回訪 The follow-up

太陽海（金訊波）

選自短篇小說《天憶》作者金訊波<div> </div><div> Selected From the short story "天憶" by Jin Xunbo<div> Author: Jin Xunbo Translate by: ALDHABI M </div></div> 　　回訪，醫學上叫隨訪，是指病人出院后，再進一步了解病情恢復情況的一個過程，是疾病全程化服務的一個環節。作為醫生，往往不予以重視，光忙活新病人還忙不過來了，尤其是大醫院的醫生，哪有時間再去主動聯系過往的病人。除非那些在科研上重視的名教授，為了科學研究會通過信訪來了解病情。 A return visit, also known as a follow-up visit in clinical terminology, is a process that helps doctors better understand a patient's recovery after they've been discharged from the hospital. It's also a part of the overall disease management service. Doctors often ignore it because they are too preoccupied with new patients, especially in large hospitals, to contact previous patients. Except for famous professors who value scientific research and will learn about the disease via letter for the sake of scientific research. 我做了近二十年的科主任，曾要求過科里每個專業組都建立起正規的隨訪制度。有些專業做得好一些，有些則像斷了線的風箏，風箏在哪兒，找不著了。就是找著了，也是缺這缺那，支離破碎，最終卻成了無效的一堆廢紙。 那么，回訪有哪些好處呢？ 首先大數據顯示，疾病的治療是一個從預防到康復的全過程。對外科而言，手術只是其中的一個環節。而隨訪，是關心其他環節的落實。如果病人出院后得不到醫院的隨訪，不但不利于患者出院后病情的監控，有時甚至會延誤病情。 I've been the department's head for twenty years, and I've asked each specialty group to establish a formal follow-up system. Some specialties performed better than others, what are the advantages of the follow-up letter? The big data demonstrates that disease treatment is a multi-step process that begins with prevention and ends with recovery. Surgery is only one of the processes when it comes to surgery. In addition, follow-up is concerned with the implementation of the other parts. If a patient is not followed up by the hospital after discharge, it not only hinders but also delays the monitoring of the patient's condition after discharge. <div> </div> 隨訪，可以有效地溝通醫生與出院病人的聯系，及時地掌握病人的愿望，最大限度地來滿足病人的身心需求，消除不良情緒，從而改善醫患關系，加大醫患親和力。 對于醫院，實施隨訪可以提高醫療質量，強化醫德醫風教育。 對于科研，完整的醫療資料，有助于相關信息的收集，總結經驗教訓。 <div> In addition, the follow-up is to improve the doctor-patient relationship and can also help patients feel more comfortable with their doctor. Follow-up can help hospitals improve patient care, medical ethics, and education. Complete medical data can also help researchers gather relevant data and summarize lessons learned. </div> <div> </div> 做為在大學附屬醫院工作一輩子的我，深知病人隨訪的重要性。每年要培養那么多研究生，包括碩士、博士、博士后，他們的研究資料都離不開隨訪。 晚年來到青島濱海學院附屬醫院工作，沒想到院長那么重視臨床隨訪工作，別忘了，院長不是專業學醫的，但卻是那么的專業，這不得不令我打心里敬佩。 <div> As someone who has spent their entire professional career working in a university hospital, I understand the significance of patient follow-up. It is impossible to separate the research data from the follow-up letter of the large number of postgraduate students we had to train each year, including masters, PhD , and postdoctoral. </div><div> At Qingdao Binhai University affiliated Hospital, I never expected the dean of the hospital to place such a high value on clinical follow-up when I started working there in my later years. </div> <div> </div> 記得，早年我母親去省城濟南治病，當時，一個是省立一院，也就是后來的恢復的省立醫院，一個是省立二院，即后來恢復的齊魯醫院。兩個醫院都住過院，效果并不是很滿意。出院后，母親回到了老家煙臺。 一年以后，母親接到了一封信，母親很高興。過年我回老家時，母親拿信給我看，說齊魯醫院的醫生真好，出院這么長時間了還想著她。 <div> I remembered that my mother went to Jinan City, the provincial capital, for a hospital visit when I was a child. The first provincial hospital, which was later restored as the Provincial Hospital, and the second provincial hospital, which was later restored as the Qilu Hospital, were called the second hospitals at the time. She was admitted to both hospitals, but the outcomes were mixed. My mother returned to Yantai city after receiving her discharge from the hospital. </div><div> She was delighted when she got a follow-up letter a year later, and showed me the letter when I returned home for the Chinese New Year holiday. She was saying that the doctors at Qilu Hospital were fantastic and that she was still thinking about her despite being discharged for so long. </div> <div> </div> 你知道一個人高興的時候，是什么心情嗎？