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患者故事

(English) A United Family Story of Care from the Heart

(English) Amazing Orthopedic Team Creates a True Life Outlook Reversal for a Spinal Fracture Patient

In July, 1998, former Chinese women’s gymnastics team member Sang Lan fractured her spine in a serious accident while warming up on the vault during the 1998 Goodwill Games in Uniondale, NY, leaving her paralyzed from mid-chest down at age 17. For those dealing with a cervical fracture, like Sang Lan at that time, it is often a deeply daunting life prospect as victims immediately feel they face life-long paralysis. The initial physical damage very often gives way to deep emotional and psychological pain as well, when faced with such a challenge.

The same type of cervical fracture also happened to David, (name changed to protect real patient’s privacy). David, who comes from Germany, fortunately faced a much different destiny than Sang Lan, thanks to the medical team at Beijing United Family Hospital (BJU). Arriving at 8pm on December 6, 2017, David underwent emergency spinal surgery to address cervical fractures that left him paralyzed from the neck down. The amazing result, only one day after the surgery, was that he could move his fingers and toes while lying on the bed in the recovery room. After an exhaustive uphill battle to help David through a very difficult spinal surgery, the orthopedic team of Beijing United Family Hospital produced tremendous results for this patient, creating a miracle of life.

A Bad Fall Leads to UFH’s Emergency Room for This German Patient

David experienced a bad fall during a visit to Luoyang, dislocating his upper spine, leaving him paralyzed. After 5 days in a local hospital, his insurance company intended to evacuate him back to Germany through International SOS. However, taking into account the nature of the injury and that transporting him such a long distance might endanger his life, the insurance company decided instead to transfer him to Beijing United Family Hospital for treatment.

At BJU, 57 year-old David was also found to be diagnosed with ankylosing spondylitis (AS), a type of severe debilitative arthritis without a cure that can eventually lead to immobility. It is sometimes called “undead cancer” in Chinese, as it can lead to partial or full paralysis, but not necessarily death. Patients with this disease often develop a severe physical disability in the absence of systematic treatment, seriously impacting their life and work. Beijing United Family Hospital’s Department Chair of Orthopedics, Dr. Jike Lu, described that before the accident, due to the disease David’s spine was already very brittle and easy to break like bamboo. David’s wife said the accident occurred in the evening when he was crossing a parking lot and accidentally slipped and hit his head on a car. After initial tests, David’s cervical vertebra numbers 2 and 3 were both found to be fractured.

On December 5, 2017, David arrived at Beijing United Family Hospital, 5 days after the accident. After being diagnosed with AS which was found to lead to this central spinal cord injury, it was clear to David that the situation was extremely serious, and that he was facing full body paralysis perhaps for his entire life. It was understood and discussed with the medical team that if emergency surgery was not performed immediately, the disease could further cause lung infection, urinary tract infection, lead to bed sores, or cause other issues which might threaten his life at any given time, let alone the spinal fracture potentially leading to respiratory arrest.

Only One Day after Surgery His Toes Could Move, Seeing an Overnight Reversal of Fortune

On David’s first day at BJU, the physician and medical team immediately conducted a thorough examination. Time is life! Therefore, the whole hospital worked together in a rapid fashion to line up everything and get David ready to undergo emergency surgery by the very next day. Not only did a full complement of medical and surgical staff become available to assist with the surgery, but BJU’s Department of Medical Equipment properly and promptly provided all the necessary orthopedic spinal surgery equipment. This included some very special surgical equipment, such as a posterior cervical retractor, non-invasive anterior cervical instruments, and other special equipment for such a complex surgery. Dr. Lu Jike, together with some of China’s top spinal surgery specialists invited in from Tianjin, took on the big responsibility of this operation, clearly discussing all the ramifications and options of the surgical plan to make sure everyone was on the same page.

