NOVEL WEB I can see the status bar
Chapter 1131 February 2
Chapter 1131 February 2
With Sun Lien's treatment team completing the three-day rounds, Yunhe's epidemic situation is rapidly being brought under control and getting better.
On the 22nd, a total of 630 new confirmed patients were newly diagnosed in northern Hunan Province, including 541 cases in Yunhe.On the same day, Yunhe had 965 discharged cases—almost double the number of newly diagnosed cases.
What is more exciting than the rapid improvement in Xiangbei Province is that the number of new confirmed cases nationwide has dropped to 18, and 21 provincial-level administrative regions across the country have reported zero new patients.
It is no longer a slogan to achieve comprehensive victory in the fight against the epidemic, but a status quo that can indeed be seen and is coming.
The three-day rounds made the doctors of the entire medical team exhausted, but everyone was still very angry.The reason is also very simple. Their work has actually helped many patients who had difficulty accessing medical services before, and helped them relieve their pain.
Usually in the comprehensive diagnosis center, the most difficult thing is always to get the correct diagnosis.But this "difficulty" is difficult for the doctors.A case often requires everyone to have meetings and discussions over and over again, and then after inspections again and again, a general direction and conclusion can be drawn.On average, it takes about three to five days for the Comprehensive Diagnostic Center to diagnose a patient.
Sun Lien's performance was better than everyone else's, but a day or two of back and forth was inevitable.Sometimes, when the doctors in the comprehensive diagnosis center have no idea in their minds, even when they can't even find a direction of suspicion, they will invite Sun Lien for consultation.But Sun Li'en is not a fairy, for every ten consultations, there will be one or two situations that even Director Sun can't figure out.
What's more troublesome is that after the whole team of doctors racked their brains to get a diagnosis, there was no feasible treatment.
Every diagnosis is like doctors and patients carefully opening a blind box, but after the blind box is opened, the results are often not acceptable to the doctors and patients who opened the blind box.
Taking the list of 121 rare diseases as an example, very few of them have cures, and only a few of them can be alleviated.Progression-slowing treatment options are available for a vast majority of diseases, but are often difficult and expensive to administer.There are also a small number of rare diseases that have almost no treatment options-there is little that doctors can do except try to comfort the families.
Working in a comprehensive diagnostic center, the sense of accomplishment and loss often go hand in hand.Moreover, the duration of the sense of accomplishment is so short that it is almost fleeting - as soon as the blind box is opened, I know that there is no cure for the disease, and it is not bad to have a sense of accomplishment.
Not every patient has at least one treatment option that leads to complete remission for a period of time, like those with Sunlien syndrome (AQP4 protein deficiency).
The current operating strategy of the comprehensive diagnostic center is to maintain the existing manpower, and then extensively cooperate with other domestic medical schools and universities.There is no way, relying solely on the comprehensive diagnostic center, these people in the two departments and all the doctors recruited in the next 20 years will be thrown into the abyss of rare diseases, which may not even make a splash.
Only by using all available resources as much as possible and uniting all forces that can be united, can mankind win the war against rare diseases.
It's like the war against the new coronavirus right now.
During the rounds, most of the doctors from the Comprehensive Diagnostic Center felt an emotion called "happiness".The patient had clear symptoms, a clear diagnosis, stable indications, and a good response to treatment.Especially during the follow-up rounds, the response to the treatment of the previous patients was directly connected-the sense of well-being at this time is more clear.
Sun Lien's sense of happiness was greatly weakened by a piece of feedback.
"Ding Huiguo has had a high fever for two days." Song Wen on the other end of the phone said, "This afternoon, the Department of Gastrointestinal Surgery performed an emergency operation on him. Subtotal colectomy and terminal ileostomy."
"Have you already had the surgery?" Sun Lien was taken aback, "Didn't you take hormones before?"
From two days of high fever to emergency surgery, it is not difficult to infer that Ding Huiguo's main problem at present may still be Crohn's disease, not tuberculosis.To put it bluntly, this is the fear of wolves and tigers.I thought that I chose the treatment plan with the lowest risk for the patient, but failed to prevent the progression of Crohn's disease through aggressive immunosuppressive treatment in time.
