Hou Huaguo was sitting in the clinic.
Hou Huaguo gave a lecture on eye protection knowledge.
RedNet Moment Correspondent Shi Huan Changde reports
"Sister, hello, I want to find your old expert Director Hou with white hair, I don't know if he is retired?"
"Hello old man, our director Hou is going to work, he is prosperous, he is still far from retirement!"
Such a funny conversation often occurs at the guidance desk of Changde Aier Eye Hospital. The "old expert" in the patient's mouth is actually a post-80s fundus specialist, his name is Hou Huaguo, graduated from Sichuan University, has studied under the well-known domestic fundus disease coffee Wang Qichang, etc., specializing in fundus difficult diseases, most of the ophthalmic surgery by him is the most technical difficulty, the most complex surgical process, the highest risk in the surgical classification of the fourth level of surgery, for many patients on the verge of blindness to get the last glimmer of light.
There have always been only a few doctors in the ophthalmology world who can independently perform fundus hyalectomy, and Hou Huaguo is one of them. Among the surgeries he has performed, there are treatments for retinal detachment, such as vitrectomy combined with scleral cerulgy, vitrectomy combined with air filling, radial scleral compression, etc.; there are treatments for large holes in the macula, such as vitrectomy combined with internal membrane tamponade. Hou Huaguo joined Changde Aier Ophthalmology in 2014, focusing on ophthalmology. The 42-year-old is living through a golden age of doctors.
Unless there is no problem under the eye, it is most likely a big problem
Many people do not know that there is a mystery in the human eye, called fundus, where there are blood vessels, retina, choroid, optic nerve, vitreous, macular, lesions that occur in these parts are collectively referred to as fundus disease.
What is the impact of fundus disease? If the eye is compared to the camera, the bottom of the eye is the negative of the camera, the negative is not good, and it is useless to change the "lens" even better. The terrible thing about fundus disease is that there are no obvious symptoms in the early stage of the disease, and as the disease progresses, the vision will gradually blur until it is completely blind, which is an out-and-out vision "killer".
Ms. Xie, 50, who has suffered from high blood pressure and diabetes for many years, has been taking drugs to lower blood pressure and sugar, but has never regularly checked the fundus. At first, seeing things was a little blurry and did not attract attention, until the impact of travel, she went to the hospital for examination, was diagnosed as: binocular glass volume of blood, binocular proliferative diabetic retinopathy, binocular diabetic macular edema, binocular age-related cataracts.
Hou Huaguo has carried out vitreous cavity injection and vitreous cutting for his left and right eyes, after the operation, Ms. Xie realized that her vision was much clearer, and her life could take care of herself, she gratefully sent a pennant for Hou Huaguo, but at the same time she also regretted her "ignorance" of fundus disease, if you look at it earlier, it may be better after the operation.
According to the release of the latest epidemiological data on diabetes, the total number of diabetics in mainland China has reached 129.8 million. Diabetes can cause a wide variety of eye diseases, with sugar mesh being the highest risk of blindness. As a fundus doctor, Hou Huaguo deeply recognizes the importance of fundus disease science popularization, and often goes into the community to appeal in his spare time: diabetics must undergo regular physical examination and screening, do not confuse retinopathy and myopia, and seek medical treatment as soon as possible when problems are found.
One-eyed net off the old man's local medical treatment fruitless Hou Huaguo's magic hand reset
Mr. Guo Lao, who lives in Hanshou, is a patient with high myopia and one-eyed net loss. Before the Spring Festival in 2022, the local hospital was fruitless, and the doctor recommended that he go to the provincial capital hospital for treatment. When his brother heard about it, he said that he didn't need to run far, and there was a good doctor in Changde. It turned out that as early as 2018, Mr. Guo Lao's brother also had retinal detachment, and at that time, it was Hou Huaguo who did retinal detachment (external) surgery for him, and the effect was very good. The brother said: "I just don't know if Director Hou is still in Changde Aier, whether he has retired, it seems that he is not a Changde person, and he does not know whether he has left Changde." ”
Listening to the elder brother's words, Mr. Guo came to Changde Aier Eye Hospital and learned that it was Hou Huaguo sitting in the outpatient clinic that day, and the stone in the old man's heart fell. After examination, the old man suffered from retinal detachment of the left eye foramen and had to seize the time for surgical treatment. Hou Huaguo made a detailed surgical plan for the old man, found the hidden hole in the retina, and successfully reset the retina. When he came to the hospital for review, the old man talked about the "fate" of this period of medical treatment and praised Hou Huaguo's technology.
