data_translated_from_Chinese_to_English.csv

text,language
"The National Heart Centre Singapore covers an area of 50,000 square meters. It receives more than 100,000 outpatients every year and is expected to do so by 2030.",English
"The number of patients seeking consultations will increase to 200,000. Zheng Youjin, a 72-year-old retiree",English
"That day, we went to the National Heart Centre Singapore, preparing for surgery. When we were young, our heart valves were very thin.",English
"It works very well. But once you get older, calcification will occur. The white area represents its calcification.",English
"Once it becomes calcified, you can imagine that the heart valve will not open as well. The heart valve will also become thicker and harder.",English
"But last year, he felt that something was wrong. Because sometimes he had difficulty breathing, because last time...",English
"That means the heartbeat is relatively loud, so a heart problem was detected. The heart valve is a very important part of our heart.",English
"So usually when the heart contracts, the heart valve opens, allowing oxygen-rich blood to flow throughout the body. When the heart valve is narrowed, it is more difficult for blood to flow out of the heart.",English
"It can cause pulmonary edema. If they do not undergo surgery, over time this heart valve will become increasingly narrow, which may lead to heart failure.",English
"It is also continuously increasing. Aortic valve insufficiency, as well as aortic valve stenosis like what Zheng Youjin has, are two relatively common conditions.",English
"Zheng Youjin's scan results showed that his heart had signs of calcification, which led to valve stenosis. The doctor therefore recommended that he undergo surgery.",English
"TAVI, or Transcatheter Aortic Valve Implantation, is a minimally invasive procedure in which a catheter is inserted through the aorta in the leg.",English
"Place a shelf at the narrow spot of the heart's door. This shelf will push the old, narrow heart's door to the side.",English
"Blood will flow more easily from the heart to the whole body. In this frame, there is a biological heart valve leaflet. This heart valve leaflet will replace",English
"The function of the old, narrowed heart valve leaflets. The risks of TAVI include, first, the risk of death.",English
"Its probability is about three to four percent, but if TAVI is not done, the heart valve will continue to be stenotic.",English
"The risk of death in a year is about fifty percent. At that time, my mother was still alive and living with me.",English
"So it was a bit more troublesome, but my mother passed away last year. I only told Dr. Yap in December.",English
"Had surgery. At that time, I started to feel quite nervous, then I tried to relax, and in the end, I relaxed as much as possible.",English
"Because life only lasts a few decades, being anxious is useless. Just face the situation calmly; that's how it is.",English
"There are a total of thirty-eight specialist outpatient clinics in the National Heart Centre Singapore. In addition to cardiology, cardiothoracic surgery is also one of the important specialist services.",English
"On this day, also waiting for surgery at the center was Wu Zhenwei, who is 68 years old and has lung nodules.",English
This is the second surgery he has undergone in the past two years. Wu Zhenwei is a business management consultant.,English
"In recent years, he had been actively preparing to establish a new business management consulting company. However, this plan was forced to be put on hold a year ago because he was diagnosed with squamous cell carcinoma.",English
A common type of skin cancer. He therefore underwent tumor resection surgery and radiotherapy to eradicate the cancer cells.,English
"The doctor presented Wu Zhenwei with three options, each with its own advantages and disadvantages. If he chooses to continue monitoring the condition, the patient can avoid unnecessary surgery and biopsies.",English
"A year after being diagnosed with heart valve stenosis, Zheng Youjin arrived at the National Heart Centre on this day to undergo transcatheter aortic valve implantation.",English
"Abbreviated as TAVI. He did not want to trouble his family, so he refused to let them accompany him. The surgery is expected to be completed within an hour.",English
"But if any complications arise, it could be extended to five or six hours. The difficulty of this surgery is that it requires the patient's leg artery,",English
"No stenosis or calcification. Once there is calcification or stenosis of the aorta, other approaches need to be considered when performing TAVI.",English
We can implant this new heart valve. We need to consider that we may need to use the blood vessels in his arm or neck.,English
"Come to intervene with this new heart valve. Lastly, when was the last meal? Last night around five or six o'clock.",English
"Five or six o'clock. Did you take your medication this morning? Yes. For TAVI, our first choice is the femoral artery in the leg.",English
Intervene with this new heart valve. Because its invasiveness is not as great as open-chest surgery or accessing through the neck or arm blood vessels.,English
"Before the development of TAVI, patients could only undergo open-chest valve replacement surgery. During the procedure, patients had to undergo general anesthesia, have their sternum cut open, and have their heart stopped.",English
"Processes such as extracorporeal circulation support. For patients who are older, have a history of thoracotomy, or have poor liver, kidney, or cardiopulmonary function",English
"The risk is relatively high. The surgery has officially begun, and the doctor is operating through the femoral artery in the groin.",English
"A valve with a stent is implanted into the position of the aortic valve through a catheter. This procedure carries its own risks, including stroke.",English
"When we intubate, there may be bleeding if a blood vessel ruptures. The risk of severe bleeding is about ten percent if it really happens.",English
"It may require an emergency blood transfusion or turning a minimally invasive surgery into a major operation to stop the bleeding. In the end, our hearts will beat.",English
"There are electrical impulses that make the heart beat. When placing this frame, it may interfere with or press on those impulses, causing the heart to beat too slowly.",English
"It may be necessary to additionally place a pacemaker. Before we usually perform this procedure, we have them undergo different scans to find out.",English
"For example, whether the blood vessels in their feet are large enough also depends on the size of this heart valve, which helps us choose the most appropriate size.",English
"So if we plan and prepare well, we can usually anticipate what risks we might encounter and get ready for them in advance.",English
"Make this procedure relatively safer. On the other side, Wu Zhenwei, who has lung nodules, is under general anesthesia.",English
The surgery is about to begin.,English
"Electromagnetic navigation bronchoscopy, abbreviated as ENB, is currently the latest minimally invasive clinical technology.",English
"The surgery entered its third hour, and Dr. Wang finally succeeded in removing Wu Zhenwei's lung nodule, as well as the surrounding organ tissues.",English
Zheng Youjin's surgery has been going on for an hour. The doctor is trying to open a stent in the heart to press the diseased valve against the vessel wall.,English
"In this way, the new biological valve can begin to function normally. This surgical method is less invasive.",English
"No cardiopulmonary bypass is needed. The patient will recover more quickly after the operation, making it more suitable for elderly patients with valvular disease. The surgery was very successful.",English
"After undergoing this TAVI surgery, the patient's symptoms will be completely eliminated, and the number of hospital admissions will be almost zero.",English
"The new heart valve can also last at least eight to ten years. As for Wu Zhenwei, who has lung nodules, his lung tissue",English
"It has already been sent to the pathology department of the center for examination. In order to obtain the test results more quickly, Dr. Wang Wenxian personally went to the pathology department.",English
"Go wait for the test report. Unfortunately,",English
The test results were not as Dr. Wang had hoped.,English
"Knee injuries may seem to affect only the knee, but in fact, they can have a wide range of impacts on individuals.",English
Fifty-five-year-old Royston has been troubled by a problem for the past two years. His neck has been in pain almost every day.,English
"There are many causes of neck pain, but after diagnosis, the doctor found that Royston's problem actually involves two very important tissues in the body.",English
Nervous system and cervical vertebrae. The cervical vertebrae refer to the part that connects our head or brain to the body.,English
"Disc herniation—the main problem is that the intervertebral disc between the bones, also known as cartilage,",English
"After it was damaged and ruptured, it shifted backward, so it pressed on our spinal cord or compressed our nerves, causing pain.",English
"Royston was a bit worried at first, but after careful consideration, he decided to have the surgery.",English
"In addition to neck pain, due to nerve involvement, Royston's left upper arm has also been numb for the past two years.",English
"Almost every night, he has to ask his son to help massage his neck and shoulders.",English
"In the past two years, Royston has also not been sleeping well, often being woken up by pain in the middle of the night and having to take medicine to relieve it. He has also tried acupuncture and physical therapy.",English
But there has been no improvement.,English
Spine surgeon Dr. Xia Huiying is going to operate on Royston's cervical spine today. He has to be extremely careful and focused.,English
"Because the cervical vertebrae house the spinal cord, which is an important part of the human central nervous system. Surgery on the vertebrae itself is a challenge.",English
"If there is any deviation, it will cause great inconvenience or even danger to the patient. Therefore, when we decide to work with the patient",English
"When walking this path together, we all feel a heavy responsibility on our shoulders.",English
"That morning, in the operating center of the National University Hospital of Singapore, as soon as one surgery was completed, the medical team had to immediately prepare for the next one.",English
"Twenty-six-year-old Afendi came to the hospital today, preparing to undergo the first surgery of his life.",English
"If it hadn’t been for an accident three months ago, the always healthy Afendi wouldn’t have needed surgery.",English
"Afendi, who has loved playing football since he was a child, has rarely been on the field since starting a family and career. However, three months ago, an invitation from a colleague...",English
"Reignite his passion for the sport. In a friendly match, Afendi had just been on the field for a short while when there was a loud crack from his leg.",English
"After diagnosis, the doctor found that Afendi's anterior cruciate ligament was torn, which is a fairly common injury. The anterior cruciate ligament is located in the knee.",English
"One of the most important ligaments. It is located on the inside of the knee, here. Its function is to prevent the knee from moving forward and backward.",English
So as to maintain the stability of a joint.,English
"Royston, who suffers from cervical spondylosis, came to the hospital for surgery this morning. Because the surgical site is very close to the spinal cord,",English
"If the spinal cord is injured, it may affect the function of the hands and feet, and could even lead to paralysis. Therefore, the surgical team must, during the operation,",English
Monitor the patient's neurological function at all times.,English
"After everything was ready, Dr. Xia made the first incision.",English
The first part of the surgery is to remove the damaged intervertebral disc in order to relieve the pressure on the nerve caused by the disc.,English
"When we perform surgery, we often encounter situations similar to those in everyday life. Encountering bones is just like in daily life.",English
"Encountering some setbacks requires striving and forcing oneself to face them, because bones are a very hard structure.",English
"Encountering a nerve is a very soft and specific thing. So, it's just like in life when we come across things that require us to be careful.",English
"Afendi, who accidentally tore a ligament while playing football, is undergoing ligament reconstruction surgery in another operating room.",English
"Anterior cruciate ligament (ACL) reconstruction surgery actually has a history of over a hundred years. In order to replace the torn ligament, early doctors even tried using ribbons.",English
"Carbon fiber. However, nowadays many surgeries use the patient's own autograft to replace it. The basic steps of anterior cruciate ligament surgery are",English
"First, harvest the patient's own hamstring tendon. After harvesting, we proceed with preparation. The function of the hamstring tendon.",English
"The main purpose is to attach the leg muscles to the bone, and generally, it can regrow after being removed. After Dr. Wang Ming removed this graft,",English
"It is then handed over to the assistant for preparation. This allows him to proceed to the next step of the surgery, which is repairing the meniscus.",English
These two are the menisci. The meniscus is the cartilage between the femur and the tibia. Many patients with ligament tears,English
"There is also the issue of meniscus injury. Currently, the meniscus is in a closed state, and we will take an action.",English
"This way, we can open up this space, so we can see more clearly. Performing surgery in the narrow space of the knee joint.",English
"It's not that straightforward. So if we want to drill a hole in the femur, we need to bend his knee.",English
"In this case, we can drill through here during the internal test. Actually, once the anterior cruciate ligament is torn",English
"The symptoms of most patients, such as pain and swelling, will gradually subside naturally. However, if reconstructive surgery is not performed,",English
"It will be difficult for the patient to participate in some sports in the future. The knee injury may seem to affect only the knee, but in fact it will cause them",English
"Influences in many aspects. For example, if a patient really likes playing soccer, he will feel that life loses some enjoyment, and his overall physical condition will also become worse.",English
"In another operating room, Dr. Xia Huiying was carefully removing the cervical disc, because he was getting closer and closer.",English
The spinal cord is hidden inside the spine.,English
"After much effort, the intervertebral disc was finally removed safely. Dr. Xia's next task is to implant an artificial disc.",English
"Before inserting the artificial intervertebral disc, the surgical team must examine Royston's nervous system. The previously busy operating room",English
It was as if time stood still. Tests showed that after the intervertebral disc was removed,English
"Royston's neurological function has already shown signs of improvement. After receiving the good news, Dr. Xia wasted no time and continued to work hard.",English
"Royston actually has two intervertebral discs that need to be removed and replaced, so up to now, only half of the surgery has been completed. And today, Dr. Xia...",English
There are two more surgeries to be performed. We ourselves are already used to the procedures of these surgeries.,English
So you won't feel symptoms like muscle soreness or pain. Especially when your attention is focused on the surgery.,English
"Cervical disc problems are often caused by poor posture. Therefore, surgeons are actually often a high-risk group for developing cervical spondylosis.",English
"Indeed, many of our doctors do have these symptoms. Some have even undergone surgery before. In fact, this issue",English
"I have thought about it many times. If I have a cervical spine problem, how would I face it? In addition to having to face the risks of surgery, there is cervical disc removal and replacement surgery.",English
"Royston is someone who enjoys working with his hands. For most of his life, his career has been closely tied to the food and service industries. However, perhaps it is precisely the ""manual labor"" he has done,",English
It caused him to injure his cervical spine.,English
"For Royston, it was already too late for regrets, and after making up his mind to undergo the surgery, he could only face all the unknowns calmly.",English
We are also a bit worried. Having surgery at such an old age.,English
"This way, this way, this way.",English
"Eighty-year-old Cai Yongheng has always maintained a healthy lifestyle. However, two weeks ago, he began experiencing severe pain in his groin area.",English
"He is in a lot of pain, but he still doesn't want to tell us. He even told my mom not to tell us. But my mom said he was in so much pain that he fainted. Cai Yongheng has four children.",English
Everyone will take turns visiting and taking care of him and his wife.,English
"Two weeks ago, the children finally managed to persuade Cai Yongheng to go to the hospital for treatment. It was only then that they discovered",English
It turns out that the father was hiding something from them. Inhale. Hold your breath. Cai Yongheng’s groin area would ache from time to time.,English
"There was actually a large lump, and it had appeared as early as ten years ago. Inguinal hernia is a fairly common disease.",English
It is often caused by muscle weakness that occurs as patients age.,English
"Generally, if the patient's condition is not serious, conservative treatment can be chosen. However, if the problem is severe, there is a possibility of intestinal necrosis.",English
"It could even pose a life-threatening risk to the patient. Cai Yongheng, who had always been reluctant to come to the hospital, was told that he must undergo surgery as soon as possible.",English
Is there any pain? No. No.,English
"The keyhole surgery proposed by surgeon Sujith Wijerathne for Cai Yongheng is mainly performed through three small incisions. However, because Cai Yongheng's tumor is particularly large",English
"If the keyhole surgery is not successful, it may be necessary to make a longer incision during the operation.",English
Alexandra Hospital was built by the British colonial government in the 1940s. It has undergone several reforms.,English
This hospital has miraculously continued to operate until today and has found new life in the twenty-first century.,English
"In recent years, Alexandra Hospital has focused on surgical treatments required for common diseases among the elderly, such as hernia, joint replacement, and ophthalmic surgeries.",English
"Nine months ago, Wang Zhenxing noticed that his vision was becoming blurry. After being diagnosed by a doctor, he was found to have a cataract in his right eye.",English
"This is our crystal. As time goes by, the crystal will become less transparent.",English
"Wang Zhenxing, who is currently seventy-four years old, actually underwent cataract surgery on his left eye last October. Although the cataract problem in his right eye is not serious",English
"However, he still decided to have the surgery.",English
"Cataract surgery mainly involves removing the cloudy lens and implanting an artificial lens. Before the surgery, medical staff",English
The patient's eyes will first be measured to customize an artificial lens for them. This surgery can also correct the patient's nearsightedness and farsightedness at the same time.,English
Artificial crystals are very small. They are divided into the legs of the crystal and the central part of the crystal.,English
"Cataract surgery usually takes only about twenty minutes to complete. Although the procedure is quite straightforward, in case something goes wrong",English
It can also cause damage to the eyes. The area involved in cataract surgery is only about ten millimeters wide and four millimeters deep.,English
"Cai Yongheng, who has an inguinal hernia, is having surgery today. Rest. Relax. He is accompanied by his second daughter and son-in-law.",English
"And the eldest daughter. All along the way, he kept saying it didn't matter. Sometimes the washing machine at our home breaks down.",English
He also has to carry it downstairs. Although his father said he’s not afraid.,English
"But the children still felt uneasy, because after all, this was the first major surgery their father had ever undergone in his life. He had never had surgery when he was young.",English
"So we are a bit worried too, being this old and only having surgery at this age. It's okay, it's a simple procedure.",English
"Before retirement, Wang Zhenxing worked in the aviation industry, frequently flying and living in different countries. After retirement, he has a desire to travel around the world.",English
Still not extinguished.,English
"Wang Zhenxing has already undergone a cataract surgery once, but he still feels a bit nervous. As for his attending physician, Dr. Lun Chengzhi,",English
Operating on the patient's other eye is often even more stressful. The outcome of the first surgery may have been quite good.,English
So they must have a desire for this surgery to go as smoothly as the other one.,English
"So when undergoing this surgery, these things may bring you some degree of pressure. However, during the surgery, you need to set all of these things aside.",English
Focus solely on the problem in front of you. The first part of the surgery.,English
It’s just making a small incision of about 2.7 millimeters in the cornea. I think the most important thing is that your hand can’t shake.,English
"This is very, very important. Through a small incision, the doctor will then insert the phacoemulsification probe, liquefy the lens, and then suction it out.",English
"During surgery, doctors must be extremely careful, but patients also play an important role.",English
"Throughout the entire surgery, our patients must remain completely still. Therefore, as doctors, we need to assess our patients before the operation.",English
"Could you please cooperate a little? If they are actually feeling rather nervous, I might suggest to the patient that we do general anesthesia.",English
"So although we are ophthalmologists, it is also very important for us to use our ears to ""see"" what the patient needs.",English
It's up to you. Up to me. One of the main concerns for many elderly patients when deciding to undergo surgery is,English
"General anesthesia is required. Therefore, before the surgery, high-risk patients will be scheduled to meet with the anesthesiologist for an examination.",English
"A typical inguinal hernia repair surgery usually takes about an hour and a half to complete. However, it has already been two hours.",English
"Cai Yongheng's surgery is still ongoing. My younger sister is anxious and keeps saying she wants to come, wants to come. I told her to wait because I feel that...",English
"Although every surgery carries risks, cataract surgery is considered a procedure with a high success rate. Most patients' vision improves within a few days after the operation.",English
"Lin Fengliu, who is now forty-one years old, and her husband are permanent residents of Singapore. For many years, the two of them have commuted between Singapore and Malaysia every day for work.",English
"We go out together like this every day, get off work together, finish work at five or six o'clock, and come back at seven or eight. Sometimes we see something.",English
"We can all talk. For example, why did this house suddenly appear here like this?",English
"Just an ordinary life like this. That day, the couple set out early in the morning as usual. But they were not going to work.",English
Today is the day my wife Lin Fenglou is having surgery.,English
"Lin Fengliu was diagnosed with stage III breast cancer six months ago. Because the cancer cells had spread, she had to undergo surgery to remove her left breast.",English
"What am I most afraid of? What I’m most afraid of is just not waking up. You go ahead, you go to work.",English
"The doctor told me not to worry. As long as you cooperate with us and take it step by step, you will get better.",English
"The moment Lin Fenglou stepped into the hospital, the operating room also became busy. In addition to undergoing a mastectomy, Lin Fenglou also...",English
"Breast reconstruction surgery will also be performed. Therefore, two different teams are gathered in the operating room.",English
"The mastectomy will be led by Dr. Wu Changtai, while the breast reconstruction surgery will be led by Dr. Xu Jingyi. This combined procedure is also known as",English
Mastectomy for breast cancer.,English