"There is no problem with the choice of the plan this time. The patient's situation is complicated, and there is really no better way." Song Wen comforted, "If it was in the Fourth Hospital, I would have to punish you for such a thing. But This time the situation is special, I think the judgment of you and other doctors can not be wrong."
Sun Li'en smiled wryly, "After listening to the dean's words, I really... don't feel comfortable at all."
"It's okay to be uncomfortable." Song Wen laughed twice on the other end of the phone, "After all, the consequences will not be good, so take it as a lesson."
If Sun Lien directly decided to give the patient immunosuppressive treatment, but Ding Huiguo actually suffered from intestinal tuberculosis, what would the result be like?
With the loss of immune system suppression, his inflammatory symptoms may begin to improve rapidly.And in a short period of time to discharge standard.But about one to two weeks after he was discharged from the hospital, Ding Huiguo would start to have severe infection symptoms, and he would fall into a more serious situation such as sepsis in a short period of time.
At that time, it will not be as simple as cutting a section of intestines and hanging a dung bag on the belly for the rest of my life.He has to receive systemic anti-infection treatment immediately, and then put on various life support equipment-and the ICU of Beihu Hospital is now full of critically ill patients infected by the new coronavirus.
The ghost knows how likely Ding Huiguo is to survive after the critical care physicians at Beihu Hospital have painstakingly moved an ICU bed to the observation room.
Between life and death, there is no room for rash advances.
·
·
·
In addition to the patients, what gave Sun Lien a headache was the logistical problem.
Director Han Wenping was originally in charge of the logistics, but Director Han really can't handle the logistical problems of the seven treatment teams alone—even if he is assigned a logistics team to deliver supplies to five hospitals and one shelter hospital, This is very difficult.
This is Yunhe, not Ningyuan.If it was Ningyuan, it would not be a problem to double the supply guarantee scale based on Leopard's logistics company and Director Han's connections in Ningyuan for many years.In Yunhe... just contacting transportation is a very troublesome thing.
At present, the transportation force and storage locations of Quan Yunhe, as well as relevant professionals are basically included in the command system of the Yunhe City Epidemic Prevention Command Center.These small number of transportation vehicles need to take care of the transportation of epidemic prevention materials in various hospitals, shelter hospitals, and designated isolation points at the same time; the supply and transportation of living materials in various communities.Not only has to be shipped out, but also has to go back and forth between other material concentration points and warehouses to carry out goods allocation between warehouses.In short, the current Yunhe truck drivers are basically restless, and small and medium-sized trucks are running around.
If it weren't for the introduction of big data in the current logistics and warehousing management, emergency supplies could be deployed two to three days in advance.Otherwise, there must be the same tight supply problem as in the early days.
However, with only so much transportation capacity at present, the increased demand for supply guarantee and transportation directly made Director Han's claws numb.Although there is not much need to manage medical supplies, daily necessities are always required—especially for female medical staff, which is a little more troublesome.
Director Han deeply felt that the soldiers on the battlefield were basically men.The aggression caused by excessive testosterone levels is of course one aspect, and the other aspect is definitely reflected in the logistics.
If all the medical staff who come are male, at least there is no need to work hard to provide the necessary sanitary products for women.Those sanitary napkins with only five in a big bag don't take up too much space.
What confused Director Han the most at first was that he couldn't manage a whole truckload of hygiene products for even a month.He pondered for a long time, but he didn't understand what the reason was.
Then Director Han was scolded by his wife.
"The little girl's matter, if you don't understand it, don't think about it!" Director Han's wife yelled at Han Wenping on the phone, "You can at least guarantee that each person has at least four packs of sanitary napkins to use every month. Already!"
The amount of sanitary napkins varies greatly from individual to individual, and it is difficult to estimate with a general data, so Mrs. Han gave Han Wenping instructions directly according to the relatively wealthy amount.But this number is a bit too much for every female medical worker... Director Han really has no choice but to borrow the room of the head nurses in each medical team station to use it-the sanitary napkins in the room Stack them in boxes, and then tell the head nurses that if the stock is not enough, ask him to ask for it again.
