职业陪诊师是做什么的?有了他们,看病稍微容易了些
在过去一年内,王玉柱已经来了两次北京,而和其他从北京站走出的游客不同——他是来看医生的。
坐了14个小时的火车,63岁的王玉柱已经很疲惫。他的身上带着直肠造瘘,到路边打开出租车的门坐上去,这个动作看起来有些难度。
然而,比起上一次的看病之旅,这次的行程容易了一些。因为,王玉柱的女儿王雅茹早早在网上帮他约好了陪诊师赵海伟。虽然已经是晚上8点,赵海伟来到了北京站出站口迎接王玉柱和他的爱人。
近两年,陪诊师这个新兴的职业在互联网社交平台上逐渐火了起来。陪诊师,顾名思义,就是“陪人一起去医院看病”。60岁以上的老年人是陪诊师的主要客户群,而从外地来到北上广等大城市的患者,也占了很大比例。他们在就医方面存在的各种不便,催生,甚至捧火了这个行业。
In recent years, hospital companions have become popular on social media platforms. As the name suggests, these people accompany patients to the hospital. Seniors age 60 and older account for the majority of their clientele, while patients who come from outside China’s big cities also account for a significant portion. The various inconveniences that have arisen in modern medical treatment have created and even boosted this new sector.
王玉柱说:“我们那的人来北京治病的太多太多了。”
王玉柱是蒙古族,这是他今年第三次踏上看病的行程,前两次分别去了包头和杭州,这一次的目的地是北京大学肿瘤医院。
Wang Yuzhu is a member of the Mongolian ethnic group. This is his third medical trip this year. He previously visited Baotou, Inner Mongolia autonomous region, and Hangzhou, Zhejiang province. His destination this time is the Beijing Cancer Hospital.
王玉柱的老家乌拉特前旗是内蒙古自治区巴彦卓尔市的下辖旗,在2019年4月才脱离贫困县。王玉柱介绍道,平时,大家如果身体不舒服,一般会去包头看医生。包头是离乌拉特前旗最近的地级市,大约一个多小时的车程,“医疗资源比起老家要好一些”。
Wang’s hometown, Ulat Front Banner, is in Bayan Nur city, Inner Mongolia, and just emerged from poverty in April 2019. He explained that when people in his hometown feel unwell, they generally go to Baotou to see a doctor. Baotou is the nearest prefecture-level city to Ulat Front Banner, about an hour's drive away, and "the medical resources are better than at home".
在北京各大三甲医院的候诊区,经常看到大包小包带着行李来看病的外地人。他们甚至会整夜守在医院门口,希望在早上放出号源的第一时间,抢到当天的专家号。
In the waiting rooms of Beijing’s major tertiary hospitals, it is common to see people from other provinces sitting with their luggage as they wait for medical treatment. Some even spend the night at the hospital entrance, hoping to consult with an expert as soon as the appointment numbers are released early in the morning.
2021年,退休后的王玉柱在包头确诊了肿瘤并进行了一次直肠手术,术后存在排尿困难,所以后来,他带上了直肠造瘘和膀胱造瘘。膀胱造瘘是指在耻骨上开一个洞插尿管把尿液引流到体外。
去年9月,他来到北京大学第一医院,想看看膀胱的问题。造瘘带了一年半,王玉柱觉得毕竟不太方便。“总带着也不是办法。”
“人家那大夫就是看了看以前的资料,看了很久。他说,‘直接取了吧。漏尿的话该漏就漏,没事的。’大夫说,造瘘带久了,容易引起其他问题。”
听了专家的建议,王玉柱回到包头,把膀胱造瘘取掉了。“回去取了以后还不漏尿了,带了一年半的造瘘人家看一眼就说要摘了。”
很赶巧,王雅茹刚好是在赵海伟的淘宝店铺上,向他咨询的第500个客户。去年8月,陪诊师赵海伟在淘宝上开起了自己的陪诊店铺。
赵海伟最常往返的是北京的天坛医院、宣武医院、301医院、协和医院。“宣武在神经内科比较好,主要是针对老年病,比如阿兹海默、脑梗、帕金森,去天坛医院则是看神经外科的客户更多。全科医院外地人最认301和协和。”
赵海伟的收费标准是一次陪诊价格大概在240-260,平均下来一个小时60元左右。“这是一个需要一定消费能力的服务,但是价格并不贵。”
赵海伟说:“能够根据我们的经验帮助客户消除信息差,节省他们的时间、帮助缓解焦虑,是我们这一行最重要的价值之一。”
“Being able to give clients relevant information based on our experience, saving time and alleviating anxiety, is one of our most important values,” Zhao Haiwei said.
