NOVEL WEB I can see the status bar
Chapter 1133 Farewell
Chapter 1133 Farewell
Westerners don't understand what medical burnout is.This dilemma does not seem to exist under their medical system at all.
It took Sun Li'en a lot of effort to explain to this editor who had almost no understanding of the operation of China's public medical system, but he suspected that the other party still didn't understand the point.
"Serving the people" is not a slogan, but the fundamental purpose of the operation of the entire Chinese government and public system.It is true that the NHS in the UK provides free services, but relying on family doctors' "triage" or, to put it a little harsher - delay - referral can greatly relieve the pressure on the medical system.
Of course, such measures and systems are completely ineffective and unlikely to be effective in dealing with large-scale respiratory infectious diseases.
And the American medical system is even more desperate.Not to mention whether those complex and chaotic commercial medical insurance plans can reimburse the cost of the new coronavirus infection, the lack of systematic referral and corresponding level construction in hospitals in various regions is enough to drink a pot for the entire American medical system.
The best hospitals may not have isolation wards, and even if they do, the number is far from enough.
More importantly, those patients who do not have medical insurance and cannot enjoy private hospital services.They are the people who decide the direction of the whole epidemic.These patients who do not have commercial medical insurance usually have only three options if they get sick-carrying their own, buying over-the-counter medicines, or going to charity clinics run by charity organizations to see a doctor.
These patients cannot afford the cost of high-level life support equipment, and it is impossible to afford the cost of isolation wards and advanced care.And these patients are even less likely to prevent themselves from getting sick by purchasing a large number of masks and epidemic prevention materials-almost all of these patients without commercial medical insurance have no deposits.
Such problems are not unheard of in China....From the perspective of ECMO alone, about [-]% of patients who have used ECMO for life support cannot afford such a high cost of treatment.But just because domestic patients cannot afford it, these expenses are covered by the central government.
"After our medical system was broken down and exhausted, the fatality rate of patients suddenly increased a lot." Sun Lien sighed and emphasized, "Yunhe is a city with a very high level of medical care in China, and the city's population is not the largest. - the number of 1000 million residents can probably be ranked No.8. If it is not relying on the strong mobilization force of the country, tens of thousands of doctors come here to support, the situation may be a little more serious. Mr. Editor, this is why I wrote this The fundamental purpose of this paper, you don’t know what happened in this city, and you don’t understand how devastating such a disease will be once it breaks out in a large city.”
The editor seemed intimidated by the scene described by Sun Lien, he was stunned for a few seconds before asking, "How many doctors did you use?"
"Yunhe has 11 medical workers locally. Ten days ago, the data I saw was [-] medical workers supporting Yunhe." Sun Lien said, "Now this data is far behind the actual situation. There are more medical teams arriving at Yunhe continuously." Sun Lien paused for a moment, then asked in a sad and proud tone, "Mr. Editor, as far as you know, is there any country in the world that Can you have such a mobilization ability?"
"We have specialized hospitals for dealing with infectious diseases, and we have also built a large number of square cabin shelter hospitals that can be used to treat patients with mild symptoms. We have mobilized thousands of military doctors who are very experienced in infectious diseases and epidemic prevention, mobilized from more than 30 provinces tens of thousands of doctors. We use all industrial production departments across the country to support the fight against the epidemic. Farmers sell or even donate the crops they grow at low prices, just to feed the compatriots in this city who are isolated at home to block the virus Have a bite of food."
"I have seen time and time again 14 billion people unite and sacrifice themselves for each other's life and health. I have seen countless medical staff working in the red zone every day without food or water in order to save their compatriots. When I was young, I just wanted to save an extra set of protective clothing and masks..." Sun Lien couldn't hold back his tears as he spoke.He wiped his tears vigorously, took a deep breath and asked, "Mr. Editor, please tell me, which other country can do such a thing? If not... this disease will only take away more Human life. I have to warn them, the sooner I warn, maybe one more person will survive."