After starting to provide these guarantees, Han Wenping patted his bald head, and then decided to ask the head nurses to make a list of their opinions.
Material security is a hard job. If you can't meet the needs, you may complain after you have worked hard.The best way is to first grasp the needs, and then solve everyone's needs in a more targeted manner.
So, Han Wenping found a lot of trouble for himself.
Drinking Coke is already the most basic and simple need.When all the shops are closed, looking for Coke in Yunhe... This difficulty is not low anyway.In addition, various needs include but are not limited to - chargers, data cables, disposable underwear, nail clippers, socks, thermal underwear... Anyway, there are all kinds of everything.
That is to say, the head nurses are careful enough, otherwise, even if you kill Han Wenping for these little things, he would never think of buying them.
There are too many things guaranteed, and it will be troublesome to buy them.Director Han Wenping has two small trucks on hand every day. To transport something, not only must the space and transportation capacity be allocated, but also how to make the materials work as quickly as possible.
Thanks to myself being bald now.Director Han Wenping has said this more than once, if he still has beautiful hair for two months, he may lose all his hair in just over a month.
But today, Director Han Wenping, who has been shining in his post for more than a month, finally couldn't bear it anymore.
He has acute appendicitis.
Guarding the huge medical team, the doctors certainly couldn't allow Han Wenping's condition to be too serious.And Director Han's own reaction was fast enough - when he first felt uncomfortable, he had already realized that something was wrong.
Director Han Wenping will start treatment and take more rest.But the logistical work still needs to be done.
So the job was handed over to Sun Lien.
"You work hard, I will try to return to my post in five days." Director Han Wenping held Sun Lien's hand and said seriously, "You must stand on your post during this time!"
Logistical support, this is a new field that Sun Lien has never been in contact with.If I want to say that I have come into contact with it... that is when Sun Lien and Director Han went to the second pharmaceutical factory to move atropine.
Sun Li'en, who suddenly took over the job, was naturally stunned, but fortunately, Director Han only had appendicitis and not any other serious illness.At present, the security work in Yunhe is basically on the right track, and Sun Lien only needs to deal with the relevant signing and sending tasks every day.
Moreover, he is not responsible for all the logistical support work of the National Emergency Medical Team of Song'an Province.He only needs to manage the logistics support of the two batches of medical teams in the hotel where he is located, a total of 160 nine people.
"There are still 1000 sets of protective clothing we have raised by ourselves, and they can be used for about three days if we let them go." Director Han Wenping lay on the bed and had an infusion, and seriously asked Sun Li'en, "These [-], [-] sets The protective clothing is the last bit of our wealth, as long as the warehouse on Yunhe's side is not cut off, we must not move it!"
Sun Li'en nodded, and quickly wrote down the relevant content in his notebook.
"There are 95 masks. I promised to send them 240 medical surgical masks in the shelter." Director Han gasped, as if he was hurting from appendicitis, or Because he was reluctant to part with these thousand masks, "We don't have much N[-] in stock, only [-]. This batch is the same as protective clothing. As long as the supply continues, we must not use it."
Sun Li'en nodded and said, "Where's the disinfectant water?" The first two supplies are in short supply, and as long as they continue to be supplied, they will definitely not move.But the disinfectant water is different - the domestic production volume is already large, and the lack of disinfectant water before was mainly due to the factory holidays and the time required for logistics and transportation. The current situation is much better.
"We don't have any disinfectant in stock. The supply of this material is not tight, and it should be enough to rely on the supply from Yunhe." Director Han shook his head, "But other materials, as long as we have it, and other medical teams need it , that can be exchanged. We are all comrades in the trenches, and we can help if we can."
·
·
·
Sun Lien did not expect that the first material support request he received after he took office was actually about adult diapers.
The leader of the Huangshan Medical Team called Sun Lien and asked for [-] boxes of adult diapers.And the other party promised, "Our supplies will arrive in a week at the latest, and we will return you [-] boxes by then!"
