Central South Hospital resumed calm and calm, serving ordinary medical needs
After the hospital returned to the general outpatient clinic, the medical staff of the Hepatobiliary Disease Institute was treating the patients. Photo courtesy of interviewees
On April 5, the Department of Obstetrics and Gynecology, Zhongnan Hospital. Beijing News reporter Wang Shuangxing
Ye Shaojun took a photo with colleagues. Photo courtesy of interviewees
On April 6, before the outpatient building, patients need to register personal information. Beijing News reporter Wang Shuangxing
On April 5, Zhao Zhigang, an emergency doctor who was about to go to the evening shift, had dinner in the lounge. A nurse ran and said that a patient had just been sent to the ambulance with a temperature of more than 38 degrees Celsius and was transferred to a hot clinic. The fever patient is sent to the designated hospital if the diagnosis is confirmed in the fever clinic. Since the Central South Hospital of Wuhan University (hereinafter referred to as the Central South Hospital) began to restore normal medical order, it will no longer accept such patients.
More than two months ago, Zhao Zhigang's emergency department ward was filled with new crown patients with fever and poor breathing. As one of the earliest doctors to receive new crown patients, he and three medical staff in the same group were all infected in January. After recovery, he returned to work. Now, the epidemic situation is gradually being controlled. On March 13, the new crown patients of Zhongnan Hospital were "cleared". From March 27, the general clinic will resume. Today, except for departments requiring close medical contact, such as the facial features department of Zhongnan Hospital, the rest of the departments are basically open. With the unblocking of Wuhan, the top three hospitals in the province began to melt ice with the city.
"Return to the place where you saw me"
Walking to the outpatient building of Zhongnan Hospital, pregnant woman Li Fei was a little nervous and unconsciously pressed the metal strip on the mask against the bridge of her nose. Since the new crown epidemic, this is her rare outing.
A few days ago, some people in the pregnant women group forwarded the notification of Zhongnan Hospital to resume consultation, Li Fei completed the appointment registration in advance. April 5th is the 36th week of her pregnancy, and she needs to be accompanied by her lover to the hospital for an obstetric examination.
The outpatient building that was directly accessible in the past now has more procedures. Staff wearing protective clothing, masks and goggles reminded everyone to "keep away" while instructing to scan the QR code to register personal information: name, age, symptoms of treatment 1. If you have fever, contact information, ID number, and address, you can only enter the first door after completing the report. Zhao Yan, deputy director of the Central South Hospital, said that such measures were taken mainly in order to track down and identify close contacts once a new crown patient appeared.
On this day, Li Fei and his lover entered the outpatient building at a distance of half a meter at 36.5 ° C. There were not many people in the hall. Four windows were opened for registration, and the patients were then dispersed to their respective departments.
The obstetrics and gynecology department is on the fifth floor and has to pass several escalators. Someone stepped forward during the conversation, and Li Fei turned sideways, signaling the other party to stand a little farther. In her words, during a special period, one person can resist the primary antibody, but after pregnancy is two people, still be careful.
The center of the outpatient building of Zhongnan Hospital is in a ring shape, and the entrances of each department are distributed among them. Half of the entire five-story circular space belongs to the obstetrics and gynecology department. Chairs are placed in empty spaces. Li Fei said, "In the past, all the places I could see were seated with people. There were still people standing on the aisle. The chairs on the side of the toilet were full. ". However, due to the impact of the epidemic, there are not too many patients. Most of them are pregnant women who need to go to the obstetrics department for obstetric examination. The gynecological side is relatively slack.
It took about half an hour for Li Fei to queue up to call her. She had some difficulty breathing recently, and she did ECG and fetal heart rate monitoring on the advice of the doctor. Subsequent prenatal examinations were conducted. The height, weight, uterine height, abdominal circumference, vagina and cervix, etc. were normal. In about three hours, she completed a consultation and a series of examinations. In the past, it probably took a day.
In mid-July 2019, Li Fei learned that she was pregnant. The last time she went to the hospital was on January 15. Later, after the outbreak of new coronary pneumonia, Li Fei never dared to go out.
The inspection to be done once every half a month was interrupted, and Li Fei "can only make his life as regular as possible": in order to replenish amniotic fluid, drink 1700 ml of water every day; in order to control weight, disperse in the room after meals every day 10,000 steps; the fruits you can buy are limited, but try to guarantee one apple or pear per day.
In March, the 32nd week of Li Fei ’s pregnancy, it was time to do small resections, but the number of new coronary pneumonia diagnoses was still increasing at that time, and the Zhongnan Hospital closed its general outpatient clinic. Li Fei asked the obstetrician through an online consultation. The other party suggested that if you are worried about the greater risk of infection, you can postpone the small row of deformities for about two weeks. Later, she went to a private hospital that did not accept fever patients and completed the examination.
Now that the normal medical order has been restored at Zhongnan Hospital, Li Fei has returned to the place where he used to see the doctor. The layout is the same, except that the doctor is wearing protective clothing and the pregnant women are wearing masks.
