Dialogue With Wuhan Front-Line Doctors: Reducing Mortality Is A Major Issue Before Dr. ICU.

Dr. Tao Fei is from the Chancheng Central Hospital of Foshan under the banner of Fuxing medical treatment (hereinafter referred to as "Zen medicine"). He is the director of Zen medicine ICU. It is different from the medical teams assigned to Wuhan by the provinces. Fuxing medical is a private medical force. After the Wuhan Ji He Hospital of Fuxing medical center was designated as a designated hospital, Fosun medical emergency summoned 6 member hospitals to reinforce the medical team from Wuhan Ji He hospital.

In February 7th, Dr. Tao Fei and 7 other medical staff from Zen doctors rushed to the front line of Wuhan. They were mainly deployed to the fourth ward of Wuhan Ji He hospital in accordance with the unified deployment of the front line of epidemic prevention command. In the past ten days, Dr. Tao Fei was confronted with difficulties and moved. According to Dr. Tao Fei, the key to front-line treatment is to strengthen the treatment of light patients and reduce the incidence of critical illness.

Tao Fei, a first-aid doctor in Wuhan. Data map

"There's a lot of support behind it."

Twenty-first Century: what is the current state of Wuhan Ji ho hospital?

Tao Fei: Wuhan Ji He hospital is a designated hospital. It began treating patients very early. There are now 200 beds in five wards. Fuxing medical treatment took over four wards and eight wards, and four of the doctors in charge of Zen medicine were admitted to 40 wards. Basically, the beds turned out today will be full in the evening.

Twenty-first Century: what is the medical order of the Wuhan medical aid hospital before the takeover medical team?

Tao Fei: Wuhan Ji and began to list the infectious disease area of Caidian District of Wuhan city in January 23rd, and became a designated hospital. When we first arrived, we could feel that the local doctors worked very hard, and they worked hard for a long time. After the arrival of the medical team, the relief team got a lot of relief.

Twenty-first Century: what is the mental state of the medical staff who are currently on the move?

Tao Fei: everything is fine. There was no contact with the critically ill patients. The two doctors and six nurses who came from Zen medicine were still in a better mental state. But after all, in such an environment, we still need to do a good job of protection. Treat patients and self-protection well, do not add trouble to local hospitals.

Twenty-first Century: how is the medical supplies?

Tao Fei: the early situation in Wuhan is not optimistic. Now we have been working for more than 10 days. But we still try to reduce consumption. We try to stick to four hours a day without taking off protective clothing. We also strengthen the rationalization of scheduling, on the one hand, reduce the intensity of work, and on the one hand, economize on these hard won materials. Our colleagues often joke that wearing protective clothing every day is different from different countries and brands. This is very "fashionable" and is changing clothes of different brands every day.

Twenty-first Century: where is the difficulty of epidemic prevention at this stage?

Tao Fei: doctors from different regions, backgrounds and specialties are converging together. People may have different ideas and need better communication. Doctors from different professions may also need to be trained. The judgement of the illness may not be very accurate, which may require long-term running in. At present, there is no conclusion on the type and dosage of drugs in our country. We should communicate with each other and try to get everyone's thoughts together, so as to help patients better.

Twenty-first Century: what preparations have been made before departure?

Tao Fei: made a lot of preparation, mainly divided into two parts, on the one hand is medical and nursing personnel, medical staff mainly to practice protective clothing wear and tear, we have been practicing for a long time, practicing every day.

In addition, in addition to protective clothing, it is to reserve medical knowledge and learn the treatment plan for critically ill patients at home and abroad. The other is the logistics Union, which is responsible for the logistics work, which has done very fine work for our daily necessities such as food, toothpaste and shampoo. Thank them very much. On the surface, we are fighting only on the frontline. There are many people behind us who support us and give us tremendous support to help the patients in spirit.

"Strengthening the treatment of mild patients and reducing the incidence of critical illness are indispensable."

Twenty-first Century: is there any difference between the local situation in Wuhan and the pre departure prediction?

Tao Fei: the first two days are still discussing a case. The doctors on the first line of the disease come from different departments. There are different professional backgrounds. The treatment of ordinary patients may not be different, but the treatment of critical patients may not be very high.

Different doctors are different in understanding this. We are also strengthening training in this field. After ward rounds, I am talking about some characteristics of this disease and how to reduce the incidence of severe illness, because once the patient is transferred to critical illness, the fatality rate is relatively high. What we can do now is to reduce the rate of severe disease through efforts. Critical illness doctors are concerned about the signs of patients and the development of critical illness. This is the basic skill of a critically ill doctor.

Twenty-first Century: what are the major diagnostic and therapeutic programs against the epidemic?

Tao Fei: at present, it is mainly combined with the national treatment plan. Now it has come to the fifth edition, and we have combined some successful experiences in Guangdong. For some patients, we will combine TCM treatment.

For patients, as long as the drug treatment is on the one hand, for some older patients with underlying diseases and chronic diseases, we should observe closely, and find out the changes of the patients in time, including the nutritional and spiritual encouragement of the patients.

Twenty-first Century: what should be the focus of epidemic prevention and control in the next phase of Wuhan?

Tao Fei: at the next stage, the key to epidemic prevention and control is mainly transferred to the treatment of mild patients and to avoid the occurrence of critical illness. These two aspects are indispensable. To strengthen isolation and prevention measures, on the other hand, with the increase of doctors' experience in various areas, the treatment of critical illness should be further strengthened across provincial exchanges. How to reduce the fatality rate and improve the success rate of rescuing critically ill patients is a major issue before Dr. ICU.

Twenty-first Century: what is the clinical situation of critically ill patients treated with convalescent plasma therapy?

Tao Fei: at present, it seems to be effective, but there are still some problems with plasma treatment. On the one hand, it is the source of the problem, and the donation of the rehabilitation patients. On the other hand, the antibodies in the plasma must reach a certain quantity, not just light donation. At present, there are some reports from internal experts, and some patients have been greatly improved. This may be a way to treat critically ill patients. But the use of this treatment now needs further observation.

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