Because the interview time constraints, the problem can not be experts on each users detailed answer, please read the interview with Record of users, many users of the problem has been answered, in addition to individual cases or description too long is not very clear, most of the problems have been answered.
(Record first interview)
(Interview Record second paragraph)
(Interview Record third paragraph)
Moderator: Good afternoon, friends, welcome between Sohu Health Interview , 3.8 Women's Day the majority of the women we first sisters to say hi and wish you a happy holiday!
on this special day, we invited two very famous in the prevention and treatment of breast cancer experts, but also we old friend, the Beijing Union Medical College Hospital Professor Sun Qiang and PLA 307 Hospital, Professor Jiang Zefei, give us new ideas about prevention and treatment of breast cancer, we are very pleased to go to the well-known persons of breast cancer public service announcement, but also breast cancer patients Miss Ye Danyang, to communicate with the vast experience of breast cancer patients. First of all, please say hello to three with friends!
Qiang Sun: netizens good, happy holidays! very happy and we can work together to do some of their prevention and treatment of breast cancer efforts.
Ye Danyang: Hello everybody, I am a Beijing television Ye Danyang, very happy and everyone in the thirty-eight is more important to explore the topic of women.
Jiang Zefei: Hello, everybody, meet again, Every March 8th, have to pay attention to women concerned about breast cancer prevention knowledge.
Moderator: Breast cancer is harmful to women's health, an important type of cancer worldwide each year over a million women about breast cancer . and incidence rates are constantly rising, many cities in China has been ranked in cancer prevalence in female cancer accounted for the top. in just the past 2006 years, the incidence of breast cancer is what? What new features? There Professor Jiang Zefei, please introduce us first.
Jiang Zefei: Overall speaking, we increased the number of incidence, but the other thing is that the whole community to raise awareness of breast cancer, so people will be reflected in the more. This implies another meaning, not a true increase in incidence, but some patients had no consciousness, and now more conscious of the future, more attention to breast cancer patients in the prevention and treatment, so as a part of early detection cases. As we work together, including health care, including patients, including the efforts of the media, now knowledge of the disease control a lot more popular than in the past. should be said that all these years, breast cancer prevention and control of publicity compared to other diseases, with great progress.
Moderator: For all diseases, prevention is always the most important, of course, breast cancer is no exception, female friends should always pay attention to their breasts, so early prevention of breast cancer, early detection, so that can improve the detection and cure rates. that the two experts in the prevention of breast cancer What are the new ideas brought to us users?
Qiang Sun: not to mention new ideas, in the prevention of breast cancer The most important thing is early detection of problems. early detection of raised many years, not too mention, because early detection and prognosis of late discovery, the effort from the medical workers and patients put on the economy very different . if early detection of breast cancer, will greatly improve the survival rate of breast cancer patients.
in the prevention, many years ago, foreign drug tamoxifen to prevent, so far, which is also being explored, not to say completely into a precautionary approach must be carried out. Recently a new drug is also used for the prevention of aromatase inhibitor, the outcome, which is still under discussion.
Moderator: So Professor Jiang Zefei What's new in this concept ?
Jiang Zefei: Last year we had worked a ten thousand cases of the questionnaire, many women worry about breast cancer, more worried about the pain after treatment and economic loss, but we are more worried about is that many people do not know how to find the do not know how to prevent. Breast cancer is preventable and curable, and there are a few very clear view once again: early detection, early cure. early detection of patients can retain their perfect breasts, but also and does not affect the results. should be said that we still cherish their bodies to stress, can be retained, as far as possible retained. early detection, we would be better therapeutic effect.
Moderator: So we continue to reaffirm constantly telling friends Prevention is very important. Now countries vigorously promote community health, the two experts think of this policy on the prevention of breast cancer, what kind of drive? our team of experts in these areas, what action?
Qiang Sun: Community health care introduction and further spread of breast cancer prevention is certainly a great advantage. First of all aspects of treatment not now line up to go to large hospitals, a long time to fancy disease in the community. But the level of community physicians to be improved, our attention to the popularity of the community will be made gradually raise the professional standards of doctors, so that early detection of breast cancer has a major breakthrough.
Moderator: Professor Sun in this respect seems to have an issue.
