Front Line Outside The Hospital: A 20 Day "War Sickness" Record Of A Neurosurgeon In Wuhan

In February 19th, Wu Hui packed up his things and returned to work unit, Wuhan No.1 Hospital general hospital from Han Xi Yi Shang Hotel and general hospital. So far, he finished his 20 day intense work task at the isolation point for the treatment of patients.

"In the new crown pneumonia outbreak fight, the isolation point played a role in blocking transmission routes and avoiding cross infection, which is very important for overcoming the epidemic." In March 11th, looking back on his experience, Wu Hui was very impressed. When all the medical and nursing forces were focused on designated hospitals and shelter hospitals, as a neurosurgeon, he stood at the forefront of closer distance from patients, and built a special "life line".

On the map of the treatment of the new crown pneumonia, hundreds of isolation points spread across the various districts of Wuhan, and the results are significant in minimizing the deployment of "mobile infection sources". According to different time periods and different positioning, some isolated points were treated with suspected patients, some isolated points received light patients, and other isolation points received close contacts.

Medical responsibilities

When Wu Huigang arrived at the isolation point, it was crowded.

After the centralized treatment of "four categories of personnel" started in Wuhan, the confirmed patients, suspected patients and close contacts of the beds waiting for the designated hospital beds were classified to the quarantine point. "The number of the isolation workers at the peak of our isolation point is about 150." Wu Hui recalls that until the new two isolation points in the late Qikou District, and those who had been transferred to hospital or excluded from isolation, the number of hospitalized patients was stabilized at around 80. During Wu Hui's work, the isolation point had a ratio of severe, mild, suspected and close contacts to about 2:5:2:1.

Different from the hospital, there are many differences in the hardware environment of the isolation points: some are hotels, some are schools or Party school dormitories. The medical treatment condition of the isolation point is also very limited. "We have 6 doctors and 18 nurses, but we can not get transfusion or rescue. The patients who come in early are often very panic." Wu Hui said they tried to provide treatment, including oral medication based on symptoms.

"In the early days when most hospitals in Wuhan were hard to find, most of the confirmed patients were anxious when they could be transferred to designated hospitals." Wu Hui recalls that patients also rely on drugs to relieve symptoms and develop breathing difficulties. Only oxygen therapy can help them, and only symptom relief can enhance their confidence in fighting diseases. But the isolation point is not a medical institution. There is no central oxygen supply. Wu Hui urgently put forward demand support to the municipal hospital, and urgently transferred 20 oxygen bottles to solve the urgent need of the isolation point.

Besides physical treatment, psychological treatment is equally important.

A young female patient is very pessimistic. "She has an old man and has two children. Like her husband, he is the backbone of his family." Wu Hui said she was always worried that her condition would deteriorate and she could not be cured, restless and depressed.

After understanding the situation, Wu Hui listed it as the focus of attention. "I communicate with her every day, with her knowledge of new PPN pneumonia, using disease expertise to help her correctly understand disease and protective measures." Wu Hui uses this way of establishing rational thinking to help her overcome her fears and improve her confidence. Later, the woman was transferred to the shelter hospital. Wu Hui still paid close attention to her condition through WeChat, and encouraged her to cooperate actively with the treatment and maintain a good state of mind. "Eventually, the patient was cured and discharged."

At that time, the pressure of work was not small. The scheduling of medical staff is 5 days a night for doctors, and three shifts for nurses. "Night shift work is very intense." Wu Hui said that the discharged patients in the designated hospitals were mostly in the afternoon. After finishing the sheets, disinfection and other treatments, they came to the night. At the isolation point, too many patients came in the evening. Many of them were able to turn away the beds at the designated hospitals in the evening before leaving, and there were more sick patients at night. Doctors and nurses on the night shift had no time to rest.

Additional commitment

A large part of the quarantine points for requisition in Wuhan is the hotels in the communities. After the closure of Wuhan in January 23rd, the hotels were closed and no staff remained. But at this time, there are "thousands of thousands of faces" in the management of patients' types and isolation points.

The new crown virus is more likely to invade the elderly, especially many elderly people, and other basic diseases, and even some elderly people do not have the ability to take care of themselves. "Our role is versatile. It is all right to care for the disabled elderly workers, to do the cleaning of the hotel staff, and to be a porter." Wu Hui joked about the busy days.

The isolation personnel were transferred to hospital, and the turnover was faster. Many domestic garbage and discarded luggage clothes were stacked in the corridor. In order not to let the segregated people live in the environment of virus pollution, medical staff can not work in that kind of environment, Wu Hui called for the isolation of all medical staff, while checking the house while cleaning up the garbage.

"Everyone agrees that many workers at the quarantine point are very young, and parents do not allow them to do housework at home." Wu Hui described the scene at that time. No one ever flinch from it, put on thick protective clothing, cleaned up trash, cleaned up hotel rooms, packed rubbish and dirty sheets with bags, and then moved them to the garbage storage sites downstairs.

What moved Wu Hui more is that the workers' pay is seen in the eyes of the isolation personnel. Since then, no one has left the rubbish in the corridor at random, and can keep the room clean. The mobile personnel will take the initiative to help themselves or help others to take the garbage to the downstairs trash bin, so we can maintain the cleanliness of the isolation environment.

No mistake

Data consolidation is also one of the work points of isolation.

"Every batch of patients entering the isolation point, the medical staff will register information one by one, and then follow up the patient's course every day during the rounds." Wu Hui said that the isolation point will be screened every day according to the severity of the disease and the situation of diagnosis. Every instruction is not allowed to make a single mistake, otherwise, if there is an error, it will have a huge impact on patients.

Patient turnover data should be updated quickly, otherwise it will be chaotic. Wu Hui said, "data accuracy is particularly critical. For this reason, we have designed the patient's case table in a comprehensive manner, while ensuring consistency from the foreground to the backstage. Any information can be quickly screened to extract corresponding information. "

In response to the uneven level of feedback management among many patients, Wu Hui explained: "there is no uniform standard of isolation. Due to the shortage of manpower, some of the isolation points do not take care of some aspects, and can only coordinate the treatment of mild patients with self-care ability.

With the gradual control of the epidemic, more and more isolation points have been turned into rehabilitation isolation points for patients who are discharged from hospital. Wu Hui suggested that under the condition of permissible conditions, it is better to concentrate the same type of cured patients for classification management. The observation of rehabilitative patients can not relax at all. In life, patients should be encouraged to do more exercises and respiratory function exercises. We must constantly refine our work and try to make everyone at home a warmth at home.

When working at the isolation point, Wu Hui also guided a critically ill patient on the roadside. At that time, there was a shortage of kit, and many patients had only CT diagnostic results. The first time she met the patient, she was unable to walk and was breathing in a chair on the roadside. Not far away, her husband was waiting for her to wait for nucleic acid tests.

"I saw her CT tablets, showing the symptoms of viral pneumonia and bacterial pneumonia. It is suggested that antibiotics should be used, combined with traditional Chinese medicine. After she agreed, I opened the prescription. Wu Hui said that the patient's symptoms had been relieved a week later, and he contacted him and continued to prescribe drugs.

?