Revolutionary heroes such as the Old Red Army and the Old Eighth Road are the precious wealth of the party, the country and the army, and have made important contributions to the revolution, construction and reform of our country. For more than 60 years, the Party Committee of the General Hospital of the People’s Liberation Army has regarded serving the revolutionary heroes with heart and soul as a political task, serving with heart and emotion and precision, and implementing the care and concern of the party organizations at all levels for the old Red Army, Lao Balu and other revolutionary heroes.
Today’s “Soldiers’ Health” section of “PLA Daily” published a series of “The Second Medical Center of the People’s Liberation Army General Hospital Provides Medical Service Guarantee for Revolutionary Heroes” and “Relevant experts of the People’s Liberation Army General Hospital popularize the knowledge of prevention and treatment of diabetes and hypertension for officers and soldiers” Article, please pay attention-
▲ Published in the “Military Health” edition of “People’s Liberation Army Daily” on October 30
Carefully and warmly
—— Chronicle of the Second Medical Center of PLA General Hospital providing medical service guarantee for revolutionary heroes
■People’s Liberation Army Daily reporter He Min Sun Xingwei correspondent Li Guoping Liu Hong
Figure ①: Liu Hongbin’s team performed interventional surgery for a patient. (Photo provided by Wang Jiafu)
Revolutionary heroes such as the Old Red Army and the Old Eighth Road are the precious wealth of the party, the country and the army, and have made important contributions to the revolution, construction and reform of our country. They embody the precious spiritual wealth and fine traditions of our party and our army. For more than 60 years, the Party Committee of the General Hospital of the People’s Liberation Army has taken it as a political task to serve the revolutionary heroes wholeheartedly, and has built a health care discipline system with the Second Medical Center as the main body and the other seven medical centers and Hainan Hospital as the support. They serve with heart and affection and precise service, and implement the care and concern of party organizations at all levels for the old Red Army, the old Eighth Road and other revolutionary heroes.
The warm sun in the afternoon illuminated the quiet ward. A 108-year-old old Red Army soldier was lying quietly on the hospital bed. Nurse Zhao Dan was feeding the old man with nutrient solution.
In May 2014, the old man was admitted to the Second Medical Center of the PLA General Hospital. Due to long-term bed rest, when he was admitted to the hospital, the old man had 8 pressure sores on his body, some of the skin was ulcerated and necrotic, and the wound surface may have the risk of infection at any time, even life-threatening.
The wound treatment process is difficult and lengthy. Removal of necrotic muscles, negative pressure drainage of wounds, spraying of drugs for repair… Every day, medical staff are repeating meticulous and intense work. After each dressing change, they measured and assessed the recovery of the wound with a ruler. After long-term persistence, a miracle happened, the pressure ulcer healed.
The creation of miracles is inseparable from two words: dedication and dedication. These two words are deeply rooted in the hearts of every medical worker at the medical center.
“Doing a good job in the medical security work of the Old Red Army and the Old Eighth Road is not only a sincere return from the party, the state and the army to historical heroes, but also a vivid manifestation of the responsibilities and missions of the PLA General Hospital. We must do our best to provide medical services.” A hospital leader said.
The average age of the patients hospitalized in the Second Medical Center of the PLA General Hospital is 88.9 years old, and their condition is complicated; many critically ill patients are bedridden for a long time and cannot take care of themselves. This requires medical staff to be more attentive and careful.
In literary works, the elderly with Alzheimer’s disease are vividly called “people full of fairy tales”. Affected by the disease, such patients develop cognitive and memory impairments. In the neurology department of the center, there lives an old grandfather who is “full of fairy tales”. When he was first admitted to the hospital, he didn’t like to talk, and he didn’t cooperate with taking medicine and injections, but every time he saw nurse Kang Fengjuan, he gradually calmed down.
“I’m just looking for the password to communicate with the elderly.” Kang Fengjuan said that gaining the trust of patients is the premise for them to actively cooperate with treatment. In the process of taking care of the old man, she found that the old man was deeply impressed by things from a long time ago. When she mentioned the story of going to the battlefield, fighting bayonets, and beating devils, her eyes immediately became fascinated, and she kept drawing pictures in her hands.
