摘要：在人生的旅途中，我们难免会遇到疾病的困扰。当身体不适，急需寻求专业医疗帮助时，如何找到一位值得信赖的西医大夫，便成为了我们亟待解决的问题。看病就医，不仅关乎身体健康，更是一次心灵的托付。因此，在选择医生时，我们必须擦亮双眼，谨慎抉择。
在人生的旅途中，我们难免会遇到疾病的困扰。当身体不适，急需寻求专业医疗帮助时，如何找到一位值得信赖的西医大夫，便成为了我们亟待解决的问题。看病就医，不仅关乎身体健康，更是一次心灵的托付。因此，在选择医生时，我们必须擦亮双眼，谨慎抉择。
首先，医生的第一学历（专业）是至关重要的考量因素。医学是一门需要深厚专业知识和长期实践的学科，医生的起点往往决定了其未来的发展方向和专业能力。因此，在选择医生时，我们应优先考虑那些毕业于知名医学院校、拥有扎实医学基础的大夫。他们的专业素养和临床经验，往往能够为我们的健康保驾护航。
其次，副主任医师和主治医师中，那些看起来皱纹满面、没有多少头衔和论文的医生，往往更值得我们信赖。他们长期坚守在临床一线，面对无数的病患，积累了丰富的实践经验。与那些忙于搞科研、发表论文的大夫相比，他们更懂得如何运用自己的专业知识和临床经验，为患者提供切实可行的治疗方案。气质和面相，虽然看似玄妙，但往往能够反映出一个人的内心世界和职业素养。那些眼神坚定、态度温和的医生，往往更能够赢得患者的信任和尊重。
然而，我们也要警惕那些兼着担任管理岗位行政工作的医生。他们往往将更多的精力投入到仕途的发展上，而对于临床工作的投入则会相应减少。这样的医生，虽然可能拥有较高的职位和头衔，但在实际的临床诊疗中，却可能因缺乏实践经验和专业技能而难以胜任。
此外，年轻的大夫虽然充满活力和创新精神，但他们的临床经验往往相对匮乏。简历上虽然写满了各种成果和论文，但这些书面上的成就并不能完全代表他们的实际诊疗能力。在选择医生时，我们应更加注重医生的实际临床经验和患者口碑，而非仅仅看重他们的学术成就。
退休后返聘的大夫则是一个相对复杂的群体。刚退休的医生，虽然年龄稍长，但他们的临床经验和专业技能仍然值得信赖。他们的性价比也相当高，能够以更加平和的心态和丰富的经验为患者提供优质的医疗服务。然而，对于那些已经老掉牙的医生，虽然他们可能拥有辉煌的过去和无数的科研成果，但年龄和体力的限制往往使他们难以胜任高强度的临床工作。在选择这类医生时，我们应更加谨慎，以免因医生的身体状况而影响到治疗效果。
当我们已经选择了医生后，如何判断他是否靠谱呢？一个合格的医生，首诊时必然会进行详细的查体工作，运用听诊器、压舌板等医疗器械对患者的身体状况进行全面了解。他们会耐心询问患者的身体情况，细致入微地捕捉每一个可能的病因。在开药时，他们会根据患者的体质和病情选择合适的药物，并详细告知患者可能出现的反应以及大致的好转时间。这样的医生，不仅具备扎实的专业知识和丰富的临床经验，更拥有一颗为患者着想的心。
相比之下，那些一般的大夫则往往显得敷衍了事。他们先开单子让患者进行检查验血验尿查心电等一系列繁琐的程序，再根据化验单开药，整个过程几乎不与患者进行深入的交流。这样的医生，虽然看似专业严谨，但实际上却缺乏对患者个体差异的关注和尊重。在选择医生时，我们应尽量避免选择这类大夫。
最后，如果我们在看了三次医生后，病情仍然不见好转，且医生也没有给出明确的诊断和治疗方案时，我们就应该考虑换个大夫了。毕竟，我们的身体和时间都是宝贵的，不能浪费在无休止的尝试和等待中。选择一个靠谱的医生，不仅能够让我们更快地恢复健康，更能够让我们在就医过程中感受到温暖和关怀。
总之，生病以后看医生（西医）是一件需要我们慎重考虑的事情。在选择医生时，我们应综合考虑医生的第一学历、临床经验、患者口碑以及个人气质和面相等多个因素。只有找到一位真正值得信赖的医生，我们才能够安心地将自己的健康托付给他们。愿我们都能在遇到疾病时，找到那位能够为我们点亮希望之灯的良医。
作者简介：梁世杰 中医高年资主治医师，本科学历，从事中医临床工作24年，积累了较丰富的临床经验。师从首都医科大学附属北京中医院肝病科主任医师、著名老中医陈勇，侍诊多载，深得器重，尽得真传！擅用“商汤经方分类疗法”、专病专方结合“焦树德学术思想”“关幼波十纲辨证”学术思想治疗疑难杂症为特色。现任北京树德堂中医研究院研究员，北京中医药薪火传承新3+3工程—焦树德门人（陈勇）传承工作站研究员，国际易联易学与养生专委会常务理事，中国中医药研究促进会焦树德学术传承专业委员会委员，中国药文化研究会中医药慢病防治分会首批癌症领域入库专家。荣获2020年中国中医药研究促进会仲景医学分会举办的第八届医圣仲景南阳论坛“经方名医”荣誉称号。2023年首届京津冀“扁鹊杯”燕赵医学研究主题征文优秀奖获得者。事迹入选《当代科学家》杂志、《中华英才》杂志。
Seeing a doctor after getting sick (Western medicine): How to recognize a good doctor
On the journey of life, we inevitably encounter the affliction of illness. When we are in discomfort and urgently need professional medical help, how to find a trustworthy Western doctor has become an urgent problem for us. Seeing a doctor is not only related to physical health, but also a trust in the soul. Therefore, when choosing a doctor, we must see clearly and make careful decisions.
