李雁：采访中连画3张图 LiYan：Interview even painted three picture

　　

医生寥寥几笔就把病画明白了 The doctor a very few pen drawing understand the disease

　　

很多病人不仅自己看懂了，还把画带回家讲给家人听 Many patients not only oneself understand，The picture also bring home to tell his family

　　医生的天职是治病救人。但眼下不少医生只顾“埋头治病”，要求病人“只管按医嘱来”，忽视了与病人的交流沟通，医患关系变得机械、乏味、冷漠。

The doctor's bounden duty is cure the sickness to save the patient。But for now, many doctors only“Countersunk cure”，Requires patients“Just to the orders”，Ignored and the patient's communication，The doctor-patient relationship has become mechanical、boring、apathy。

　　还好，重视医患沟通的医生也不少，其中有两位医生，与病人沟通的方式特别文艺、高效：画画。

Also good，Pay attention to doctor-patient communication and many of the doctors，There are two doctors，And the patient communication way special literature and art、efficient：drawing。

　　“我遇到最多的是胃癌。”一边说着，李雁提笔就勾出了一个胃，形似葫芦，“上面的一端开口是幽门，下端的出口叫贲门，都是肿瘤多发区”。这两个区域，李雁特别用圆圈标注出来，肿瘤就涂黑。

“I met the most is the stomach。”Side said，LiYan thought will hook a stomach，Similar to hoist，“The open end is pylorus，Lower export call cardiac，Are the prewarning tumor”。The two areas，LiYan special mark with circle out，Tumor slap black。

　　李雁是武汉大学中南医院肿瘤外科的博士生导师，曾获得国家科研进步一等奖等奖项，为人却随和低调。昨天，他接受采访时，习惯性地辅以图示，整个采访结束，他画了3张图。

LiYan zhongnan hospital of wuhan university is tumor surgery doctoral tutor，Won the national scientific research progress first prize award, etc，A friendly but low-key。yesterday，He interviews，Habitually with graphic，The whole interview end，He painted 3 picture。

　　李雁认为画图是医生分内的事，天经地义，不然怎么讲得清楚？每个病人结束全部检查后，李雁都会仔细地通盘阅读，在心里将专业术语翻译成大白话，待术前谈话时，一边讲一边画，内容包括肿瘤的部位、直径、数量、与周围主要血管的关系、是否侵犯了周围组织等，十分详尽。平时门诊，他的抽屉里还常备着一摞画图专用纸，随时取用。

LiYan think that drawing is a doctor job，God's truth，Or how to speak clearly？Each patient all end after inspection，LiYan will carefully overall reading，In the heart will be professional terms translated into DaBaiHua，For preoperative conversation，While speaking part painting，Contents include tumor site、diameter、quantity、And the relationship between the main blood vessels around、Whether there is any infringement of the surrounding tissues, etc，Is very detailed。Usual outpatient service，His drawer also stock with a stack of drawing paper.cake，Access at any time。

　　李雁年近50，从医20年，每天要画四五张图，照此推算，总共画了近3万张。实际上，像他这样“画图”的医生并不多见。李雁认为，这可能与肿瘤专业的复杂性有关，图像天然地比语言、文字更直观易懂，肿瘤科讲病情离不开图。

LiYan nearly 50 years，Working 20 years，Every day to draw four or five picture，Calculated according to the，Draw a total of nearly 30000 copies。In fact，Like him“drawing”Doctor does not see more。LiYan think，This may and tumor of the complexity of the relevant professional，Image than natural language、Text more straightforward，Oncology speak illness cannot leave the diagram。

　　不久前，有一名45岁的男性患者，腹痛两个月，确诊为晚期肠癌，肿瘤标志物、肠镜、CT，三项检查都查出异常，但又各不相同，单靠语言，很难描述清楚。李雁画了一张图，汇集了这3项检查结果，简洁明了，稍加讲解病人就能明白了。

Not long ago，A 45-year-old male patients，Abdominal pain two months，Diagnosed with advanced colorectal cancer，Tumor markers、colonoscopy、CT，Three check all find out anomaly，But each are not identical，Single by language，It's very difficult to describe clearly。LiYan drew a diagram，Collected the three items inspection results，Concise and clear，Slightly explain the patient can understand。

