Thu Cuc health system TCI is a medical unit in the North with foreign investment. In August 2020, Vinacapital Investment Fund poured capital of 26.7 million USD, equivalent to nearly 617 billion VND. From this capital, Thu Cuc TCI quickly realizes the strategy of “covering” high-quality medical services across the country. Currently, Thu Cuc TCI Medical System includes 3 facilities: Thu Cuc International General Hospital (286 Thuy Khue, Tay Ho), Thu Cuc International General Clinic (216 Tran Duy Hung, Cau Giay). and Thu Cuc General Clinic (32 Dai Tu, Hoang Mai). These are all large-scale medical facilities, located at three key gateway locations of the capital. Thu Cuc International General Hospital was established in August 2011, as the first facility and precursor of Thu Cuc TCI Health System. The 11-storey hospital is located on the edge of West Lake, which has been a familiar medical examination and treatment address for many years for people in Hanoi and neighboring provinces. The remaining two facilities have an area of ​​​​more than 7,000m2, equivalent to a large hospital. In which, Campus 216 Tran Duy Hung was established in March 2019, including 7 floors, located at a trade location, convenient for travel, and Campus 32 Dai Tu was established in March 2021, located at the southern gateway of the capital where there is a busy trade density and an increasingly dense population. Campus 216 Tran Duy Hung – on the left and Campus 32 Dai Tu – on the right. The facilities of Thu Cuc TCI all have airy and harmoniously designed spaces. The clinics and treatment rooms are spacious, clean, comfortable, self-contained, ensuring privacy for patients. The waiting area for examination is arranged with many trees to bring a feeling of comfort and relaxation. The waiting area is arranged with many trees to create a pleasant feeling for patients. Thu Cuc TCI owns a strong team of experts including many leading experts and doctors who directly examine and treat a variety of diseases in different specialties such as: general internal medicine, cardiology, hepatology, urology. , neuroendocrine, endocrinology, digestive, musculoskeletal, otolaryngology, eye, dermatology, pediatrics, obstetrics and gynecology, oncology, laboratory, imaging, functional exploration, endoscopy, surgery faculty… The team of leading experts at Thu Cuc TCI held interdisciplinary consultations to avoid getting sick. In addition, the entire system of medical machinery and equipment at Thu Cuc TCI is synchronously and modernly invested, such as an MRI system, a 128-series CT scanner, a Power express automatic robot test, 300x magnification NBI endoscope, 5D ultrasound, one-way sterile operating room system, etc. Thu Cuc TCI owns the Power Express automated testing system which is being applied at 12/17 leading hospitals in the US. In addition to the investment in 286 Thuy Khue facility, 2 other facilities of Thu Cuc TCI are fully equipped with modern medical machines and equipment to form a closed examination process. As a result, cases requiring inpatient treatment, major surgery, and childbirth will be transferred from facilities 32 Dai Tu and 216 Tran Duy Hung to Thu Cuc International General Hospital. Shipping is completely free. Many outstanding benefits when choosing a large-scale medical facility Visiting large-scale facilities such as Thu Cuc TCI gives patients the opportunity to detect diseases through just one visit. That is thanks to a team of leading experts in many fields and the application of interdisciplinary consultation. Combined with a system of modern equipment, it helps to diagnose the disease quickly and accurately, detect potential diseases, treat on target, not miss the disease. At Thu Cuc TCI, the test results and diagnoses are recognized in case the patient is transferred to other major hospitals. This result can be used immediately without rework, significantly reducing costs, time and effort for the patient. In addition, patients are also guaranteed maximum health insurance benefits thanks to the application of “2 tiers” of insurance, namely Health Insurance and Guarantee Insurance. Medical records are linked between facilities, convenient to track and look up. Online appointment booking system, quick and convenient call center appointment booking system…