The operation ended at 3am on December 7. Later that very same day, David, who was not able to independently move his extremities before surgery, was not only able to sit up with a bit of support, but was able to also move his toes and shoulders all on his own.

David’s wife excitedly noted that David’s hand also moved a bit right after surgery, which was completely impossible pre-operation. Understanding that a full recovery would take very a long time, the patient was surprised to wake up and see the progress. Some of his first words upon recovery were, “Everything is getting better and better, it’s a lot better than before!”

Sophisticated Spinal Surgery Bed Plays a Key Role

An important piece of equipment made a critical difference for this patient to have a successful operation. The special orthopedic Jackson-table Spine Surgery Bed had been previously purchased and was available for just such situations, at an investment of over RMB one million by Beijing United Family Hospital. The Jackson-table Spine Surgery Bed is almost exclusively used for spinal surgery, as it can be set in different positions according to the severity of the spine, thoracic and lumbar vertebras injury. Its special functions mean patients are safely moved during surgery in a way that provides maximum safety and security.

By using this special surgery bed, Dr. Jike Lu conducted posterior decompression, fixation and bone graft fusion, all while turning Mr. David through nearly 360-degrees of positions, without any negative pressure or effect on the cervical spine. By the end of the operation around 3 am the next morning, the surgical team was not only able to stabilize the spine and relieve the compression, but it also was able to prevent possible complications in the future.

Multidisciplinary Teams Worked Seamlessly to Maximize the Patient’s Safety

The very effective collaboration between multidisciplinary teams of medical personnel at Beijing United Family Hospital has been praised in the past by both patients and industry professionals alike. This successful procedure and treatment for David highlights the advantages of such multidisciplinary collaboration within BJU.

Orthopedic Department Chair Dr. Jike Lu, who hails from Australia, has 30 years of experience in orthopedic clinical practice. He is known as an authoritative expert in spinal cord injury and paralysis. He has conducted in-depth research and published extensively on spinal cord injuries, publishing more than 60 articles on spine, spinal cord, and limb injuries in globally-renowned orthopedic scientific journals such as Spine, Spinal Cord, Cell Transplantation, Brain, Brain Research, Ankle, and American Orthopedics, among others.

Dr. Liu Wei, Chair of BJU’s Department of Anesthesiology and Pain Management, carefully designed the anesthesia program for Mr. David before his surgery. Dr. Liu not only has superb skills, but also remained inside the operating room during the entire surgery, ready to deal with any possible situations that could potentially arise. “The contribution from the anesthesiology team is unforgettable,” said Dr. Jike Lu. “If there had been no good anesthesiologist there, the operation couldn’t have been completed successfully,” he said.

In addition, Beijing United Family Hospital’s Chief Respiratory and Critical Care Medicine Specialist, Dr. Sahba Maani, was involved in the preoperative discussion with the orthopedic surgery team. Dr. Maani and his team made sure the Intensive Care Unit (ICU) was on standby and ready to go from the time the patient was admitted, throughout the operation, and through recovery.

An experienced, fully-trained, and fully-equipped nursing team was assisting at all times, lead by OR Head Nurse Ge Rui. Nurse Ge and her team stayed up all night to remain at David’s side, there for anything he or his family needed.

Physical therapists later helped David to conduct immediate joint rehabilitation exercises, practicing joint and muscle activity right after surgery. Beginning rehab right after surgery can accelerate a patient’s recovery time.

“We have great confidence in United Family Hospital,” said David’s wife. “Even in Germany, I do not think it could be better than this.” she said. She went on to compliment BJU on not only the satisfactory surgical results, but also the full range of postoperative care Mr. David received.

The professionalism of the physician team, the dedication of the nursing team, the solidarity and collaboration among the multi-disciplined teams, the timely use of high-tech equipment, showed both the hardware and software of the hospital that combined for success. In this life relay race, the Orthopedics team at Beijing United Family Hospital moved way out in front for David, passing on the baton of life to David himself, allowing him to continue on to amazing success and glory!

