I can see the status bar

Chapter 1139 Rotation



Chapter 1139 Rotation
Bruen is working hard for the development and growth of the American Communist Party, while Sun Lien is worrying about how to reduce the number of patients in the North Fifth District.

The North Fifth District has been overcrowded again recently.But this time... the patient's situation was different.

At present, in the fifth northern district, the number of critically ill patients still accounts for the majority, but the number of ordinary patients admitted to them is also increasing rapidly.What's more, almost all of these ordinary patients were transferred from the Fangcai Hospital.

The thorough investigation of various communities in Yunhe is still going on. Under the model of collecting all receivables, not only all patients showing symptoms will be sent to the shelter hospital for isolation treatment.Patients who do not show symptoms but test positive for nucleic acid will also be sent to centralized isolation points for medical observation.Once they show symptoms, they will be transferred to the shelter hospital or designated hospital for treatment.

The improvement of admission and treatment capacity means that more and more infected people have begun to enter the service scope of the medical system.The increase in the number of infected patients admitted for treatment will inevitably bring about more demand for treatment of ordinary patients.

Leihuoshenshan Hospital's admission capacity has basically reached the peak of its design operation, and other designated hospitals have also begun to accept ordinary patients again.

This is not a helpless move to tear down the east wall to make up for the west wall, but it is a proof that victory is further approaching people.Not many patients are seriously ill.There is a process in the development of the disease, and this process is often a small number of patients in the ordinary type turn into a severe type, and a small number of patients in the severe type turn into a critical type.

Now that a large number of ordinary patients are being treated, it means that the main channel for transformation into severe and critical illness has been cut off.Once such a pathway is cut off, the number of severe and critically ill patients can be radically reduced.

Offense is the best defense.

The problem that Sun Lien is worried about now is that the treatment of a large number of ordinary patients who were suddenly sent - the staff in the North Fifth District are good at dealing with severe and critical cases, but they are dealing with mild cases... Everyone really has nothing to do experience.

Ordinary patients have symptoms of fever, respiratory symptoms, or diarrhea.At the same time, the characteristic manifestations of viral pneumonia can be found in imaging examinations.But none of them had hypoxemia, shortness of breath, or disturbance of consciousness.In other words, the average patient feels like he has a mildly bad cold—that's all.

The symptoms of these patients themselves are not severe, so their spirits are quite good.But the spirit is good, but it also brings a lot of problems.

Why is it said that the ICU is the busiest and most leisurely department?Because the patients in the ICU department are basically unconscious and lack the ability to move.Doctors and nurses need to take careful care of them, but after the care is over, there is generally nothing more to worry about.But these ordinary patients...they can talk, talk, run and dance.Taking care of it is really not an ordinary "trouble".

When he was about to leave North Fifth District this afternoon, Sun Li'en walked down the corridor and suddenly smelled a smell of cigarettes.This frightened him.

The reason why smoking is strictly prohibited in the hospital is not only because smoking is harmful to health, but also because oxygen lines are everywhere in the inpatient department.Especially during the reception and treatment of a large number of patients with pneumonia infected by the new coronavirus - almost everyone in the room needs to inhale oxygen, and the oxygen concentration inside the room is much higher than the outside world.Not to mention smoking in this environment, even a little spark could lead to catastrophe.

Wearing protective clothing and carrying a fire extinguisher, Sun Li'en began looking for problems from room to room. After breaking into four or five wards in a row, he found a half-burned cigarette butt in the toilet of a ward that admitted ordinary patients.

"Who smoked this?" Sun Li'en was so angry that his hands were shaking after seeing the cigarette butt soaked in the toilet, he asked sharply, "Who smoked it?!"

"I, I smoke." A young man in his 30s raised his hand, "I can't hold it anymore..."

"Take out your lighter." Sun Lien took two deep breaths, and then forcefully demanded, "Hand over everything that can light a fire!"

The action of Sun Li'en carrying the fire extinguisher and the smell of smoke in the air attracted Brune and nurse Guo Yu.The first sentence the two of them entered the room was more exciting than Sun Lien, "Smoking in the ward? Do you want to die?!"

The young man obediently took out his disposable lighter, and very cooperatively handed over the cigarette case hidden under the quilt.But Sun Li'en didn't stop there, he asked Xiao Guo to find out all the personal belongings of this patient directly, and said bluntly, "We will check all your personal belongings. During the hospitalization in North Fifth District, no ignition is allowed!"

