NOVEL WEB I can see the status bar
Chapter 1154 The Torment of Sisyphus
Chapter 1154 The Torment of Sisyphus
In the next two days, although the number of new patients in Yunhe fluctuated slightly, the number of new patients every day was still dropping sharply.From 4 new cases on the 131th to 6 new cases on the 74th, the number of new patients in Yunhe dropped to double digits at an unexpected speed.
You know, on February 2 a week ago, Yunhe had 28 new cases, and on February 318 a week ago, the number of new cases was 2.Before March, the number of newly diagnosed patients decreased by about 21% every week, but in March, the number of confirmed patients dropped by nearly 631% in just two days.
This data once again proves that Yunhe's current control measures are indeed effective, and the strong admission system including Fangcang Hospital and Lei Huoshenshan has also provided great help to completely contain the epidemic.
As long as the ability to admit and treat patients increases, as long as the number of sources of transmission outside is reduced, and as long as the movement is stopped and the source of transmission is stopped, the number of patients infected with the virus will decrease.This is the most basic scientific truth, and it is also the simplest method that was first discovered to be effective against infectious diseases.
In two days, a total of 12 people were discharged from the hospital around the fifth floor, and two patients were admitted.There are currently 22 empty beds in the two wards. This change even made Sun Lien feel a little uncomfortable.A few weeks ago, as long as a bed was vacant for more than two hours, he would immediately call Zhang Zhifu—there were too many patients to be admitted, and too many confirmed or highly suspected patients had to wait for treatment at home.
A hospital bed that has been vacant for more than two hours means criminal charges to medical resources, and it also means that a patient who may have been ill for many days cannot be admitted as soon as possible.
To increase the admission rate is to reduce the source of infection and to protect more ordinary Yunhe people who have not been infected.
Driven by this sense of urgency, the doctors who pushed forward step by step and forced themselves to be faster, and then faster, felt very complicated after seeing the vacant hospital beds.Everyone was a little unbelievable, and some worried that there might be a new problem in the turnover, and whether it might be that the virus detection capacity is insufficient, resulting in fewer patients being sent to the hospital.
In short, the first reaction of the members of the medical team who have been working under heavy pressure for more than a month is definitely not to be happy, but to worry about whether they have done something wrong.
The epidemic came too suddenly, and Yunhe's medical system was carrying too many patients in an instant.So many that even the members of the medical team who came to support felt guilty.
Half a month ago, I was so busy that my feet didn't touch the ground, and now I have an empty bed?
This... this is great!
This kind of psychological change has experienced almost one round in every team member, and then there is a large-scale "joy".
Hard-working people need positive feedback the most.The reason why Sisyphus's experience is painful is that every day the stone pushed up the mountain will roll back to the foot of the mountain again.All the toil and toil yielded nothing—a torture of the worst kind.
The doctors and nurses working in the fifth North District were surprised to find that when there were more and more empty beds in the ward, all the previous hard work turned into joy and a sense of accomplishment, and then burst out in everyone's heart.
Even the patients on the ward were encouraged.If it was said that everyone was fighting hard before, then now everyone really has hope.Those patients who were sicker and longer than me have been discharged from the hospital, so what else do I have to worry about?
This is a disease, not fatal!
With such a cognitive change, the patients' enthusiasm for treatment also rose.In addition to taking medicine and receiving treatment on time every day, patients who can go to the field are also actively going to the field.Even patients who are currently unable to get off the ventilator will try their best to sit up for a while, and then move their hands and feet.
The one who has the deepest perception of this change is probably Dr. Du, who is in charge of the psychological conditions of the inpatients in the entire infectious disease hospital.
·
·
·
"Dr. Du, long time no see." Sun Lien was writing his medical history in the office in the red zone when the door to the side office was suddenly pushed open.He looked up and saw the big words "Psychiatrist Du Xinshu" written on the chest of the doctor in the isolation suit, and then he realized that Dr. Du was coming to give psychological evaluation to the inpatients in the ward today.
"Long time no see." Dr. Du nodded towards Sun Li'en, pulled a chair and sat straddling it, and first started to ask, "I saw the seventh edition of the guidelines, and the tocilizumab treatment plan above is Director Sun, your research results, right?"