"Don't worry. There are many ways to reconstruct the breast, including implant surgery. However, Lin Fenglou ultimately chose",English
Reconstruct the breast using abdominal tissue. Using your own tissue will look and feel more natural.,English
"Over time, the flap will also gradually sag. This is quite natural. However, it is a complex surgery.",English
"It is expected to take eight hours to complete. For flap surgery, because the operation time is relatively long, there will be corresponding anesthesia risks.",English
"A total of six doctors participated in the first part of the surgery. In order to avoid blocking each other's view and movements, each doctor stood in an orderly manner.",English
"Or sit in a prearranged seat. In addition, the resection team must be retained.",English
"Intact breast skin is provided for the plastic surgery team, making the operation relatively more challenging.",English
"According to statistics, with the development of modern therapies, the survival rate of breast cancer patients has shown an upward trend. Even so,",English
Being diagnosed with cancer still fills most people with fear.,English
"What I can't let go of the most is not my husband, but my children. Lin Fenglou and her husband have a son and a daughter, and both children are still in school.",English
"For work, the couple both leave early and return late on Sundays. On weekends, they make time to spend with their child.",English
"My daughter is the type who doesn't show her emotions on her face. She keeps everything inside. As for my son, he goes online to look up information about breast cancer.",English
"Lin Fenglou, a stage III breast cancer patient, arrived at the hospital early in the morning to undergo a mastectomy and reconstruction surgery.",English
"After two hours, the tissue sample from Lin Fengliu's left breast has been completely removed. This sample will be sent to the laboratory.",English
"To check whether there are cancer cells at the margins of the excised tissue. If the test is positive, it means the tumor was not completely removed.",English
The patient may need to undergo another surgery to prevent cancer recurrence.,English
"In breast cancer treatment, the surgeon is often also the patient's primary physician. From chemotherapy to surgery, they accompany the patient through the long treatment process.",English
"After the mastectomy team left, the other doctors from the plastic surgery team immediately entered the operating room to assist Dr. Xu, who was leading the procedure.",English
Patients undergoing reconstructive surgery all hope for the most aesthetically pleasing scars; reconstruction also aims for perfect results. So I think this aspect is the most challenging.,English
"Before the surgery begins, I feel as if I am going into battle. It’s as if this fighting spirit and determination make me want to perform the surgery as well as possible.",English
"After removing the skin flap, the plastic surgery team will use a fluorescence device to check whether the blood circulation of the flap is normal before transferring it to the chest.",English
"At this point, we have reached the critical step of the surgery: using the skin flap to form a new breast mound.",English
"During the surgery, we will adjust the operating table to let the patient sit up. When they sit up, their breasts are in the most natural position.",English
Only then can we see how to make the shape of the breasts symmetrical. For patients who have just been diagnosed with breast cancer,English
"Plastic surgery may not be among their main considerations at all. However, as patient recovery rates continue to improve, more and more people are starting to consider it.",English
Undergo breast reconstruction surgery. This is usually also the final part of the patient's recovery process.,English
"So after undergoing reconstructive surgery, they can gradually return to their previous daily lives.",English
"Just don't keep thinking about that topic. Lin Fenglou is a sports enthusiast who likes swimming, running, hiking, and playing ball games.",English
"Wearing a prosthetic breast would cause her a lot of inconvenience, but her decision to undergo breast reconstruction was also based on other considerations.",English
"Can you eat? I'm afraid you might throw up later. Lin Fenglou, who just woke up from surgery.",English
"Still somewhat weak. Seeing her wake up, her husband Dai Weihau finally felt a weight lifted from his heart.",English
"But is it very faint? It won't be faint. In fact, this is not the first time Dai Weihau has seen his wife lying in the hospital.",English
"Fifteen years ago, Lin Fengliu was involved in a terrible car accident. She even foamed at the mouth on the spot, and it was only after a round of emergency treatment that her life was saved.",English
"Once it was done, I was wheeled out of the ward. The most unforgettable moment was when my husband held me tightly. That was the most unforgettable.",English
"Would you like to try some soup? Every time I get sick, he is the one who takes care of me. I am very grateful to him as well.",English
One’s own wife doesn’t feel tired. Marrying a wife like this means she’s willing to endure hardships together.,English
"We ride a motorcycle in and out of Singapore together, sometimes nagging a bit. But after the nagging, everyone is happy.",English
This day is satisfying enough; I dare not ask for more. You are leaving. I want to hold your hand.,English
"Morning exercise is the way Steven starts each new day. At the age of seventy-one, he looks as healthy as any other senior citizen.",English
But he is actually suffering from stage III rectal cancer and will undergo a major surgery expected to last up to nine hours in a week.,English
"Mr. Wu has stage III rectal cancer. Because of its location, we must first do chemotherapy and radiotherapy to shrink it before surgery can be performed.",English
"If surgery is not performed in time, it will gradually grow larger and may also invade some important nearby organs, such as the prostate and bladder.",English
"It can also spread to other organs, such as the lungs and liver. For Mr. Wu, this surgery is absolutely necessary.",English
"At 6:30 in the morning, 60-year-old Manikam, who had recently suffered a fractured scapula due to an accidental fall at home, therefore on this day...",English
Manikam is a retiree who began living alone after her husband passed away a few years ago. This patient's case is rather special.,English
"Because she has recurrent dislocation of the right joint and I have already attempted joint reduction, but both times have failed.",English
Because there is a large gap in her humerus.,English
"Manikam's body mass index (BMI) is as high as thirty-seven, indicating overweight. Dr. Wu is unable to use regular soft tissue.",English
Fill the gap for her. And the pioneering surgery would also result in a longer recovery period for Manikam. So the best approach is to use bone grafting to fill the gap.,English
"If she does not undergo surgery in time, the patient will suffer long-term pain and will not be able to raise her hand. Dr. Wu decided to perform the surgery for Manikam.",English
Arthroscopic shoulder surgery is a minimally invasive procedure. The patient needs to undergo general anesthesia before the operation. In order to ensure the safety of the surgery,English
"This surgery also incorporated 3D printing technology. We printed two models in advance, one of which was a model of her own humerus.",English
The second is the model of the bone defect that needs to be filled. We use this model to shape the replacement bone that needs to be implanted.,English
"This minimally invasive surgery brings many conveniences to patients and also reduces the risks of the operation. However, it greatly prolongs the duration of the surgery.",English
"This surgery is estimated to take seven hours to complete. If this bone does not fit when placed in, then we have no way to proceed.",English
We will have to switch to open surgery.,English
"Steven, who will undergo rectal cancer resection surgery in two days, came to the hospital. He is here today to have markings made on his abdomen first.",English
"So that a colostomy can be created when necessary, in case a malignant tumor is found in the rectum or anus.",English
"If complete removal is necessary, it will result in closure of the anus. The patient will then need to have a new colostomy created in the abdomen to allow for the passage of stool.",English
"Because Steven's cancerous tumor is located near the pelvis, this has greatly increased the difficulty of surgery. Over the past year, Steven has undergone multiple rounds of chemotherapy.",English
And radiation therapy to shrink the tumor. In order to care for his family and not let them worry.,English
Steven kept telling himself to face it bravely.,English
"Sharil's father, Satar, who is seventy-one years old, not only suffers from heart disease and diabetes, but was recently diagnosed with stage five chronic kidney disease.",English
"Although dialysis is inconvenient, it can prolong life. Our medical technology is quite advanced now, and there are ways to alleviate the situation.",English
People who need long-term dialysis must first undergo surgery to create a vascular access between an artery and a vein in the arm.,English
"However, surgery easily leads to thrombosis. Therefore, Singapore General Hospital launched a three-year trial program using a non-surgical approach to arteriovenous fistula.",English
"Replace traditional surgery. Traditional arteriovenous fistula surgery requires an incision, while this procedure only requires a small needle puncture.",English
This surgery reduces the number of times patients need to return to the hospital for long-term vascular clearance. Dr. Zhang made a suggestion to Satar.,English
"Arrange for this surgery as soon as possible to prepare for dialysis. Manikam, who lives alone, accidentally fell at home.",English
"Resulting in a scapular fracture. On this day, it was necessary to go to the hospital for shoulder arthroscopy. Dr. Wu Yaole is trying to",English
"Hers is a relatively complex surgery, because the area of bone loss that we can see is quite small. If a screw is inserted and the replacement bone fractures afterward...",English
"This will lead to instability of the entire joint. Therefore, the likelihood of her dislocation recurring will be higher.",English
"After several adjustments, Dr. Wu finally placed the replacement bone in the correct position. This model was printed at a 1:1 scale.",English
"So basically it matches the actual gaps that the patient has very well. In order to develop and promote 3D printing technology,",English
"Singapore General Hospital established a 3D printing center in 2022. However, this technology still faces various challenges.",English
"For example, this surgery requires a total of twenty-four hours to convert from a CT scan to a 3D-printed model.",English
"Satar, who has stage 5 chronic kidney disease, is scheduled to undergo a non-surgical arteriovenous fistula medical procedure today. It is estimated to take only thirty minutes.",English
"Satar originally did not want to trouble his family and wanted to go to the hospital by himself, but his son Sharil insisted on accompanying him.",English
"Although this medical procedure is non-surgical, Satar still needs to undergo general anesthesia before it begins. The entire process can be carried out through just a needle puncture.",English
"In the absence of an incision, the doctor needs to use ultrasound to determine the exact location of the fistula.",English
"Next, the doctor inserts a small cannula into the vein through the needle hole. Dr. Zhang then proceeds between the artery and the vein.",English
"Establish a closed conduit. This surgery, like other surgeries, carries certain risks.",English
"There may be infections or complications, such as needing to come back to clear the blood vessels.",English
"Forty-five minutes passed. The surgery took a bit longer than expected, but fortunately, Satar did not experience any complications during the procedure.",English
"The day that Steven had both been looking forward to and dreading finally arrived. Suffering from stage III rectal cancer, he was about to undergo the biggest surgery of his life.",English
"The surgery, expected to last nine hours, officially began after Steven was put under anesthesia.",English
Conventional colorectal surgery involves making a long vertical incision in the abdomen to access and remove the large intestine. Postoperative pain will be relatively increased.,English
"Recovery is also relatively slow. However, this surgery is minimally invasive, so the incision will be smaller and the patient will experience less pain.",English
Recovery can be relatively quick. Our goal is to remove the entire rectum along with the cancer and all the surrounding tissue.,English
"Dr. Xiao first made four 0.5 cm incisions in the abdomen to insert medical instruments into the abdominal cavity, and then performed the entire procedure using a laparoscope.",English
It can display the subtle structures of internal tissues more clearly. The nurse changed the lights in the operating room to blue light.,English
"Because surgeons perform laparoscopic surgeries for long periods of time and are constantly seeing a blood-red scene, their brains experience a saturation effect.",English
"It is even more difficult to distinguish subtle differences in the red area. Blue is the complementary color of red, so using blue lights can help improve this phenomenon.",English
"If it is not possible to completely remove the tumor tissue from this location, the doctor will perform the surgery through the anal area.",English
Dr. Xiao decided to continue the surgery through the anus. Steven's tumor is located in the lower rectum.,English
"The bottom of the pelvic cavity is a very narrow space, which greatly increases the difficulty of the surgery. But Dr. Xiao resolutely removed the tumor, cut by cut.",English
To avoid surgery needing to be converted to the traditional open approach.,English
Heaven rewards the diligent. There was a breakthrough in the seventh hour of the surgery. Dr. Xiao successfully removed the rectal cancer tissue.,English
"Every second counts in the operating room. Dr. Xiao immediately took the tumor tissue to the scrub room for dissection, while another surgeon from the medical team...",English
Then they take over to remove the lymphoma remaining in the patient's body. Many people think that surgery is solely the achievement of surgeons.,English
"However, successfully performing a surgery is only possible thanks to the efforts and contributions of every medical staff member, regardless of the length of the operation.",English
"You generally don't feel very tired after surgery. It might be because I'm full of adrenaline, and I also feel a great sense of satisfaction.",English
"Can accomplish something very meaningful. However, Steven's surgery is not yet complete.",English
"I won't film for now. I have a high fever and need to go to the hospital. Just now, everyone saw me taking my child to see the doctor.",English
"It actually happened before Christmas. Now the child is better, and I feel much more at ease. But at that time, seeing our younger son with a fever...",English
"The look of pain made me feel truly anxious inside. I believe many parents feel the same way. Last year, I happened to take my child back to China for vacation.",English
"At that time, the younger brother also reenacted an identical process of seeing a doctor. The only difference was that it happened in Beijing.",English
"We went to the New Century Children's Hospital. So in this episode, I'll talk about my own personal experience.",English
"It’s about the differences between taking children to see a doctor in Australia and in China. Be sure to watch until the end, because whether it’s the process of seeing a doctor or not…",English
"Even the final cost was quite surprising. Actually, when it comes to colds and fevers, for children here in Australia...",English
"It really happens often, almost every winter, so we are all used to it. This winter, it's our younger brother again, but our younger brother is different from the other children.",English
"It's a bit different. In what way? He just can't take the medicine. No matter what method you use, even if you force him to take it.",English
"After he eats it, he will still throw it up. Both his body and mind will resist it. Then many people come up with ideas, such as adding the medicine to some food.",English
"None of that works. Why? Because my younger brother has developed the ability to resist taking medicine. That ability was built up over several years. And now, his ability has really skyrocketed.",English
"If you put this medicine into any drink or food, no matter how strong the flavor is, his tongue is as sensitive as the most exquisite detector in the world.",English
It can be detected. All those milkshakes and various drinks are nothing. I remember last year when my younger brother went back to China on vacation with us.,English
"Words of encouragement. Is there medicine in here? Then before Christmas is when school lets out, and then a few days before the holiday...",English
"One day, my younger brother came home looking listless and a bit down. As expected, this usually means he’s about to get a fever, and sure enough, by evening he didn’t let us down.",English
"A high fever of 39 degrees has started. Although you are repeatedly hit by the harsh reality that your younger brother refuses to take medicine, you still have to keep trying.",English
"Because in life, you always have to try. As a result, I really didn't expect that after a very patient explanation...",English
"The younger brother actually cooperated and took the medicine this time, and he swallowed it without throwing up. We were so happy we could hardly contain ourselves.",English
"Then we thought that our younger brother had grown up, that the days of not taking medicine were over, and that from then on he would really cooperate with taking his medicine. Our days of liberation had finally arrived.",English
"However, the cruel reality that followed heavily dashed our hopes, which had been soaring high in the clouds, back to the ground.",English
"It made us feel that we really were too young and too naive. Then the next day, my younger brother went back to his old ways and once again refused to take his medicine.",English
"Then came the fever, which lasted for four days. During this time, we did a lot of physical cooling for him and he also drank a lot of water.",English
"But by the fourth day, we felt it was necessary to go to the hospital. Why? Because the fever had lasted for quite a long time, and we needed to check if there were any other symptoms or not.",English
"Think of a way to reduce the fever. As I just mentioned, actually last year my younger brother went through exactly the same onset process.",English
"But in addition to having a fever in China, I also had some coughing symptoms. So this time, I’d like to share with you my own personal experience and feelings.",English
"First, let me talk about the choice of hospital. Since I live in Melbourne, Australia, the first hospital that came to mind was the Royal Children’s Hospital.",English
"The Royal Children's Hospital truly deserves its reputation as one of the best children's hospitals in the world. Every day, they have to monitor things like this airflow.",English
These micro-indicators of bacterial content—and guess what they did in the outpatient clinic? They made an aquarium for the children. So that's why the little brother got sick.,English
"We drove all the way to the Royal Children's Hospital from afar. But after arriving at the hospital and undergoing a series of examinations, we were told...",English
"For patients like my younger brother, who only have a fever without any other symptoms, the waiting time tonight will be at least four hours.",English
"So I didn't say anything, just picked up my little brother and went home. Then the next morning, my brother still had a fever, even though usually in the morning the fever shouldn't be that high.",English
"So without saying a word, we took my younger brother to Monash Children's Hospital, which is not far from home. The facilities here also look excellent.",English
"But there may not be as many hospital choices here in Australia as there are in China. Then, comparing it to my last visit to Beijing in China...",English
"My younger brother was exactly the same—he caught a cold and had a fever, and also had a cough. After a few days, we had no choice but to go to the hospital. But because my younger brother is an Australian national...",English
"So the only hospitals we could go to were those designated by the insurance. Therefore, we chose a well-known children's hospital that was not too far from our home.",English
"International Department. There is also another name, New Century Children's Hospital. Then after I went there, I found that whether it was the facilities or not...",English
"Whether it’s the scale or the overall environment, it really is much worse than Melbourne hospitals. And I was also just curious.",English
I just went to the general outpatient clinic at the nearby children's hospital to have a look. The large hall was full of people holding children.,English
"Those families make it feel like all the children in China are gathered here. The scene is truly quite spectacular. Now, secondly, let's talk about the whole...",English
The process of seeing a doctor—comparing this part is really very interesting. Let me start with Australia: after we entered the hospital here...,English
"The first step is to go to a counter to enter various data, which is probably equivalent to registration in China. Then, after registering",English
Then you will go to a nurse's triage desk. What does this triage desk mean? It means that they will check some basic things for you.,English
"Some symptoms, then they will take your temperature and ask about your basic condition, and then decide your waiting time based on these factors.",English
"If it’s an emergency, you probably won’t have to wait and will see a doctor very soon. But if it’s not that urgent, you may have to wait a bit longer.",English
"After all, there are still quite a lot of sick children waiting for emergency treatment in the children's hospital. That's also why we had to wait a long time the first time we went to the Royal Children's Hospital.",English
"Because according to his triage, the younger brother's fever without symptoms is not considered very urgent, so the waiting time is longer.",English
"We arrived at this Monash Children's Hospital in the morning, so it wasn't that busy. Before us, there was only one child waiting.",English
"But even so, we still waited 45 minutes before we could go in and see the doctor. When we went to see the doctor so close by.",English
The child was taken to a fully equipped ward and then sat on the hospital bed. The doctor began to examine the children.,English
"My younger brother is the type who is only tough at home, but when he comes to a new environment, he is the adaptable type.",English
"Just observing, not daring to act rashly. So he was quite cooperative with the doctor's various examinations. Seeing such a cooperative child, the doctor kept calling him a ""nice boy.""",English
"Good boy. But later, when the doctor tried to give him medicine, he probably really regretted having said so many words of praise.",English
"The doctor's examination process is to first check the younger brother's ears for otitis media, and then examine the nasal cavity.",English
"Check if there is an upper respiratory tract infection in the oral cavity. Then listen to the lung breath sounds to see if there is any suspicion of pneumonia. After that, check and ask about urination and defecation.",English
"See if there is a possibility of a urinary tract infection. After a series of examinations, it was found that there were no symptoms.",English
"It's just a fever, so the doctor confidently determined that this is a viral cold.",English
"Caused by a virus, especially when the fever often rises to a very high temperature in a short period of time, so the doctor recommends still taking medication.",English
"Antipyretics and mainly drinking water, then I started trying to give my younger brother the medicine. The result was that feeding him directly didn’t work, so I put the medicine in ice cream.",English
"The stomach couldn't handle it either. I thought to myself, there's no need to try anymore. From our years of experience fighting this, we've concluded that no method works. Later, after trying many different approaches without success...",English
"The doctor suggests letting your younger brother lie here and rest for a while, drink more water, and be observed for a period of time.",English
"Then he left. Then after waiting for a long time, the doctor finally came back, and I asked him, ""The child has a pretty high fever, shouldn't we do something about it?""",English