Retinal detachment is a complex fundus disease that can cause blinding, if not treated in time and effectively, the entire retina will be completely detached, resulting in permanent damage to vision, and even blindness. Due to the ever-changing condition, different patients have different retinal detachment time, range, number of tears, location, degree of proliferation is different, retinal detachment reduction surgery failure is a clinical problem that often occurs, Mr. Guo Lao, after missing the golden 72 hours of retinal detachment rescue, can also restore part of his vision through surgery, indicating that the operation is indeed successful. “
Treating patients like children Doctor-patient relationships require more empathy
Most people with fundus disease have severely damaged their vision when they discover the disease, and their hearts are shrouded in fear of blindness and dark life. Hou Huaguo could especially understand the despair and unwillingness in the patient's heart.
In outpatient clinics, patients are often encountered saying this: If you can be cured, I will cure; if you can't cure, I will not be cured. Hou Huaguo always patiently explained: Treating a disease is the same as sending a child to school, what kind of end a child can read when he goes to school, we don't know, we can't say that he can read to the university, he can't read if he can't get into the school, and he can't say that after reading for more than ten years, he didn't go to college and lost money, right? We worked hard to cure, cured we were happy, not cured, we did not regret, can not judge the initial decision by the result.
Because the prognosis effect of fundus surgery is often unsatisfactory, many patients do not understand, spend a lot of money, the effect is not as good as spending less money, as if it cost money in vain. Hou Huaguo explained it this way: Healing is like putting out a fire. The size and size of the fire, the early and late time of extinguishing the fire, all determine the amount of property you rescue. Fundus disease is more important in prevention and treatment, usually regular inspection, found early, the cost may be less, the sin suffered is also smaller.
Hou Huaguo often said to the doctors in his team, we must be willing to spend time with patients from the bottom of our hearts, imagine that you are a patient, it is not easy to see the doctor, three or two times to read it, the heart is definitely bottomless.
Explore the "blue ocean" under your eyes and challenge yourself to benefit your patients
Being a fundus doctor means being an "all-rounder" in ophthalmology. In addition to being familiar with the diagnosis and treatment of some systemic diseases, it is also necessary to have interdisciplinary skills. For example, to do vitrectomy surgery, there must be a good suture technology for the conjunctiva, sclera, and cornea, and cataracts, intraocular lens implantation and other surgeries.
To this end, Hou Huaguo will arrange time for study every day, a large number of foreign literature is placed on his desk, those professional English that make people's scalps tingle, he learns unimpeded; now even if he is already an "old expert" in the hearts of patients, he will still observe the operation of other ophthalmic departments when he has the opportunity.
In his spare time, Hou Huaguo is a person with a wide range of hobbies. Colleagues often joke that a fitness enthusiast who can't talk about guitar is not a good fundus doctor. He often shares videos of himself in the circle of friends about fitness, guitar, and surgery. He said that fundus surgery is done for several hours, without good physical fitness and excellent psychological quality is difficult to adhere to, fitness is necessary; secondly, fundus surgery requires very fine, such as macular fissure inner boundary membrane removal, the need to be only 2 microns thick in the eye and closely adhered to the retina the inner boundary membrane completely peeled off, a slight difference in the pool will cause irreparable damage to vision, play ji it can practice the flexibility and strength of the fingers.
Hou Huaguo firmly walked on the road under his eyes. He is well aware that the timeliness and compliance of fundus disease treatment determines that patients need to get the most accurate and timely treatment. He hopes that more people can get a timely diagnosis in the first time, so after work, he is willing to go to the county and go to the countryside to carry out eye knowledge exchange meetings for ophthalmology colleagues and village doctors, so that more people can know this strange and mysterious "dark and dark" place.
Fundus, as the most difficult discipline of ophthalmology recognized by the industry, is first of all because the research on fundus is still shallow, and the prognosis effect of surgery is relatively poor, which affects the doctor's sense of achievement; on the other hand, fundus doctors, as ophthalmology "all-rounders", have a longer growth cycle than doctors in other departments. Hou Huaguo often encourages young doctors, first, to love learning and withstand strict training and assessment, and second, to maintain the love and pursuit of light, even if it can only bring patients a 0.01 improvement in vision! Because for the patient, there is light and no light, which is the difference between heaven and hell!