王玉柱预约了4月25号下午北京大学肿瘤医院的专家号。13:30,赵海伟准时接上他,来到了医院。从进门安检、建卡关联、取号、扫码签到,到安置王玉柱到等候区等候,一系列操作下来,赵海伟的动作都很娴熟。
“现在北京医院的流程都很合理,而且有了网上挂号等功能,其实就医是越来越方便了。但是对于老年人来说,他们可能连智能手机都不太熟悉,用APP挂号、机器取号、缴费什么的,还是太难了。”
“The procedures in Beijing hospitals are very reasonable, and with online registration and other functions, seeking medical treatment is becoming easier. However, seniors may not be familiar with smartphones and using apps to register, retrieve appointment numbers, and make payments,” Zhao added.
“小赵很负责,有了他我很放心。”王玉柱重复了两次。
“这也是我们另一个很重要的价值,就是提供情感上的支持和陪伴。老年人看病其实心里没底,特别是外地人来到北上广,环境陌生,有了我们的陪伴,他们会踏实一些。关于医保报销、就医费用的预算,心里也更有底。”
"Emotional support is another important value we provide. Elderly people are actually unsure when undergoing medical treatment, especially if they come from out of town to Beijing, Shanghai, or Guangzhou. With our accompaniment, they will feel more at ease. Regarding medical insurance reimbursement and budgeting for medical expenses, they will also have more certainty," Wang Yuzhu said.
根据国家统计局的数据,2021年末,我国60周岁及以上人口近2.7亿人,占总人口的18.9%。
At the end of 2021, nearly 270 million people in China were age 60 and older, accounting for 18.9 percent of the population, according to data from the National Bureau of Statistics.
自然地,老年人也组成了陪诊师们的主要客户群。但通常,下单的都是子女——他们大多或是上班无法请假,或是和父母分居两地心有余而力不足。
While seniors make up the main customer base of hospital companions, it is usually the patients’ children who order the service because many are unable to take time off work or live too far away to help.
伴随着第一批独生子女步入不惑之年,“上有老下有小”,同时也正值工作壮年,有时确实分身乏术。
As the first batch of children born under China’s former one-child policy enters middle age, "having elderly parents and young children" has become a common issue. These people are in their prime working years and often find themselves stretched thin.
王玉柱说:“我已经做了三次手术了。”之前,女儿能陪着的时候,都会亲自陪着一起去,从离家一百多公里的包头,到2000多公里外的杭州。
“她实在是请不了假了,以前这孩子已经请过好多次假,就为我这个病。”
一篇题为“陪诊师怎么入行,5000字陪诊师必读指南”的帖子中说,真正的“陪诊师”应该熟悉当地各医院的基本情况,熟悉各个医院的就医流程、具备医学护理知识掌握基本急救方法、熟悉缴费及医保社保报销流程等,甚至还需要能看懂检验报告,并具备一定的心理学知识,才能给患者提供正确建议与心理疏导,也能更好与医院专家进行沟通。
对于赵海伟来说,陪诊并不仅仅是“陪人去医院”这么简单,这一天下午,在北京大学肿瘤医院,他最重要的任务,是在王玉柱的女儿不在场的情况下,承担起患者家属的责任,帮助他更专业、更高效、更准确地跟医生交流。
For Zhao, his job is not just about providing “company”. For Wang Yuzhu’s appointment, his most important task was to be a proxy family member and help the senior communicate more professionally, efficiently and accurately with the doctor.
下午3点多,等候了差不多两个小时后,屏幕上亮起了王玉柱的名字,赵海伟带他一起走进诊室,熟练地打开一沓过往就诊资料。经过十多分钟的交流,大夫表示,目前不需要做手术,也不适合化疗,但建议挂放疗号,进一步检查,并接受放疗治疗方案。
赵海伟第一时间把这个消息告诉王雅茹,和对方商定后,赶紧帮王玉柱在挂号机器上抢到了当天下午医院的最后一个放疗号。
现在,王玉柱和爱人来到北京已经一个多月了。在赵海伟的全程陪伴和帮助下,他们已经开始在北京大学肿瘤医院接受放疗治疗方案。
2023年的春夏之交,王玉柱的身体在逐渐好转。
更多陪诊师的故事,请关注今天(5月22日)中国日报6版的深度报道。
出品人:纪涛
监制:雷小峋 彭奕宁
制片:闫东洁
记者:闫东洁
编辑:赵欣莹 Paul Tomic
特别鸣谢:益海佳林科技有限公司
北京大学肿瘤医院
王玉柱及其家人
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