“Grandpa, look at your three o’clock direction.” After discovering this situation, Kang Fengjuan tried to use the coordinates and directions used when commanding battles to evoke the old man’s memory and communicate with him.
Hearing the combat language from Kang Fengjuan, the old man slowly turned his head to the three o’clock direction.
“I saw a pot of red flowers.”
The sentence “three o’clock direction” touched the “gate” of the old man’s memory, and also opened the “switch” deep in the old man’s heart. Since then, Kang Fengjuan has often used this special “battle language” to communicate with the elderly. Gradually, the old man became more talkative, and cooperated with taking medicine and taking injections.
The details are seen attentively, and every detail shows great love. In the medical center, there are many stories of caring, patiently and meticulously caring for revolutionary heroes.
“Grandpa, it’s time to wake up. How was your rest last night? You should have a good sleep based on your complexion…” “Grandpa, it’s time to exercise. First, massage your body for 30 minutes, and then cycle for 15 minutes. If you feel uncomfortable, let us know.” Following the gentle call, the patient in front of Head Nurse Du Hui’s expression was calm, his eyes were closed, and his nose moved slightly, as if he was responding silently.
This patient is an old man. Due to severe cerebral hemorrhage, he has been treated in various ways and is still in a vegetative state. According to statistics, the recovery rate of consciousness in a vegetative state caused by large-scale cerebral hemorrhage is less than 1 in 10,000.
“As long as the patient needs and the condition needs, we must do our best.” In addition to conventional drugs, electrophysiology, rehabilitation physiotherapy, auditory stimulation and other treatments, the center’s medical staff also “link” neural pathways through verbal communication. Whether it’s the hospital leader’s rounds or the expert consultation and physical examination, whether it’s the bedside shift of the doctor on duty or the nurse’s nursing operation, everyone will talk to him every time he walks to the bed of the old eighth road.
Since the medical center’s medical care targets are all the elderly, a little carelessness may lead to serious consequences. Therefore, all the originally trivial little things are big things that cannot be ignored: the height of the head of the bed, the speed of feeding, the dose of medicine, the measurement of body temperature… Everything must be carefully, carefully, and carefully. Several inpatients wrote a joint letter saying: “In the past few years, we have never encountered a single complaint, a single mistake, or an unsatisfactory thing. You have done what ordinary people can’t do, and you have done what your children can’t do. When we arrived, we felt the benevolence and selfless love of the doctors.”
Figure ②: Medical staff send birthday wishes to hospitalized patients. (Photo provided by Wang Jiafu)
Love to protect
Walking into the Second Medical Center of the People’s Liberation Army General Hospital, a warm and touching picture comes into view: a beautiful angel in white pushes a wheelchair, letting an old man who cannot walk with his legs bathe in the sun. Through the smile on the old man’s face and the caring eyes of the nurse, the reporter saw the precious word “love”.
“We are like a family.” In the hearts of medical workers in the medical center, every patient is their relatives. They took care of these revolutionary heroes like their relatives, and guarded their lives with sincerity.
During the hospitalization, an old academician very much hoped to return to the roots later in life and return to the place of birth to have a look. However, he had just completed the operation, and his cardiopulmonary function was still unstable, and the risk of long-distance transport was very high.
In order to satisfy the good wishes of the elderly, the medical staff have set out to formulate a thorough transfer plan and detailed emergency plan, ranging from emergency handling, preparation of emergency rescue items, to how to carry and fix the transfer bed… Several inspections were carried out to make sure nothing went wrong.
The night before the departure, the old man didn’t sleep well. Every once in a while, he went to the window to see if it was dawn, and kept asking the staff around him, “What time is it? Can I really go back?” It’s not bright yet, and you can go home when it’s dawn.” Every time, the staff patiently comforted you.