"Later, the doctor told us that for this kind of fever caused by a virus, without any other symptoms, it's actually okay not to take medicine.",English
"But the premise is to ensure adequate hydration. As long as there is sufficient water and electrolytes, the child actually won't be harmed by the fever.",English
"There is absolutely no problem. You might see that there is about a 3% chance of fever or seizures, but this mostly occurs in those with a medical history.",English
"In the case of children. So they told us that as long as we keep them hydrated and do proper physical cooling, there should basically be no problems. Then, before we left, they suggested that we let...",English
"My younger brother is having a good sleep and resting in the hospital room, and then he will stay for further observation. Now I understand why we have to wait outside for so long.",English
"It was so long, and there were still people sleeping. Let's talk about things back home. Honestly, what happened back home really made me feel emotional. It left a deep impression on us at the time.",English
"Then I took my younger brother to the hospital. After paying the fees and completing the preliminary procedures, we sat there and waited. It was very quick, probably just three to five minutes.",English
"I was called into the doctor's office. It's just like with general practitioners here—the doctor has their own office, and you sit next to the desk.",English
"Then the doctor will examine you. In addition to routine check-ups like this, the doctor will definitely have you undergo various additional tests, such as a blood test.",English
"Then my younger brother also had to get a chest X-ray and various other examinations. The whole process was very brief, probably less than seven or eight minutes.",English
"Then I mainly went to do various tests. After finishing this round of tests, there was nothing else left to do.",English
"Just wait there for the results. Then, after the results came out, I remember very clearly that the doctor looked at the blood test and said there was nothing seriously wrong.",English
"It should also be viral. Then he looked at the chest X-ray and the result was ambiguous, which basically means the final diagnosis was left to the clinician.",English
"Then I asked the clinician, ""Is this pneumonia?"" What did the clinician say? They said ""suspected."" They wouldn't give me a definite answer, just ""suspected.""",English
"But he suggested, in case the condition develops into something more serious, that it would be better to be hospitalized for intravenous treatment.",English
"It's because we've never had my younger brother get an IV drip before. Since I've lived in Australia for a long time, I know that getting an IV drip in Australia is considered something only for...",English
"It was like surgery, so I was very hesitant. But I couldn't resist the persuasion of my relatives back home, and besides, the child was indeed suffering a lot at the time.",English
"So we completed the hospital admission procedures and prepared for my younger brother to receive intravenous treatment. Then, regarding the third point, I’ll talk about how people ultimately pass away in both China and Australia.",English
"Hospital’s. These features and indications for discharge. Well, to be honest, during this visit with my younger brother to see the doctor in Australia, I really felt that the doctors were very patient.",English
"The final discharge was requested by us. Because if we didn't speak up, my younger brother could have kept sleeping in the hospital. Sleeping.",English
"Drink water and observe. Sleep, drink water, and observe. Then my younger brother couldn't sleep well in the hospital, so we thought that if it's confirmed there's no problem, maybe we could go home to sleep.",English
Then the doctor also needs to consult with his own superior after reviewing all the symptoms to ensure there are no mistakes.,English
"Then he agreed to our request to go home. But before we left, he also gave us a lot of instructions on how to take care of my younger brother.",English
"Then if you develop any symptoms, you need to come back immediately, and there are many instructions like that. So in China, my impression of this illness is...",English
"You must be completely recovered before you can be discharged. Actually, in the end we didn’t stay in the hospital; we just received treatment there, probably because my younger brother didn’t want to stay in the hospital anymore.",English
"So we also stayed at home. But it seemed that after about four days, my younger brother basically had no symptoms and was completely recovered.",English
"At this point, I could finally be discharged and leave the hospital. However, my feelings upon discharge were completely different. In Australia, I was still on edge.",English
"Still quite anxious and worried. In China, you could say they were discharged with smiles on their faces, because the children had fully recovered. Now, the fourth point...",English
"Let me talk about the attitude of medical staff. In Australia, it really deserves to be called a paradise for children, but I'm not too sure about other places.",English
"From my personal experience, you can't even find medical staff with just indifferent attitudes, let alone those with poor service.",English
"Doctors and nurses are basically very friendly, very enthusiastic, and especially good at inspiring and encouraging children.",English
"Let the child cooperate with the treatment. Then, having a smile on their face is probably the most common thing. Of course, it's not always the case.",English
"I have also encountered those younger nurses who are more procedural. Of course, this is really a very small minority. Then, speaking of the attitude of doctors in China...",English
"I don't have much experience in this area, so I can only talk about my experience visiting the New Century Children's Hospital this time.",English
"I just feel that this doctor, you can't really say their attitude is bad, but it's very flat and indifferent, and not very enthusiastic.",English
The place that impressed me the most was that the doctors seemed to be afraid of saying something wrong or doing something wrong.,English
"So his behavior and actions were particularly cautious. During these four days, he also encountered people who were especially fond of his younger brother.",English
My younger brother is quite cute and chubby. The doctor who really likes my brother also teases him a bit. But this feeling is still far from what it's like in Australian hospitals.,English
"The doctor was just that relaxed. Later, I was also quite puzzled. You know, this child is really quite adorable and was indeed very cooperative with the doctor's examination.",English
"Why are doctors all so tense or so unrelaxed? Later, my parents also told me that it was because I had spent such a long time in Australia.",English
They have not experienced all these years of development in China. Because the doctor-patient relationship in China is indeed not very good now.,English
"Because something similar just happened recently—in the emergency room, the family member of a 98-year-old patient killed an emergency doctor. So all these doctors are especially cautious.",English
"Especially in places like this New Century Children's Hospital. Since my younger brother is an Australian citizen, he has to come here for treatment. But the patients who come here for treatment from within the country...",English
"Basically, the family conditions are all very good. They also pay special attention to their children, treating them as precious jewels. So doctors really need to be careful with what they say and do.",English
"Very cautious. So this may be a side effect of putting the medical industry into the market. Therefore, there are some industries that cannot be put into the market.",English
"For example, such as healthcare, for example, such as education. Now, for the fifth point, let's talk about the cost of seeing a doctor. In Australia, as long as the child is a child...",English
"All expenses for medical treatment, examinations, medication, and hospitalization in the hospital are fully covered by the government, and you don't have to spend a single cent yourself.",English
"When you are discharged, the doctor may give you some prescription medication. You can take the doctor's prescription to the pharmacy to buy it, and it is also very inexpensive.",English
"Because Australia's universal health insurance, called Medicare, can reimburse most of the expenses. Of course, you must be an Australian citizen for this.",English
"Or maybe only Australian permanent residents have universal health insurance. If you don't have a permanent residency, you also need to buy a private insurance plan that is equivalent to Medicare.",English
Insurance is necessary. Then let's talk about China. I only have two words: oh my. I won't say any more about this.,English
I’ve put the four days’ medical bills on the screen for everyone to take a look. This is the one from the first day.,English
"Because there are various examinations inside, the cost is a bit higher. So this is the second day.",English
"This is from the third day. Actually, it seems there was no infusion on the last day, only some nebulization.",English
"This is for the fourth day. Over four days, it's more than 12,000 RMB. Heh.",English
"Yes, I can only laugh helplessly. Finally, let's talk about the advantages and disadvantages of taking children to see a doctor in China and Australia. Let's start with Australia.",English
"Let me start with the advantages. In Australia, you don't have to spend a cent to see a doctor, which is definitely an advantage. Also, the environment in Australian hospitals is good.",English
"The facilities are great, and the attitude of the medical staff is also truly excellent. It feels like everyone is working in a very polite and courteous environment.",English
"The same goes for the emergency department. However, many friends have a misconception about this—they seem to think that seeing a doctor or taking their child to see a doctor in Australia...",English
"Doctors always refuse to treat the illness, making the child just drink water and tough it out. And especially the parents’ generation always...",English
"Complaining that medical staff in Australia do nothing. Then, like our younger brother, you go to the hospital and they don't treat you, just send you home. Actually, this is really a misunderstanding.",English
"The illness your younger brother has this time is a viral cold, and there are no other symptoms. So at this time, in fact, this illness is...",English
"It can completely heal on its own. If you let the child recover entirely by themselves from start to finish, it will greatly boost their immune system.",English
"On the contrary, after you intervene artificially in the middle, it actually gets worse. So the best approach here is not to intervene. Moreover, this is a globally recognized treatment principle.",English
"If you can avoid taking medicine, then don’t take it; if you can take medicine, then don’t get injections; if you can get injections, then don’t get an IV drip. So, through this doctor’s visit...",English
"In fact, it also feels that it is not that Australian medical staff are doing nothing, but rather that they are strictly following this internationally recognized treatment protocol.",English
"On the contrary, Australia's medical field is also very advanced. So in emergency situations, the medical staff also base their actions on the child's illness.",English
"Arrange the waiting time according to the urgency and importance. For example, two years ago, it was my younger brother in our family who also caught a cold.",English
"But it triggered some asthma symptoms, making it a bit hard to breathe. Then when we went to the emergency room, there was really no waiting at all.",English
"Go directly to see a doctor, because these symptoms are indeed quite urgent. Although the doctor did not prescribe any medicine for your younger brother this time,",English
"But they also conducted a very thorough examination and instructed us on how to take care of my younger brother. Finally, they also told us that if we had any concerns at all,",English
"Don't hesitate—bring your child to the hospital immediately. Even though the facilities and environment in Australian hospitals are excellent,",English
"The medical staff also had a very good attitude, and the overall treatment followed recognized medical procedures. However, the shortcomings are also quite obvious.",English
"Some flaws are even quite fatal. First of all, it really makes people anxious. Just think about it—your most beloved treasure at home is...",English
"The emergency room was burning hot, and I still had to wait for several hours. How did you feel at that time? And what about this kind of treatment that tries to minimize intervention?",English
"The method is certainly good. However, there are also many cases in which human error in judgment has led to delayed treatment or even death.",English
"Hello, viewers. Today's update on the pandemic: there are 17,801 new local cases today. Unfortunately, there are 3 new deaths. Looking at each city and county, Taipei City has 3,718 new cases today.",English
"New Taipei City has 6,584 cases, and Taoyuan City has reached 2,577 cases. The number of new cases in each county and city is very high. Today, there are 17,801 new cases, in addition to 3 newly reported deaths.",English
"In addition, today there are 14 new severe cases and 14 new moderate cases. There are 7 new critical cases, making a total of 21. The proportion of mild and asymptomatic cases remains at 99.75%.",English
"The main issue today is that, in addition to these three death cases, one was over 90 years old, one was over 80, and one was over 70. One had received one dose, and one had received...",English
"There is another person in their 70s who was not vaccinated. Of course, maybe we will talk more about this later. Among the newly added severe cases today, there is a woman in her 20s.",English
"Received three doses of the vaccine and has no history of any chronic diseases, but today he is in critical condition. In addition, there is also a female child under the age of five who is in critical condition as well. She...",English
"Because he is not yet five years old, of course he hasn't been vaccinated, but he does have a neurological disorder. Let's take another look—this is what we've compiled over the long term. The blue section represents new local cases, and actually, it's been several consecutive days with over ten thousand cases. Today is...",English
"More than 17,000 cases. The main focus is still on the red curve. Yesterday, there was an increase of 47 severe and critical cases; today, it's 21. However, compared to one or two weeks ago, the number of severe and critical cases...",English
"There has indeed been a noticeable increase. Today, let's discuss this thoroughly, including how to allocate emergency medical resources in hospitals overall, and whether rapid tests can really replace PCR tests.",English
Minister Chen Shih-chung made it very clear today: the current policy will be adjusted so that only those who test positive on a rapid test and are asymptomatic will be eligible.,English
"Go get a PCR test. Of course, if you have symptoms, you should definitely get a PCR test. However, by doing a PCR test after a positive rapid test, we hope to reduce the overall burden on the emergency department.",English
"Hello, host, hello, audience. This is infectious disease specialist Dr. Lin Shibi. Hello, Dr. Kong. Hello to all the viewers of ""Let's Talk."" Let's first take a look at today's latest epidemic situation. The domestic COVID-19 outbreak continues to heat up, with new local cases reported on Monday, the 2nd.",English
"17,801 cases have been reported, marking the fifth consecutive day with over 10,000 cases and setting a new single-day high since the start of the pandemic. Among them, New Taipei City has the most new cases with 6,584, followed by Taipei City with over 3,000 cases, and Taoyuan City with more than 2,000 cases. The epidemic command center",English
"Commander Chen Shih-chung stated that the highest daily number of confirmed cases at the peak of the epidemic is estimated to be 200,000. We are roughly using 100,000, 150,000, and 200,000 as low, medium, and high estimates, and then setting up a special plan in case it exceeds these numbers.",English
"This is our estimated number. In addition, 21 new severe cases have been added, among which 3 severe cases have died. The deceased were elderly people aged from seventy to over ninety, all with a history of chronic illness.",English
"It is noteworthy that among the severe cases, there is a woman in her 20s with no history of chronic illness who had received three doses of the vaccine. She experienced worsening abdominal pain and vomiting while under home care after diagnosis, and is currently intubated and on a ventilator.",English
"In addition, there is a female infant under one year old with a neurological disorder who developed a fever and sought medical attention at a clinic. She was not tested at that time. Two days later, she experienced difficulty breathing, was sent to the hospital, tested positive, and is currently intubated and being treated with Remdesivir, making her the youngest case in the country.",English
"Severe cases. For younger children, the progression of the illness may indeed be faster because their immune systems are not fully developed, so special care and attention are needed in this regard. As",English
"The number of confirmed cases is increasing. Chen Shih-chung revealed for the first time that if the domestic coverage rate of the third vaccine dose reaches a certain level, in the future, confirmed cases may also be exempt from quarantine, just like in European and American countries. This information is possible, as seen abroad, such as in the United States.",English
"In the end, you don't even need to use a rapid test yourself. If you want to get a PCR test, then go do it. If you don't want to, just rest at home for five days. After those five days, you can go out as long as you wear a mask. As for domestic oral antiviral...",English
"Antiviral drugs section: The command center stated that 669 courses of Pfizer's oral antiviral drug have already been used. On the 3rd, it will be distributed to response hospitals across various regions, and on the 4th, it will be further distributed to pharmacies in different areas to provide for home care use. At that time, not only...",English
"Outpatient and emergency physicians can prescribe medication, and home care teams can also prescribe medication remotely, then have pharmacists deliver the medicine to the patient's home. Vice President, let me first ask for your opinion on the current overall trend—17,801 cases today. Will dedicated wards soon reach full capacity? Hong Ziren: Proper triage of mild and severe cases should be implemented.",English
"I think the overall development at present has actually been discussed by everyone before, and I think the number of confirmed cases should still increase. I think this...",English
"But I think that since April, after about a month here, I feel that to some extent, the public has also slowly started to make some adjustments, including adjustments in mentality as well as in actions.",English
"But I have to say that learning to coexist with the virus takes some time, and, for example, take Singapore as an example—they only started learning to coexist with the virus from August last year.",English
"But when Singapore started in August, at first they also encountered the same situation as we did, including things like not being able to get through to 1922, the government hotline being overwhelmed, and so on. However, after they made some adjustments, they gradually...",English
"I am only gradually getting used to recovering at home. In fact, later statistics in Singapore showed that about seventy-nine percent, nearly eighty percent, of people completed all their recovery procedures at home.",English
"And they later discovered that home recovery has its benefits, mainly because psychological support plays a very important role. That is, at home, there is a sense of belonging and family members can help, rather than being isolated as soon as you are diagnosed.",English
"They just move you away—as soon as you’re diagnosed, you’re moved. He said that feeling is completely different from being at home. But I have to say, given Taiwan’s current situation, I think we are still in the process of learning, still in the process of learning. Just like in the past couple of days, everyone has been asking about the issue of emergency rooms being overwhelmed. Indeed, I did some statistics on our situation...",English
"About 30% of the recent emergency cases at Shin Kong Hospital are relatively mild, or the patients just come for PCR testing. For example, at night when community screening stations are closed.",English
"When he comes to have a PCR test, he might come to the emergency department. Of course, on one hand, he is coming for the PCR test, and on the other hand, although his symptoms are mild, by coming to the emergency department, at least he can...",English
"Getting the medication and going back means that with the medication, you can go back and get treatment, etc. However, these 30% of mild cases coming to the emergency department actually, to some extent, affect the emergency department's ability to admit those who are truly the most critical.",English
"The patient's situation is like that. Regarding the overcrowding in emergency rooms, there are two questions. First, don't we have community testing stations in Taipei City or in each county and city? Yes. In theory, these people should all go to community testing stations instead of hospital emergency rooms. That's one point. Second, of course, I know that the testing stations have...",English
"There was no way to have that capacity that night. Maybe, if it was in the middle of the night—but I’m not really sure why you would do rapid testing in the middle of the night. Now, Taipei screening. Yes, the seven major community screening stations in Taipei City are actually almost all...",English
"There are quite a few attached to hospitals. For example, a certain hospital has an emergency department, and right next to it is a community screening station. So it is almost integrated with the hospital's emergency department. So it's not like there is a separate community screening station.",English
"A screening station completely separate from the hospital. Are community screening stations also part of the hospital? Yes, they are set up inside the hospital, right? For example, Shin Kong Hospital’s community screening station, United Hospital also has its community screening station next to the hospital. It’s just that...",English
"Another area outdoors—so these are all connected. So now we have two bottlenecks: everyone, in the process of learning to coexist with the virus, has to go through a period of growing pains. Growing pains.",English
"We just need some learning, like the example I gave—besides the emergency department, what is the second example? When I came today, I specifically took stock of our hospital's dedicated wards. We have already opened 77 dedicated ward beds, and so far, 69 people are currently admitted.",English
"The bed occupancy rate has already reached 89.6%. Right now, the number of people is over 17,000. If one day it exceeds 50,000, then inevitably, our hospital, which is already operating at nearly...",English
"15% of dedicated wards. If that's still not enough, more will be opened. Everyone is asking, strangely, why are there so many people crowded into these dedicated wards when there aren't that many severe or critical cases? These dedicated wards are needed for people to receive care and treatment, among them...",English
"One factor is that I still need to use the program to communicate with the public, to communicate with everyone. That is to say, many people, when they are admitted to the specialized ward, in fact, after 5 or 7 days, their viral load...",English
"He has already come down, and he no longer needs oxygen support. In fact, patients like this can be transferred to a centralized quarantine facility or even go home. However, many patients may be worried on one hand, or they may not understand.",English
"He will insist, saying, ""No, I want to be tested until I am completely negative before I go back."" So sometimes, when the doctor wants to discharge him, they will encounter some difficulties from the patient's side.",English
"He would say that if I go back, my family will be very worried, and staying in the hospital is the safest. Yes. The family members might also think that it's best for you to stay in the hospital, and only come back after you test negative for everything. So what I want to say is that in the process of moving from zero-COVID to coexisting with the virus...",English
