Jack interview Part 4 | Interview with Professor Wang Guangfa: Carrying the weight of life and lifting the light of hope
Summary of viewpoint
“The development of critical illness,Consider the layout of disciplines,importantStrengthen the ability to solve difficult diseases,importantthe development of technology should be centered on improving patient's life support, and the early rehabilitation of critical illness should be emphasized..."
"We should be cautious in the promotion of self-media,and industry delegates should be responsible for what they sayand the informationthey convey must be objective and realistic, and they can't have it both ways."
"Disposable bronchoscopy has important applications, such as the treatment of infectious diseases, critical illnesses, and procedures that tend to damage the bronchoscopy."
"In the future, disposable bronchoscopy may develop into disposable thoracoscope, disposable ultrasound bronchoscopy, robot, different optical imaging, and guided biopsy technology for early lung cancer identification."
"This is a relatively large measure at the national level, and it needs to listen to the opinions of all parties to form corresponding policies. Currently, it is in the process of being handled..."
"...This year, I have three main proposals. One is about the resources for critical care, another is about the corresponding supporting measures for the high-quality development of public hospitals, and the third is about aerosol biosafety. Actually, there has been some progress in these three aspects, and the relevant departments have received my proposals, and some departments have begun to give me feedback... "
"…The development of critical illness should be considered in the layout of disciplines, the ability to solve difficult diseases should be strengthened, the development of technology should be centered on improving patient's life support, and the early rehabilitation of critical illness should be emphasized...These disciplines should be considered for development..."
"...Our responsibility is actually focused on difficult critical diseases. Difficult critical diseases require you to consider the layout of your disciplines. First, we must strengthen our ability to solve difficult diseases, which requires a lot of means. Moreover, our own disciplines also need to develop some very cutting-edge technologies, among which interventional respiratory technology is very important..."
"...If we look at our interventional technology in the context of respiratory and critical care medicine, you can understand that our interventional technology cannot be used in isolation. Our interventional technology should follow the development of respiratory medicine to try and overcome the most difficult patients..."
"... The relevant technologies for critical care have really provided good solutions, and these technologies that focus on improving and supporting patient life should actually be included in our layout framework... "
"... Everyone pays great attention to the issue of early recovery from critical illness. Once your vital signs are stable, it's important to start rehabilitation as soon as possible ..."
“…………We should be cautious in the promotion of self-media, and industry delegates should be responsible for what they say and the information they convey must be objective and realistic, and they can't have it both ways……"
"... The Self-Media can spread health knowledge, guide patients in medical treatment, disease prevention, or disease treatment, and is a very good tool. I think it has played a great role..."
"..."Self-Media also has its own disadvantages, or drawbacks. If your information is not accurate, it may have the opposite effect. In addition, Self-Media is being used by some people to achieve their own personal goals, and I think the academic community should pay attention to this..."
"..."We should not forget our original intention. We serve patients and are concerned about their health. We guide patients to seek medical treatment and diagnosis in a standardized way. So, the information we convey must be objective. For example, when we talk about the benefits of a certain technology, we must also talk about its potential risks. Do not deliberately do misleading propaganda for the sake of saying something about a certain technology..."
"...Industry delegates should be responsible for what they say. I think the principle that doctors need to adhere to most is that we must be realistic and not sway from one side to the other. When it comes to self-media propaganda, everyone should be cautious..."
"... The whole trend of medicine is to support and treat the lives of critically ill patients. The construction of various disciplines in recent years has greatly promoted the overall improvement of our critical care..."
"... When I took over as the director of the respiratory department, the first thing I did was to expand the intensive care unit. We went from 6 or 8 beds to 15 beds now. The pace of expansion was not too fast, but it has been steadily advancing..."
"... If the respiratory department does not engage in critical care, it is not fully utilizing the strengths of our respiratory doctors. Additionally, there are shortcomings in the construction of the respiratory department. So, the name change is actually more appropriate. Our department changed its name in 2012, and it has played a very important role in guiding the interests of our colleagues, attracting more patients, and building the hospital's critical care platform..."
"…I think the department of respiratory medicine has advantages. It has inherent advantages in the treatment of infections, the judgment of patient conditions, the overall diagnosis and treatment ideas, and the understanding of respiratory physiology. This has indeed helped a lot of critically ill patients."
"... Emphysema and chronic bronchitis will definitely be a very important development direction in our field in the future, which will greatly benefit our endoscopic technology, from benign diseases to malignant diseases, and from acute diseases to chronic diseases..."
“……"... COPD is definitely an important intervention field for us in the future... There have been some cases of surgical lung volume reduction in the past, and its long-term efficacy is indeed proven, but the risk is too high, so the technology of bronchoscopy was born... Such as valve, elastic ring, hot steam, biological glue, these are actually being studied worldwide, and the most mature ones are valve, elastic ring and hot steam. Actually, there is no domestic equipment in China...……”
“……"... Because we have never done the elastic ring on patients before, we don't know how to put it on. Now we have basically figured out some experience and the operation speed has been greatly accelerated..."……”
“……"... Another direction is chronic bronchitis, we are also doing pulsed field technology... We have done the first case in China, and it is also very successful. The patient has completed two treatments, and he used to use a packet of tissues a day, but now it has been significantly reduced..."……”
“……"... In addition, several high-quality clinical research results have been published in recent years on targeted lung denervation therapy, which has boosted confidence. There are also studies on targeted lung denervation therapy in China ..."……”
"Disposable bronchoscopy has important applications, such as the treatment of infectious diseases, critical illnesses, and procedures that tend to damage the bronchoscopy..."
“……"... The disposable bronchoscope has important applications, such as in the treatment of infectious diseases. Carrying a bronchoscope for disinfection can actually bring additional risks. So, we hope that if the price is acceptable, we can use disposable bronchoscopes in the treatment of infectious diseases for some procedures like suctioning sputum, treatment, and diagnosis, which do not require particularly delicate operations. Disposable bronchoscopes can basically solve these problems ..."……”
“……I think anotherscenario for it is critical care. Because when we are on duty, we may encounter some serious patients and unexpected problems. If we use reusable bronchoscopy, there will be many problems..."……”
“……Another application scenario is the ease of damage to the operation of bronchoscopy, such as when we take a stent. If we use disposable bronchoscopy, it may be better value..."……”
"I think that we have actually broken through the technology of disposable bronchoscopy. In the future, we may develop disposable thoracoscope, disposable ultrasound bronchoscopy, robot, different optical imaging, and guided biopsy technology for early lung cancer identification..."
“……"... I have reviewed your endoscope, and I think it is actually very good, the surface is very smooth, and the operation is relatively flexible. In the future, it may be necessary to develop disposable thoracoscope and disposable ultrasound bronchoscope..."……”
“……"... In the future, robots may be developed. Robot technology may be integrated with our current bronchoscopy. Your bronchoscopy may serve as a robot in the future. These are possible directions for future development ..."……”
“……"... disposable bronchoscopy may require relevant national supporting measures, such as price and medical insurance, at least to be able to charge fees. Secondly, in specific situations, medical insurance should be reimbursed..."……”
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