Ma Jianzang is on the way for many people to seek medical treatment. Although he is not so conspicuous sometimes, there are always people who cannot get around him.
Liu Jing's father is one of them.
The 60-year-old man suffered a sudden myocardial infarction, covering more than 95% of the area. The hospital in his hometown of Houma, Shanxi, did not dare to risk surgery and could only be referred to a large hospital.
Liu Jing and her husband were locked in the community because of the epidemic and could not accompany them.
Finally, they found Ma Jian, an escort in Beijing.
This escort clinic started from Beijing West Railway Station.
The myocardial infarction forced Liu Jing's father to rely on a wheelchair to travel, and the other two family members who accompanied him to Beijing were also in their 60s.
They don’t use their smartphones to take taxis to check information, and they need step-by-step instructions to scan the code with the health treasure.
Ma Jian had to pick them up at the train station, arrange a convenient hotel for them, take them to do the nucleic acid tests required for admission, and tell them where the supermarket and restaurant nearby were, and then send the patient to the emergency room of Anzhen Hospital.
Ma Jian said that he did not dare to take this order at first. An elderly man in his 60s came to Beijing from Shanxi, and his family members were not around in case of any accident. The risk was too great.
But Liu Jing told him on the phone that he could record and write any disclaimer, "When I heard this, I thought I had parents too, so I would do me a favor. If we don't go, no one will help him. do these things."
In 2020, "Community Health Assistant" was officially included in the occupational classification as a new occupation.
A long time ago, a group of people provided patients with services such as appointment registration, payment, medicine collection, and hospitalization procedures.
In the long and tedious medical treatment process, the escort is not a very important part.
But many believe they are a shortcut on the tortuous cross-province road to seeking medical care.
In the days when online registration was not popular, Ma Jian helped customers stay up all night to queue up for registration; now, he completes inspections and preliminary work in Beijing that does not require him to be present.
"If the experts in Beijing say that they can come to Beijing for surgery, let the patients themselves make an appointment for the surgery. It will save them a lot of time and accommodation costs." Even when the patients themselves are unable to come to Beijing, Ma Jian will make an appointment in the hospital outpatient clinic. Talk on the phone, let the patient and the doctor connect directly by phone or video.
The longest time, doctors and patients communicated on the phone for two hours.
A few days ago, Ma Jian accompanied a patient with pheochromocytoma from Tianjin. This disease is known as a "high blood pressure killer", which can make the patient's blood pressure extremely unstable and even rise above 200mmHg, which may be life-threatening.
The elderly are in urgent need of surgery, and they must take alpha-blockers (a special drug to control blood pressure in pheochromocytoma - reporter's note) before surgery, and have to travel back and forth in various departments for consultation.
It may take two weeks for the elderly to complete the process by themselves, and frequent nucleic acid testing is required to enter and exit Beijing and Tianjin.
And these complex preliminary preparations were completed by Ma Jiandai.
He also encountered a three-year-old child in Yunnan who suffered a craniocerebral injury after an accidental fall. The head CT in a local hospital in Yunnan showed severe hydrocephalus. The local hospital's plan was to require craniotomy for decompression, otherwise it would affect intelligence. development is life-threatening.
The parents were afraid of the risks and did not dare to undergo surgery, so they gave him the number of Peking University First Hospital and asked him to consult on his behalf.
After reading the film, the experts inquired about the child's basic situation and the current cranial circumference, and believed that conservative treatment can also effectively solve the child's problem.
Parents also chose conservative treatment with confidence, and finally achieved good treatment results.
Ma Jian said that there are not many people who specialize in escorting clinics like him in Beijing.
After the medical escort became popular, many people just followed the trend to shoot videos and sell classes online. The people who actually worked as medical escorts did not change much.
Under normal circumstances, Ma Jian's escort clinics only have two orders a day, one in the morning and one in the afternoon.
Since the new crown pneumonia epidemic, he has been unable to receive orders from the hospital.
In Ma Jian's online store, more than 10,000 errands are purchased, the monthly sales are more than 1,000, and there are more than 1,700 fans.
Ma Jian couldn't tell when he started working as an escort.
In 2013, a friend of Ma Jian needed to see a doctor in Beijing, and Ma Jian lined up for him to register at the scene. "The queue did not hang up all night, and the number was in the hands of scalpers." At that time, Ma Jian just resigned from his previous job. , he was inspired by helping a friend to register, "There must be a lot of people coming to Beijing to do business from other places. There are all kinds of things." He began to work as an errand agent in Beijing.
Ma Jian said that at the beginning, he took on all kinds of work, including handling visas and going to school to get grades.
Accompanying consultation is mainly to prescribe medicines for returning patients.
After the epidemic, the hospital's list has increased, and the visa issue has been reduced a lot. In the past two years, he has also formed a medical escort team, basically only busy with the work of the hospital.
Many of Ma Jian's clients are critically ill patients with limited mobility. Some clients are even critically ill or die during treatment. When queuing up to pay for medicines, he will occasionally pay thousands of yuan in advance. The fees are much higher; and customers also need to send valid documents such as social security cards, ID cards, and private information such as cases to the escorts.
In the 9 years of his career, Ma Jian has never encountered a tense relationship with a client or a lawsuit. You don’t need to come to me when you are looking for an accompanying doctor.” In addition to a private team like Ma Jian, there are many escort companies on the Internet, most of which serve a certain city.
Some escort companies in other cities will also find escorts in Beijing - if there are local patients who need to come to Beijing, they need to establish cooperation with the escorts in Beijing.
