Listen to the vivid voices of frontline family physicians.
This year, May 19, is the 12th World Family Doctor Day, and this year’s theme is “Meet a Family Doctor, Stay Healthy.” Indeed, for family doctors, from maternity care to newborn visits, from risk screening to health management, from general practice to nursing wards, from rehabilitation guidance to traditional Chinese medicine services, from home beds to palliative care. … Family doctors are always by the side of the people.
Today, we invited 12 family doctors to listen to their frontline work~
01
The family doctor is “not easy”
Family Doctor · Tang Yanwen
Shanghai Jiading Malu Town Community Health Service Center
Today is May 19 Family Doctor Day, and I also want to take advantage of this day to say something “in my heart”: I think family doctors are not “simple and basic” as some people think , Family doctor is a systematic project, not only to solve the problems of physical health, but also to care about the patient’s psychological problems and family problems.
I have a contracted resident, Aunt Zhang, who has been suffering from stomach discomfort for many years. I have a regular gastroscopy every year, which shows chronic gastritis. I have taken seven or eight kinds of stomach medicine, but the symptoms have not improved. . Once in the process of chatting with my aunt, I found out that she may be suffering from anxiety-type gastritis. It turned out that Aunt Zhang lived alone more than two years after her husband died two years ago. Her children lived far away. She had high blood pressure and heart disease. nothing.
After knowing the problem, I patiently provided psychological counseling for Aunt Zhang, supplemented by a small amount of anti-anxiety drugs. After several outpatient visits, Aunt Zhang’s stomach discomfort basically disappeared, and she was in good spirits. The condition is also much better.
So I would say that a family doctor is not a prescribing doctor. Family doctor is a family-based, demand-oriented continuous service.
02
Solving a “very high-risk patient” challenge
Family Doctor · Mei Gun Wang
Ludong Village, Longhu Town, Jinjiang City, Fujian
I have a hypertensive patient whose children go out for a long time, and the patient lives alone most of the time. Before I came to this village, due to the inconvenience of transportation and financial burden, she never took antihypertensive therapy Drugs, long-term maintenance of blood pressure above 200/110mmHg, belong to patients with very high risk of cardiovascular and cerebrovascular events.
After I arrived at the village, I adopted a “find the problem and solve it individually” strategy for this patient:
The first is the problem of consciousness. I visited the house many times for follow-up and mobilization, and finally she paid attention to it and was willing to take antihypertensive drugs;
Secondly, in terms of economic difficulties, I introduced to her a policy of national medical insurance: the reimbursement rate of chronic disease drugs for special diseases can reach 80%-90%.
Third, the convenience problem. Since my children are away for a long time, it is inconvenient for patients to go to the designated hospitals for chronic diseases. I drove the patients to various departments of the hospital by myself to complete the relevant examinations required by special diseases. , The special diseases of high blood pressure are also handled smoothly and smoothly, and patients can buy all high blood pressure drugs for less than 20 yuan per month.
After resolving these difficulties, the patient’s blood pressure was smoothly controlled. She thanked me very much and said that she felt that I was closer and more responsible than her own children.
03
My happiness is about my patients
Family Doctor ・ Fu Wenna
Dahuting Village Health Center, Niudian Town, Xinmi City, Henan Province
I have been practicing medicine for 21 years, and I have many blessingsHappiness is all related to patients, and I am happy when they are healed; I am very satisfied to see their happy smiles.
Every time I go to the village to serve patients, especially those with cerebral infarction, mental illness, and those with disabilities who cannot get out of bed due to traffic accidents, and those with mobility issues, I am serving them. Later, when I saw the smiles on their faces, I was also very happy. There are still many patients who want to give me eggs, fruits and vegetables. They are very simple.
So the most valuable thing to me is the recovery of my patients and their trust and encouragement in me.
04
Be the health gatekeeper of residents with heart and soul
Family Doctor · Liu Lihong
Lishan Mingju Clinic, Economic Development District, Susong County, Anhui Province
I have worked at the grassroots level for 20 years, and I am very familiar with the surrounding residents. Which child’s name is prone to high fever; People have diabetes…almost all in my head. Some people always say: “Only Dr. Liu can touch the disease of my child”. Some children have drug allergies when they are old. I know better than him for more than ten years… So I often encounter residents who used to live near me, although they moved to a farther community, but they still ride when they are sick. They came to see a doctor here. In their words, it was because they trusted me for many years, and only I could find out their condition and know how to treat them.
Some retirees are easily addicted to the mahjong table, which is not good for health. With my patient persuasion, I gave up the mahjong addiction, and the relationship with my wife has become more harmonious.