"I think we, the public, are also learning. That learning includes the kind of concerns people have psychologically. We also need to consider that, although today he is already staying at Shin Kong Hospital and the doctor has determined he can be released from isolation, right?",English
"The CT values checked are all greater than thirty-four. But if you let him go home at this time, he is still considered positive because the CT value is greater than thirty-four. The CT value just means that his viral load is already very low, so low that it has almost no impact on the community. However, after you let him go home, his family will still be worried, right?",English
"He said that if you come back before your count has completely reached zero, I would still be very worried. But the problem is, here comes the issue: in dedicated wards, if in fact these patients have already reached the point where they can be released from isolation, or their viral load is already extremely low...",English
"When people occupy them, then how can those who truly need them, the moderately and severely ill patients, be admitted later? Right? But that's why I'm saying I want to tell the public, to ask everyone, that dedicated hospital beds are very precious.",English
"Medical resources are limited, so everyone needs to demonstrate a spirit of mutual assistance and cooperation. That is to say, if a doctor determines that you can be transferred or go home, I ask everyone to follow the doctor's instructions.",English
"I often say that from 2020 until now, one of the three key factors in Taiwan's successful epidemic prevention is the civic quality of our people. The standard of our Taiwanese people is world-class. At this time...",English
I ask everyone to once again demonstrate this level of civic responsibility and cooperate with the hospital's medical plans. Doctors will not say that you cannot be discharged or that you can be discharged arbitrarily—that's impossible. But if the doctor determines that you can be discharged...,English
"Please cooperate with us. Because once you are discharged, the next person can come in, and we can reserve these beds for moderate to severe cases for those who need them more. I especially want to ask everyone for your cooperation on this program. Also, to echo what the deputy director just mentioned, the first point is...",English
"What we mean is that we thought community screening stations were independent and had an endless capacity, but that may not be the case because community screening stations also need to be supported by the hospital system, and they are often set up next to hospital emergency departments. These are called community screening stations. So if the emergency department is overwhelmed, I'm afraid...",English
"That community screening station has long been overwhelmed, and it also consumes medical manpower and resources. So, for this part, we should consider another solution. Secondly, if we look at this just now...",English
"At present, we have about 240 moderate cases and about 35 severe cases. In theory, these roughly 300 people should all be in the hospital. If there are 300 cases in all of Taiwan, how could it be that just Shin Kong Hospital alone has that many?",English
"More than 85% of these dedicated wards are fully occupied? I'm afraid that's not the case. First, these are currently for severe and critical cases. Second, some are for mild cases.",English
"But high-risk patients also need to be hospitalized. For example, if they have cancer or other conditions, even if their symptoms appear mild, they are still high-risk. These people also need to be hospitalized. What's even more important is...",English
"He is directly at home, like in the past few days I have encountered—okay, I have encountered some patients in the clinic who called in. Actually, they are confirmed cases, but they have mild symptoms or are asymptomatic, and they call to ask for...",English
"When it comes to going to the clinic, he wants to take medicine because he has symptoms. Actually, our government now has a home care program that is supposed to be managed by primary care physicians. This was already decided in mid-April.",English
"But because there wasn’t a good set of rules established at the beginning, each county and city now handles things differently. In particular, Taipei City assigned it to the United Medical System, but the United Medical System is already very busy—they have people to take care of and look after.",English
"Severe case. And actually, he can't handle the amount for this screening. So what I received was just a list of clinics for video consultations sent to him by the health bureau, and he came to us on his own. Of course, after we saw him, we...",English
"The clinic has an app, and we are also doing this voluntarily, greeting them every day to see if there are any changes. In fact, I have also received many young children, under the age of three—there are quite a few—and some are elderly.",English
"Actually, all of these are high-risk. Then, as just mentioned, our emergency screening. In fact, last year, in May, it was the same situation—the emergency rooms were all overwhelmed. So at that time, we launched what we called community screening stations, which were set up separately. At that time, we...",English
"Grassroots doctors were also mobilized to provide support. That is, outside of hospitals, we set up a few more sites in some hotspots, and then we could take over and arrange shifts. This is something we can do, because this has already passed.",English
"Experience with running. Also, in some institutions in Taipei City, there are actually confirmed patients inside. That means the other residents all have to be tested. In fact, hospitals are currently unable to handle this. Our Taipei City Medical Association and the Taipei City Health Bureau also have...",English
"Such a mechanism. In fact, in the next two days—tomorrow and the day after—we will also have physicians entering the institution to help conduct testing for them. Yes. And thirdly, I myself am an otolaryngologist.",English
"Our otolaryngology medical association is good—regarding this, we are experts in the respiratory tract and are the most specialized in this kind of screening. Yes. So actually, in late April, we went to...",English
"A letter was sent to the command center saying that we are willing to take on and share the capacity for this screening. The command center has already replied to us, and then...",English
"Because previously, when we wanted to conduct this screening in the clinic, the regulations were actually very strict. Almost none of our clinics could meet them. For example, some of the infection control requirements or certain space planning—actually, our clinics...",English
"Most of them probably can't meet the requirements; only a few larger clinics are able to do so. However, as the pandemic situation has changed, more people have been vaccinated, and now Omicron is also a milder variant. So this time, the guidelines given to us have actually been relaxed.",English
"We are currently investigating which ENT clinics meet these criteria and believe their clinics are capable of undertaking this. We will complete the investigation before May 5th and then send the list back to the command center. At that time, if these clinics meet the requirements...",English
"You can also help this patient do a PCR test in the clinic. In this way, it may help share some of the medical workload of our hospital. That is to say, there are three aspects: the first is to set up more community testing stations that we can go to, and the second is in the clinic.",English
"Some people can do it. The third one is that within the organization, we can take on this task. In fact, during last year's outbreak, we already gained this experience and can get started at any time. Yes. In other words, we hope...",English
"Very soon, ideally, we will have PCR testing in hospital emergency departments, and we will also have more community PCR screening stations. We hope that these so-called...",English
"Primary-level communities can implement this in more clinics. Physicians at the clinics should be able to directly conduct PCR testing instead of rapid tests. Yes. We will cooperate with laboratories and some hospitals, and then the specimens...",English
"Send it over there as well. Yes, yes, yes. But let's take a look—today the command center also announced several measures to ease the overcrowding in emergency rooms. First, local governments need to set up more community testing stations.",English
"The second point is that emergency duty hospitals need to set up epidemic prevention and fever clinics to divert patients. And the most, most, most important thing is that if you have no symptoms, you must test positive on a rapid test. He didn't say how many times.",English
"Then decide whether to do a PCR test to avoid using up PCR resources over there. Of course, if you have other symptoms or are high-risk, you can still go directly for a PCR test. We also encourage primary care clinics to participate in sample collection.",English
"If there are no symptoms, because the emphasis on asymptomatic cases is to identify the hidden transmission chains of asymptomatic carriers, I think that's more of the mindset and approach from the time of zero-COVID. Now, I think the general principle is that you only need to get tested if you have symptoms. Don't...",English
"There may be quite a few problems. Because rapid tests are more likely to show positive results when there are symptoms and the viral load is high, that's why Mayor Chen Chi-mai posted about it on Facebook. Positive rate, predictive rate.",English
"It will be relatively high, so you actually have less of a problem with false positives. For example, with the current high prevalence rate in Taipei and New Taipei, last Friday the command center showed the prevalence rates for each county and city, and the differences can be quite significant. You can all see that.",English
"The average positivity rate over the past seven days has already exceeded twenty in New Taipei, and is over ten in Taipei. In some less severe areas, it's still only about two to three. So I think each place may need to handle things individually.",English
"The reason is that we have already found that many people, once they test positive on a rapid test, come to the emergency room, overwhelming the ER to get a PCR test. But from what we can see, with the current prevalence rate in Taipei and New Taipei...",English
"After showing symptoms and testing positive with a rapid test at home, a very, very high proportion will also test positive with a PCR test. That’s just how it is. So, since we now require a positive rapid test...",English
"Anyway, he won't be hospitalized. Since he doesn't have any risk factors, he actually doesn't need medication. In many places abroad, people are facing similar situations. Today on our program, we have compiled a chart of how things are done abroad. Because in many places overseas, they are also dealing with Omicron.",English
"What is this so-called comparative political issue of clockwise and counterclockwise? Let me ask you. Minister Zhong mentioned one point. First, in other countries, rapid tests only replaced PCR when the entire pandemic was on the decline.",English
"The second point is the false positives of rapid tests—you think it's positive, but it's actually negative, which is about 10%. If it's as high as 10%, then we might have concerns about human rights or it could consume more medical resources.",English
"There is a very extreme example that is different from others, and I especially want to talk about it today. The UK is not like that. In the UK, their peak occurred on January 4th, but on January 11th, they said that if you test positive on a rapid test, you no longer need to go.",English
"You can just start home care directly; you don't need to do a PCR test anymore. Okay, it’s true that it wasn’t done before reaching the peak. But everyone, take a look at the situation in the UK—it’s completely different from ours. Take a look at this: it’s per 1,000 people per day.",English
"How many tests can you do? As you can see, the UK is one of the top countries in terms of the number of PCR tests conducted. That's why they were able to withstand the peak of their Omicron wave—their PCR testing capacity was still relatively sufficient. Take a look.",English
"The blue one represents a PCR positivity rate of three to five. It actually holds up quite well. But below, I specifically highlighted us and our friendly neighbor, Japan. We are spread out below; our PCR capacity is actually...",English
"Compared to others, the difference is huge. So I think the situation we are seeing now is that in the past week, we have been doing about 60,000 to 70,000 PCR tests per day. And our positivity rate in this past week has already...",English
"Rising steadily. That means your testing is actually insufficient, you haven't done enough. There are many scattered outside. The experience of various countries probably shows that the pattern is not about whether the epidemic is on the rise.",English
"Whether it is a peak or a decline, the key is your actual PCR testing capacity. Right. Can it keep up with the current development of the epidemic? Exactly. The most important thing is, if it can't keep up, you probably have to make changes. These severe cases are prone to becoming severe.",English
"They have no way to obtain rapid tests at home. So if I am not listed as a close contact, and the government doesn't know that I am a confirmed case, I also can't list my friends and colleagues as close contacts. They won't have enough resources to help them.",English
"To lift quarantine in such a situation. That includes myself—I actually still don't know whether the government considers me a confirmed case, nor do I know what kind of related care needs I might have.",English
"He received the relevant notification and the home care kit for confirmed cases about three days later. Yes, but Pan Yi, let me ask you, actually one of our main points today is whether it is possible to do this on a large scale.",English
"Once the government knows that the PCR test is positive, each of us should have access to relevant medical information. It shouldn't be like my experience, where after I was first diagnosed, I had to keep searching online by myself.",English
"When I had this virus, I had to look up related information online by myself, and at the same time, I was worried about my colleagues who were quarantined at home because of me—whether they could quickly get the resources they needed.",English
"Is it possible to get rapid test kits and related matters? Yes. So we hope the government can provide a more unified and faster channel for us to obtain relevant information, instead of us patients constantly...",English
"We still need to do confirmation over there. If community clinics can be recruited, I think gradually we will be able to increase our capacity, that is, our capacity for confirmed diagnoses. Just now, Dr. Zhou mentioned that regarding the screening part, community and primary clinics are willing and should be able to quickly contribute this capacity.",English
"But regarding the treatment part—yes. I want to say that whether you test positive on a rapid test or are confirmed positive by PCR, for those mild cases, such as the example Pan Yi just mentioned...",English
"Can community clinics help? So, if everyone saw a report a couple of days ago, it said that we currently have over 60,000 local cases, right? Yes. Out of these more than 60,000 cases, there are currently 189 severe or critical cases. If you...",English
"That 189 cases—if you analyze it, you will find that among the current more than 60,000 confirmed cases, the highest number of confirmed cases is actually concentrated in the age group of 20 to 50 years old. These three age groups together account for the majority of confirmed cases.",English
"The proportion is about 60%. If you also include those under 20 years old, about 80% of the people diagnosed are under 50. However, among those diagnosed under 50, the number of moderate and severe cases...",English
"Less than 10%. Out of 189 people, there are probably only 27. These 27 people, about a little over 10%, are moderate or severe cases under the age of 50. On the other hand, let's look at those over 60.",English
"The proportion of infected people in their 60s, 70s, 80s, and above 90 only accounts for 10%, but the number of severe and critical cases is 189 people, which accounts for 148. All 148 are in...",English
"Over 60 years old, so this already tells us a very important message. The current distribution of infections is not at its most severe stage. Because, as it appears now, it is mainly young people who are getting infected.",English
"But we can't be too optimistic, because as this outbreak continues, the proportion of infections among people aged 50, 60 and above will gradually increase. Especially when you look at that report, you really start to worry—just look at those over 90 years old.",English
"That is to say, his current requirements, such as your infection control and so on, are too strict. We have no way to manage inside. For example, if I finish with one patient and want to see another patient, I have to change my entire set of protective equipment.",English
"All the clothes have to be changed. Because after I finish the rapid test, I have to see regular patients, and those can't be mixed together. Because there could be contamination. So, if at that time, it might get more and more relaxed, because I see in this version, his...",English
"The guidelines are becoming increasingly relaxed. However, we are hoping that those who already meet the requirements can join as soon as possible. If you have a dedicated primary care clinic, can’t you specialize in seeing Covid-19 patients?",English
"Singapore actually has this kind of system, but the government treats them very well. Including their equipment and their compensation, everything is very, very good. In fact, at the very beginning of the pandemic, Singapore already had such dedicated clinics.",English
"With the population aging, osteoporosis is becoming increasingly common. The two of us are now considered middle-aged, so we should also start taking active steps to prevent it.",English
"That's right. Prevention and treatment should not be neglected. In this episode, let's talk about osteoporosis. Can we tell if someone has osteoporosis just by looking at their appearance?",English
Is it a myth or a fact that shorter people have a higher risk of illness? Does acupoint stimulation help? Can patients undergo massage therapy?,English
"What tests and treatment methods are available in both Chinese and Western medicine? Find out all about them in this episode of ""Medical Talk"" and expand your knowledge together.",English
"Wow, when it comes to osteoporosis, I immediately think that women seem more likely to get it. So, isn't the risk even higher for older women? How about we ask our guest about this?",English
"Okay. Welcome to Yun Jie, Huang Jiongyao, and Senior Orthopedic Sports Medicine Consultant Dr. Li Guanghui. Welcome to all three of you. Please come in.",English
"Our guest today—I'm not sure how familiar you are with this topic? You should be quite familiar. Please, have a seat. You invited me here for this topic.",English
"It's because you know me. Really, look at my acting skills—I'm an actor. That's what actors are like. Do you have anyone like that around you?",English
"Or are you worried that you might get osteoporosis? I’m really scared. Because I have a relative who fell—she was older, you know? After that, she couldn’t move anymore.",English
"I've also heard that after some falls, there can be a serious risk to life. What about you, Brother Jiongyao? I'm more worried about my mother and my wife.",English
"Because it is said that women are more likely to develop osteoporosis, they are often urged to take calcium supplements and to supplement more while they are still young.",English
"Actually, I'm quite curious myself. Is it possible to tell if someone has osteoporosis just by looking at their appearance?",English
"You can't tell. Osteoporosis is not visible. Because osteoporosis is also known as the ""silent disease."" Usually, it is only discovered when they fall and have a fracture.",English
"After performing surgery on them, it was discovered that they actually had osteoporosis. So many patients might not even know it themselves. Yes. They have this problem, but why can't they notice it? Yes.",English
"Osteoporosis is a structural problem of the bones, so even though your bones are intact, their quality has deteriorated and calcium has been lost.",English
"This causes a lot of those... cavities in your bones, right? Yes. So once your bones have many cavities, they are not strong.",English
"A minor bump, even a slight injury, can cause you to fracture a bone. So when it comes to osteoporosis, we actually have some misconceptions.",English
"Otherwise, how about this: let me quiz you, okay? Let's see how much you know about this. Here comes the first question. The risk of osteoporosis in men and women.",English
"They are equal, the same. True or false? Come on, three, two, one, please raise your cards. All three chose false. Why?",English
"Because women can give birth, right? Yes. So a lot of things will be lost. Women usually experience osteoporosis during menopause.",English
"It is generally said that women lose calcium more quickly. The risks are definitely not equal. Alright, let's have the doctor reveal the answer. What is it?",English
"Yes, it's fake. Three warm-up questions for beginners. From around age 30 to 40,",English
"The percentage of calcium loss in men and women is about the same. Each year, we lose about 1% to 2%. For women, when they reach menopause at around 50 years old,",English
The loss of that calcium happens relatively quickly—about 2% to 3% per year. This will last for about ten years or so. Ten years?,English
"What about after 60? The calcium loss in men and women is about the same. Okay, everyone did well on the first question.",English
The second question. Running is more effective than swimming in preventing osteoporosis. True or false?,English
"Fake, fake, real. Sister Xiangyun, do you think it's swimming or running? I think swimming is good for the whole body, but I only know that if you want to use strength,",English
"It is better for bone density, but it is not good for the knees. Yes, because when we run, we are constantly putting pressure on them.",English
Our knees—I think that's more damaging to the bones and joints than swimming. When you don't have that much damage...,English
You won't lose it that easily. Really? Prevention. Let's ask Dr. Li. Is the answer true or false? It's true.,English
The answer is yes. Because running is considered a gravity exercise. Only through weight-bearing exercises does our body absorb calcium.,English
Just like NASA astronauts. After they go to space for about half a year or a year and return to Earth,English
Doctors will find that they all have osteoporosis. So we need gravity in order to absorb calcium. What about those weightlifters?,English
"It already contains a lot of calcium. Yes. Now, the third question. If you take calcium supplements regularly, you don't have to worry about getting osteoporosis.",English
"True or false? Come on, three, two, one, please raise your sign. That's what I did. That's what I did, so I believe it's true. You say it's false—why?",English
"There is nothing absolute in this world. It's not that it's useless—it will definitely be helpful, but there are many factors involved in calcium loss. Understood.",English
"That's exactly why I take these calcium tablets regularly. Yes, but also because of this, I make sure to do some exercise regularly, like brisk walking.",English
"I think if you have eaten, you don't need to worry; if you haven't eaten, you definitely need to worry. So, doctor, is this true or false? It's false. False?",English
"If you don't exercise or do those anti-gravity exercises, no matter how many calcium tablets you take, your body won't absorb them. I've heard that taking calcium tablets for a long time is not good.",English
Incorrect. Incorrect. This will only cause kidney stones if you consume a large amount of calcium over a long period of time and do not drink water.,English
"Kidney stone. Doctor, I have kidney stones, but I have been taking calcium supplements every day for the past few years. Will this make my kidney stones worse?",English
"If you drink a bit more and stay well hydrated, you don't need to worry about this issue. For people our age, how much calcium should we be taking?",English
"From age 30 to 50, men and women should ideally consume 1000 mg per day. For men, this increases to 1200 mg at age 70.",English
