Baoding Children's Hospital and Beijing Children's Hospital share resources in six areas including experts, clinics, and management, and the proportion of children admitted and treated outside Baoding exceeds 80%
Hospitals managed across provinces can see Beijing experts without going to Beijing
Tongtong (pseudonym), a three-year-old girl from Shanxi, went to Beijing Children’s Hospital for lipoblastoma and was unable to find a bed. She went to Baoding Hospital of Beijing Children’s Hospital of Capital Medical University (hereinafter referred to as “Baoding Hospital”) and was hospitalized for the third day , successfully completed the operation.
The hospital where Tongtong performed surgery was originally Baoding Children's Hospital, but now it is fully managed by Beijing Children's Hospital of Capital Medical University.
In June 2015, the Central Committee of the Communist Party of China and the State Council issued and implemented the "Outline of Beijing-Tianjin-Hebei Coordinated Development Plan", which clarified that the core of the Beijing-Tianjin-Hebei coordinated development strategy is to orderly relieve Beijing's non-capital functions.
Tian Jian, President of Baoding Hospital, introduced that under this background, Baoding Children’s Hospital is the first public hospital to be entrusted across provinces. It shares six resources with Beijing Children’s Hospital in terms of experts, clinical and management, aiming to solve the problem of children from all over the country entering Beijing. Difficult to see a doctor.
Today, Baoding Hospital has been in operation for nearly eight years, with an annual outpatient visit of 620,000 person-times, 8,000 difficult operations from zero to completed, and more than 80% of children outside Baoding City were treated.
doctor from beijing
Chang Xiaofeng witnessed the oncology surgery in Baoding Hospital from scratch.
He was originally a doctor in the Department of Oncology of Beijing Children's Hospital. In 2018, the Department of Oncology of Beijing Children's Hospital established a sub-ward in Baoding.
Chang Xiaofeng once watched the tumor surgery department of Beijing Children's Hospital increase the number of beds from eight to 14. Even if the doctors "continuously" perform operations, they cannot meet the medical needs of children from all over the country.
He followed the advice of the director of the department at the time and went out for a walk, hoping to find a way to help more children.
Before Baoding Children’s Hospital was entrusted, there was no specific division of specialties, only major surgery and major internal medicine.
Chang Xiaofeng said that although the medical staff of the newly established oncology surgery department are elite soldiers selected from various departments of the hospital, they have not systematically contacted with the oncology department's diagnosis and treatment plan.
In the new environment, he did not dare to be sloppy in the face of new colleagues and new equipment.
As the attending physician, he is also on duty at the front line, and he hardly leaves the hospital area every week, and lives in the office of the ward at night.
Chang Xiaofeng said that this is to be able to deal with patients in emergencies in a timely manner.
The successful treatment of Tongtong is the result of joint treatment by Beijing experts and doctors from Baoding Hospital.
Tongtong's parents told the doctor that Tongtong was initially diagnosed with lipoblastoma, and local hospitals in Shanxi did not dare to admit him because the tumor was too large.
In February 2019, Tongtong's parents took Tongtong to Beijing Children's Hospital, where she was diagnosed with lipoblastoma and needed surgery, but she had to wait because of the shortage of beds.
Beijing Children's Hospital introduced to Tongtong's parents that Baoding Hospital has thousands of children from all over the country for treatment. Beijing experts go to Baoding Hospital for consultation and surgery every week to ensure the same quality of treatment. It is recommended that Tongtong go to Baoding Hospital for surgery.
On the third day after Tong Tong was hospitalized in Baoding Hospital, he received surgery from experts from Beijing.
Chang Xiaofeng said that the tumor removed from Tongtong's body was 30 centimeters in longest diameter and weighed 1,800 grams.
The child recovered and was discharged after the operation.
The Beijing doctors in Baoding Hospital have started a dual-city life mode. They stay in Baoding Hospital from Monday to Friday, and return to Beijing to reunite with their families on weekends.
Typically, childhood cancer treatment involves both surgery and chemotherapy.
Operations are performed on vital organs, such as liver and peritoneal tumors wrapped in blood vessels. Sometimes a single operation takes more than ten hours to complete. Various difficult problems may occur at any time during the operation, and severe infections may also occur during chemotherapy.
What if the anesthesia cannot be maintained smoothly during the operation and the operation cannot proceed?
Blood transfusions are needed at any time during the operation. The hospital has no blood and needs to go to Baoding blood station to get blood, but what should I do if the time is too long?
Chang Xiaofeng believes that the problem forces everyone to improve their professional level. At present, the hospital has established a blood bank to guarantee blood supply for surgery.
The first child with leukemia was treated in 17 years
Liu Yan, director of the Hematology Oncology Center of Baoding Hospital, said that in the past, parents and doctors would choose to go to a higher-level hospital for diagnosis and treatment whenever they encountered a child with a slightly more complicated condition.
Now, with the support of experts in Beijing, local hospitals dare to treat her.
Liu Yan is one of the local experts trained by Baoding Hospital.
In 2017, a four-year-old girl from Baoding visited Baoding Hospital because of a fever. She was first diagnosed with leukemia.
