Passing Through The Eye Of Epidemic Storm: The Mental Course Of A Doctor In Respiratory Intensive Care Unit

Wang Xiaojiang, deputy director of respiratory and critical care department of the Sixth Hospital of Wuhan, has been the first batch of medical personnel to fight against the new crown pneumonia in Wuhan since the outbreak of the new crown pneumonia outbreak. He and his team have been sticking to the hospital for more than 60 days and nights.

"I am most happy to see patients discharged." In March 9th, Wang Xiaojiang told the twenty-first Century economic report that the management ward has been vacant for half a month, which shows that the cure rate has been increasing. "The dawn of victory has already appeared."

Wang Xiaojiang. Data map

Nervous: my colleague was infected.

In early January of this year, Wang Xiaojiang's department had many patients with fever of unknown origin.

Wang Xiaojiang's outpatient clinic needs more than 70 patients in the morning, which is much larger than the daily outpatient service, but it is not all the patients with fever, but also some patients with respiratory diseases. Wang Xiaojiang said, at that time, the society did not pay much attention to this matter.

Because at this time of the flu season, there are more patients with influenza, and some febrile patients are not surprised every day. "At that time, we thought it might be caused by flu, but there was nothing special about it. I didn't expect it to be so infectious."

However, the hospital is very cautious, and soon set up an isolation ward to divert the fever to the fever clinic. At the time of door-to-door consultation, medical staff were asked to wear masks. "But at that time we did not know the epidemic situation. We wore medical masks earlier." Wang Xiaojiang said that most ordinary blue surgical gowns worn by medical staff are usually removed after the examination. At this point, we all think that the protection of hand hygiene and frequent hand washing should be enough. "I didn't expect this disease to be so infectious."

Wang Xiaojiang and his colleagues were really alert after January 9th.

"At that time, 6 colleagues had fever symptoms. We immediately gave them CT and found that the lungs were all ground glass. We are highly suspicious of recent pneumonia of unknown origin. " Wang Xiaojiang recalled to the twenty-first Century economic news reporter.

Hospital leaders pay more attention to the development of a separate isolation ward, and centrally isolate the symptomatic medical personnel for symptomatic treatment. In addition, doctors and nurses in front-line outpatient departments are required to wear isolation clothing and N95 masks for comprehensive protection when they receive medical treatment.

At the same time, the hospital also started a thorough investigation of the whole hospital. On the one hand, the first-line medical personnel will be investigated by CT one by one, and on the other hand, the patients should be investigated. If the hospitalized patients find lung lesions, they should immediately switch to the Department of respiration isolation area or adjust the beds in the original ward to conduct single room isolation treatment. For the new inquiring patients, all fever should be considered as fever clinics, and those who want to be hospitalized must be screened for lung CT.

"This is not only responsible for the medical staff, but also for other patients." Wang Xiaojiang said, "I had a deep impression on a patient who had just completed appendicitis surgery the day before and was transferred to the isolation ward on the second day. There is also a leg fracture patient who has been admitted to the hospital without operation and has been checked out of the lungs. We will first give him a plaster cast and then switch to the isolation ward immediately.

At this time, Wang Xiaojiang himself was a little nervous. "I was doing the CT examination in January 11th. I was a little nervous and worried. After all, my colleagues were infected." Wang Xiaojiang said, and the disease has a latent period, even if the result is no problem, then it's hard to say.

Fortunately, Wang Xiaojiang escaped with a sigh of relief when he got the uninfected CT result, but soon he fell into the worry of his colleagues. At this time, the Department has been infected with colleagues, Wang Xiaojiang and another non infected department deputy director Li Fajiu, assume the responsibility of leading the whole department to undertake treatment for patients.

Stress: the test of danger

After that period was the busiest.

Wang Xiaojiang and Li Fajiu stayed in the hospital for 24 hours. They did not leave the room for half an hour. They had to take a 24 hour class every three or four days. The longest time was two days and two nights without sleep. Two.

"During the day, we should pay close attention to the situation of patients in intensive care units in Department of respiration. On the one hand, we should co-ordinate the work of the whole hospital. We should take part in the hospital leadership meetings at eleven or two in the evening, and make suggestions for the hospital to formulate policy proposals from the perspective of professional department of respiration." Wang Xiaojiang said, in the face of the new management of the Department, we have to co-ordinate.

At that time, some doctors and nurses were faced with enormous psychological pressure. Some medical staff were younger and inexperienced, especially after 90 and 00 nurses. "Every day shift, will do half an hour psychological counseling, and the protection work as a rigid requirement. It will also emphasize the professional ethics of doctors and can not retreat at this time. At the same time of psychological intervention, Wang Xiaojiang also improved the psychological condition of his colleagues from the scheduling system, combining work with rest.

