They are the most scolded among the medical staff
They have a common little-known name--
Cause of death investigator
Our reporter He Lina Correspondent Jiang Sheng Yanmin Wang Jun Huang Junping Visual design Ji Chen
"Why don't you come when you are alive, you come to investigate when someone is dead?"
"This is clearly revealing the scars, so I need to cooperate?"
……
After the other party sternly reprimanded, the phone was hung up.
This is not the first time Hai Li, a 25-year-old Hunan girl, has endured this kind of grievance: after less than three years of work, she has become recognized by her colleagues as "the person who has received the most scolding."
"Oh my goodness! I was murdered again!" After hearing this self-deprecating accent, everyone knew what had happened.
Haili didn't continue to speak, but quietly dialed the next call in the order of the list.
Often not understood, but someone has to do it
Are you afraid of death?
Can you face the cause of the death of a deceased loved one and tell others in a calm tone?
The answer in most people's hearts may be the same.
Say you are not afraid to face it, that is false.
Some people say that the works of the Lebanese-American poet Gibran are like a vicissitudes of old man telling the philosophy of the world. His understanding of life and death is pertinent: death and the elderly are not closer than the distance with babies, and so is life.
Guo Moruo, who is full of romanticism, has a more concise understanding of this: life and death are originally things on a line.
People are taboo to mention death, but no one can escape it.
People often say that life is like a play, so there is always someone acting with a red face and a white face.
Hayley assumed the role of the latter.
In many cases, she has a little-known identity-cause of death investigator.
Understand the medical history, check personal information, including name, ID number, work unit, spouse, etc., and report relevant information to the higher-level disease control department after statistics.
The work of the cause of death investigator may not be difficult at first glance. In most cases, only telephone communication is required. If the situation goes well, it can be completed in three to five minutes.
But if things don't go well, being hung up and being scolded is "commonplace", and you even have to go to the "on-site" investigation like a detective.
But even if they are not understood, and sometimes even difficult, they still push forward firmly.
Because this work has a special meaning, and someone has to work hard to complete it.
Facing death, they also have their own weaknesses
According to Xu Jue, director of the Chronic Disease Prevention and Control Center of the Hangzhou Center for Disease Control and Prevention, statistics on the causes of illness, injury and death of Hangzhou residents began in 1953.
At that time, the above and Xiacheng districts were pilot areas for national vital statistics, and they were popularized throughout the city in 1986.
The cause of death monitoring is an important tool for the government to collect information on the deaths of residents in a long-term and systematic manner. The monitoring content includes three major aspects: infectious diseases, chronic non-communicable diseases and injuries.
From the monitoring data of the cause of death, important epidemiological indicators can be analyzed, such as life expectancy, premature mortality from major chronic diseases, ranking of causes of death, death rate and proportion of death causes, etc. It is a measure of the degree of disease damage and public health services in a country or region. An important basis for the level.
At present, most of the work of investigators of the cause of death in Hangzhou are medical staff.
They are the practicing physicians responsible for treatment in various medical institutions, practicing physicians responsible for investigations by various community health service agencies or township (street) health centers, 120 emergency doctors, and medical institutions, various community health service agencies or township (street) health centers. Prevention and protection doctors and the staff of the district (county) and municipal CDCs for monitoring the cause of death.
This job is not easy for anyone.
In the case where they have never met but communicated over the phone, no matter how good their psychological quality is, they have to deal with many challenges such as being surrounded by sadness, not being understood, and being reprimanded.
Facing death, they also have their own weaknesses.
There is an unwritten commonality in this industry: there are very few men, and women hold up most of the sky.
This is also because women’s emotions are more delicate and can listen to the voices of residents.
In recent years, more and more grassroots doctors and nurses born in the 90s like Hai Li have joined this team.
They bring a more positive attitude, and at the same time, this job often prompts them to "grow up quickly."