The editor on the other end of the phone was silent for a long time, and then he sighed, "I don't think... there is probably no country in the world that can do it. Dr. Sun, what you said makes sense." It seemed that his confidence was blown by his own answer , the editor was silent for a while.
"We will pre-publish your article first and publish it on the website. Then we will arrange for publication of this article as quickly as possible. Thank you for your contribution...and, Dr. Sun..." Mr. Editor After coughing lightly, he said, "Thank you for your warning, I wish you all the best in Yunhe, and wish this great city and its residents an early victory."
·
·
·
After hanging up the phone, Sun Lien was depressed for a long time.
This depression is a bit unreasonable, but it is clear.This kind of editor from a top journal with a long history and excellent reputation, which Sun Lien believed to be "respectful of science, fair, just and open", would be so stupid to believe in one-sided news and use it as a basis Question the papers that you have written carefully.
It feels... like being betrayed by someone I've always believed in.It feels complicated and heart-wrenching.
However, it wasn't because of this that she wiped her tears just now - believe it or not, this kind of idiot editor.What really made Sun Li'en feel bad was actually the compatriots of those heroes.
Not to mention it’s okay, it seems that in Sun Li’en’s daily work, those Yunhe people who support the anti-epidemic work with great perseverance do what they should do.But now when he mentioned this matter to outsiders, Sun Lien was surprised to find that their sacrifice was even greater than he could have imagined.
It was even so big that just mentioning it would make Sun Li'en burst into tears.
It's okay, it's okay... Sun Li'en kept consoling himself like this, but fortunately the value of sacrifice has been revealed, fortunately the dawn of victory has arrived.
Just hold on, just hold on, just wait until the number of new additions becomes zero, and then wait for two weeks without a rebound, and you can declare the epidemic to be over!
Sun Lien's cell phone rang suddenly, and a WeChat message appeared on the screen.
"If it's convenient, call back as soon as possible." The person who sent the message was Song Wen.
Dean Song... When did you become so polite?Sun Li'en was stunned for a moment, then quickly grabbed the phone - don't you have something wrong?
"Old Liu's condition is not very good." Song Wen said bluntly after connecting the phone, "His blood oxygen level suddenly dropped half an hour ago."
Sun Lien was taken aback, "Who?"
"Old Liu, Liu Lianzhi." It seemed that the "Liu" he said was a common surname, and there was a director surnamed Liu in Ningyuan who was on duty in his hospital. Song Wen quickly corrected, "You came here for consultation before. that."
Liu Lianzhi's condition suddenly deteriorated, but the doctors didn't know why Liu Lianzhi's condition deteriorated.
After a long period of treatment, Liu Lianzhi had already reached the point where he could leave ECMO and rely on a positive pressure ventilator to breathe on his own.But this situation lasted only three days. At around 79 o'clock this evening, Liu Lianzhi suddenly lost consciousness.The finger pulse oxygen data dropped to [-]%, and no matter how the ventilator adjusts the parameters, this blood oxygen saturation just can't get up.
What's worse, because it was judged that Liu Lianzhi's condition had improved greatly, the ECMO in Beihu Hospital was transferred to other patients, and now Liu Lianzhi had no ECMO to use at all.
Holding the phone, Sun Li'en suddenly stood up from his seat, "I'm calling someone now, bring E...CMO over there!" He spoke so fast that he bit his tongue hard.
"No need." Song Wen said after a moment of silence, "I just had a bedside CT scan, and Lao Liu's lungs are full of fibrosis... Now it's pointless to go to ECMO."
"Why is it meaningless?" Sun Li'en asked rhetorically, "If you go to ECMO now, at least you can delay it for a while. If there is a source of lungs for transplantation, can't you go directly to the transplantation?"
The leader of the best lung surgery hospital in the country, Professor Chen, who is known as "China's No. 1 lung transplantation", is now in Yunhe. If he can find a suitable lung source for Liu Lianzhi, then there will be a solution to pulmonary fibrosis.Although the transplanted organ is unlikely to be comparable to the original organ, it is at least a chance for the person to survive.