"It's just picking up people's teeth." Sun Li'en said politely, "Actually, it was an American rheumatology and immunology expert in our hospital who proposed this idea at the beginning. I just took other people's ideas, and then added some other knowledge into it. .”
"That's amazing." Du Xinshu said seriously, "Among the treatment plans for patients with new coronavirus infection, there are a lot of empirical medications, and there are a lot of treatment plans that may be useful but no one can be sure. Only Your plan is indeed effective for patients infected with the new coronavirus."
"It is effective against the inflammatory storm mediated by interleukin-6." Sun Lien corrected the other party's statement, and then asked curiously, "Are you also paying attention to the new diagnosis and treatment plan?"
Dr. Du Xinshu complained very naturally, "So, there is a chain of contempt in the medical system. Surgery doesn't look down on internal medicine, internal medicine doesn't look down on emergency department, and emergency department doesn't look down on our psychology department. If you don't like a physician who has a medical license and can prescribe medicine to patients, it should be because I don't like you!"
A joke that offends both sides creates a sense of intimacy for both the teller and the listener.Sun Lien and Du Xinshu laughed at the same time.
"Of course I care about the diagnosis and treatment plan. Who doesn't care?" Du Xinshu said, "Everyone, even those who don't understand what they are looking at, cares about the diagnosis and treatment plan. Knowing more about the disease means We are a little safer, and our family is a little safer." He blinked and tried to make a "wink expression" to Sun Lien, "My son is also reading the guide recently, and has already forced us to go in and out of the house and the bathroom. It’s time to fully disinfect the feet.”
In the seventh edition, among the treatment and research on patients with pneumonia caused by the novel coronavirus, there are three most striking points.Sun Lien decided to put the tocilizumab he studied in the third place, put the findings of Academician Zhong's team from the National Respiratory Research Institute of Guangdong Province in the first place, and put the general anatomical results in the second place.
Academician Zhong's team discovered a second possible transmission route for the infectious disease.
The novel coronavirus can attack the human digestive tract and cause digestive tract symptoms.This was a possibility discussed by the doctors of the Fourth Hospital before Sun Lien set off for Yunhe.But even after the general dissection, Professor Liu's team still failed to confirm that the new coronavirus would infect the digestive tract.
The damage they observed in the digestive tract may also be caused by the indiscriminate attack of the immune system on the vascular epithelial cells after the virus attacks the pulmonary vascular epithelial cells.
In the seventh edition of the trial plan for the diagnosis and treatment of pneumonia caused by the new coronavirus infection, a line was added to the second item "transmission route" of the second epidemiological characteristics-due to the separation of the new coronavirus in feces and urine Viruses, attention should be paid to the aerosol or contact transmission caused by feces and urine to environmental pollution.
This is a huge discovery.
Just imagine, when people find out that the rabies virus can be transmitted through aerosols, or the Ebola virus can be transmitted through breathing, what a sad news it will be.But the "bad news" discovered also provides people with an extra layer of protection to some extent.
The enemy is not terrible, what is terrible is that you don't know what means the other party has to break through the enemy's defense line.
If Ebola could be breathed in, and if rabies could become airborne, it would of course infect a large number of unprepared ordinary people.But the solution to preventing it from happening is simple -- just wear a mask.
The possibility that the novel coronavirus could spread through feces and urine is even more surprising—but only a surprise.
It is not unbelievable that the new coronavirus may be excreted in feces and urine.The same situation happened once 17 years ago, and the place where it happened was Hong Kong Amoy Garden, which shocked the world.
It is precisely because the backwater bend of the sewer is dry that the sewer pipe containing the virus is directly connected to the room where the other backwater bend is also dry.And every time a resident living in Amoy Gardens presses the flush button of the toilet, these viruses will rush out of the pipe under the action of water pressure, filling every room connected to it.
And this time the discovery proved the previous speculation-the new coronavirus is very similar to the SARS coronavirus, and they show the same characteristics.
Every time he thinks of this, Sun Li'en can't help but think something like "wishful thinking".
Wouldn’t it be nice if the new coronavirus could suddenly stop spreading like SARS coronavirus and MERS coronavirus?
