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(Video | The breast doctor in the shot: In the popular science video, become the person who explains the disease, a total of 37 seconds)
The breast doctor in the camera: In the popular science video, become the person who explains the disease
"Looking at the consultation information in 2021, there are regrets, just like the friends who interact with us the most finally leave us. But it's more of a surprise, whether it's the cure of the disease or the good news from the two expectant mothers who are looking forward to the postoperative pregnancy. ”
Lin Ying continued to speak calmly to the camera: "As a doctor, the characteristics of the profession allow us to witness sadness and also witness all kinds of hard-won joys. ”
Lin Ying is the Administrative Deputy Director of the Department of Thyroid and Breast Surgery at the First Affiliated Hospital of Sun Yat-sen University in Guangzhou, and she has more than 20 years of medical experience. Since July 2020, she has a new identity - the popular science video "UP Master". She believes that popular knowledge of breast cancer can bring more power to patients: one step forward is the early screening and early treatment of breast cancer. The next step is to reduce the pain caused by the disease to patients and their families.
In mid-January, when the reporter met Lin Ying, she was talking to other people in the café about work, and Lin Ying, who wore a pair of black-rimmed glasses and a dark down, spoke with a relaxed and clear expression.
"I have 4 surgeries to do tomorrow morning, and that's not much." Today, Lin Ying has released nearly 80 popular science videos on the video number, in which Lin Ying popularized all aspects of breast cancer and breast surgery, and breast cancer is currently the most common malignancy of women around the world and in China.
The power that science brings to patients
Since the outbreak of the epidemic, on the working day of the outpatient clinic, there are basically more than 120 registrations waiting for her a day, "This number is still relatively small, before the epidemic, I will generally overload 180." More than 20 years of medical experience told her that some citizens who came to register and waited for a long time did not understand the basic knowledge of breast cancer, and when there was no pain, they would choose to come to the hospital for consultation out of "uneasy".
On the other hand, Lin Ying began interacting with patients online very early. But she found that while awareness of breast cancer is growing, the channels through which audiences receive information are cluttered and often "pseudoscience."
There are also patients who do not come to the doctor until the advanced stage of breast cancer, and have not been too alert to their physical pain before. Last year, the youngest of the more than 300 breast cancer patients Lin ying received was only 17 years old. "When it was discovered, it was stage III, and we had mastectomy and reconstruction surgery." Patients do not understand the "warning signals" brought by the body when they are sick, Lin Ying can't help but think, such a situation is not an isolated case, she has seen too much.
Behind the "commonplace" is the regret of the patient and the introspection of being a doctor.
"If more knowledge about breast health and breast cancer can be disseminated, so that the public can have a basic judgment on it, is it possible to reduce the waste of medical resources and let more people screen and treat early?" This hidden question in her heart is the driving force for her to make popular science videos, and it is also her goal to further explore the development of popular science videos.
Each video is often only about 1 minute long, but the content of each episode has been deliberated by Lin Ying and the team, and it is also produced by the team in their spare time. She will sort out a content outline every month, find several episodes a day to focus on continuous shooting, and then form a text and post it on the public account after the video is produced.
Lin Ying's popular science video number.
Tell medical knowledge in a relaxed and lively tone, discover the "knowledge blind spots" of the citizens, and interact with the comments below the video in a timely manner... Lin Ying was busier.
But she hopes that the emergence of popular science videos can help those citizens who have questions about basic common sense to find relevant answers in the video, "because my working hours are also limited, which is also to give other tumor patients more face-to-face consultation time." She said.
Doctor's order at 3:50 a.m., reply at 5:39 a.m
In the interview, when talking about other disciplines that she is not familiar with, Lin Ying always laughs and says: "If you see relevant and interesting knowledge, you can also share it with me." She will also take the initiative to pick up her mobile phone, open the "NEJM Medical Frontier" (reporter's note: it is the Chinese edition of the Electronic Weekly officially authorized by the New England Journal of Medicine), and tell reporters that she has access to the latest medical research.
The process of interviewing Lin Ying is more like a frank communication. Halfway through the conversation, the two sides had a certain understanding, and she would also say that she was a little nervous before the interview. She feels amiable and lively, and also shows her funny and real side in popular science videos.
Looking back on my schooling and work experience when I was young, I was more conscientious in treating patients than I was at that time. Today, she is the backbone of the hospital, bearing the pressure of medical treatment and scientific research. However, listening to music and watching Japanese dramas is her way of decompression over the years, and those plots full of positive energy have allowed her to find a way to be consistent in the pain and sorrow of work.
Lin Ying also likes to stay with young people. Whether it is her own graduate students, doctoral students, or young colleagues in the department, in them, Lin Ying can always learn some new knowledge of the moment. The popular science video was produced in collaboration with several young partners — two graduated classmates and three colleagues in the hospital.
Lin Ying is also a mother. The daughter who is in high school has launched the "Sanitary Napkin Mutual Aid Box" activity with her classmates at school, which is meaningful to Lin Ying. Her daughter became interested in the intersection of medicine and sociology, and Lin Ying encouraged her to develop in this area.
