Essay on prevention and treatment combined with healthy breathing

20 13 10 18, that day was the day when Ji Xian, a patient with Guangshui, went to Wuhan Tuberculosis Control Institute for reexamination. After the review, Ji Xianni did not rush home, but went to the home of Comrade Zhang, the chief physician of the Municipal Center for Disease Control and Prevention, to visit this good doctor who had recovered from a serious illness.

Last year, 1 14 months 10, 75-year-old Comrade Zhang was seriously ill in hospital, and many people came to visit him in the hospital or at home. He is a doctor who deeply loves tuberculosis prevention and treatment and patients, and is also an expert deeply loved by patients and respected by the industry.

20/kloc-At the beginning of March, Wuhan Evening News reported on Comrade Zhang's advanced deeds for a long time, and many media reports, such as Health News, People's Daily, Wuhan TV Station, Hubei and so on, had many highlights.

Websites like www. Phoenix.com, Sohu.com, Netease.com, Xinmin.com, 2 1 CN news network, Huaxia medicine network, Hanwang.com, Jingchu.com, Wuhan radio and television network, etc. have been reprinted in succession, causing widespread concern in society.

Comrade Zhang is the chief physician of Wuhan Institute of Tuberculosis Prevention and Treatment, party member, a former member of International Pain Prevention and Treatment Association, and now a consultant of Wuhan Pain Prevention and Treatment Association. I have been studying hard for 55 years, doing what I do for my family, forgetting my job, from a

This general practitioner has grown into a well-known expert in the field of pain prevention and treatment in China. He always cares about patients and builds a bridge between doctors and patients with the feeling of "burning himself and illuminating others"; He is dedicated and selfless, using "as long as"

Encourage yourself and others with the motto "Work is happiness"; He studied hard and kept improving, which was well received by patients and society. He was awarded "Advanced Worker of Health System in Hubei Province" and "Wuhan City"

Excellent party member, an advanced worker in Wuhan's culture, education and health system, party member Pioneer produced by Wuhan's Health and Family Planning Commission, outstanding party member in Wuhan's health system, and the first "good doctor in my mind" in Wuhan.

Title.

There is no limit to learning the sea.

Comrade Zhang is studious and rigorous in his studies, and he has grown from a middle school student to an authority on pain prevention and treatment in Hubei Province. He regards learning as a pleasure. Besides going to the clinic, making rounds, consulting and exercising, he has been reading books in his spare time for decades.

Day. He reads until 10 pm every day when he comes home from work, and weekends are no exception. In order to understand the latest development of tuberculosis abroad, Comrade Zhang began to learn English at the age of 46. Today, the pillow of a 75-year-old man

There is also a pocket English dictionary that he can listen to, read and translate the latest academic trends. He personally translates, compiles, proofreads and edits Academic Trends of Tuberculosis Prevention and Control every year.

Send it to young doctors for reference.

Comrade Zhang is good at thinking and summarizing. When attending a consultation in the early 1980s, he found that another famous professor had a special consultation notebook. He thinks this method is good, it can leave the patient's information, and it is convenient to summarize, reflect and compare before and after treatment. Therefore, in addition to medical records, he also divided medical records into three categories: rounds, consultations, and usual consultations.

Don't write every patient's medical record by hand. A record is more than 20 years. Accumulate.

There are hundreds of books in the * * * in the notebook. Comrade Zhang cares about patients wholeheartedly, and every hospitalized patient who has been treated or consulted will appear in his notebook. Comrade Zhang explained that there were so many patients that the brain could not remember this information.

Live. Keep it in a notebook for follow-up, especially for patients with intractable diseases and consultations, and you can come down and think about finding a solution. Every two days, he would open his notebook and ask the bed doctor about each patient: confession.

Is it used in medicine? Did you get the necessary treatment? Is things getting better?

Comrade Zhang asked himself not to cross his legs when sitting in the consulting room with students; Hands droop naturally when doing rounds, and "patting the back" is not allowed; Stethoscopes are not allowed to be carried on your shoulders. He often warns young doctors: "Patients put their health even

Giving our lives to us is our trust, and we are responsible for every patient. "It is precisely because of his serious and responsible, diligent and dedicated spirit that I don't know how many lives his hands have saved. Ji Xian Naked is one of them.

