Review of bicentric medicine (V)

  In our country, because most patients do not have a regular doctor and team, patients end up at the end of a few minutes of outpatient consultation. Or, patients with cardiovascular disease are discharged from the hospital after stent placement and bypass surgery, at best with a simple discharge diagnosis and discharge with medications, and nothing more. The critical follow-up support for adjustment of drug variety and dosage, management of drug interactions and adverse effects, and improvement of compliance, for dietary changes, for exercise assessment, for smoking control, and for psycho-emotional adjustment of the patient, is all missing, and the patient is left standing as if waiting for the next onset and cardiovascular accident, and then having to return to the hospital once again, or worse, because Without follow-up and physician support, they start counting down the days to their life. And so on and so forth until death.  When you buy a car and take it home, everyone knows that you have to take care of it regularly and not wait until something goes wrong to send it in for major repairs; but many people with cardiovascular disease return home after being diagnosed and treated in the hospital without the appropriate rehabilitation/secondary prevention and follow-up. In this respect, the maintenance of people is not as good as that of cars.  Is life so precious that the value of life is no more than a car?  The value of life is much higher than that of a BMW or a Mercedes, but the care we give to life and the attention we give to a healthy life after illness is sometimes less than that of a car!  One of the characteristics of “Double Heart Medical” is to focus on follow-up visits, prescribing five prescriptions (medication, psychology, exercise, nutrition and smoking cessation), and also including the management of sleep disorders and post-illness sexual life guidance in the follow-up visits, so as to detect problems and give appropriate guidance in a timely manner, and remind patients to conduct necessary reviews in a timely manner. These strong after-sales services are the true patient-centered and team-based comprehensive and full service and care.  Conclusion: Practice in recent years has proven that the “two-hearted medical care” has achieved good social benefits. The concept of “double heart” is gradually sublimated from cardiac and psychological to “evidence-based cardiology and strict control of indications for cardiac intervention”, “diagnosis and treatment of cardiac psychological diseases and follow-up support after diagnosis and treatment The “two-hearted medical care” has been gradually upgraded to “evidence-based cardiology and strict control of the indications for cardiac intervention”, “diagnosis and treatment of cardiac psychological diseases and follow-up support after diagnosis and treatment”, and “treatment of cardiac diseases and rehabilitation after cardiac diseases”. The reason why “Double Heart Medical Care” is favored by patients is that the essence of “Double Heart Medical Care” is “humanistic medicine”. It is always from the patient’s point of view and places the patient in a certain psycho-social context to find the best cost-benefit ratio and the lowest risk-benefit ratio for the prevention, treatment and rehabilitation of the patient’s disease. On this basis, patients can return to nature, society and life as much as possible. ……  Nowadays, with the wave of information technology revolution and life science and technology revolution, the rise of various high-tech groups such as big data transmission, storage, cloud computing, and gene revolution in this era of big data has sounded the trumpet of “disrupting medical treatment” and “double heart medical treatment”. The “two-hearted medical” is not only the strongest subverter of the current medical model in the world today, but also the strongest guardian of traditional medical care – medicine, humanistic medicine.