文章正文

摩登家庭

第九个中国医师节|石家庄市人民医院老年医学科主任崔岭:白衣丹心,守护夕阳红_我的网站

4公司声讨战狼2

一 |     记者 侯艳宁 张欣媛凌晨两三点的医院病房,灯火静谧,唯有监护仪的嘀嗒声清脆作响。石家庄市人民医院老年医学科主任崔岭的手机,永远保持24小时待机。    During the two-day visit, the American head of state will meet with Israel's top officials. These will include the new prime minister, Yair Lapid, alternate PM Naftali Bennett, as well as opposition leader Benjamin Netanyahu. He is also set to visit an Iron Dome missile defense base, a system developed jointly by the US and Israel.,The main focus of the US president’s upcoming trip will be a stop in Saudi Arabia, Danny Ayalon, Israel's former ambassador to the US, believes,"In the upcoming trip, the focus will be on Jeddah. Of course, the Saudis will not normalize relations with Israel but cooperation will be on the table.",Riyadh has repeatedly said that a normalization pact with Israel is not possible unless the Palestinian issue is resolved. Israel, which has just entered a transitional period ahead of the November midterm elections is not in a position to offer concessions, apart from symbolic gestures such as granting more work permits to Gazans or allowing crowds to pray at the Al Aqsa Mosque in Jerusalem.,But what Israel can offer to the Saudis, Ayalon says, is a solution to an issue that has been bothering them for years – control over the Tiran and Sanafir Islands in the Red Sea.,The two islands were under Saudi jurisdiction until 1950, when Riyadh transferred them to Egypt. Israel captured them during the Six Day War, but later returned them to Cairo as part of the 1979 bilateral peace treaty.,Egypt has been in control of the islands since then, but in 2016 President Abdel Fattah al-Sisi promised to give them back to the Saudis. However, for that to happen, he needs the consent of the Israelis, due to the terms of the 1979 agreement.,Back then, Israeli consent was not given. Now, however, it seems to be on the table, Ayalon says. He stresses that Israel may use the issue as a bargaining chip in talks on the opening of Saudi airspace for Israeli planes or on defense cooperation. The latter is crucial for Riyadh, he says, especially in light of the threat emanating from Yemen's Houthi rebels, linked to Iran.,"Of course, the Saudis will continue with their lip service to the Palestinians, but cooperation will be taking place under the radar. However, the scope of that cooperation will not be big", the former diplomat says. "There is a generation gap between the Saudi king and his son, Crown Prince Mohammed Bin Salman, and unless there is a shift, nothing will move towards the formalization of ties," he added.,Palestinian Issue,Before Biden came to power, he vowed to support the two-state solution, resume funding for the Palestinians that was halted under his predecessor, and open the American Consulate in East Jerusalem to counter balance their embassy in the western part of the disputed city.,More than a year after his inauguration, many of the issues he had promised to resolve are still up in the air.,The US Consulate hasn't been opened in East Jerusalem yet, and doubts run high as to whether it ever will. The Palestinian Liberation Organization's office in Washington that was shut under President Donald Trump is still closed. Funds that were given to the Palestinians in the past have not been fully restored.,The Palestinians have repeatedly stressed their dissatisfaction with the lack of progress on their front, and Ayalon says the arrival of Biden is aimed at calming the mood.,"There won't be any breakthrough on the Palestinian front. But Biden does want to take some credit for the economic assistance to the Palestinians, and he does want to bolster the security cooperation between Israel and the PA, sending a message to Hamas.",Iran Nuclear Deal,Although last week another round of talks between the US and Iran ended in a stalemate, Washington is still interested in pursuing that path.,If a deal is reached, the US would remove many of its sanctions from the Islamic Republic in exchange for the ability to supervise Tehran's nuclear program.,The deal taking shape is disturbing officials in Jerusalem and Riyadh, who claim that a nuclear Iran might threaten their security, allegations Tehran has repeatedly denied. Ayalon says Biden's visit will try to mitigate the damage. He will also try to "get the support of Israel for the deal". But the Jewish state is unlikely to be convinced, even under the leadership of the more liberal Yair Lapid.,Israel’s Prime Minister Claims Iran ‘Dangerously Close’ to Obtaining Nuclear Weapons12 June, 00:10 GMT,The Israeli PM is heading to Paris on Tuesday, where he will meet President Emmanuel Macron to discuss the deal with Iran and attempts by the Islamic Republic to remove its Revolutionary Guards from the list of terror organizations.,In September, he is also planning a trip to New York, where he will address the United Nations General Assembly and raise the issue of Iran once again.,"Lapid is likely to tell Biden that Israel is not bound by this agreement, if it does happen. Israel will emphasize that it will have a free hand when it comes to Iran, and that also means that it can adhere to plan B," Ayalon said, referring to a military option.,Russia's Operation in Ukraine,However, Biden is not only going to Israel for the sake of regional issues, the former diplomat claims. His visit to Israel and Saudi Arabiacomes amid raging hostilities in Ukraine, and the US head of state will try to convince the two Middle Eastern nations to stand by the side of Washington, he adds.,Although Saudi Arabia cracked under the American pressure to pump more oil, prices on crude continue to climb, shaking the economies of the US and Europe.,Israel, on its part, has also taken a lukewarm approach vis-a-vis Ukraine. Although it has publicly denounced Russian actions, absorbed thousands of Ukrainian refugees, and provided thousands more with medical and humanitarian assistance, it has not joined sanctions against Russia. And Ayalon says his country is not planning to change its course.,"President Vladimir Putin has been friendly with Israel for all these years. Plus, we have a big Russian population in this country. So I doubt Israel will join the Western sanctions against Moscow. It is simply not in our interests," he concluded.。科室微信群里,患者最新的生命体征数据、异常指标随时刷新,无论多晚,她总能第一时间精准研判、远程指导。