Both the SRAS coronavirus and the MERS coronavirus showed strong transmissibility.But at the same time, their "disadvantages" are also very obvious. People infected with SRAS coronavirus have the ability to transmit only after they have fever, while MERS coronavirus has a significant decline in intergenerational transmission ability.After five generations of transmission, the virus's transmissibility quickly dropped to a level of zero.
If only the new coronavirus could do the same.Sun Li'en smiled wryly. This idea has been floating in his mind since the day when the seventh edition of the trial treatment plan was announced.Everyone is a coronavirus, why doesn't the new coronavirus inherit the glorious tradition of its predecessors?If you die yourself, won't everyone save trouble?
Of course, it's okay to think about this kind of thing.The top priority now is still these severe and critically ill patients who have already been admitted to the hospital.
Dr. Du is very happy, because according to his assessment, the current psychological condition of the patients in the inpatient department is very good.Although I don't know if it's because there is hope for a "cure" or because it has been more than two months since the shock of the news, everyone is no longer as anxious as before.
Regardless of the reason, the mental condition of the patients has generally improved, which is the main reason why Dr. Du is happy.
The reason why Sun Lien was happy was simpler.With empty beds, the work pressure is much less than usual.
He has time to come and make up the patient's case!
·
·
·
After chatting with Dr. Du for a while, Sun Lien sent Dr. Du away with confidence after confirming that most of the patients in the two wards he managed were mentally healthy and only a small number of patients might need regular counseling after recovery.
The next job is very simple - continue to wrestle with the case records.The pressure of treatment work is not so great now, but the related paperwork is indispensable.In the process of treating patients, Sun Lien is used to giving oral doctor's orders first, and then supplementing with written and systematic doctor's orders.
Every second of treatment in the emergency department is a race against Lord Yan. How can there be time for the doctors to sit slowly in front of the computer and prescribe medical orders?
After the rescue, they dragged their tired bodies back to the duty desk. The emergency doctors didn't have time to drink saliva and relax—they had to complete the patient's first visit record and supplement the case record within four hours.
If the first medical record is not completed within four hours, the medical record will be designated as a Class B medical record.And once it is listed as a Class B medical record, wages will be deducted.
If there are two Class B medical records within a month, all bonuses for that month will be suspended, and if there are three occurrences, there will be no bonus for the next month.
It's okay if there is no bonus, and what is even more frightening is the appearance of a Class C medical record.
The identification of Class C medical records is relatively strict, and it is generally defined as Class C only when there are serious errors in medical record records.
Once the Grade C medical records appear, the entire group of doctors will be listed as "unqualified" for the first time, and then continue to review all cases in the next cycle.Once a Class C case is discovered again, all doctors in the entire treatment team will be transferred from their posts and must be trained for at least three months.
For doctors, the severity of a Class C medical record is no less than that of a serious medical accident.
In order to avoid such a situation, the comprehensive diagnosis department has formulated very strict case writing regulations.After all, if something goes wrong, a group of doctors will be completely wiped out, which must not be sloppy.
Xu Yourong is responsible for the initial review and revision of all cases.And Zhou Ce is in charge of the second review.This medical record can only be stored if both audits are passed.
Sun Lien wrote up the medical records, and then handed them over to Xu Yourong for a preliminary review.This kind of workflow has not been carried out for a long time - Sun Lien still feels a little nostalgic for being able to re-enter the "embrace" of work in this way.
It would be better if there is no N95 mask, three layers of gloves, protective clothing and goggles.
Work itself is not something that can make people happy.In order to allow himself to carry on his work better, Sun Lien forcibly endowed this boring work with a meaning—he treated every paperwork as a case discussion.When quickly supplementing the doctor's order, he will try hard to start thinking whether such a doctor's order arrangement is the best, and whether there is room for improvement.
Of course, more often than not, such considerations do not yield much results. After all, under the guidance of the status bar, Sun Lien's doctor's orders basically no longer have much room for simplification.
However... today's situation seems to be different.
Sun Lien frowned while holding Tian Kang's case report.
"If I'm still blind like this next time, I'll slap myself twice!" He jumped up from his seat and ran towards the ward.