"It's been too long." Song Wen's voice sounded a bit bitter, "Even if you bring your organs and the surgical team here, the operation is meaningless. Old Liu hasn't turned negative yet, and he's been hypoxic for too long. "
Sun Li'en put down his phone dejectedly.
Exhausted methods, exhausted means, but could not keep a single patient.This feeling is really... too uncomfortable.
·
·
·
After Song Wen hung up the phone, he also sighed.
She knew very well how difficult Liu Lianzhi's situation was at first as a patient.His inflammatory storm was not mediated by interleukin-6, his disease course was extremely rapid and prolonged, and he did not respond well to convalescent serum and other antiviral drugs... Liu Lianzhi was resistant to almost all existing treatment options Poor response.And his own physical condition is not very good.After such a toss, Liu Lianzhi's body was like a dilapidated wooden boat - it was a miracle to float on the water, and it was normal to sink.
But this kind of feeling can't help the doctors who participated in the treatment to have much "comfort", they will only feel more sad - obviously the broken wooden boards before can float on the water, why did they sink after being put together like a boat?
The rescue of Liu Lianzhi is still going on, but there is no doubt... such a rescue will not have any expected results.The current rescue is more like the doctors participating in the rescue are saving themselves—saving their own hearts.
We can't save Dean Liu, but at least we can let him get the same treatment as other patients before he leaves.Chest compressions, though.For Liu Lianzhi's current situation, even if his heartbeat is restored through chest compressions, the subsequent situation cannot be changed.
And...the chest compressions hurt.Everyone on the left and right has to go, at least let Dean Liu go a little... a little easier.
Song Wen stood in the green area wearing a hand washing suit, looked at the colleagues who were busy rescuing through the monitor, and sighed slightly again.
She picked up the phone, closed her eyes and remained silent for a few seconds before dialing a series of numbers.
"Xiao Cai, let me tell you something..." Song Wen's voice was very bitter, "Old Liu may be dying."
No words were spoken on the other end of the phone, but the crystal sound of the glass falling to the ground was still heard clearly and unmistakably in Song Wen's ears.
"Sister Song, I may be too tired recently." Cai Huiping on the other end of the phone asked in a weeping tone and a hint of luck, "I...I didn't hear clearly what you just said."
"Dean Liu may be dying." Song Wen had to repeat the cruel news, "Dean Liu's blood oxygen saturation suddenly dropped half an hour ago. We tried all means, but still Couldn't turn things around."
There was a heart-piercing cry from the other end of the phone.
"You...you can come here now." Song Wen waited for the crying to calm down a little, and then said, "I'll ask someone to hold the door for you, come in now, and I can meet Lao Liu again .”
No matter how many times it is repeated, informing the family of a patient's death...is always the most heart-wrenching thing.But this kind of thing has to be done by someone.
At least now that she made a phone call, Cai Huiping could still meet Dean Liu for the last time.This is already the biggest "special treatment" that doctors can enjoy during the entire epidemic.
Other patients could not see the last side of their sick relatives. Those who died of illness were directly sent to the mortuary by the medical staff after they passed away, and then handed over to the funeral home staff.Let these staff replace the family members of the patients and accompany the patients through the last journey of life.
However, as a medical worker, Cai Huiping, who has mastered the precautions and skills of putting on and taking off the protective clothing, can put on the protective clothing, and then go to the red zone to see her husband for the last time.
It's so cruel, but it still has a little privilege of humanistic care... Even Song Wen himself doesn't know whether it is good or bad for Cai Huiping to see Lao Liu again.
She once tried to put herself in the same position as Cai Huiping and think about it, if the person lying in it was not Lao Liu, but her husband...then how would she deal with it.
But Song Wen found out in despair that she couldn't imagine what kind of scene it would be like.Probably the same as the sky is falling, right?
When one's true love passed away, any words and assumptions seemed extremely empty and powerless.Only the earth-shattering shock, and the subsequent sadness that seemed to be sprinkled from the sky, were the only feelings.