　　李雁说，病人明白了，心里就有底，就会配合医生，配合会使治疗事半功倍，肿瘤讲究综合治疗，病人积极的心态有利治疗。

LiYan said，The patient understand，Was bottom，Will cooperate with the doctor，Fit can make treatment twice the result with half the effort，Tumor pay attention to comprehensive treatment，The patient positive attitude favorable treatment。

　　“湖北省新华医院也有个画图医生，寥寥几笔就把我肚子里的病画明白了”。市民高先生这样称赞胡波勇。

“Hubei xinhua hospital also has a drawing the doctor，A very few pen will give my stomach disease painting understand”。Citizens Mr. Gao such praise HuBoYong。

　　今年6月，高先生和弟弟先后在新华医院检查出泌尿系统结石，需手术治疗。拿到缴费单，高先生发现自己的手术费比弟弟贵了两三千元，顿时疑窦丛生，找泌尿外科副主任医师胡波勇询问。

In June this year，Mr. Gao and brother successively in xinhua hospital check out a urinary stone，Need surgery。To capture to expend single，Mr. Gao find their operation than younger brother expensive 23000 yuan，Immediately suspicion cluster，Find the uropoiesis surgical department deputy chief physician HuBoYong inquiry。

　　胡波勇马上拿出一张纸，熟练地勾画出人体泌尿系统。

HuBoYong immediately took out a piece of paper，Expertly draw the outline of our body's urinary system。

　　他圈出两人的结石位置解释，高先生的结石位于肾囊，通过穿刺造瘘碎石取石，成本较高；其弟结石长在输尿管，输尿管镜碎石取石成本较低。看着这张图，高先生豁然开朗。

He ring out two people explain stone position，Mr. Gao stone is located in the renal capsule，Through the puncture made fistula rubble stone，High cost；His brother in ureteral calculi long，Ureteroscopy rubble stone cost is low。Look at this picture，Mr. Gao be suddenly enlightened。

　　昨天，记者来到新华医院泌尿外科，询问两位护士，称想找一位给病人画图讲病情的医生。护士马上明白：“要找胡波勇医生吧。”

yesterday，The reporter comes to xinhua hospital uropoiesis surgical department，Ask two nurses，Say want to find a patient to draw speak illness doctor。The nurse right away that：“To find HuBoYong doctor it。”

　　在病区医生值班室，胡波勇从口袋里掏出不离身的便签本和笔，20秒钟不到，就画好了一张图。与李雁一样，他边画边讲解器官的分布，同时把常见病灶位置标注出来。

The doctor duty room in sick bay，HuBoYong from his pocket and from the note pads and pen，Less than 20 seconds，Is drawing a picture。And LiYan as，He side picture edge explain the distribution of organs，But at the same time, common lesion position shown out。

　　按每次门诊给10个病人画画测算，从2007年至今，胡波勇累计为患者画图5000余张，很多病人不仅自己看懂了，还把图稿带回去讲给家人听。

According to each outpatient service to 10 patients drawing measure，From 2007 to now，HuBoYong accumulated for patients drawing 5000 copies，Many patients not only oneself understand，The draft back to family members to speak。

　　

两位医生是这样开始画图的 The two doctors is such a start drawing

　　李雁的老师是我国著名肿瘤外科专家、中国工程院院士汤钊猷。学生时代，李雁无数次地看到老师在纸上勾画解剖图，给病人讲解病情。这个习惯被他继承了下来，现在他又言传身教给自己的学生。

LiYan teacher is our country famous surgical oncology experts、Chinese academy of engineering ShangZhaoYou。student，LiYan countless times to see the teacher on the paper sketch anatomical diagram，Explain to the patient condition。This habit is he inherited down，Now he and precept to his students。

　　而胡波勇全靠自己琢磨、顿悟。他今年37岁，从医以来一直想着该怎么把晦涩的医学知识表述得通俗易懂，怎样简洁精确地介绍患者的病情，直到2007年春节，在孩子的启发下才茅塞顿开。

And HuBoYong all by oneself figure、insight。This year he is 37，Since the medical profession has been thinking about how to put the obscure medical knowledge representation have easy to understand，How to concise a rigorous introduction to the patient，Until the 2007 Spring Festival，In the child's inspired to be suddenly enlightened。