Prof, Dr. Dao Van Long shared scientific information about digestive diseases. Facing the fact that the rate of missing lesions in gastrointestinal endoscopy is still high, one of the reasons is due to the patient’s colon cleansing process is not up to the standard, the Digestive Research and Training Institute, the liver. honey has researched and released the application “colon cleansing” on Android and iOS platforms. These are the information shared by Professor, Dr. Dao Van Long – former Director of Hanoi Medical University Hospital, former head of the gastroenterology department of Bach Mai Hospital, the Founding Council of the Digestive and Hepatology Research and Training Institute. at the launching ceremony of facility 2 of Hoang Long General Clinic on April 21st morning. According to Professor Dao Van Long, this is the first phone application in Vietnam to go deeply into the field of endoscopy to support patient guidance. Accordingly, when going to a colonoscopy and examination, the patient will download this application and directly manipulate the phone to monitor the entire colon cleaning process in the most detailed way. According to statistics, gastrointestinal and hepatobiliary diseases currently account for about 30% of the total number of patients visiting medical facilities, but the ability to respond is limited, and the number of endoscopists can only respond. corresponding to 5% – 10% of the population. Every day in large centers, there are more than 300 cases of endoscopy that can lead to missed lesions and endoscopic quality is not really guaranteed, there is a risk of infection from endoscopy. Therefore, the application of artificial intelligence (AI) in health in general and gastrointestinal endoscopy in particular is not only suitable for the current trend, but also a necessary direction for the medical industry by Great benefits such as contributing to improving the detection rate, avoiding missing injuries as well as saving human resources for health are currently in short supply. Currently, the Digestive and Hepatobiliary Research and Training Institute has initially developed software to apply artificial intelligence in endoscopy to detect colon polyps in Vietnam. When put into operation, the application will contribute to meeting the needs of screening and screening for polyps and colon cancer in our country, while enhancing Vietnam’s medical technology with new and progressive steps. more, comparable to regional and international. In particular, with the introduction of the new Fuji 7000 endoscopy system featuring advanced image magnification up to 290 times, LCI / BLI multi-beam technology combines short-wavelength light and white light for images. The high contrast of microchips and microstructure of the mucosal surface helps detect cancer in an early stage, even very early, but if endoscopy with white light will easily miss the lesion. Dr. Dao Viet Hang shares scientific information on AI application in colonoscopy. Dr. Dao Viet Hang, Deputy Director of Hanoi Medical University Hospital Endoscopy Center, Deputy General Secretary of the Vietnam Society of Gastrointestinal Science, said software applying artificial intelligence in endoscopy to detect polyps colon in Vietnam will build an effective machine learning algorithm for detecting and localizing polyps through endoscopic images; initially assessing the accuracy of colon polyps detection and localization algorithm. “We expect that in the next 1-2 years, Vietnam will launch a system applying artificial intelligence algorithms so that doctors in remote and deep areas can learn about lesion classification and detection of lesions. This system is attached to different endoscopy systems at the grassroots level, reducing the injury detection rate “, Dr. Hang shared.

Doctor Dao Trung Hieu checks the child’s health Results of X-ray and endoscopy have determined that the right bronchus has inflammatory tissue, underneath the inflammatory tissue is a small, hard, force that cannot be removed by forceps. Foreign object is a zipper hook According to master – doctor Dao Trung Hieu, Deputy Director of Children’s Hospital 1 (Ho Chi Minh City), this is a foreign object that has been lying for a long time. object in a sensitive location. Doctors said that the foreign body has been lying for a long time, causing inflammation, sticking to the tissue of the airways, even puncturing. Currently, the foreign body is blocking the hole, but if it is tried to remove it, it can cause a blood vessel rupture, an air spillage, potentially life threatening. Doctors recounted the case So the doctors decided to conduct a general consultation and choose the option of open surgery, opening the baby’s chest to identify and monitor the foreign object while the ENT doctor picked the object out through the airway. Thankfully this approach has been successful. The baby recovered quickly. By the morning of April 23, the baby was removed from the bandage, in good health, eating and playing normally and was about to be discharged from the hospital. Doctor Dao Trung Hieu analyzed the reason for having to open the baby’s chest Specialist Doctor II Nguyen Tuan Nhu, Head of the Department of Ear, Nose and Throat, Children’s Hospital 1 recommends that parents be careful when children play with many small details, because children often put them in their mouths and fall. always into the airway. If you suspect that your baby swallowed, inhaled, or had coughing, wheezing, or difficulty breathing for a long time without knowing the reason, your baby should be examined.

Pediatric patients are examined and hospitalized at the Department of Gastroenterology. After an abdominal ultrasound, the doctor discovered an image of the foreign object resembling a long plastic rod with a long, uniform tube-like structure completely located in the child’s intestine. Immediately after that, the doctor of the Department of Gastroenterology indicated urgent gastrointestinal endoscopy, grabbing foreign bodies. The foreign object that could be grasped was a plastic candy stick 10 cm long. Currently, the patient is stable and is being monitored at the Department of Gastroenterology.

