"January Baitou", he still stays in Wuhan, China's first critically ill medical doctor Qiu Haibo and his critical illness team
On April 15, the last batch of evacuated national anti-epidemic medical teams returned to Beijing. The top medical experts of the national medical team continued to stay in Wuhan and joined the national expert supervision team to tackle the final "severe fortress". Among them, there are 10 medical workers assisting Hubei by Jiangsu.
Qiu Haibo, deputy secretary of the Party Committee of Zhongda Hospital affiliated to Southeast University as a member of the expert group of the Central Steering Group and a member of the expert group of the National Health and Health Commission, has been fighting in Hubei since January 19, and has been fighting on the front line for nearly 100 days.
Qiu Haibo has not returned
Qiu Haibo is an authoritative expert in the Jiangsu-assisted Hubei Medical Team. The reporter has been interviewing him for an interview, hoping to listen to him telling the story of “robbing people” with the god of death in Wuhan.
On the afternoon of April 13th, the last batch of 205 people from the Hubei Medical Team in Jiangsu evacuated from Wuhan and flew safely to Nanjing Lukou International Airport. The reporter carefully searched through the crowd several times and failed to find Qiu Haibo.
The reporter contacted Qiu Haibo's student, Pan Chun, the chief physician of the Department of Intensive Medicine at the Zhongda Hospital Affiliated to Southeast University, who was also supported by Wuhan. "The last batch has returned home, why haven't you returned yet?"
"We were left again." On January 19, Qiu Haibo was ordered to go to Wuhan in critical condition. A week later, Pan Chun rushed to Wuhan to meet the teacher. For 3 months, they have been busy treating the severe and critically ill patients of Wuhan New Coronary Pneumonia.
Intensive medicine is the last "life-saving field" before "Ghost Gate". Strengthening the treatment of critically ill patients is the key to reducing the mortality rate of new coronary pneumonia. As the first critical medical doctor in China, Qiu Haibo, 54, is not the first time to support the frontline. In 2005, the epidemic situation of swine streptococcus in Sichuan Province, the treatment of critically injured people in the 2008 Wenchuan earthquake, the 2009 H1N1 flu epidemic, the 2010 Yushu earthquake ... Qiu Haibo was at the forefront of major public health emergencies.
In more than 90 days in Wuhan, Qiu Haibo rarely "appeared."
In early April, a group of photos "fired" online. The media published a comparison photo of Qiu Haibo on February 20 and March 30, which was called "anti-epidemic expert in January." "It's not that exaggerated. I brought only one coat to Wuhan. You see that the color of the coat has changed in the contrast, which is obviously a problem of exposure." Qiu Haibo repeatedly explained to reporters on the phone.
Another photo spread very "fire" in the group of CUHK hospital. Chao Yali, the third batch of members of the Jiangsu-assisted Hubei Medical Team, secretly "sneak shot" a group photo on February 18: Du Bin, an expert in intensive care medicine at Peking Union Medical College Hospital on the left, and Qiu Haibo on the right. The story behind the photo is that one day Du Bin and Qiu Haibo ended the round of rounds at the Sino-French New City campus of Tongji Hospital of Huazhong University of Science and Technology. Take a piece of bread and hurried away.
In fact, it is easy to "catch" Qiu Haibo in the hospital where intensive care patients are admitted in Wuhan.
When he first arrived in Wuhan, Qiu Haibo took a government-appointed car to inspect various hospitals. Every time he arrived at the hospital, the time was not fixed and the vehicle was not fixed. He felt that it was too much time, so he applied for a car and drove by himself every day. At most, he could run three or four hospitals a day. Wuhan Jinyintan Hospital is one of the hospitals where he is scheduled to inspect. He goes to the wards in three critical wards almost every day.
"He doesn't take the normal elevator, he has to wait for him to transport the medical garbage." Pan Chun told reporters that the three wards are distributed on three floors, to save twenty or thirty minutes to wear and take off protective clothing in and out of the polluted area. Qiu Haibo takes a special elevator for transporting medical waste every time, on the one hand, because time is too short to rest, on the other hand, he can save a set of protective clothing.
In the daytime, go deep into the critically ill area to understand the patient's condition, try to figure out the treatment plan at night, summarize the treatment process, and explore the treatment path. Asymptomatic hypoxemia is more important than respiratory failure, and prone ventilation can improve patient breathing ... Qiu Haibo has successively participated in the development of the new coronavirus pneumonia diagnosis and treatment plan from the second to the seventh editions, and clarified the serious 1. Treatment path for critically ill patients.
In addition to Qiu Haibo who failed to return home, there were many doctors who only started the transition on the next line. Since the outbreak, Qiu Haibo's critical care team members have fought in Jiangsu, Huangshi, Hubei, and Wuhan, Hubei. Among them, Yang Yi, as the deputy leader of the New Coronary Pneumonia Medical Treatment Expert Group of the Jiangsu Provincial Health and Health Commission, traveled to and from Jiangsu cities during the epidemic, traveling nearly 50,000 kilometers. With the joint efforts of Yang Yi and other medical staff, Jiangsu achieved 631 local cases with complete cure and zero deaths. On April 14, she rushed to Heilongjiang to support medical treatment.
"Clinician" Qiu Haibo
In Wuhan, Qiu Haibo was a member of the expert group of the Central Steering Group and a member of the expert group of the National Health and Health Commission, but he valued his identity as a "clinician" even more.
