When you meet Huang Yanming, it is difficult for you to associate her with words such as eye trauma and first aid. She is quiet, dignified, and her slender figure reveals a calm and warm temperament.
However, she is an emergency doctor who has to face the emergency and complicated eye trauma of the disease from time to time, and it is even more difficult to encounter the patient's condition and temper with a little "personality".
What she has to deal with is to make wise judgments and decisive handling in a short period of time, and, the next unknown...
We want to let the light shine in the eyes of the patient
Let the light shine in the "hidden corner"
His father was seriously ill, and the whole family was busy with his mother. I went to school by myself, helped my mother with housework, and took care of my grandmother, who was not in good health. 7-year-old Xiao Yong (pseudonym) knows a lot more than his peers.
After helping his mother take care of the housework in the morning, Xiao Yong put on his school bag and hurried to school. Running downstairs, I suddenly remembered that the key to the door of the house had been forgotten. Seeing that he was going to be late for school, Xiao Yong called downstairs to his grandmother to throw down the key.
With a scream, Xiao Yong's eyeball was severely injured by the key. The originally unfortunate family has once again been pushed into the darkest abyss...
When Dr. Huang Yanming, chief physician of the Department of Eye Trauma at Xiamen Eye Center, first saw Xiao Yong, his eyeballs had collapsed and deformed, leaving only a faint sense of light. Although he retained a little vision after many surgeries in the later stages, his eyes were always like a snowflake, covered with white scars.
As he grew older, Xiao Yong, who had entered adolescence, began to care about his appearance, and in the face of different eyes from his classmates, Xiao Yong fell into inferiority. Along with the ridicule and ridicule of his classmates, Xiao Yong began to become less and less talkative, becoming more and more silent.
But as long as you go to Huang Yanming's office, the child's box of words will magically open.
"This kid doesn't like to talk, and he doesn't like to talk to me, but he's willing to talk to you." After the death of his father, Xiao Yong's mother still insisted on taking Xiao Yong to huang Yanming twice a year for examination. In the face of the misfortune of life, her mother still cares for Xiao Yong with love, strong and independent, which also deeply affects Xiao Yong.
Unable to bear to let her mother worry about herself anymore, Xiao Yong chose to hide what happened in school in her heart. Only in front of Huang Yanming was he willing to say it.
How are your grades lately, what happened at school, how well you get along with your mom... In the face of Xiao Yong, who is as big as his son, Huang Yanming will spend time empathizing and listening, patiently guiding, and sparing no effort to help Xiao Yong get out of the haze.
In response to the problem of Xiao Yong's eyes, Huang Yanming made a specific "beautiful pupil" for him. After Xiao Yong put it on, his eyes looked the same as other people's in appearance, and he was very happy and gradually became cheerful. When he came again, Huang Yanming noticed his changes, "He slowly has the sunshine and self-confidence that belongs to adolescent boys." ”
Seven or eight years of knowing each other, Huang Yanming grew up with Xiao Yong, using his eyes and heart to appreciate the moving scenery of the world.
Being born into the light is the instinct of life, why not Xiao Yong? "We must not only cure the disease of the patient's eye, but also cure the disease of their heart." Give the light to the patients, and bring the light to their hearts. Huang Yanming wrote this sentence down in his work diary.
We must use wisdom and love to sublimate our profession
Give it the power to transcend the instincts of life
Not all patients, like Xiao Yong and Xiao Yong's mother, trust and understand the doctor.
Jun Jun (pseudonym) accidentally poked scissors into his right eye while playing, resulting in a penetrating wound of about 5 mm in the right cornea, bleeding in the anterior chamber, and the contents of the eye came out, and the injury was serious.
After several twists and turns in the outer hospital, the military was transferred to the Xiamen Eye Center. After being treated by the eye trauma team, the right eye of the military army was saved, but the vision was difficult to restore to the degree expected by the parents, coupled with the difficult rehabilitation process day after day, it was difficult for parents and children to cooperate, and the injured eyes of the military army were gradually deflected.
Faced with such an outcome, the parents of the military could not accept it.
"Didn't you do your best?"
"What if the child is still so young and can't see it?"
"The child is not yours, you are certainly not in a hurry!"
……
"Social problems" like this are numerous, and it is not uncommon for eye trauma to occur in this department. The patient's incomprehension, the weak's struggle to protect their rights and interests... While curing patients' eye diseases, Huang Yanming also began to think, how to better combine science and humanities?
From master's degree to doctorate, Huang Yanming has worked hard in the ocean of ophthalmic scholarship. In 2014, she was fully funded by the Fujian Provincial Department of Education to study at the Bascom Palmer Eye Institute Eye Hospital in the United States. You know, in the field of ophthalmology in the province, there is only one place.