Recently, a reporter from the Qianjiang Evening News walked into the Hour Health Station and listened to the cause of death investigators telling about the sadness and warmth behind this special job.
Most concerned about the numbers on the age bar
The most heartbroken child died abnormally
Their daily work
Is to uncover the scars of others
Our reporter He Lina Correspondent Jiang Sheng Yanmin Wang Jun Huang Junping
“Maybe I’m a foreigner and I have difficulty communicating.” Liu Haili, a nurse at Qianbaoxiao Health Station and the Community Health Service Center in Wangjiang Street, Shangcheng District, Hangzhou, sometimes attribute the scolding to speech impassability, but it’s just one of them.
The 50-year-old Sun Liping is the person who has experienced the most "life and death" in this team.
From 2008 to the present, she has witnessed too many human feelings and recorded the final moments of the withering of many flowers of life like a historian.
The most concerned is the number on the age bar
Sun Liping introduced that each year his team has to complete more than 500 cause-of-death investigations, most of which are dead or dying due to illness.
"What we fear most is to call contacts whose relatives have died abnormally."
The three-year-old child went back to his hometown to play and drowned; the young man in the blooming season rushed to the top of the building because he could not get out of depression; the newlywed wife was diagnosed with cancer, leaving her husband to die; the middle-aged man suffered a financial crisis and could not stand the blow and chose to leave... …In order to explore the most complete chain of causes of death, Sun Liping and her colleagues encountered countless white eyes. They could only swallow in their stomachs when they broke their teeth. When you mention the status, the curse will resound throughout the office.
As the person with the most experience in telephone communication in the team, when Sun Liping received the cremation list of the funeral home, she paid the most attention to the number in the age column: the older is relatively easy to say, the younger the more nervous, for fear that a wrong sentence will cause family members Secondary psychological damage.
If the family is really unwilling to say it, they have to resort to roundabout tactics: inquire about the situation at the police station or neighboring neighbors.
If it is still fruitless, I have no choice but to brave the courage, single-handedly approach the door, and communicate face-to-face in the house with white flowers.
The phone was hung up before a word was finished
Almost no family will refuse a call for a newborn investigation. They will eagerly share with you the joy of welcoming a new life, telling you about the various ordeals of pregnancy in October, and all the suffering experienced in front of the baby in their hands is worth it. of.
But if you hear a call to investigate the cause of death, you will have a completely different attitude: it is common to have a "closed door" before a sentence is finished. It is common to be able to say indifferently that the ins and outs have been signed, and some people think it is a fraud. Some people will ask when the funeral expenses will be paid, and some people who have not come out of grief will raise their voices instantly: There are no people, why are you still asking?
!
"Does this kind of fearful emotional gap make you a little scared just by listening?" Sun Liping joked with reporters from Qian Bao. If you experience it for yourself, you will probably end up in failure.
Because investigating the cause of death cannot be straightforward, and the scars of one's head can be uncovered by phone alone, which is tantamount to talking on paper.
Before accepting the Qian Bao reporter's interview, Sun Liping had just made four death-cause investigation calls. The subjects were all elderly people over 90 years old, mostly with hemiplegia in bed after stroke.
This type of communication process is generally smooth, and the family members don’t forget to thank you before hanging up: Thank you for your concern.
Unusual death, the most heartbreaking
Regarding the investigation of abnormal death, Sun Liping’s experience is: Even if he knows the result, he must “pretend” to be ignorant and guide the family to tell the truth.
Sun Liping recalled that a few years ago, she received a cremation list of a funeral home, with the name of a three-year-old boy listed on it.
The child’s previous vaccinations were all given in the community.
Sun Liping thought for a while, and after trying to calm herself down, she dialed the parent's phone number and started with: "How is the child's situation? Remember the next time you come to the community for an injection!"
After some guidance, the stubborn mother finally explained the reason-returning to his hometown in the country for the New Year, the child stumbled and drowned in the reservoir.