Looking back on 2021, Lin Ying said that in addition to the daily ward work, the medical platform on her team online has logged in for 103 hours and handled more than 20,000 inquiries, including 3:50 a.m. medical orders and 5:39 a.m. responses. She pays attention to the patient's pain, and also pays attention to the life course of each woman behind the pain.
In addition to popular science, there are more efforts to build the trust of doctors and patients
The fate of each individual is closely linked to the times. This falls into Lin Ying's actual work, and many annotations can also be found.
In December last year, "700,000 one-shot sky-high drugs into medical insurance" was on the hot search, and Zhang Jinni, a negotiator of the National Medical Insurance Bureau and director of the Pharmaceutical and Equipment Procurement Supervision Department of the Fujian Provincial Medical Insurance Bureau, also brushed the circle of friends. After eight rounds of price negotiations by the medical insurance department, the price of the rare disease drug Nocinasin sodium injection, which was originally 700,000 yuan a shot, was finally sold at a price of less than 33,000 yuan per needle, and the entire negotiation lasted for an hour and a half.
In December last year, Zhang Jinni, a negotiator of the National Medical Insurance Bureau and director of the Pharmaceutical and Equipment Procurement Supervision Department of the Fujian Provincial Medical Insurance Bureau, "bargained for the soul".
furthermore. At the end of 2021, the National Medical Security Bureau held a press conference to announce the results of the adjustment of the national medical insurance drug list in 2021. In this adjustment, a total of 117 drugs were negotiated, and 94 were successfully negotiated, with an overall success rate of 80.34%. Among them, 67 of the 85 exclusive drugs outside the list were negotiated, with a success rate of 78.82% and an average price reduction of 61.71%, and finally 74 drugs were added to the list and implemented on January 1, 2022.
There are also many drugs that are closely related to the treatment of breast cancer. Seeing this news, Lin Ying also saw the progress of domestic medical treatment standardization and humanistic care. For example, she explained that the adjustment of the national medical insurance drug list involves a total of three breast cancer drugs, namely abexili tablets, eribrin mesylate injection and nairatinib maleate tablets, covering hormone receptor positive type, triple negative type, Her2 positive and other molecular typing, and patients benefit a wide range.
The adjustment of the national medical insurance drug list involves a total of three breast cancer drugs, reducing the burden on patients and their families.
She said that as drugs enter the medical insurance list, negotiating price reductions and medical insurance blessings have greatly improved the economic accessibility of patients to drugs. Such as Abecili tablets, the previous month's treatment costs of about 15500 yuan, after the medical insurance price reduction on January 1 this year, the monthly treatment cost of patients is only 4760 yuan, patients can also be reimbursed by medical insurance, local patients in Guangzhou can be reimbursed 90% through outpatient special diseases, and the drug can be used at less than 500 yuan at their own expense. "This is a great relief for the patient and his family, and it is also the progress I have seen in my 20 years in medicine."
Of course, like other medical workers, Lin Ying is constantly exploring more possibilities for comprehensive treatment of breast cancer. She stressed that in addition to the efforts of science popularization and education, more progress also requires the improvement of national policies, medical systems, hospital management and other aspects, which requires the efforts of many parties.
It is reported that breast cancer emphasizes comprehensive treatment, and the entire treatment process can be as long as several years or even decades, and chemotherapy is a very important treatment method. Breast cancer patients are usually relatively stable, expect to survive for a long time, and the quality of life is very important. A more standardized and convenient chemotherapy model can help improve the quality of life of patients during the treatment period. As a result, more and more hospitals are beginning to offer daytime chemotherapy for breast cancer.
Daytime chemotherapy refers to the completion of the whole process of a patient's chemotherapy within 24 hours, mainly including patient registration, program formulation, prescription opening, drug configuration, chemotherapy drug infusion, post-chemotherapy observation and other processes. To ensure the safety of treatment during the compressed hospital stay, it is necessary to rely on the grasp of specialized technology and the strength of the auxiliary force.
"The benefits of daytime chemotherapy are that for patients, he does not need to be hospitalized on the same day, and he can go home first after chemotherapy on the same day." Lin Ying pointed out that compared with the ordinary hospitalization mode, daytime chemotherapy has many advantages such as shortening the treatment time, improving the efficiency of treatment, and reducing the burden on patients.
"But it also means that it's important to manage the entire process of individual day chemotherapy." Lin Ying said frankly that the current domestic daytime chemotherapy is still in the development stage, which is related to the formulation of relevant policies, the concept of hospitalization of patients and the proportion of medical insurance reimbursement, and it is necessary to avoid the immaturity of the system, or the limited information communication between doctors and patients.
In her view, whether it is outpatient consultation, postoperative daytime treatment, in order to achieve better treatment results, it is necessary to build a good information communication channel and make efforts to gain the trust of patients and their families.
Of course, the production of popular science videos will also encounter bottlenecks. How to make videos for a long time? Lin Ying began to think about this repeatedly. "Because our theme is relatively narrow, if we can involve more science related to humanistic care, such as paying attention to the psychology of patients and the development of medical social workers, it is also very meaningful." She said.
[Reporter] Yang Qiong
【Author】 Yang Qiong
Southern Probe
Source: South+ - Create more value