As the novel coronavirus pneumonia outbreak rages, major hospitals have suspended regular outpatient clinics to comply with government calls and ensure patient safety. This is to prevent cross-infection from patients traveling outside or gathering in the hospital.
What should be done for patients who require programming after DBS surgery?
On the morning of February 3rd, Dr. Li Dianyou, Director of Functional Neurosurgery at Shanghai Ruijin Hospital, held a special programming clinic. Why was it called a special clinic? Because the three patients who were scheduled for this program did not come to the hospital; they all underwent the programming treatment at home.
Director Li Dianyou is conducting remote programming for patients
Patient Huang, who has tardive dyskinesia, has experienced recent fluctuations in her symptoms less than a month after surgery, urgently needing treatment. However, due to the severity of the pandemic, neither her doctor nor her family advised her to leave the hospital for routine monitoring, leaving her anxious at home.
Patient Wang, who has primary Parkinson's disease, had a follow-up visit one month after surgery and reported experiencing right-sided dyskinesias. He wanted further adjustments, but was confined at home and he was hesitant to reduce his medication. However, the dyskinesias were causing significant distress in his daily life.
Patient Yu, who has primary Parkinson's disease, recently developed dysarthria and slurred speech after a medication adjustment more than a month after surgery. She had already made an appointment to visit the hospital for routine monitoring after the Spring Festival, but after finally making it through the Lunar New Year, the pandemic disrupted her schedule, leaving the scheduled time for monitoring uncertain.
After learning that Dr. Li could perform remote routine monitoring at the hospital, eliminating the need to travel to the hospital, these patients immediately made appointments with Dr. Li Dianyou's teleclinic, receiving the treatment from home without leaving their homes and were very satisfied with the results.
The patient's movements can be seen through the computer
Director Li Dianyou interacts with patients
With the rapid development of the novel coronavirus pneumonia, the slogan "Staying at home is contributing to society" has resounded throughout the country. "Staying at home" to prevent secondary infection is a crucial part of the current epidemic prevention and control, especially for Parkinson's patients, who often have various comorbidities and are very likely to develop a critical illness once infected. However, if patients who need controlled care do not go out to the hospital, how can they receive controlled care? As a professional physician, Dr. Li Dianyou considered this issue as early as the outbreak began to spread. To ensure the safety and health of all patients, he recommended that patients who need controlled care consider making appointments for telemedicine clinics.
Ruijin Hospital's remote outpatient clinic began serving Parkinson's patients nationwide as early as 2017. Leveraging Suzhou Jingyu Medical's remote outpatient system, doctors in the hospital can connect with patients at home. Relying on high-definition video transmission, they can communicate face-to-face with patients, observe neurological and limb symptoms, assess their condition, and adjust the patient's remote outpatient parameters. At home, patients can use the Jingyu patient remote outpatient system to view their patients in the hospital and communicate in real time.
The importance of this diagnostic and treatment model is even more pronounced during the current pandemic. Jingyu's remote programming allows patients to receive controlled treatment at home, eliminating the need to leave home and preventing secondary infection, significantly ensuring the safety of patients with motor dysfunction.
Director Li Dianyou of the Functional Neurosurgery Department at Ruijin Hospital sincerely wishes all patients the best of health and safety. In the coming days, we will conduct regular remote programming clinics tailored to each patient's specific needs.
Li Dianyou
Functional Neurosurgery, Ruijin Hospital
MD/Associate Chief Physician
Works in the Functional Neurosurgery Department of Ruijin Hospital, Shanghai Jiao Tong University.
Vice Chairman of the Youth Committee for Parkinson's Disease and Movement Disorders Rehabilitation, Chinese Association of Rehabilitation Medicine.
Since 2001, he has studied and worked on deep brain stimulation for Parkinson's disease with Professor Sun Bomin.
He performs nearly 200 Parkinson's surgeries annually.
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