First of all, a doctor's first degree (major) is a crucial consideration. Medicine is a discipline that requires profound professional knowledge and long-term practice. A doctor's starting point often determines their future development direction and professional ability. Therefore, when choosing a doctor, we should prioritize those who graduated from well-known medical schools and have a solid foundation in medicine. Their professionalism and clinical experience are often able to safeguard our health.
Secondly, among the deputy chief physicians and attending physicians, those who look wrinkled, have few titles and papers, are often more worthy of our trust. They have been committed to the front line of clinical work for a long time, facing countless patients, and have accumulated rich practical experience. Compared with those doctors who are busy with scientific research and publishing papers, they know how to use their professional knowledge and clinical experience to provide feasible treatment plans for patients. Although temperament and appearance may seem mysterious, they can often reflect a person's inner world and professionalism. Doctors with firm eyes and gentle attitudes are often more able to win the trust and respect of patients.
However, we should also be vigilant about doctors who hold administrative positions in addition to their management roles. They tend to devote more energy to their careers and less to clinical work. Such doctors may have high positions and titles, but in actual clinical practice, they may find it difficult to perform due to a lack of practical experience and professional skills.
In addition, although young doctors are full of vitality and innovation, their clinical experience is often relatively lacking. Although their resumes are full of various achievements and papers, these written achievements do not fully represent their actual clinical ability. When choosing a doctor, we should pay more attention to the doctor's actual clinical experience and patient reputation, rather than just their academic achievements.
Physicians who are rehired after retirement are a relatively complex group. Although retired doctors are slightly older, their clinical experience and professional skills are still trustworthy. Their cost-effectiveness is also relatively high, and they can provide high-quality medical services to patients with a more calm attitude and rich experience. However, for those doctors who are already old, although they may have a brilliant past and countless scientific research achievements, age and physical limitations often make it difficult for them to perform high-intensity clinical work. When choosing such doctors, we should be more cautious to avoid affecting the treatment effect due to the doctor's physical condition.
After we have chosen a doctor, how can we judge whether he is reliable? A qualified doctor will inevitably conduct a detailed physical examination at the first visit, using medical instruments such as stethoscopes and tongue depressors to comprehensively understand the patient's physical condition. They will patiently inquire about the patient's health status and carefully capture every possible cause. When prescribing medicine, they will choose suitable drugs according to the patient's constitution and illness, and carefully inform the patient of possible reactions and the approximate time of improvement. Such doctors not only have solid professional knowledge and rich clinical experience, but also have a heart for patients.
In contrast, those general doctors often seem to be perfunctory. They first prescribe a list for patients to undergo a series of tedious procedures such as blood tests, urine tests, electrocardiograms, etc., and then prescribe medicine based on the test results. The whole process almost does not involve in-depth communication with patients. Such doctors, although they seem professional and rigorous, actually lack attention and respect for individual differences of patients. When choosing a doctor, we should try to avoid choosing such doctors.
Finally, if our condition does not improve after seeing a doctor three times, and the doctor does not provide a clear diagnosis and treatment plan, we should consider changing doctors. After all, our bodies and time are precious, and we should not waste them on endless attempts and waiting. Choosing a reliable doctor can not only help us recover faster, but also make us feel warm and cared for during the medical process.
In short, seeing a doctor (Western medicine) after getting sick is something we need to consider carefully. When choosing a doctor, we should comprehensively consider factors such as the doctor's first education, clinical experience, patient reputation, and personal temperament and appearance. Only by finding a truly trustworthy doctor can we safely entrust our health to them. May we all find a good doctor who can light up our hope when we encounter illness.
Author Bio: Liang Shijie is a senior medical practitioner in traditional Chinese medicine with an undergraduate degree. He has been engaged in traditional medicine clinical work for 24 years and has accumulated a wealth of clinical experience. Following Chen Yong, chief physician of liver disease at Beijing Traditional Medicine Hospital, affiliated with Capital Medical University, and renowned old Chinese medicine, he has been treated for many years and received great attention. He specializes in the treatment of difficult diseases using "conversational traditional therapy" and special treatments combined with the academic ideas of Jiao Shude and Guan Yubo's ten-level diagnosis.He is currently a researcher at the Shude Tang TCM Research Institute in Beijing, a fellow at the new 3 + 3 project of traditional Chinese medicine flame inheritance in Beijing - a scholar at the inheritance workstation of Jiao Shude's protégés (Chen Yong),He is a standing committee member of the International Expert Committee on E-learning and Health Care, a member of the Jiao Shude Academic Heritage Special Committee of the Chinese Association for the Advancement of Chinese Medicine Research, and the first cancer specialist to be included in the chapter of the Chinese Pharmaceutical Culture Research Association. Won the 2020 China Association for the Promotion of Traditional Chinese Medicine Zhongjing Medical Branch held the eighth session of the Medical Saint Zhongjing Nanyang Forum "Classic Prescription Famous Doctor" honorary title. The winner of the first Beijing-Tianjin-Hebei "Pingui Cup" Yanzhao Medical Research Essay Award in 2023. His work was featured in the journal Current Scientist and the journal Chinese Talent.
来源：首都专家梁世杰一点号