(End of this chapter)
With Sun Lien's treatment team completing the three-day rounds, Yunhe's epidemic situation is rapidly being brought under control and getting better.
On the 22nd, a total of 630 new confirmed patients were newly diagnosed in northern Hunan Province, including 541 cases in Yunhe.On the same day, Yunhe had 965 discharged cases—almost double the number of newly diagnosed cases.
What is more exciting than the rapid improvement in Xiangbei Province is that the number of new confirmed cases nationwide has dropped to 18, and 21 provincial-level administrative regions across the country have reported zero new patients.
It is no longer a slogan to achieve comprehensive victory in the fight against the epidemic, but a status quo that can indeed be seen and is coming.
The three-day rounds made the doctors of the entire medical team exhausted, but everyone was still very angry.The reason is also very simple. Their work has actually helped many patients who had difficulty accessing medical services before, and helped them relieve their pain.
Usually in the comprehensive diagnosis center, the most difficult thing is always to get the correct diagnosis.But this "difficulty" is difficult for the doctors.A case often requires everyone to have meetings and discussions over and over again, and then after inspections again and again, a general direction and conclusion can be drawn.On average, it takes about three to five days for the Comprehensive Diagnostic Center to diagnose a patient.
Sun Lien's performance was better than everyone else's, but a day or two of back and forth was inevitable.Sometimes, when the doctors in the comprehensive diagnosis center have no idea in their minds, even when they can't even find a direction of suspicion, they will invite Sun Lien for consultation.But Sun Li'en is not a fairy, for every ten consultations, there will be one or two situations that even Director Sun can't figure out.
What's more troublesome is that after the whole team of doctors racked their brains to get a diagnosis, there was no feasible treatment.
Every diagnosis is like doctors and patients carefully opening a blind box, but after the blind box is opened, the results are often not acceptable to the doctors and patients who opened the blind box.
Taking the list of 121 rare diseases as an example, very few of them have cures, and only a few of them can be alleviated.Progression-slowing treatment options are available for a vast majority of diseases, but are often difficult and expensive to administer.There are also a small number of rare diseases that have almost no treatment options-there is little that doctors can do except try to comfort the families.
Working in a comprehensive diagnostic center, the sense of accomplishment and loss often go hand in hand.Moreover, the duration of the sense of accomplishment is so short that it is almost fleeting - as soon as the blind box is opened, I know that there is no cure for the disease, and it is not bad to have a sense of accomplishment.
Not every patient has at least one treatment option that leads to complete remission for a period of time, like those with Sunlien syndrome (AQP4 protein deficiency).
The current operating strategy of the comprehensive diagnostic center is to maintain the existing manpower, and then extensively cooperate with other domestic medical schools and universities.There is no way, relying solely on the comprehensive diagnostic center, these people in the two departments and all the doctors recruited in the next 20 years will be thrown into the abyss of rare diseases, which may not even make a splash.
Only by using all available resources as much as possible and uniting all forces that can be united, can mankind win the war against rare diseases.
It's like the war against the new coronavirus right now.
During the rounds, most of the doctors from the Comprehensive Diagnostic Center felt an emotion called "happiness".The patient had clear symptoms, a clear diagnosis, stable indications, and a good response to treatment.Especially during the follow-up rounds, the response to the treatment of the previous patients was directly connected-the sense of well-being at this time is more clear.
Sun Lien's sense of happiness was greatly weakened by a piece of feedback.
"Ding Huiguo has had a high fever for two days." Song Wen on the other end of the phone said, "This afternoon, the Department of Gastrointestinal Surgery performed an emergency operation on him. Subtotal colectomy and terminal ileostomy."
"Have you already had the surgery?" Sun Lien was taken aback, "Didn't you take hormones before?"
From two days of high fever to emergency surgery, it is not difficult to infer that Ding Huiguo's main problem at present may still be Crohn's disease, not tuberculosis.To put it bluntly, this is the fear of wolves and tigers.I thought that I chose the treatment plan with the lowest risk for the patient, but failed to prevent the progression of Crohn's disease through aggressive immunosuppressive treatment in time.