A little. June, 5438+October, 2008 10, Ji Xian suddenly became paralyzed and was diagnosed as tuberculous meningitis, which was life-threatening at any time. "In June 2008165438+1October1,bed 33 was naked, male, 2 1 year old. Cough and headache in June 2

I was admitted to the hospital a month later. CT: Both lungs are scattered in dotted shadows. Brain MRI: patchy shadows in the right lobe and left basal segment, ventricular enlargement ... Director Zhang recorded the patient's condition, examination results, diagnosis and treatment in detail in his notebook.

Situation, and add the adjusted treatment plan in the blank with a red pen. Now, under the careful treatment of Zhang, Ji Xiannike, who was once sentenced to death, has been able to take care of herself and began to look forward to a new life.

Comrade Zhang, as the authority of differential diagnosis of pulmonary tuberculosis, is often superior to others in the diagnosis of pulmonary diseases, and many difficult and severe patients have been reborn again and again in him. A patient from Xiaogan for one year.

I ate a chicken bone before, got stuck in the trachea, and moved to many big hospitals. Because the chest film and CT film showed shadows in the lungs and suspected lung cancer, the family was ready to give up treatment. Someone suggested: let them find Wuhan knot.

Comrade Zhang from the Institute of Nuclear Disease Prevention and Control has a look. Director Zhang carefully watched the film and thought that there was a foreign body in the trachea. He suggested fiberoptic bronchoscopy, and found a chicken bone 2 cm in size stuck in the trachea. The families were moved to say:

"If it weren't for you, our family would be ruined." Comrade Zhang studied hard, kept improving, and saved countless dying lives with superb technology.

Be frugal and have fun with your beloved patients.

Diligence and thrift, hard work and simplicity, "as long as you work, you will be happy" is Comrade Zhang's motto. Comrade Zhang was thrifty all his life, stingy with himself, but generous with colleagues and patients. to date

Today, he and his family still live in a two-bedroom room, which is 0/0 minutes away from the company. The office in the hospital is only 10 square meters, and it is very simple. The office desks and chairs have not been changed for almost 50 years, and the company is going to give them to 1997.

He improved the housing conditions and waved his hand again and again. "I had a good time. What do I need a new house for? " ; The unit is going to decorate his office briefly, and he admits that a place to see patients is enough.

From home to the hospital, Zhang lived a simple life of two points and one line, and ate a box lunch in the cafeteria at noon. He lives frugally. No matter whether the food is good or bad, he eats very clean. Even if he sends a small dish of pickles, he will never.

Waste. Once Zhang had breakfast outside and wanted to buy half a fried dough stick. The boss who sells fried dough sticks thinks he is deliberately making things difficult. Just as my colleague passed by, I quickly explained to people: old people are used to saving, and they feel that they can't finish eating and wasting.

Saving money for patients has become his professional habit. Comrade Zhang Wenming made a checklist and generally only checked three items: serum alanine aminotransferase, serum total bilirubin and serum direct bilirubin, which are the three core indicators for identifying liver function.

Standard, a * * * only needs 14 yuan. Comrade Zhang said that as long as it can help diagnose the disease, it is enough to do some basic tests. In order to treat tuberculosis patients, doctors need to know the lung condition. Generally speaking, take a chest X-ray.

Yuan, do CT250 yuan, the last film, the patient took it to see a doctor. However, Zhang's patients don't take films or do CT, and often take them to the radiology department for fluoroscopy. He went directly to the instrument.

Look at the results, because the fluoroscopy is only 8 yuan, it is not recommended to make a diagnosis.

As an authoritative expert on tuberculosis and respiratory diseases, many large hospitals invite Zhang to consult critically ill patients every week. He goes out for consultation, either walking or riding a bike, taking a bus from a distance, never being picked up by anyone, and never charging consulting fees; one

I have worn this sweater for more than 30 years, and I am reluctant to change it, but I buy a set of medical books for students and young doctors at my own expense every year. For poor patients from other places who came to see a doctor, he received free consultation in the office and "reimbursed" them before leaving.

