Analgesic Doctor "Liu Jiang - I am treating cancer pain in Xinjiang
2024-11-12
Liujiang has been in conflict with tumors for over 20 years. As the director of the Oncology Department at Xinjiang Uyghur Autonomous Region People's Hospital, Liu Jiang's diagnosis and treatment field is very broad: "We are a comprehensive hospital oncology department that deals with all tumors from head to toe, including some rare tumors such as melanoma, skin tumors, and limb sarcomas." After working in such a "general oncology" department for many years, Liu Jiang has increasingly seen the boundaries of medical capabilities, clarified the purpose of diagnosis and treatment, and strengthened the concept of "patient-centered". In many cases, symptom management for patients, especially coping with cancer pain, is of paramount importance, perhaps even more important than the progression of the disease itself, "he said. Based on this understanding, taking advantage of the establishment of the Cancer Pain Standardized Diagnosis and Treatment Expert Committee in Xinjiang in 2013, Liu Jiang, who served as the chairman, began to run - committed to promoting the creation of "cancer pain standardized treatment wards" throughout Xinjiang. This run has been ten years. This trip has greatly improved the treatment of cancer pain in Xinjiang. Pain is the most common symptom among cancer patients, and when treating cancer, people often overlook how to cope with pain. Liujiang is very clear about this. The incidence of pain in newly diagnosed cancer patients is about 25%, while the incidence of pain in advanced cancer patients can reach 60% -80%, with one-third of patients presenting with severe pain that is unbearable. Even some cancer patients may experience pain after being cured Liu Jiang said. During the process of practicing medicine, the scene of 'ignoring cancer pain' left a deep impression on Liu Jiang. For example, during ward rounds, we often encounter situations where the doctor is constantly analyzing the patient's condition and explaining treatment plans, while the patient is already in excruciating pain with a very painful facial expression. "He said," Do doctors still need to explain at this time? Do they need to introduce other treatment plans? It doesn't make any sense to the patient at all, so immediate pain relief treatment should be carried out. "The effect is immediate. After administering a dose of morphine, the patient's face immediately lit up with joy. The gratitude and trusting gaze left a lasting impression on me, "said Liu Jiang. Based on this, in Liu Jiang's mind, pain treatment and tumor treatment are equally important, and sometimes the former is needed much more than the latter, especially when cancer enters the late stage. When various treatments have failed, the biggest need for patients is often pain free - pain free life, pain free sleep, etc. "He said," Although the medical community has made great progress in the treatment of tumors and has now entered the era of targeted therapy and immunotherapy, it is not always effective, and the probability of recurrence is high. During this process, the patient's body and mind experience pain. We have controlled cancer pain well, which is of great value and significance to medicine and life. "In the" Healthy China Action (2019-2030) ", it is mentioned that pain is the most common and main symptom of cancer patients, and can be actively treated through scientific pain relief methods with the help of doctors. This indicates that the government has realized that the impact of cancer pain on patients' quality of life is enormous and cannot be ignored. In 2001, the Xinjiang Uygur Autonomous Region People's Hospital established the Oncology Department to deliver standardized treatment to the doorstep. At the age of 35, Liu Jiang served as the director of the department. Starting from Chuangke, we have been committed to standardized diagnosis and treatment of tumors, especially cancer pain Liujiang recalled that 10 years later, in 2011, the People's Hospital of Xinjiang Uygur Autonomous Region was awarded the title of "Standardized Cancer Pain Treatment Ward" by the state. At that time, only 68 hospitals in the country obtained this qualification. In the future, for the treatment of cancer patients and the improvement of their quality of life, we have standardized standards, executable systems, and theoretical foundations, which better guide clinical practice and provide cancer patients with more scientific and effective treatment plans that meet their needs, "he said. Since 2013, the People's Hospital of Xinjiang Uygur Autonomous Region has promoted and popularized the creation of "standardized cancer pain treatment wards" throughout Xinjiang. In the same year, a standardized diagnosis and treatment expert committee for cancer pain was established in Xinjiang. As the chairman, Liu Jiang's vision has expanded to the whole of Xinjiang. The first difficulty encountered in promotion work is that Xinjiang is too big. Previously, many hospitals in cities and prefectures did not have drugs to treat cancer pain. Many patients had to travel long distances just to get a few dollars' worth of medicine, such as patients in Kashgar who had to travel nearly 2000 kilometers to Urumqi to get the medicine and then return, "said Liu Jiang." This brings heavy economic burden and high time costs to patients. In this regard, we hope that cancer patients in Xinjiang can enjoy standardized