"There is no problem with the choice of the plan this time. The patient's situation is complicated, and there is really no better way." Song Wen comforted, "If it was in the Fourth Hospital, I would have to punish you for such a thing. But This time the situation is special, I think the judgment of you and other doctors can not be wrong."
Sun Li'en smiled wryly, "After listening to the dean's words, I really... don't feel comfortable at all."
"It's okay to be uncomfortable." Song Wen laughed twice on the other end of the phone, "After all, the consequences will not be good, so take it as a lesson."
If Sun Lien directly decided to give the patient immunosuppressive treatment, but Ding Huiguo actually suffered from intestinal tuberculosis, what would the result be like?
With the loss of immune system suppression, his inflammatory symptoms may begin to improve rapidly.And in a short period of time to discharge standard.But about one to two weeks after he was discharged from the hospital, Ding Huiguo would start to have severe infection symptoms, and he would fall into a more serious situation such as sepsis in a short period of time.
At that time, it will not be as simple as cutting a section of intestines and hanging a dung bag on the belly for the rest of my life.He has to receive systemic anti-infection treatment immediately, and then put on various life support equipment-and the ICU of Beihu Hospital is now full of critically ill patients infected by the new coronavirus.
The ghost knows how likely Ding Huiguo is to survive after the critical care physicians at Beihu Hospital have painstakingly moved an ICU bed to the observation room.
Between life and death, there is no room for rash advances.
·
·
·
In addition to the patients, what gave Sun Lien a headache was the logistical problem.
Director Han Wenping was originally in charge of the logistics, but Director Han really can't handle the logistical problems of the seven treatment teams alone—even if he is assigned a logistics team to deliver supplies to five hospitals and one shelter hospital, This is very difficult.
This is Yunhe, not Ningyuan.If it was Ningyuan, it would not be a problem to double the supply guarantee scale based on Leopard's logistics company and Director Han's connections in Ningyuan for many years.In Yunhe... just contacting transportation is a very troublesome thing.
At present, the transportation force and storage locations of Quan Yunhe, as well as relevant professionals are basically included in the command system of the Yunhe City Epidemic Prevention Command Center.These small number of transportation vehicles need to take care of the transportation of epidemic prevention materials in various hospitals, shelter hospitals, and designated isolation points at the same time; the supply and transportation of living materials in various communities.Not only has to be shipped out, but also has to go back and forth between other material concentration points and warehouses to carry out goods allocation between warehouses.In short, the current Yunhe truck drivers are basically restless, and small and medium-sized trucks are running around.
If it weren't for the introduction of big data in the current logistics and warehousing management, emergency supplies could be deployed two to three days in advance.Otherwise, there must be the same tight supply problem as in the early days.
However, with only so much transportation capacity at present, the increased demand for supply guarantee and transportation directly made Director Han's claws numb.Although there is not much need to manage medical supplies, daily necessities are always required—especially for female medical staff, which is a little more troublesome.
Director Han deeply felt that the soldiers on the battlefield were basically men.The aggression caused by excessive testosterone levels is of course one aspect, and the other aspect is definitely reflected in the logistics.
If all the medical staff who come are male, at least there is no need to work hard to provide the necessary sanitary products for women.Those sanitary napkins with only five in a big bag don't take up too much space.
What confused Director Han the most at first was that he couldn't manage a whole truckload of hygiene products for even a month.He pondered for a long time, but he didn't understand what the reason was.
Then Director Han was scolded by his wife.
"The little girl's matter, if you don't understand it, don't think about it!" Director Han's wife yelled at Han Wenping on the phone, "You can at least guarantee that each person has at least four packs of sanitary napkins to use every month. Already!"
The amount of sanitary napkins varies greatly from individual to individual, and it is difficult to estimate with a general data, so Mrs. Han gave Han Wenping instructions directly according to the relatively wealthy amount.But this number is a bit too much for every female medical worker... Director Han really has no choice but to borrow the room of the head nurses in each medical team station to use it-the sanitary napkins in the room Stack them in boxes, and then tell the head nurses that if the stock is not enough, ask him to ask for it again.
