诺奖得主在沪坐诊首日:问询每名病人一小时,病历写得极细致

2017-06-13 陈斯斯 通讯员 孙钰 李静 澎湃新闻

到由诺贝尔奖获得者坐镇的门诊看病,是一种怎样的感受?6月13日,住在梅园二村的杨女士真实体验了一把。记者13日从上海东方医院了解到,杨女士看的这名医生即诺贝尔生理学或医学奖获得者、“幽门螺杆菌之父” 巴里·马歇尔教授,他目前任东方医院国际消化疾病诊疗中心主任。现场同时配备胃肠内科医生担任翻译。今年40岁的杨女士4年前就一直有反复的腹胀隐痛,曾在多家医院求医,也做过2次针对幽门螺杆菌的抗菌治疗,但幽

到由诺贝尔奖获得者坐镇的门诊看病,是一种怎样的感受?6月13日,住在梅园二村的杨女士真实体验了一把。

记者13日从上海东方医院了解到,杨女士看的这名医生即诺贝尔生理学或医学奖获得者、“幽门螺杆菌之父” 巴里·马歇尔教授,他目前任东方医院国际消化疾病诊疗中心主任。现场同时配备胃肠内科医生担任翻译。

今年40岁的杨女士4年前就一直有反复的腹胀隐痛,曾在多家医院求医,也做过2次针对幽门螺杆菌的抗菌治疗,但幽门螺杆菌仍未根除。此次看诊,她希望“幽门螺杆菌之父”能够让她彻底摆脱幽门螺杆菌的困扰。

记者从东方医院了解到,13日整场门诊义诊,马歇尔对每一名病人的问询时间都在一小时,有时甚至更久,病历也写得极为细致、整洁。

据院方透露,马歇尔在东方医院进行下一次门诊的时间预期是今年7月,有需要的市民可以通过医院官网或微信预约了解。

义诊咨询现场,有8名患者预约看诊,现场同时配备胃肠内科医生现场翻译。上海东方医院 供图

对每名患者问询至少一小时

6月13日8点多,通过特需门诊预约筛选的多名患者,来到东方医院本部三楼特需门诊门口等待。

为了提高门诊效率,此次义诊患者均为复诊,并被通知带有检查好的胃镜报告和碳13呼气报告。

虽然来上海前,马歇尔得了重感冒,且经历长途飞行,但仍准时开诊。

通过院内一名外语出色且有留学经历的胃肠内科医生的翻译,他与每一名患者细细交谈,了解病情,逐一给出个体化精准治疗的建议。

参照中国医生的看诊时间,东方医院前期将每名患者的门诊时间预定为半小时,但实际上,马歇尔对每名患者的咨询时间都在1小时,有时甚至更久。

“这真的是一次太特别的看病经历。”一名患者说:“马歇尔医生太细致了,他耐心的了解病史和平时的饮食习惯等,整个过程与其说像看病,不如说像在跟熟人聊天。”

马歇尔的病历也写得极其细致、整洁,详细程度堪比住院医师。这样的病历,被患者当作“纪念品”小心保留。门诊结束时,马歇尔不忘对担任翻译的朱医生表示真诚感谢:“准确而专业的翻译,这只有专科医生可以做到。”

下一次门诊在今年7月

流行病学调查显示,中国超过50%的人感染幽门螺杆菌,预计有7亿名感染者,然而目前临床诊疗的根除率却不容乐观。世卫组织已经明确,该细菌是导致胃溃疡、胃炎和胃癌的第一致病因子。

作为诺贝尔奖得主,马歇尔签约东方医院不是只看门诊,其团队核心技术是在对患者进行药敏试验、基因测序、生物标志物分析鉴定的基础上,更准确分析患者所感染的幽门螺杆菌对何种抗生素最为敏感,通过精确寻求病因,选择不同的治疗靶点和诊疗措施,从而为患者提供个性化的精准治疗,进一步提高根治率,同时减少滥用抗生素的可能性。

在澳大利亚马歇尔传染病研究中心,采用“马歇尔hp个性化精准医疗”,该菌的根除率超过95%。

限于时间,本次门诊义诊仅在东方医院特诊部开放。但院长刘中民表示,这并不意味着马歇尔来东方只看“高端”病人,个性化精准治疗也绝不是高端病人的特权或专属。作为一种新型诊疗方式甚至新型医疗理念,精准化的个性治疗是医学发展的方向,邀请国际团队加盟医院,是为了尽早将这一理念落到实处,普惠大众。

受聘同济大学特聘教授、同济大学附属东方医院名誉院长,马歇尔将在同济大学医学院、附属东方医院的联合科研平台开展工作,担任“同济大学马歇尔HP综合实验室”、“马歇尔消化疾病国际诊疗中心”、“东方医院与马歇尔院士工作站”等机构负责人,每年在同济大学工作时间不少于三个月。

同时,东方医院马歇尔消化疾病诊疗团队也即将落户张江高科技园区,针对中国患者对多种抗生素耐药等现象,尝试开发针对治疗耐药菌株的基因检测产品,以缩短治疗周期,减少治疗费用。

据院方透露,马歇尔在东方医院进行下一次门诊的时间预期是今年7月,有需要的市民可以通过医院官网或微信预约了解。

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    2017-06-20 大爰

    学习了谢谢分享!!