Orthopedics at Beijing United Family Hospital (BJU)

The Department of Orthopedics at Beijing United Family Hospital is chaired by Dr. Jike Lu, an Australian orthopedic surgeon and an expert in trauma, spine surgery, and joint arthroplasty. It is comprised of a team of experts and specialists that hold an international level of distinction in modern orthopedic surgery. We are dedicated to providing our patients with the full spectrum of high-quality orthopedic primary and subspecialty services.

Our services include, but are not limited to:

  • Trauma surgery (Fracture, dislocation, injury of neurovascular soft tissues)
  • Joint surgery (Shoulder, elbow, wrist, hip, knee, ankle)
  • Spine surgery (Cervical vertebra, thoracic vertebra, lumbar vertebra, sacral vertebra)
  • Hand surgery
  • Foot and ankle surgery
  • Pediatric orthopedic surgery
  • Orthopedic oncology
  • Sports medicine
  • Manual physical therapy
  • Treatment of osteoporosis

(English) Honeymoon Dental Emergency

(English) I live [abroad] and suffered severe toothache on the plane on my way to Beijing for a holiday (honeymoon). I was traveling with Great Rail Journeys and while we were waiting at Hong Kong airport, where we had to change planes, they contacted the local tour guide in Beijing to request assistance.

By the time I arrived at Beijing airport the local tour guide had made an appointment for me to visit the dental clinic in a couple of hours time. I went straight to the hospital from the airport. The hospital/dental clinic was immaculate and everyone spoke perfect English making it easy for me to be understood.

I was actually seen half an hour earlier than the initial appointment time. The nurses, who spoke with me about my symptoms and who took the x rays were very helpful and efficient. The dentist Dr Yang was fantastic. She worked quickly and very thoroughly and explained all the time what she was doing.

She explained the treatment I would need when I returned to my home town. She very helpfully followed this up by emailing me the x rays and the medical report so that I could send this on to my dentist. The service throughout was fabulous. I finished the course of antibiotics and had absolutely no problem with my teeth for the remainder of my very enjoyable holiday.

I cannot speak highly enough about the excellent service I received in China. Within 4 hours of landing at Beijing airport I had been seen by the dentist, had x rays and over an hour’s treatment and was back at my hotel with painkillers and antibiotics! My sincere thanks to everyone who was involved in my care on the 2nd September. I am very grateful.

-Ms Tilson

我们一直在您身边!

一封来自一位经历过意外医疗急症患者的感谢信:

亲爱的和睦家全体员工,

我几乎无法用更美好的语言来形容和睦家医疗及其全体员工对我住院期间的关心与照顾。在我出院之前,我给Dr. Bai及许多护士,还有我的物理治疗师Ma Huan Huan写了感谢信。但很遗憾的是,在我回美国之前,还没有来得及给我的营养师Carlynn Sze写感谢信。

与Carlynn相处的短短那几天,她帮助我认识到了饮食对糖尿病的影响,也帮助我了解到人体是如何代谢食物的,以及胰岛素是怎样帮助促进血糖代谢并促进组织细胞对糖的利用的。此外,她还让我认识到了均衡饮食的重要性,如:合理食用糖类食物是极其重要的。

几年前,我参加了一个为期6周的关于饮食和糖尿病方面的课程。然而,这门课程反而误导了我,让我误以为要尽量避免食用糖类食物。因此,我要再次感谢Carlynn, 多亏了她的专业讲解,我才意识到均衡饮食的重要性。

最后,我还想表扬一下客服部专员Rossana Fernandes及她的部门。Rossana 工作非常认真、细致,并且特别专业,她总是及时告知我一些住院注意事项还帮助我适应这样一个远离家乡和家人的新环境。她的确是和睦家医院的财富。