"But women need to start a bit earlier because of menopause issues. So around the age of 50, it's best to increase it to 1200.",English
"So you see, it's still necessary to supplement with calcium tablets. Okay, let's move on to the next myth, OK? People who are petite and thin are more likely to develop osteoporosis.",English
"True or false? False? I think physique doesn't matter. Whether you are tall or short, as long as your bone density is right.",English
"Then there’s no problem. Brother Jiongyao, let’s use this table as a metaphor. Since you might be a bigger table, the leg you use for support is thicker.",English
The finer ones may require finer ones. So it has nothing to do with the size. Is the answer true or false? It is true.,English
"It's true. It really is. Why? Why is it true? For larger patients, your bone mass will be higher. Higher. For petite patients, your bone mass will be lower. Lower.",English
"Let’s use an analogy: it’s like your savings. If your savings are high, and you lose 1% each year, 1%,",English
"It takes you a longer time to reach the level of osteoporosis. Okay, the last myth, please listen carefully. Becoming shorter in height may indicate that you have osteoporosis.",English
"True or false? True. Let me tell you, if you get this wrong, we'll call Mark back. Come on, why?",English
"Small ones are easier to get, so you will gradually shrink until there’s nothing left. Okay, what about Sister Yun?",English
"It's true. Because when you have osteoporosis, your bone support strength becomes lower and lower, and then you may gradually become hunched.",English
"It just shrinks. It's what we often say about elderly people shrinking. As far as I know, it should mean the loss of our bone mass.",English
"So it will have an impact. Okay, is the answer true or false? It's true. Mark, don't come back.",English
"OK, how should I put it? In patients with osteoporosis, they become shorter actually because their bones are compressed. So each vertebra loses a few centimeters.",English
"Accumulated over time, it can be one or two centimeters. So you become shorter? Yes. Are there any risk factors we should be aware of? Some patients need to take medication long-term, such as steroids.",English
Unhealthy lifestyle and diet habits are like drinking a lot of alcohol and smoking. Smoking and drinking make your body less able to absorb calcium.,English
"There is also another group, such as women who experience menopause very early. For example, those who go through menopause before the age of 40. Are people in this group also more likely to get it?",English
"100% because their hormones have been disrupted. For example, if she starts before the age of 40, she will lose a large amount of calcium in the following ten years.",English
"This of course greatly increases her risk. Simply put, both men and women need to start prevention early.",English
"Alright, after the commercials, we will continue to learn more about osteoporosis. There will also be a traditional Chinese medicine practitioner joining the discussion. See you shortly.",English
"In addition, it has no obvious symptoms, meaning you can't feel it yourself. So it is the cause of many problems in elderly people, such as back pain, spinal curvature, and hunchback.",English
"There is also another main cause of fractures. Because its onset is relatively slow, traditional Chinese medicine refers to it as bone atrophy, meaning the bone becomes atrophied and loses its function.",English
"What are its causes? Generally speaking, the causes are related to what we call in traditional Chinese medicine deficiencies of the liver, spleen, and kidneys, as well as blood stasis.",English
"Let's first talk about the kidney. It includes our organ, the kidney itself. However, many times it also includes many of our physiological functions.",English
"For example, the growth, development, and aging of humans. In addition, traditional Chinese medicine also believes that our hair, teeth, and bones all belong to the kidney system.",English
"Because traditional Chinese medicine says that the kidney is the foundation of innate endowment, and it governs the bones and stores essence. Essence refers to the vital essence. Therefore, when a person is deficient in essence and blood...",English
Bones will appear to be more prone to fragility. Modern epidemiological studies have found that patients with osteoporosis of the kidney-deficiency type are among them.,English
"Their ulna, radius, and the mineral content of their bones are lower than those of healthy people of the same age, or patients with osteoporosis who do not have kidney deficiency.",English
"It is relatively low. That is to say, their symptoms will be a bit more severe. From the perspective of traditional Chinese medicine, the spleen is the foundation of acquired constitution and the source of the generation of qi and blood.",English
So it is responsible for absorbing the nutrients and some subtle substances from our food. Traditional Chinese medicine says that the spleen also governs the muscles of the four limbs.,English
"The spleen is equivalent to what we now refer to in modern medicine as the digestive and absorption system. Therefore, if a person's spleen and stomach function is relatively weak, they will not be able to obtain the necessary nutrients.",English
"So of course this can also lead to relatively weak skeletal muscles. As for the liver, traditional Chinese medicine says that the liver stores blood and governs the tendons. These tendons refer to the ligaments on our bones.",English
"So, many times, diseases of the tendons can also affect the bones. Therefore, when there are problems with the tendons and bones, a person's bones will become fragile.",English
"It can cause joint pain, restricted movement, and lead to bone atrophy. Finally, we mentioned something related to blood stasis.",English
"From a modern perspective, blood stasis refers to abnormal hemorheology. If this condition of blood stasis occurs,",English
"It can cause our blood to become more viscous, which can lead to microcirculation disorders. This, in turn, affects the cells in our body.",English
"There are also organizations whose material exchanges are unfavorable and relatively poor. Moreover, it can also lead to",English
Our absorption of calcium and collagen is also relatively poor. This increases the fragility of bones and leads to osteoporosis.,English
"So actually, they are all closely related. Right. Is there any diagnostic method? The usual diagnostic method we can use is a DEXA scan.",English
X-ray machines. The instrument will measure the bone density of your pelvis and your spine. Why only target the pelvis and the spine?,English
"Because once a patient has osteoporosis, these two are the most commonly injured areas. For example, if they fall and you help perform surgery,",English
"How is their ability to recover? Can they still regain full mobility? For example, will they be able to walk as freely as they did before the injury?",English
"After you have fallen and recovered, some patients need to use crutches to help them walk. So if before you fall...",English
"If you need to use crutches to walk, after you fall, have surgery, and recover, your advanced mathematics will be limited.",English
"Sit in a wheelchair. Sit in a wheelchair, right? So it's step by step. Degeneration? Yes. So what would be the most serious consequence?",English
"The most serious outcome is death. Will the percentage be high? For example, out of 100 elderly people who fall and suffer a pelvic fracture, after one year...",English
"20% will die. Actually, 20% is quite a shocking number. It sounds very scary, so it's really important to take action early.",English
"If you suspect you have it, go get checked. Just now we played a myth-busting game, and now there's an extra little challenge.",English
Because our doctor has prepared these X-ray images. X-rays of the spine. Can you guess which image shows osteoporosis?,English
"There may be more than one answer. OK, what's your answer? A and C. Why? Because A and C look relatively empty.",English
B is still relatively dense here. OK. I also chose A and C. Because B looks very young at first glance.,English
"Then A and C are already a bit bent. Bent. So they are a bit older. The production team wouldn't make it that simple, right? It must be A, B, and C.",English
"Why is that? Because of the gaps between them. I think they're too big. So, what is the doctor's answer?",English
The correct answers are A and C. So B appears to be normal. Normal. Once the patient has,English
"In osteoporosis, if you look at the bone, its thickness is relatively small. Secondly, its density...",English
"No, there isn't. So it looks like a hollow. But if you compare this young man's spine, inside his bones there is a lot of calcium.",English
So it appears as a kind of white shadow. That's how it is. Patients with osteoporosis usually have it as well. Quite severe degeneration.,English
So you can see a lot of bone spurs on his spine. What about C? We can also see that this patient's spine is already a bit curved.,English
"The bone density is also relatively low. OK. Well, thank you, Dr. Li, for your explanation. Everything is clear now. I can take this medicine for about five years.",English
"Otherwise, our bones would become too hard, just like a piece of marble—if you fall, it would shatter completely. As for osteoporosis, we can through...",English
"Pressing this acupoint can help provide relief. It can also alleviate lower back pain, headaches, and more.",English
I would like to ask the doctor: Have you ever encountered any patients who have both osteoporosis and scoliosis? Is osteoporosis one of the causes of scoliosis?,English
"It is also caused by osteoporosis. Severe scoliosis can make a person unable to straighten their back, walking in a half-bent, almost collapsing posture.",English
"However, some cases of scoliosis are actually physiological, such as scoliosis in some young people. It is not necessarily caused by osteoporosis.",English
"Once you cut it, it’s cut. I really want to know under what circumstances you need to perform an osteotomy, because we are orthopedic doctors.",English
"We are performing knee replacement surgery and thigh replacement surgery. Are both needed? Both require removing the damaged bones, the bones that have already degenerated.",English
We will put the metal in. So we have to cut those bones. Understood. OK. What other treatment methods are there? There are two treatment methods.,English
"Non-pharmacological and pharmacological. Non-pharmacological: first, change your lifestyle—do not drink alcohol, do not smoke, do more exercise, especially anti-gravity exercises.",English
"Morning exercise, running, diet. Try to eat foods high in calcium, such as milk.",English
"Cheese, Ikan Bilis soy products. Made from beans? Things made from beans. Speaking of drinking milk and eating cheese.",English
"I now always encourage my wife to drink more milk, and for snacks, maybe eat some cheese-related foods. Yes, so the most important thing is from our diet.",English
"Get enough calcium. Yes. That will reduce the risk of osteoporosis. Risk. So, regarding what you just mentioned...",English
"There is still no way to improve it, so medication treatment is necessary. We generally divide the medications into two types. The first targets osteoblasts.",English
"Another one targets osteoclasts. For most people, between the ages of 35 and 40, our osteoblasts are more active than our osteoclasts.",English
"At 10 p.m. on December 25, ambulances were continuously bringing patients to the emergency room of Peking Union Medical College Hospital. Through internal renovations, the hospital has upgraded and expanded its emergency and fever clinics, and now has two fever clinic areas and one emergency area.",English
"At the first fever clinic area, a little after 8 p.m., Associate Director of the Emergency Department, Professor Li Yi, is seeing patients. He has already been seeing patients for more than seven consecutive hours today. So, do you feel there is a downward trend now?",English
"At the moment, I don't really feel much. We do our best to serve the patients. As long as we are able to receive them, we will do our utmost. In the second fever clinic area, most of the patients are elderly people with white hair. Due to days of high fever, the blood vessels of elderly patients are already in very poor condition. The nurses squat beside the elderly, carefully checking, hoping to get the needle in right on the first try so the elderly can receive an IV as soon as possible and get their condition under control.",English
"Are you here for a follow-up infusion? Is this your first time here? Come. Look at this and answer a few questions. Nurse Ying from Jiangxi, born in 1993, is quickly handling various tasks at the triage desk. In mid-month, after she was infected with COVID-19 and her fever subsided, she returned to work as soon as her health allowed.",English
"On the 25th alone, the fever clinic at Peking Union Medical College Hospital received more than 340 patients, most of whom were elderly. Almost every patient needed timely treatment. We all have our own job responsibilities, but when things get really busy, it’s impossible for everyone to just stick to their assigned posts. Everyone helps out wherever needed. If someone is busy with something else and a position needs to be filled, I will definitely step in and take care of it. We all help each other.",English
"Recently, most of the patients coming for treatment are generally older, and the severity of their conditions has made frontline clinicians truly feel unprecedented pressure and tremendous challenges. The most stressful period was probably around the middle of this month. Now, things are gradually changing, and I feel it’s still somewhat different from before. Previously, it was obvious that more people came to see a doctor as soon as they started to have a fever and were quite anxious. Now, it’s mostly older people, and there are many more patients who actually have pneumonia.",English
"Their ages are all here—you can basically see that they are mostly in their sixties or seventies, yes. And there are quite a lot of them. Because they are indeed more seriously ill patients who need close monitoring, observation, and treatment. I hope this is the most difficult time right now, and we’ll take it step by step. Later on, I think severe cases will probably still be the main focus, which is also quite challenging. But as everyone gains a deeper understanding of the virus and the epidemic, and as we gain more treatment experience, things should get better and better.",English
"In the emergency department, the reporter saw a doctor carrying an oxygen tank, quickly explaining the patient's condition to the patient and their family, then turning around and rushing to the fever clinic. After following the doctor to the consultation room, the reporter discovered the reason—there were patients waiting to be seen.",English
"The patient has underlying chronic renal failure, and now he is experiencing an acute exacerbation of heart failure. He has emergency indications for dialysis and may need hemofiltration, so I contacted the second-line team in the emergency resuscitation room. They said to send him to the emergency department for further management.",English
"There is a seat over there—can we ask him to move his things? No matter how difficult or tiring it is, we must not neglect our care for patients. The elderly woman living in Hufangqiao is 79 years old this year. She came to Xiehe Hospital alone for treatment. The medical staff helped her carry the oxygen tank and find a seat. After her infusion was finished, the medical staff also checked her blood oxygen level before feeling assured enough to let her leave.",English
"Are you feeling a bit better than you were two days ago? Ah, I feel a bit better. Ask the doctor whether you should stay here for further observation or go home first and come back tomorrow for the IV? I'll come back tomorrow.",English
I think the operating room is a very professional and serious setting. We can usually divide the people inside into two main groups.,English
There are two teams: the surgical team and the anesthesia team. The anesthesia team usually includes an anesthesiologist paired with a nurse anesthetist.,English
"Their responsibility is to ensure the patient's safety during anesthesia, because when the patient is asleep, it's not just about being asleep—their blood pressure, heart rate, and possibly blood oxygen levels may be affected.",English
"There will always be some changes. So monitoring and fine-tuning of medication in this part is very important, because after all, surgery is a kind of stress on the body.",English
"He may experience some changes in vital signs, so it is always necessary to be prepared for possible emergencies that may require resuscitation or further treatment.",English
"At this time, having anesthesiologists and nurses here to oversee things increases the safety of patients during surgery. The surgical team usually includes a surgeon.",English
That may include a surgical assistant. This assistant could be a physician or a nurse. There will also be another person at the operating table who is a scrub nurse.,English
The so-called scrub nurse is someone who goes up to the operating table and whose hands must not be contaminated. These three personnel we just mentioned are fixed at the operating table within our surgical field of view.,English
"This refers to the part responsible for performing the surgery. Among them, there may be one or two circulating nurses who do not go up to the operating table; they will be in the open area of the operating room.",English
Coordinate with the surgical team in the anesthesia department. They will verify the patient's identity and confirm the patient's medical history before the patient falls asleep.,English
"Allergy history and his identity—this is the most important part. In fact, in the field of surgery, every single instrument...",English
"Each one has its own name. Every surgeon, in the very first stage of their training, must learn the name of every instrument. For the general public, you might think that",English
"A surgeon is someone who operates with a knife, right? In fact, what we use more often may not be a knife, but scissors. If it's just a knife, usually what we use is...",English
"In addition to the surgical scalpel that we usually think of in surgery, one of the most commonly used instruments is the electrocautery knife. The electrocautery knife usually has an appearance that...",English
"It is like a plastic interface, a connector, which will be connected to a machine. Its main use is for cutting and coagulation. In addition to that, there are also scissors.",English
"In addition to being classified by length, scissors also come with various different tips, such as pointed tips and regular tips. As for other instruments, there are some that look very similar to scissors.",English
"There is something with a Mickey Mouse head shape like this, but actually it is not a pair of scissors. This is a good friend of us surgeons—it is a needle holder.",English
"The key point of the needle holder is that after you make an incision, you must do suturing. When suturing, we do not use our hands to sew directly with a straight needle. We use a curved needle and a needle holder.",English
"Use this needle holder to perform the suturing action. The difference in length is because wounds can be deep or shallow. For shallow wounds, we use a short needle holder, and for deeper areas, we use a long needle holder.",English
"So the uses will be in different places. The right hand holds the needle holder, or a scalpel, or scissors, and the left hand must have something to grasp tissue, which is when we use our forceps.",English
"Each type of tweezer is also different. We have long tweezers and short tweezers. But aside from the length, the appearance and names of each tweezer are also different.",English
"Tweezers can be either pointed or flat-tipped. The damage they cause to tissue is different, so they are used in different situations. In addition, there are also clamps.",English
"An important aspect of the clamp is that, in addition to clamping tissue and assisting with our surgical field of view,",English
"Its main function is that when there is bleeding, we can use it to clamp the blood vessel and stop the bleeding. So although it looks very much like scissors, it is not scissors—it is a clamp.",English
"Of course, that clamp has its own name. The one in my hand that we often use is called a Pean. Besides that, if you've watched ""Iryu: Team Medical Dragon""...",English
You will hear that sometimes they call the instruments by their names. That's because many of the people who invented these instruments were German or from the UK or the US. So they use their names to name them.,English
"We often hear people refer to something as a ""Metz."" What is a Metz? Metz stands for Metzenbaum; it actually refers to the name of a type of scissors. It's the pair of scissors I'm holding in my hand.",English
It is actually tissue scissors. After we learn the name of each of these instruments,English
"Sometimes, during major surgeries at the instrument table, we request instruments through the surgeon, and the scrub nurse hands them to us. The reason we have someone hand them to us is not to act important.",English
"It's because during surgery, you are focused on the surgical field and can't turn around to select your instruments. So after you call for an instrument, someone hands it to you.",English
"You can perform actions continuously within the surgical field. What is particularly unique is that in Taiwan, because",English
"Taiwan inherits Japanese-style education, so the old sensei on the cutting board—our old teachers—are mostly",English
"Passed down through Japanese-style education, they can speak Taiwanese. So at the cutting table, it's often a mix of Taiwanese and English, and you rarely hear Mandarin.",English
"So when you hear them call out, they usually don't say anything except the name of the instrument. Sometimes, when they're just asking for an ordinary pair of scissors to cut the suture, that's all they say.",English
"It will directly call ""scissors"" gato. And when asking for a knife, he won't use the English word ""scalpel"" or the Chinese word for knife; he will just directly say ""bring the knife.""",English
So this is what makes Taiwan rather unique. Many people will emphasize positive pressure or...,English
"I am a doctor in the Department of Cardiology. Since September 2016, I have photographed a total of 405 patients.",English
"""Are you afraid of death?"" One day in 2016, while I was making my rounds, there was an elderly man talking about some events from his past.",English
"Then it suddenly occurred to me that every elderly person is a piece of history. So I wanted to explore this treasure trove. The first patient I photographed,",English
"He was hospitalized because of lung cancer. Every day when I saw him, he was always smiling. He had already been diagnosed with kidney cancer ten years ago.",English
"The surgery was particularly successful at that time. He had already died once, so every day of his remaining life was a bonus—these were his exact words to me. His daughter did not perform well in the high school entrance exam.",English
"Later, he developed schizophrenia. This was something that made the elderly person feel especially, especially regretful, and also especially, especially guilty. About two months later, the elderly person passed away.",English
Then I solemnly handed this photo over to his family. Everyone gave a different answer. An elementary school teacher,English
The most regrettable thing is that he was not able to write books like others. An old tailor in Shanghai.,English
"The most regrettable thing is that I was not able to go to Taiwan to see his brother for the last time. Previously, I received a patient in the emergency department.",English
"He is a patient with colon cancer and widespread metastasis. He has already written his will, and this time he came because he attempted suicide by taking medication. Today, I will be photographing his daughter.",English
She is my 406th interviewee. It has been three years since her father was diagnosed with cancer and reached the current situation. He has undergone more than 30 rounds of chemotherapy and two major surgeries.,English
So he endured great hardship and torment. The old man also talked to me about why there is no euthanasia in China. Did you see the scene when he wrote his will?,English
"The scene of writing the will was not seen, but the scene after he finished writing is over there: on a small stool, there is a pen and a pair of reading glasses he used.",English
