1 In order to thoroughly implement the spirit of the 18th National Congress of the Communist Party of China, carry out educational practice activities on the theme of the mass line, promote the full coverage of mass work well and quickly, and promote and boost the "happiness project for all" in Derong County, the party committees and governments of Chengdu and Derong County actively explored new modes of aiding Tibet and decided to implement the national health check-up project in Derong County. The project was officially launched on1October 20119 in Derong County, Ganzi Prefecture.
As of165438+1October 30th, * * has completed 3,640 physical examinations, including one team 1328, two teams' 745, three teams' 876 and four teams' 69 1 person-time; The inspection base has completed the inspection of 12858 specimens, with inspection data of 190629 specimens; The chief inspector workstation completed 184 1 total inspection report. At present, the first medical team continues to carry out physical examination in Derong County People's Hospital, and the second, third and fourth medical teams have completed the physical examination task at the first station and have moved or will soon move to the second station to continue the physical examination.
The hardest part is actually in the beginning When I first arrived in Derong County, I was faced with a strange environment completely different from that of a big city, and everything was very complicated. With the care, guidance and strong support of Chengdu Hospital Administration, Derong County Party Committee and county government and the dispatched units, all medical team members have devoted themselves to their work with a strong sense of responsibility, mission and full spirit, overcoming all kinds of difficulties and hardships, carrying forward the spirit of saving lives, and showing the superb medical skills and rigorous work style of Chengdu medical and health system.
Overcome altitude sickness and get into work immediately.
When I first entered Derong County, Ganzi Prefecture, several members of the medical team had altitude sickness to varying degrees, such as headache and palpitation. The first challenge faced by medical team members is to adapt to life. Because the climate is very dry, almost every medical team member has chapped nose and mouth and bleeding in the morning, especially in Gombo township at an altitude of 3700 meters. Many members of the second team also developed a series of symptoms such as fever, cold, stomach upset and urticaria. However, the medical team members did not give themselves time to "adapt". They encourage each other, ask for help, devote themselves to their jobs with tenacious will, give full play to their respective professional expertise, and serve compatriots of all ethnic groups wholeheartedly.
Quickly "run in" combat effectiveness and cohesion
Derong County is located at the southernmost tip of Ganzi Prefecture. Due to the remote geographical location, most farmers and herdsmen can't speak Chinese, so medical team members can only communicate with them through local Tibetan translators. In order to facilitate their work, the medical team members took the initiative to learn the applicable Tibetan language commonly used in physical examination from Tibetan compatriots, which greatly saved the communication time.
In addition to the first team stationed in the county, other teams are stationed in Derong Mountain. According to the arrangement, each medical team will collect blood and urine samples on the spot, manually code, check, centrifuge and package them, and then transport them to the inspection base where the first team is located for testing. In Chengdu, it is very easy for medical staff to classify one or two hundred specimens with the help of LIS system, but in mountainous areas with poor conditions, everything has to be done by medical staff squatting on the ground and using their hands. Due to the long distance and limited meteorological conditions, these specimens often have to bump for three hours to reach the inspection base, which puts high demands on the packaging and preservation of specimens. In order to get timely and accurate specimen testing, medical team members stationed in mountainous areas often miss lunch, and inspectors at inspection bases often have no time to have dinner. The off-road vehicle galloped on the rugged mountain road, and the small specimen box touched the hearts of all medical team members.
In order to ensure the accuracy of physical examination results, the standards of specimen collection, coding and packaging were refined and unified through repeated communication and coordination between the inspection base and various medical teams. With the help of Derong County Party Committee and government, the efficiency of physical examination has been obviously improved, and the quality of specimens is getting better and better. The samples collected from Gongbu Township, the farthest highway, arrived at the inspection base from 8: 00 to 5: 00 at the beginning, and the medical team passed the running-in period semi-smoothly, forming a strong fighting capacity and cohesion!
Serve the public with love
In Xu Long Township, ENT doctors found that many villagers' conjunctiva was obviously congested. The doctor asked them when you would get up. They smiled and said, "We will leave at three o'clock in the morning, first we have to cross two mountains, then we will cross the river by cableway, then we will cross the snow-capped mountain and cross the opposite mountain." In the face of the compatriots who came to the medical examination more than five hours after crossing the mountains in the early morning, the medical team members were silent. What can we do besides serving them better?
In Ziguang Township, Dr. Color Doppler ultrasound met a pregnant woman who was pregnant for 7 months. She has never had a prenatal examination before. Color Doppler ultrasound found that the fetus had no heartbeat, and immediately contacted the obstetrician of the medical team to inquire about the medical history in detail. In order to ensure the accurate diagnosis, with the help of the director of Ziguang Township Health Center, the medical team took the pregnant woman to Benzilan Town, Yunnan, opposite the Jinsha River. After a perfect examination, it is confirmed that the fetus in the abdomen is indeed dead. Obstetricians and gynecologists expounded the necessity and precautions of induced labor, and assisted in the completion of induced labor operation.
