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Chapter 1160 Exchange Meeting
Chapter 1160 Exchange Meeting
"The issue we are most concerned about now is whether such a treatment plan will lead to aggravation of COVID-19 infection." After about 10 minutes, Italian experts appeared on the screen.The other party asked Sun Lien very straightforwardly, "Many of our patients have poor lung function, which may be caused by the deepening of the virus infection."
Sun Lien asked with some confusion, "The patient's lung function is poor? What are the main symptoms? Stubborn hypoxemia?"
"Si! Si!" The Italian expert nodded vigorously, "And there are still many patients whose hearts stopped beating immediately after intubation."
"According to our current experience and research, refractory hypoxemia is due to the large amount of mucus and phlegm clots in the alveoli of the patients on the one hand, and the tiny thrombus and transparent thrombus in the capillaries of their lungs on the other hand. "Sun Lien said after a moment of deliberation, "The countermeasures for intractable hypoxemia mainly include frequent bronchoscopy flushing and the use of phlegm-reducing drugs including ambroxol."
"Frequent bronchoscopic flushing?" The Italian expert asked with an uneasy expression, "How often is it necessary?"
"Stubbornly... my operation habit is almost twice a day." Sun Lien replied, "If it can be increased to three times a day, the effect may be better."
"It's impossible." The Italian expert immediately began to shake his head. "We don't have enough specialist doctors. It would be good if we could wash the mirror once every two days."
Sun Lien didn't expect such a thing to happen. He was stunned and said, "Then it can only be treated as a preventive treatment, and the threshold will be moved forward... All patients will have a CT scan after admission. Blood oxygen monitoring. As long as the blood oxygen saturation is lower than 90%, intubation and mechanical ventilation must be started as soon as possible.”
The Italian expert's eyes widened, "Are you crazy? 90% blood oxygen saturation, this is not an indication for intubation at all! It is impossible for our equipment to support blood oxygen saturation monitoring for all admitted patients... … CT can’t treat so many patients!”
"We already have a lot of relevant research reports. If you have time, you can take a look." Sun Lien pushed back, "People infected with the new coronavirus have a characteristic that carbon dioxide is not easily produced in their bodies. Retention. A significant proportion of patients develop silent hypoxemia -- when their bodies become symptomatic due to lack of oxygen, most of these patients' oxygen saturation is already below 80%. When you intubate It blocks the patient's breathing, and as a result, the heart stops as soon as the tube is intubated."
These experiences are the experiences step by step of the previous medical team to aid cranes.Below each experience is a lesson learned in exchange for at least one life.Sun Li'en spoke seriously, but seeing the Italian expert's constant shaking of his head, he suddenly became angry.
"I've never heard of silent hypoxemia. This diagnosis is problematic—lung lesions will inevitably lead to reduced ventilation capacity. How can it be possible to only have hypoxemia but no carbon dioxide retention?" Italian experts said Looks skeptical about Sun Lien and the experience he mentioned.He made an emphatic point with a typical Italian gesture, "Your diagnosis is wrong, this symptom cannot exist-more likely because of your diagnosis."
Sun Lien threw the pen in his hand on the table, "Then why did you ask me to come to the meeting? Show me how ignorant and confident you are? Why don't you just declare that Covid-19 does not exist, and the epidemic will lift the world It's all safe!"
The meeting was hosted by the Red Cross Society of China and the Italian Red Cross Society.And the staff member of the Red Cross Society in China also directly protested to the Italian side, "We invited Dr. Sun to the meeting to help Italy fight the epidemic and save lives. This is not an attitude of communication at all! "
The staff of the Italian Red Cross were also a little unresponsive. They probably didn't expect this expert to be...so brainless.Soon, the video interface of the staff of the Italian Red Cross began to show faces, and they seemed to be identifying something.
Sun Li'en didn't listen to what the Red Cross staff on his side were saying at all. He knocked on the table to remind everyone to pay attention, and then continued what he said just now, "I don't know what kind of expert you are—just From my personal point of view, you may be more suitable to engage in econometrics. Your brain can only deal with one variable, and things that exceed one variable will directly cause your brain to freeze. According to your understanding, Italians have no brains, right? They still insist on running and exercising after fever, cough and diarrhea, and walk to work normally every day? Patients lying in hospital beds still keep exercising and maintain high oxygen demand?"
Sun Li'en was very angry, because he had already scolded the New England editor once for such a nonsense.Unexpectedly, this time, at a meeting of this level, I would meet this kind of medical "expert" who is simply mentally ill.
Things that I haven't heard of can't exist, so if you haven't heard of Covid-19, this virus doesn't exist at all?
Sun Lien wanted to continue cursing, but suddenly heard the voice of a simultaneous interpreter coming from the earphones. The translator's sister's words were full of shock, but she still performed her duty first and said, "This person is not invited by us. experts."
