Zhao Yi of West China Hospital: As a doctor, you must have a bold heart like a lion to face the worries and anxieties of patients, and he responds with practical actions to teach people to fish, it is better to teach people to fish and make efforts in many ways

Rong media reporter Zhang Yuhui

He often said that as a doctor, you must have a bold heart like a lion, and make decisions when things happen to be "stable, accurate, and fierce." He also often teaches students that whether they are scholars or doctors, they must be careful and careful, and develop the habit of long-term learning, only if their technical level continues to grow, can they win the respect and trust of patients.

After practicing medicine for many years, in order to actively promote the construction and popularization of rheumatology disciplines in grass-roots medical institutions, and truly solve the problem of rheumatism patients' difficulty in seeing a doctor from the source, he actively participated in the academic lectures and technical promotion of rheumatism in various counties, cities and townships, and played a very good leading role in promoting rheumatic immunization poverty alleviation in the southwest and even the whole country.

He is Zhao Yi, chief physician of the Department of Rheumatology and Immunology of West China Hospital of Sichuan University.

Zhao Yi, Department of Rheumatology and Immunology, West China Hospital, Sichuan University

<h1 class="pgc-h-arrow-right" data-track="4" > in the face of patients' worries and anxieties, he responds domineeringly with practical actions</h1>

"The disease you have is not ankylosing spondylitis."

Recently, Zhao Yi received a patient diagnosed with ankylosing spondylitis by other hospitals three years ago. The patient had previously sought medical treatment without success, and came to Zhao Yi's outpatient clinic for help. By asking and reviewing the patient's information, Zhao Yi immediately concluded that her disease was not ankylosing spondylitis.

This conclusion seems to break the patient's psychological defense line, and the patient is completely unable to accept this fact. Zhao Yi relieved the patient's heart: "Your pain may be due to low back spinal injury caused by work on the one hand, and on the other hand, it is related to your own anxiety and depression. ”

"This is probably the characteristic of the profession!" The knowledge barriers of medicine are high and difficult for non-professionals to understand. We can only understand the patient and relax our own mentality. Zhao Yi said so. In most cases, the patient's pain is not only the physical pain caused by the disease, but also the psychological pressure, when encountering problems that medicine cannot solve, the doctor should think from the patient's point of view and give the patient spiritual support.

Zhao Yi was born in a family of doctors, his father was a doctor, his mother was a pharmacist, he was influenced by his family from an early age, he developed a strong interest in medicine, and when he grew up, he also chose to become a doctor. As a rheumatologist, dealing with various "difficult and complicated diseases" has become the norm of Zhao Yi's work, he tirelessly answers various questions raised by patients, tries his best to solve the practical difficulties of each patient, and his spirit does not affect patients and students all the time.

<h1 class="pgc-h-arrow-right" data-track="28" > teach people to fish than to teach people to fish</h1>

In the past 20 years, although the discipline of rheumatology and immunology in China has made great progress, due to the wide geographical scope of Sichuan Province, the large population base, the level of diagnosis and treatment between regions and the differences in economic development, the development of rheumatic immunology disciplines still has a long way to go.

Zhao Yi said that the popularity rate of biologics for ankylosing spondylitis at the grass-roots level is still far from that of other first-tier cities, and the penetration rate of rheumatology and immunology in grass-roots medical institutions is low, many grass-roots hospitals have not yet set up rheumatic immunology specialties, and some specialized hospitals lack department structure, staffing, and professional training, and standardized diagnosis and treatment need to be improved.

It is better to teach people to fish than to teach people to fish. Zhao Yi believes that in order to improve the basic diagnosis and treatment level of grass-roots doctors, basic professional knowledge reserves are indispensable. Therefore, in the grass-roots level, in various poor counties, to strengthen the training of rheumatology and immunology specialists, so that grass-roots doctors can make the correct diagnosis of common rheumatism, in this process, to assist the establishment of rheumatic immunization specialties, through health poverty alleviation, to bring a team that can not be taken away, is conducive to improving the county-level medical units Rheumatology and Immunology medical resources are scarce, promote the discipline construction and development of the Rheumatology and Immunology Department of grass-roots medical institutions in Sichuan Province, standardize and improve the overall diagnosis and treatment level of rheumatic immune diseases in the province. In this way, we can build a model of "first diagnosis at the grass-roots level, two-way referral, and linkage between upper and lower levels", and effectively alleviate the problem of "difficult and expensive medical treatment" for the masses.

<h1 class="pgc-h-arrow-right" data-track="29" > multi-party efforts can be expected in the future</h1>

In order to allow more patients to get effective treatment, in recent years, Zhao Yi has been committed to the health poverty alleviation work of ankylosing spondylitis, for which he has a profound feeling: the poverty alleviation work of ankylosing spondylitis is a matter related to the whole country, which not only requires the participation of doctors, but also needs more systematic support. Although China's poverty alleviation battle has won a comprehensive victory, "taking off the hat without taking off the help" and implementing the ankylosing spondylitis health poverty alleviation project can prevent the grass-roots ankylosing spondylitis patients from returning to poverty.

Zhao Yi introduced that at present, for patients with moderate to severe ankylosing spondylitis, biological agents are basically used for treatment, the most classic is TNF-α inhibitors. With the advancement of medical technology in China, other related targets have also been listed. In addition, through the linkage between the society and the enterprise, the accessibility of patients to standardized diagnosis and treatment is being further improved, such as Sunshine Guojian has also invested a lot in this regard. At the same time, with the higher and higher level of patient cognition, and The entire medical system and policies in China are getting better and better, most patients with ankylosing spondylitis can be reimbursed for 70% or 80% of the treatment costs. Through the efforts of many parties, I believe that the control of ankylosing spondylitis will be better and better in the future!