    0

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    2017-06-15 wumeihua90
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    2017-06-14 李东泽

    很好,不错,以后会多学习

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=213013, encodeId=9796213013ed, content=学习了谢谢分享!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Tue Jun 20 07:52:09 CST 2017, time=2017-06-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1462317, encodeId=fb15146231e2b, content=<a href='/topic/show?id=5c0c9191e10' target=_blank style='color:#2F92EE;'>#诺奖#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91917, encryptionId=5c0c9191e10, topicName=诺奖)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4d36483905, createdName=wumeihua90, createdTime=Thu Jun 15 14:53:00 CST 2017, time=2017-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=210662, encodeId=e920210662a8, content=很好,不错,以后会多学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Wed Jun 14 13:33:27 CST 2017, time=2017-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=210660, encodeId=fce721066007, content=很好,不错,以后会多学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Wed Jun 14 13:31:23 CST 2017, time=2017-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=210624, encodeId=3e5e210624bd, content=严重同意楼上的!搞这些花活,有什么意义呢?诺奖多看几个病人,真的有用了?, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a5105539, createdName=lovetcm, createdTime=Wed Jun 14 11:21:14 CST 2017, time=2017-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=210620, encodeId=36dd210620c0, content=我想知道能不能一天看30人次呢,中国得要多少诺贝尔奖得主来看病呢?如果都这样玩,看不到病的群众怎么解决呢,光鲜的外表和严重不符合事实的方法!, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM429eOiaiceZjluRBTMg9cMBPV5G7NR9GKT1XwH5q3MH9v4icYc1bbtebvK6fyaNIAsy2F4hIBoLz6gQ/0, createdBy=5f302033267, createdName=yangxu2017, createdTime=Wed Jun 14 11:08:04 CST 2017, time=2017-06-14, status=1, ipAttribution=)]
    2017-06-14 李东泽

    很好,不错,以后会多学习

    0

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    2017-06-14 lovetcm

    严重同意楼上的!搞这些花活,有什么意义呢?诺奖多看几个病人,真的有用了?

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=213013, encodeId=9796213013ed, content=学习了谢谢分享!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Tue Jun 20 07:52:09 CST 2017, time=2017-06-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1462317, encodeId=fb15146231e2b, content=<a href='/topic/show?id=5c0c9191e10' target=_blank style='color:#2F92EE;'>#诺奖#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91917, encryptionId=5c0c9191e10, topicName=诺奖)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4d36483905, createdName=wumeihua90, createdTime=Thu Jun 15 14:53:00 CST 2017, time=2017-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=210662, encodeId=e920210662a8, content=很好,不错,以后会多学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Wed Jun 14 13:33:27 CST 2017, time=2017-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=210660, encodeId=fce721066007, content=很好,不错,以后会多学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Wed Jun 14 13:31:23 CST 2017, time=2017-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=210624, encodeId=3e5e210624bd, content=严重同意楼上的!搞这些花活,有什么意义呢?诺奖多看几个病人,真的有用了?, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a5105539, createdName=lovetcm, createdTime=Wed Jun 14 11:21:14 CST 2017, time=2017-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=210620, encodeId=36dd210620c0, content=我想知道能不能一天看30人次呢,中国得要多少诺贝尔奖得主来看病呢?如果都这样玩,看不到病的群众怎么解决呢,光鲜的外表和严重不符合事实的方法!, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM429eOiaiceZjluRBTMg9cMBPV5G7NR9GKT1XwH5q3MH9v4icYc1bbtebvK6fyaNIAsy2F4hIBoLz6gQ/0, createdBy=5f302033267, createdName=yangxu2017, createdTime=Wed Jun 14 11:08:04 CST 2017, time=2017-06-14, status=1, ipAttribution=)]
    2017-06-14 yangxu2017

    我想知道能不能一天看30人次呢,中国得要多少诺贝尔奖得主来看病呢?如果都这样玩,看不到病的群众怎么解决呢,光鲜的外表和严重不符合事实的方法!

    0

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