The video signal of the "expert" was suddenly interrupted, and all the people participating in the video conference were stunned.The staff of the Red Cross Society of China were the first to react, "Then who is this person? How did he get into the conference channel?"
"We are still confirming the identity of this person." The staff of the Italian Red Cross said, "Professor Giuseppe just called us, and he said that he could not log in with his account."
Everyone looked at each other in blank dismay, even the well-informed Song Wen had never seen such a scene, and everyone felt a little embarrassed.
"How about this." The staff of the Italian Red Cross asked after a few seconds, "Professor Enrico, an expert in intensive care medicine at Niguarda Hospital, is online, can I ask him to communicate with Dr. Sun first?" ? We will reconfirm the situation with Professor Giuseppe as soon as possible."
Sun Lien rolled his eyes, "As long as this Professor Enrico is normal, has basic scientific knowledge and accomplishment, and is willing to communicate."
Ten minutes later, a masked man appeared on the videoconference.He looked at the screen nervously, and then spoke quickly.
Simultaneous interpretation also began to work quickly, "I am the head of the intensive care department of Niguarda Hospital. At present, we have vacated an entire building for the treatment of patients with pneumonia infected by the new coronavirus. But we are now facing There are many questions that need to be answered urgently.”
This sounds much more normal at first.Sun Li'en nodded, reached out to grab back the pen that was thrown out, and started to take notes in his notebook.The other party asked a lot of questions, and I had to record the content before I could answer them one by one.
"We now lack negative pressure wards, and there are too many patients admitted. How should we deal with this situation? Many patients have inflammatory storms. Do Chinese doctors have any good treatment plans for inflammatory storms? How to control the source of infection in the hospital? How do you ensure that medical staff avoid infection in the absence of corresponding supplies?" This Professor Enrico seems to have a lot of questions to ask, and he asks questions almost non-stop, "This fight against the epidemic Where is the key point? Should we focus on admitting patients, or do our best to prevent the spread of the epidemic? What protective equipment do you use? Are there any EU products that meet the corresponding standards? We have observed that many patients have very low blood oxygen saturation. low, but did not show symptoms such as shortness of breath, has there been a similar situation in Yunhe? Has the virus mutated in Italy?"
Sun Li'en felt a little more at ease while he was writing furiously - this is the question that people who really have problems to solve will ask!
(End of this chapter)
"The issue we are most concerned about now is whether such a treatment plan will lead to aggravation of COVID-19 infection." After about 10 minutes, Italian experts appeared on the screen.The other party asked Sun Lien very straightforwardly, "Many of our patients have poor lung function, which may be caused by the deepening of the virus infection."
Sun Lien asked with some confusion, "The patient's lung function is poor? What are the main symptoms? Stubborn hypoxemia?"
"Si! Si!" The Italian expert nodded vigorously, "And there are still many patients whose hearts stopped beating immediately after intubation."
"According to our current experience and research, refractory hypoxemia is due to the large amount of mucus and phlegm clots in the alveoli of the patients on the one hand, and the tiny thrombus and transparent thrombus in the capillaries of their lungs on the other hand. "Sun Lien said after a moment of deliberation, "The countermeasures for intractable hypoxemia mainly include frequent bronchoscopy flushing and the use of phlegm-reducing drugs including ambroxol."
"Frequent bronchoscopic flushing?" The Italian expert asked with an uneasy expression, "How often is it necessary?"
"Stubbornly... my operation habit is almost twice a day." Sun Lien replied, "If it can be increased to three times a day, the effect may be better."
"It's impossible." The Italian expert immediately began to shake his head. "We don't have enough specialist doctors. It would be good if we could wash the mirror once every two days."
Sun Lien didn't expect such a thing to happen. He was stunned and said, "Then it can only be treated as a preventive treatment, and the threshold will be moved forward... All patients will have a CT scan after admission. Blood oxygen monitoring. As long as the blood oxygen saturation is lower than 90%, intubation and mechanical ventilation must be started as soon as possible.”
The Italian expert's eyes widened, "Are you crazy? 90% blood oxygen saturation, this is not an indication for intubation at all! It is impossible for our equipment to support blood oxygen saturation monitoring for all admitted patients... … CT can’t treat so many patients!”
"We already have a lot of relevant research reports. If you have time, you can take a look." Sun Lien pushed back, "People infected with the new coronavirus have a characteristic that carbon dioxide is not easily produced in their bodies. Retention. A significant proportion of patients develop silent hypoxemia -- when their bodies become symptomatic due to lack of oxygen, most of these patients' oxygen saturation is already below 80%. When you intubate It blocks the patient's breathing, and as a result, the heart stops as soon as the tube is intubated."