treatment services for cancer pain at their doorstep, which is our highest ideal. "One problem brought about by the vast territory is the uneven development of medical care in different regions. Many grassroots oncologists hold incorrect beliefs about cancer pain and have misconceptions about opioid drugs, believing that they should only be used when the pain is severe and long-term use can lead to addiction, "said Liu Jiang. In 2015 alone, when evaluating the first batch of wards, they ran over 17000 kilometers. With responsibility and mission, Liu Jiang and his team promote and introduce the standardized diagnosis and treatment guidelines for cancer pain formulated by the national health management department through various forms such as training, communication, ward rounds, and consultations, to enhance the attention and response level of cancer pain diagnosis and treatment in various regions. Oncology doctors and nurses from all over Xinjiang have given positive responses and tremendous support to the event, actively participating in the creation of the activity, "he said." This has left a deep impression on me. "As of now, nearly 40 hospital wards in the north and south of Tianshan Mountains, including some county-level hospitals, have been awarded the title of" cancer pain standardized treatment ward "at the autonomous region level, greatly improving the level of cancer pain standardized treatment and the management of narcotic drugs, promoting the transformation of medical personnel's tumor diagnosis and treatment concepts, reminding them to pay more attention to humanistic care and the quality of life of patients. Encourage patients to say no to cancer pain and relieve their suffering. This is the original intention and driving force behind Liujiang's vigorous promotion of the establishment of standardized cancer pain treatment wards. By creating activities to popularize the basic knowledge of cancer pain to society and explain to the public that it can be treated and relieved. Patients should not and need not live with pain. We want cancer patients to live painlessly, sleep painlessly, rest painlessly, and work, live, and study like normal people Liu Jiang said. Behind this is the second difficulty encountered in the promotion work - the patient's tendency to endure pain. The general public has insufficient understanding of pain related diseases. Many patients have a strong sense of shame and feel that speaking out about pain makes them appear delicate and looked down upon, "said Liu Jiang." Cancer patients must not endure pain. We should encourage patients to speak out about their pain and make them believe that medical staff have very good means of controlling cancer pain. Cancer pain treatment is scientifically effective, with very mild adverse reactions and basically negligible addiction. "From this perspective, the creation of" standardized cancer pain treatment wards "is actually a process of promoting universal medical humanistic care. Humanistic care is not just an empty phrase, it cannot be said without concrete actions, "Liu Jiang said." In the process of work, being able to put oneself in the patient's perspective, think about what the patient thinks and what the patient urgently needs, and provide thoughtful and practical treatment to the patient is the true humanistic care. "For cancer pain patients, humanistic care is about concrete treatment. We use multidisciplinary comprehensive treatment methods, with drugs being the simplest and most effective. In addition, there are various methods such as minimally invasive, radiation therapy, nerve damage, psychological therapy, etc. that can relieve pain. "Liu Jiang introduced that in 1986, the World Health Organization proposed the" three-step ladder therapy "for cancer pain, and in 2018, adjustments were made to this by adding one step and weakening the first step of treatment, with the aim of quickly meeting the pain relief needs of patients. We have the National Health Commission's guidelines for cancer pain diagnosis and treatment in our country, which are consistent with the international standards. In terms of medication, China is at the forefront of the world Liu Jiang said, "On the one hand, we have new drugs and treatment methods, and on the other hand, we have traditional Chinese medicine with very good effects, which other countries do not have." In order to prevent the quality of the construction of "standardized cancer pain treatment wards" from declining, Liu Jiang worked tirelessly with his team to carry out the review. We need to review both new and old ones. That's how Liujiang runs around on the road almost every year. What pleased him was that the "standardized treatment ward for cancer pain" had already covered the entire Xinjiang region. The farthest cities in southern Xinjiang are Kashgar and Hotan, and there is no need to mention Yili in northern Xinjiang, so it is fully covered, "said Liujiang. In Xinjiang and China, the pace of "standardized treatment of cancer pain" is becoming increasingly powerful, and the concept of "patient-centered" is becoming more deeply rooted in people's hearts. Eliminating pain for more cancer patients is our responsibility, "Liu Jiang said, hoping that more and more medical workers can join this work, help cancer patients relieve pain, and enjoy a quality life.
Edit：Chen Jie Responsible editor：Li Ling
Source：People's Daily
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