape; an easy path. Was also really go abroad to avoid select neurology after the chance encounter, but also to find their own interest (Traditional Chinese Medicine and Nutrition Science), and now enjoyed interest combined with the fun of the work.

Hsieh mentioned on nutrition, we are very curious; Hsieh also put forward her views, in fact, as long as there is contact with the patient will be asked the patient to what food to eat? What not to eat? Just entered this line tell patients that will be like the teachers do a lot of supplementary vitamins A, B, D, E, and K and eat vitamin pills, I thought it was a matter of course; but I gradually began to persuade their own, because too many doubt, including eating vitamin The pill can replace a lot of natural food? which brand of vitamin pills for the patient to eat? eat How much is enough? what disease the supplementary nutrients?
Especially when the become a physician for their patients feel a need. So I would encourage patients to bring out-patient to see me they held health food, checks to see if they have to eat on the nutrition they need brand ingredients are good to help them. Encounter, of course they do not understand the part will go to find information, even food will tell the patient that corresponds to the Western tradition of education is to teach nutrition, not to mention the diet for this one. General Western medicine does not touch this one, the Sheih also welcome to communicate with her.

We also hope that Hsieh some suggestions to the subsequent entry into the industry??? To Hsieh advice is: think clearly, if it is for the money, now the doctor is a fertilizer but also hungry industry (future income will be less and less), as early as possible a clear understanding of good; if it is to save lives, doctors hands to save the life of people is limited (kill may be many), might as well become the educator, religious leader One effect of a force to knock-on effect; if it is in order to become specialists or researchers, other than the election of the other departments (Department of Medicine) and then read the Bachelor of Medicine will be wider than purely medical system way of thinking, to help researchers The breakthrough, at least abroad is so. Really take things too hard and conscious commitment loners, welcome to you (you) to join.

According to Hsieh's statement, Taiwan all doctors may be less than 10% should continue to stay???

Left behind, I can not recommend, because the object can not change what I suggest is not yet entered the Medical Department as a volunteer students. After all, the Department of Medicine shall be read for seven years, specialist examinations and training (3-6 years) and after to face pressure to become specialist before a truly independent medical practice start. Another priceless life, when a physician eagle chicks become endeavor and many also have to 15 years, the baby should be in high school, how can life 15 a few years? Head wash down, really regret it too late a. Moreover, physicians must learn the subjects most of the majority to back, really do not need too smart to read (a bit of a waste of talent), the need for high EQ, middle-IQ can be. (Too wise man will be the last because it is too tired dumber); want to clear the jump down, than to jump to think better. (This seems to the recommendations of the health insurance??)

Incidentally, we also asked Hsieh views the pharmaceutical industry???
Frankly I think it is difficult to implement, because even if the pharmaceutical sub-industry, the established habits of the people has not changed, doctor medication (with or without a pharmacist) to see the physician wanted to see the pharmacist (whether the hospital pharmacy or the business of pharmacy) , wanted to buy medicine and to see a doctor that physicians should both pharmacists and pharmacists should both physician's ability. Pharmaceutical sub-industry at first glance seems to protect patients' rights, but some physicians who treat patients with drug side effects, and the pharmacist did not know, tell the patient the role of drugs leaving the patient on the physician misunderstanding or suspicion. If the patient will revisit the punitive expedition Fortunately, afraid from this physician to have a bad impression or even as a quack blacklist list. In fact, it is important to cultivate a tacit understanding between physicians and pharmacists.

For the pharmaceutical sub-industry , Hsieh Do you have any recommendations for improvement???
Three physicians, pharmacists, and representatives of the Government (the Department of Health) should sit down and duties of physicians, pharmacists Why is there a consensus on its culture and development of non-compliance penalties, re-education to medical and pharmacy students, the government and then the general public and school advocacy physician released the prescription shall be limited only for the physician-owned regional cooperative pharmacy, so physicians and pharmacists in order to establish a tacit understanding and truly become the gatekeeper of the patient's medication.

Sheih you what kind of expectations for the future of the physician???
Instead of letting the patient blindly self-searching for alternative therapies, and I hope to have more physicians to give up preconceived ideas, a lot of contact with alternative medicine other than the Western and retrieve its merits, provided the patient an additional treatment option.

You are willing to talk about the advantages and disadvantages of natural therapies (alternative therapies)???
Advantages in addition to medical therapy, patients can have more choices on the physical side effects may be relatively small, the disadvantage is that the addition to the Chinese have license restrictions, the majority of other alternative therapies are non-invasive do not need to license can perform neither an audit The standards let alone on the treatment standardization, people choose a certain alternative therapies therapists mostly due to the close friends and relatives, high-risk nor protection. Western medicine also few people are willing to study alternative therapies, and therefore can not effectively evaluate its efficacy.

Finally, I ask out of curiosity, Xie, MD, in practice the process of what is most memorable thing???
Sheih only hint answer: "Probably the smiling faces of each patient and their families to meet." .....

Next, please continue to watch the interview with two of the " Sheih "


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