(Fighting against New Coronary Pneumonia) CT "Warm Men"'s Anti-epidemic Journey: "Bright Eyes" Reassuring Pills for Medical Treatment

　　China News Service, Hohhot, January 8th: The anti-epidemic journey of CT "warm men": the reassurance of "hot eyes" for medical treatment

　　China News Service reporter Zhang Wei

　　On January 7, the local confirmed cases of the new crown epidemic in Manzhouli City, Inner Mongolia Autonomous Region were cleared.

　　Looking back on two years of fighting the "epidemic" and two months in the front line, as an indispensable imaging expert, Chai Jun is "under a lot of pressure" and feels quite deep.

The picture shows Chai Jun supporting the treatment of confirmed patients in the Hailar District designated hospital in Manzhouli.

Photo courtesy of the interviewee

A film, a pair of eyes, a final word

　　Except for children and infants, CT examination is a must-check item for patients with new coronary pneumonia, and it is an important basis for the preliminary assessment of the patient's basic condition and the determination of clinical classification.

　　"From the beginning of the epidemic in 2020 to the present, I have been following the Inner Mongolia New Coronary Pneumonia Medical Treatment Expert Group to conduct remote consultations on locally diagnosed patients and imported patients, and provide real-time disease data and changing characteristics of patients based on their lung images." Chai Jun He is the deputy director of the Medical Imaging Department of the People's Hospital of Inner Mongolia Autonomous Region, and an imaging expert of the New Coronary Pneumonia Medical Treatment Expert Group.

　　2021 will be an unforgettable year for Chai Jun.

"I participated in two anti-epidemic battles in Ejina Banner and Manzhouli City."

　　In mid-October 2021, the new crown epidemic broke out in Ejin Banner, and more than 100 confirmed cases were transferred to designated hospitals in Inner Mongolia Autonomous Region for centralized treatment.

　　"I received a call from the frontline on October 25, and my anti-epidemic journey began." So far, Chai Jun still clearly remembers what it was like to visit the "battle" field for the first time. For confirmed patients, how to quickly and accurately screen each patient's lung images and provide the basis for classification in a limited time, and provide them to the treatment expert team in a timely manner, this is my biggest challenge."

　　"I am fortunate that with the accumulation of remote consultation and my years of clinical diagnosis experience, I can produce the most critical and favorable imaging features and data at the first time." Chai Jun said.

　　On November 27, 2021, a new round of epidemic broke out in Manzhouli.

On December 4th, Chai Jun, the treatment expert team and the medical team were seamlessly transferred from the designated hospital in Inner Mongolia Autonomous Region to the designated hospital in Hailar District, and engaged in a new round of battle.

　　The clinical medical staff said that the "eye" that Chai Jun saw gave them a reassurance.

　　"I participated in the treatment of 479 patients in the two war epidemics." Chai Jun said that chest imaging is to give a final diagnosis at a critical moment.

My story with my patients about "ground glass shadows"

　　The common imaging findings in the lungs of patients with new coronary pneumonia are ground glass shadows, but ground glass shadows are not all manifestations of new coronary pneumonia.

"In order to give an accurate image classification report of patients, we often repeat multi-planar observation and analysis of each chest CT image to observe changes in the extent and density of lesions, and whether there are new lesions..."

　　The story between Chai Jun and the patient was always separated by a CT image, but he was still impressed.

　　He still remembers a patient with severe emphysema who was unable to cooperate with breath-holding during the examination. The CT image showed multiple ground-glass opacities in both lower lobes.

"I had a question in my mind at the time, is this ground-glass shadow a new crown exudative lesion or an image artifact?"

　　"My imaging diagnosis is very important for this patient's next treatment." Chai Jun said that for further confirmation, he suggested that the patient should do another scan in the prone position. The exudative shadow caused by new coronary pneumonia was finally diagnosed as mild new coronary pneumonia.

　　During the medical treatment of the Manzhouli epidemic, some patients were combined with underlying lung diseases, which directly affected the assessment of the condition and prognosis of the new coronary pneumonia.

　　An elderly male patient was diagnosed with long-term pulmonary fibrosis. His CT showed diffuse ground-glass opacities and grid opacities in the lower lobes of both lungs, and there were new ground-glass lesions in the course of the disease.

After two weeks of treatment, the patient was treated with an interval of more than 24 hours, and two new coronavirus nucleic acid tests were negative, but the discharge CT examination showed that there were still ground glass shadows in the lungs.

　　"At this time, whether the patient can be discharged from the hospital depends on the imaging judgment." After a detailed comparison of all the series of images of this patient, Chai Jun gave the imaging judgment that the patient's new coronary pneumonia lesions were absorbed and he could be discharged from the hospital.

The picture shows the poached egg noodles that his son made for Chai Jun.

Photo courtesy of the interviewee

CT "warm man" wish for "a bowl of poached egg noodles"

　　Two times on the front line, the 73-year-old father-in-law sent Chai Jun a WeChat message to encourage him: wherever he goes, there is a battlefield.

You are gold, and wherever you put it, it will shine.

May peace, health, happiness and joy come to everyone.

　　Chai Jun's 10-year-old son is in 4th grade this year, which is his pride.

"Before the epidemic, I still had time to play football with my son, but now their skills are much better than mine."

　　Dad was busy treating patients, and his son never complained about him, but inherited his "warm man" characteristics.

"I was on the front line fighting the epidemic. He learned to make poached eggs at home and said he would wait for me to cook them for me to eat."

　　After eating a two-and-a-half-month box lunch at the front line, Chai Jun's biggest wish is to go home and eat a bowl of poached egg noodles made by his son.

　　Now, his wish has come true.

(Finish)