(End of this chapter)
In the next two days, although the number of new patients in Yunhe fluctuated slightly, the number of new patients every day was still dropping sharply.From 4 new cases on the 131th to 6 new cases on the 74th, the number of new patients in Yunhe dropped to double digits at an unexpected speed.
You know, on February 2 a week ago, Yunhe had 28 new cases, and on February 318 a week ago, the number of new cases was 2.Before March, the number of newly diagnosed patients decreased by about 21% every week, but in March, the number of confirmed patients dropped by nearly 631% in just two days.
This data once again proves that Yunhe's current control measures are indeed effective, and the strong admission system including Fangcang Hospital and Lei Huoshenshan has also provided great help to completely contain the epidemic.
As long as the ability to admit and treat patients increases, as long as the number of sources of transmission outside is reduced, and as long as the movement is stopped and the source of transmission is stopped, the number of patients infected with the virus will decrease.This is the most basic scientific truth, and it is also the simplest method that was first discovered to be effective against infectious diseases.
In two days, a total of 12 people were discharged from the hospital around the fifth floor, and two patients were admitted.There are currently 22 empty beds in the two wards. This change even made Sun Lien feel a little uncomfortable.A few weeks ago, as long as a bed was vacant for more than two hours, he would immediately call Zhang Zhifu—there were too many patients to be admitted, and too many confirmed or highly suspected patients had to wait for treatment at home.
A hospital bed that has been vacant for more than two hours means criminal charges to medical resources, and it also means that a patient who may have been ill for many days cannot be admitted as soon as possible.
To increase the admission rate is to reduce the source of infection and to protect more ordinary Yunhe people who have not been infected.
Driven by this sense of urgency, the doctors who pushed forward step by step and forced themselves to be faster, and then faster, felt very complicated after seeing the vacant hospital beds.Everyone was a little unbelievable, and some worried that there might be a new problem in the turnover, and whether it might be that the virus detection capacity is insufficient, resulting in fewer patients being sent to the hospital.
In short, the first reaction of the members of the medical team who have been working under heavy pressure for more than a month is definitely not to be happy, but to worry about whether they have done something wrong.
The epidemic came too suddenly, and Yunhe's medical system was carrying too many patients in an instant.So many that even the members of the medical team who came to support felt guilty.
Half a month ago, I was so busy that my feet didn't touch the ground, and now I have an empty bed?
This... this is great!
This kind of psychological change has experienced almost one round in every team member, and then there is a large-scale "joy".
Hard-working people need positive feedback the most.The reason why Sisyphus's experience is painful is that every day the stone pushed up the mountain will roll back to the foot of the mountain again.All the toil and toil yielded nothing—a torture of the worst kind.
The doctors and nurses working in the fifth North District were surprised to find that when there were more and more empty beds in the ward, all the previous hard work turned into joy and a sense of accomplishment, and then burst out in everyone's heart.
Even the patients on the ward were encouraged.If it was said that everyone was fighting hard before, then now everyone really has hope.Those patients who were sicker and longer than me have been discharged from the hospital, so what else do I have to worry about?
This is a disease, not fatal!
With such a cognitive change, the patients' enthusiasm for treatment also rose.In addition to taking medicine and receiving treatment on time every day, patients who can go to the field are also actively going to the field.Even patients who are currently unable to get off the ventilator will try their best to sit up for a while, and then move their hands and feet.
The one who has the deepest perception of this change is probably Dr. Du, who is in charge of the psychological conditions of the inpatients in the entire infectious disease hospital.
·
·
·
"Dr. Du, long time no see." Sun Lien was writing his medical history in the office in the red zone when the door to the side office was suddenly pushed open.He looked up and saw the big words "Psychiatrist Du Xinshu" written on the chest of the doctor in the isolation suit, and then he realized that Dr. Du was coming to give psychological evaluation to the inpatients in the ward today.
"Long time no see." Dr. Du nodded towards Sun Li'en, pulled a chair and sat straddling it, and first started to ask, "I saw the seventh edition of the guidelines, and the tocilizumab treatment plan above is Director Sun, your research results, right?"
