Dong Pei: Doctors with temperatures, the optimal solution to treatment with patients

Physician News (Rong Media Reporter Guan Yanqing) "I am 19 -year -old, I am used to living in a hospital after another, but the tenderness here makes me more nostalgic." The deputy chief physician of the urology department of the oncology hospital, the gratitude letter in the gratitude letter of the main professor of the kidney cancer and the postconders of the tumor disease, the four words "loved the world" made him unable to calm him for a long time.

I still remember when I saw Wenwen for the first time, she wrapped her thin body with a large sportswear, her stomach rose like a ball, hiding behind her mother, wearing a thick mask, Liu Hai tilted left to the left A piece of "butterfly spots" faintly exposed the forehead.

Seeing the plaques on the face of such a young patient, Dong Pei immediately thought of multiple nodule sclerosis (a rare disease with an ingredients). Because most patients have a smooth muscle lipoma, he asked tentatively, "Is there any tumor on the kidney?"

"You didn't see the medical records, why do you know that there is a tumor on her kidney?" Wenwen's mother was very surprised. For seven years, they had traveled to many hospitals for treatment, but no doctor could make it clear what the disease was. Wenwen's kidney has a huge misplaced tumor with a diameter of nearly 25 cm, so the abdomen bulge. Under the torture of the disease and the criticism of the classmates, Wenwen fell into the mud of life, and struggling was not helpful.

In the end, Wenwen was diagnosed with nodular sclerosis -related renal blood vessel smooth muscle lipoma. In the case of unsatisfactory drug control of tumors, through multidisciplinary treatment, under the treatment of partial targeting drugs, tumor arterial embolism, and renal tumor renal resection treatment, huge kidney tumors have been removed. Essence Today, Wenwen's face is self -confidence and happiness, and there is no need to be afraid of others' strange eyes.

For many years, such stories have been staged. There are dozens of patients in Dong Pei's WeChat. Whether during the day or late at night, as long as there are patients consulting, he answered his heart. Because of these patients, many of these patients have been abandoned by other hospitals. Every word for the patient may be the only life -saving straw they can catch.

Dong Pei wrote in the circle of friends, "If you support each other, I will go all out." He hopes to continue to study medical skills, enrich clinical experience, help patients take less detours, and have more confidence and confidence in the struggle with the disease. strength.

Miao Hand Anti -Cancer: Promote the concept of individualized multidisciplinary diagnosis and treatment

In the eyes of many patients, Dong Pei was the one who could pull them back from the "Ghost Gate". He is an expert in the full -process management of kidney cancer. He is good at minimally invasive renal treatment of complex renal tumors and high -risk renal cancer surgery.

Talking about the association with the treatment of complex renal cancer, Dong Pei believes that it is a "clinical and clinical" encounter.

"When I first came to the Cancer Hospital of Sun Yat -sen University, there was no special person responsible for advanced renal cancer. At that time, patients could only prescribe a medicine, what to do if there was a bad response in the future, everyone was confused. Even patients were even patients. It is said that the side effects of the drug are worse than death, and it is better to be treated. "Dong Pei told the" Medical Daily "reporter that after discovering this problem, he felt that he was responsible and able to help these patients find the best diagnosis and treatment plan, and took the initiative to propose to take over the advanced kidney kidney. Management of cancer patients.

Under his advocacy, the hospital has formed a multidisciplinary team for advanced renal cancer, which can formulate a precise individualized diagnosis and treatment plan. From a single diagnosis and treatment method in the past, gradually expanding, the team can use multi -disciplinary advantages to conduct an individualized accurate analysis of patients with metastatic renal cancer, and adopt comprehensive therapy such as joint surgery, radiotherapy, intervention embolism, targeted therapy and immunotherapy, which greatly reduces reduction Patients' pain in treatment and extending survival time. Today, the five -year survival rate of patients with advanced renal cancer at Sun Yat -sen University Cancer Hospital has increased from less than 20%in the initial period to 57%.

In difficult surgery, the lump he had removed was 35 pounds. In December 2021, the patient found Dong Pei with his stomach up because of his illness. Due to the brutal growth of the mass, he was once disclosed by many hospitals and was able to treat it conservatively.

Cut or not? This is another new problem. The patient diagnosed the huge lipous sarcoma after the peritoneum. The tumor occupied the entire abdominal cavity and severely compressed the lower cavity veins. The surgery was more difficult. During the operation, major bleeding occurred, which endangered the patient's life. But if you don't do it, it is directly sentenced to death.

Although it is difficult, I see the patient and family's surgical willingness to be very strong, and fully trust the doctor. Dong Pei is willing to bet. Under the joint urology and surgical anesthesiology, colonization, intestinal, hepatobiliary, and gastric pancreas, after more than 5 hours of difficult surgery, the patient finally ushered in vitality and successfully removed huge lipous sarcoma.

Photos before the patient surgery

"This job really takes a lot of energy, and also takes high risks. At the same time, the cooperation of multi -disciplinary teams is required to complete, but I am very pleased whenever I see a happy smile when the patient is discharged from the hospital." Dong Pei said, saying that As long as the patient is trusted, he is willing to join forces with the multidisciplinary team to go all out to bring more hope of life to the patient.

