#32 人の話，ちゃんと聞いてる？
昨日は，大学病院で最後の臨床日となりました．
臨床というのは，いわゆる医療提供施設での診療・診察行為のことで，痛みや痺れ，苦悩を抱えた方々が来院し，そのリアルと対峙する時間です．
大学病院での勤務は，大学病院という特殊性もあり，いわゆる”難治例”（通常の病院では対応することが難しい病気やその提供医療資源がなく，何もできない）の患者さんが多く来られます．
そう，最後の砦なのです．
最後の砦はありとあらゆる能力が求められる世界．
通常の症状コントロールのためのノウハウを知っているだけではダメで，本当にありとあらゆる知識と考えを有していることが求められます．
痛みとは？
痺れとは？
服薬は何を？
いつからどの程度飲んでる？？
症状に対してどう考えてる？
お仕事は？
今の状況をどう捉えてる？
家族はどう思ってる？
仕事同僚は理解してくれてる？
理学療法士として働きはじめた時には全く知らなかった世界がこの砦にはあります．
当然のことながら，知識は乏しく，ご飯を食べながら論文を読んだり，ネットで研修会の情報を調べて土日はPCと睨めっこ．
病院で取っているデータをまとめて学会で発表し，参加している全国から来られた医師や理学療法士の先生方と意見交換．
そんなことをずっとやってきました．
大学病院で携わらせていただいた期間はわずか5年でしたが，非常に濃い時間だったと自負しています．
こんなこともありました．
ある人に，
「あなたは人の話をちゃんと聞いてない」
「言葉の背景や裏を考えなさすぎる」
そんな指摘をもらったことがあります．
この事をきっかけに，いろんな本を読みました．
その中でも特に，自分が自分自身，足りないなーと感じさせられたのは，
「傾聴のコツ」でした．
人の話を聞くということはどういうことなのか．
どうして相談される人には人が集まるのか．
人が集まらない人はどういう特徴があるのか．
そんなことを学ばせてもらいました．
また，この本と出会ってから，大学ではこんな変化もありました．
自分のゼミを希望する学生が男子学生から女子学生に変わったのです．
元々，多くの学生が希望してくれるゼミでしたが，その構成はほぼ男子学生で，時には男子学生のみの年もあったほどです．
これはこれで良さもあって，暑苦しい感じがまた楽しかったわけですが笑
しかし，この本と出会って以降，色々なことを取り入れたところ，なんとその割合が逆転しまして，今では女子学生が9割となっています．
驚きでした．
男子学生が7-8割いる大学ですので，その多くが自分のところを希望してくれるようになったということになります．
本当に驚きでした（2回目）
ビジュアルも，特に変わっていません．
マスクを外したら，「あ，髭ある人なんだ！」と言われましたが，首のフェイスラインがもったりするようになったくらいで，外見上の大きな変化は何もありません．
なのにです．
実は，本を読む以外にも大学にいる心理の先生にも，相談をさせていただいていました．
話を聞けば聞くほど，そして本を読めば読むほど，”心理”や”精神”の奥深さに気づき，と同時に自分自身が本当に浅いところにいたんだなということに気付かされたわけです．
相手の話を聞く
相手に説明する
文字で書くと簡単だけど，言葉にするのって本当に難しいなと感じます．
色々な教育方針があり，時代の価値観も変わってきていますが，根本的なところは変わらず，相手を思いやり，敬意を表し，そして理解しようとすることは普遍的な”愛”ではないかなと思うわけです．
そんなことも学び，そして臨床力を磨いてきたこの5年．この大学病院に来られて，本当に良かった．
お誘いしてくれた教授には本当に感謝の気持ちでいっぱいです．
今月末でもう一つの勤務先である一般病院も退職します．
そこは理学療法士としてのキャリアをスタートさせた場所でもあります．
特別な場所です．
嫌な先輩，嫌な上司，勉強しない先輩，口だけ達者で技術がない先輩，文句ばかり言う看護師，超パワハラな医師，
きっと今の時代であれば確実に入職希望者は出てこないであろう病院ですが，
今は人も変わり，良い意味での代謝が進んでいと感じます．
まだまだ良くない風潮はあるものの，良い部分，必要とされる要素があり，絶対的にもっと良くならないといけない病院だと思っています．出ていく人間が偉そうなことは言えませんが，本当にそう思っています．
新たなステップを駆け上がるその大事な下地．
最後までしっかりと責務を果たしたいと思います．
それでは，非常勤先の講義，行って参ります．
English ver
Yesterday was my last clinical day at the university hospital. Clinical practice is the act of examining and treating patients at so-called medical facilities, where people with pain, numbness, and suffering come to see us and we confront them with their realities.