Later, the parents took the child to Beijing Children's Hospital for diagnosis and hospitalization.
Due to the long medical insurance reimbursement cycle for medical treatment in other places, the patient's family could not afford the high medical expenses, so he was referred to Baoding Hospital after a period of treatment in Beijing.
Liu Yan admitted her.
This is the first case of childhood acute lymphoblastic leukemia that Liu Yan has been admitted to the hospital for 17 years.
With the great help of Beijing experts, Liu Yan successfully cured the girl.
The girl has stopped taking the drug and returned to normal. The medical assessment is counted from the time of onset, and no recurrence within five years is considered a clinical cure.
Statistics from Baoding Hospital show that from October 2019 to December 2022, the Hematology Oncology Center has diagnosed and treated 25,000 children and admitted 5,000 hospitalized patients. The course of diagnosis and treatment has increased by 18.
Zhou Nan, a nephrologist at Beijing Children's Hospital, went through a painful period when he was first assigned to Baoding Hospital.
In October 2021, Zhou Nan will serve as the deputy director of the newly established Second Department of Nephrology at Baoding Hospital.
She found that the medical staff in the department are generally young and can handle common and simple urinary infection diseases, but the treatment of professional diseases is relatively weak.
Problems were found during the follow-up of discharged patients, and how to give patients a prescription for drug adjustment was a difficult point. Zhou Nan also specially organized training on this.
In September 2022, Jiajia (pseudonym), an 11-year-old girl suffering from systemic lupus erythematosus and lupus nephritis, was admitted to Baoding Hospital.
Before going to the hospital for treatment, Jiajia had been treated in a foreign hospital for a month, and her condition worsened due to irregular medication.
This disease is called "cancer that is not cancer" by the medical profession.
After examination, the girl's multiple systems and organs were affected. It can be seen from the platelet count that massive bleeding may be life-threatening at any time.
Zhou Nan searched the medical literature and found that Jiajia's clinical manifestation was a rare case of lupus, even in Beijing Children's Hospital.
After Jiajia was admitted, nephrologists at Beijing Children's Hospital conducted online video consultations every day, and went to Baoding for offline rounds every week. According to the changes in her condition, she adjusted the treatment plan and took medication to control complications in a timely manner.
Three months later, Jiajia's condition was effectively controlled, and her clinical symptoms improved and she was discharged from the hospital. At present, she only needs regular monthly outpatient treatment.
Zhou Nan said that Jiajia is the first child with lupus nephritis successfully treated since the establishment of the Second Nephrology Department in October 2021.
leave a team that can't be taken away
Experts from Beijing Children's Hospital visited Baoding, attracting children from all over the country to seek medical treatment. Whether Baoding Hospital can take care of them has become a new problem.
Tian Jian, president of Baoding Hospital, introduced that on the one hand, from the strategic layout of Beijing-Tianjin-Hebei coordinated development, experts from Beijing Children's Hospital have been normalized to Baoding for outpatient consultations, ward round lectures, scientific research and teaching, and operations.
At the same time, 7 experts were appointed as the "double directors" of Baoding Hospital's departments to guide the business, and 12 experts were appointed as the directors of Baoding Hospital's departments to fully take over the management of Baoding Hospital's departments.
For the key development departments of the hospital, Beijing appoints key doctors to stay in Baoding.
Baoding Hospital has been in custody for nearly eight years. Beijing Children's Hospital has more than 400 experts, and more than 10,000 person-times have come to Baoding to help and treat more than 28,000 children.
On the other hand, strengthen hospital hardware construction.
In June 2021, the Department of Stem Cell Transplantation of Beijing Children's Hospital of the National Children's Medical Center has settled in Baoding as a whole. Qin Maoquan, an expert in stem cell transplantation from Beijing Children's Hospital, led 15 staff from Beijing Children's Hospital to reside here. There are 20 transplant warehouses. The largest in North China and the first children's hematopoietic stem cell transplant center in Baoding.
In May 2022, Xiangxiang (pseudonym), a 1.5-year-old boy from Shandong, was diagnosed with chronic granulomatous disease by Beijing Children's Hospital - this is an immunodeficiency disease caused by gene mutation. Allogeneic hematopoietic stem cell transplantation is the only cure s method.
After being successfully matched by the China Bone Marrow Bank, Xiangxiang was referred to Baoding Hospital for hematopoietic stem cell transplantation.
According to statistics from the Hematopoietic Stem Cell Transplantation Center, 128 children have successfully left the warehouse so far, and more than 80% of the children are from outside Baoding. The children come from Shandong, Guizhou, Gansu and other parts of the country.
According to the relevant person in charge of the Baoding Health Commission, since Baoding cooperated with Beijing and Tianjin medical institutions, according to incomplete statistics, 96 medical and health institutions have signed cooperation agreements with 117 top three medical and health institutions in Beijing and Tianjin.
Today, a map of China, dotted with red tacks, hangs on the wall of the tumor surgeon's office at Baoding Hospital.
Chang Xiaofeng said that this indicates that the children who have been treated have spread all over the country.
(Beijing News reporter Li Yingqiang)