尤其是病人，尤其是老年人，尤其是生命接近絕望的人。現在回想起來，母親當時就像在大海里落水的人，突然間，看見了有船向她駛來，并向她投拋過來一個救生圈。 父親說，多長時間了沒見母親這樣高興過。 母親讓我看信，信的開頭是問母親好，出院以后身體恢復的可好？治療過沒有？服過什么藥？血壓、心率、飲食，體重、情緒…怎么樣，幾乎該問的都問了。最后，又很客氣地邀請，如果方便的話歡迎到濟南齊魯醫院復查一下，有些費用可以減免。 Do you know what it's like when a person is happy? Especially the patients, especially the elderly, especially those whose lives are close to despair. Looking back throw, my mother was like a person falling into the ocean and suddenly, she saw a boat approaching her and threw a life buoy at her. My father said that it had been a long time since he had seen my mother so happy. My mother asked me to read the letter. The beginning of the letter was to ask my mother how much her body had recovered after being discharged from the hospital. Has she been treated? What kind of medicine has she taken? What about blood pressure, heart rate, diet, weight, mood, and almost everything else I should inquire about? Finally, we kindly invite you to come to Jinan Qilu Hospital for a return visit if it is convenient. Some fees can be reduced. 信，我念完了，其實母親不知道已經看過多少遍了，此時，她想聽的是我的意見，她想讓我說，“走，媽，咱回濟南去，去齊魯醫院！” 母親患的是橋本氏病，也叫慢性甲狀腺炎甲狀腺功能低下，不好治。 當時，我還年輕，完全不懂得病人的感受，雖然她是我母親。 我讓母親失望了。那個年代，到大醫院住院太難了。山東省被分了三大區域。省立醫院分管魯西南，齊魯醫院分管魯西北，青醫附院負責膠東半島，看病要有戶口本，不能亂看的，劃區不對是拒收住院的。雖然，我在省立醫院工作，對于難治的病，哪家醫院也不愿意接受。 I have finished reading the letter. Actually, my mother has read it too many times. At this time, what she wants to hear may be my opinion? She wants me to say, "Here we go Mom, let's go back to Jinan city and visit Qilu Hospital!" My mother suffered from Hashimoto's disease, also called chronic thyroiditis or hypothyroidism, which is difficult to treat. At that time, I was still young and didn't understand the patient's feelings at all, even though she was my mother. She was disappointed. At that time, it was difficult to be hospitalized in a big hospital. Shandong Province is divided into three major regions. The provincial hospital is in charge of the southwest of Shandong Province, the Qilu hospital is in charge of the northwest of Shandong Province, and the affiliated Hospital of Medical College of Qingdao University is in charge of the Jiaodong Peninsula. Although I work in a provincial hospital, no hospital is willing to accept intractable disease patents. 一晃，母親已經離開我二十多年了。 我要感謝的是齊魯醫院，感謝想當年那封隨訪信，是那封信給了我母親治病的信心，讓我母親看到了生命的希望。 現在想想，寄給我母親信的那位醫生，我是多么想感謝你呢？ 當時我父親也很激動，直接說到我的臉上，你們醫院就是不如人家齊魯醫院。 其實，哪一家醫院也沒有給我母親治好病。但給我父母好感的是人家齊魯醫院，就是因為那封暖人心的隨訪信。 My mother has left me for more than 20 years already. I would like to thank Qilu Hospital for the follow-up letter from that year. It was the letter that gave my mother the confidence to treat her disease and made my mother see the hope of life. When I’m thinking about it. I really appreciate it. I really appreciate it. Thank you to the doctor who sent my mother's letter. At that time, my father was also very excited. Your hospital is not as good as Qilu Hospital. In fact, no hospital has cured my mother. But it was Qilu Hospital that gave my parents a good impression because of the heart-warming follow-up letter. 