"It's just picking up people's teeth." Sun Li'en said politely, "Actually, it was an American rheumatology and immunology expert in our hospital who proposed this idea at the beginning. I just took other people's ideas, and then added some other knowledge into it. .”
"That's amazing." Du Xinshu said seriously, "Among the treatment plans for patients with new coronavirus infection, there are a lot of empirical medications, and there are a lot of treatment plans that may be useful but no one can be sure. Only Your plan is indeed effective for patients infected with the new coronavirus."
"It is effective against the inflammatory storm mediated by interleukin-6." Sun Lien corrected the other party's statement, and then asked curiously, "Are you also paying attention to the new diagnosis and treatment plan?"
Dr. Du Xinshu complained very naturally, "So, there is a chain of contempt in the medical system. Surgery doesn't look down on internal medicine, internal medicine doesn't look down on emergency department, and emergency department doesn't look down on our psychology department. If you don't like a physician who has a medical license and can prescribe medicine to patients, it should be because I don't like you!"
A joke that offends both sides creates a sense of intimacy for both the teller and the listener.Sun Lien and Du Xinshu laughed at the same time.
"Of course I care about the diagnosis and treatment plan. Who doesn't care?" Du Xinshu said, "Everyone, even those who don't understand what they are looking at, cares about the diagnosis and treatment plan. Knowing more about the disease means We are a little safer, and our family is a little safer." He blinked and tried to make a "wink expression" to Sun Lien, "My son is also reading the guide recently, and has already forced us to go in and out of the house and the bathroom. It’s time to fully disinfect the feet.”
In the seventh edition, among the treatment and research on patients with pneumonia caused by the novel coronavirus, there are three most striking points.Sun Lien decided to put the tocilizumab he studied in the third place, put the findings of Academician Zhong's team from the National Respiratory Research Institute of Guangdong Province in the first place, and put the general anatomical results in the second place.
Academician Zhong's team discovered a second possible transmission route for the infectious disease.
The novel coronavirus can attack the human digestive tract and cause digestive tract symptoms.This was a possibility discussed by the doctors of the Fourth Hospital before Sun Lien set off for Yunhe.But even after the general dissection, Professor Liu's team still failed to confirm that the new coronavirus would infect the digestive tract.
The damage they observed in the digestive tract may also be caused by the indiscriminate attack of the immune system on the vascular epithelial cells after the virus attacks the pulmonary vascular epithelial cells.
In the seventh edition of the trial plan for the diagnosis and treatment of pneumonia caused by the new coronavirus infection, a line was added to the second item "transmission route" of the second epidemiological characteristics-due to the separation of the new coronavirus in feces and urine Viruses, attention should be paid to the aerosol or contact transmission caused by feces and urine to environmental pollution.
This is a huge discovery.
Just imagine, when people find out that the rabies virus can be transmitted through aerosols, or the Ebola virus can be transmitted through breathing, what a sad news it will be.But the "bad news" discovered also provides people with an extra layer of protection to some extent.
The enemy is not terrible, what is terrible is that you don't know what means the other party has to break through the enemy's defense line.
If Ebola could be breathed in, and if rabies could become airborne, it would of course infect a large number of unprepared ordinary people.But the solution to preventing it from happening is simple -- just wear a mask.
The possibility that the novel coronavirus could spread through feces and urine is even more surprising—but only a surprise.
It is not unbelievable that the new coronavirus may be excreted in feces and urine.The same situation happened once 17 years ago, and the place where it happened was Hong Kong Amoy Garden, which shocked the world.
It is precisely because the backwater bend of the sewer is dry that the sewer pipe containing the virus is directly connected to the room where the other backwater bend is also dry.And every time a resident living in Amoy Gardens presses the flush button of the toilet, these viruses will rush out of the pipe under the action of water pressure, filling every room connected to it.
And this time the discovery proved the previous speculation-the new coronavirus is very similar to the SARS coronavirus, and they show the same characteristics.
Every time he thinks of this, Sun Li'en can't help but think something like "wishful thinking".
Wouldn’t it be nice if the new coronavirus could suddenly stop spreading like SARS coronavirus and MERS coronavirus?
