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從廣州到柏林(6)

2025-03-04 18:18:03 廣州仁醫(yī)醫(yī)療 21

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2月20日下午15:00,仁醫(yī)醫(yī)療四人團隊抵達柏林夏洛特大學(xué)綜合醫(yī)院米特院區(qū),拜訪了婦科與乳腺中心主任Blohmer教授。盡管門診繁忙,他仍特地在間隙趕回辦公室與我們見面,并熱情地邀請我們來到他辦公室的小露臺。從露臺望出去,是米特院區(qū)最古老的建筑群,承載著夏洛特醫(yī)院超三百年的歷史。他笑著告訴我們,這是他平時放松時最喜歡看的風(fēng)景。同時,他特意讓秘書為我們的到訪準備了非氣泡飲用水,以貼合中國客人的飲水習(xí)慣,細節(jié)之處盡顯用心。在交流中,Blohmer教授向我們介紹了德國乳腺癌診療體系的獨特性。在德國,婦科醫(yī)生不僅負責(zé)乳腺癌患者的超聲、活檢和手術(shù),還主導(dǎo)化療、內(nèi)分泌治療和免疫治療,形成了一種高度整合的診療模式,使乳腺癌??漆t(yī)生具備極強的跨學(xué)科能力。他表示,臨床實踐、研究和教學(xué)始終是他的核心關(guān)注點,希望未來能夠招收中國優(yōu)秀的醫(yī)生作為他的臨床醫(yī)學(xué)MD博士生,訪問中國的大型乳腺中心,推動中德在乳腺癌診療與研究領(lǐng)域展開深度合作。他還透露,自己正在向醫(yī)院高層申請未來將科室工作重點完全轉(zhuǎn)向乳腺癌的教學(xué)與診療,減少婦科手術(shù),僅保留緊急手術(shù),以進一步提升乳腺中心的專業(yè)化程度。談及教學(xué),Blohmer教授流露出自豪的神情。他的眾多學(xué)生中,Kümmel教授如今已成為埃森-米特醫(yī)院跨學(xué)科乳腺中心的主任,領(lǐng)導(dǎo)著歐洲最大規(guī)模的乳腺癌中心,每年接收2600余例乳腺癌新發(fā)患者,完成2500余臺手術(shù)。二十多年前,Kümmel教授正是在他的指導(dǎo)下開始專攻乳腺癌手術(shù),如今已成為業(yè)界翹楚。這讓他深感欣慰,也更加堅定了對醫(yī)學(xué)教育的熱忱。他說:“我很自豪、也很欣慰,能夠為他們指引方向,并看到他們成就超越我?!苯涣骷磳⒔Y(jié)束時,Blohmer教授向我們介紹了辦公室墻上的《夏洛特婦科主任年表》,上面鐫刻著自1727年以來,夏洛特歷任婦科與產(chǎn)科主任的名字。那些閃耀在醫(yī)學(xué)史上的璀璨群星,他們的貢獻深刻影響了歐洲乃至世界的婦產(chǎn)科發(fā)展。在他的辦公桌正對的墻上,還張貼著1926-1950年間夏洛特婦科主任Walter Stoeckel教授的職業(yè)生涯介紹,他是魏瑪共和國時期德國領(lǐng)先的婦科醫(yī)生,精通乳腺外科、變性手術(shù)和婦科泌尿手術(shù)。他出生于德意志帝國成立的1871年,去世于柏林墻建造的1961年,經(jīng)歷了四個政治時代的更迭。Blohmer教授告訴我們,他本人正是在閱讀Stoeckel教授編寫的教科書后立志投身婦科領(lǐng)域,并最終專攻乳腺外科。此次探訪,我們不僅深入了解了德國乳腺癌診療體系的獨特之處,也感受到了一位醫(yī)學(xué)大家對教育、歷史與醫(yī)學(xué)精神的傳承。他的堅持、專注與遠見令人深受啟發(fā)。

At 3:00 p.m. of February 20th, the team of four from Gloryren visited Prof. Blohmer, the Director of Department of Gynaecology with Breast Center, at the Campus Charité Mitte, Charité –University Medicine Berlin. Despite his busy schedule at the outpatient clinic, Prof. Blohmer still returned to his office during a short break to meet us and warmly invited us to the terrace of his office. Looking out from the terrace, we could see the oldest buildings of Campus Charité Mitte, carrying over 300-year history of Charité. With a smile, he told us that this is his favorite view to enjoy during his relaxation. During our discussion, Prof. Blohmer introduced us the distinctive features of the breast cancer diagnosis and treatment system in Germany. In Germany, gynecologists are not only responsible for ultrasound, biopsy, and surgery for breast cancer patients, but also play a leading role in chemotherapy, endocrine therapy, and immunotherapy, forming a highly integrated model of diagnosis and treatment that enables breast cancer specialists to develop strong interdisciplinary expertise. Prof. Blohmer said that clinical practice, research and teaching have always been his focus and hopes that in the future he would be able to accept some outstanding Chinese doctors as his MD students, visit major breast centers in China, and promote in-depth Sino-German collaboration in the diagnosis, treatment and research of breast cancer. He also told us he is planning to entirely shift the department’s focus to the teaching and treatment of breast cancer in the future, reducing gynecological surgeries and retaining only emergency procedures to further enhance the specialization of the breast center. Prof. Blohmer was proud of his teaching work. Among his former fellows, Prof. Kümmel is now the Clinical Director and Chairman of the Interdisciplinary Breast Unit Clinics of Essen-Mitte, leading the largest breast cancer center in Europe. The center receives more than 2,600 new breast cancer patients and performs over 2,500 surgeries each year. More than 20 years ago, Prof. Kümmel began specializing in breast cancer surgery under the guidance of Prof. Blohmer. Today, Prof. Kümmel has become a leading figure in this field, which brings Prof. Blohmer great satisfaction and further strengthens his passion for medical education. Prof. Blohmer said, "I am proud to have shown them the right way and see their names bigger than mine." As our discussion drew to a close, Prof. Blohmer introduced us the Chronology of the Heads of Gynecology at Charité displayed on the wall. It presents the names of all the heads of the Department of Gynecology and Obstetrics at Charité since 1727.These distinguished figures in medical history have profoundly shaped the development of obstetrics and gynecology in Europe and the world. On the wall directly opposite Prof. Blohmer's desk, there is a career biography of Prof. Walter Stoeckel, the Director of the Department of Gynecology at Charité from 1926 to 1950 and one of Germany’s leading gynecologists during the Weimar Republic, excelling in breast surgery, transsexual surgery, and gynecological urology. He was born in 1871, the year the German Empire was founded, and passed away in 1961, the year the Berlin Wall was built, witnessing four of political eras. Prof. Blohmer told us it was after reading the textbooks edited by Prof. Stoeckel that he was inspired to pursue a career in gynecology, ultimately specializing in breast surgery. Through this visit, we gained not only a deeper understanding of Germany’s breast cancer treatment system, but also a profound appreciation for the legacy of medical education, history, and professional dedication of a great medical master. His perseverance, dedication, and vision left a lasting impression on us.

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