After starting to provide these guarantees, Han Wenping patted his bald head, and then decided to ask the head nurses to make a list of their opinions.
Material security is a hard job. If you can't meet the needs, you may complain after you have worked hard.The best way is to first grasp the needs, and then solve everyone's needs in a more targeted manner.
So, Han Wenping found a lot of trouble for himself.
Drinking Coke is already the most basic and simple need.When all the shops are closed, looking for Coke in Yunhe... This difficulty is not low anyway.In addition, various needs include but are not limited to - chargers, data cables, disposable underwear, nail clippers, socks, thermal underwear... Anyway, there are all kinds of everything.
That is to say, the head nurses are careful enough, otherwise, even if you kill Han Wenping for these little things, he would never think of buying them.
There are too many things guaranteed, and it will be troublesome to buy them.Director Han Wenping has two small trucks on hand every day. To transport something, not only must the space and transportation capacity be allocated, but also how to make the materials work as quickly as possible.
Thanks to myself being bald now.Director Han Wenping has said this more than once, if he still has beautiful hair for two months, he may lose all his hair in just over a month.
But today, Director Han Wenping, who has been shining in his post for more than a month, finally couldn't bear it anymore.
He has acute appendicitis.
Guarding the huge medical team, the doctors certainly couldn't allow Han Wenping's condition to be too serious.And Director Han's own reaction was fast enough - when he first felt uncomfortable, he had already realized that something was wrong.
Director Han Wenping will start treatment and take more rest.But the logistical work still needs to be done.
So the job was handed over to Sun Lien.
"You work hard, I will try to return to my post in five days." Director Han Wenping held Sun Lien's hand and said seriously, "You must stand on your post during this time!"
Logistical support, this is a new field that Sun Lien has never been in contact with.If I want to say that I have come into contact with it... that is when Sun Lien and Director Han went to the second pharmaceutical factory to move atropine.
Sun Li'en, who suddenly took over the job, was naturally stunned, but fortunately, Director Han only had appendicitis and not any other serious illness.At present, the security work in Yunhe is basically on the right track, and Sun Lien only needs to deal with the relevant signing and sending tasks every day.
Moreover, he is not responsible for all the logistical support work of the National Emergency Medical Team of Song'an Province.He only needs to manage the logistics support of the two batches of medical teams in the hotel where he is located, a total of 160 nine people.
"There are still 1000 sets of protective clothing we have raised by ourselves, and they can be used for about three days if we let them go." Director Han Wenping lay on the bed and had an infusion, and seriously asked Sun Li'en, "These [-], [-] sets The protective clothing is the last bit of our wealth, as long as the warehouse on Yunhe's side is not cut off, we must not move it!"
Sun Li'en nodded, and quickly wrote down the relevant content in his notebook.
"There are 95 masks. I promised to send them 240 medical surgical masks in the shelter." Director Han gasped, as if he was hurting from appendicitis, or Because he was reluctant to part with these thousand masks, "We don't have much N[-] in stock, only [-]. This batch is the same as protective clothing. As long as the supply continues, we must not use it."
Sun Li'en nodded and said, "Where's the disinfectant water?" The first two supplies are in short supply, and as long as they continue to be supplied, they will definitely not move.But the disinfectant water is different - the domestic production volume is already large, and the lack of disinfectant water before was mainly due to the factory holidays and the time required for logistics and transportation. The current situation is much better.
"We don't have any disinfectant in stock. The supply of this material is not tight, and it should be enough to rely on the supply from Yunhe." Director Han shook his head, "But other materials, as long as we have it, and other medical teams need it , that can be exchanged. We are all comrades in the trenches, and we can help if we can."
·
·
·
Sun Lien did not expect that the first material support request he received after he took office was actually about adult diapers.
The leader of the Huangshan Medical Team called Sun Lien and asked for [-] boxes of adult diapers.And the other party promised, "Our supplies will arrive in a week at the latest, and we will return you [-] boxes by then!"
(End of this chapter)
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