Qiang Sun: There is a National Eleventh Five-support program called comparison, to find a more suitable method for breast cancer screening in China to further improve the cure rate of breast cancer, this method is brewing, are being implemented. in the future to participate in the training of community doctors to enable them to further improve the prevention and treatment of breast cancer awareness and prevention level.
Moderator: Professor Jiang health care in the community have the latest views?
Jiang Zefei: the development of community health as a country trying to solve an important measure for the so-called medical treatment is difficult, in fact, there are two levels of comparison in primary health care : The third level hospitals, specialty hospitals face a relatively difficult cases the main research, the new program research, and teaching, guidance, and should do a little survey work, more hope through community health care, better let a female friend to have regular contact, check the opportunity to go to specialist doctors to the community on a regular basis, as Professor Sun said, can have some training, some work does not need to go to large hospitals, not all of my friends went to Union Hospital, are Professor Sun to hang out-patient.
Ye Danyang: breast screening abroad more widely, because most of them have medical insurance, there are very few did not, they will enter the community to do the work, to enable them to check for breast cancer .
Sun Qiang: China should strengthen future work in this respect, at least in high-risk groups should be free to do the census, but is still able to meet this requirement. We are now doing the work, the National Eleventh Five-Year Project to millions of funding, this work can not be said to start, far short of universal screening, this study hopes to draw more standardized screening method, called the whole society in the future, I hope this is a transition.
Moderator: Will Miss Ye Danyang, as a public service announcement of the President of cancer, what are your experiences on the prevention of breast cancer to share with friends?
Ye Danyang: We are very much like to tell you that doctors and patients are very much like to tell you, we must prevent To prevent, to check the body. To tell the truth, health, present a lot of ordinary people, some healthy people who may not want, why go to the hospital all right to do this check. but this is very critical work.
Although these years, every year there are activities to do with the Jiangzhu Ren and Sun Zhuren with these things, do publicity, but I was sick four years ago, fast five years, five years ago is not such a great environment, five years , now at least from the media, the whole society are beginning to pay attention to this matter, told the women to remind women, you have to cherish their breasts, and now there is this atmosphere was. But in the end they did not visit, we do not know? to what I occasion, will tell us that we can get breast love any woman no one said I would not have, and you are not sure, I will never have.
how to do? have to talk about prevention.
Professor Sun also just heard about some preventive tamoxifen can eat, it may be at high risk, the doctor recommended that she eat some of these drugs. how do we convince them to do prevention, so that they went into the hospital on a regular basis to do some survey, or their own home do self-test it, we told her that a woman can not decide whether you cancer, but you can decide when you cancer of the time, he will find it the first time, the first time to hospital for treatment.
if Early detection and treatment, 90% of breast cancer can be cured, but the cost will be relatively small flowers, I spent less than thirty thousand dollars, early breast cancer to cure, but also preservation of the breast, and unnecessary so late, no way to save the breast.
then Dr. Gao Mingde, terminally ill, and also ways to save, if made active preparations for this, when you find the time, you can preserve the breast, and spend thirty thousand dollars is possible. If you have an advanced stage, and probably millions of money can not save your breasts, but the thirty millions of dollars to keep up with the money compared to them, or earlier is better, and it is important for preservation of the breast .
Moderator: the suffering of patients will be relatively less affected. Please Professor Jiang reiterated here with friends about what is breast cancer risk factors, how to prevent?
Jiang Zefei: For lesbians, it has a high incidence of age and relatives in the history of breast cancer, it is essential that there is a risk factor relative. on the way, I feel the need to emphasize that, like Western countries, there is a proposal in the United States, women over the age of 40 should go to the hospital make such a formal examination, the doctor decide his future based on the actual need to do check how long the investigation.
literature materials abroad, will report, for example, in Europe and the United States, breast cancer screening is not lower early mortality, This is indeed a problem, it is because they have sound health insurance system, have a good family doctor, a timely screening and treatment, annual inspection, so early detection is relatively easy.
such a concept, To correctly understand the million users. our country and abroad have very different levels of health care, the most important at this stage is to make the necessary medical examination of women friends to enhance awareness of self and.
our country that many women do not breast disease know the circumstances, and sometimes doctors can check by hand the problem can be found in her no problem, and if he do screening instrument checks, and through these visits, the doctor and there is an exchange between women, at least you should tell her how self-examination, when a doctor should check in the present and future of China within a period of time, this may be very important. So do not casual reference to Western countries that earlier investigation, screening does not reduce mortality, the concept we must be through the media to call, which we have done enough.