Not relatives, but relatives. On the way to the transfer, the medical team in charge of the transfer kept their eyes on the monitor, for fear of missing the slightest fluctuation. After the plane arrived at the old man’s hometown, he looked at the homeland under his feet affectionately, and said to Sheng Li, a member of the medical team and director of the Department of Cardiovascular Medicine, “Thank you, I’m finally home!”
True love comes from great love, and great love comes from loyalty to the mission. Regarding the protection of true feelings, each medical staff here has their own “version”.
Many elderly patients take more medication, and some take more than a dozen medications at a time. Jia Jianjun, director of the Institute of Geriatric Medicine, will carefully remind them of the precautions for medication every time he encounters a patient.
When the head nurse Liu Zhiying was nursing an old Red Army man, in order to let the old man drink the freshly decocted Chinese medicine after getting up, he got up early every morning and decocted the medicine until the patient recovered after 6 months.
At 8:00 pm every night, the leaders of the hospital and the center will appear in the ward on time to start the ward round. They said that this is a kind of responsibility, and they always feel that they have to come to the ward to have a look, go around, and see the actual situation of the patient. After doing so, they will feel at ease.
In the Nursing Department, there is a special stack of “Nursing Files”. These “nursing files” record each patient’s temperament and interests. What kind of food you like, what size clothes you wear, what TV you like to watch, what books you read, what time do you go to bed at night…and more are kept in mind by medical staff. There was an old Red Army man who liked to sit in a room with no lights on and watch the sunset in the evening. Whenever the sun went down, everyone would remind each other not to turn on the lights and speak in a low voice to protect this unique romance for the elderly; The Red Army sleeps very lightly. In order to make him sleep soundly, no matter who rounds the ward at night, he will stand on tiptoe before entering the ward and try his best to avoid making noise…
“Sometimes to heal, often to help, always to comfort.” Patients sometimes experience anxiety, tension and other negative emotions during hospitalization. At this time, the humanistic care and spiritual support of medical staff is like a good medicine. At the nursing station, there is a “patient mood barometer” covered with stickers with different expressions, recording the daily mood and communication strategies of hospitalized patients.
“Children, have you communicated with patients today?” This is a question that Hou Huiru, the chief nurse, often asks nurses. Slowly, all nurses developed the habit of sitting down and chatting with patients. People say that we think we should do this, because we have feelings for these revolutionary heroes, so we will do our best to serve without asking for anything in return.
“Medicine is a science that warms the soul with the heart.” The warmth conveyed by the medical staff has also earned the trust of the older generation of revolutionary heroes.
The sweetest apple, head nurse Zhu Hailan, was given to her by an 86-year-old grandmother of the Red Army. When the grandmother was first admitted to the hospital, Zhu Hailan noticed that the grandmother’s hair was a little messy, so she helped her comb her hair and tied her with a hair rope decorated with small cherries. The next day, the grandmother came to the nurse station with a red apple to find the nurse who sent her the hair rope.
An old Red Army soldier was seriously ill and could only rest in bed, but when he saw the medical staff, he would still raise his right hand tremblingly to express his gratitude to everyone in the military salute.
Some patients signed a voluntary letter to donate corneas and corpses when they were dying. “You have done so much for me, and I can’t repay it. Take my body for research. This is also my final contribution to the party and the army as a veteran!”
“From these medical workers, I felt the care of the party organization for our old Red Army.” The words of an old Red Army when he was discharged from the hospital were remembered by the medical staff and inspired them to continue to be full of enthusiasm and sincerity. The heart, stick to this ordinary position, and strive to make extraordinary achievements in the ordinary position.
Figure ③: Medical staff check the “patient emotional barometer”. (Photo provided by Wang Jiafu)
to act as
In an office of the Second Medical Center of the People’s Liberation Army General Hospital, there is a thick stack of thank-you letters. Paper is short and affectionate. Letters, short and long notes, not only deep gratitude, but also dawn and hope.
“We will not forget that the experts have organized joint consultations for many times, and went all out to rescue them, so that the mother’s life can continue to be continued…” This is what the medical center wrote in a thank you letter.
