Caption: Yan Zheng serves patients in the home bed Photo by Zuo Yan, reporter of Xinmin Evening News (the same below)
On the first day of the first lunar month, in the fever clinic of the Pengpu Town Community Health Service Center in Jing'an District, the general practitioner was on duty. There was not a single patient in a day, but the mobile phone kept popping up the residents' New Year greetings. Sitting alone in the empty consultation room, Yan Zheng was quite happy: "It's good that there are no patients!" "The peak of coronavirus infection has passed, and business as usual is back. Recently, the reporter also followed him to the streets and alleys to visit the clinic and record the day of the family doctor.
"The problem is solved before leaving"
At 8:40 a.m., after the super-sign outpatient clinic, I stood up solemnly and changed into a white coat, and loaded a stethoscope and blood pressure monitor into a black satchel. "Today I have to go to the clinic, originally there was no outpatient clinic, there were a few patients who just did not register, I took time to take a look, soon." He said.
Caption: Solemnly change clothes and prepare for the visit
At 8:50, Yan Zheng rode the "little electric donkey" to the Vang Rong community, 1.5 kilometers away. This is an old community, multi-storey apartment house, most of which are not equipped with elevators. The seven families that Yan Zhengtian will visit are all located here.
80-year-old Uncle Ding and 72-year-old Aunt Xu are both his bed patients and have known Yan Zheng for more than 20 years. "Did you cut your hair? What are the side dishes to eat for the New Year? "Strictly familiar with the door and familiar with the door into the master bedroom. A few years ago, Old Uncle Ding was weak after being infected with the new crown, fell and injured his lumbar spine, and could only stay in bed. He was in poor health, had a myocardial infarction, cerebral infarction, and coronary heart disease; Aunt Xu is a person with a physical disability with high blood pressure, coronary heart disease, osteomyelitis, and phlebitis of the lower extremities. The daughter usually has to go to work, and the couple's biggest reliance is the family doctor.
Caption: Yan Zheng checked Aunt Xu's legs
Yan Zheng told Old Uncle Ding to drink more water, and turn over when lying down; When examining Aunt Xu, he squatted, lifted Aunt Xu's legs slightly, and carefully took off her socks. The living room was dimly lit, Yan Zheng took out his mobile phone, turned on the flashlight, he hunched over, tilted his head sideways, and his face was almost pressed to the ground.
Aunt Xu's leg is an old problem. In 2021, the skin of the old rotten leg was infected and ulcerated, and the condition was serious, and if he was hospitalized, he could not rest assured of his wife. Yan Zheng changed her medicine for 6 months, and this got better.
"Anti-inflammatory drugs to take. There are blisters here again, so be careful not to break the skin when washing your feet. "Explain it solemnly and carefully.
Picture 4: Yan Zheng helped Aunt Xu study the massage instrument
After reading it, Aunt Xu took out a small device, "Doctor Yan, help me see this thing, the volunteers sent me, you can massage, I won't use it." Solemnly washed his hands, sat down and carefully studied the manual, "This patch is attached to charge, this socket is what you use to charge your phone." ”
Yan Zheng usually walks and talks quickly, but in the residents' homes, his every move becomes very slow, "sometimes it takes more than an hour in a house, and it takes all the problems to solve before leaving." ”
Figure 5: View blood glucose registration forms for residents
"Dr. Arayan, it's so good"
Running around the community, from time to time residents greeted, "Don't rest after the New Year?" Dr. Alayan, how nice! ”
95-year-old Wan's grandma had a cerebral infarction and her ears were not good, but when she saw Yan Zheng coming to the door, it was like seeing her son, and immediately opened the chatterbox, "Nong busy? What's busy? Good rest for the New Year. Yan Zheng smiled: "Get used to it." ”
Caption: Help Grandma Wan check her body
After the inspection, he helped Grandma Wan put on the cotton jacket and tuck the collar, "The collar is high, it is uncomfortable to poke the head and neck, help you plug it." ”
Before leaving, Grandma Wan sat on the chair and said with a smile: "You take the things on the table." "It's the New Year, Grandma Wan prepared a box of dim sum for him." Let's talk about it again. Yan Zheng gently helped her close the door and went straight to the next house.
Wan'a Po is one of the residents who have served Yanzheng the longest, signing the contract in the year of SARS, and she is also the first batch of residents to hand over the keys to Yanzheng. At that time, Grandma Wan's children had not yet retired and could not take care of the elderly during the day, so they handed over the key to Yan Zheng so that he could come to the door.
Yan Zheng has a name called "Key Doctor", because he has received a total of 58 keys from 31 households. This key contains the trust between doctors and patients, and has also won him countless honors - "Moving Shanghai" Top Ten Annual People, Shanghai "May Day" Labor Medal, the most beautiful doctor in China, the top ten general practitioners in China, and the outstanding Communist Party member in China...
Caption: Yan Zheng helped Aunt Zhang take the pulse
Even after nearly 30 years of work, setting up a family doctor studio and leading a team, he still sees himself as just an ordinary doctor rooted in the community. Mr. Li, who is in his 70s, said that his deceased mother-in-law was once a patient of Yan Zheng and now he has signed up for Dr. Yan's family bed. When 87-year-old Aunt Zhang learned that Yan was coming, she cleared the table early, and she said, "Dr. Yan didn't forget to come to the door one year when he broke his foot, I am really blessed, there is such a good doctor!" ”
Caption: Yan Zheng always runs in the community like this
"I'm timid and afraid that something will happen to them!"
After visiting 4 households in the morning, Yan Zheng did not drink a single sip of water, and hurriedly returned to the unit to enter the prescription into the system. "Go to 3 more in the afternoon, and by the way, deliver the medicine dispensed in the morning." Yan Zheng told reporters that there are currently 11 home bed patients in hand, and they must visit their homes at least once a week. A few years ago, the 104-year-old man who worried him the most was gone, and his family immediately informed Yan Zheng, and when he ran to the door panting, the old man just swallowed his breath. "It's a pity, the old man is usually in good health." He said.
Previously, at the peak of infection, Yanzheng's mobile phone always rang non-stop. "Residents tend to be families with a lot of problems. When it is busiest, mobile phones, WeChat, and text messages come together, and before a message is replied, and another call comes in, it takes 40 calls a day. Solemnly said.
Yan Zheng said that in recent years, Shanghai has vigorously promoted the family doctor contract system, various resources have continued to sink, residents have gradually changed their views on community doctors, and they are more willing to choose the community as the first stop for medical treatment.
There was an old man who always felt that he had "chest pain" and went to the big hospital many times and could not find a problem. Later, Yan Zheng suspected that he had costochondritis, and went for another examination, and sure enough. The old man said whenever he saw people: "The family doctor is also very powerful!" ”
Caption: Yan is serving patients in his "model worker studio"
Next month, Yan Zheng will celebrate his "50th birthday", and his hair will be much grayer compared to the photos of his youth at the door of his studio. Why have you been sticking to the grassroots for so many years? He joked that he was "timid" and had to serve the residents well, fearing that something would happen to them; It is also because of his "timidity" that he didn't even think about changing jobs or changing careers, and just wanted to be a general practitioner honestly.
Xinmin Evening News reporter Zuo Yan