"When was that written? It should have been the night before he was critically ill. When he felt that he might pass away peacefully, he placed that piece of paper on his chest.",English
"""Do not resuscitate me."" Everyone says they are not afraid of their own death. Many of the patients are in the late stages of cancer.",English
"No one said ""money."" But the dependence on or desire for money still actually exists.",English
"In the span of three months, he went from being a lively, energetic middle-aged man to becoming emaciated, and finally left us.",English
He did not leave any last words. His wife was in tears throughout the entire filming process. Taking photos was just an outcome.,English
"Brother Mark, today's topic is closely related to both of us. That's right, prostate cancer is the second most common cancer among men in Singapore.",English
"I remember it was ranked third ten years ago, so how did it suddenly become second? I don't understand this either; I have a lot of questions. So in today's episode, I'll talk to everyone about it.",English
This is prostate cancer. Does frequent sexual activity increase the risk of developing prostate cancer? If someone already has prostate cancer...,English
"Is it absolutely necessary to undergo surgery for removal? Or are there any other treatment options? How can it be detected early, and what are the advantages of traditional Chinese medicine treatment?",English
"Yes, please join us on ""Medical Talk: Big and Small Matters"" to learn more. Come on, Li Teng, let's measure your waist.",English
"However, there really are some men who don't even know where the prostate is. No way—a man knows nothing about the prostate? How is that possible?",English
"So the artists we invited today are very knowledgeable about the prostate. Let's welcome our artist guests, Yao Wenlong and Su Zhencheng.",English
"And our senior consultant in urology, Dr. Lin Shijie. Welcome, Dr. Lin. Welcome.",English
"A bold and spirited episode. Come, everyone, please have a seat. Let me ask you two, how much do you actually know about the prostate?",English
"Come, Dr. Lin. Dr. Lin, what exactly is the function of the prostate? Yes. OK, actually the prostate cannot be seen or touched. It is located deep in our pelvic cavity.",English
Below the bladder surrounds the urethra. Urine passes from the bladder through the prostate and is expelled through the penis. Its main function is to secrete prostatic fluid.,English
"Provide the nutrients and environment needed for sperm, so that when they enter the female body, they can strive to swim upstream.",English
"Combine with the fertilized egg to increase the chances of pregnancy. There is another function: during orgasm, the muscles of the prostate contract.",English
"At that time, it helps with ejaculation, and at the same time, it closes the opening of the urinary tract. This prevents sperm from flowing back into the bladder.",English
"Not at all? Not at all. Then if there is frequent urination at night or frequent urination in general, is it related to the prostate? Yes, this is related to the prostate. Yes.",English
"It is produced around the prostate, so if it is to press on the urethra, it usually needs to have a certain volume. In contrast, benign prostatic hyperplasia...",English
"The area of prostate enlargement is around the urethra. Yes. If benign prostatic hyperplasia begins, urinary symptoms will appear relatively early.",English
"It's just like we mentioned earlier, the symptoms related to urination. Yes. Things like slow urination, frequent urination, and so on. Another set of symptoms is...",English
"Symptoms caused by cancer spreading to other organs. If the cancer spreads to the bones, the bones will become fragile and are easily fractured.",English
"If prostate cancer spreads to the spine, if it spreads to the spine and compresses the nerves, it can cause difficulty or incontinence in urination and defecation.",English
"It can even affect the feet, causing weakness and inability to walk. These are very late-stage symptoms. If the condition is this severe...",English
"You can't avoid having to stay in the hospital, and then there are medical expenses, medication, surgeries, and so on. That's right, so you see, nowadays we often advocate that if you're sick, you should get treatment.",English
"So it's best to buy medical insurance. That's right. It can protect yourself and your family, which is very important. So how should we prevent it?",English
"How to prevent it? Then we need to do screening, which we call screening. For prostate cancer, we usually check the blood for",English
"Prostate-specific antigen. In English, we call it PSA. Blood test. Blood test. Yes. Blood test. Prostate-specific antigen is actually from the prostate.",English
"One of the proteins produced. It can be found in men's blood, so the prostate indicator can be detected through a blood test.",English
"How accurate is it? Usually, if the PSA is between four and ten, the probability of having prostate cancer is about 30%.",English
"That is to say, there are other possible reasons that can cause PSA levels to rise. The most common is benign prostatic hyperplasia. Of course, prostatitis as well.",English
"It may also cause an increase in PSA. Therefore, an elevated prostate-specific antigen does not necessarily mean it is definitely prostate cancer. If there is a problem with the PSA test...",English
"You can do an MRI first, which we call magnetic resonance imaging. Let's see if there's anything unusual. What did you just say about a biopsy?",English
"Don't tell me this is the one. This is used to collect cells, so from which part does it go in?",English
"OK, you see this pink area, which we call L1. That is the abnormal part. Now you can see two colors.",English
"This pink one is the MRI image. OK, this cyan one is the image we obtained with ultrasound after the patient was anesthetized. OK.",English
We combined the two images. These two white spots are the areas we had previously identified as abnormal.,English
"There may be areas with prostate cancer. OK. This is two-dimensional. The pink area you see is the abnormal area. Yes. OK, we'll let the machine help us with positioning.",English
You just see the area we need to check. Yes. So we have to use a lot of needles. Right. So many? So many?,English
This is the place where the machine told us to do the test. So how do we perform this biopsy? Let me demonstrate. Yes.,English
"So the patient will be under general anesthesia? This is the part that we insert into the patient's anus. This is the ultrasound, which allows us to know in real time.",English
Where is that location? The machine has already helped us locate it. This needle will be inserted from this area. OK.,English
"Then take the cells. After taking that machine, you will move to the next position. Doctor, I heard that a digital rectal exam can also be done, is that right? Eh? It can be used to check if you have prostate cancer.",English
"Usually, the doctor will use his index finger to enter your rectum and feel the prostate. A normal prostate feels like the texture of rubber.",English
"However, if there is prostate cancer, you may feel a rock-hard lump. At that point, you can determine whether the patient has prostate cancer or not.",English
"However, this digital rectal examination is not 100% accurate, because when you perform the exam, you can only feel the back of the prostate, the part that is close to the anus.",English
"If it is on the side or front of the prostate, actually your finger cannot feel it. The second point is that some prostate cancers...",English
"There are absolutely no hard lumps, so it may not be palpable. Therefore, generally speaking, the accuracy of a digital examination is only about 30%. Understood. Okay.",English
"We should take a breather and relax at this moment. That's right. After the commercials, a traditional Chinese medicine doctor will join the discussion. See you soon. See you soon.",English
"Welcome Dr. Li Guangjun to our discussion. Welcome, welcome, welcome. Welcome, Dr. Li. From your perspective, regarding prostate cancer...",English
"What is your view on this? Diseases like tumors, in fact, are seen as having similar causes in traditional Chinese medicine. One is an excess of pathogenic factors, which may include things like blood stasis.",English
"Phlegm-dampness and heat-toxicity are among them. Another factor is deficiency of vital energy. For patients with prostate cancer, their deficiency mainly manifests as insufficiency of the liver and kidneys. OK.",English
"Actually, traditional Chinese medicine cannot accurately diagnose cancer. This requires the methods of Western medicine. Testing? Yes.",English
"But for the existence of some evil energies, in the very early stages, we can already learn where they are through some observations.",English
"For example, if a person has blood stasis, their qi and blood will not flow smoothly. At this time, their tongue may appear darker. Yes, some people may have petechiae on their tongue.",English
"Yes, if you look at the sublingual veins, his veins are more prone to varicosity. They will become thicker and longer. And of course, this prostate cancer...",English
"We will talk about risk factors. Yes. What are they exactly? In fact, there are several risk factors for prostate cancer. The first can be considered family history.",English
"If your father or your brother has prostate cancer, then your chances of having prostate cancer may be twice as high. OK. The second risk factor is diet.",English
"It is related to eating. Some studies have shown that if you often consume high animal fat, high saturated fat, or fried foods,",English
"Then your risk of developing prostate cancer may be relatively high. OK. On the other hand, suppose your diet is mainly plant-based, such as grains and nuts.",English
"When it comes to fish and similar foods, your risk of prostate cancer may be relatively lower. In fact, some studies have shown that if you eat more than ten servings of tomatoes a day,",English
"We commonly call it tomato, but this tomato must be cooked or processed; those eaten raw are not very useful.",English
"Yes, then your risk of developing prostate cancer may be reduced by 18%. Other studies have also shown that if your waist circumference exceeds 102 cm",English
"If it's about 40 inches, then your risk of developing prostate cancer may also increase. So I'd like to ask this Chinese medicine doctor,",English
"Can you share with us a patient who left a deep impression on you? Recently, I encountered a more challenging case.",English
This person is about sixty years old. Did he come to see you after the surgery? After the surgery—four months after the surgery. He also had radiotherapy. OK. When he came at that time...,English
"His main discomfort is urinary leakage. Urinary leakage. When he is lying flat, it's fine, but when he stands up, urine leaks out.",English
"Is he leaking urine because of the surgery? He didn't have this problem before. Because it affects his daily life, he has to wear an adult diaper while working.",English
"If the weather is too hot and he feels uncomfortable, he has to use a clip to clamp his penis. Yes, after a period of time.",English
"Just go to the bathroom to urinate. So he came to you for adjustment and treatment, right? Yes, I gave him acupuncture, hoping that through acupuncture...",English
"It can help him get rid of the diaper issue. Is the effect OK? It's alright. The amount of urine leakage is less now. OK. Good. Of course, we also take this opportunity...",English
Let's learn about the story of a prostate cancer patient. Yes. He has already recovered. Let's take a look together. Okay. Many people say the prostate is like a walnut.,English
"All survivors of prostate cancer are called Walnut Warriors. In 2017, I myself also became a Walnut Warrior.",English
"At the age of 57, I went to the hospital for a check-up. The doctor found that my prostate was enlarged.",English
"They suggested I get a PSA blood test. The result came out as six, which is higher than the usual 4.0.",English
"So I procrastinated again. Two months later, I went back to do another PSA test.",English
"The result came out and it rose to eight. At that time, the doctor suggested that I must have a biopsy. The result confirmed that I had prostate cancer.",English
What is the prostate? I don't even know. What is prostate cancer? Is it very serious? How long will I live?,English
"I have so many questions and don't know who to ask. At that time, I was still working.",English
"How long will the treatment take? In this situation, I really feel very anxious and helpless. The doctor arranged it for me very quickly.",English
"Surgery to remove the prostate. Fortunately, the cancer cells had not spread, so there was no need for radiation therapy.",English
"Of course, there are some aftereffects after the surgery. Incontinence must be controlled by doing more Kegel exercises.",English
"After I recovered, I was assigned to go to a rehab center to do some rehabilitation exercises and work out all the muscles in my body.",English
"After getting this illness, I have come to understand the importance of health even more. Also, I know that many new patients should be like me.",English
"When I found out about the illness, I didn't know what to do. So I participated in the Walnut Warriors event organized by the Singapore Cancer Society.",English
"Now every week I exercise, participate in activities, and attend seminars with other warriors. I have also become an ambassador for prostate cancer.",English
"Use my experience to help new patients, encourage them, and accompany them through this difficult journey.",English
"You definitely won't be alone; there will definitely be someone to accompany you on this journey. Wow, really.",English
"He has undergone this removal surgery. Yes, yes, yes. So besides this removal surgery, what other treatment options are there? In recent years, the vast majority of prostate surgeries...",English
"It was all assisted by a robot. After the surgery, does he still have fertility? After the prostate is removed. Auricular acupuncture is a very good treatment method.",English
"Are there any other treatment options besides this excision surgery? In fact, not every case of prostate cancer requires treatment.",English
"For those relatively early-stage, especially stage one, prostate cancers, we may be able to observe them. Because this type of prostate cancer",English
"Its onset and growth may be very slow, so it may not necessarily pose a life-threatening risk. However, we still need to have regular check-ups.",English
"To prevent it from developing lesions, timely treatment should be administered. There are generally two types of treatment methods. The first is electrotherapy.",English
Electrotherapy is divided into brachytherapy and teletherapy. Brachytherapy involves placing a radioactive source directly inside the prostate.,English
"Radiate outward. Diffuse. Yes. Diffuse. Yes. Generally, removal means taking out the whole thing. That is, removing the entire prostate.",English
"In terms of surgery, there are different methods. Yes. The most traditional method is what we call open surgery. That is, making a large incision from the navel to the penis.",English
"The advantage of this is that the doctor can put his hand inside the patient's body. So the flexibility of the hand is very high. Yes. Right. However, the prostate is inside the pelvic cavity.",English
"So the view may not be very clear. As for traditional laparoscopic surgery, its advantage is that it allows you to see the entire prostate.",English
"And then there's that position. Its disadvantage is that it's not very flexible, and traditional laparoscopic surgery uses two-dimensional images, which lack depth.",English
"Yes, I finished five days of treatment yesterday. Today is the sixth day, and I need to get a chest CT scan first. This is just one course of treatment.",English
Steroid injections are for absorption in the lungs. Is the lung treatment addressing the symptoms? Is it progressing in a positive direction or...,English
"Now he's full of energy. Listen to the way he talks—his tone, his speed of speech has quickened, and his voice is louder, too.",English
"I walk with a bit of flair now. It turns out that every day when I went to that hospital, I took a taxi because I really couldn't walk.",English
"I can't walk anymore. And to be honest, running around for five days is a bit expensive. Since we're still in good health, we decided to take the subway today.",English
"Save some money, haha. That's right. Taking a taxi is very expensive—from our place to the People's Hospital and back.",English
"120. Right. 100, 120 (one way), 55 is about in a traffic jam, 120. Daily injections are 250.",English
"370. Then after playing for 5 days, it became 1,800. Today I have to go do that.",English
"A week of treatment costs more than three thousand yuan. So in order to save money, we try to save as much as we can. Just now, the child had classes today since it's the weekend.",English
Take a taxi to send him to school first. Then we'll walk to the subway station. Take the subway.,English
Arrived. You can transfer to Line 4. It's pretty good to come out from this exit. Just took the elevator up.,English
There are so few people here today. Fuxing Road.,English
"Today is the weekend, so there are fewer people on the subway.",English
This is the CT room. I got my queue number today. Number 36. Then,English
"You can't get the injection first; you need to do the CT scan first. The bag from the radiology department has also been registered and is waiting. Here, um, my number is 40.",English
"If there’s even a tiny change, you get anxious. Don’t even mention deterioration—if it gets worse, you’ll be even more anxious.",English
"So that's why I said this, and today, while I was waiting, I found a quiet place to have a chat.",English
"Today I want to talk a bit about Azvudine tablets, as well as the steroids I used later and am currently using.",English
"Some reactions. Because many people say the reactions are really strong. OK, the environment here is pretty nice, there's even a pavilion in the back. Right?",English
"Sigh, my wife is also seeing a doctor. She said she’s on the 4th floor. Uh, actually, that antiviral Azvudine tablet.",English
"Including those (hormones), there are indeed some reactions or effects, but let's not talk about the efficacy. Of course, I mentioned it.",English
"Immediate results—this effect is definitely certain. As for side effects, from my own experience, there were some phenomena I found very strange at first.",English
Just sharing with everyone—I don't know if this is a side effect or something else. I'm just talking about some of my own physical reactions.,English
"When I first started getting sick, I hadn't taken Azvudine tablets yet. I was hospitalized at that time.",English
"The attending doctor asked me, besides having a high fever, testing positive, and having infections in both lungs, do you have any underlying conditions? I said I don't have any illnesses.",English
"It might just be a bit of high blood pressure. The blood pressure readings from last year and this year have both been relatively high, but I haven't taken any medication. Most of the time, the average is around 140.",English
"The systolic pressure is around 140 and the diastolic is in the 90s. It’s like this, but it didn’t get better without medication, so he was hospitalized afterwards.",English
"He gave me a full body check-up. Later, something strange happened when he measured my blood pressure—it had dropped to 126 over 80-something, which is a very normal blood pressure.",English
"I haven't had such normal blood pressure in years, and it happened during my illness. It's very strange—those days, they measured it for me every day, and the next day when they measured it again, it was still over 120.",English
"This is a very beautiful blood pressure reading. I couldn't believe it myself when I said I had high blood pressure, and it made the doctor feel quite frustrated too.",English
"On the third day, after I took the Azvudine tablets, my blood pressure changed and returned to normal.",English
"I think it has returned to normal. Actually, his level is higher than average. So when the doctor measured it at that time, it showed 144.",English
106. I was really happy at that moment. I said that this blood pressure reading is exactly the real blood pressure value that I get every year.,English
"I was actually quite happy that my blood pressure was a bit high. I thought that if my blood pressure was normal, then each issue should be treated separately, right? This might be the case.",English
"Uh, has COVID affected my blood pressure or something? I took Azvudine tablets for three days, but because of a lot of responses online...",English
"Many people have shown me links to some foreign experts regarding this drug, Azvudine tablets, their...",English
"The issue of medication safety did not get my father-in-law's approval, so I was also very afraid at that time.",English
"So without getting help from professionals, you just seek remedies everywhere, look at all kinds of information, and diagnose and judge for yourself.",English
"So I took this medicine for three days and then stopped. Some people say that steroids can cause bone necrosis, but I don't know. I don't know if bone necrosis will occur.",English
"But there is another problem. I found that after taking hormones, my blood pressure becomes even higher. As I just mentioned, after taking them...",English
"After taking Azvudine tablets, my blood pressure became 144, which is tending towards normal—this is my usual blood pressure state. But after receiving the steroid injection...",English
"The day before yesterday and yesterday, I measured my blood pressure and it went up to 168, which is close to 170. The diastolic pressure was over 110.",English
"This blood pressure is much higher than my usual blood pressure. And it's even higher compared to the normal value. For blood pressure like this, I should be taking medication, right?",English
"So sometimes after I get a hormone injection, I still feel drowsy at night. At the time, I wondered if my body temperature hadn’t gone down, so I took my temperature.",English
I measured it many times. It was only 36.7 degrees each time. But I didn’t think about my blood pressure—did it get better after I went to my parents’ place?,English
"When I visited my parents' house, he happened to have one there, so I measured my blood pressure and it was 168. This made me...",English
"I'm quite scared. Also, my usual heart rate is over 60 beats per minute, but it never exceeds 70. However, ever since I received the hormone injection...",English
My heart rate is over 80 beats per minute. My heart keeps beating very fast. And some people say to take hormones or that it’s this illness.,English
"It's been more than half a month, and there's been no reaction down there at all, haha. Hahaha.",English
"It really is like that, including things like urination, all feel weak. Could it be related to physical weakness to some extent?",English
"I hope things will improve later. This really, really, really, really upsets me, really upsets me. This makes me—my blood pressure rises, I think.",English
"Everyone thinks they're not particularly afraid of high blood pressure; they'll just take medicine when the time comes. But look at this, this, this—can't accept it. I hope he doesn't have any aftereffects.",English
"Being able to improve later on can change everything, haha. And as for the high blood pressure issue I mentioned earlier, let's talk about it after the filming is done.",English
You should also talk to the emergency department's internal medicine doctor and see what they say. Is this a natural reaction after receiving hormones?,English
"Or something like that. Then there might not be anything else. Alright. Just wanted to let everyone know about this, um.",English
Then go in again to see what number it is. Please go to examination room 13 for your checkup.,English
"Please go to examination room 13 for a checkup. Take a look. There are much fewer people now, right?",English
"It's already 10:40 now, and I just got hooked up to an IV. Just think, it's 10:40 and there are still so many people. So the first wave is almost over, it's nearing the end.",English
"And now I'm still on an IV drip. Let me tell everyone some good news. The results from the scan are out, and they are very, very good.",English
The doctor said that my lungs are absorbing and recovering very well. This proves that the hormone treatment is indeed very effective for my condition.,English
I can't wait to share this video with everyone. Let me show you what my situation is really like.,English
"It's a process from (bad) to (good), let me tell you. Now I've become an expert at watching movies, so let me briefly explain it to everyone.",English
"This is the situation of the pneumonia I discovered earlier. This is what I mentioned before. Look, this is the left lung. Look here, this...",English
