Now all say
The world is huge
"Grass Terrace Team"
I didn't believe it at first
There are a bunch of "social death" troubles from all walks of life on the Internet
I'm just listening to it as a joke
▽
Dry finance
Those who study law
Dry real estate
Dry traffic police
Do psychological counseling
Until recently
I bumped into this side
Real people and real things are shocked:
What kind of "grass platform team" is it?
And no one can escape the "dark under the lamp".
Every year, the nurse examines the breasts
As a result, his nodules "boiled into cancer"
At around 8 p.m., 45-year-old Amei (not her real name) could finally stretch her back. She is a nurse at a community health center in Longgang District, Shenzhen.
In Shenzhen, community health is a brick, where you need to move, there are dozens of departments in the big hospital division of labor and cooperation, to community health is "a thousand lines above, a needle below", all the problems of community residents, you have to take care of ......
Even if the residents are not sick, isn't the "two cancer screening" organized by the village every year for women to be done by Amei and her colleagues?
With a wide range of contacts and rich combat experience, it is easy to make people "arrogant".
Someone reminded her that her face was not very good, but Amei disagreed:
"I'm a nurse, can I still not know my situation?"
To tell the truth, medical staff are so busy, who doesn't have a little sub-health?
Even if the physical examination revealed a nodule in the right breast, Amei still didn't feel at ease.
"Isn't it just a nodule, I know, it's fine. ”
This delay is two years.
On this day, a breast doctor parachuted into the community health center, and the popularity was overwhelming.
The sisters of the community surrounded him and asked a bunch of "trivial" little problems -
How do I drain milk?
How do I self-check?
What's the deal with breast pain?
What should I do if I feel a lump in my breast?
……
(Swipe up to see the self-test method)
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While Amei was busy working beside her, she pricked up her melon-eating ears to "eavesdrop".
Listen, the doctor said about the nodules, and her heart tightened:
"Mine is also suddenly bigger, is there a problem too?"
As a result, the doctor felt that something was wrong as soon as he palpated it: it could be cancer.
Amei's first thought was "impossible".
She thought about it, she is also a person with medical knowledge, why can't she tell if it is a nodule or cancer?
After various examinations, Amei did suffer from breast cancer.
Thankfully, it's just carcinoma in situ.
▲Source: Tencent Medical Codex
Carcinoma in situ is the "infancy" of breast cancer, when the tumor is still growing in the breast glands or ducts, and there is no metastasis or lesion.
If it continues to drag on and becomes what we usually hear about "invasive cancer", it will not be an ordinary trouble.
The so-called invasion is when the tumor in the duct continues to grow and "grow", breaks through the duct, and begins to spread to the periphery......
Amei has a good life, and what he met was not an ordinary doctor, but a great god sent by the tumor "national team":
Jiang Hongnan, breast surgeon, Shenzhen Hospital, Cancer Hospital, Chinese Academy of Medical Sciences.
▲Jiang Hongnan answered questions at the free clinic site
Carcinoma in situ is not scary
The scary thing is to "look away"
Treatment for carcinoma in situ of the breast is not complicated.
It is good to cut off the lump in the breast, and there is generally no need for radiotherapy or chemotherapy after surgery, and regular re-examination is sufficient.
Patients can also take some endocrine drugs, which can be taken orally for more than 5 years to prevent tumor recurrence and distant metastasis.
At present, the 5-year survival rate of breast carcinoma in situ can reach more than 95%.
Ah Mei has not recovered from the shock, and the operation has been completed.
"Breast carcinoma in situ is not scary, but what we are afraid of is missing the diagnosis and allowing it to develop into invasive breast cancer. ”
Once this kind of real breast cancer develops, the energy and financial resources consumed are completely another order of magnitude.
Amei is a front-line medical worker, and she was almost hit by the "dark light", and the chance of ordinary citizens being "missed" is even greater.
If everyone had a "national team" to help with the gatekeeping, wouldn't there be fewer such tragedies?
Shenzhen said that this can be had.
The national team set up a "top team" for community health
Every corner of the city is equipped with "Eagle Eye"
In the field of oncology, the "national team" has experienced a hundred battles, and the doctors have trained a pair of "eagle eyes" and a "feel".