Ye Danyang: prevention is very important to prevent the West more active than we do, but some measures are not necessary, I can not say . I have seen a Discovery Channel film of breast cancer, the chip yard, 27-year-old girl and did not find her early breast cancer, but said the department in her ancestors, her grandparents or her grandma to a generation that has a genetic gene, to her generation, there should be 90% or 80% chance of developing breast cancer, she would be a preventive, the total removal of the breasts and is a mother with her removal. You can see get out, they are also very sensible.
Jiang Zefei: this error, I must correct, here is a preventive removal of the gland, not mastectomy, and is prepared to risk of breast cancer may be glands removed in advance, and some genetic testing can help doctors to do this work.
Moderator: Some time ago the media reported that millions of women breast cancer screening project because of excessive radiation screening equipment was stopped, there is no need for this survey , or be not such a census?
Sun Qiang: First, the census project on millions of women stopped because of excessive radiation concept, is not yet sure. can not say not to do radiation, there is still controversial. Radiation The problem is millions of women radiologists and experts in survey works of the process, some people think that this radiation is acceptable to the Chinese people, but we are here to talk about this issue. census, no matter what way the census, this is certainly necessary. Professor Jiang and Yip have mentioned, is very important to early prevention of breast cancer.
Host: high-risk groups and ordinary people should be active during the census.
Qiang Sun: that the census method is palpation or X-ray or other equipment with extra fine B examination, this is not a clear national guidelines, the Eleventh Five-mentioned issues, we also wishes to obtain a standardized screening method for comparison, there is no . census itself is still necessary, as the method used in this study were still.
radiation problem is the radiologist, and these experts to discuss them. Some experts believe that the so-called breast-ray technology and general X-ray technology is not the same, but acceptable, not to discuss here, I'm just exploring this survey is necessary. just said that what women do not need to participate in the census. young women, whether or not, for the census to the hospital for clinical examination or not to do X ray screening recommended.
Ye Danyang: like me, and I often do the census, to that place, they say we do a first visit, up to a B plus super, super B is no problem that can not have that.
Qiang Sun: Because X-young women, the first female glands denser, according to this film is not very clear resolution, combined with radiation. on not recommended for young women up to do X-ray examination, but the alert, regular self-examination, regular clinical examination is still necessary.
Moderator: There are reports that a recent look at the concept of chemoprevention, in this regard , Professor Jiang for our patients and friends have any suggestions?
Jiang Zefei: chemoprevention problem itself is very strict, long-term risk taking, and when opened from the use of, to whom with, it must be comprehensive, security of data to support, but now the data has yet to be collected. There is also a big problem is that even if the foreign tamoxifen to prevent breast cancer, but can reduce the number still to be verified. If a women from the age of 40 is used to open with 45 years of age, does not mean to have a peak, leaving the concept of chemical prevention of medical institutions, reserved for professionals to discuss, as the public is still concerned about when to go to the doctor, when to go check what the experts before we discuss people really need to do chemoprevention.
Moderator: Now is holding two sessions, medical treatment is difficult and expensive to become the topic of common concern, the three gentlemen, what this suggested patients should choose what kind of medical treatment available to them Some more effective?
Jiang Zefei: Indeed, to a large extent, we are calling a doctor is difficult and expensive, in fact, medical practice is not easy, as a doctor, many patients waited a long time to see the doctor, we doctors are hungry stomach to see the doctor. like the northeast, under the snow, the train finally came through and we have to find you a doctor.
called your doctor, patient treatment may be a lot of spending every day, especially in patients with relatively late, in order to alleviate the symptoms, extend the life of thousands or even tens of thousands of daily input, if used in the early costs of such prevention, the cost may be tens of thousands of dollars can win three, five or even ten years, disease-free status, this is a smart investment reasonable investment.
other projects such as the participation of Professor Sun also proves that the national policy for the benefit of the public, with very little amount of money, so that these experts come to the community, there are some health education activities, as a preventive for , there is work to do, it is actually a lot of people can solve problems better. because of the better community health, less sick people, the source of the so-called medical treatment is difficult to fundamentally solve the problem.