Working at a university hospital, due to the special characteristics of a university hospital, many so-called “intractable cases” (patients with diseases that are difficult to treat at ordinary hospitals and for which there are no medical resources available and nothing can be done) come to the hospital. Yes, we are the last fortress. A last resort is a world that requires all kinds of abilities. It is not enough to just know how to control the usual symptoms, but to really have all kinds of knowledge and ideas.
What is pain? What is numbness?
What are you taking?
How long have you been taking it and how much?
How do you think about your symptoms?
What do you do for a living?
How do you see your situation now? How does your family feel? Do your colleagues understand you?
There is a world in this fortress that I knew nothing about when I started working as a physical therapist. Naturally, my knowledge is limited, and I spend my weekends staring at my computer, reading papers over dinner and looking up information on training sessions on the Internet. I compiled data collected at the hospital and presented it at conferences, exchanging opinions with participating doctors and physiotherapists from all over the country. I have been doing this for a long time.
Although I worked at the university hospital for only five years, I am proud to say that it was a very intense time.
There was an incident like this.
Someone once said to me, “You don't listen to what people say” or “You don't think about the background of words and what is behind them.
I once received such a suggestion.
This led me to read many books. Among them, the one that made me feel that I was not doing enough myself was “The Art of Listening” (https://x.gd/X629w).
What does it mean to listen to people? Why do people who are consulted gather together? What are the characteristics of people who do not attract people? I have learned these things.
After encountering this book, there was also this change at the university.
The number of students who wanted to be in my seminar changed from male students to female students.
Originally, many students wanted to be in my seminar, but it consisted almost entirely of male students, and sometimes there were years when there were only male students. This was a good thing, and I enjoyed the hot and bothered atmosphere of the seminar.
However, after encountering this book, we have introduced various things, and to our surprise, the ratio has been reversed, and now 90% of the students are female.
It was a surprise. The university has 70-80% male students, so that means that many of them are now interested in coming to me.
It was a real surprise (for the second time).
The visual appearance has not changed at all. When I took off my mask, they said, “Oh, you have a beard! but there is no significant change in my appearance, except that the facial line of my neck has become more lean.
And yet....
In fact, in addition to reading books, I consulted a psychologist at my university. The more I listened and the more I read, the more I realized the depth of “psychology” and “spirit,” and at the same time, I realized how shallow I really was.
Listening to the other person
Explaining to others
It is easy to write in words, but I feel it is really difficult to put it into words.
There are various educational policies, and the values of the times are changing, but the fundamental point remains the same. I believe that caring for, respecting, and trying to understand others is universal “love.
I have learned such things over the past five years, and have also improved my clinical skills. I am very happy to have been able to come to this university hospital. I am very grateful to the professor who invited me here.
At the end of this month, I will retire from the other hospital where I work. This is where I started my career as a physical therapist. It is a special place.
There are senior staff members who are unpleasant, bosses who are unpleasant, senior staff members who do not study, senior staff members who are glib but have no skills, nurses who complain a lot, and doctors who are super power-harassing.
However, people have changed now, and I feel that the metabolism of the hospital has progressed in a positive sense.
Although there are still some bad tendencies, there are good parts and elements that are needed, and I believe that this is a hospital that absolutely needs to improve. I am not a person who is leaving the hospital, but I really feel that way.
This is an important foundation for taking a new step forward.
I will fulfill my duty to the end.
Now, I am off to my part-time lecture.
いいなと思ったら応援しよう！
