Walked into the office of Director Tang Chengbin of the Cardiac Large Vascular Center of North Jiangsu People's Hospital, and he came up to ask what to drink? He has Red Bull , cola and canned coffee, but there is no pure water, no tea sets and a kettle for boiling water. He said that he only relies on these drinks to "spend his life" in daily life.
Tang Chengbin, born in 1990, is only 32 years old this year. He may be the youngest deputy director of the Great Vascular Center of the Heart in China's Grade A hospital (in charge of work). In 2019, he left Nanjing Gulou Hospital and went to Yangzhou to join Northern Jiangsu People's Hospital . In just three years, this department, which was originally a lowland in the hospital, ranked among the top four in Jiangsu Province in annual operations.
In Yangzhou, a city famous for its slow life, Tang Chengbin couldn't slow down for a moment. No more drinking those energy drinks, leisurely drinking tea or even one of his life goals. "I hope one day, I can drink tea here and have a meeting. Our department can operate normally."
Young people in the Department of Cardiology
Before 2019, the Department of Cardiology Surgery of North Jiangsu People's Hospital was a depression in various departments of the hospital. Many patients in Yangzhou had to go to Nanjing, Shanghai and other places for treatment. However, dangerous diseases such as aortic dissection and aortic aneurysm rupture often do not leave much time for patients, and many patients died on the way to transport.
In order to make up for the shortcomings of cardiac surgery, in 2019, the North Jiangsu People's Hospital introduced a cardiac surgery team from Nanjing Gulou Hospital, and Tang Chengbin is an important member of this team. At that time, he was still the attending physician, and he was probably one of the fastest-promoted doctors in China. With the growth of department business, he is now a chief physician.
In the past, the Department of Cardiac Surgery in North Jiangsu People's Hospital basically did not conduct major vascular disease surgeries. Now, except for heart transplantation and neonatal heart surgery, the rest of the cardiac surgery can be carried out independently. The annual number of surgeries in the department has exceeded 700, and this year it is expected to exceed 800, and the proportion of fourth-level surgery is also very high.
Tang Chengbin said: "Yangzhou is very close to Nanjing. We must do better to develop and attract patients. We also accept elderly and severe patients who are unwilling to accept other hospitals. Last year, we successfully performed cardiac surgery on a 96-year-old patient. We have also made a lot of innovations and progress in the details of the surgery."
The latest "2021 China Cardiac Surgery and Extracorporeal Circulation Data Survey" released by the Chinese Newest Response and Extracorporeal Circulation Data Survey show that the number of cardiac large blood vessel surgery and extracorporeal Circulation surgeries in 2021 were 278,056 and 176,496 respectively, and a total of 725 hospitals carried out cardiac surgery. Tang Chengbin said that at the same time, more than 20 million people in my country needed to undergo cardiac surgery, and a large number of patients were dying because they could not receive timely and effective treatment. There were about 2,000 registered cardiac surgeons nationwide, and many of them were unable to perform complex operations.
"We can basically leave all critical cardiac surgery patients for local treatment now, and our business is also radiating to surrounding areas." Tang Chengbin introduced, "In our department, the proportion of patients with severe heart disease is close to 70%. If these patients are transferred to other places for treatment after the onset of the disease, they are theoretically at risk and should consider local treatment."
In addition to reducing the patient's referral risk, Tang Chengbin said that many heart disease treatments are lifelong, but many people have no idea about this. "For example, patients who have undergone valve replacement surgery must maintain their lifelong maintenance and regular reviews. If the patient goes to another place for a review, the cost will be very high and there is a lack of effective follow-up visits. Now, patients can find us as soon as possible when encountering any problems."