二 | 在无数个这样的深夜坚守里,她为高龄重症老人守住生死防线,也亲手改写了一个科室的命运,温柔托举起一座城市的“夕阳安康”。

三 | 从“边缘科室”到“全院支撑”2017年岁末,崔岭接手老年医学科时,这里是全院无人问津的“边缘角落”。科室病种单一、技术薄弱,仅能开展基础输液治疗,连护士扎血气都费劲,绩效靠后是常态。

四 | 拥有重症医学、肾内科双重专业积淀的崔岭,见过无数生死险境,面对低迷的科室现状,她没有抱怨退缩,而是用她常说的三句话“以病人为中心”“打铁还需自身硬”“打铁必须自身硬”,让老年医学科走上了逆袭之路。

五 | 这三句掷地有声又实实在在的话,成了科室逆袭的起点,也成了崔岭深耕老年医学的初心标尺。没有现成的诊疗经验,没有成熟的技术团队,她便把每一例复杂危重病例当作实战课堂。上呼吸机、床旁血滤、心包穿刺、深静脉置管,一系列高难度重症操作,从前专属重症科室的技术,逐步在老年科落地常态化。

六 | 医护人员见遍各类老年共病、疑难重症,日复一日的实战淬炼,积累了丰富的临床实操经验。

七 | 科室护士们骄傲地说,就连工作年限少的护士,参加中级职称考试时也能一次性通过。崔岭曾立下一句硬核承诺:“全院其他科室不敢收、不愿治、难度高的老年患者,统统交给我们,老年科全权兜底!”如今的老年医学科,早已今非昔比,百人医护团队、近三百张床位、横跨三大院区,成功挂牌石家庄市老年医院,成长为支撑全院发展的重点学科。

八 | 在首创老年-创伤共管病房深耕临床多年,崔岭深知老年患者的就医困境。

九 | 高龄老人大多身患多种基础病,一旦骨折、突发急症,便陷入求医无门的绝境。尤其是老年髋部骨折,被称作“人生最后一次骨折”,高龄患者术后死亡率极高,叠加复杂基础病、麻醉风险、并发症隐患,长期以来都是各大医院的手术禁区,无数老人只能卧床忍痛、无奈静养。看尽患者辗转求医的无助,崔岭决心打破桎梏、破除壁垒。她主动对接医院创伤中心,定下双向协作的默契:“外科敢开展手术,我们就敢全程兜底保障。”2025年3月,她牵头在省首创老年-创伤共管病房,颠覆了国内医院数十年分科诊疗的传统模式,开启内科、外科、麻醉科三方联动护航的全新诊疗体系。在这里,内科医生精准把控术前评估、基础病调控、术中监护与术后康复全流程,外科医生专注手术精准操作,麻醉科全程守护术中安全,多学科协同发力,为高龄共病患者闯开手术禁区。72岁的高爷爷摔伤致股骨颈骨折,叠加二十年重度慢阻肺,肺功能极差,当地医院不敢收治。