These experiences are the experiences step by step of the previous medical team to aid cranes.Below each experience is a lesson learned in exchange for at least one life.Sun Li'en spoke seriously, but seeing the Italian expert's constant shaking of his head, he suddenly became angry.
"I've never heard of silent hypoxemia. This diagnosis is problematic—lung lesions will inevitably lead to reduced ventilation capacity. How can it be possible to only have hypoxemia but no carbon dioxide retention?" Italian experts said Looks skeptical about Sun Lien and the experience he mentioned.He made an emphatic point with a typical Italian gesture, "Your diagnosis is wrong, this symptom cannot exist-more likely because of your diagnosis."
Sun Lien threw the pen in his hand on the table, "Then why did you ask me to come to the meeting? Show me how ignorant and confident you are? Why don't you just declare that Covid-19 does not exist, and the epidemic will lift the world It's all safe!"
The meeting was hosted by the Red Cross Society of China and the Italian Red Cross Society.And the staff member of the Red Cross Society in China also directly protested to the Italian side, "We invited Dr. Sun to the meeting to help Italy fight the epidemic and save lives. This is not an attitude of communication at all! "
The staff of the Italian Red Cross were also a little unresponsive. They probably didn't expect this expert to be...so brainless.Soon, the video interface of the staff of the Italian Red Cross began to show faces, and they seemed to be identifying something.
Sun Li'en didn't listen to what the Red Cross staff on his side were saying at all. He knocked on the table to remind everyone to pay attention, and then continued what he said just now, "I don't know what kind of expert you are—just From my personal point of view, you may be more suitable to engage in econometrics. Your brain can only deal with one variable, and things that exceed one variable will directly cause your brain to freeze. According to your understanding, Italians have no brains, right? They still insist on running and exercising after fever, cough and diarrhea, and walk to work normally every day? Patients lying in hospital beds still keep exercising and maintain high oxygen demand?"
Sun Li'en was very angry, because he had already scolded the New England editor once for such a nonsense.Unexpectedly, this time, at a meeting of this level, I would meet this kind of medical "expert" who is simply mentally ill.
Things that I haven't heard of can't exist, so if you haven't heard of Covid-19, this virus doesn't exist at all?
Sun Lien wanted to continue cursing, but suddenly heard the voice of a simultaneous interpreter coming from the earphones. The translator's sister's words were full of shock, but she still performed her duty first and said, "This person is not invited by us. experts."
The video signal of the "expert" was suddenly interrupted, and all the people participating in the video conference were stunned.The staff of the Red Cross Society of China were the first to react, "Then who is this person? How did he get into the conference channel?"
"We are still confirming the identity of this person." The staff of the Italian Red Cross said, "Professor Giuseppe just called us, and he said that he could not log in with his account."
Everyone looked at each other in blank dismay, even the well-informed Song Wen had never seen such a scene, and everyone felt a little embarrassed.
"How about this." The staff of the Italian Red Cross asked after a few seconds, "Professor Enrico, an expert in intensive care medicine at Niguarda Hospital, is online, can I ask him to communicate with Dr. Sun first?" ? We will reconfirm the situation with Professor Giuseppe as soon as possible."
Sun Lien rolled his eyes, "As long as this Professor Enrico is normal, has basic scientific knowledge and accomplishment, and is willing to communicate."
Ten minutes later, a masked man appeared on the videoconference.He looked at the screen nervously, and then spoke quickly.
Simultaneous interpretation also began to work quickly, "I am the head of the intensive care department of Niguarda Hospital. At present, we have vacated an entire building for the treatment of patients with pneumonia infected by the new coronavirus. But we are now facing There are many questions that need to be answered urgently.”
This sounds much more normal at first.Sun Li'en nodded, reached out to grab back the pen that was thrown out, and started to take notes in his notebook.The other party asked a lot of questions, and I had to record the content before I could answer them one by one.
"We now lack negative pressure wards, and there are too many patients admitted. How should we deal with this situation? Many patients have inflammatory storms. Do Chinese doctors have any good treatment plans for inflammatory storms? How to control the source of infection in the hospital? How do you ensure that medical staff avoid infection in the absence of corresponding supplies?" This Professor Enrico seems to have a lot of questions to ask, and he asks questions almost non-stop, "This fight against the epidemic Where is the key point? Should we focus on admitting patients, or do our best to prevent the spread of the epidemic? What protective equipment do you use? Are there any EU products that meet the corresponding standards? We have observed that many patients have very low blood oxygen saturation. low, but did not show symptoms such as shortness of breath, has there been a similar situation in Yunhe? Has the virus mutated in Italy?"
Sun Li'en felt a little more at ease while he was writing furiously - this is the question that people who really have problems to solve will ask!
(End of this chapter)
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