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Sow health and hope where the Gesang flowers bloom

author:Xinhua

Sow health and hope where the Gesang flowers bloom

The footprints of a Chinese volunteer doctor on the snowy plateau

The Qinghai-Tibet Plateau in the southwest of the motherland has vast mountains and rivers.

Located in the hinterland of the Qinghai-Tibet Plateau, Yushu Tibetan Autonomous Prefecture is known as "the source of rivers, the sect of famous mountains, the land of yaks, and the hometown of song and dance". In the middle of summer here, the mountains and rivers are different and full of life.

On August 6th, a team of Chinese volunteer doctors jointly initiated by famous medical experts came to Yushu, Qinghai. 32 volunteer doctors from all over the world, lasting 6 days and 5 nights, traveled to and from many counties and township health centers such as Nangqian, Zaduo, and Weighing, and continuously climbed more than 5,000 meters of yakou on the plateau with an average altitude of more than 4,000 meters, trekking more than 1,000 kilometers, with nearly 3,000 free clinics, 26 cases of surgery, and establishing 6 county-level Chinese volunteer doctor expert workstations to sow health and hope for the places where Gesang flowers bloom.

Everyone broke records

"Can you ask them to show us the film?"

"How long can they stay here, and what if they leave?"

"Can we go in and see them?"

The first stop of the medical team was Nangqian County, more than 160 kilometers south of the seat of the Yushu Prefecture capital. After arriving at the county people's hospital, they entered the working state non-stop, discussing the patient's various examination results in detail one by one and forming a diagnosis and treatment plan.

Here, volunteer doctors perform more than 20 hip and knee replacement surgeries. While the doctors were discussing the plan, many local patients unconsciously surrounded the office door.

"Here they are, they are here for a few days, don't worry." The local doctor told the villagers in Tibetan, which calmed their anxiety a little.

Coming to an unfamiliar place, in an unfamiliar working environment, facing unfamiliar patients, and with the language barrier, the first requirement of Ling Feng, the initiator of the Chinese volunteer doctor team and the chief expert of neurosurgery at Xuanwu Hospital, was to let the medical team members meet with each patient in charge and communicate fully.

She repeatedly stressed to everyone: "For a hospital, more than 20 surgeries may not be a big deal, but for patients, they may experience this operation in a lifetime." No matter how small the probability of an accident, if it happens to a person, it is one hundred percent. Therefore, every detail should be carefully checked, and it should not be sloppy at all. ”

Ni Zhong, 55, of Baizha Village, Nangqian County, was the first patient to undergo knee replacement surgery that day. For many years, the elderly have been treated by oral medication, acupuncture, etc., but the effect is not good. After learning the news that Chinese volunteer doctors and experts were coming to Nangqian County People's Hospital, Nizhong came to the hospital for the first time accompanied by his family.

After careful examination and preoperative preparations, Chinese volunteer doctors orthopedic surgeons quickly performed knee replacement surgery for the elderly, which took only two hours and successfully relieved the elderly of more than 20 years of pain.

Ma Liwu, a Chinese volunteer doctor and chief physician of the Department of Orthopedics of the First People's Hospital of Xuzhou City, who was assigned 5 knee replacement surgeries, told reporters that in the high cold and high altitude areas, it is very common for the elderly to suffer from hip and knee diseases. Based on the living habits of herders, locals need to squat and milk cows, but also go to the mountains to dig cordyceps, which is very unfavorable to the hip and knee joints.

Dorje, a patient in his 60s, told reporters through his family that he used to endure knee pain, and if the pain was severe, he would eat some painkiller tablets to relieve it, but as he grew older, the pain became more and more obvious, seriously affecting his life.

During the operation, Ma Liwu deliberately asked the local doctor to stand aside and carefully explain each operation and precautions. He said that coming to Yushu for the people's free clinic is certainly helpful to local patients, but more importantly, the teaching work in the process of diagnosis and treatment, and it is necessary to leave advanced and mature technology behind in order to truly improve the health level of local residents.

Another team of volunteer doctors from the free clinic team crossed the complicated and treacherous winding road after an 8-hour drive to the Jiqu Township Central Health Center in Nangqian County, it was more than 4 p.m. What the experts didn't expect was that it was already full of people.

It turned out that knowing that the specialists were coming, the patients began to wait early.

The altitude sickness brought about by the continuous crossing of the pass along the way has not yet been alleviated, and it is too late to pack up and settle down, and the experts quickly began to receive treatment with an oxygen cylinder in their hands. Until I saw the last patient, it was 11 o'clock at night.

The next morning, the clinic was scheduled to open at 8:30, but the patients began to wait in line at 6 o'clock, and the doctors entered the working state ahead of schedule. At the end of the day, everyone broke their own admission records, and the number of doctors receiving treatments was even close to that of a department in the mainland.