十 | 转入共管病房后,崔岭和医护团队仅用24小时优化呼吸功能、40小时完成微创手术,老人术后第六天便顺利出院。不止于此,团队更是突破医学传统禁忌,成功为5例合并急性脑梗的高龄患者完成骨科手术,刷新老年共病诊疗纪录。截至目前,共管病房已服务近250名高龄患者,手术转化率达95.6%,平均住院日压缩至7.3天,大幅减轻患者病痛与家庭负担。这套高效、暖心的模式从骨科逐步拓展至妇科、血管外科、肝胆外科、耳鼻喉科、普外科等多个科室,成功入选“全国老年友好型社会建设典型案例”,科室也获评“全国人文爱心科室”。老年医学不只是“治病”,更是“治人”在崔岭的行医理念里,老年医学从来不只是“治病”,更是“治人”,是守护老年人完整的生命质量与生命尊严。临床中,她发现绝大多数高龄老人存在多重用药难题,一身多种慢病,单次服药十余种,药物相互冲突、副作用叠加,很多老人食欲不振、身体虚弱,并非病情所致,而是过量用药损伤肠胃。为破解这一民生痛点,2022年崔岭开设全国首创的药物重整门诊。她让患者带齐所有药盒逐一筛查,细致甄别每一种药物的功效、冲突与副作用,精准精简药方,践行“一种病一个药、一天吃一次、一次吃一片”的诊疗目标,从根源上减少药物损伤。与此同时,她牵头打造省首家老年快速康复病房,整合老年科、营养、中医、心理、药学等多学科资源,为老年患者提供消炎治疗、康复训练、营养支持、心理疏导一体化服务,让老年患者康复速度大幅提升。她的守护,贯穿老年人健康全周期。从三甲医院精准诊疗,到社区巡诊科普,再到居家长效随访,她搭建起全方位、闭环式的老年健康服务体系。住院时,她手把手教会患者及家属居家养护、营养搭配、安全康复技巧;出院后,微信随时在线答疑,实时监测患者体重、尿量等关键指标;闲暇时,她扎根社区、养老院巡诊宣教,把优质医疗资源送到老人身边。作为省级老年医学人才培训基地负责人,她已培育174名复合型老年医学人才,为区域银发健康事业储备中坚力量。用医者仁心托起一座城市的“夕阳安康”医者仁心,最是温情暖人心。在全力救治病痛的同时,崔岭始终用心守护生命最后的温柔与尊严。2019年,石家庄市人民医院成为石家庄市安宁疗护试点单位,崔岭牵头制定全市安宁疗护服务标准,打造了“晚晴”“等闲”“南风”等诗意满满的安宁病房。

十一 | 不同于传统病房的冰冷压抑,蓝天白云的天花板、柔软温馨的被褥、允许家属全天候陪护、可携带私人物件的人性化设置,让临终老人拥有安稳舒心的环境。她带领团队融合医疗护理、心理疏导、志愿帮扶力量,用药物镇痛、芳香疗法、音乐疗愈缓解患者躯体痛苦,用“四道人生”人文照护,引导患者与家属完成道歉、道谢、道爱、道别,温柔化解生死离别之痛。曾有一位反复住院的老人临终前心结难释,牵挂着三岁便别离、数十年未见的儿子。

十二 | 崔岭查房时敏锐察觉老人的郁郁寡欢,多方辗转打听、联络寻人,促成父子跨越数十年的重逢。放下毕生遗憾的老人,最终安详离世。

十三 | 还有一位尿毒症合并食管癌晚期患者,生命进入倒计时,却心怀诸多未了心愿。崔岭耐心陪伴沟通,帮老人梳理出“去北京看升旗”“见见想见的人”等十个愿望,联合家人逐一助力完成。老人离去那日,原本阴沉的天豁然明朗,老人一身安然平和,无憾辞世。崔岭说:“在ICU,把病人从死亡线上拉回来是胜利;在安宁疗护,让晚期病人有尊严、无痛苦地走完最后一程,是另一种胜利。”每年,她的团队都会用温柔与坚守,守护超百名临终患者体面走完人生最后一程。

十四 | 从无人问津的边缘科室,到全国知名的老年医学标杆;从被动对症治病,到全周期、全链条守护银发安康;从攻坚危重病痛,到让生命尊严地谢幕。行医三十余年,崔岭始终怀揣最朴素的初心:“人人都会老,家家都有老人,多换位思考,就能把这份工作做好。”没有轰轰烈烈的壮举,只有日复一日的坚守,崔岭用专业与热爱,为万千老人护航最美夕阳红,让暮年时光皆安康、皆温暖、皆有尊严。

十五 |

Current article:http://www.chuandanfozhuanbenglipaicuzi.pics/znzo/4mc4.doc

Published on:09:08:28


|