Ye Danyang: Or is very important to prevent.
Moderator: Yip have this experience to communicate with friends who, like medical treatment is difficult?
Ye Danyang: From I gave birth to the now generally at public expense, and because someone at home In the hospital, so I see a doctor not too hard, I really do not have such an experience, we have the so-called medical treatment is difficult is the most fundamental reason so many people, this is the most fundamental reason. As for those with the doctor or hospital organization, I do not think a direct relationship, too many people crowded into the hospital, then certainly it is very difficult. I want the country to build more hospitals, more doctors waiting for him there, we went to After several doctors look at a patient, it is good.
Moderator: Professor Sun experience a deeper, because we all know, Union Hospital registered difficult.
Ye Danyang: 307 is the same. < br> Sun Qiang: medical treatment is difficult and expensive problem, not only were very concerned about, the Government is very, very seriously, as we attach great importance to medical staff, and hope to resolve this issue soon. Now, the two areas, a career in medicine side, the specialist in breast diseases doctor does not much need to continue to grow and develop, from the patient in terms of, for example, some common physiological changes, breast pain, which is physiological disease, many people have the experience, the problem must be found as soon as possible to the hospital to check, confirm the diagnosis. but not the disease, say the experts have to go looking for the best, and sometimes difficult to see a doctor, the patient may feel psychological problems.
Ye Danyang: We think we see it, and fear we all see the crash, doctors exhausted. So I think publicity is very important, this knowledge should be the media tell it, we derive knowledge of the disease not so serious, proliferation is normal, 80% of women will have, I do check regularly, I am concerned about it it. So I think this issue should be resolved by you.
Qiang Sun: For your doctor problems, such as breast cancer, this aspect of the whole society may have many expensive drugs to particular drug prices could be down, this is indeed a problem, and some drug hundreds of thousands of ordinary people is really difficult to maintain. This is indeed the whole community. in the treatment of principles, based on the patient's condition, choose the right health care program jointly comparison, the most expensive program is not an option.
Ye Danyang: Now to the hospital, I understand, the doctor gave you the most basic therapy, starting from the cheapest medicine, the most expensive medicine can not be used, and then further to walk, do not give you one up the most expensive drugs, under normal circumstances are like this. breast cancer treatment, general The hospital will give you turn up a sliding scale. must be maintained to the last illness, with more expensive drugs, some people money to buy life, can also be maintained. This is another thing.
Host: Taiwan users are not under some experience, you can now communicate with our online friends?
users: we feel that doctors have to find a doctor, do not look for doctors is not enough.
Yedan Yang: I think we have this concept, we must find doctors, or unreliable.
User: Finally, let your satisfaction.
Jiang Zefei: As patients with this idea, we have a good understanding. But to another point, if the more developed the community health care, basic health care transmission of knowledge is better, we can find the media, to find community, not often go to, even while the March 8 every year to once again speak to each community, continue to spread this knowledge, basic knowledge of lectures by a number of doctors and nurses to talk on it.
another point, patients are spread scientific knowledge and ideas, is also very important. of course, a major problem for the decision, such as related to whether a mastectomy is do first chemotherapy, these fine planning time, more than suggest that you consult an expert, the other to search for some information from the network, the network there are many materials can be studied, and now national treatment guidelines, expert consensus, listen to views, the decision to do so. This arrangement Some will be more reasonable.
Ye Danyang: Now more and more sensible patients. They get more and more information.
Moderator: Next, for the patients, was most concerned about drugs and treatment methods, first of all Professor Jiang would like to ask, in breast cancer treatment, new drugs and which has recently emerged?
Jiang Zefei: whether it is chemical drugs, endocrine drugs, as well as bio-targeted drugs, there are many new drugs into the clinic, More and more aspects of drug use better, is to solve the problems of patients.
Moderator: In the treatment methods, Professor Sun have a new treatment? Now it seems to do a lot of patients are very popular breast plasty The patient should be how to do it?
