China News Service, Shanghai, April 30th, Question: Zheng Junhua: Life is supreme, we must not leave anyone behind
China News Service reporter Li Peng
"How to ensure the safe operation of large makeshift hospitals? How to better treat patients?" Zheng Junhua, chief commander of Shanghai Xinguobo Makeshift Hospital and secretary of the Party Committee of Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine, said in an exclusive interview with reporters recently: "We must Life comes first, and no one should be left behind."
In January 2020, Zheng Junhua was the first batch of medical teams in Shanghai and the leader of the first batch of medical aid teams in China. He was stationed in Wuhan Jinyintan Hospital for 67 days and was awarded the title of "National Outstanding Communist Party Member and National Advanced Individual in Fighting against the New Coronary Pneumonia Epidemic".
This time, Zheng Junhua said that he would do his best to "ensure that there are beds for patients, and to ensure that all patients are admitted and treated."
The picture shows Zheng Junhua (fourth from the left in the front row) with the Renji Hospital team.
Photo courtesy of Renji Hospital
Running extra large cabins
From the original Expo makeshift hospital to the new China Expo makeshift hospital, Zheng Junhua was in charge of all the extra-large makeshift cabins.
"There is a cabin in the Expo cabin with 3,500 beds. If we patrol for a week, it may take two hours. We can't see the end at a glance. This scene has left a deep memory in our minds."
The Xinguobo Fangcai Hospital has 10 cabins and can treat 14,000 patients.
Zheng Junhua said, "With so many people from different communities, cultures, occupations, and ages, it is indeed difficult and stressful to manage."
The comprehensive security system of the Fangcang shelter hospital involves many aspects such as water, electricity, gas, food, drinking water, water, washing, toilets, etc. It also needs to deal with various issues such as fire protection, catering, cleaning, garbage, personal safety and even weather conditions.
"We have experienced strong winds and thunderstorms of level 8. Most of the makeshift hospitals are built in gymnasiums or exhibition halls. The sound of rainstorms is as loud as thunder, which has an impact on the cabin; Power outages, fall injuries, etc.”
In addition to strengthening nutrition, symptomatic treatment and more rest, Zheng Junhua also attaches great importance to the role of traditional Chinese medicine.
When forming the Fangcang team, Zheng Junhua specially ordered the director of the hospital's Department of Traditional Chinese Medicine, and communicated with the leaders of the Municipal Administration of Traditional Chinese Medicine and the experts of Traditional Chinese Medicine of Longhua Hospital.
In the cabins of the New National Expo, everyone except the children was given Chinese herbal decoctions and finished medicines recommended in the ninth edition of the country according to the difference between asymptomatic and mild symptoms.
"According to the current preliminary statistics, after the patient took Chinese medicine, the symptoms were relieved and a certain curative effect was achieved. I think the effect of Chinese medicine is very large."
Most concerned about "one old and one young"
At present, patients from the Xinguobo Fangcai Hospital recover and leave the cabin every day. As of April 29, more than 26,000 people have been discharged from the cabin.
Although many positive infected people leave the "epidemic" every day, Zheng Junhua is most concerned about "one old and one young".
There are currently 1,575 patients over the age of 60, 281 over the age of 70, and the oldest is 105 years old.
"After all, the new crown virus is a blow to the immune system, and the proportion of the elderly vaccinated is not high, so we will also encounter some difficulties in the process of treatment," Zheng Junhua said. The new crown virus may hit the elderly more severely.
For some elderly patients, it may cause the aggravation of heart disease, diabetes, asthma, emphysema and other related underlying diseases, especially the elderly with severe cardiovascular and cerebrovascular diseases, respiratory diseases, diabetes, obesity, tumor immune function deficiency .
In the cabins of the New National Expo, the proportion of children has reached 5-7%. At present, there are more than 500 children under the age of 15 in the cabin, and 277 are 0-7 years old.
Zheng Junhua said that children are "in the process of gradually improving their immune systems", and some children have congenital diseases such as asthma, allergies, and heart diseases, so they also need special attention.
At the same time, the shelter children are also faced with the problem of family companionship. "It must comply with the principles of ethics and humanistic spirit, and balance the traditional Chinese habits. At the same time, children need more family care, so we also made a parent-child shelter." .
Children who are positive at the same time as their parents can live together in the cabin; children who are positive and their parents are negative can accompany them into the cabin after signing the informed consent form. At the same time, parents are required to pay more attention to the protection of hospital infection.
