Free clinic in the countryside
2021-12-08
Outside the window, snow covered the top of the mountain. Inside the window, it is warm. This is the urology ward on the third floor of building 3, Kezhou people's Hospital, Kizilsu Kirgiz Autonomous Prefecture, Xinjiang. Wearing a white coat, Qian Yun, a doctor of Jiangsu Provincial People's Hospital in Xinjiang and chief physician of geriatric neurology, gently held Yi Sark's arms with both hands. The 68 year old man stretched his arm and put it tightly on Qian Yun's shoulder, trying to take the first step with trembling. "Don't be afraid, old man. I'll protect you. Move your feet first, then turn around, one two three four, two two two three four..." Qian yunhuan held the old man's upper body, led the old man forward, and moved step by step from the bed to the wall. Old yishak stood by the bed, leaned closely against Qian Yun, stretched out his right leg that could make him stronger, and took a small step with his left foot. Then he looked at Qian Yun's steps, moved back and forth, and swayed gently with the beat. In this way, the day's rehabilitation training began. Who would have thought that the old man yishak had been unable to walk for nearly three months before he came to the hospital. On October 15 this year, song Ninghong, vice president of Jiangsu Provincial People's Hospital and President of Xinjiang Kezhou people's Hospital, led a team of Jiangsu medical experts to this small village called Maidan, tugumaiti township. The village is located between the mountains on the border between China and Kyrgyzstan. It is nearly 3000 meters above sea level and 548 kilometers away from Kezhou people's hospital. It is very difficult for local people to see a disease once. Jiangsu "group" medical aid experts in Xinjiang regularly carry out free clinic activities and health science publicity in the countryside every week while making routine visits, and come to the homes of local farmers and herdsmen to make door-to-door diagnosis and treatment for patients. At the end of a free clinic, an old man suddenly found song Ninghong, took his hand and said, "my neighbor uncle yishak has just finished prostate surgery. He has difficulty urinating and can't stand up. He has been in bed at home for nearly three months." As soon as the free clinic was over, song Ninghong immediately led the team to drive. After nearly two hours of turbulence, I finally came to the old man's house. In the yurt, the old man curled up, his thin face wrinkled by illness. Yang Jie, deputy chief physician of Urology Department of Jiangsu Provincial People's Hospital and assistant to the president of Xinjiang Kezhou people's Hospital, made a preliminary diagnosis at the scene: the poor urination caused by postoperative complications can be gradually improved by drugs, but the inability of lower limbs to walk can lose the ability to walk and move without timely intervention and treatment. Song Ninghong took yishak's hand and said, "let's go to the hospital and start right away." In the Kezhou people's Hospital, doctors assisting Xinjiang carry out multidisciplinary consultation and repeatedly study and judge the condition every day; Thousands of miles away, experts from Urology, rehabilitation medicine, geriatrics, neurology and other departments of Jiangsu Provincial People's Hospital customized treatment plans for the elderly through remote connection. After careful evaluation, the front and rear sides jointly formulated a set of rehabilitation training plan for the elderly. In the process of rehabilitation treatment, pay special attention to balance training and strength training, and give some nutritional support. Since the old people were not used to walking independently, the medical team thought of doing targeted rehabilitation training in a way similar to dancing steps, and then there was a warm scene at the beginning. On the 14th day after admission, the old man yishak was discharged from the hospital. He took the hands of doctors and nurses and walked from the ward to the gate of the hospital. Half a month later, song Ninghong, who was worried about it, went to the old man's house again with the experts who helped Xinjiang. Everyone was very pleased to see that old yishak had recovered as usual and walked freely. In Kezhou, many patients benefited from the help of Jiangsu Xinjiang aid expert team. The team came 62 times only in Maidan village, tugumaiti township. In the places where ambulances can't reach, they come to the masses with their equipment, medicines and feelings. Song Ninghong recalled that the villagers would come to the village clinic early to wait at the free clinic time of the doctors in Xinjiang. They said that doctors in Xinjiang are as close as their brothers and sisters. It is understood that many groups of Jiangsu medical teams assisting Xinjiang have made active efforts to build a medical Consortium for Kezhou, and have formed a "9 + 1 + 4 + N + n" telemedicine sharing model. 9 refers to 9 provincial hospitals in the rear of Jiangsu Province, 1 is Kezhou people's Hospital, 4 is three counties and one city of Kezhou, the first n refers to township hospitals, and the second n refers to all village clinics in Kezhou. The big network of the Medical Union has become denser and finer, opening up the last kilometer of health management. On this basis, Jiangsu Yuanjiang medical team also built 5g telemedicine terminal and Internet hospital, which further solved the problem of local people seeking medical treatment nearby. (outlook new era)
Edit：Yuanqi Tang Responsible editor：Xiao Yu
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