Both the SRAS coronavirus and the MERS coronavirus showed strong transmissibility.But at the same time, their "disadvantages" are also very obvious. People infected with SRAS coronavirus have the ability to transmit only after they have fever, while MERS coronavirus has a significant decline in intergenerational transmission ability.After five generations of transmission, the virus's transmissibility quickly dropped to a level of zero.
If only the new coronavirus could do the same.Sun Li'en smiled wryly. This idea has been floating in his mind since the day when the seventh edition of the trial treatment plan was announced.Everyone is a coronavirus, why doesn't the new coronavirus inherit the glorious tradition of its predecessors?If you die yourself, won't everyone save trouble?
Of course, it's okay to think about this kind of thing.The top priority now is still these severe and critically ill patients who have already been admitted to the hospital.
Dr. Du is very happy, because according to his assessment, the current psychological condition of the patients in the inpatient department is very good.Although I don't know if it's because there is hope for a "cure" or because it has been more than two months since the shock of the news, everyone is no longer as anxious as before.
Regardless of the reason, the mental condition of the patients has generally improved, which is the main reason why Dr. Du is happy.
The reason why Sun Lien was happy was simpler.With empty beds, the work pressure is much less than usual.
He has time to come and make up the patient's case!
·
·
·
After chatting with Dr. Du for a while, Sun Lien sent Dr. Du away with confidence after confirming that most of the patients in the two wards he managed were mentally healthy and only a small number of patients might need regular counseling after recovery.
The next job is very simple - continue to wrestle with the case records.The pressure of treatment work is not so great now, but the related paperwork is indispensable.In the process of treating patients, Sun Lien is used to giving oral doctor's orders first, and then supplementing with written and systematic doctor's orders.
Every second of treatment in the emergency department is a race against Lord Yan. How can there be time for the doctors to sit slowly in front of the computer and prescribe medical orders?
After the rescue, they dragged their tired bodies back to the duty desk. The emergency doctors didn't have time to drink saliva and relax—they had to complete the patient's first visit record and supplement the case record within four hours.
If the first medical record is not completed within four hours, the medical record will be designated as a Class B medical record.And once it is listed as a Class B medical record, wages will be deducted.
If there are two Class B medical records within a month, all bonuses for that month will be suspended, and if there are three occurrences, there will be no bonus for the next month.
It's okay if there is no bonus, and what is even more frightening is the appearance of a Class C medical record.
The identification of Class C medical records is relatively strict, and it is generally defined as Class C only when there are serious errors in medical record records.
Once the Grade C medical records appear, the entire group of doctors will be listed as "unqualified" for the first time, and then continue to review all cases in the next cycle.Once a Class C case is discovered again, all doctors in the entire treatment team will be transferred from their posts and must be trained for at least three months.
For doctors, the severity of a Class C medical record is no less than that of a serious medical accident.
In order to avoid such a situation, the comprehensive diagnosis department has formulated very strict case writing regulations.After all, if something goes wrong, a group of doctors will be completely wiped out, which must not be sloppy.
Xu Yourong is responsible for the initial review and revision of all cases.And Zhou Ce is in charge of the second review.This medical record can only be stored if both audits are passed.
Sun Lien wrote up the medical records, and then handed them over to Xu Yourong for a preliminary review.This kind of workflow has not been carried out for a long time - Sun Lien still feels a little nostalgic for being able to re-enter the "embrace" of work in this way.
It would be better if there is no N95 mask, three layers of gloves, protective clothing and goggles.
Work itself is not something that can make people happy.In order to allow himself to carry on his work better, Sun Lien forcibly endowed this boring work with a meaning—he treated every paperwork as a case discussion.When quickly supplementing the doctor's order, he will try hard to start thinking whether such a doctor's order arrangement is the best, and whether there is room for improvement.
Of course, more often than not, such considerations do not yield much results. After all, under the guidance of the status bar, Sun Lien's doctor's orders basically no longer have much room for simplification.
However... today's situation seems to be different.
Sun Lien frowned while holding Tian Kang's case report.
"If I'm still blind like this next time, I'll slap myself twice!" He jumped up from his seat and ran towards the ward.
(End of this chapter)
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