"If you can't see it locally, go to the provincial capital city to see it, and if you can't see the provincial capital city, you can go to first-tier cities like Beijing and Shanghai to see it."
When encountering a disease, people always think of big cities first.
The "2020 National Medical Service and Quality Safety Report" released by the National Health and Medical Commission shows that in 2020, the number of inpatients outside the province will reach 5.99 million in 2020. Affected by the new crown pneumonia epidemic, this huge number has decreased compared with 2018 and 2019.
More than 80% of Ma Jian's recent service targets are out-of-town patients. If it is inconvenient for him to come to the hospital due to the epidemic or physical reasons, he will send him all the documents and documents, and let him go to the hospital for consultation and get medicine, and then express it by courier go back.
There are also some cancer patients who urgently need to go to Beijing for re-examination and chemotherapy. They also have to ask for help.
He Yingzhen was established by Ma Jian because of this connection.
Before the epidemic, He Yingzhen had been hospitalized for chemotherapy at the Cancer Hospital of the Chinese Academy of Medical Sciences.
In May, the epidemic situation in Beijing was severe, and He Yingzhen, who lives in Shijiazhuang, has been unable to enter Beijing. The CT and laboratory report sheets at the cancer hospital in April have not been printed, and one of the latest anticancer drugs in her chemotherapy regimen is difficult to buy locally. , the 28-day chemotherapy cycle can not wait for others.
If the treatment is interrupted, what awaits He Yingzhen is the recurrence of the tumor.
Cheng Hanmei was also a customer who contacted Ma Jian during the epidemic.
In the second half of 2020, Cheng Hanmei moved from Beijing to Yanjiao to live.
Since March this year, outbreaks have occurred in Yanjiao and Beijing one after another.
Cheng Hanmei said that in those days of lockdown, she had to take painkillers four times a day. "My body hurts terribly, and I don't want to cause trouble to the government." Now, she found Ma Jian online and picked her up at the checkpoint to see a doctor in a Beijing hospital.
In general, Ma Jian gets up at 5:00 every morning, and arrives at the hospital before 8:00. Xiehe Hospital, 301 Hospital, Anzhen Hospital, Cancer Hospital... Ma Jian often goes to these large and crowded hospitals. In the hospital, many patients want to come to a large hospital in Beijing to see if there is a better treatment plan after seeing the patient in the local area, or the local treatment effect is not good, and they want to come to Beijing to see if there is a misdiagnosis.
In the case of Liu Jing's father, the local hospital did not dare to request a transfer for surgery.
At that time, Liu Jing's father with a myocardial infarction had been delayed for some time in Houma's hospital without treatment. Liu Jing said, "I was very anxious at the time. We couldn't sleep in those days, and we were thinking about what to do all day and night."
Liu Jing and her husband are both only children born in the 1980s.
At first, Liu Jing wanted to accompany her father to see a doctor in Beijing by herself. She was locked up at home and called the local community to ask if she could go out and take her father to see a doctor, but she was not allowed.
"I'm very sad, and I can't violate the anti-epidemic policy, so I'm stuck here." At this time, her husband found Ma Jian, an escort on the Internet, and hoped that he would bring his father to Anzhen Hospital for surgery in Beijing.
After the epidemic, medical escorts have increasingly appeared in people's field of vision.
Wang Youjie's child is a patient with a rare disease. Before the outbreak in Shanghai, she lived in Nanxun, Zhejiang, and took her child to see a doctor in Shanghai every month.
In the country, there are only two experts treating this rare disease, one in Shanghai and the other in Beijing.
Wang Youjie said that because of illness, children cannot appear in public places with many strangers for a long time.
To fly to Beijing, you need to spend too much time in public space.
However, due to the outbreak in Shanghai in April, the city was blocked from entering the hospital, and Beijing was able to receive patients normally. Because she had to go to the hospital regularly, she had to hang up the number of Beijing.
When she bought a plane ticket to Beijing and arrived at Hangzhou Xiaoshan Airport, Wang Youjie and her family's Beijing Healthbao suddenly appeared in a pop-up window and couldn't board the plane. They couldn't go to Beijing. Wang Youjie's brother helped her contact Ma Jian, an escort.
Because of his special condition, and he had never seen a doctor in Beijing, Wang Youjie sent Ma Jian dozens of scanned copies of electronic documents, and communicated with doctors in Beijing through Ma Jian's phone.
Wang Youjie said that from Zhejiang to Beijing to see a doctor, he could not go back and forth on the same day, and the airfare and hotel cost several thousand yuan. At present, returning from Beijing to Zhejiang still needs to be isolated.
Taking the kids on a trip takes a lot of time and energy.
However, Wang Youjie said that if Shanghai starts follow-up visits, she still wants to take her child to Shanghai to see a doctor in person. It is more convenient to drive to Shanghai for more than an hour, and she can communicate with the doctor in person. Boy, I can't see the doctor's subtle facial expressions either."
Wang Youjie said that she had never heard of the job of an escort before. This time, because the children could not see a doctor during the epidemic, she found that there are many such services on Taobao.
Like her, Liu Jing first contacted the escort because of her father's illness. At that time, she felt that she "got a life-saving straw".
Liu Jing and her husband are both only children.
She said that she will accompany her parents to see a doctor as much as possible when the epidemic prevention and control permits, and she will still seek escort services in the future when there is a last resort.
"We have 4 elderly people to support and children. When we haven't experienced these things, we don't think about it so much. Many of them are really inattentive in terms of energy. We have thought about everything we can think of. Powerless."
(All names except Ma Jian are pseudonyms)
Zhao Anqi, a trainee reporter from China Youth Daily and China Youth Daily. Source: China Youth Daily