Under the joint efforts of all of us, the army's heart is gradually stable, which laid a good psychological foundation for the examination of the designated out-patient work in the later stage.

With more and more departments joining the front line of "epidemic prevention", Wang Xiaojiang should also be a good trainer. Every newly opened department should cooperate with the hospital infection management office to complete the training work. And training other departments in the specific diagnosis and treatment process and disease science popularization.

"There was no time for tension and fear." Wang Xiaojiang said that everything in his mind was a daily operation. Even the hotel he had ordered near the hospital did not have time to live. He lived directly in the hospital.

Weakness: doctors are not omnipotent.

Early diagnosis and screening of patients has become the top priority and the greatest test for Wang Xiaojiang. "In normal times, the common diseases are not infectious, and the condition allows me to observe the time again. But at this time, once the judgment is wrong, if the ordinary patient receives an isolation ward or an infected patient is not diagnosed, the epidemic will develop in a worse direction.

During that time, Wang Xiaojiang asked for more of his job. Blood routine examination, C anti protein, nail flow, B flow, lung CT and so on, one can not be less, but also on-site observation of patients, detailed medical history, fever. If the patient has done the relevant check before, Wang Xiaojiang will also adjust the patient's CT results through the system to determine the time, sex, age, and name. It is a good match. After careful comparison, the diagnostic results are finally given. Wang Xiaojiang said frankly, "the pressure was particularly high."

"We must check strictly. We should not guard against irresponsibility for one's life." Wang Xiaojiang was aware of the heavy burden on his shoulders, but at the same time, when the death was really approaching, Wang Xiaojiang would feel a deep weakness: "we can try to save patients who can intubate the ventilator, but there are really nothing we can do."

There is no special medicine for the new crown pneumonia. "It is the same as a doctor who helps the patient to tide over difficulties, and can only help him to go. The role it plays is only a support force, and it is also a psychological comfort and support." Wang Xiaojiang said, when doctors wanted to fight, they had no weapons and no way.

With the continuous development of the epidemic, Wang Xiaojiang's cell phone has been "explode" every day for a while.

"More and more help information has been received, most of them hope to find beds." Wang Xiaojiang did not remember how many help messages he had every day, but because of consultation, patient assistance and other factors, his monthly telephone fee rose from 168 yuan to more than 600 yuan.

"But there was no bed at that time, and every life was equal, and no patient could be admitted to it. At that time, the heart felt very weak because there were not enough beds to treat patients." In addition to the treatment, Wang Xiaojiang can only volunteer to be a long-distance doctor, a patient who has come to ask for help. He will give treatment advice after the inquiry. For those who are really serious, they will be registered in the hospital command post, so that the patient will be informed when the beds are available.

Calm: to do all we can to save lives

The team tried to improve the cure rate, reduce the mortality rate, and intubate the patients in need. "We do not have a negative pressure ward, but we will not be infected if we want to save it."

Rescuing the critically ill patient made Wang Xiaojiang feel deeply satisfied.

The most impressive impression is a 44 year old sanitation worker. "When he was sent to the hospital, his lungs were already gray, and after a fever for more than a week, we immediately put him on a ventilator. At that time, his family looked at him and watched him suffer from pain, anxiety and sadness. Wang Xiaojiang said, "from him, I have seen that the more important thing is the psychological state of patients and their families. In addition to regular treatment, psychological support and encouragement are also given. The patient has lost his confidence and the road is out of order. " Wang Xiaojiang realized that the most urgent thing is to stabilize the emotions of patients and their families, and then take active treatment.

Later, under the action of active treatment and nutrition support, the patient gradually improved and finally cured and discharged. At that moment, Wang Xiaojiang felt an unprecedented sense of achievement.

In daily work, members of the expert group in the hospital, including the heads of the departments, will take out the data of the critically ill patients and the difficult patients to carry out the joint consultation. "The treatment of these critical patients must be serious and serious. Once the beds are limited, some critically ill patients can not be admitted to the wards, and we will also discuss and give some treatment plans." Wang Xiaojiang said the consultation system is still in operation.

In late February, with the completion of the "bed and others" epidemic prevention and control measures, the number of newly diagnosed patients increased significantly in Wuhan daily. "Two weeks ago, we began to empty beds." Wang Xiaojiang said that some of the patients improved through treatment. "I am very happy. This shows that the epidemic is under control, and we see the dawn of victory, and our pressure is greatly reduced."

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