(End of this chapter)
Westerners don't understand what medical burnout is.This dilemma does not seem to exist under their medical system at all.
It took Sun Li'en a lot of effort to explain to this editor who had almost no understanding of the operation of China's public medical system, but he suspected that the other party still didn't understand the point.
"Serving the people" is not a slogan, but the fundamental purpose of the operation of the entire Chinese government and public system.It is true that the NHS in the UK provides free services, but relying on family doctors' "triage" or, to put it a little harsher - delay - referral can greatly relieve the pressure on the medical system.
Of course, such measures and systems are completely ineffective and unlikely to be effective in dealing with large-scale respiratory infectious diseases.
And the American medical system is even more desperate.Not to mention whether those complex and chaotic commercial medical insurance plans can reimburse the cost of the new coronavirus infection, the lack of systematic referral and corresponding level construction in hospitals in various regions is enough to drink a pot for the entire American medical system.
The best hospitals may not have isolation wards, and even if they do, the number is far from enough.
More importantly, those patients who do not have medical insurance and cannot enjoy private hospital services.They are the people who decide the direction of the whole epidemic.These patients who do not have commercial medical insurance usually have only three options if they get sick-carrying their own, buying over-the-counter medicines, or going to charity clinics run by charity organizations to see a doctor.
These patients cannot afford the cost of high-level life support equipment, and it is impossible to afford the cost of isolation wards and advanced care.And these patients are even less likely to prevent themselves from getting sick by purchasing a large number of masks and epidemic prevention materials-almost all of these patients without commercial medical insurance have no deposits.
Such problems are not unheard of in China....From the perspective of ECMO alone, about [-]% of patients who have used ECMO for life support cannot afford such a high cost of treatment.But just because domestic patients cannot afford it, these expenses are covered by the central government.
"After our medical system was broken down and exhausted, the fatality rate of patients suddenly increased a lot." Sun Lien sighed and emphasized, "Yunhe is a city with a very high level of medical care in China, and the city's population is not the largest. - the number of 1000 million residents can probably be ranked No.8. If it is not relying on the strong mobilization force of the country, tens of thousands of doctors come here to support, the situation may be a little more serious. Mr. Editor, this is why I wrote this The fundamental purpose of this paper, you don’t know what happened in this city, and you don’t understand how devastating such a disease will be once it breaks out in a large city.”
The editor seemed intimidated by the scene described by Sun Lien, he was stunned for a few seconds before asking, "How many doctors did you use?"
"Yunhe has 11 medical workers locally. Ten days ago, the data I saw was [-] medical workers supporting Yunhe." Sun Lien said, "Now this data is far behind the actual situation. There are more medical teams arriving at Yunhe continuously." Sun Lien paused for a moment, then asked in a sad and proud tone, "Mr. Editor, as far as you know, is there any country in the world that Can you have such a mobilization ability?"
"We have specialized hospitals for dealing with infectious diseases, and we have also built a large number of square cabin shelter hospitals that can be used to treat patients with mild symptoms. We have mobilized thousands of military doctors who are very experienced in infectious diseases and epidemic prevention, mobilized from more than 30 provinces tens of thousands of doctors. We use all industrial production departments across the country to support the fight against the epidemic. Farmers sell or even donate the crops they grow at low prices, just to feed the compatriots in this city who are isolated at home to block the virus Have a bite of food."
"I have seen time and time again 14 billion people unite and sacrifice themselves for each other's life and health. I have seen countless medical staff working in the red zone every day without food or water in order to save their compatriots. When I was young, I just wanted to save an extra set of protective clothing and masks..." Sun Lien couldn't hold back his tears as he spoke.He wiped his tears vigorously, took a deep breath and asked, "Mr. Editor, please tell me, which other country can do such a thing? If not... this disease will only take away more Human life. I have to warn them, the sooner I warn, maybe one more person will survive."
The editor on the other end of the phone was silent for a long time, and then he sighed, "I don't think... there is probably no country in the world that can do it. Dr. Sun, what you said makes sense." It seemed that his confidence was blown by his own answer , the editor was silent for a while.