　　当时亲戚带着孩子来拜年，胡波勇给她讲儿童故事书，小姑娘不买账，只对图画感兴趣，看图反而比听讲的还快。胡波勇心头一动，此后开始在临床诊断中，尝试用画图的方式为病人讲病情。他发现，画图能润滑医患关系，就诊过程更加流畅愉快。

Relatives at that time with the children to pay New Year call，HuBoYong told her children's story books，The little girl not buy it，Only in the picture are interested in，Instead of the picture than listening faster。HuBoYong heart movement，Then start in clinical diagnosis，Try to use way of drawing for the patient about the illness。He found，Drawing can lubrication doctor-patient relationship，See a doctor process more fluent happy。

　　在李雁看来，画图不光方便病人理解，更是一项术前准备，如果无法透彻地了解病情，怎么能深入浅出地画出来？

In LiYan seems，Drawing is not only to understand the patient，It's also a preoperative preparation，If can't thorough understanding of the disease，How can you simply to draw out？

　　每逢重大手术，李雁还会保留术前谈话的画稿，与手术结果对照，哪里估计正确，哪里判断失误。李雁告诉学生，这种有针对性地纠错，能迅速提高医技。

Every major surgery，LiYan will also keep talking before painting，And with the results of surgery，Where to estimate the correct，Where judgement。LiYan told the students，This pertinently error correction，Can rapidly enhance medical。

　　

画的不是图 是责任和沟通 Painting is not diagram is responsibility and communication

　　从医以来就画图，李雁与病人的沟通一直很顺畅，“90%的人都通情达理”。李雁还将画图视为一种社会责任的体现。每次术前谈话，李雁都尽可能多地请来病人家属，这趟手绘科普课，不光是讲给病人一个人听的，在场的所有亲友都能学到一些防癌、抗癌的知识。

Since the working drawing，LiYan and patient communication has been very smoothly，“90% of the people are reasonable”。LiYan will also draw as a kind of social responsibility reflected。Every time preoperative conversation，LiYan are as much as possible of the patient's family, please，This trip to draw popular science class，Not only is tell the patient a people to hear，The presence of all the relatives and friends can learn some cancer、Anticancer knowledge。

　　李雁说，治病只不过是医生的职业谋生手段，属于最低要求，再往上走一步，医生还肩负着传播医学常识、普及健康的生活方式等社会职责。这也是李雁多年画图不辍的另一个原因，“多一个人知晓，就多一个人受益。”

LiYan said，Cure is just a doctor a way of making a living，Belongs to the minimum requirements，Again upgrade step，Doctors also shoulder the propagation medical knowledge、Universal health way of life and social responsibility。This is LiYan years drawing of still another reason，“Many a person knows，Just one more people benefit。”

　　李雁也坦言，画图并非万能良药，10%的病人无法理解医生的苦心，依然会抵触、吵闹。他说，有时病人的对立情绪是由疾病本身带来的，画图作为最基本的交流手段，已无法满足他们进一步的情感需求。然而正源于这种冲突，才凸显出医生这一职业的伟大。李雁说，如果仅仅将治好病痛当目的，医生与技术工人无异，治疗过程中的交流、倾听、安慰、关爱，各种情感流动才使医生脱离技术局限，升级为一种为人服务的，充满人文关怀的崇高职业。

LiYan also said，Drawing is not universal medicine，10% of the patients can't understand the doctor's best，Will still conflict、noisy。He said，Sometimes the patient's opposition mood is brought by the disease itself，Drawing as the most basic means of communication，Already cannot satisfy their further emotional need。However is from this conflict，To highlight the doctor this professional great。LiYan said，If only will cure sickness when purpose，The doctor and the technical workers，Communication in the course of treatment、Listen to、comfort、love，All sorts of feelings flow to the doctor from technology limited，Upgrade to a human service，Full of humanistic care of noble career。

　　胡波勇医生在门诊为患者画图，更直观形象地解释结石位置及病情。(记者余乐 武叶 通讯员高翔 应述辉 熊瑛 实习生汪思琪)

HuBoYong doctor in outpatient service for patients drawing，More visual image to explain stone position and condition。(Reporter correspondent wu music more than leaves in should be above fai XiongYing interns WangSiQi)