As long as the patient needs it, Tang Chengbin will give his contact information to the patient without reservation. He often suddenly receives calls from the patient late at night. Even sometimes the patient does not have anything important, and he will never be angry.If a patient in the outpatient clinic needs to do multiple examinations, he will ask the patient to add his WeChat and wait for the patient to take a photo and send him a message or call after receiving the examination report. After reading it, he will reply to the patient's message or call, "It will take half a minute for me to make a call. The patient will no longer have to run to the hospital, nor will he have to spend money to register and queue up."
Tang Chengbin pays attention to these details. He believes that not only should patients be provided with good medical treatment, but also to allow patients to have a good medical experience, and to make patients feel that seeing a doctor in the Northern People's Hospital of Jiangsu is different from other hospitals. Because the hospital is very large, some patients who come here for the first time will not be able to find the department location, and Tang Chengbin will also send someone to pick them up. He said: "We attach great importance to the medical experience of patients, which is also the easiest place in many large hospitals to ignore. Although doctors are really busy, it is really not easy for patients."
big responsibility for this day
1 In China, cardiac surgeons in many hospitals often do not independently perform some routine surgeries until they are 40 years old. Tang Chengbin, who is in his early 30s, is already proficient in completing almost all the most difficult parts of adult cardiac surgery, including A-type aortic dissection full arch replacement, B-type aortic dissection hybrid surgery, Bentall/David surgery, constant jumping bypass, improved Morrow surgery, ventricular mural tumor resection, various types of valve repair replacement, etc.
Cardiac surgery technical threshold is high and the doctor's growth cycle is long. This is also the main reason for the small number of cardiac surgeons in China. In addition to meeting a good teacher, Tang Chengbin's ability to achieve his current achievements is also inseparable from his personal efforts.
For the past 10 years in Nanjing Gulou Hospital, Tang Chengbin played basketball once a week, and he had almost no other entertainment. For several years, he only slept for about four or five hours a day. When he came out of the department, it was often after 12 o'clock in the evening.
At five or six o'clock in the morning, he got up and rushed to the department first. When the doctor of his same age came to the department to start writing medical records and rounds, he had already finished all these things and was waiting for the stage to be opened in the operating room, so that he could observe more operations and get more opportunities for operations.
"I am very willing to watch others perform surgery. I will record every detail of the surgery. After I go back, I will think carefully about which operation is particularly good and which operation may have some problems. I will put myself in it." Tang Chengbin said, "Whenever my tutor asks me to do an operation or operation, I have never let them down. Our cardiac surgery has different levels of difficulty. Whenever I cross a level, Everyone was surprised why I was so mature. This is because I had made sufficient preparations before. "
Although some people praised him for his talent, Tang Chengbin knew that he had only made efforts that ordinary people had not put in. At the same time, he was better at observing and summarizing. More importantly, he got the opportunity to develop cardiac surgery at the North Jiangsu People's Hospital. "There are many people who work hard, but not everyone can get the opportunity. I work hard and get the opportunity. The hospital has given me a platform and a lot of support."
North Jiangsu People's Hospital spared no effort in supporting the development of the Heart Large Vascular Disease Center. It not only built a new integrated ward, but also fully supported the procurement of equipment, consumables, etc. Tang Chengbin also used his hard work to repay the hospital. Cardiac surgery has a great test of the doctor's physical strength and perseverance, which is also the reason why Tang Chengbin would drink Red Bull, coffee and other beverages as water.
"When I got off the operating table, I really didn't want to do anything, I didn't want to eat, there was a dormitory opposite the hospital, but I didn't want to walk these few steps. I often drank some drinks and slept on the sofa in the office, and I got up the next day to continue working."
Tang Chengbin also had times when he didn't want to stick to it anymore. He was once confused and wanted to cry in the middle of the night."Why did I choose this path? When my peers were in bar, playing games, and dating, I worked day and night, repeating the previous day every day, I felt very depressed and depressed for a while."
When he was most confused, he also thought of giving up and stop being a doctor, but in the end he persisted, and as he grew older, he gradually found the value of life from work.