There are many people in a family of three or four generations who are my clients. No matter where they go, they will come to me as soon as they have a problem, even family members who work in other places. Contact me via WeChat or phone.
05
The inconvenience of legs and feet does not affect “going to the countryside to see a doctor”
Photo courtesy of Moping Township Health Center, Zigui County
Family Doctor · Youpeng Zeng
Yinping Village, Moping Township, Zigui County, Yichang City, Hubei Province
I am a 58 year old “senior” family doctor. When I was 8 years old, I fell and dislocated my left hip, which caused some mobility problems for my family doctor job, but it didn’t affect my love for the job.
I provided contracted services for more than 700 villagers in this village, including 18 diabetic patients, 68 hypertensive patients, 6 mentally handicapped patients, and 3 infectious disease patients. Often some patients, for various reasons, require me to visit their home to check their condition. There’s nothing to say, just carry the medical kit on your back and leave, rain or shine anyway. Some seriously ill patients have to explain the details of the nursing process to their family members. Every day they come to the door to measure the patient’s vital signs, guide the medication, and assist in turning over. I am also very relieved to have zero-distance contact with the patient.
A patient’s child sent me a thank-you letter and a pennant saying, “Dedicated to duty, dedicated to the people, saving lives and being enthusiastic for the people”, in fact, I did It is also a matter of personal responsibility, but the patients and children recognize me like this, and I am also very warm.
06
More residents are signing up with me
Family Doctor · Xiaosu Wang
Zijingshan South Road Community Health Service Center, Zhengzhou City, Henan Province
I am an associate general practitioner and a family physician. I have always adhered to the “physiological-psychological-social” general practice diagnosis and treatment thinking mode to serve the residents I contracted, and provide them with humanized and professional services. As a family doctor, we should give respect to patients and let care be incorporated into the details.
Slowly, more and more residents came to sign and sign contracts with me, which made me deeply appreciate the sense of responsibility, mission and value of family medicine. Regardless of holidays, Sundays or off-duty hours, as long as the residents need it, I will try my best to solve their problems. Even if it is a simple nursing operation, a caring consultation, a careful inspection, a patient feedback of the physical examination results, and a warm psychological counseling, as long as it can solve various health problems of the residents, in my opinion, it is a The most valuable thing a family doctor can do.
07
No stellar results,
Just to protect the health and safety of the people of one side
Family Doctor · Wu Zaiguo
Clinic Room in Nianziping Village, Xizhaochuan Town, Shanyang County, Shangluo City, Shaanxi Province
As a family doctor, with the scorching sun on my head in summer, the snow and ice on my feet in winter, and the cool breeze in spring, I have always held a belief – not to strive for success in the world, but to be worthy of my heart.
I remember one summer night, there was a sudden rainstorm, thunder and lightning, and a man in his 70s was struck by lightning because of a leak in his house, and his life was in danger. After receiving the phone call from the family members, despite the heavy rain outside, he rode a motorcycle straight to the patient’s house without saying a word… After becoming a doctor, “going to the rescue of the patient” is the nature that is integrated into the blood.
An 80-year-old grandfather has emphysema, cardiogenic heart disease, and heart failure, requiring hospitalization. But the family’s economy is very difficult, unable to be hospitalized, and can only be treated at home. My wife has leg pain and it is inconvenient to walk, so I insist on going to the patient’s home every day to deliver medicine to the doctor. After half a month of treatment, the patient can basically move…
As a family doctor, we have no earth-shattering achievements. It is my greatest wish to care about the health of the people and ensure the health and safety of the people on one side.
08
Grandma Zhang said, “I think you’re very responsible”
Family doctor · Mr. Cui
Department of General Medicine, Gongyi People’s Hospital, Henan Province
When 83-year-old Grandma Zhang first came to my clinic, I was still working in the Heluo Township Health Center. As soon as she entered the door that day, she said, this can measure blood pressure, I said yes, come on. I looked at Grandma Zhang, who was not tall, with a slightly fat body, and her eyelids were a little swollen. I checked her blood pressure of 168/98mmHg, adjusted her blood pressure medication, and left a phone call. Two days later, I called her to inquire, and her blood pressure was still high. While I suggested that she continue to take medicine and observe, I decided to visit her home and find answers from her life.
In her kitchen, I saw a wide-mouthed salt pan with a large yellowish white spoon in it. “Salt, maybe you can’t eat so much, grandma.” “Salt can raise blood pressure. There is a lot of salt in this soy sauce and this pickle, so you must be careful.” Grandma Zhang smiled embarrassedly, “I don’t know yet.”