Qiang Sun: mammaplasty is indeed more and more, this is understandable, it is the pursuit of quality of life can understand. There are two problems, one is not breast cancer, from the beauty point of view, to do shaping, this is actually a lot of Americans, about 29 million people each year do mammaplasty. But in our country, it is now largely a consensus, injection drug use what is not appropriate, exhausted, may increase the likelihood of cancer, the other on the shape is not very good. breast excellent, and can not achieve the original effect, but a lot of distress to the patient increase.
leave the body , abroad with a lot of our country, there are many. If the majority of patients with these needs of women, the pursuit of beauty is understandable, but still want everyone to formal, large hospitals to do, not to the small hospital to do, done after the , prone to common problems, we often implant rupture, edema formation of large, these issues will appear. let things will not cause cancer, the absence of a positive statement, a description of certain breast shape after just said, an impact on breast examination, early detection of breast cancer is the impact area, regardless of their photos from the child, or to see the film's point of view much smaller, no matter from which side, the positive impact on the check.
other a concept, has breast cancer and need to do one at the time of forming or recycling, from the patient pursuit of beauty needs, the needs of the United States if the patients must meet the needs of patients, she hoped so, you have to meet her. that this area is not dangerous, but also to decide the case based on the patient, some can be done to retain the breast, there is no need to cut all these reservations, the breast can be, not retained, there is no way to be cut off, the patient and asked to stay, you must meet her, were it possible to choose to do here, so can be done, but some patients relapse chance to finish after taking into account the time of recurrence of breast cancer treatment, recurrence of the opportunity, are detailed communication to do so serious thinking to do or not do.
Moderator: The following users for the new drug treatment or new treatment methods have no problem with the platform to consult the experts?
users : where I Jiangzhu Ren after treatment, the ideal patient needs oral tamoxifen, but I would like to ask five years of tamoxifen oral administration of such a long time, in addition to cure, prevent the effective area of breast cancer, the other body will not adverse side effects? I accidentally hear patients talk about that in vivo tamoxifen inhibited the growth of estrogen, increased testosterone, breast-conserving surgery is required to do to improve the quality of life, but expected, if the body of substantial decline in estrogen, androgen surge that would result in five years taking masculine characteristics, as women, more masculine characteristics, then the state will have a certain mental or life impact.
Jiang Zefei: five years of tamoxifen treatment for us to arrange The first is the confidence of the five-year long-term treatment, but also on long-term safety of the drug test to consider. drugs have side effects, adverse reactions you just worry about it, foreign literature has not reported. tamoxifen, the receptor's antagonist, is against the body's hormone and hormone receptor binding, it should just say it cause you do not worry about that. The reason is so young with tamoxifen reason is itself a relatively low-risk patients early, since the reservation breast, we want to keep good, of course, hope to have a better quality of life, should be said that from the quality of life to consider such a treatment should be more appropriate, but also for long-term use. just mentioned health problems, should not have a big problem, Moreover, there is regular inspection.
friends: I have a friend who had this disease, who have taken tamoxifen, it is what side effects, side effects later, how should we respond to or what medication options do?
Ye Danyang : Just Jiang Zhuren answer is this question, I also have a little doubt. I have been taking tamoxifen, because I'm negative, I have a very serious proliferation, proliferation of the effect of tamoxifen with ease, using a year later and found endometrial thickness, and then stopped, and stopped for some time found a sports uterine bleeding, curettage was carried out just fine. I would also like to have some significant side effects vary.
Jiang Zefei: Tamoxifen is an anticancer drug, must be prescription drugs, under the guidance of the doctors need to take formal. As for its preventive effect, the present data only show the person to prevent receptor-positive, tamoxifen treatment of breast hyperplasia, do not agree with Professor Sun . If the breast cancer with tamoxifen, can prevent the transfer of the reaction after menopause, even if no response, from the point of view can also be replaced by a better efficacy of aromatase inhibitors. If it is young women before menopause, because menstruation after chemotherapy, in this context is emphasized specialty drugs, looking for specialist consultation, there is more scientific evidence of what medicine should be used, what drug should not.
Ye Danyang: or patients to hold their own, do you eat What is reflected in this medicine, close observation, communication with the doctor.