The mother in the thank you letter is a 103-year-old grandmother of the Red Army. At that time, the grandmother was rushed to the medical center for treatment due to acute myocardial infarction. Due to the old grandmother’s age and the existence of various organ diseases, clinical treatment is very difficult.
Without delay, the medical center will conduct a multidisciplinary joint consultation immediately.
Experts from the Department of Respiratory Medicine are here, experts from the Department of Hematology are here, experts from the Department of Gastroenterology are here, and experts from the Department of Rehabilitation are here… Nine departments and nearly 20 experts analyzed the grandmother’s condition and formulated a treatment plan. After 22 days of continuous treatment, the grandmother can walk on the ground.
Here, there are many similar things. The belief of “not abandoning” is deeply imprinted in the hearts of every medical staff. No matter day or night, rain, snow, wind and frost, as soon as there is a serious illness or rescue, the experts put on white coats and rush to the hospital, trying every means to treat them.
The best possible treatment is inseparable from the unremitting pursuit of advanced medical technology. Since its establishment more than 60 years ago, the medical center has always aimed at the forefront of geriatrics development, pursuing knowledge innovation and technological innovation. Whether it is the founders and pioneers of geriatric medicine such as Mou Shanchu and Wang Shiwen, and the younger generation who are now leading the way, they are constantly innovating in business and catching up with the pace of world medical development.
In the 1980s, 70-year-old Professor Mou Shanchu led a team to study abroad in order to solve the technical problems of patients with abdominal aortic aneurysm. Carrying a pocket of books at get off work and a pocket of books after work every day is a deep impression left by Mr. Mou on his colleagues.
Academician Wang Shiwen, who has devoted his life to the clinical, scientific research and teaching of geriatric heart disease and geriatric emergency medicine, was the first in the world to propose a clinical syndrome that seriously endangers the health and life of the elderly – multiple organ failure in the elderly, and proposed the famous “lung activation”. Mechanism Theory”. When she was ill, she still insisted on going to the ward in a wheelchair.
Climbing the peak of medical research, the pace of continuous struggle has never stopped.
“We can do surgeries that others can do, and that’s not our skill. We can do surgeries that others can’t do. That’s our skill. Otherwise, where is the responsibility of the people’s military doctors?” Chief Physician of Cardiovascular Medicine Liu Hongbin has been leading the team with this concept.
Last year, the Department of Cardiovascular Medicine admitted an old Red Army man and was diagnosed with “severe aortic insufficiency and severe stenosis of the anterior descending artery”. The heart has been enlarged to twice its original size, and fatal risks such as acute myocardial infarction and acute heart failure may occur at any time. . If traditional surgical methods are used, the trauma is large and the recovery time is long. If coronary intervention is performed first, and then surgery is performed, the risk is very high. Faced with this dilemma, experts have a hard time deciding. After careful and meticulous preoperative discussion, Liu Hongbin led the medical and nursing team to successfully perform one-stop minimally invasive cardiac hybrid surgery for patients under the conditions of full preparation and accurate assessment, opening a new way for the treatment of elderly patients with heart disease.
“To do everything possible to serve patients by all means” is the creed of Lu Xuechun, director of the Department of Hematology. Elderly patients have many underlying diseases and complex conditions, which are often “involving the whole body”. How to carry out precise treatment according to the characteristics of elderly patients? Lu Xuechun led the team to develop and utilize a series of biological big data that potentially reveal the law of occurrence and development of diseases, and at the same time established a drug functional genome database to assist medical diagnosis and treatment.
Not long ago, the Department of Hematology admitted a 98-year-old Laobalu. The elderly need to rely on blood transfusions to relieve their repeated bleeding from the digestive tract and bladder. Bleeding, blood transfusion, re-bleeding, re-transfusion… “In any case, we must find a way to break this vicious circle.” Lu Xuechun led the team to repeatedly search literature and conduct experiments to find the cause. Finally, they screened potential therapeutic drugs through their self-established functional genome database. After individualized treatment, the patient finally got rid of the dilemma of repeated gastrointestinal bleeding.