Later, I applied for a remote home blood pressure monitor for Grandma Zhang, and I could see her blood pressure on my phone. Later, after a lot of communication, Grandma Zhang inadvertently talked about our first meeting: “It’s just that you asked a few more questions, which made me feel that you are very responsible.”
Later, I heard and saw that more and more general practitioners are walking on the road of contracting and fulfilling contracts with family doctors and becoming the caring health gatekeepers of the masses.
09
Let residents know that Home Physician is for them
Family doctor Yan Jincai
Fengshougang Village Clinic, Nanyuan Office, Gulou District, Kaifeng City, Henan Province
The primary focus of contracting between public health and family doctors is in rural areas. Public health and family contracting rural doctors are the main body. The contracting service of family doctors is an important task for rural doctors to serve the villagers.
At work, I will tell the people about the service items as they are, so that everyone knows that I am their family doctor. At the beginning, I thought this work was too troublesome, but after a long time, I had more opportunities to deal with the masses, and I often communicated with the people. If there is any disease, they can be treated with them in time, and those who are seriously ill will be transferred to the hospital. People have gradually become aware of the contract service, and the masses know that it is for them, so it is very popular with everyone.
10
Work towards becoming a “family doctor”
Family Doctor ・ Liu Haijun
Zhengzhou Economic Development Zone Chaohe Community Health Service Center, Henan Province
I am a family doctor and a general practitioner. In response to the national call for “quality service at the grassroots level” to improve the medical service capacity of grassroots medical institutions, I have become a doctor through advanced studies. General practitioners specializing in rehabilitation pain are mainly responsible for the basic diagnosis and treatment of pain departments in special departments while carrying out family doctor contracted services.
I recently treated a patient with intermittent headaches for more than 10 years. He is an employee of a well-known large hospital in the province. The neurology department of their hospital was diagnosed with migraine and was told that only oral medication can be used for symptoms. Treatment, the patient was desperate, and later found me through an accidental relationship. Through a detailed physical examination, referring to the results of head MRI and cerebrovascular imaging, I was immediately diagnosed as cervicogenic headache, and gave her a cervical nerve block in the outpatient clinic. stagnation, and the symptoms healed in an instant.
At a time when medical professional disciplines are becoming more and more refined, it is not uncommon for outpatients to see a doctor without knowing which department to go to. This is the case with the staff of large hospitals, not to mention ordinary people. It may bring catastrophic consequences. Such cases are not uncommon in clinical practice. If residents can actively cooperate with family doctors to fulfill the contract, such incidents may be well avoided.
11
A “family doctor” can help many people get sick before they get sick
Family Doctor · Wu Huige
Clinic Room in Tiantang Village, Qiling Township, Ruzhou City, Henan Province
After the expiry of the hospital internship, I chose to return to my hometown to work as a family doctor, because this job can diagnose and treat various diseases such as internal and external women and children, and it is relatively free in terms of time. His own technology has been comprehensively developed in both Chinese and Western medicine. With the passage of time, it is gradually discovered that the general public is indifferent to disease prevention and pays more attention to treatment rather than prevention. In fact, many diseases can be prevented before they become ill through a healthy lifestyle. Good health awareness and actions can prevent the occurrence of many chronic diseases, so I printed some leaflets, such as smoking cessation education and healthy living knowledge, so that patients can fully learn and understand a healthy lifestyle during the process of seeing a doctor. . Just to say that, through years of hard work, most people have given up smoking and developed good living habits. When they see that their health is no longer affected by bad living habits, everything is worth it!
12
Be the most trusted family doctor
Family Doctor · Kelei Li
Daning Village Clinic, Heying Town, Wei County, Xingtai City, Hebei Province
As a family doctor, since I signed the contract, I feel that the burden on my body is heavier, because I want to improve the health service to a higher level, so that the contracted person can receive various medical services.
During the daily consultation process, I also encountered emergencies: I received a call one day, saying that my family had just returned from work in the farmland, and said, “The appetite is sore here.” I rushed to his house immediately. The part mentioned by the patient was actually the chest. After taking emergency medicines and doing an electrocardiogram, it was sent to the county hospital for a diagnosis of “myocardial infarction”. Turned the corner.
I think the handling of such emergencies reflects the superiority of the family doctor’s service team. In addition, in terms of pre-disease treatment, according to the health needs of the contracted residents, TCM health education, health assessment, health intervention and other services are provided, so that the contracted residents are less likely to get sick and not get sick.
Today 5.19 is the holiday of all family doctors, and you are always busy on the front line of epidemic prevention and control under the epidemic… I would like to extend a holiday to all family doctors Greetings!
Source: Voice of grassroots medical practitioners
Editor in charge: Zheng Huaju
Proofreading: Zang Hengjia