In the ultrasound department's consultation room, Wang Tao, the attending physician of the Department of Ultrasound of the Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine, picked up the ultrasound probe in his right hand, picked up the oxygen cylinder in his left hand and quickly inhaled two mouthfuls, and then quickly examined the patient. "We went from 8 a.m. to 9 p.m., and we took two bites of rice in between." Wang Tao said, "Patients have been queuing since six or seven o'clock in the morning, and we really can't bear it, no matter how late we have to show them." ”

Gama Zaowu, director of the Jiqu Township Central Health Center, said: "The arrival of volunteer doctors has made the local herders very happy, they have brought high-quality medical resources to the grass-roots level, and the knowledge and skills they imparted are also very useful. We hope to have more opportunities to learn and communicate in the future. ”

The high-intensity work caused Chen Mingguang, the leader of the surgical team of Chinese volunteer doctors and the director of the Department of Orthopedics of the Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine, to relapse from his waist disease, and the pain was unbearable. But he insisted on completing 21 surgeries in two and a half days with 3 other orthopedic specialists, which greatly exceeded the scheduled plan. He said: "Seeing the patient's pain and expectant eyes, I really can't bear to refuse." ”

How far is the "last mile"

At about 9 p.m. on August 8, at the Jiqu Township Health Center in Nangqian County, after a day of free clinics, the medical team members were resting after dinner, some team members were communicating with local doctors, and some team members were asking colleagues in the acupuncture and rehabilitation department to do lower back relaxation physiotherapy.

At this time, a Tibetan father with a child in his arms came to everyone and anxiously asked if he could show his child the disease.

What came into everyone's eyes was a thin Tibetan child who was crying, his tongue sticking out, drooling, very painful. His father said in unskilled Chinese that the child's tongue hurt and he could not eat for several days.

Wen Luye, the volunteer doctor who received the treatment, wanted to bring the child over, but the child cried and did not let him touch it.

"I considered that he was severely malnourished due to immature gastrointestinal tract glands and smooth muscle development, and could use TCM Tuina to solve the current symptoms." Wen Luye said.

After three spinal massages, the child immediately stopped drooling, returned his tongue to his mouth, and stopped crying. Wen Luye reached out to take the child, and the child no longer resisted, and a smile gradually appeared on his face.

The child's father said in Tibetan, "You are amazing, thank you!" ”

Wen Luye said that as a Chinese volunteer doctor, it is "very honorable for me to be able to see Tibetan people in their hometowns."

Limited by natural environmental conditions and the level of economic development, the medical technology in the plateau area is relatively backward, many diseases of local residents cannot be treated in a timely and effective manner, coupled with the perennial cold and lack of oxygen, the incidence of congenital heart disease in children here is significantly higher than that of other parts of the country.

Next to the Xiaoxiang Health Center in Nangqian County, there is a boarding primary school where more than 200 children study. The volunteer team of doctors has decided on an ad hoc basis to conduct a free physical examination for the children.

After lunch, the children, led by their teachers, went to the health center and lined up for inspection. Enduring the headaches caused by high reflexes, experts kept carefully screening each child's condition with hearing aids, and only quickly inhaled two mouthfuls of oxygen between waiting for the next child to sit down.

Hou Xiaoping, chief physician of the Department of Cardiology of the Air Force General Hospital, accidentally fell down when she got up in front of her eyes and broke the bridge of her nose because of her severe high reflex, but she insisted on continuing to work after taking oxygen and resting.

On the same day, the medical team screened out 6 cases of congenital heart disease, 3 cases of myocarditis, 7 cases of sinus tachycardia and sinus arrhythmia, and informed the school teachers to provide suggestions for the next step of diagnosis and treatment.

"I know that the conditions in the highland area are relatively poor, but it is really unexpected after coming up." Li Jianhua, deputy chief physician of the Fourth Medical Center of the General Hospital of the Chinese People's Liberation Army, said, "The types of diabetes and heart disease drugs here are not very complete. In addition, due to the irregular diet of the local Tibetan people, the food is oily, and the intake of vegetables and fruits is less, resulting in a common high incidence of digestive system diseases such as the stomach and gallbladder. ”

Li Jianhua said that here, everyone found the "culprit" of stomach disease - painkillers. "Because it is too far to see a doctor, where it hurts, take a piece of painkiller first, and carry it if you can." But painkillers do not cure the disease, there is also a certain stimulation of the stomach, in the end the disease is not cured, the stomach is also eaten bad. Li Jianhua said.

