[Talking about health]
The doctor is kind. For a long time, the vast number of medical staff in our country have carried forward the spirit of respecting life, saving lives, being willing to contribute, and having boundless love, and serving the people’s health wholeheartedly. They have propped up the largest medical and health service system in the world, supporting the people’s healthy dreams. "Health depends on life" is the professional oath of every doctor, and it is also the reflection of their lofty medical ethics and selfless spirit.
Yang Xiaoling, a 37-year-old head nurse in the department of neonatology of the People’s Hospital of Inner Mongolia Autonomous Region, is nicknamed "Yang Yizhen". As long as she picks up the needle tube, no matter how small the blood vessel is, it can be "one needle in place". Over the past 18 years, Yang Xiaoling has cared for more than 30,000 children, successfully treated premature babies and critically ill newborns for many times, and won the 23rd "China Youth May 4th Medal". Xinhua news agency
The story behind the disease
Coming out of the "cool" operating room, I rushed to the noisy neurosurgery clinic, and the spacious corridor was full of patients waiting for treatment. The speech with different accents, the silence of the elderly, the noise of children and the colorful colors of summer clothes constitute the scene of outpatient service. Patients whose hair hasn’t grown out after craniotomy, for me, can’t bring a refreshing feeling, because the surgeon’s first reaction when he sees the knife edge is worry. "How did they recover after surgery?" These subconscious thoughts accompanied by rapid pace, I walked into the clinic.
"Please enter the consulting room for the patient of Derong on the 10th!" A young girl with dark skin, indifferent expression and straight eyes was led into the clinic by her family.
"Director zhao, do you remember me? You operated on my brother two years ago, and now that the family has enough money, we want to treat my sister again! " The patient’s younger brother said.
"How is your brother recovering?"
"Very good! He has stopped taking drugs, and epilepsy has never occurred. Now he is doing business with me in Lhasa. " "My sister’s illness, like my brother’s, is convulsing at intervals, and she makes it worse." The patient’s younger brother kept telling, while the elder sister still sat there with a straight face. However, the mother standing by was in tears: "Director Zhao, thank you for curing my eldest son. In fact, my family should have operated on my daughter a long time ago. On the one hand, it is really difficult economically, and I need to borrow money to make up for the operation expenses; On the other hand, the daughter has been married, and the husband’s family is four or five miles away from our village. The operation must also be approved by the man’s family. "
"Last month, I went to my daughter’s in-laws to discuss the operation. They didn’t agree to pay for the operation. I was very angry. When my daughter saw me coming, she kept dodging me. When I pulled her over, I found that my whole body was covered with blue and purple, and my right arm was swollen and deformed. I asked what happened, and her man said that my daughter fell when she was ill. I’ve seen my daughter when she’s sick. It won’t cause bruises all over her body at all. Did they hit you? The daughter nodded silently and muttered that she was going home. In a fit of pique, I brought my daughter home … …” Mother nagged, with endless words and full of grievances. The younger brother listened, his hands clasped the veins stood out, and his head bowed trembling and said, "I’m the only one at home who is not sick. I’ll treat my sister even if I sell blood to raise money."
Experience tells me that both brother and sister suffer from medial temporal lobe epilepsy, while familial temporal lobe epilepsy is rare. There was an Italian document that reported 15 cases of familial temporal lobe epilepsy, which was caused by genetic defects. Usually, patients had a history of febrile convulsions in newborns or children, and generally began to have seizures in their teens. With frequent onset, patients’ memory, learning ability and even living ability are seriously affected. Imaging examination of brain magnetic resonance can show atrophy and sclerosis of hippocampus (the hippocampus of normal people is closely related to higher nervous activity of emotion, learning and memory, so it is named because it looks like hippocampus). Eeg records can capture epileptic discharges, mostly from one or both hippocampus. Even if many patients take more than two kinds of antiepileptic drugs, they will have an average of 2 to 3 seizures every month, which is clinically called drug-refractory epilepsy. Such patients are suitable for preoperative evaluation to find the focus that causes epilepsy. Surgery is like shooting a target. If we can see and find ten ring’s bull’s-eye before surgery, plus the doctor’s surgical experience and skills, it is possible to get full marks, that is, the epilepsy symptoms disappear completely after surgery, and patients will no longer take drugs.
Derong soon moved into the ward, and the suffering brought by epilepsy to this family deeply touched me, making me chat with the patient’s mother and brother as much as possible after busy work to understand their inner feelings.
The Derong family comes from the rural area of Fuzhou, Jiangxi Province, where they mainly make a living by planting rice twice a year. Each person has one acre of land and can’t earn much money in one year. Now all the young people in the village have gone to work in other places, and the rest are old people and "left-behind children", as well as "patients" who can’t go out. Derong is one of them. As far as work is concerned, Derong never spares no effort, and her husband’s family cultivates several acres of land. Sometimes, bending over in the sun, working in the field, fatigue induced seizures, Derong suddenly ran around unconsciously, and the rice fields that had just been sorted out became a mess. Locally, epilepsy is called "sheep running crazy".