In Derong County, the doctor of ENT found a foreign body in the external auditory canal of a little girl during physical examination, and tried to take it out with tweezers, but it was not taken out because the surface of the foreign body was smooth. At that time, people who came to the physical examination room still lined up. In order not to affect the progress of the work, Dr. He continued the physical examination and told the little girl not to leave. As soon as the physical examination was over, Dr. He asked the county hospital to help prepare empty needles and normal saline. With the cooperation of local doctors, the little girl was successfully taken out of the external auditory canal.
In Gongbo Township, medical team members often find that farmers and herdsmen who come for physical examination have injuries, mostly from their daily work. Without timely treatment, wounds are often accompanied by infection and suppuration. The medical team members debrided, stitched and bandaged them in the township health center, and taught the villagers the correct way to deal with trauma.
The special geographical location has created a geographical environment like a paradise and a determined and simple people, but they are also faced with the reality of lack of medical care and medicine. Faced with this situation, the only thing medical team members can do is to serve wholeheartedly and bring warmth and love into the hearts of the masses.
The starry sky on the plateau is particularly bright.
Derong National Health Physical Examination Base, established by the Third People's Hospital of Chengdu, has undertaken the testing of all the test specimens of the medical team. Every night, inspectors can be seen working late into the night in the brightly lit laboratory.
165438+1On the afternoon of October 27th, the whole county of Derong County stopped water supply, and the inspection base with strong dependence on water faced a severe test. Wang Jian, the person in charge of the base, took charge of the laboratory and immediately began to implement the emergency plan for temporary water stop: first, cut off the tap water source to prevent the samples from being polluted by unknown water quality after the water supply was restored; The second is to immediately start the refrigerator at MINUS 20 degrees and seal the sample with undetected separated serum. Third, actively coordinate to find the water source that matches the instrument. At about 7 o'clock that night, the water supply resumed, and the inspectors were not in a hurry to start the machine. Instead, they slowly turn on the tap water to let the sludge flow out, then turn on the water dispenser to inject water automatically, connect the biochemical analyzer and start the instrument to ensure no pollution.
At the chief inspector workstation, three chief inspectors from the Third Hospital of the City are also working around the clock, forgetting to eat and sleep in order to complete 300-400 ordinary inspection reports every day.
The starry sky on the plateau is particularly bright, and they have witnessed every drop of sweat and every true feeling of the medical team members.
"Pass, Help and Bring" to Improve the Local Medical Level
Faced with the current situation of the lagging development of medical services and the shortage of medical resources in Derong County, from Chengdu Hospital Authority to every medical team member, with a warm heart, they try their best to improve the local medical level, whether in life or at work, whether for local medical and health workers or patients, medical team members will do their best to help them.
Yang Xingzhou, a member of the first medical team, is a doctor of color Doppler ultrasound in the Third Hospital of Chengdu. During the physical examination, the doctors in the county hospital admired him for his skillful operation and accurate judgment. In order to help local ultrasound doctors grow up quickly, Yang Xingzhou always teaches while doing daily physical examination. After the physical examination every day, "Teacher Yang" takes his students to study the cases together. Yang Xingzhou said that local doctors really want to master professional skills. We just want to stimulate their enthusiasm for learning, encourage them to build up confidence, and pass on their professional knowledge and clinical experience to them without reservation, so that more people can benefit through "passing, helping and bringing".
True feelings form a profound national friendship
Physical examination work time is tight and the task is heavy. The medical team members left their familiar and warm homes and came to Derong. With a sincere heart, they fought in hospitals, health centers, cottages and laboratories ... No matter men, women and children, they worked day and night in the "five plus two, white plus black" in the western Sunshine City, silently dedicating their youth and wisdom, sweating and passion, and using their own reality. In their few free time, the locals took them to visit orchards, turn pagodas and pray for blessings. They sang and danced together, completely integrated, and forged a profound national friendship.
It is the unanimous aspiration of all medical team members to "do as many useful things for the local people as possible with limited time" and leave as much love and lean technology as possible for doctors.
In order to promote the project of medical treatment benefiting the people, the policy of the Party Committee and the government of the autonomous region that each urban and rural resident in Xinjiang enjoys a free physical examination every year is implemented, the service ability of primary health personnel is further improved, and the physical and mental health of people of all ethnic groups in the jurisdiction is guaranteed. In the process of promoting the "comprehensive health examination" project, fukang city CDC gave full play to the main role, gave up holidays and holidays, arranged deployment in time, made a thorough registration in the early stage of physical examination, and prepared all kinds of physical examination equipment. On June 5438+1October 65438+March, the CDC launched the planned national health check-up project in an all-round way, and urban and rural residents and students successively enjoyed the free medical check-up project provided by the government, and all links were orderly. At present, more than 8,600 students and 200 farmers have been inspected.