The one-year visiting study opened Huang Yanming's eyes and opened up her ideas in clinical and scientific research. After returning to China, Huang Yanming followed his mentor Professor Yan Hua and founded the Fujian Center of the National Eye Trauma Registration Center and the Adolescent and Children's Eye Trauma Treatment Base, and together with Director Cai Jinhong, whom he admired, closely integrated clinical and scientific research, so that the treatment level of the Eye Trauma Department of Xiamen Eye Center stepped onto a new level.
Open eye injury, especially intraocular foreign body injury, is a serious blinding eye disease, and within 6 hours is the golden rescue time. In the face of patients with serious injuries, Huang Yanming and the team need to make calm and clear judgments. In the matter of saving the patient's vision, Huang Yanming never delayed or shirked.
When she first started eye trauma surgery, Huang Yanming was very confident. Xiamen Eye Center has sophisticated equipment, rich experience and excellent team of doctors, which can provide patients with effective and high-quality treatment. But it is true that the injury is so serious that it is irreparable, "it is cruel, and what we can do is to guide patients and families to accept the facts." ”
Light is important to everyone, let alone a patient? Anxiety and panic are certain. "As we work for our patients, they're also doing their best to find light for themselves."
In addition to having profound professional academics and mastering international mainstream technology, doctors also need to have humanistic literacy. After all, both doctors and patients are people with emotions, thoughts, and flesh and blood. "We have to learn to be a healer with temperature and feelings, not a maintenance worker without emotion." With scientific and humanistic concepts to see the problem, put yourself in the patient's position and emotions, good at listening to the needs of patients, improve mutual understanding, in the treatment of eye trauma, Huang Yanming has more confidence.
A moment of damage
It may take a lifetime to heal
Instantly, how long?
"Those who are extremely short are called instantaneous." In an instant, only 0.013 seconds.
Accidental injuries, often between lightning stones and fires, are too late to react, but lifelong injuries may have been caused.
For children, the incidence of eye trauma remains high each year. Refills, marbles, bamboo dragonflies... Casual play, there is a risk of harm. Huang Yanming is very reluctant to see that children are blinded by accidental eye injuries, "Children are injured in a moment, if they cannot be cured, it will affect a lifetime." ”
Children have strong curiosity and poor awareness of prevention, and inadvertent injuries may occur. Huang Yanming reminded parents to do a good job in safety education and keep dangerous goods out of the reach of children. "Some parents are very taboo, my children will not have these accidents. But when the accident really comes, it's too late to regret it. ”
If the child is really injured, parents should also be calm and take the child to the regular hospital in time. It is important that parents judge whether surgery may be needed based on the situation. Huang Yanming particularly emphasized that young children generally need general anesthesia to operate, and must fast and water for 8 hours before surgery, so on the way to the hospital, parents should first prepare for fasting and water, which can greatly save the time of rescue. "Don't feed your child because your child is crying for a while, and once you want general anesthesia surgery, you have to reserve extra time to wait, the process is more uncomfortable, and it is easy to miss the golden time for treatment."
The Spring Festival is coming, the children's winter vacation is also coming, and children's eye trauma has also entered a high incidence period. Huang Yanming reminded that children's eye trauma is particularly vigilant against four categories, sharp object injuries caused by pencils, bamboo sticks and scissors; blunt contusions caused by stones and toy gun bullets; chemical burns caused by food desiccants and detergents; firecracker explosion injuries and so on.
"The children are safe, the parents are at ease, and our doctors will not be so uneasy." Huang Yanming smiled and said that protecting children's eye health requires parents and children to work together.
>>>> related links
Xiamen Eye Center Adolescent and Children's Eye Trauma Treatment Base
Xiamen Eye Trauma Specialist of Xiamen Eye Center relies on its strong strength to carry out public welfare actions such as the popularization of science for adolescents and children's eye trauma, the cultivation of adolescent and children's eye trauma volunteers, and the rescue of adolescent and children's eye trauma, giving full play to the resource advantages of the top three hospitals, and working with all sectors of society to protect the eye health of adolescents and children.
National Eye Trauma Registration Center Fujian Center
In 1997, the eye emergency center was established in Fujian Province, which insisted on opening outpatient clinics and emergency surgeries 24 hours a day throughout the year. The professional team can open a green channel for outpatient consultation and emergency surgery for emergency patients with eye trauma, saving patients' vision in the first time.
Source: Xiamen Eye Center
EDIT: Lupin
Producer: Chen Yi