"Without first aid here, there can be no recovery for her"
During Li Fei's inspection, Xu Zhe, who was engaged in voluntary security work at Zhongnan Hospital, was wearing protective clothing to maintain order outside the Obstetrics and Gynecology Department; Xu Zhe also experienced worries when Li Fei was closed behind the door for more than two months. "It's getting dark."
On January 23, Wuhan was closed. A few days later, Xu Zhe ’s mother began to have repeated fevers, “36 ° C more and 37 ° C more”, and later became more and more serious, and began to appear in a coma and unconscious state.
The private car couldn't get on the road and could only call 120 for first aid. After making countless calls, he finally got a bed in the emergency department of Zhongnan Hospital.
The emergency department of Zhongnan Hospital was the first place to experience the epidemic. With the increasing number of fever patients visiting the emergency department, Deputy Director Zhao Yan is also the director of the emergency center, and immediately asked the medical staff to increase the level of protection. January 6 The emergency ward was changed to a fever isolation ward.
During that time, Xu Zhe could n’t sleep every day. When he turned on the TV, it was all epidemic news. He always wanted to call the mother to ask about the situation, and worried about the delay in the work of the medical staff. He stopped playing once every three or four days. Incontinence and incontinence, gradually became aware, the nurse left her mobile phone number to Xu Zhe, hit the phone, the mother can hear the voice of the son.
In late February, the mother's condition improved and recovered. Xu Zhe was crying with joy. "I used to want to work with my mother every day, so I had to get up to sleep for another ten minutes. I was nagging and had to talk twice." He said, "After hearing that she has recovered, I think: I won't find it later. Wife, if you give me 10 million, I wo n’t make any money. As long as I watch her accompany her, I will listen to everything she says. "
At the same time, the situation in various hospitals was also improving. With the continuous support of medical teams around the world and the construction of Vulcan Mountain, Thunder Mountain, and Square Cabin Hospitals, doctors working on the front line of the epidemic like Zhao Zhigang gradually eased the pressure.
Before the epidemic, Xu Zhe worked in car sales. After his mother became ill, he "always felt that he should do something." The 29-year-old was a soldier. Hengyang was flooded. He jumped into the water and carried a sandbag. However, when the virus came, Xu Zhe, who had no knowledge of medicine, didn't know what he could do, and felt that he still had to do something. Finally, he came to Zhongnan Hospital as a volunteer. "Without first aid here, there can be no recovery for her later. "
When he first arrived at Zhongnan Hospital, he was responsible for helping to move materials, sometimes protective clothing and gloves, and sometimes fruits and vegetables; now the hospital has resumed consultations, Xu Zhe began to work as a security guard, working from 8 am to 5 pm every day At half past half, maintain order, check doors and windows, and remind patients to keep their distance.
The department gradually returned to the original rhythm
Now Zhao Zhigang's emergency department has resumed 70% or 80% of his previous work. "Except for colds, fevers, headaches and brain fever, there are still fewer patients. The number of severely admitted patients has basically reached the number before the new crown."
In addition to the emergency department, those departments that have been treating non-new crown patients have gradually returned to their original rhythm. At the Institute of Hepatobiliary Diseases, five or six new patients have been admitted every week in the last two weeks.
On April 6th, downstairs No. 4 where the Hepatobiliary Diseases Institute is located, all patients and accompanying family members who checked in must have a negative nucleic acid test result to enter, and medical staff must rely on the ID to enter and exit. The deputy director Ye Shaojun said that since most patients in the wards were post-transplant patients, immunity was low, and higher management requirements were required. After entering, patients and their families could not leave the ward building, and all daily necessities were arranged by field staff.
The medical staff felt that compared with a month or two ago, the current work was calm.
On February 19, 2000 new coronary pneumonia isolation beds were put into use in the Central South Hospital. The hospital plus three hospitals including Wuhan Seventh Hospital, Wuhan Living Room Cabin Hospital, and Wuhan Lei Shenshan Hospital totaled more than 5,400 beds. Became the largest designated new coronary pneumonia hospital in Wuhan.
During the fight against the new crown epidemic, there were also four or five hundred patients in need of continuing treatment in the Hepatobiliary Diseases Research Institute, Brain Surgery Department, Oncology Department, High-level Ward Ward and other departments. Some patients also needed dialysis, and this work was transferred to Ye Shaojun's colleagues. The patients were hospitalized for treatment while preventing and treating new coronary pneumonia. During that time, the medical staff of the Institute of Hepatobiliary Diseases regarded it as "the most difficult time."
The hospital allocated two pieces of equipment, and nurses with dialysis licenses in the department began to provide emergency training to other medical staff. More than ten tubes were dense and dense, and the role of each should be clear. Some nurses said that at first ". After a week or two, I gradually became able to get on the machine.
In the meantime, while providing treatment for inpatients, Ye Shaojun and colleagues also provided remote guidance to patients who could not come; they contacted the pharmaceutical companies to deliver medicines to patients with drug shortages, and they also coordinated the new coronary pneumonia prevention and control headquarters for the situation. Urgent patients opened special passages ... Ye Shaojun found an empty room in the hospital and head nurse He Chongxiang simply stayed in the ward.