Looking forward to him coming with joy and desperately watching him leave, Sun Liping understood the heart-wrenching feeling.
About two months ago, Sun Liping received a message about the death of a young girl.
"In the IT industry, only in his early 30s, just married, breast cancer. The contact person is her husband."
Newly married Yan'er, parted before white head.
She listened to her husband on the other end of the phone quietly saying: At first she found a lump and didn't care. After half a year, breast cancer stage III, spreading, and lung metastasis, all of which could not be saved.
I spent hundreds of thousands seeking medical treatment, but because I missed the treatment time, it fell short...
Sun Liping will be sentimental after making such a call.
At this time, Li Lieyin, the only male colleague in the team, would give comfort: the dead are dead, and the living are like this. Everyone should look forward.
In some cases, it takes a lot of effort to investigate
Regarding the topic of death, everyone is afraid.
Having dealt with the cause of death for more than ten years, Sun Liping is not a wall of iron.
"At first I knew I was going to do this. I was a little flustered. But it's work, it's incumbent."
The difficulty of this work is extraordinary.
If the phone touches your nose, you have to change your mind in time: you can get information from the street or the police station, you can also call into the neighbors, start with the details, and ask the parents about the shortcomings.
The most memorable time was when an old man died abnormally ten years ago. Sun Liping, who found multiple mobile phone numbers and failed to make a call, decided to ride an electric car to find out after get off work.
On a winter night, Sun Liping walked through the forked road and waited for rabbits in the dark corridor. "The wind is not strong, but the atmosphere is dense." Fortunately, after waiting for a long time, meeting the elderly and daughters, face-to-face communication is naturally much more efficient. , She told the truth: the culprit is coronary heart disease.
Having been in this business for a long time, Sun Liping has a new understanding of the sophistication of humanity, and sometimes even encounters the "wonder" that ordinary people can't even think of: There are "careless" children who don't know what disease their parents have; they also know the truth after checking on the phone. I have called my relatives the wrong name for more than ten years, and there are some added characters...
The investigation of the cause of death is required to be true and accurate. If the CDC feels that there is a problem after the report, it must be returned and re-verified. Therefore, everyone is divided by area and claimed separately.
"Our old community has a serious aging population. When it comes to elderly people living alone, it takes a lot of effort to investigate."
Sun Liping met an enthusiastic neighbor who helped an elderly person living alone issue a death certificate, but because the neighbor did not know it, she only said that she heard that the cause of the disease was "obstruction".
After much inquiries, he finally contacted the old man's distant cousin.
But the two have not seen each other for many years, and the cousin only knows that it is a digestive tract disease, "Is it a bad stomach? A bad gall? A bad pancreas?" After guessing one by one, the cousin shouted: Yes, it's intestinal obstruction!
Only then can the task be successfully completed.
If you have to meet with it, I hope you can be gentle
"You really don't know which one will come first tomorrow or the accident." Qiu Qiong, nurse at Qianbaoxiao Health Station and the community health service center of Qingbo Street, Shangcheng District, Hangzhou, started this work seven years ago.
What she is most distressed is that she has experienced too many sorrows of white-haired people sending black-haired people.
The collapse of the adult was only a moment.
The middle-aged man in business suddenly became depressed. He took advantage of his family’s sound asleep at midnight and quietly climbed to the top of the building and jumped down. The husband who was originally in love with each other was hit by work and finally chose a path of no return.
When the wife answered the phone call for investigating the cause of death, she repeatedly emphasized only one point: I love him very much, please stop asking...
People hate being uncovered. Qiu Qiong doesn’t know this. After this questioning phone call, she may have nothing to do with this family member, but Qiu Qiong still wants to ask the question with all his strength. She knows this very well. The great significance of the data gathered into a river.
Just because they have witnessed too many farewells, these heavy-duty investigators want to let everyone know the preciousness of life: nothing is more important than living.
The investigator of the cause of death may be an invisible existence.
But if you have to meet it, I hope you can be gentle.