"I really want to write a thank-you letter to the hospital" (assisting the county in the village notes) during the visit. For Xiangyang Village, thank you letter
At 5:30 in the morning, just after dawn, Yang Jikui, a doctor from Xiangyang Village in Yucheng County, Henan Province, got up and packed his medicine box, preparing to start the day's visit. His first stop was at the home of villager Wang Yuqiu, who is 49 years old and has a medical history of nearly 10 years. "Low pressure is 90, high pressure is 120, and the heart rate is 87 per minute. The condition is relatively stable. Just continue to maintain the current dosage of medication and go out to exercise more when you have time," Yang Jikui instructed.
Later, he arrived at Wang Jingying's house again. She, who had just given birth to her third child half a month ago, is still in the recovery period. "Dr. Yang, my appetite is gradually recovering now. What should I pay attention to when eating?" "I can't eat too greasy to nourish, it's not conducive to wound healing." Yang Jikui checked the condition of the fetus again. "The child can prepare to come to the village clinic to build an electronic file one month after birth, so that it is convenient to go for physical examinations and vaccinations in the future," he reminded.
In the morning, Yang Jikui visited more than ten households. He has to conduct such visits once a week. "Every patient with common diseases such as hypertension and diabetes in the village has records in the village health office. I go to see every week for the elderly over 65 years old and the mothers who have given birth within a month. If there is any problem, I can find it and treat it as soon as possible," Yang Jikui said.
In the village clinic of Xiangyang Village, there is a pharmacy, treatment room, diagnosis room, duty room, and observation room. Yang Jikui is not only responsible for the daily diagnosis, health record management, and follow-up work of villagers, but also distributes "nutrition packs" to eligible infants and young children in the village. As a complementary nutritional supplement, "nutrition packs" contain a variety of vitamins and minerals, which can effectively prevent diseases such as malnutrition and anemia in infants and young children, and are crucial for brain and body development. "The 'nutrition package' is provided free of charge by the country, and infants and young children aged 6 months to 2 years old can receive it once a month," said Yang Jikui.
The weak links of rural hospitals lie in critical and critical care, emergency and first aid. In order to facilitate the treatment of critically ill residents, Xiangyang Village and the corresponding assistance hospital - Yucheng County Second People's Hospital - have strengthened training and cooperation in emergency referral, critical care diagnosis and treatment, and other fields. Yang Jikui attends training every two months. "Training doctors not only explains the methods for dealing with myocardial infarction and cerebral infarction patients, but also teaches me hands-on techniques such as cardiopulmonary resuscitation and maintaining airway patency," he said.
The Second People's Hospital of Yucheng County has been strengthening the capacity building for severe diagnosis and treatment. At the hospital's hemodialysis center, the reporter met Yang Panpan, a villager from Xiangyang Village who had just completed treatment. Yang Panpan suffers from uremia and has been undergoing dialysis for 6 years. Currently, his condition is gradually stabilizing. "In the past, I could only go to Shangqiu City for treatment. Now that there is equipment here, it is much more convenient, and I can come here for treatment every day without the need for family accompaniment. Moreover, there is now medical insurance reimbursement, and I only have a monthly self payment of over 200 yuan, which is not very difficult to bear." Yang Panpan said, "I really want to write a thank-you letter to the hospital well."
The Second People's Hospital of Yucheng County currently has 27 clinical departments, 8 medical technology departments, and 453 open beds. Liu Hongmei, Vice President of the Second People's Hospital of Yucheng County, introduced that the hospital is focusing on strengthening its radiation effect on the town and surrounding villages. In June 2022, the hospital took the lead in establishing the "Yucheng County Second People's Hospital Medical and Health Service Group", creating an integrated medical community at the county, township, and village levels, and vigorously supporting and radiating the surrounding rural health centers.
During the interview, the remote electrocardiogram center of the hospital received an electrocardiogram report uploaded by the Huangzhong Township Health Center; The case is a 64 year old patient named Zhao Xiuqin from Wangzhai Village in Huangzhong Township. The doctor immediately conducted online diagnosis and treatment, and after evaluation, the patient had sinus rhythm with frequent ventricular premature beats. Subsequently, the physician will upload the analysis results to the system, and then the Huangzhong Township Health Center will proceed with the next step of treatment for the patient; The entire process was only a few short minutes. "We receive dozens of electrocardiogram reports every month, covering 8 surrounding township health centers. Online diagnosis and treatment not only improve the accuracy of diagnosis, but also save patients' treatment time," said physician Xie Xingyi.