A boy has colic for the whole month due to a 10 cm plastic rod stuck in the intestine. Photo: Thanh Nien

Through the above case, the doctors warned that the foreign body is a common dangerous accident in children, especially in children under 2 years old, because foreign objects falling into the airways narrow or completely block the airways. . Accidents usually happen when children eat, smile or eat improperly. In many cases, adults let children eat, play, suck or swallow small foods and objects.

Airway foreign body is an emergency condition, if not handled in time, it can lead to serious consequences such as irreversible brain damage or even death. Therefore, parents with young children need to pay special attention when their children play with objects or foods with high risk of choking, choking because children are easily neglected or swallowed, so there is a risk of choking, choking, choking. suffocate, even lose life if there is no timely emergency.

In addition, be very careful when feeding children or pay attention when children eat foods and fruits with small seeds such as na, corn, beans, peanuts, candy … these are foods. It is very easy for a child to choke and choke on food leading to foreign bodies entering the airways, obstructing the airways and the baby can die immediately before going to the hospital.

When a child has an abnormal airway, if the child is still pink, can cry, yell, speak, or not have difficulty breathing: should put in a sitting position to breathe, keep the baby, immediately take it to the nearest medical facility for approval. assist. Absolutely do not pick up your throat or use folk remedies. Improper manipulations can tear the esophagus, or accidentally push the foreign body deep into the airway leading to an obstruction, then the child is at a very high risk of death.

For children under 2 years old, if there is cyanosis, difficulty breathing, cannot cry or cry weakly, quickly call emergency and conduct first aid by: Place the baby on his or her stomach, head low on the left arm, hold the head. and the fore neck with the left hand. Use the heel of the right hand to pat 5 forcefully pat the child’s back between the shoulder blades.

Then turn the child back to the right hand, if breathing is difficult, cyanosis, use two fingers to press strongly in the area 1/2 below the sternum 5 times. If the foreign object still does not fall out, turn the young person over and continue patting the back. Take turns patting and chest compressions until the object falls out of the airway or the baby is crying.

In addition, Thai Binh Children’s Hospital recommends that, in addition to knowing the correct and timely first aid, patients should immediately go to medical examination and treatment facilities with endoscopic means for diagnosis. and quickly remove the foreign object properly.

An Duong (Th)

About a month earlier, while working in the field, Mr. S. washed his face and drank from the stream near his house. After a while, he found that he was coughing, spitting blood and having difficulty breathing, so he went to Ham Yen hospital for medical examination, then he was transferred to the General Hospital of Tuyen Quang province.

As the person directly endoscopically picking up the leeches for the patient, MSc.BS. Vu Dang Khoa, Head of Department of Ear, Nose and Throat, said that Mr. S. was under general anesthesia, then performed a tracheostomy, anesthesia for resuscitation. When the laparoscopy revealed that the larynx showed a foreign body under the hypopharynx, the upper part of the trachea, the doctors carried out the removal of the foreign body as a stream leech.

According to Dr. Khoa, leeches are living things that can move from the nose, mouth to the larynx – the patient’s trachea becomes a foreign object. Leeches live in the airways of the patient for a long time, can move up the larynx or down the bronchial gas, causing symptoms of coughing attacks, hoarseness, spitting up blood, difficulty breathing. At the location where the animal sucks, causing prolonged bleeding, difficult blood clotting is life-threatening.

Although it has been warned much, but leeches and parasitic squeezing still occur continuously. The reason is due to the habit of using water in streams and streams when going to the forest.

Scary is when the leeches, the new squeezed into the body through the water into the nose, throat, the small size, but after they suck blood and grow very quickly in a short time.

Symptoms of bleeding are detected in the form of hemoptysis, vomiting of blood, hematuria. The blood-absorbing leeches have symptoms such as increased pressure, discomfort, pain, nerve stimulation originating from the parasitic location, dysfunction of parasitic leeches, superinfection of bacteria causing inflammation in the area. leeches absorb blood, causing an abscess under the mucosa.

If the bleeding persists, the patient will experience anemia. If not examined and handled in time, leeches are getting bigger and bigger, causing obstruction of the trachea, respiratory failure … for a long time, it can lead to death.

According to experts, when leeches penetrate the natural cavities of the body, you should rinse your mouth with high concentration of salt water or inhale substances that have a spicy, pungent odor.

If the leeches are in a shallow area, the doctor may use a scope to remove them; If sticking deeply, it is necessary to anesthetize and use specialized equipment; If it is too deep, they must be operated on to remove leeches. If the leech enters the genital tract, soaking or injecting it with concentrated salt water can also cause the leech to die, or the leech to come out on its own.

Minh Hoa (th)