哈医大杀医生事件发生后，看乐的大有人在，更多的民众麻木，就像鲁迅描述的一样。这在警示医务工作者--活命最重要！珍重啊！别救了病人的命，丢了自己的。花骨朵一样的实习医生啊！

看看tweet美国医生的一段话，苦中有乐，但绝对想不到中国同行感受到尖刀威胁。

“Every day physicians and other healthcare professionals are engaged in an invisible battle at work.

In one corner is our desire to help other people, make a difference and practice the skills we worked so hard to perfect.

In the opposite corner is burnout and it’s entire gang. Most of us don’t recognize burnout has a whole team on its side. We are outnumbered at least ten to one. I call this an invisible battle because the members of the Burnout Gang sit completely outside of our clinical awareness.

We do our best to focus on the content of the practice of medicine. We concentrate on the one-on-one interactions of diagnosis and treatment that are the lifeblood of the healing arts. That is difficult enough all by itself. Clinical issues alone can occupy all of our awareness and effort in a normal workday.

If the stresses associated with maintaining our clinical skills and practicing good medicine were the only weapons in burnout’s arsenal – we would be pretty evenly matched. Unfortunately that is not the case. Here’s why.

Our medical practice takes place in a context where clinical issues are sometimes the least of our concerns. This practice environment contains a myriad of additional considerations, stresses, outside forces and things that make no sense at all. Every one of these members of the Burnout Gang takes its little piece of our energy and nibbles on our very soul over time. It is the classic “death by a thousand paper cuts”.

I will jot down nine of these features of our dysfunctional practice context here … and note this is only a partial list.”