"We will pre-publish your article first and publish it on the website. Then we will arrange for publication of this article as quickly as possible. Thank you for your contribution...and, Dr. Sun..." Mr. Editor After coughing lightly, he said, "Thank you for your warning, I wish you all the best in Yunhe, and wish this great city and its residents an early victory."
·
·
·
After hanging up the phone, Sun Lien was depressed for a long time.
This depression is a bit unreasonable, but it is clear.This kind of editor from a top journal with a long history and excellent reputation, which Sun Lien believed to be "respectful of science, fair, just and open", would be so stupid to believe in one-sided news and use it as a basis Question the papers that you have written carefully.
It feels... like being betrayed by someone I've always believed in.It feels complicated and heart-wrenching.
However, it wasn't because of this that she wiped her tears just now - believe it or not, this kind of idiot editor.What really made Sun Li'en feel bad was actually the compatriots of those heroes.
Not to mention it’s okay, it seems that in Sun Li’en’s daily work, those Yunhe people who support the anti-epidemic work with great perseverance do what they should do.But now when he mentioned this matter to outsiders, Sun Lien was surprised to find that their sacrifice was even greater than he could have imagined.
It was even so big that just mentioning it would make Sun Li'en burst into tears.
It's okay, it's okay... Sun Li'en kept consoling himself like this, but fortunately the value of sacrifice has been revealed, fortunately the dawn of victory has arrived.
Just hold on, just hold on, just wait until the number of new additions becomes zero, and then wait for two weeks without a rebound, and you can declare the epidemic to be over!
Sun Lien's cell phone rang suddenly, and a WeChat message appeared on the screen.
"If it's convenient, call back as soon as possible." The person who sent the message was Song Wen.
Dean Song... When did you become so polite?Sun Li'en was stunned for a moment, then quickly grabbed the phone - don't you have something wrong?
"Old Liu's condition is not very good." Song Wen said bluntly after connecting the phone, "His blood oxygen level suddenly dropped half an hour ago."
Sun Lien was taken aback, "Who?"
"Old Liu, Liu Lianzhi." It seemed that the "Liu" he said was a common surname, and there was a director surnamed Liu in Ningyuan who was on duty in his hospital. Song Wen quickly corrected, "You came here for consultation before. that."
Liu Lianzhi's condition suddenly deteriorated, but the doctors didn't know why Liu Lianzhi's condition deteriorated.
After a long period of treatment, Liu Lianzhi had already reached the point where he could leave ECMO and rely on a positive pressure ventilator to breathe on his own.But this situation lasted only three days. At around 79 o'clock this evening, Liu Lianzhi suddenly lost consciousness.The finger pulse oxygen data dropped to [-]%, and no matter how the ventilator adjusts the parameters, this blood oxygen saturation just can't get up.
What's worse, because it was judged that Liu Lianzhi's condition had improved greatly, the ECMO in Beihu Hospital was transferred to other patients, and now Liu Lianzhi had no ECMO to use at all.
Holding the phone, Sun Li'en suddenly stood up from his seat, "I'm calling someone now, bring E...CMO over there!" He spoke so fast that he bit his tongue hard.
"No need." Song Wen said after a moment of silence, "I just had a bedside CT scan, and Lao Liu's lungs are full of fibrosis... Now it's pointless to go to ECMO."
"Why is it meaningless?" Sun Li'en asked rhetorically, "If you go to ECMO now, at least you can delay it for a while. If there is a source of lungs for transplantation, can't you go directly to the transplantation?"
The leader of the best lung surgery hospital in the country, Professor Chen, who is known as "China's No. 1 lung transplantation", is now in Yunhe. If he can find a suitable lung source for Liu Lianzhi, then there will be a solution to pulmonary fibrosis.Although the transplanted organ is unlikely to be comparable to the original organ, it is at least a chance for the person to survive.