De Rong’s mother told me that in fact, she and her brother both developed normally when they were young. For some unknown reason, on the same day 20 years ago, both of them had a high fever at the same time, the highest temperature was 40 degrees Celsius, which lasted for three days, and what was more serious was a febrile convulsion. After a week of treatment in the local mine hospital, both brothers and sisters were out of danger, and since then, they have had seizures. Epilepsy changed their fate. My brother got married and got married and had a son. However, when the child was less than one year old, his daughter-in-law left him and the child and ran to other provinces. So far, there was no news. Because of this disease, Derong lowered the standard of marriage and married a man from a neighboring village with physical disabilities. As described above, he lived in a muddle with no head in sight.
The pillar of the family is actually the youngest son, Derong’s mother told me. The 29-year-old Deyi junior high school went to work in other places without graduation, and learned to do business. In the last three years, she went to Lhasa to do telecommunications business, that is, to sell mobile phones and accessories. I once asked him why he chose to do business in Lhasa. Is there any danger and can his body handle it? Deyi replied that people in Lhasa are very nice and simple, and more importantly, they can earn more money there to support their families and save money to see their brothers and sisters. Seeing my brother and sister have seizures since childhood has brought endless pain and confusion to young Deyi. Why did it happen in our house? Why do brothers and sisters all suffer from this disease? Will I twitch, too? A series of questions lingered in Deyi’s mind. Two years ago, my brother’s successful operation made him see hope. Now my brother is doing business with him in Lhasa and taking better care of his life.
Derong’s operation was successfully completed. Microscopically, clear brain structure and atrophied hippocampus can be seen, and the brain tissue is obviously harder than normal people. In fact, the anterior temporal lobe resection is familiar to me, but this time Derong’s operation has made me more careful, and there must be no complications, and the epilepsy must be removed. This idea has been lingering in my mind. Microscopically, it is not only the tortuous cerebral cortex and beating blood vessels that are magnified, but also the face of Zhang Derong’s family, anxious and expectant eyes and trust. After the operation, Derong’s spirit improved obviously, and his personality became like a different person, making it easier to communicate with others, and there was no seizure. The long-term effect needs further observation. Coincidentally, Derong’s surgical site is the same as his brother’s, both located in the right temporal lobe and hippocampus.
Brothers and sisters, who had febrile convulsions on the same day 20 years ago, suffered from the same epilepsy disease and underwent surgery at the same site. As an attending doctor, I am glad that I can do my best to eliminate the pain caused by the disease and help them experience the dignity and happiness of life again.
Behind every disease is a story that touches the heart. As a doctor, are you willing to take the time to understand and listen? Usually, doctors pay more attention to patients’ symptoms, but ignore patients’ personal psychology, family environment and social influence. Doctors should not only treat patients as diseased organs, but also care for the whole "person". Modern biology — Psychology — The medical model of society requires doctors to pay more attention to the influence of social and psychological factors on patients’ diseases, and medical care that embodies humanistic care is the core and essence of the whole treatment experience. In the whole process of diagnosis and treatment, patients give their experiences and emotions to doctors like gifts. We should cherish this trust, and the heart-to-heart communication between doctors and patients can give patients real comfort and hope.
I wish my brother and sister back home a speedy recovery! I sincerely hope that the crazy life caused by epilepsy will be calm and life will change from now on. After all, the power of love can call for the return of family ties.
(Author: Zhao Guoguang, Dean of xuanwu hospital, Capital Medical University)
Be a big doctor.
Looking back on my own growth process, I finished my undergraduate medical course with the first-class grant from the state because of my poor family in college, and then I finished my postgraduate study for three years with the salary of the state. Later, I was funded to study abroad twice by the state at work. It was the party and the state that trained me to be a big doctor. The oath that I took when I stood in party flag always inspired me, Do not forget your initiative mind, to be a soldier serving the people’s health.
With the change of lifestyle and the arrival of aging society, the incidence of chronic diseases such as cancer in China is increasing year by year, and will increase by two or three times in the next ten to twenty years, with seven new tumor patients every minute, which seriously affects the health and happiness of the people. Without national health, there will be no overall well-off society. We must attach importance to the prevention and control of major diseases, strengthen early screening and early detection, and promote early diagnosis and treatment.
At present, health and poverty alleviation have become an important mission for our doctors. As an oncologist in a large national third-class first-class hospital, I walked from a high consulting room to a remote village — — Taoquan Township, a region with the highest incidence of esophageal cancer in the world. With the national "Twelfth Five-Year" science and technology support program, we have carried out the research and promotion of key technologies for cancer screening and prevention in rural areas here, put forward new methods and means for screening and prevention of esophageal cancer in high-incidence areas, and established a demonstration base for cancer specialty in grass-roots hospitals.