Medical Road Inspection: Establish a doctor -patient relationship with each other

In the face of heavy medical work and difficult surgery, Dong Pei never thought of giving up. But he hesitated when he was misunderstood by the patient.

A patient with a complex renal cancer was unable to treat it locally and consult Dong Pei on the Internet. After understanding the condition, Dong Pei thought that he could try, so the patient came to the hospital for treatment. Unexpectedly, after the patient recovered and discharged from the hospital, he received a letter of complaints submitted to the hospital by the patient's family. It turned out that during the treatment process, the patient had some normal postoperative complications, and the urology team also dedicated to conditioning for the patient and successfully passed the difficulty. However, the patient's family did not understand the entire treatment, and did not discuss with the patient to complain to the hospital.

"At that time, it was very uncomfortable. The entire medical team made every effort to treat the patient but did not get the respect they deserved." Dong Pei described the mood at that time "unacceptable." A kind of emotional vent, but it is very discouraged to me. "

Fortunately, the patient knew that the incident was deeply sorry, and immediately explained the process of treatment with his family members, and called the hospital to cancel the complaint.

Most of the patients in Dong Pei are critical illness

Since then, he has a deeper understanding of the relationship between doctors and patients. This is a relationship that is based on the win -win cooperation between the two parties, and the foundation of establishing this relationship is full communication and deductive thinking.

"I often tell patients before treatment that since choosing us, I must believe in our strength. On the other hand, I will ask if the patient has medical insurance in advance. It is cost -effective. "Dong Pei said that many patients came to a dozen hours of train to come here for more than ten hours, and they were eagerly looking forward to getting a line of vitality. Therefore, in the case of ensuring the efficacy, he will carefully ask the patient's expectations for treatment, expense budget, time cost, and the cost of his family to accompany him to give them a satisfactory answer.

If the patient's journey is not convenient to seek medical treatment, he will also suggest that the patient will take a doctor or review directly in the local hospital and communicate with him on WeChat.

On one occasion, a patient carefully asked Dong Pei, "Can I see the doctor only with you and prescribe the medicine?" Dong Pei immediately understood the patient's economic difficulties. Local hospital treatment. As long as the patient can trust him, he can always provide professional consultation for the patient, which is also the purest and beautiful look between his expectations.

In addition to amateur: practitioner of popular science cancer prevention

In addition to doctors, Dong Pei also has another identity -short video health science popularians "Dr. Dong Swelling". He often has a popular science renal cancer prevention method on multiple Internet platforms and shares related case stories.

Although the incidence of kidney cancer in my country has always been at a lower level, with the changes in diet structure and the development of testing technology, the incidence and detection rate of renal cancer have been increased year by year. It is 0.668%and the mortality rate is about 0.234%. It is also called the three major tumors of prostate cancer and bladder cancer. At the moment of increasing cancer, the significance of prevention is much higher than treatment.

As a clinician, Dong Pengshen realized that the popular science of cancer prevention is not only a blind spot for the public, but even many people talk about "cancer" color changes. In fact, the growth rate of kidney tumors is very slow, and regular medical examinations can be found early. Surgical treatment was performed as soon as possible, and most of them could be cured. If the kidney cancer develops to the middle and late stages, the difficulty of treatment will rise sharply.

Dong Pei believes that "in the Internet era, if I spread some prevention knowledge through multimedia, it can help many people prevent cancer in advance."

On the other hand, "want to be medical for self -examination." Popular science can help patients fully understand the development of the disease, treatment, and the adverse reactions they may face, and help patients establish confidence in insisting on treatment while learning to manage the disease.

At the same time, Dong Pei also joined the online consultation medical platform. Due to the heavy daily work, he often responded to every message from the patient after 12 o'clock in the middle of the night. On the good doctor's website platform, his kidney cancer and postcard tumor diagnosis ranks first in the country. In terms of consulting satisfaction, his praise rate is 100%.

In order to help more patients, his consulting fee on the Internet medical consultation platform has always been the minimum charging standard for ten years and has not improved. In the WeChat group of many patients, he also responded to all patients for consultation.

"If you don't leave, I will not give up. The years are quiet and walk with you." This is Dong Pei's desire for all patients, and it is also his original intention of saving the wound as a doctor -be a temperature doctor with temperature The patient's patients are concentric, facing the impermanence of life with an optimistic attitude, and searching for the optimal solution on the road of treatment in ordinary people.

Expert introduction

Introduction to Dong Pei

Master's tutor, deputy chief physician

Central South University-Harvard University Joint Training Dr.

Professor Professor of Sun Yat -sen University Tumor Prevention and Treatment Center

China Anti -Cancer Association Urinary Men's Reproductive Cancer Committee Deputy Leadership Leader of Kidney Cancer Cooperation Group

Member of the Standing Committee of the China Clinical Oncology Society (CSCO) Youth Committee

Member of the Chinese Society of Clinical Oncology (CSCO) Nephrology Cancer

Deputy Chairman of the Guangdong Health Care Association Immunotherapy Branch

Member of the Department of Urology of the Guangdong Anti -Cancer Association

Member of the Oncology Group of the Urology Branch of the Guangdong Medical Association

Member of the Basic Scholarship Group of the Urology Branch of the Guangdong Medical Association

Member of the Guangdong Provincial Medical Association's Urology Committee member

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