A patient in Enshi City had a liver transplant operation at the end of last year. During the epidemic, there was a sudden rejection reaction. Due to the fact that Wuhan Fengcheng was unable to reach Zhongnan Hospital, he eventually went to the local county hospital. Ye Shaojun said that for many county-level hospitals, how to deal with patients after transplantation is completely unfamiliar, and due to technology and equipment limitations, drug concentration testing, liver puncture and other tests cannot be carried out, and ultimately can only be done by Zhongnan Hospital The doctors conducted remote guidance and guided the doctors of the county hospital to do treatment based on their experience without the detection index for reference, and eventually the patient recovered.
The pressure of epidemic prevention and control began to alleviate. On March 13, nearly 300 new crown patients who needed to continue treatment in Zhongnan Hospital were transferred to Jinyintan and Lei Shenshan hospitals, and the patients in Zhongnan Hospital were cleared. After the medical staff uniformly completed the nucleic acid test, they began to recuperate for 14 days; the killing team carried an electric sprayer to kill the surface and the air. From March 27, Zhongnan Hospital resumed its general outpatient clinic.
"It is necessary to meet the needs of the people for medical treatment, but also to be alert to people with asymptomatic infections"
On April 7th, Vice President Zhao Yan had just concluded discussions with several responsible persons, and then went to attend the hospital's re-examination and re-examination meeting, during which he was interspersed with health department inspections and media interviews. When leaning on a chair in the afternoon , Zhao Yan was already drowsy.
He used to have the habit of setting a schedule every day, but recently, the schedule was often broken, and Zhao Yan simply "not planned."
Since the outbreak, he has not rested. Now that the hospital has resumed consultations, he has to start thinking about new questions: how can new patients continue to be admitted to the hospital. How can cross infection be reduced? Zhao Yan lamented that this is currently "the most tossing person."
Buffer ward is one of the countermeasures. At the end of the ward of the Institute of Hepatobiliary Diseases, two special wards were separated: the isolation zone and the buffer zone. After the patient is admitted to the hospital, the patient and the accompanying family members should first conduct a new coronary pneumonia screening, nucleic acid, CT, antibody test, and then review the nucleic acid after 24 hours. While waiting for the test result, live in the buffer ward and receive the negative test result before transferring Enter the general ward.
If a patient who cannot rule out a viral infection needs to live in an isolation ward, "health care staff should provide him with three levels of protection during treatment. After the end, there is a special undressing room. After disinfection, he can return to the general ward area." He Zhongxiang, the head nurse, introduced.
This kind of setting covers every department of Zhongnan Hospital. Zhao Yan said that the prevention and treatment of infection of doctors and patients with new coronavirus is the focus of work at this stage.
In order to reduce the pressure on the buffer ward, the hospital has accelerated the speed of nucleic acid detection results. Three nucleic acid detection points have been set up in the emergency department, fever clinic, and outpatient medicine, and they are sent in four batches every day: 10 am, 2 pm and 6 pm, evening At 10 o'clock, "as long as you get in this car, it will come out in 4 hours, and the patient will not have to wait too long." Zhao Yan said.
Recently, Zhao Yan is wondering how to arrange the patients who have gastroscope? In the past, outpatient clinics performed 180 to 200 gastroscopy a day, and were located in Ward 6 building.
"No problem before, now there is a problem. The ward is a clean area. If these 200 outpatients come in, the hospital sense prevention and control in Building 6 will be useless." Zhao Yan said, both to meet the hospital sense prevention and control The requirements of the hospital, but also to meet the needs of reopening, is very challenging for hospital managers.
Today, except for departments requiring close medical contact, such as the facial features department of Zhongnan Hospital, the rest of the departments are basically open. With the unblocking of Wuhan, more hospitals will be welcomed by the hospital.
"The increase in the number of patients is not a problem. We have 2,600 beds. At present, only 662 patients are admitted. Medical staff and equipment are also there. But those who may have asymptomatic infections are indeed very worried." Zhao Yan Say. Next, Zhao Yan is going to set up several groups for clinical practice and give lectures to the medical staff one by one: How to meet the needs of the people for medical treatment and be alert to asymptomatic patients?
Emergency physician Zhao Zhigang is still reminding people around him to wash his hands frequently and don't pick up his mask. "Our knowledge of the new coronavirus is still very limited." Ye Shaojun has also begun to provide treatment for new patients, and head nurse He Chongxiang is preparing a management plan when the number of patients increases after the unblocking in Wuhan ...
The number of outpatients is increasing. Outside of the obstetrics and gynecology department, at first every morning, volunteer Xu Zhe can only see a few patients, but now it can reach 20.
Xu Zhe said that during the epidemic, many pregnant women, like Li Fei, had to stop the large and small obstetric examinations. Now that the hospital is back to normal, these "expectant mothers" have returned to the hospital.
The end of April is Li Fei's due date. She plans to have a baby in Zhongnan Hospital. When she is pregnant, she always thinks whether it will be a boy or a girl. Now she does n’t want to. “It ’s okay, just stay healthy and safe.”
(Li Fei and Xu Zhe are pseudonyms)
A06-A07 edition written / Beijing News reporter Wang Shuangxing