"It's been too long." Song Wen's voice sounded a bit bitter, "Even if you bring your organs and the surgical team here, the operation is meaningless. Old Liu hasn't turned negative yet, and he's been hypoxic for too long. "
Sun Li'en put down his phone dejectedly.
Exhausted methods, exhausted means, but could not keep a single patient.This feeling is really... too uncomfortable.
·
·
·
After Song Wen hung up the phone, he also sighed.
She knew very well how difficult Liu Lianzhi's situation was at first as a patient.His inflammatory storm was not mediated by interleukin-6, his disease course was extremely rapid and prolonged, and he did not respond well to convalescent serum and other antiviral drugs... Liu Lianzhi was resistant to almost all existing treatment options Poor response.And his own physical condition is not very good.After such a toss, Liu Lianzhi's body was like a dilapidated wooden boat - it was a miracle to float on the water, and it was normal to sink.
But this kind of feeling can't help the doctors who participated in the treatment to have much "comfort", they will only feel more sad - obviously the broken wooden boards before can float on the water, why did they sink after being put together like a boat?
The rescue of Liu Lianzhi is still going on, but there is no doubt... such a rescue will not have any expected results.The current rescue is more like the doctors participating in the rescue are saving themselves—saving their own hearts.
We can't save Dean Liu, but at least we can let him get the same treatment as other patients before he leaves.Chest compressions, though.For Liu Lianzhi's current situation, even if his heartbeat is restored through chest compressions, the subsequent situation cannot be changed.
And...the chest compressions hurt.Everyone on the left and right has to go, at least let Dean Liu go a little... a little easier.
Song Wen stood in the green area wearing a hand washing suit, looked at the colleagues who were busy rescuing through the monitor, and sighed slightly again.
She picked up the phone, closed her eyes and remained silent for a few seconds before dialing a series of numbers.
"Xiao Cai, let me tell you something..." Song Wen's voice was very bitter, "Old Liu may be dying."
No words were spoken on the other end of the phone, but the crystal sound of the glass falling to the ground was still heard clearly and unmistakably in Song Wen's ears.
"Sister Song, I may be too tired recently." Cai Huiping on the other end of the phone asked in a weeping tone and a hint of luck, "I...I didn't hear clearly what you just said."
"Dean Liu may be dying." Song Wen had to repeat the cruel news, "Dean Liu's blood oxygen saturation suddenly dropped half an hour ago. We tried all means, but still Couldn't turn things around."
There was a heart-piercing cry from the other end of the phone.
"You...you can come here now." Song Wen waited for the crying to calm down a little, and then said, "I'll ask someone to hold the door for you, come in now, and I can meet Lao Liu again .”
No matter how many times it is repeated, informing the family of a patient's death...is always the most heart-wrenching thing.But this kind of thing has to be done by someone.
At least now that she made a phone call, Cai Huiping could still meet Dean Liu for the last time.This is already the biggest "special treatment" that doctors can enjoy during the entire epidemic.
Other patients could not see the last side of their sick relatives. Those who died of illness were directly sent to the mortuary by the medical staff after they passed away, and then handed over to the funeral home staff.Let these staff replace the family members of the patients and accompany the patients through the last journey of life.
However, as a medical worker, Cai Huiping, who has mastered the precautions and skills of putting on and taking off the protective clothing, can put on the protective clothing, and then go to the red zone to see her husband for the last time.
It's so cruel, but it still has a little privilege of humanistic care... Even Song Wen himself doesn't know whether it is good or bad for Cai Huiping to see Lao Liu again.
She once tried to put herself in the same position as Cai Huiping and think about it, if the person lying in it was not Lao Liu, but her husband...then how would she deal with it.
But Song Wen found out in despair that she couldn't imagine what kind of scene it would be like.Probably the same as the sky is falling, right?
When one's true love passed away, any words and assumptions seemed extremely empty and powerless.Only the earth-shattering shock, and the subsequent sadness that seemed to be sprinkled from the sky, were the only feelings.
(End of this chapter)
Tip: You can use left, right, A and D keyboard keys to browse between chapters.