"Look here at the left lung: one spot, two spots, three spots, four spots. Doesn't it look like a target, like a bullseye that's been shot through? The white areas look like holes.",English
"There is a little bit of that too. Look. Here, is it rotating at a different angle? Look, this side all looks like holes. Do you see?",English
"The left side is much more severe than the right lung, isn't it? Ah, okay, let's take another look at today's. Look.",English
"If it were a normal film, it should show a black lung. Why is it called ""white lung""?",English
"It's because the lungs are not white, but when there is inflammation, the X-ray appears whiter. Look at this film, you see, this lung is white.",English
"Then, look here. The white parts are blood vessels, just like tributaries. Here, here.",English
"There are still a few points here, like point 2, point 3, point 4, right? But it's obviously much better than before, isn't it? Look over here.",English
Isn't this much better than the one I said looked like it had been shot through like a target? Look at this.,English
This is also the case. This is the blood vessel. This is it. This is relatively much better absorbed than before.,English
"There’s still a little bit here, see, here, 1, 2, 3, 4, 4 of them. Right? This is good. There’s still a little bit of white here.",English
"I can't understand what's below. I believe that from my brief introduction just now, everyone can see this—the lung of the test site.",English
"The lungs at the shooting range have already faded a lot, right? Uh, so sometimes, the body doesn't lie.",English
"You see, when I speak now, my tone and everything, I have energy. Before, I had no energy at all, but now I speak with strength and vigor. It used to feel like I had no energy or strength.",English
"So the body doesn't lie. So my lungs have improved to a certain extent, and the doctor also repeatedly reminded me that I have now been on the medication for five days.",English
"Let me take the medicine for two more days. After two more days, I can stop the medication and won't need to go to the hospital anymore. I can recuperate at home by myself, or on my own.",English
"Well, prescribe me some medicine to help with phlegm. Or you can handle it yourself—you can use traditional Chinese medicine to regulate the lungs. That’s also an option.",English
"But there’s no need to rush to get a scan. He said to come back for a re-examination in a month to check the absorption in the lungs, just like today’s.",English
"Just now, there were still about four or five faint, white, frosted-glass-like spots above, which are foci of inflammation. We'll see in a month whether they can be absorbed and recover.",English
"This is pretty good, right? I'm quite happy, let's schedule two days. It seems like today's medication has changed a bit, the hormone seems to have been switched for me.",English
"Hormones. It turns out they injected something called nylon glass, nylon something glass amber, some kind of sodium acid something.",English
"Now it has been changed. I will continue to share with everyone my medication process. This is also a hormone, this is called...",English
"Dexamethasone. Then the following bromhexine hydrochloride is used as an expectorant. It wasn't administered before. Today, I was given three doses.",English
"Still continuing with this moxifloxacin, still continuing with it. The Yanhu Ning is also still being administered. But this time, they added 3 more doses of Yanhu Ning for me.",English
There were only two before. And below is that physician. Her name is Yuan Shan. This doctor is very meticulous (conscientious and responsible).,English
"A very, very good woman. Good. Thank you.",English
Get lost. There's no way. It's exhausting. Cerebral hemorrhage. Paralysis.,English
"Is this the main ECMO package? Yes. Seventy days ago, Wang Weijun's first task at Leishenshan Hospital was to unpack the ECMO box.",English
"These were all donated, right? Yes, donated. And they’re all new. This is very expensive. I estimate it costs over a million. This one definitely costs over a million. Wang Weijun is a top ECMO doctor in Shanghai.",English
"We need to think carefully about how to assemble it, because this is different. Now he has to make the most of every moment to assemble the two temporarily donated ECMO machines so they can be used to save lives. In any case, I always hope the sooner we are ready, the better.",English
"I feel at ease. If you’re not prepared and a patient comes in during the night, you’ll have nothing and can only watch helplessly. Since you’re here, you naturally want to do it well.",English
"In the ICU managed by the eighth batch of Shanghai medical teams aiding Hubei, the most severe cases are in beds 5 and 15. Bed 15 has had a persistent high fever of unknown cause for seven days. Relying solely on a ventilator.",English
It's already very difficult to hold on. The COVID-19 test for bed 5 has consistently shown positive. His lung function is deteriorating step by step. Is there any response?,English
There doesn't seem to be any effect. There is no specific medicine for COVID-19. What doctors can do is support patients through their most dangerous moments and help them get through the difficult times together.,English
"The principle of ECMO is the same. It is a life support system that can temporarily replace heart and lung functions, buying time for treatment.",English
"I have seen that the people inside are all like this. We all have to fight for time for them, because if you don't give them time here, they might not have a chance to turn things around. If you give them time, there might be a turnaround. So what can you do? We definitely have to make an effort.",English
"If beds 5 and 15 continue to deteriorate, the only thing that can save them is Wang Weijun's ECMO. You help me hold it down. I've got it held down, it won't move.",English
"The height is not enough. This one is also too thin. It's too thin, that's not okay either. He didn't prepare that vehicle for us. I just said he doesn't have a vehicle.",English
"You don't even have a car, so how could you have a pole? How are you going to install this thing? Let me think. It wasn't until the machine was almost fully assembled that Wang Weijun realized the ECMO only had the main unit.",English
"There are no pipeline fittings at all. It is still missing something. It is also missing a mixed venous oxygen saturation monitor. Most importantly, something is still missing.",English
"Then pack up the things first. There's still one thing missing. I can't help with this. Yes, yes, yes, there's still one thing missing. Let's pack up first and talk later. The key issue now is how many are missing—we're missing the corresponding kit for this machine equipment.",English
"It’s the artificial lung and the tubing. These are the most lacking; there are none. We don’t have a single set on hand. For ECMO to function, it requires a large number of supporting components. At this time, the whole country is rushing to support Wuhan.",English
"But the arrival of supplies always happens in sequence. If it really doesn't work and it's extremely urgent, I will have China Eastern Airlines transport them to Wuhan. We will go and get them. Don't worry about this. As long as your equipment is sufficient and compatible, you can use it.",English
"Tense, rushed, all kinds of unexpected situations. These COVID-19 patients are clearly different from the ARDS cases we encountered before. Early detection and early treatment are crucial—you can't delay, because you never know when things will change.",English
"Once it changes, you can never pull it back. So let's try our best to be versatile and help each other as much as possible. For things like doing ACT tests and drawing blood gases, nurses don't get involved—it's all done by doctors. But now there's nothing you can do. It's all up to the doctors.",English
"Now that we've come to Leishenshan, there's nothing we can do. You can't just do an ACT or a blood gas test and have the doctor go in again. You're only drawing blood, but you also need to suction phlegm, turn the patient over, and observe the wound.",English
"There are many such situations. Because, logically speaking, do we nurses have the qualifications to perform this procedure? Then I would be practicing in a different location, right? My registered place of practice is in Shanghai, but this is an extraordinary time.",English
"At this point, we don't emphasize professional boundaries anymore. It's not a big deal. At times like this, you need to highlight the effectiveness of our team. In urgent situations, as long as you can do it, you step up—there's no other way. This is called disaster relief and rescue; there's no other way.",English
"At times like this, we should try our best to discuss and coordinate things well. This kind of friendship is a life-and-death friendship. Don’t you think so? This is risking our lives for this matter.",English
"Because if one or two more come at this time, we won't have any strength left. Then we might lose it. It's just like in a battle—there are priorities.",English
"At present, Wang Weijun has only one available ECMO machine. But at this moment, he must face the reality of beds 5 and 15 in the ICU.",English
"Bed 5 has a malignant tumor, low immunity, and the oxygenation index is continuously decreasing. Bed 15 has been on a ventilator for two weeks and still has a persistent high fever, carbon dioxide retention, and a very high tidal volume.",English
"These medical terms are specialized and complex, but all point to life-threatening situations. One ECMO machine, five beds, fifteen beds—all are needed. This makes it difficult to make a decision.",English
"How many sets of equipment do you have now? Only one set. I tried to assemble three sets but only managed to put together one. I only have one ECMO system, so I hope we can discuss both patients together. Since there is only one system, let's see which patient is more suitable for it.",English
"A total of 12 doctors from Shanghai, from the departments of respiratory medicine, neurosurgery, general surgery, cardiovascular surgery, cardiology, anesthesiology, and ultrasound.",English
"Participated in the discussion. This concerns the future course of life for bed 5 and bed 15. As for whether this patient should undergo ECMO, I have been pondering about this person since yesterday.",English
"How do we think about it this way and that way? Yesterday, his partial pressure of carbon dioxide went up. The lung problem poses an urgent threat to him. He’s about to go into critical condition. This patient is unstable every day. He’s quite stable in the morning, but there are always some issues in the evening and at night.",English
"We need to carefully consider the ultimate goal of using ECMO. Is it to save the patient or just to prolong time? This is something we must think through. Although ECMO is described as a supportive measure, fundamentally it is still an etiological treatment.",English
"At the temporary Leishenshan Hospital, the doctors' choices at this time were even more straightforward. There was only one standard. At this moment, between bed 5 and bed 15, who had a stronger indication for ECMO? Whose respiratory system needed ECMO support more?",English
"But when it comes time to make a decision on this multiple-choice question, it becomes exceptionally difficult. Others have done it, so we definitely have to do it as well. If others haven't done it, then we find a way to do it. That's our distinctive feature.",English
"Anyway, it's already come to this point, and every possible means has been used. Why are you still holding anything back? Don't hold back anymore. From 8:30 to 9:50, this discussion lasted a full 80 minutes.",English
"I just took a look. This is the only patient we discussed last week who still has some possibility. Therefore, the measures taken for this patient need to be proactive.",English
"Measures should be taken in advance, and actions should be taken ahead of time. Don’t wait until something goes wrong to act, or it will be too late.",English
"The result of the discussion was that bed 15 would go on ECMO first. Based on the situation at the time, the doctors judged that bed 5 had a relatively longer window period and might still be able to hold on.",English
"The arrival of the second ECMO. After it was installed on bed 15, were there any other risks? There shouldn't be any other risks, right? Just the inflammatory response.",English
"And this person, their hemoglobin is already at six point something now. How do we deal with the blood? You might not be able to do it today. If you can't do it, can you get 800 milliliters of blood? 800 milliliters of blood, 400 milliliters of plasma.",English
"One unit of platelets. Go ahead and apply. Next, we just need to wait for the blood for bed 15's ECMO surgery.",English
It was from this night that Wang Weijun became entangled in the whirlpool of life of Bed 5 and Bed 15.,English
"Push adrenaline. Adrenaline has been pushed. Is that okay? In just eight hours, the lung function of bed 5 suddenly deteriorated sharply. This disrupted all of Wang Weijun's plans.",English
"The probability of postponing bed 5 until tomorrow is low. By the time the machine arrives and everything is set up tomorrow, he might not be able to hold on. So I think bed 5 is more urgent. If the machine arrives tomorrow, then let's do bed 5 first.",English
"I'll call to confirm again. Really? Bed 15 will hold out until tomorrow no matter what. That's not a problem. Yeah, but for bed 5... I really don't know if it can make it until tomorrow.",English
"He could leave at any time. This illness progresses very quickly. If he doesn't answer the phone, he may have been taken into the ward. We have a set of Sorin ECMO machines here.",English
"But there isn’t any. Sorin’s machine. No cannulas, no packs. None. There’s nothing at all, right? Except for the machine, there is one set from Sorin. But none of the consumables. None at all. There’s also a bracket for the pack missing. The bracket for the pack? That’s the bracket for the membrane lung.",English
"See if he can put together a set for me. I'll make a note of it. Since the machine hasn't been assembled yet, you don't know if it will work. So should we assemble that set first for now?",English
"First, remove the machine, and then we'll handle it when the kit arrives. Bro, I'll get the second set of ECMO ready first.",English
The supplies will probably arrive tonight. I guarantee that bed 15 will have enough to use as well. Perfect.,English
"Wang Weijun wants to quickly assemble a second ECMO machine for beds 5 and 15, giving both a chance to survive. At 1 p.m., right? Have them do another blood gas analysis for bed 15.",English
"But halfway through, Wang Weijun realized that not only did the second ECMO machine not have a consumables kit, but even the water tank tubing had problems.",English
Pipes without a water tank. There are no pipes with a water tank anymore. Call again to see if we can borrow one.,English
Think it over.,English
Reality once again pushed Wang Weijun back to the starting point of choice. Wang Weijun is 53 years old this year. He began working with ECMO technology in 2003.,English
"In these 17 years, he has performed dozens of ECMO procedures, but he has never felt as conflicted as he did at Leishenshan Hospital. We have never been confident when doing this.",English
"Just trying to create opportunities. Now, the reality facing Wang Weijun is even more brutal. Obviously, Bed 5 is in critical condition today.",English
"Urgently in need of life support. From common sense, bed 5 should get this ECMO, because saving someone in an emergency is saving a life. But in reality, with only one ECMO,",English
"If given five beds, the doctors have absolutely no confidence that they can keep him alive through this ordeal.",English
"In comparison to bed 5, the situation of bed 15 is slightly better, and he is the most likely to be weaned off and recover. At this time, if bed 15 does not go on ECMO...",English
He may miss the optimal window for ECMO surgery. No one can be sure what will happen tomorrow. COVID-19 patients are different from previous patients. It seems that the overall success rate outside is only a little over ten percent. And even this percentage depends on the situation.,English
"The choice of timing and the selection of indications. Wang Weijun's dilemma is not an isolated case, especially in the early stages of the pandemic.",English
"Masks, ventilators, protective clothing, and other medical resources were in severe shortage. As a result, when we came in, there were only beds and bedside cabinets. Rescue equipment was also lacking, and the only ventilator was used by us. After that, there were no more ventilators.",English
"This often puts doctors in an ethical dilemma. Every life should be saved, but which one should be saved first? Today, bed 15 still needs to be put on ECMO. No problem. We'll just be a bit more proactive.",English
I hope to save as many as I can protectively. So I got ready. There was no time left for the doctors to hesitate.,English
"They chose the person with the highest chance of survival, bed 15. You go in and follow the steps as planned. Think through the steps yourself and proceed one by one, no need to rush. Alright, go ahead.",English
"Success. What is the blood pressure now? Slow down, slow down.",English
"1000 milliliters of saline. This is the first ECMO surgery in ICU Area B. Bed 15, who has already been deeply sedated, will not be aware of how difficult this life-saving surgery is.",English
"The only set of supplies was carefully unpacked piece by piece. Then unpacked again. At this moment, the doctors all understood how precious these supplies were.",English
"The red tubing connected Bed 15's life to the ECMO machine. Dafu, let's begin. What time is it now? 6:48.",English
"It’s already been twenty days since we last met. So, do your best, okay? Do you miss your partner a lot? That’s why you need to behave yourself. Don’t shake your head, nod your head. Will you behave well?",English
Can you persevere? Nod your head. Have confidence in yourself. Say that you will work hard. Nod your head. Nod your head yourself.,English
"Leishenshan Hospital has 32 wards and 1,600 beds. In these stories of humanity fighting against disease, what we should see is not just sadness and hardship.",English
There is also our determination and strength to overcome difficulties. Eat a little more. I don't want to eat anymore. I don't want to eat. I don't want to eat.,English
"Eat two more bites. I don't want to eat anymore. I don't want to eat, I don't want to eat. Not eating at all.",English
This porridge is specially made for you by them. I don't want to eat anymore. Just like this mother and son: the son contracted COVID-19 while undergoing hemodialysis.,English
"The mother insisted on entering the red zone to accompany him, eating and living together with her son. She also wanted to have some porridge. Don't make a fuss. Take the photo first.",English
"Do you think it's more comfortable to hit the top or the bottom? The middle is the most comfortable. The middle? His health wasn't good to begin with, and he has many underlying conditions.",English
"I can't eat like this now. If I eat, I throw up. I don't think my condition is very good. I'm definitely quite worried.",English
"Because my son has special circumstances—he is mentally disabled. So I have always been with my son. How should I put it? As a normal person, I am definitely afraid of this coronavirus.",English
"But as a mother, I am not afraid. When I was accompanying him in the hospital, the doctors didn’t allow me to stay with him. Since they wouldn’t let me stay, I explained my son’s special situation to them. They said they would have to ask their superiors for permission.",English
"Later, their leader agreed. You know, as a mother, with my son in this situation, what do I have to be afraid of? Sometimes I feel that if my son died, I wouldn't be able to go on living. So I'm not afraid. Wherever he goes, I will follow.",English
"I will bear any risk, no matter how great. Just now, Dr. Cha checked the antibody for me and told me that I was not infected. I am very lucky. I have been accompanying my son for such a long time.",English
I haven't been infected yet.,English
"I will assemble the kit outside, not inside. Otherwise, it will be hard to find things later. I have prepared everything outside. The consumables for the second ECMO have finally been gathered.",English
"I’m afraid I won’t be able to hold on. So now, anyway, we’re doing everything we can to save them, regardless of the consequences or the cost. But in any case, your other family members, including your other siblings, need to be mentally prepared for this.",English
"Fortunately, after being put on ECMO, he was able to stabilize. If it had really been circulatory failure, his blood pressure wouldn't have held. If it couldn't hold, he would have been gone.",English
"You go rest for a while first. I won't rest; I'm like this every day. I basically haven't rested at all these past two or three weeks. My heart is hanging in suspense. Ever since I came here, I haven't had a good night's sleep.",English
"I went to bed just before 11 o'clock last night. I woke up at 3 o'clock this morning. Once I woke up, I couldn't fall back asleep. From successfully assembling the first ECMO to deciding to put bed 15 on the machine first, and then to using ECMO today.",English
"Pulling bed 5 back from the brink of death. The journey was full of twists and turns. It not only tells of the limitations of humanity in the face of disaster, but also the courage we show in adversity.",English
"There are snacks every day, right? These snacks are brought by us for them.",English
Life is gone. Ask her. I don't want to think about it anymore. Truly feel that way.,English
"In nearly an hour, we monitored two arterial blood gases. The oxygenation index was both above 200. Blood pressure was stable. Heart rate was around 100.",English
"Surgery should be performed within the first twenty-four to forty-eight hours. There is a hole in the small intestine, and if surgery is not performed promptly",English
The patient will die quickly.,English
"Hong Meijin, now 64 years old, was diagnosed with Sjögren's syndrome eight years ago, a chronic autoimmune inflammatory disease.",English
"For many years, Hong Meijin has always faced her illness with optimism, but a month ago, she suddenly experienced severe pain in her lower right abdomen.",English
"This patient has appendicitis, but her condition is more complicated than ordinary appendicitis because she has an autoimmune condition called Sjögren's disease.",English
"Her body produces blood clots, so she takes blood thinners. Therefore, the biggest issue before undergoing this surgery is that...",English
"Because she is taking blood-thinning medication, her blood is more difficult to clot. So we need to give her some medication to correct her coagulability.",English
"Ng Teng Fong General Hospital, located in Jurong East, is a general hospital with 700 beds. In addition to providing general medical care",English
"In addition to treatment and rehabilitation services, the hospital has also established an emergency surgery department that provides year-round, 24-hour service.",English
"The Department of Emergency Surgery receives an average of 6,000 patients each year. Among them, about 4,000 come from the hospital's emergency department.",English
"All the surgeons in the hospital are required to take four shifts per month in the emergency surgery department. Today, it is Dr. Hu Hanwen's turn to be on duty.",English
"Shuttling between different wards. After completing his rounds, Dr. Hu is about to enter the operating room for an emergency surgery.",English
This patient began experiencing abdominal pain in the morning and came to the emergency department. When we looked at her blood test report and liver and gallbladder indices...,English
"Actually, everything is quite normal and there is no fever. However, when we did the examination on the spot, the abdomen was actually quite painful.",English
So it made us start to suspect whether this was an early stage of cholecystitis. So then we arranged an emergency ultrasound for her.,English
Check whether the liver and gallbladder are inflamed. The patient seeking consultation is a 44-year-old real estate agent.,English
"Huang Lijing. Due to her busy work schedule and long-term poor eating habits, she has developed many gastrointestinal problems of varying severity.",English
"I always thought it was just a stomachache. If it wasn't very painful, I would just go to the 24-hour clinic. That day, I came in at around five in the morning.",English
"Because I had already started feeling unwell after eleven o'clock the night before, I began taking some medicine, but by four or five o'clock it still wasn't working.",English