Zhang, director of the center, said that with the help of the "national health check-up" project, we should do a good job in a project that warms people's hearts and people's livelihood in send warm, promote the in-depth development of the "two studies and one work" work, attach great importance to it ideologically, fully implement it in action, sum up experience in the process of implementing health check-up, establish and improve a long-term mechanism for free health check-up for the whole people, and effectively run this medical benefit project, so that people of all ethnic groups in the area can deeply feel the party.
In order to promote the project of medical treatment benefiting the people and implement the policy of the Party Committee and government of the autonomous region that each urban and rural resident in Xinjiang enjoys a free medical examination every year, the Party Committee and government of our county attach great importance to it, act quickly, fully deploy it, set up a special leading body, formulate an implementation plan, and carry out the work in combination with the actual situation. Let the people truly feel the warmth and care of the party.
First, the basic situation of the physical examination object
Organize five types of physical examinations for urban and rural residents in Qitai County. The total data of the county is 2 10950 (including urban and rural children aged 0-6 (including 6) in the first category 14257, and 7- 14 in the second category (including 14). The third category of urban and rural residents aged 65-05-64 15996 1 person, the fourth category of urban and rural residents aged 65-79 1665438, 4097 elderly people over 80, and 7242 retired workers of the fifth category. In principle, the cost of health examination is implemented according to the standard of 100 yuan/person, and the medical examination funds are solved by the county finance bureau as a whole.
Second, the physical examination work arrangement
The first category is urban and rural children aged 0-6 (including 6 years old). Parents are responsible for visiting medical institutions directly under the county and township hospitals where their children are registered.
The second category is students aged 7- 14 (including 14), and the education department is responsible for organizing and arranging health checkups in medical institutions.
The third category is urban and rural residents aged 65,438+05-64 (including 64 years old). Taking the village (community) as the unit, the village (neighborhood) committee shall organize the physical examination in the physical examination institution. Among them: high school and vocational high school students are arranged by the education department to go to designated medical institutions for health examination. All departments and units are responsible for urging their employees (including retirees) to go to the medical institutions under their jurisdiction for health examination.
The fourth category is urban and rural residents aged 65 years (including 65 years) and above. Taking the village (community) as the unit, the village (neighborhood) committee will organize a medical examination to the medical examination institution.
The fifth category is the retired employees of enterprises, and the community organizations go to designated medical institutions for health checkups.
Three. Work progress
10 June10, Laoqitai Town held a kick-off meeting, and this work was fully rolled out. Other towns and villages have also taken active actions to follow up comprehensively. By the end of June 65438+1October 65438+September, the county had completed 13694 people, accounting for 6.49% of the tasks. Among them, 0-6-year-old children completed the physical examination 14257, completed the task 12.64%, 7- 14-year-old children completed the physical examination16,449, and completed the task/393 1 person, accounting for 23.9% respectively. There are 68 14 people who have received physical examination, accounting for 4.26% of the task. There are 27,525 elderly people and retired workers over 65 years old in the county, and there are 1 102 people in physical examination, accounting for 4.0% of the tasks.
Fourth, the existing problems
(1) The physical examination work is unbalanced. The progress of villages and towns is uneven, and some villages and towns have made slow progress. The promotion of physical examination in classified population is unbalanced. At present, the population aged 15-64 is the population with the largest number of physical examinations among the five groups, and the number of people who have completed physical examinations so far is small, mainly because the personnel organization is not in place. At present, the daily physical examination is still the main task for children aged 0-6, primary and secondary school students aged 7- 14, and elderly people over 65.
(2) The publicity is not in place and the atmosphere is not strong. Some towns and urban communities can't coordinate all forces in time to carry out extensive publicity, so they can only rely on the strength of the Health Planning Commission to carry out publicity. The masses are relatively passive about the national health examination, which leads to the slow progress of the work.
Verb (abbreviation for verb) What's next?
(a) to promote the overall health examination work. Towns and communities should make overall plans according to the completion time and tasks drawn up by the county government, mobilize all forces, and organize health checkups in a scientific and orderly manner.
(two) extensive publicity, create an atmosphere. Township Party committees, governments, departments, especially propaganda departments, should increase publicity through television, radio, online media, rural radio and trade fairs. To create a good social atmosphere in which everyone knows the medical examination policy and everyone voluntarily participates in the medical examination, so as to truly realize health to benefit the masses and promote the economy.