Every successful treatment is inseparable from the medical workers’ excellence in medical technology, persistent pursuit of life and sincere feelings for patients. Persevere and gain hope. With the efforts of medical workers, many medical miracles have happened here.
“Enable the heroes to enjoy meticulous and thoughtful medical security, which is the best reward for our health care workers to historical heroes, and it is also the responsibility and glory of the people’s military doctors in the new era.” Wang Haijun, deputy chief physician of the Department of Cardiovascular Medicine, said from the heart. The voice of all medical staff at this medical center.
For a long time, chronic diseases such as diabetes, hypertension, and cerebral apoplexy have been regarded as “senile diseases”, and the majority of the affected groups are elderly patients. In recent years, many chronic diseases have shown a younger trend. Health has no age difference, and young people also need to prevent chronic diseases. In this issue, we invite relevant experts from the PLA General Hospital to popularize the knowledge of prevention and treatment of diabetes and hypertension for officers and soldiers, hoping to inspire readers.
Diabetes requires early intervention
【Expert Archives】He Yao, professor of the Institute of Geriatrics, PLA General Hospital, doctoral supervisor, director of the expert committee of the Chinese Society of Geriatrics. He has made many achievements in the fields of epidemiological research and disease prevention and control of chronic diseases and geriatric diseases. Won the ninth “Wu Jieping Medical Award”.
Diabetes mellitus is a chronic metabolic disease caused by a variety of etiologies, mainly manifested by elevated blood sugar levels. Many comrades in arms believe that diabetes is a “senile disease” and has nothing to do with young officers and soldiers. In fact, diabetes is not just for the elderly. In recent years, my country’s diabetes has shown a trend of younger people, and many people in their 30s and 40s are also prone to elevated blood sugar.
The typical symptoms of diabetes are “three more and one less”, that is, polydipsia, polyuria, polyphagia, and unexplained weight loss. If the above typical symptoms occur, and random venous plasma glucose is greater than or equal to 11.1 mmol/L, or fasting venous plasma glucose is greater than or equal to 7.0 mmol/L, 2 hours after glucose loading, venous plasma glucose is greater than or equal to 11.1 mmol/L, and glycosylated hemoglobin is greater than or equal to 6.5 %, can be diagnosed as diabetes.
Prediabetes is often asymptomatic or very mild and easily overlooked. Early identification and targeted prevention can greatly reduce the incidence of diabetes and prevent complications. Therefore, early screening is recommended for people at high risk of diabetes. High-risk groups for diabetes include: a history of prediabetes; age greater than or equal to 40 years; body mass index (BMI) greater than or equal to 24 kg/m2 or central obesity (waist circumference greater than or equal to 90 cm for men and greater than or equal to 85 cm for women); first-degree relatives with a history of diabetes ; Physical inactivity; Women with a history of macrosomia or gestational diabetes; Women with a history of polycystic ovary syndrome; Acanthosis nigricans; Hypertension, dyslipidemia, atherosclerotic cardiovascular disease Patients with a history of diseases; patients with a history of steroid use; long-term treatment with antipsychotics or antidepressants, etc.
Appropriate lifestyle interventions can delay or prevent the onset of diabetes. Diabetes specific lifestyle interventions are as follows: ① weight control. It is recommended that overweight/obese patients lose 5% to 10% of their body weight in 3 to 6 months. Thin people can achieve and maintain their ideal weight through a reasonable nutritional plan. ② reasonable diet. Pay attention to nutritional balance and reduce the intake of refined carbohydrates (such as white rice, pasta, biscuits, etc.) and sugar-sweetened beverages. It is recommended to replace 1/3 of the staple foods such as refined white rice and noodles with whole grains or mixed beans. ③ Moderate exercise. Adults with type 2 diabetes should do at least 150 minutes of moderate-intensity (50% to 70% of maximum heart rate, a little hard during exercise, and rapid but not rapid heartbeat and breathing) aerobic exercise (such as brisk walking, cycling, Taijiquan, etc.) per week for at least 150 minutes ; Increase daily physical activity and avoid prolonged sitting; it is recommended to perform resistance exercises 2 to 3 times a week (the interval between two exercises is greater than or equal to 48 hours). Exercise therapy is not recommended in the presence of acute complications or severe chronic complications. ④ Quit smoking and drinking. ⑤ Limit salt, it is recommended that the daily salt intake be controlled within 5g. ⑥ psychological balance. Regular work and rest, reduce mental stress, and maintain a happy mood.