The square cabin of the New National Expo Center is also equipped with certain desks and chairs, enhanced WiFi functions, etc., to meet the needs of children's learning and online classes.
In addition, the medical staff also arranged targeted lectures, painting, birthday celebrations, etc., so that the children could feel the care and love of the society for them.
Renovation of "sub-designated hospitals"
Judging from the recent figures released by Shanghai, the number of confirmed cases, severe cases and deaths is increasing.
According to the requirements, the new Guobo Fangcai Hospital transformed two of the cabins into "sub-designated hospitals" in less than three days. COVID-19 patients.
The newly renovated sub-designated hospital cabins are divided into different cabin areas, each with 960 beds. Each cabin area has 4 observation areas for key patients, each with 20 beds, and each is equipped with a nurse desk and a dedicated nurse. There is a central screen, you can watch ECG monitoring, you can infuse and inhale oxygen, and there are corresponding ventilator, defibrillator and other facilities.
Zheng Junhua said that sub-designated hospitals must have a certain level of medical treatment. Therefore, a large amount of manpower, material resources and related facilities, equipment, consumables, medicines, etc. must be added. .
Zheng Junhua said that in sub-designated hospitals, basic treatment and nutritional support for cardiovascular, nervous system, respiratory system, digestive system, endocrine system and other related diseases are also needed.
"Our role is early warning, early identification, early diagnosis, and early treatment." In addition, 120 ambulances are on call at any time, and patients with worsening symptoms can be urgently transferred to designated hospitals.
"The biggest difficulty we encountered in Wuhan was that we didn't know much about the virus. We rushed forward without knowing anything about the virus. We faced insufficient protection and difficulties in treatment," Zheng Junhua said. "After more than two years of epidemic prevention and control, , we have accumulated some experience, but this time we have encountered even greater difficulties. The Omicron variant BA-2 has three characteristics: fast transmission, strong transmission, and strong concealment. Shanghai has a population of 25 million Super-large cities are also the earliest cities in the country to enter the aging population. There are more than 5 million people over 60 years old, and more than 800,000 people over 80 years old. There are also certain old residential areas in urban centers with relatively poor living conditions and high population density. Treatment is more difficult.”
According to reports, although the sub-designated hospitals are still in the process of continuous improvement, they have established a set of overall management systems and procedures, with the purpose of "must put patients' 'life first' in specific measures."
Carry forward the "anti-epidemic spirit"
Zheng Junhua said that according to preliminary observations, there are some epidemiological differences in the infection of Omicron variant strains in different cities, different classes, and different age groups.
The living environment in old residential areas is crowded, and the infection rate of these people may be high, and rapid infection is likely to occur in places where people gather, such as construction sites, bazaars, and supermarkets.
There are more than 5,000 medical staff and nearly 2,000 emergency support personnel in public security, firefighting, commuting, catering, environment, cleaning, security, nursing, maintenance, etc.
The medical staff come from 7 provinces and cities including Tianjin, Hubei, Jiangxi, Shaanxi, Shanxi, Guizhou and Shanghai. They are a huge team. To ensure their smooth, effective and safe operation, it is necessary to coordinate services, guarantees, coordination and safety. Manage 4 elements, give full play to the maximum benefit of the overall team medical treatment, and at the same time do a good job in all aspects of care and care, mutual respect, mutual support, mutual care, mutual understanding, mutual encouragement, unified thinking, unified will, unified action and unified steps.
Zheng Junhua said: "Every staff member here has to test nucleic acid every day, and hospital infection protection is a compulsory course."
At present, while Shanghai is not slackening its efforts to prevent and control the epidemic, it is strictly and orderly promoting the resumption of work and production.
Zheng Junhua believes that under the closed-loop management system, relying on the corresponding guarantee system, resumption of work and production can gradually restore production capacity to maintain stable operation.
In the end, the city's full recovery "depends on our efforts in all aspects, and in this process, we must adhere to the general policy of dynamic clearing and unswerving."
"The situation is generally improving now. It is the time when we are closest to the goal of clearing the society, and it is also a critical moment when we need to overcome many difficulties." Zheng Junhua believes that it is necessary to use scientific methods to achieve the greatest prevention and control effect at the least cost. , to further push the anti-epidemic work in depth.
"We must carry forward the great anti-epidemic spirit. Recently, I have been thinking of 'life is supreme, the whole country is united, life is forgotten, science is respected, and destiny is shared'. We must fully implement this spirit." (End)