"The doctor should be a clinician, close to, close to, rooted at the patient's bed." Qiu Haibo said. Patients with conventional pneumonia have obvious symptoms under hypoxic conditions, such as purple lips or even the whole body, rapid breathing, and chest tightness. Patients diagnosed with New Coronary Pneumonia have myocardial damage, lips are not so purple under hypoxic conditions, heart rate is not fast, and breathing rate is not fast. It is called "silent hypoxemia". As a result, many patients have almost no symptoms from mild to severe, and medical staff are required to monitor blood oxygen saturation in time, and do oxygen therapy and intubation in time.
"There is only a sudden change in the condition, no sudden change in the condition. The lives of critically ill patients are stared out and snatched back by the bed." This is Qiu Haibo's experience in medical practice for more than 30 years. He still remembers the first severely ill patient he was treating, a patient with cerebral infarction over 70 years old. His cardiac arrest was 7 days after admission, and his skin folds could "stand up" by pinching. Qiu Haibo stayed beside the patient's bed, looked at blood pressure and heart rate every 5 minutes, adjusted the treatment plan at any time according to the patient's situation, and the patient improved after a few days. This made him realize that every hour or even every minute must understand the patient's dynamics in order to be a "life goalkeeper".
For more than 90 days, he has been traveling to the Jinyintan Hospital of Wuhan City, Pulmonary Hospital of Wuhan City, Central South Hospital of Wuhan University, and other hospitals for the treatment of critically ill patients. He has been fighting in the "Red Zone". In the early days, some medical personnel were worried about the operation of high infection risk such as bedside rescue. Qiu Haibo went on his own and encouraged everyone with action, "Do n’t be afraid, intubation is indeed at risk, but as long as we take good protection, it will not be Infected. "Qiu Haibo found that ventilation in the prone position had a good effect on almost all critically ill patients. Although he wore heavy protective clothing, he often insisted on doing it himself. He turned the patient over in the afternoon rounds and checked the next morning. When the room is over, the patient is brought up. Under his impetus, this treatment method was written into the diagnosis and treatment plan.
"The new corona virus is very strange and hidden. It is a great challenge for the critical care. At the most challenging site, giving patients the most chance of life, this is the mission of the ICU doctor." Qiu Haibo said.
In addition to constantly improving the diagnosis and treatment plan, Qiu Haibo also made many valuable suggestions with the experts of the "National Team". For example, they proposed to add a general hospital on the basis of three designated hospitals to treat critically ill patients. Wuhan quickly identified more than ten designated hospitals for the treatment of severe and critically ill patients, with more than 9,000 beds.
Yan Shi Qiu Haibo
In 1988, Qiu Haibo graduated and entered the Affiliated Hospital of Nanjing Railway Medical College (now the Zhongda Hospital of Southeast University). He was admitted to China Union Medical University in 1991 to study for a master's degree. Three years later, he was entrusted to study for a doctorate. In 1997, he successfully graduated as the first doctor of critical medicine in China. Faced with staying in Concord or returning to Nanjing, he chose to challenge "a blank"-to participate in the construction of the Department of Critical Care Medicine of Zhongda Hospital. In the past five years, this department has trained more than 500 key doctors and nurses for critical medicine across the country.
As a teacher, Qiu Haibo is notoriously strict and has "zero tolerance" for work errors. He instructed graduate students to revise academic papers, often changing the outline seven or eight times, reviewing more than ten times, and rewriting the text five times. The students answered "symptoms when the patient was in shock". Qiu Haibo asked one after another what his pale face was. To what extent is the consciousness blurred? What does the limbs look like? … Let students understand that all knowledge must be combined with clinical experience.
Because he was responsible, meticulous, and strict, whenever it was Qiu Haibo's turn to inspect, the medical staff felt "a lot of pressure." "He is not a doctor who can pass through the report. He is very concerned about every medication, and he has seen the treatment plan. If the patient's condition changes, the medical staff needs to explain the situation, even if it is a catheter. Let go. "Pan Chun said.
Yan Shi, Qiu Haibo, brought out a "chicken blood team" with explosive fighting power.
Be ahead of difficulties in times of difficulty. At noon on February 1, a patient in the intensive care unit on the 3rd floor of Wuhan Jinyintan Hospital developed severe respiratory distress and had to undergo tracheal intubation immediately. It was too late to ask an anesthesiologist. Without adequate protection preparation, Pan Chun put a positive pressure protective hood over his head to intubate the patient. "We are doctors, where our duties are." Pan Chun said.
Only then went to the front line. Up to now, the intensive care team of Zhongda Hospital has sent 8 batches of medical staff to the frontline of Hubei anti-epidemic. "New Year's Eve, when it comes to anti-epidemic, the '80s and' 90s' in the department responded almost in unison. This is the doctor's sense of responsibility and I am really moved." Describe this critical team.
Courage is more capable. On March 18, the European medical journal "Intensive Care Yearbook" published online "advancement of critical points is the key to reducing the mortality of patients with new coronary pneumonia: the Jiangsu experience". Yang Yi said that sharing the experience of "zero death" in Jiangsu is to help more countries treat the new patients with severe coronary heart disease.
"Team is not a group of people, it is a group of hearts. People together are a" gang ", and hearts together are a" team ". Yang Yi said that in the intensive care team of Zhongda Hospital, everyone has their own position Each director.
"I miss my" family "especially, and I want to greet them. Everyone has worked hard! No matter in Wuhan, Huangshi, Hubei, Jiangsu, and Heilongjiang, everyone sticks to their responsibilities, acts independently, and cooperates. "Qiu Haibo said.
Our reporters Qiu Bingqing and Jiang Fang