In 2016, China-Japan Friendship Hospital took the lead in setting up a specialized medical association of integrated traditional Chinese and western medicine oncology in China, aiming at promoting the graded diagnosis and treatment of malignant tumors, improving the diagnosis and treatment level of specialized diseases, establishing a systematic and standardized talent training system for integrated traditional Chinese and western medicine oncologists, and promoting the development of disciplines. We have extended 20 oncology specialties of integrated traditional Chinese and western medicine to more than 300 hospitals, helped more than 30 county-level hospitals to set up oncology specialties, trained more than 10,000 oncology specialists, and improved the service ability of primary oncology specialties.
Learning at the grassroots level and constantly improving in practice, we have established a screening model for high-risk areas of esophageal cancer based on tongue images, and carried out research on the prevention of esophageal cancer by cooperation of Chinese and Western medicine; Combining the wisdom of "preventing diseases" of traditional Chinese medicine with modern artificial intelligence AI, the "Wangzhi" system of intelligent health of traditional Chinese medicine was developed to serve the health of the people more accurately and widely.
On the road of health and poverty alleviation, we have also passed through many old revolutionary areas, including Yudu in Jiangxi, Xishui in Guizhou and Dangchang in Gansu. While helping the old areas to build oncology specialties, we also feel the spirit of the Red Army’s Long March. When Mr. Chen Daowang translated the communist party Declaration, he tasted that "the taste of faith is sweet". Today, our efforts and hardships on the road of health and poverty alleviation are also substantial and beautiful.
(Author: Jia Liqun, director of the Department of Oncology, China-Japan Friendship Hospital)
I can open your world.
Late at night, under the dim light, I turned on the computer and thought about what title to write this story with. Suddenly, my son knocked at the door and said, "mom, open the door." I, uh, was awakened.
What is "open"? There are many ways to "open". Open a box; Open a door and window; Open the door of wisdom; It can also be, open the door of the heart.
As an otolaryngology nurse, what I want to open up most is the silent world of deaf-mute patients. They can’t hear beautiful voices and say beautiful words, so they can only live in a silent world. It is no different from the appearance of ordinary people, but they can’t communicate like ordinary people, which causes confusion in their living conditions. Deaf-mute children are the most vulnerable deaf-mute groups. Deaf-mute children can’t feel the cheers of their parents when they are born. They can only look at the silent world with a pair of clear eyes and listen to their own voices quietly.
On that day, a little deaf patient came, as big as my daughter, with beautiful big eyes shining brightly and pigtails carefully combed on her head. Who would have thought that such a lovely baby, who was just one and a half years old, was a deaf-mute child?
Mother came to the nurse’s station with her baby in her arms and sat opposite me. I asked softly, "Does the child have a history of drug allergy?"
My mother looked at me blankly. When I repeated my question, she took the pen in my hand and wrote on the paper: "My father and I are both deaf and dumb".
Looking at this beautiful font, my heart was shocked. What a miserable family this is. She went on to write:
We can communicate on paper.
The mother’s smile is as beautiful as a flower, which makes me recover from the shock just now. "On paper" has become our way of communication. After I finished a series of in-hospital health education, they returned to the ward with my hospital gown prepared in advance.
It may be because the baby is as big as my daughter, or it may be because of this special family. I pay more attention to this patient. Although communication is more troublesome, I am still willing to share their worries during hospitalization and reduce their psychological burden.
After the child finished the operation, we affectionately called her "cochlear implant". Cochlear implant is an electronic device, which converts the sound into an electrical signal with a certain coding form by an in vitro language processor, and directly excites the auditory nerve through an implanted electrode system to restore or reconstruct the hearing function of the deaf. At present, cochlear implant has been used as a routine method to treat severe deafness to total deafness all over the world.
We are all distressed to see that the bald head of the "cochlear implant" is wrapped in thick gauze. She hobbled in the corridor wearing a small hospital gown, and her mother held a small hand with a big hand, inadvertently revealing the warmth of maternal love, and the angel’s heart would be melted by this warmth.
Accurate needle infusion, careful observation of postoperative wound conditions and illness changes, even when patrolling the ward at night, we should gently cover the PDA to prevent the dazzling light from waking the baby’s sleep, and all of them can’t bear to let her get a little hurt again. We are looking forward to and believe that in the near future, the baby will definitely call out to his mother affectionately, hold his mother’s hand and be alive and kicking.
When she was discharged from the hospital, Cochlea saw us waving to her, and she shook her hand and said goodbye to us. Looking at the distant figure in the corridor, I seem to see a pair of angel wings growing on her back, and I seem to see the breeze blowing the leaves and falling leisurely when the child grows up. She said to me, "Aunt, I can hear that voice, very light, very light."
At that time, I would still be wearing a white dress and a Dai Yan hat, shuttling between the ward and the corridor, repeating ordinary nursing work such as injection, medicine distribution, temperature measurement and blood pressure measurement.
As time goes by, the only thing that has changed is that the heavy responsibility of trusting each other’s lives has made me more and more awed by the sacred profession of "angels in white".
(Author: Wang Jing, a nurse in charge of Otolaryngology Department of China-Japan Friendship Hospital)