Cost; It is common for Comrade Zhang to give red envelopes to difficult patients.

Wenxin suffered from tuberculosis on 1996 because there was no continuous treatment. When Zhang was admitted to the hospital on 20 10, his condition was very critical. While writing the doctor's advice, Zhang told Wen Xin's wife: Let the patients eat something good and keep fit.

Nutrition. Not seeing each other's reaction, Zhang looked up and saw the tears on Wen's wife's face. It turned out that since Wen Xin was sick and unemployed, the couple had no source of income and lived on the pension of their 70-year-old mother. monthly

After paying the rent, it is difficult to pay for medicine with the remaining money. After listening to Wen's wife's crying, Zhang turned and silently walked out of the clinic, called her outside and stuffed 500 yuan's money.

Chen Chunju, Ji Xian's naked mother, said: "Seeing our financial difficulties, Director Zhang applied to the hospital for hospitalization allowance for his son, and repeatedly told the bed nurse not to do any examinations that could be done." Comrade Zhang gave it to the child.

The medicine prescribed by Zi is only 100 yuan a month. Seeing that they were really short of money, they gave her a red envelope of 1000 yuan three times. In order to express their feelings, Chen Chunju and her son want to embroider a banner with their own hands. She bought a red flannel and dragged her sick leg.

I went to town three times, but I couldn't find anyone to write. The simple mother and son had to pick wild flowers up the mountain and give them to Zhang.

Today, Comrade Zhang sees about 30 expert numbers every day, and there are many "redundant" patients. I was late to see a doctor, but I'm sorry. I paid for the patient's box lunch. Zhang and Wusheng live a relatively poor life, but he believes that his happiness index is high. "I am very happy to have the opportunity to visit patients and help them take care of their diseases. Nothing can make me happier than this! " Zhang said to him.

Comrade Zhang always cares about patients, shows self-denial and devotion to duty, and wins the respect and love of colleagues and patients with the feeling of "burning himself and illuminating others".

Kindness warms people's hearts

A good doctor should not only have superb medical skills, but also have feelings of love. Comrade Zhang deeply loves his tuberculosis prevention and treatment, and also deeply loves his patients. It's what Zhang is anxious about, thinking about what the patient thinks.

The premise of Comrade Wu He's work. In Comrade Zhang's White Snake Department, he always carries five treasures with him: a stethoscope, a flashlight, a cotton swab, a pen and a notebook. The stethoscope is cold, and he is always used to holding the part that touches the patient's body in his hand.

Before starting the examination, cover the heart with heat or rub it on the sleeve. Open the patient's clothes for inspection, and move gently. He never interrupts the patient to talk about his illness, always whispering and being gentle and kind. Zhang never felt too ill to examine a patient.

Tuberculosis patients throw away their filth, and there is a cup for collecting phlegm beside the bed. Every time he makes rounds, Zhang will approach the sputum cup, stir the sputum with a cotton swab and observe the sputum. A doctor said frankly, "Many doctors can't do this.

Here you are. "

In order to drain the hemoptysis patients, someone must lift the patients' feet and keep their feet high and their heads low. Zeng Qingzhi, a student and chief physician of Comrade Zhang, said shyly that the patient's shoes were dirty and used to be padded with newspapers.

Lift it. Comrade Zhang was very unhappy and warned him that it was disrespectful to the patient. What will the family think when they see it? Zhang Jin, a patient from Hanyang, was full of praise for Zhang Wuhe. Zhang Jin, 32, suffered from a refractory disease three years ago.

Sex tuberculosis, once desperate to give up treatment, but Zhang's kind encouragement and guidance again and again made him survive. 2011may college entrance examination is just around the corner, and Ms. Peng's nephew suddenly has a pneumothorax. The doctor advised her to take a break from school.

Reduce exercise and study to avoid overwork. Some experts also suggested dropping out of school and not taking the college entrance examination. Although the child's condition has improved, his mood is very low. Seeing her nephew sad, Ms. Peng brought his film.