感谢你们让我能够有机会对我的住院经历发表感想和评论。

一位充满感激的患者

跨越国界的生命绿色通道

出国旅行或公干最头疼的莫过于在异乡生病或出现急症,亲人不在身边又语言不通。2013年2月底的一天,一位日本籍患者在飞机落地北京后突发剧烈头痛,呕 吐,继之出现昏迷,被紧急送至和睦家医院。到达急诊室时患者呼吸、心跳骤停,情况十分危急。在进行了心肺复苏和头颅CT检查后,医生发现患者有蛛网膜下腔 出血及急性脑积水——这是颅内动脉瘤破裂出血的典型临床表现。

颅内动脉瘤是指颅内动脉血管壁的某个局部出现薄弱区,长期在血流的冲击下逐渐向外扩张,形成鼓包样的血管瘤。局部区域的血流压力越大,动脉瘤破裂的危险就越高。国际上对脑动脉瘤采用Hunt-Hess五级分类法,从一级到五级逐级加重,五级属濒死状态。这位日本籍患者到达急诊室时已经处于危重的四级到五级状态,和睦家脑血管病急诊绿色通道随即启动,神经外科医生五分钟内到达急诊室会诊、一个半小时内所有相关人员全部到位,对患者实施急诊治疗。作为颅内动脉瘤诊断的金标准,神外医生对患者进行了脑血管造影检查,确诊为颅内动脉瘤破裂引起的蛛网膜下腔出血,并发现载瘤动脉血栓形成。

就在患者接受急诊治疗的同时,和睦家客户服务部的日本语客服专员第一时间与患者在日本的家人取得联系。在等待患者家属到达医院的4个小时里,由于患者有急性脑积水表现,神外医生又对患者进行了侧脑室引流释放脑脊液,并作好进行血管内介入栓塞的准备。然而,患者的病情在这4小时的等待时间里发生了转折。在栓塞术前脑血管造影检查时,医生发现动脉瘤的载瘤动脉由于血栓形成而自行闭塞,阻止了病情的恶化。患者随即被送至重症监护室进行密切观察及并发症的治疗,并在第二天恢复清醒。

此时,带领神外团队的凌锋教授的隐忧始终悬而未解。颅内动脉瘤第一次破裂出血的死亡率相对较低,如果第一次出血后没有得到及时治疗,患者发生第二次出血的死亡率就高达60~70%,第三次破裂的死亡率将达到85%以上。凭着对脑血管病的职业敏感,凌教授决定进行一次CT血管造影检查,确定载瘤动脉血栓是否会由于自身的纤溶启动而自行溶开。然而事实正如担心的那样,在CT血管造影检查时,医生发现患者自行闭塞的血管血栓局部融开。脑血管病专家张鸿祺医生随即进行了急诊介入栓塞手术,在危难来临前及时挽救了患者的生命。

接受栓塞治疗后第3天,患者离开了和睦家医院,在家人的陪护下回到日本。由于患者的动脉瘤位置十分罕见、出血后5~7天又是脑水肿的发病高峰,凌锋教授联络了日本最著名的脑血管病专家,确保患者回到日本后能够继续进行后续的治疗和康复。

从患者被急救车送至和睦家、到在家人的陪护下离开医院仅仅7天时间。回顾这跌宕起伏的一周,急诊室、放射科、神经外科、介入治疗中心组成了一支特殊而强大的医疗团队,及时、准确地诊断病情,两度将患者从死亡线上拉回。脑血管病绿色通道和重症监护室保障了患者的诊断、治疗和恢复都能够在和睦家医院及时、无缝衔接,免除转院奔波。与此同时,客户服务部担当起病患及其家属与医生、医院之间的桥梁,尽最大的努力让患者和家属在异乡有最完美的就医体验。在凌锋教授的协助下,患者已经在日本开始了后续的治疗和康复之路。

本文根据北京和睦家医院神经外科病例研讨会内容及对聂庆彬医生的采访整理而成

2015—2016年度患者故事集锦