I told my husband that I had to come in. It felt like my stomach was burning up. And you feel constantly nauseous.,English
Sometimes the pain is so intense that even my back feels really tight. It feels like I'm going to die.,English
"It was even more painful than giving birth. After we did an ultrasound, it showed that there were actually many gallstones.",English
So we suggest that it may be appropriate to perform a laparoscopic cholecystectomy at this time.,English
"Gallstones can sometimes cause many problems. If the gallstones are too large, they may cause inflammation of the gallbladder. If the gallstones are small",English
"It is easy for them to fall into the bile duct, which may cause inflammation of the bile duct and jaundice. If gallstones fall in too deep, they can also cause blockage of the pancreas.",English
"If the inflammation of the pancreas becomes too severe, it can cause difficulty breathing or damage to other organs. The mortality rate",English
"It is also possible to be as high as 50%. So when we suspect early cholecystitis, we should then...",English
Surgery will be performed within the first twenty-four to forty-eight hours.,English
"Huang Lijing, who was found to have gallstones, officially began surgery after being put under general anesthesia. This procedure will use small instruments.",English
"With a camera, it can be done. Sometimes the duodenum, stomach, liver, or even the large intestine may be connected to the inflamed gallbladder.",English
"So we need to very carefully dissect the surrounding intestines and stomach. After that, we will begin to dissect the cystic duct.",English
And also the cystic artery between the bile ducts. The biggest challenge is that we must ensure not to damage these organs.,English
"If the bile duct is damaged, the patient may need a second or even a third surgery. When removing the gallbladder, the cystic duct must be cut.",English
"However, if the common bile duct is injured during the procedure, causing bile leakage or bile duct obstruction, it may lead to serious problems such as peritonitis or jaundice.",English
"After Dr. Hu identified the anatomical structures at the cystic duct and cystic artery, he began using clips, sutures, and other methods.",English
"After the surgery, Dr. Hu immediately performed an endoscopic examination on the patient to ensure that the patient did not also have gastritis, which has symptoms similar to cholecystitis.",English
"Or a gastric ulcer. Fortunately, this patient's stomach was actually quite normal, with no problems.",English
"Hong Meijin, who has been diagnosed with appendicitis, is in the emergency operating room preparing to undergo a laparoscopic appendectomy.",English
This surgery is expected to be completed within half an hour. We perform this appendicitis operation using the keyhole (minimally invasive) method.,English
"There are three small holes in the abdomen, with the largest one being about one centimeter. The main point is that the blood vessels of the appendix need to be cut first.",English
"Stop the bleeding, then remove the appendix. Dr. Tang inserts special surgical instruments and a camera into the patient's abdomen to remove the appendix.",English
"Laparoscopic surgery generally allows patients to recover more quickly, with less pain during healing and less noticeable scarring.",English
"However, laparoscopic surgery is not suitable for everyone. If the appendix has ruptured and the infection has already spread beyond the appendix",English
"If there is an abscess, the patient may need to undergo an open appendectomy to facilitate cleaning of the abdominal cavity. This is the kind of surgery for appendicitis.",English
"The main and most crucial point is to remove the appendix, cut off the blood vessels, and prevent bleeding. The second is to address the surrounding area near the appendix.",English
It has been cleaned thoroughly to ensure there will be no bacterial infection in the future. These are the two most critical points. The surgery has entered its twentieth minute.,English
"The situation Dr. Tang was most worried about unfortunately happened, because her appendix had a small perforation.",English
"Then all the dirty water in the appendix will come out, which can lead to a bacterial infection. If it's too late, there is also a chance of death.",English
Hong Meijin's surgery encountered a problem in the twentieth minute when the doctor discovered that she had a perforated appendix.,English
"We need to clean the area inside the abdomen and then drain out the dirty water. If it's too late, there is also a chance of death.",English
"Fortunately, after the efforts of Dr. Tang and the emergency surgery team, the patient underwent the procedure without needing to switch to open surgery.",English
"So we have already removed the patient's appendix. Once the appendix is removed, there is usually rapid improvement. So this is the patient's appendix.",English
"Usually, patients can now go to a general ward, rest for another one or two days, and then go home.",English
"Usually, appendicitis is something we cannot control. It is not caused by jumping or running around after eating. So in this situation...",English
You must go to the hospital for treatment. Don't wait until the condition becomes very serious before coming.,English
"Real estate agent Huang Lijing, who had undergone surgery the previous day due to gallstones, opened her eyes early in the morning.",English
"She was greeted by Dr. Hu Hanwen, who would perform surgery on her, and a gift. My first thought was",English
Did you pick up this stone from the garden? I didn't expect it to be this big. I was surprised myself.,English
"So my first thought was to ask him, how long have you been working on this? He told me it’s been at least several years.",English
"When I used to work in real estate, life was always very hectic, so I rarely ate meals at regular times.",English
"And then you often have to go out for social engagements. So when you go out for these occasions, you usually end up eating quite a lot of fried food. It feels like you're constantly having indigestion.",English
Now I feel that my digestion is very good and fast; everything is very smooth. So I think he really solved my problem.,English
"This day was Dr. Tang Yongxian's fourth day on rotation in the emergency surgery department this month. During his free time, Dr. Tang's favorite thing to do was",English
Stay on standby in the hospital's open-air garden. Because here you can breathe fresh air and relieve some of the stress from the intense work.,English
But his moment of peace was soon interrupted. Waiting for him in the hospital room was...,English
"Seetharam is a seventy-nine-year-old elderly woman. Having been retired for many years, Seetharam chose to live alone after her husband's death in order not to trouble her children.",English
"That day, she was sent to the hospital due to a dislocated joint, but it was unexpectedly discovered that she actually had a more serious illness.",English
"We did a scan for her, and the scan showed that there was a lot of gas in her abdomen. There was also a knot in the small intestine.",English
"The knot caused insufficient blood supply to the small intestine, resulting in a perforation and a hole in the small intestine. This condition is considered very urgent.",English
"It is considered a P1 surgery, a Priority 1 surgery. The emergency surgery department generally classifies patients as P1, P2, or P3 according to the severity of their condition.",English
"Three levels. The least severe is P3, and the most severe is P1. These patients often require surgery within two hours.",English
"When all the dirty water from the small intestine flows into the abdomen, it can cause a bacterial infection. If surgery is not performed promptly,",English
The patient would die very quickly. So we took her into the operating room within two hours and removed this part of the small intestine.,English
Then connect them together.,English
"This surgery takes about six or seven hours and is relatively difficult to perform. Every time, I would feel stomach pain.",English
Sometimes she keeps feeling dizzy and vomits. She has had pancreatitis before.,English
"The Ng Teng Fong General Hospital, which began operation in 2015, covers an area of approximately 55,000 square meters and has departments such as Emergency and Internal Medicine.",English
"Departments such as hepatobiliary and pancreatic surgery have greatly alleviated the medical treatment pressure for residents in the western region. Chen Meiping, who is currently fifty years old",English
"That day, she went to Ng Teng Fong General Hospital to prepare for surgery. Independent by nature, she did not want to trouble her family.",English
"Came alone to complete the hospital admission procedures. Previously, I often felt discomfort in my stomach, and each time I went to see the neighborhood doctor.",English
"And the doctors at the company all said that I had that stomach pain. So I thought, okay, this is stomach pain.",English
"This may be because of work pressure or being too busy, which leads to stomach pain.",English
"Chen Meiping is a sales trainer who has always loved outdoor activities. From time to time, she goes on outings with family and friends or goes cycling around the island together.",English
"She is also a regular marathon participant. Through the company’s annual physical examination, she only recently discovered that she had developed",English
"It’s not just ordinary stomach pain. Her condition is actually primary hyperparathyroidism. In English, we call it primary.",English
Hyperparathyroidism is the most common cause of high blood calcium that we talk about. So why does she have this problem?,English
It is because there is a parathyroid tumor in the lower right side of her neck.,English
"Normally, the parathyroid glands are actually not visible. Even when we do scans or ultrasounds, they cannot be seen, because they are really very small.",English
"Not even as big as a grain of rice. Usually, we say that one of them may start to swell and become a tumor, which then causes hormone overproduction.",English
Excessive parathyroid hormone can lead to elevated calcium levels in the blood. Hypercalcemia can be life-threatening for patients.,English
"So, if we don't address this hyperfunction problem in the long term, of course, first of all, the bones will become increasingly osteoporotic.",English
So that means the likelihood of fractures will be higher. Another point is that we also know about the problems of long-term high calcium.,English
It can also affect other parts of the body. There may be heart problems. Because I didn't know before.,English
"Why do I always feel stomach pain, and then my back keeps hurting, and then I still go to the Chinese medicine doctor to get cupping and acupuncture?",English
"I also don't know why sometimes I keep feeling dizzy and vomiting. Every night around midnight, I just can't fall asleep and can only sleep for two or three hours.",English
"This patient also had a gastric ulcer ten years ago, and the cause may also be related to high calcium levels. Some patients may also feel that",English
Fatigue and tiredness are both very common symptoms. We say that long-term symptoms can also lead to osteoporosis.,English
"This patient also had only a minor fall two years ago, but it resulted in fractures in the bones of the foot.",English
"On this day, also waiting for surgery in the hospital was Rosna, who is currently fifty-six years old and suffering from pancreatic cancer.",English
"Accompanied by her husband, she completed the hospital admission procedures and prepared to undergo a seven-hour pancreaticoduodenectomy.",English
"Rosna is an English teacher who has a history of hypertension, hyperlipidemia, and diabetes. She has always relied on medication to control her condition.",English
"The scan shows that there is a blockage in the bile duct. The main reason for this bile duct blockage is that she has pancreatic cancer, which has caused the blockage.",English
"So we first did other scans to make sure the cancer hadn’t spread, and then scheduled surgery for her.",English
"Pancreatic cancer is currently one of the more difficult cancers to cure. However, for early-stage pancreatic cancer, if the pancreas is surgically removed",English
"Rosna, who has pancreatic cancer, was at Ng Teng Fong General Hospital that day preparing to undergo a Whipple procedure. After Rosna was put under general anesthesia,",English
The doctor immediately began a surgery expected to last seven hours for her: a pancreaticoduodenectomy.,English
It is an extremely complex surgery because the pancreas is located in the deepest part of the abdominal cavity. It is situated behind the stomach.,English
"In front of the major arteries and the spinal cord. Rosna's tumor grew in the head of the pancreas, which is what caused her jaundice symptoms.",English
"After removing the pancreas, there are many places that need to be reconnected, so the procedure takes longer. In the final part of the surgery,",English
"Dr. Tang must reconnect the small intestine with the remaining pancreas, stomach, and bile duct. This makes the surgery more complicated.",English
"On the other side, Chen Meiping, who was diagnosed with primary hyperparathyroidism two weeks ago, after undergoing general anesthesia,",English
It's also time to start the surgery. We usually use two types of scans to detect which parathyroid gland has a tumor.,English
"So the first is ultrasound. With ultrasound, you need to see which of these four might be starting to develop a tumor, because ordinary parathyroid...",English
Ultrasound is invisible because it is smaller than a grain of rice. The second scan is what we call a Sestamibi or Parathyroid scan.,English
"This is specifically to look at the function of the parathyroid glands, to see which one is overactive. For this patient...",English
"Both scans show that there is only one tumor in the lower right side, so this also allows us to perform a relatively smaller surgery for this patient.",English
"For the minimally invasive surgery, Dr. Hu used an open approach to operate on Chen Meiping.",English
"He first makes a small incision of about two centimeters along the arc-shaped lower neckline at the sternal notch, using a retractor.",English
"And excise the parathyroid gland with the aid of a headlamp. Most of the thyroid glands are quite small, so the first point is to ensure that",English
We were really able to locate the tumor and help her remove it. The advantage of this type of surgery is that the operation is performed at a close distance.,English
"The surgery time is short, and the area at risk of injury is also relatively small. In addition, the surgical incision scar after the operation",English
Can be easily concealed. But such a procedure also presents certain challenges. That is why we perform this surgery.,English
"It is also that scar that does not exceed two centimeters. So you can imagine, with a small scar, we are even more meticulous.",English
We need to use some smaller tools to remove this tumor.,English
"Rosna's surgery has already lasted two hours. In the 1960s and 1970s, the mortality rate for such complex surgeries",English
"It was thirty-three percent. But with the rapid advances in medical research, the mortality rate of this surgery has now decreased to around two to three percent.",English
"The risk of surgery: the biggest risk is bleeding. When patients bleed, we can usually stop the bleeding in the operating room.",English
"The second risk is at the connection site; sometimes, if the patient's healing ability is not very good,",English
"There may be signs of leakage, which can lead to signs of inflammation in the patient. Fever may also occur.",English
"White blood cell count may increase, requiring antibiotics, or even the placement of a new tube to drain the dirty fluid, or another surgery.",English
Chen Meiping's surgery has been going on for an hour and a half. Dr. Hu Hanwen is carefully removing her parathyroid gland.,English
"During the surgery, what Dr. Hu was most worried about was accidentally injuring the recurrent laryngeal nerve. This would cause the patient to completely lose the ability to breathe normally.",English
"Even if rescued, it will be difficult to live a normal life. In fact, the patient has quite a few symptoms. However, she is also very worried.",English
Will the surgery affect her quality of life? Her job also requires her to use her voice to communicate with many people.,English
"So we also need to ensure the safety of the surgery, and we hope to reduce the risk of damage to the voice and throat.",English
"She also feels that those symptoms are quite bothersome for her. So we also hope that after the surgery, her symptoms will gradually start to disappear.",English
"It also makes the bones a bit stronger, so you can go back to doing activities like hiking and similar things.",English
"Two hours later, Dr. Hu successfully removed Chen Meiping's parathyroid gland. After the removal, we could actually see",English
"The tumor is a little larger than what we saw on the ultrasound. That might also explain why, before the surgery...",English
That parathyroid hormone level is so high. After that one is removed...,English
"Rosna, who has pancreatic cancer, was still undergoing surgery on the operating table. In addition to removing the head of the pancreas where the tumor was located, Dr. Tong Yongxian also...",English
It is also necessary to simultaneously remove the duodenum surrounding the head and neck of the pancreas. The troublesome part is,English
"The duodenum is connected to the stomach and the small intestine. In the process of removing the duodenum, it is often necessary to also remove a portion of the stomach.",English
"Sleeve gastrectomy is the removal of 50%, 60%, or even 70% of the stomach.",English
"On this day, in the operating room of Eagle Pavilion Hospital, the doctors and nurses were bustling about busily.",English
"Siddique, who is currently thirty-seven years old, suffers from obesity and weighs as much as 190 kilograms. The medical team must make some special preparations before performing surgery on him.",English
"During the surgery, I need his head to be elevated. His body weight will be pressing on his feet, so we need to protect his feet.",English
"Siddique, who was lying on the operating table, was quite relaxed at first. But as time went by, his expression gradually became a bit serious.",English
"Although Siddique is feeling anxious at this moment, he was actually very much looking forward to this day before. In order to get on this operating table...",English
"Siddique has loved eating since he was young. After starting a family ten years ago while working at an information technology company, his weight has only increased.",English
The highest record once soared to 204 kilograms.,English
"Dr. Chen Junhai, Siddique's attending physician, has performed weight loss surgery for more than 500 obese patients over the past few years.",English
Many people still lack sufficient understanding of the common phenomenon of obesity. Look at this chair—it doesn't have handles on the sides.,English
"They all have this kind of problem outside, as if when you sit down, you're trapped by the armrest, so they feel a bit awkward.",English
There is still a bit of fear when seeing a doctor.,English
"Most people may be able to lose weight through exercise and dieting, but for patients with class III obesity like Siddique,",English
What they often need is medical assistance. When patients with class 3 obesity start to exercise,English
"The chance of getting injured is relatively high. After he gets injured, he can't move. Their weight problem becomes more and more serious.",English
"Sleeve gastrectomy means that 50%, 60%, or even 70% of the stomach will be removed. Afterwards, a narrower sleeve-shaped stomach is left.",English
"Allow your food to enter the small intestine. Once the stomach capacity is reduced, patients will feel full after eating only a small amount of food.",English
"Before Dr. Chen operates on Siddique, he must first examine Siddique's stomach to see if there are any abnormalities. However, this is just something Siddique must undergo.",English
It is just one of the routine preoperative examinations. Siddique must also lose weight before the surgery.,English
To reduce the risk of surgery. That is why he must be admitted to the hospital two weeks in advance.,English
"After being admitted to the hospital, Siddique participated in a series of exercises tailored specifically for him almost every day. In fact, he had not exercised for a long time before this.",English
"So we chose some activities that he usually does in his daily life, such as half-squatting. In fact, he has a two-year-old daughter at home.",English
"He can squat down in a half-squat position and then lift his daughter up. Actually, this is just a normal parent-child activity. It takes less than five minutes.",English
Siddique began to pant. Although it was strenuous,English
"Siddique, who weighs nearly 200 kilograms, was hospitalized two weeks ago to prepare for a weight loss surgery in order to turn his life around.",English
"Patients who undergo this type of surgery generally do not need to do so much preparation. However, because Siddique's obesity is particularly severe, if he does not lose weight...",English
It will pose risks to the surgery.,English
"In order to lose weight, Siddique not only exercised actively but also had to give up his favorite foods, replacing them with a very low-calorie diet.",English
What does it taste like? This water? It has no taste. It's sweet. It's very fragrant. Siddique admitted that since he started fasting,English
"Sometimes, when seeing delicious food, he still can't resist the temptation and wants to ""break his vow."" But fortunately, there is someone by his side who has always shared weal and woe with him.",English
"Before removing the stomach, the surgical team must first retract the liver. One of the risks faced by some obese patients during this procedure is...",English
"It lies in this step. At that time, he weighed 204 kilograms. His liver should have had signs of fatty liver.",English
Then the liver needs to be moved up in order to see your stomach. The risk is that there may be bleeding.,English
"Siddique's efforts over the past two weeks seem to have paid off. Today's surgery went quite smoothly, and his liver has become thin enough to be able to...",English
Move it away without any problem. The purpose of sleeve gastrectomy is to remove most of the patient's stomach.,English
"Only a small portion is retained. For this reason, before the surgery, the surgical team will insert a tube called a gastric calibration tube into the esophagus.",English
"All the way to the stomach. During the surgery, when the surgeon Dr. Chen Junhai needed to assess the area to be removed",English
We have to rely on this tube. And the person controlling this tube is actually another important figure in the operating room.,English
"The main responsibility of an anesthesiologist is to ensure the safety of patients during surgery, in addition to helping patients undergo surgery without pain or awareness.",English
Anesthesiologists must also constantly monitor their vital signs during surgery.,English
"Within just one hour, Siddique's stomach had already begun to be divided into two sections. Sleeve gastrectomy.",English
It is actually a type of weight loss metabolic surgery. These procedures mainly help patients lose weight in the long term by modifying the patient's digestive system.,English
"Bariatric metabolic surgery not only limits your food intake, but also adjusts your hormones and your metabolic rate.",English
"After surgery, hormonal changes can reduce the patient's appetite. Changes in metabolic rate can also make it easier for body weight to gradually decrease.",English
"However, this does not mean that the patient's obesity has been cured.",English
"Although this surgery can help patients lose weight more easily after dieting and exercising, if the patient later...",English
"If you still binge eat, there is still a possibility of regaining weight in the end. I usually tell my patients that this journey is like a ten-thousand-step process.",English
"The first step I help you take is to perform this surgery for you. After the surgery, your weight will definitely go down. How much it will go down and how long it will last...",English
"After undergoing weight loss surgery this morning, Siddique woke up to find himself lying in the high dependency ward.",English
"Because Siddique has obstructive sleep apnea syndrome, he may experience breathing difficulties after surgery, so careful monitoring is required.",English
"In the intensive care unit, patients' heart rate, blood pressure, and oxygen saturation are transmitted to a central monitoring station. If any deviation occurs, an alarm will sound.",English