Moderator: Originally, a woman breast is a symbol of the United States in particular, once found himself had breast cancer later, many women will be particularly depressed, would suffer a great mind blow, we will be reserved as early detection of breast cancer breast, but as a former breast cancer patients that there is no proposal to the users, not the disease was discovered, immediately depressed people, how your psychological adjustment?
Ye Danyang : was not the same as other diseases like breast cancer, I can stomach to rule the stomach, and breast milk if you can not guarantee to lose the breast. no matter who, through this experience should be, not everyone can accept, In particular, the deterioration of the body, loss of the breast, we are no longer a complete woman, she is very sensitive, very concerned about this.
group therapy is very important, in isolation, when you are in a very healthy all around, only you, you will feel very sad. If there is a group of people, we are together, they keep telling me, no breasts, but they live very good, very happy. I like a term, we follow a number of other breast cancer organizations to exchange, breast cancer will claim to be soul mate, what means? breast less, or one less piece, called himself a soul mate. the one hand, self-deprecating, because I lack, the other she is also very humorous, I do not care less , in addition, she has great respect for their meaning, I am soul mate, I do not think I'm worse than others do. from the heart to give yourself the confidence, but this is to gradually build up confidence, not to say that I had , I suddenly become a person, a process is needed. the one hand, the psychological needs of their commissioning, the help of friends around the patient, family help, colleagues, friends, family and friends to encourage, which is very important, which is integrated thing, is not completely rely on one person to solve the problem, we own strength is the most important.
when you suffer from breast cancer, it should find a new starting point as quickly as possible, no matter how you feel, it is missing, it is an indisputable fact, you can not. When you know, even if I lack, I still can live a happier life, though your body is incomplete, but the psychology is complete, may your days than the original better.
my own experience in this respect, and I lost around a lot of these women the breast, through this channel threshold will, come later, their lives are really happier than ever, we should not worry too much about this issue and they have to value yourself, love yourself, people around you will feel normal, more normal than the people around them.
Moderator: Once the bear, but to their own, did your counselor do to help in this regard? < br> Ye Danyang: there will be, no matter how good consultant, did not lose that part, it is not convincing. There are a lot of breast cancer organization, and its establishment will attract a lot of breast cancer, they are very vested in here sense to talk, why are you so good, if a healthy person there is nothing that you lose this, people definitely want, of course, you have, so you do not care, no person is me, when he was the same with people, he did not, he is happy, he found a model.
I understand there is a breast cancer organization in Taiwan to open to open Association. All workers are breast cancer patients, they found such an organization, they become employees of this organization in Taiwan, as long as each of breast cancer when she had breast cancer, these organizations go to that place, tell her, do not worry, loss of breast, still life is very happy, go, to their own dress up special spirit.
Jiang Zhuren to see these women, very bright, appears, dressed up special spirit, carefully make-up, bring things that they should take, staff training, with something, say something, do something, very scientific set of things. patients have been lying in that place that I die, I lost my breast, and how I live, I do not eat, head no hair, the face is not washed, so dead. group of people go in, when the first thing done is close the door, unlock the clothes, so that patients can see a woman standing opposite her group is the same with her, they lose their breasts, but the wear on the clothes, not people see they are breast cancer patients, very beautiful, very confident. and so these women had gone, the patients will say that I'm going to jump up to eat. This step is resolved, she knew, although she had breast cancer, she will lose, but she is still beautiful life can be like before. patient self-psychological rehabilitation of patients is very important.
doctors most tired of? patients every day, wrapped around a group of doctors, I thought the two officers all had the same experience, that is, as relatives of patients like him, wait for them to haunt him. I not seen the Sun Zhuren day, mental anxiety, I saw his face, I feel today, how, Sun Zhuren said no problem, you are well, I'll ease out. many patients like that. but when day haunt you when the doctor, the doctor very tired, but every time a doctor can not give you the most considerate care, because doctors, after all, Doctor, doctor his duties, no obligation every day to comfort and love you, let your heart always comfortable, this is not his responsibility. But the very need for such patients to meet, who will accomplish such a thing, is to help the rehabilitation of patients? by the suffering of patients in which the most convincing, and will relieve pressure on doctors.
Jiang Zefei: This is one of the responsibilities of doctors, but unfortunately, I ...
No comments:
Post a Comment