When the resident's "health steward" stifle the disease in the bud

Tian Xia, director of the Department of Gastroenterology, Shouyi Hospital of Wuhan Third Hospital. Reporter Hu Dongdong Photo

Xia Xia

Year month of birth: August 1969

Admission time: 2007

Occupation: Director of the Department of Gastroenterology, Shouyi Hospital of Wuhan Third Hospital

Get honor: 2015 Wuhan March 8 Red Banner, 2019 Wuhan May 1st Labor Medal, 2020 Wuhan Health Commission Outstanding Party Affairs Worker

Tian Xia (first from right) at work. Reporter Hu Dongdong Photo

The result of the colonoscopy of the citizen Li was abnormal. On June 30, she deliberately rushed from Jiangxia to the Department of Gastroenterology, Shouyi Hospital of Wuhan City, and asked Tian Xia for consultation. Ms. Li's mother received free screening of colorectal cancer in Wuhan's key population last year. She was found to have bowel cancer. Is there a risk of cancer? Does the polyp need to be removed? "Tian Xia immediately arranged for Ms. Li to be hospitalized.

"In recent years, we have called for residents to pay attention to screening through multiple channels and methods to strive to stifle cancer at the bud stage. This pair of mothers and daughters is the epitome of beneficiaries." Tian Xia said.

Intestinal cancer is the third largest high -incidence of cancer in my country, but the process from the development of pre -cancer lesions to malignant tumors is long. If it can be screened early, confirmed, and early treatment, it can greatly improve the effect of patients' rehabilitation. This is also one of the key tasks of "323". In recent years, Tian Xia has done a lot of work in order to call on the public to strengthen the screening awareness.

In October 2021, Wuhan launched a free screening project of colorectal cancer in key populations. The results of the preliminary screening test were high -risk citizens. They could go to designated hospitals to receive free painless colonoscopy examinations and diagnosed the condition. Wuhan Third Hospital is one of the fixed -point review hospitals. In order to facilitate the review of residents in Yuancheng District, Tian Xia arranged a special class to set up a special class to take the initiative to send preparations for residents and preparations to residents in many communities in Jiangxia. In order to call on the citizens to pay attention to early screening and promote the movement of tumor prevention and control work forward, in recent years, Tian Xia has used the rest time to take the team to the community for free clinic and open a science lecture. When she encounters high -risk citizens with unreasonable family history and unreasonable diet structure, she always repeatedly tells the other party to pay attention to the screening, and she will leave her mobile phone number and receive citizen consultation at any time.

For more than a month, Tian Xia and colleagues have rounded 10 trips to and from the residents, with 64 residents and more than 160 kilometers long. The results of the review show that more than 90 % of these suspected patients have intestinal polyps and need to be treated; more than 40 % of the pre -cancer lesions can eliminate hidden dangers of cancer as soon as possible; Improve survival rate and quality of life.

Tian Xia, the Third Hospital of Wuhan City. Reporter Hu Dongdong Photo

When Tian Xia communicated with the residents, he found that he was afraid of endoscopy and thought that endoscopy was very troublesome. Even if some people were abnormal, they were unwilling to receive endoscopic examinations. To this end, Tian Xia promotes one -stop services in the department to "move" the endoscopic center in the inspection and inspection window. The residents only need to report to the endoscopic center to complete the nucleic acid detection, blood routine, liver function and other examinations in the department. ; Painless gastroscopy, painless colonoscopy and other comfortable medical methods, you can complete the examination as long as you sleep, and there is almost no pain.

After participating in screening and receiving diagnosis, Tian Xia established personalized files for each patient, provided long -term follow -up, timely arrange review, adjust the treatment plan, and guide prevention methods. The longest follow -up time has reached more than 20 years. At present, she also actively promotes the construction of the "Internet+" slow disease management platform for digestive tract cancer, and provides patients with more accurate health guidance through big data, "let AI and doctors be a good resident's 'health steward' together."

This year's bowel cancer screening work is about to begin. Recently, many Jiangxia residents have taken the initiative to go to the hospital for colonoscopy like Ms. Li. "This shows that everyone's health awareness has improved, and strive to be his" first responsible person "." Tian Xia said. She and her colleagues plan to move their services to the community in the last year's model to provide intimate services for the elderly and the residents of the elderly.

"'Health China' Strategy proposed that we must transform 'centered and cure" into' centered on health '. Facing the new needs of residents, we must continue to study how to make work more meticulous and better The land serves everyone's health. This is as important as saving people to treat people. "Tian Xia said.

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(Changjiang Daily reporter Wang Chunlan Correspondent Jiang Hongying Chen Shu)

【Edit: Wang Yujin】

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