"Our doctors have been looking at the tumor for a long time and have seen the doorway, and some patients come to check, and we can really see the shadows that may be missed elsewhere. "
——Shenzhen Hospital, Cancer Hospital of Chinese Academy of Medical Sciences
Vice President Wang Dongwen
▲Wang Dongwen showed the film to the patient at the free clinic
In order to allow everyone in Shenzhen to get in touch with Sister Mei's European spirit, early detection, early treatment, and less crime, Shenzhen has begun to lay out a "city-wide eagle eye" project as early as the end of 2019:
Medical-prevention integration
Specialists from municipal hospitals go into the community
Led by the "most capable of fighting" municipal hospitals, 15 expert groups were set up (the team leader must be the discipline leader of the hospital, and the team members should be "deputy high" or above), stationed in the community health "two hands", one hand prevention, one hand treatment, relying on more than 900 community health centers in the city, weaving a large network of "early detection, early treatment, and full management".
The professional saying is called: medical and defense integration.
▲The scene of the free clinic of the ophthalmology project team of medical prevention and prevention
Taking oncology as an example, the hospital operated by the "national team" in Shenzhen, the Cancer Hospital of the Chinese Academy of Medical Sciences, Shenzhen Hospital, is leading the way, and they have to do these things in the community: medical services, business guidance, and personnel training......
01
See a doctor
Oncologists enter the community
In the past few years, many doctors at Shenzhen Hospital, the Cancer Hospital of the Chinese Academy of Medical Sciences, have frequently "walked" around the grassroots level.
In addition to breast surgery, Tian Jun, director of the Department of Urology, and other gods who are "hard to find" in Beijing often go to the community health centers in Futian, Longgang and Pingshan in Shenzhen for consultation and free consultation.
"Through grassroots screening and free clinics, we have found that some potential patients with prostate cancer, some of whom have been treated in the district hospital in time, have been in the district hospital for six or seven years now, and some have ruled out tumors and let go of anxiety with us. ”
——Tian Jun, Director of the Department of Urology
02
Engage in training
Let the community health care also practice "sharp eyes"
The project team has set up a team of teachers for the integration of medical treatment and prevention, with members from various medical and health institutions in Shenzhen, including oncology, general practice, and preventive medicine......
Tian Jun once went to the community health center for a discussion and found that only half of the community health doctors knew that PSA (prostate-specific antigen) was a marker of prostate cancer.
To this end, the teaching team has produced special teaching materials, and more than 10 trainings will be held in 2023, so that the mastery rate of community health doctors on the core knowledge of prostate diseases will exceed 90%.
"Community health doctors can reduce missed diagnoses and misdiagnoses by taking the first step in the community. ”
▲Shenzhen General Practitioner Tumor Disease Management Training (Nanshan Class)
03
Editorial Guidelines
Give the community a "user manual"
No matter how well the training is done, it may be "on paper".
In order to implement it without being out of shape, the expert group referred to the relevant national standards, studied and formulated appropriate technologies for disease prevention and control, clinical diagnosis and treatment paths, and health management standards, formed technical specifications for the integration of medical treatment and prevention, compiled a project work manual, and gave community medical staff a simple and easy-to-understand "manual".
04
Do popular science
If you say something from a big expert, your parents will definitely listen
Young people always like to complain about the elderly at home, and forward health rumors in the "Blind Date and Love Family" group:
What can eat banana peels to prevent tumors, and which "miracle drug" can prevent cancer......
You can't hit your grandparents on the head with a stick, that's because no one uses "authority" to suppress them.
Taking urology as an example, many people do not have enough understanding of prostate diseases, either they are not treated in time, or they look at roadside telephone poles and enter a lot of "andrology" pits.
The elderly usually like to go to the community health to measure their blood pressure and chatter, and the experts of the "national team" seized this opportunity to popularize science.
They went to 11 community health centers in Longgang, Pingshan, and Dapeng, and carried out more than 20 popular science lectures in 2023 alone.
"Our ultimate goal is to form an integrated whole-process cancer prevention and treatment system of 'prevention, screening, diagnosis and treatment, and health management' that is 'full coverage of the community and rehabilitation back to the community'. ”
- Wang Dongwen
▲Jia Jiedong of the medical prevention and integration tumor disease project team is popularizing tumor diseases to community residents
Source: Shenzhen Cancer Hospital, Chinese Academy of Medical Sciences, Shenzhen Municipal Health Commission