【Warm Doctor Essay Solicitation】A Powerful Perseverance, Let’s Warm up Each Other

  “On the long road of seeking medical advice, it’s you who gave me sunshine-like warmth, and the one growing up together with my weight was the power and confidence in continuing a happy life!”

     Ms. He (assumed name), just over 40, seemed to experience a nightmare never waking up over the past one and half year. Progressive decline occured to her weight without any signs, her figure gradually became thin, the original healthy and carefree life was changed into a journey of physical and mental twists and turns to her. Since then, she was traveling between various major hospital in Hangzhou for consultation. She had taken various physical examinations but no organic causes were found. The diagnosis result was written: severe malnutrition. The clinical reception doctors gave different treatment methods, while her weight was still reducing instead of increasing. Within a short period of several months, her weight reduced to only 28kg. Down with her weight was her passion and hope for life. “My life was once in darkness, feeling nearly depressed”, and even now Ms. He is still a little scared recalling those days.

    After admission to our department, the gastroenterology doctor, together with the nutrition department nutritionist, first made a comprehensive evaluation of Ms.He's nutritional status and digestive system function, and understood her current dietary situation carefully and patiently, and formulated an individualized treatment plan in line with her actual condition. However, in the early stage of the treatment, the communication between Ms.He and the medical staff was not as smooth as expected, and the bridge of trust was not set up.

    According to Ms.He's own situation, after professional evaluation, Director Zheng suggested that her parenteral nutrition combined with parenteral nutrition support treatment. Among them, the enteral nutrition scheme needs to retain the nasogastric tube, and quantify the nutrition pump for standardized intestinal high nutrition support treatment. From the previous treatment experience and repeated effective treatment effect, Ms.He had a lot of concerns about the gastric tube and repeatedly questioned the treatment plan. Even so, the doctors in the treatment group did not give up their continued communication. Time and again, they patiently told Ms.He the need for the current treatment plan, they fully respected Ms.He's treatment will and choice, but do not give up her determination to continue to persuade her to receive treatment. Finally, Ms.He agreed to lien the stomach tube for intestinal nutrition. But on the first night of the gastric tube, there was obvious intolerance, and she pulled out the nasogastric tube, and even led to nasal bleeding. Implementation of enteral nutritional support treatment programs was once again blocked. The dim expression of Ms.He silently sitting in front of the hospital bed thin figure poses heartache and worry.

    “Let's try it out again”，This is the most words Ms.He's doctors have ever said. The doctors in the diagnosis and treatment group discussed repeatedly, believing that from Ms.He's current condition, considering the poor willingness to take active food, nasal feeding enteral nutrition combined with parenteral nutrition treatment is still the optimal treatment plan. Every ward round and tour, head nurse Zhou Jianying and the nurse sisters always conduct bedside education with smiles, encouraging her to actively cooperate with the treatment and establish confidence in recovery. Again and again, the encouragement, let Ms.He felt a sincerity from the medical staff, and finally agreed to continue to try to retain the stomach tube. Fortunately, after the gastric tube again, the nutritional treatment was very smooth.The nutrient solution was absorbed bit by bit and her weight rose bit by bit. He felt that her world was restoring to color inch by inch.

    When discharge 20 days later, she gained weight by nearly 1Kg, and this change was unprecedented in previous treatments. Before leaving the hospital, the dietitian evaluated it again, formulated a detailed daily diet profile for her, and repeatedly told her to strictly follow the diet after going home. In the following one month, Ms.He's weight has been growing steadily again and again, and the number on the scale has increased bit by bit: 2Kg, 2.4Kg and 2.8Kg, which is delightful. In each visit, Director Zheng's professional guidance and sincere encouragement made Ms.He began to be full of confidence in rehabilitation, so that her rekindled her passion for life. The mood is suddenly enlightened, but also makes her active willingness to eat enhanced, the nutritional status has improved day by day.