从广州到柏林（6）

2月20日下午15:00，仁医医疗四人团队抵达柏林夏洛特大学综合医院米特院区，拜访了妇科与乳腺中心主任Blohmer教授。尽管门诊繁忙，他仍特地在间隙赶回办公室与我们见面，并热情地邀请我们来到他办公室的小露台。从露台望出去，是米特院区最古老的建筑群，承载着夏洛特医院超三百年的历史。他笑着告诉我们，这是他平时放松时最喜欢看的风景。同时，他特意让秘书为我们的到访准备了非气泡饮用水，以贴合中国客人的饮水习惯，细节之处尽显用心。在交流中，Blohmer教授向我们介绍了德国乳腺癌诊疗体系的独特性。在德国，妇科医生不仅负责乳腺癌患者的超声、活检和手术，还主导化疗、内分泌治疗和免疫治疗，形成了一种高度整合的诊疗模式，使乳腺癌专科医生具备极强的跨学科能力。他表示，临床实践、研究和教学始终是他的核心关注点，希望未来能够招收中国优秀的医生作为他的临床医学MD博士生，访问中国的大型乳腺中心，推动中德在乳腺癌诊疗与研究领域展开深度合作。他还透露，自己正在向医院高层申请未来将科室工作重点完全转向乳腺癌的教学与诊疗，减少妇科手术，仅保留紧急手术，以进一步提升乳腺中心的专业化程度。谈及教学，Blohmer教授流露出自豪的神情。他的众多学生中，Kümmel教授如今已成为埃森-米特医院跨学科乳腺中心的主任，领导着欧洲最大规模的乳腺癌中心，每年接收2600余例乳腺癌新发患者，完成2500余台手术。二十多年前，Kümmel教授正是在他的指导下开始专攻乳腺癌手术，如今已成为业界翘楚。这让他深感欣慰，也更加坚定了对医学教育的热忱。他说：“我很自豪、也很欣慰，能够为他们指引方向，并看到他们成就超越我。”交流即将结束时，Blohmer教授向我们介绍了办公室墙上的《夏洛特妇科主任年表》，上面镌刻着自1727年以来，夏洛特历任妇科与产科主任的名字。那些闪耀在医学史上的璀璨群星，他们的贡献深刻影响了欧洲乃至世界的妇产科发展。在他的办公桌正对的墙上，还张贴着1926-1950年间夏洛特妇科主任Walter Stoeckel教授的职业生涯介绍，他是魏玛共和国时期德国领先的妇科医生，精通乳腺外科、变性手术和妇科泌尿手术。他出生于德意志帝国成立的1871年，去世于柏林墙建造的1961年，经历了四个政治时代的更迭。Blohmer教授告诉我们，他本人正是在阅读Stoeckel教授编写的教科书后立志投身妇科领域，并最终专攻乳腺外科。此次探访，我们不仅深入了解了德国乳腺癌诊疗体系的独特之处，也感受到了一位医学大家对教育、历史与医学精神的传承。他的坚持、专注与远见令人深受启发。

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.