I found Comrade Zhang. After listening to the story of a family, Zhang said that the child is going to take the college entrance examination, so I will go to his home to have a look. Then I set off with a stethoscope, a pen and a notebook. He gave the child a detailed examination.

In theory, you can still learn by reading books without strenuous exercise. "Being admitted to the university does not mean the end, and there will be many college entrance examinations in the future; Failure to pass the exam does not mean the end, and there are still many college entrance examinations in life. " From a middle school student to

Zhang, a famous pain prevention and treatment expert in Hubei Province, combined his own life experience to comfort children earnestly. Learning is something that we should persist in all our lives, not just for exams. Ms. Peng said that Zhang Lao's enlightenment was for his nephew and his family.

People have regained their courage. During his illness, the child kept reviewing and was admitted to China University of Science and Technology as he wished.

2012165438+1October 14. Comrade Zhang was hospitalized with hepatitis E and was in critical condition. In the hospital bed, he missed the patient and told him to visit his comrades-in-arms. He must arrange the patient with his own expert number. He also entrusted another expert to share his knowledge of non-tuberculous mycobacteria with you at the annual conference on pain prevention held in June165438+1October 17.

Dedicate a new chapter in the defense spectrum

Comrade Zhang is not only an excellent tuberculosis clinical expert, but also a propagandist, mobilizer and participant in tuberculosis prevention and treatment. As a respected expert, Wuhan has made a tuberculosis prevention and treatment plan every time.

He should be invited to participate in all the plans. With rich working experience and pragmatic working attitude, he guided and participated in the formulation of a scientific and rigorous tuberculosis prevention and control plan suitable for the development of Wuhan, which made the tuberculosis prevention and control work in Wuhan a step forward.

One footprint is at the forefront of the country. Since the late 1970s, Wuhan has organized five epidemiological surveys. Comrade Zhang, as a core member of the technical guidance group and technical consultation group on epidemic diseases, attaches great importance to epidemic diseases.

Diagnosis, especially in person at the scene of flow regulation. In 2006, Wuhan Institute of Tuberculosis Prevention and Control was identified by the state as one of the two pilot cities of the global fund multi-drug resistant tuberculosis control project. Wuhan has set up an expert group, Zhang.

Comrades, as one of the core members of the expert group, no matter how busy they are, they should take time to participate in the diagnosis, treatment plan and adverse reactions of every patient. When he meets a difficult patient, he will write down the patient's situation in a special book.

In the morning, then tell the patient that he can find him if he has any problems or difficulties, and he will lend a helping hand.

20 1 1 At the end of the year, in order to improve the professional ability and level of the staff, Jiangxia District Center for Disease Control and Prevention invited experts from the Municipal Center for Disease Control and Prevention to give regular guidance. Comrade Zhang volunteered after learning about it, from 201February.

Since the 6th, at the age of 74, he has been working in Jiangxia District for one day every month, explaining the policies related to tuberculosis prevention and treatment, helping to consult difficult cases and giving teaching guidance to young doctors. His behavior made the leaders of Jiangxia District CDC.

And was well received by patients.

Qiaokou Baofeng Street Senior Science and Technology Work Association is a non-governmental organization that carries out health education and publicity activities for community residents. Secretary-General Sun of the Association for Science and Technology found Zhang and asked him to provide and revise publicity materials about tuberculosis.

Materials. Director Zhang always gives a warm reception and carefully revises the materials. When he learned that there was no fixed fund for the work of the Association for Science and Technology, Director Zhang did not hesitate to take out 2,000 yuan and some tea to support the Association for Science and Technology to carry out health education.

He also told Secretary-General Sun many times that the money was funded by Wuhan Institute of Tuberculosis Prevention and Control, without mentioning his personal name.

During his 55-year medical career, Comrade Zhang studied the spirit of technology assiduously, his attitude of loving patients like relatives, his method of treating students like strict father, his hard-working and frugal lifestyle, his indifference to fame and fortune, and his dedication to his post deeply infected every cadre and worker in the hospital. Everyone regards him as an example, learns from him and passes on his great love, virtue and selfless spirit from generation to generation.