What's missing from the early diagnosis and treatment of breast tumors in county hospitals? The big currymen came to do this in person

(Health Times reporter Wei Wei)
On a Saturday morning at the end of November, more than 100 women of different ages arrived at the Miao Autonomous County People's Hospital in Qiong Zhongli, central Hainan Province, and they did not want to miss the benefit when they learned of the "excellent medical assistance - Hanquyou® rural medical care public welfare line" through the county hospital and the county women's federation. And thousands of miles to help the doctor, is from Guangdong, Fujian, Jiangxi, Hainan and other places of the first-line experts.the scene of the popular consultation, but everyone in good order, waiting in line for experts. The incidence of breast
in Hainan is increasing, and early diagnosis and treatment is facing challenges
the disease spectrum of the whole country has changed and the incidence of cancer is getting higher and higher. "Hainan Province currently does not have a complete breast tumor registration data, through the past few years our Hainan Province Anti-Cancer Association Breast Cancer Commission on the province's breast cancer rough statistics show that the incidence of breast cancer in Hainan Province is also low in the country, but it should not be ignored that the rate of increase in recent years is relatively fast, the actual work to see more patients in the middle and late stage, which shows that the problem of early diagnosis and early treatment in Hainan still exists." Tang Peng, secretary-general of The Anti-Cancer Association of Hainan Province, honorary president of the Breast Surgeons Branch of the Hainan Physicians Association and director of breast surgery at Hainan Provincial People's Hospital, told reporters.
" Qiong zhong county because of the once inconvenient transportation, once a well-known poor county in the province, the entire health care system is relative to other developed areas in the country or weak and lagging behind. This time to see the Qiong Zhong County People's Hospital after the construction, the level of rapid improvement, and before there have been earth-shaking changes, but for tumors such a higher mortality rate of diseases or lack of oncology. Similarly, there are still many county-level hospitals in the province that do not have pathology or the targets required for diagnosis. Professor Zhong Xiaojie, chairman of the Breast Cancer Professional Committee of the Hainan Anti-Cancer Association and deputy director of breast surgery at Hainan Provincial People's Hospital, added that this has also led to an increase in some late-stage patients. So many patients came to our provincial cancer hospital, the time to see a doctor is already in the middle and late stage, and some people come after even surgery can not do, unfortunately. "
the core of early diagnosis and early treatment at the grass-roots level, the county hospital must first do not miss an early patient
" in today's group of patients, some breast disease has never been seen, some have been separated for up to three or five years before the hospital re-diagnosis, which also shows that many people he is really not convenient. In addition, our county hospital also lacks the basic equipment for breast cancer diagnosis and treatment, such as target. Professor Liu Jian, chairman of the Oncology Physicians Branch of the Fujian Physicians Association and director of the Breast Oncology Department of Fujian Cancer Hospital, said.
" in fact, the cure rate of early breast cancer is more than 90%, especially in stage 0 to 1 breast cure rate is very high. Even if it was a terminal tumor at the time of the unfortunate diagnosis, it was not intrepid. A significant proportion of patients with relapsed metastasis breast cancer live much longer. Professor Wang Shusen, director of the Department of Breast Diseases at Sun Yat-sen University Cancer Hospital and chief expert in breast cancer medicine, told reporters that these ideas need to be passed on to the grass roots.
this prompted a number of people to join the same shot, went directly to participate in this primary hospital consultation exchange. Some experts have made similar attempts in their own provinces. Such as Jiangxi Province breast cancer early diagnosis technology group leader, Nanchang City Third Hospital Vice President and Director of the Breast Center Professor Cao Yali told reporters that as early as 2016 the hospital led the establishment of Jiangxi Province Breast Specialist Alliance, "the whole of Jiangxi Province has more than 100 grass-roots hospitals as a coalition unit to join, but also often go deep into various places to help grass-roots doctors training, so that the standardized diagnosis and treatment of breast tumors can be implemented at the grass-roots level, and even help the grass-roots construction of breast specialist." Cao Yali said that this time also hope that the previous experience can play a role, so at the same time, Professor Cao also personally to a number of selected very good rural doctors, including the grass-roots doctors gave a lecture, to pass on the latest knowledge of cancer diagnosis and treatment.
" early diagnosis and treatment, the first doctor is the most important. County hospitals don't necessarily have oncologists, so they face more challenges. But for the grass-roots doctors here, not necessarily to retain patients to personally treat, early detection shows the doctor's ermen, but also for the diagnosis and treatment has made a great contribution. Early screening, do not miss diagnosis or misdiagnosis.
An advance team deep into the field head science screening, to help rural doctors through the last kilometer
Zhong Xiaojie director told reporters that the experts who participated in the consultation are the major hospitals breast specialist ace doctors, but they did not because of the county hospital medical treatment is slow, but for each patient are personally detailed examination, and constantly tell the surrounding county hospitals to get through the peer.Professor Wang Shusen said:
"The breast on the surface of the body, if a little conscious, then more than 2 cm of tumors can be touched with their free hands, many patients, come to the hospital, not only breast lumps, but the armpits have lumps, which shows that they have no awareness of prevention and treatment." Doctors go to mass screening - an idea that is difficult to achieve early diagnosis and treatment, so it is recommended that county hospitals also set up a team of health science to bring knowledge to the field. For example, explain a good family history of high risk, such as learning to self-check, and healthy eating habits. "
" hope that through us such a rural public welfare consultation and help tour such a form, so that the grass-roots including rural doctors, timely detection and can not deal with the difficult and complex diseases sent to the higher hospital to treat, in the higher hospital to complete his core diagnosis and treatment work after the follow-up maintenance and follow-up one This kind of rehabilitation process can sink to the primary hospital to complete, the higher hospital is no longer overcrowded, the primary hospital is no longer deserted, and the common people do not have to go to the provincial city frequently run, in the county to get appropriate diagnosis and treatment, can get through the last kilometer of medical care mentioned by our Premier Li Keqiang, save medical resources. Liu Jian said the voice of his peers.
" in the treatment of breast cancer, the new domestic drug Hanquyou market, do not let a HER2-positive patients fall into the hope of Fuhong Hanxuan, especially in some less developed areas. Our excellent medical assistance public welfare activities will be combined with the rural doctor program has been continued to help improve the level of breast cancer diagnosis and treatment", Fuhong Hanxuan Cancer Division Vice President Zeng Zuyun participated in the whole event.
" Qiong Zhong County, the county's resident population of 1822 million, hainan Province is a well-known poor county. After lifting out of poverty in 2019, county hospitals are still responsible for health poverty alleviation. I feel very good about this event organized by The Shanghai Fosun Foundation and Fuhong Hanxuan. Today's organizational consultation effect is very good to come so many patients can get top expert consultation, the opportunity is very difficult to get. Su Qiongchuan, secretary of the county hospital party committee, said, "There are relatively few oncologists in county-level hospitals, so the doctors who launched the improper class of the whole hospital came to listen carefully to our experts, but also organized the village doctors to help them improve their own level of diagnosis and treatment, but also to visit and go home to relatives and friends, the early diagnosis and treatment of breast disease is of great help." "
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