"One day I suddenly realized that at my age, I could master so many techniques and do so many things. I think this is God who gave me a chance to fight when I was in my twenties and thirties, without slacking off, and helped many people and saved many people. I no longer feel hard and confused. I think I can keep going this path."
But he finally paid an overly heavy price for his work.
Tang Chengbin's wife is also a doctor. Although Yangzhou is only about one hundred kilometers away from Nanjing, the two are far apart. When his wife was pregnant, it was also the busiest time he worked in Yangzhou. He neither had much time to accompany his wife, nor could he even spare too much energy to care for her.
His daughter is premature . When his wife entered the delivery room, he was still undergoing surgery on the operating table. My daughter was rescued in ICU for more than a month, and Tang Chengbin only stayed in Nanjing for two days. He felt that he couldn't help much. There were still many patients in Yangzhou waiting for him to undergo surgery, so he went back.
In the world of my daughter, Tang Chengbin feels that he is an optional existence. "When I went back, she would be very happy, but when I was not here, she didn't miss me very much. She was used to me being not by her side."
Such a situation has not improved, and his wife chose to divorce him, which became a great regret in Tang Chengbin's life and left a long-term pain in his heart.
Dream
In 2021, there were only 66 hospitals in China with more than 1,000 single-center heart surgery cases. Among the municipal-level hospitals, the number of heart surgery can reach nearly 800. The Northern Jiangsu People's Hospital is a miraculous existence.
This is also what makes Tang Chengbin proud. Although Nanjing has a large blood vessel center with a number of surgery exceeding 2,000 cases, the population radiated by Nanjing is about 2000, while Yangzhou is only about 10 million. Based on this, Tang Chengbin feels that what they do is not worse than some of the large centers in Nanjing. But this is far from reaching his ideal development status. In terms of surgery volume, he hopes that the cardiac large blood vessel center of North Jiangsu People's Hospital can maintain more than 1,000 cases all year round.
But Tang Chengbin knew that his team was still too young and dependent on him too much, and was not a mature and healthy team. When it comes to choosing people, Tang Chengbin pays more attention to his attitude towards work, sense of responsibility, and whether he can communicate with patients calmly. "A thing can be done 100 points. If you think it's enough to do 70 points, it's something I can't accept. This is not what my team needs. Doctors can't be done 100 points, and you won't be done 99 points. Doctors must be in this spirit, and we will focus on training."
Tang Chengbin's big wish is to train several doctors who can stand alone within three to five years. When he is not in the hospital, the department can still operate normally and the surgery can be carried out normally. Only then can he breathe a sigh of relief and slow down the pace.
Scientific research is a task that Tang Chengbin also attaches great importance to, and it is also a work that must be done by departments of Grade A hospitals. "We will focus on scientific research in the next step. We need to do a lot of research, innovate a lot of technologies, and apply for new patents. Grade A hospitals walk on both clinical and scientific research legs. Now one of our legs is very strong, and the other leg is still relatively thin, so we need to make up for it.”
In addition to clinical and scientific research, Tang Chengbin also hopes to do a good job in popularizing science and improve the public's awareness of cardiovascular diseases. He said: "Many people do not know that heart disease is preventable, controllable and curable, so we must do a good job in popularizing science and education in Yangzhou and surrounding areas within the range we can radiate, so that more people can correctly understand heart disease and treat heart disease in a timely manner. "
Tang Chengbin said he was a foodie. He often told people that his life goal was not to be a doctor for the rest of his life, but when he was 45 or 50 years old, he handed over the department to a person who could reassure him. He changed his career to open a hot pot restaurant. He felt that with his ability and persistent attitude towards his career, he could definitely open a very famous hot pot restaurant.
This is a dream of Tang Chengbin, and there is plenty of time left for him to realize it. He hopes to give himself a satisfactory answer in medicine through 10 years. If his mentality has not changed by then, China will have one less cardiac surgeon and one more hot pot restaurant owner.