Ling Feng sighed: "For the plateau area, there is probably still a lot of work to be done to open up the 'last kilometer'. We're here to help solve this problem. ”

The Chinese volunteer doctor team has built 12 rehabilitation and health huts in Qinghai, each of which is equipped with 10 kinds of rehabilitation equipment, 3 kinds of physiotherapy instruments, electrocardiogram machines, sphygmomanometers, intelligent projection screen color TVs and other equipment, which can meet the basic rehabilitation treatment needs.

At the Jieduo Township Health Center in Zaduo County, a two-hour drive from Xiaoxiang, local herdsman Dorje Dolma is using apparatus for rehabilitation training. She said that in the past, she did not know that rehabilitation training was needed after seeing a doctor, but now she can also carry out regular rehabilitation training in a health center not far from home, which was unimaginable to think about before.

"If clinical medicine, rehabilitation medicine, and preventive medicine are regarded as an airplane, then prevention is the 'nose', and rehabilitation and clinical medicine are two of the 'wings'. Only by attaching equal importance to rehabilitation and clinical practice can we smoothly pass the journey of life. Ling Feng figuratively compared.

Nyima Danzhou, president of the Yushu Prefecture Maternal and Child Health Hospital, said that the service "delivered to the doorstep" of volunteer doctors has solved the problem of the actual difficulty of seeing a doctor for Tibetan compatriots, and more "mobile" medical resources may be needed to open up this "last kilometer" in the future.

Tibetan girl's dream

Yushu girl Sang Zhou Lamao (hereinafter referred to as Sang Zhou) is 20 years old this year and is a third-year student majoring in clinical medicine at The School of Medicine of Qinghai University. By chance, Sang Zhou happened to see the free clinic mobilization meeting of Chinese volunteer doctors in Qinghai.

"As a medical student, I have never seen so many expert teachers from major hospitals across the country at once, and my legs are shaking with excitement at that moment." Sang Zhou told reporters, "I tried to ask the staff if they could go with the team as volunteers. Although my medical expertise is not enough, I can speak Tibetan and Chinese, and the teachers go to the countryside for free clinics in Tibetan areas, and I may be able to help. ”

Sang Zhou studied medicine because he experienced the Yushu earthquake. "At that time, my mother and sister were hit by falling stones, and it was the People's Liberation Army that rescued them. Mom didn't speak Chinese and couldn't ask for the names of the well-wishers who helped them, which was particularly regrettable. But she never forgot this kindness, so my mother especially hoped that I could become a good doctor and help those who needed treatment. Sang Zhou said.

Seeing Ling Feng and the experts of the Chinese volunteer doctor team, Sang Zhou was incredibly excited. "As long as I can help others, I am willing to pay any price." Because we have received help from others and now have the ability to help others, I am really happy. ”

"We happened to lack a volunteer who was fluent in the local language, and SangJue's appearance was too timely." Chen Mingguang said.

This made Sang Zhou overjoyed.

The next morning, Sang Zhou simply packed his bags, put on the red volunteer vest, and embarked on the journey of volunteer internship as he wished. Before leaving, her mother repeatedly told Sang Zhou to study well with the teachers and help more.

When he arrived at the Nangqian County People's Hospital, Sang Zhou helped the volunteer doctors sort out the patient's situation, arrange the operation time, bed, enter the operating room to observe, and assist the doctor in checking the room.

In the busy interval of the operating room, Sang Zhou and another Chinese volunteer doctor, Duan Desheng, deputy chief physician of the Department of Orthopedics of the Third People's Hospital of Anyang City, also went to the ward for routine rounds to check the patient's postoperative recovery.

"After 21 intensive surgeries in three days and two nights, our biggest concern was the language barrier and the mistake in the middle. Thanks to Sang Zhou, he helped us check the condition with our families repeatedly, did translation rounds for us after surgery, and communicated with patients. Zhu Chao, a member of the operation and director of the Department of Orthopedics and Joints of the Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine, told reporters, "The postoperative care of orthopedic surgery is very important, and the more we communicate with our families, the more solid our hearts are." ”

"The herders here are so desperate for help." After returning from the round, Sang Zhou sighed, "Seeing that many patients have received good treatment, I am now more respectful of the profession of doctor." If I have the opportunity, I hope to go to remote places to help more people in need. ”

In Tibetan, "Sang zhou" means to fulfill good wishes, while "lama" means fairy. "Mom and Dad gave me this name in the hope that my dream would come true. Now, my dream is to become an angel dressed in white like a volunteer doctor. Sangju Lamao said.

Ling Feng often said that Chinese volunteer doctors are to use practical actions to do "conscience work", "being able to help others is the greatest happiness, this feeling of being demanded is every doctor's heartfelt feelings of compassion and compassion, and it is also the highest state of practicing medicine." (Reporters Xia Ke, Xie Han, Pang Yuanyuan, Wang Xiunan)

Source: Xinhua Daily Telegraph

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