要治病，有時中醫還是有獨到之處，關鍵的是要找對醫生。也許是命運的安排，最后我找的是，山東省中醫藥研究所諾貝爾醫學獎獲得者屠呦呦的老師，魏教授用中藥給治好的。 那時，魏教授正在國內研究青蒿素，經常出發到云南種植青蒿。我跟我的老師劉士怡教授參加過魏教授的科研鑒定，從中結識了許多大牌老師。 魏教授做的隨訪工作很認真。經常通過電話詢問我母親的病情，并及時調整藥物的劑量。 Traditional Chinese medicine is sometimes unique in how it treats diseases. Finding the right doctor is crucial. Perhaps it's fate. Finally, I found Professor Wei, a supervisor of Youyou, a Nobel Laureate from the Shandong Institute of Traditional Chinese Medicine, who had been cured using traditional Chinese medicine. Professor Wei was studying artemisinin in China at the time, and he frequently visited Yunnan to plant Artemisia annua.I went with my teacher, Professor Liu Shiyi, to take part in Professor Wei's scientific research appraisal, where we met many famous teachers. Professor Wei was meticulous in his follow-up work. I frequently call to inquire about my mother's condition and adjust her medication dosage as needed. <div> </div> 后來，我出國了兩年，母親在老家患上了尿毒癥。做為泌尿外科醫生的我，雖然親手組建了山東省立醫院腎移植科和泌尿外科微創治療醫療中心，并擔任首任科主任，給病人做過了上萬臺手術，卻沒有給母親治好病。一輩子所學過的醫學知識，沒有給母親用上。這不得不說是一大遺憾，現在回想起來，心里頭有說不出來的痛楚。 說到這里，我還是要感謝齊魯醫院的那封隨訪信，感謝給我母親治過病的魏教授，您們的隨訪信和電話給我母親帶來的溫暖，至今還暖著我的心。 <div> Afterward, I went abroad for two years, and my mother suffered from uremia. As a urologist, although I personally established the kidney transplantation department and minimally invasive treatment medical center of Urology in Shandong Provincial Hospital, and served as the first department director. I have performed tens of thousands of operations on patients, but I have not cured my mother. The medical knowledge I have learned all my life has not been used for my mother. This must be a great pity. Now in retrospect, I feel unspeakable pain in my heart. At this point, I still want to thank the follow-up letter from Qilu hospital and Professor Wei who treated my mother. Your follow-up letter and phone call delighted my mother and are still fresh in my mind. </div> 今年的中秋節，一連下了幾天雨。慶辛的是，雨后夜空的月亮還是圓的。 每逢佳節倍思親，我的思緒，思念母親的思緒，一點也沒有淡去。 我還是想念我的母親，一生中，對我影響最大的是母親。 我能給母親做點什么呢？過去沒有，現在更不會有了。 我能做的就是，對于我服務過的病人，盡我最大的努力，寫好每一封隨訪信。 This year's Mid-Autumn Festival, it rained for several days in a row. The moon was still round in the night sky after the rain. My thoughts, thoughts of my mother, did not fade at all. I still miss my mother, the one who has influenced me the most in my life. What can I do for my mother? There was nothing in the past, and there will be even less now. What I can do is to do my best to write every follow-up letter to the patients I have served. 寫到這里，我想借用一首歌曲來給這篇文章配音，那是前些天，我寫過的小說《病歷》中搶救過來的那位小女孩給我的。想必能讓人，體感到病人對醫生的感激之情。 歌曲是她和她的男朋友一起合唱的。 請大家借助歌聲，祝愿天下所有的病人都早日康復。今天醫院宣傳科小吳女士，要我給前幾天寫的那篇小說《病歷》，配上幾句話。 我說，病人遇見我是緣，我給病人服務是責。 好了，我會定期給大家寫信的，我的朋友 As I write this article, I would like to add a song to it that was given to me by the little girl who was resuscitated from the novel "Medical Record" that I had written a few days ago. I think it will make people, physically, feel the gratitude of the patient to the doctor. The song was sung by her and her boyfriend together. Please listen to the song to wish all the patients around the world an early recovery. Today, Ms. Wu, from the hospital's publicity department, asked me to put a few words to the story "Medical History" that I wrote a few days ago. ‘’it is fate that the patient meets me, and it is my duty to serve the patient’’. Finally, I will write to you all regularly my friend.

跆拳道,波多野结衣结婚了吗,JAPANESE50MATURE亂倫,美女视频黄网站免费观看

回訪 The follow-up

太陽海（金訊波）