"Then what should I do if I can't hold back?" The "love" of smokers for smoking cannot be understood with common sense.He looked guilty, but at the same time he was very reluctant, "It's too uncomfortable not to smoke..."

"If you don't want to die, don't smoke." Bruen glared at the smoker and said angrily, "Smoking is an important factor in the severity of pneumonia caused by the new coronavirus infection, do you know that? There are oxygen pipes everywhere here. The fire might even set you on fire! Smoking? At that time, the smoke will smoke you!"

Bruen was angry, but the patient was still a little unconvinced, "Then what should I do if I don't smoke? I don't feel well if I don't smoke!"

"Take this opportunity to quit." Sun Li'en opened the cigarette case given to him by the patient with no expression on his face, then carefully crushed every cigarette inside, and flushed it into the sewer, "Don't worry, we have Experience. If you really feel that you can’t quit, then we can put a restraint belt on you.”

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Patients who smoke are just one of many troubles, and these patients have many other troubles.

such as treatment options.

For ordinary patients, the main treatment option at present is traditional Chinese medicine decoction.Dr. Fu has to see more than 20 patients by himself, and he has to adjust the prescription, and he has to give acupuncture treatment to some patients.Work is stressful.

What's more troublesome is that not all patients are willing to accept TCM decoction treatment.Compared with the medicinal soup and silver needles of traditional Chinese medicine, they are more inclined to take pills and receive injections.

This is what Sun Lien has a headache now—the number of equipment in the North Fifth District is not enough.

It is not impossible to treat with Western medicine, but one of the basic roots of all treatments - human recombinant interferon alpha needs to be used through nebulization.

But the problem now is that the atomizer is not enough.

In fact, the shortage of supplies is not only the same as the atomizer, but the shortage of the atomizer is the most troublesome.For other chemically synthesized nebulized drugs, there is no problem in nebulizing them with an ultrasonic nebulizer.However, as a biologically active protein, alpha interferon cannot be nebulized by an ultrasonic nebulizer—ultrasonic nebulization will lead to the proportion of suspension nebulized release, which may lead to an increase in the temperature of the drug in the container , thereby affecting the stability of proteins or peptides.As for interferon-alpha, such a change in temperature may lead to denaturation and inactivation of interferon-alpha protein.

In order to allow alpha interferon to enter the patient's respiratory tract in the most stable form, doctors can only use compressed air nebulizers or vibrating mesh nebulizers for nebulized administration.

The problem, though, is that neither device produced particularly large volumes.In today's Yunhe City Infectious Disease Hospital, it is even more scarce-almost all patients have to use it, and the amount allocated to each ward is not much.

Although theoretically speaking, the machine can be operated around the clock to meet the needs of use, but this means that many patients have to take turns to use the nebulizer for treatment after midnight.This is hard to accept.

The current preliminary solution is to use interferon intravenous infusion for some patients instead of aerosol inhalation treatment.But Sun Lien knew that this was not a long-term solution.He could only call Zhang Zhifu's office again for help.

Zhang Zhifu is also a little helpless about this situation, "It's not easy to manufacture atomizers now, and I dare not say when I can get enough machines for you-I can only say that I will try my best to coordinate, and there will definitely be things, but there will be more. I can't solve it for you in these two days... I'm not sure about it. Three days at the latest and five days at the latest, I'll definitely arrange everything for you in North Five District."

In addition to the nebulizers, another big problem that needs to be dealt with in the North Fifth District is the relics of those... patients who failed to be rescued.

Most of the patients who came to the North Fifth District to be hospitalized brought a lot of change of clothes and other belongings.Only a handful of patients were brought in with nothing - just a mobile phone all over their bodies.

Because of the need to prevent and control the spread of the virus, after these patients were declared dead after rescue failed, their family members could not come to the hospital to see their relatives for the last time.It can only be transferred to the funeral home by the staff of the funeral home in full armor, and then the remains will be cremated.Also for the purpose of preventing and controlling the spread of the virus, their relics cannot be handed over to their families for the time being.The doctors and nurses of the medical team can only use yellow medical waste bags to seal up all their relics, and then wait for the relevant departments to come to receive the relics, and after these relics are thoroughly disinfected, they will be returned to the family members.