Lifestyle intervention is the basic treatment for type 2 diabetes and should be used throughout the treatment of diabetes. If simple lifestyle intervention fails to achieve blood sugar control, hypoglycemic drugs should be applied under the guidance of a doctor in a timely manner.
Hypertension must be treated consistently
【Expert Profile】Zhu Ping, Chief Physician, Professor and Doctoral Supervisor of PLA General Hospital. He has been engaged in cardiovascular medicine medical treatment, scientific research and teaching for a long time. He has rich experience in the diagnosis and treatment of cardiovascular diseases in the elderly, especially interventional therapy and rescue of critical cardiovascular diseases in the elderly.
Hypertension is a chronic disease that is more common in older adults. But high blood pressure is not a disease unique to the elderly, and it is not uncommon for young people to suffer from high blood pressure. Typically, a systolic blood pressure over 140mmHg or a diastolic blood pressure over 90mmHg can be diagnosed as hypertension.
The prevalence of hypertension is related to the following factors: Genetic factors. If parents have high blood pressure, the probability of children suffering from high blood pressure is about 45%. age and gender. Blood pressure increases with age, and men are more likely than women to develop high blood pressure. obesity factor. The prevalence of hypertension in obese people is 2-6 times that of non-obese people. For every 10kg of weight loss, blood pressure usually drops by about 5mmHg. lifestyle factors. Excessive eating of rich animal fats, salty diet, heavy drinking, smoking, etc., can promote blood pressure. In addition, mental stress, environmental noise, etc. may also promote blood pressure.
Hypertension is the most important risk factor for cardiovascular and cerebrovascular diseases, which can cause damage to the heart, brain, kidney, aorta, retina and other organs, as well as coronary heart disease, hypertensive heart disease, cardiac dysfunction, arrhythmia, sudden death, etc. Therefore, if the self-measured blood pressure meets the diagnostic criteria for hypertension, it is necessary to go to a professional medical institution for diagnosis and treatment in time.
The treatment of high blood pressure includes two aspects: developing healthy living habits and medication. Develop healthy living habits including healthy diet, regular exercise, maintaining an ideal weight, quitting smoking and limiting alcohol, regulating emotions, paying attention to the combination of work and rest, and avoiding prolonged sitting. Drug treatment should follow the principle of steady blood pressure and continuous blood pressure. At present, there are seven categories of drugs for the treatment of hypertension, and doctors will choose different combinations of drugs according to different populations, nature of work, and the accompanying state of the disease. It is recommended to try to choose the type of drug that has a long curative effect and a few times of medication. The drug concentration in the blood needs to accumulate gradually to reach the effective drug concentration. Therefore, after starting drug treatment, patients with hypertension should insist on taking antihypertensive drugs and continue to monitor for 1 to 2 weeks to determine the therapeutic effect of the drug. If the blood pressure has been stable and reached the standard after treatment, and there is no adverse drug reaction, it is necessary to insist on taking antihypertensive drugs, and do not stop the drug without authorization to prevent the rebound of hypertension. During treatment, self-measurement of blood pressure should be carried out frequently, and the good habit of monitoring blood pressure in the morning, noon and evening should be developed, and any abnormality should be reported to the doctor in time.
Source丨Liberation Army Daily, Learning Corps (ID: xuexijuntuan)
Producer丨Ou Can Zhang Xiaohui
Editor-in-Chief丨Liu Jianwei, Yan Shan, Zhou Zhou
Editor in charge丨Han Jie