These relics have been piled up in the corridor for a long time, now... it is time to clean up and disinfect, and then notify the family members to come and collect them one by one.

Taking care of these ordinary patients requires manpower, and sorting and disinfecting the relics of patients also requires manpower. Once again, Sun Lien felt that the people on hand were not enough.

Just when Sun Lien was having a headache about the next staffing arrangement, Song Wen suddenly called.

"You make a list." On the other end of the phone, Song Wen's voice sounded beaming, "Twenty people will be selected from your medical team and are going to go back to Ningyuan for rotation."

The first medical team from Song'an Province has been fighting in Yunhe City for more than a month.During this month-long period, the first batch of more than 300 medical staff has treated more than [-] confirmed patients.After such a long period of high-intensity work, almost all the staff members of the medical team had injuries on their faces.Skin ailments like hives and prickly heat are almost a daily occurrence.The long-term high-intensity, high-stress work, and frequent day and night reversals caused problems for the doctors one by one.

Under such circumstances, if these doctors who have been fighting for more than a month continue to work, it will be harmful to their bodies.Among other things, the urinary system diseases caused by not being able to drink water just because of wearing protective clothing and not daring to go to the toilet to hold back urine because of wearing protective clothing are really tormenting people.

Insufficient water intake every day can easily lead to stones in the urinary system after the urine is concentrated.The pain caused by kidney stones has brought down two nurses and a doctor.Fortunately, although stones are painful, they are not life-threatening.

But holding back urine and not going to the toilet... the damage caused by this is more troublesome.

When the bladder fills with urine, the kidneys cannot continue to excrete urine through the ureters.But in order to remove the waste in the blood, the work of the kidneys cannot be stopped for a moment.Work products cannot be excreted down the ureters, and the urine accumulates in the kidneys, resulting in hydronephrosis.

Some hydronephrosis is caused by stones, while some hydronephrosis...is completely caused by holding back urine for a long time.Some patients with hydronephrosis will not show symptoms, while others will show problems such as waist and abdomen pain, nausea and vomiting, and even blood in the urine.

According to Sun Lien's observation, two doctors and one nurse in his group had symptoms of hydronephrosis, among which Zhong Yu was the most serious.

On Zhong Yu's status bar, there was a reminder of blood in the urine.

"Twenty?" Although Sun Li'en felt that among the 100 people under his command, at least seven or eight of them would have to go back to recuperate and see a doctor, but the number of twenty... seems a bit much.

"Yes, twenty." Song Wen said, "For more than 100 people, find twenty of the hardest-working medical staff, and then send them back to Ningyuan. The isolation hotel has been selected, and it will be in the The hot spring hotel you went on vacation last time. Quarantine for [-] days, and take a good recuperation by the way."

According to Song Wen, the candidates this time are all heroes who went back to receive the welcome from Ningyuan's fathers and villagers.These medical staff who have fought their lives in Yunhe and returned to Ningyuan with injuries like military medals are all warriors who came in triumph.

It's just... Sun Li'en personally feels that everyone may not be willing to go back first.You all came together, so of course you have to go together if you want to leave, right?It seems inappropriate to take one-fifth of the doctors from each medical team to go back to the rotation.

"There are seven people on my side who really need to go back and have a good rest." Sun Lien thought for a while and said, "But... if there are more, it may be difficult."

"Try it as much as possible." Song Wen obviously expected such a situation to happen, or in other words, she also had the same "trouble". "This is a good thing. Yunhe's situation is improving, and it is impossible Let you, the first batch and the second batch of medical team members, have been working in Yunhe?"

"There will be a second and third rotation in the future, and it may even be withdrawn in batches after the arrival of follow-up reinforcements." Song Wen said seriously to Sun Lien, "You'd better go through this rotation and create a rotation mechanism that everyone is willing to abide by. come out."

Sun Lien is no longer a rookie who just left school. He rolled his eyes when he heard Song Wen's words and asked, "Dean Song, I'm not good at making mechanisms. Do you have a ready-made plan for me to copy?" one time?"

Song Wen was at a loss for words for a while, and then she quickly changed the subject, "The next batch of medical teams will probably arrive at Yunhe next Tuesday. Remember to summarize your recent nursing and treatment experience in advance and do a good job in training."

Sun Li'en smiled wryly twice, and then agreed to the matter.

(End of this chapter)


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