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Chapter 1097 Experienced

Chapter 1097 Experienced
Sister Pan's condition has stabilized again.But this time's stability... is more like stepping on a steel wire in an abyss.Not to mention acting rashly, maybe a gust of wind blows by, and she will fall into the abyss completely and be smashed to pieces.

At this point, doctors have nothing to worry about.The next thing to do is very simple, that is, to start adjusting the plan according to the patient's situation.The cause of Sister Pan's illness is obvious, as long as the new coronavirus in her body is solved.But after solving the virus infection, whether she can go offline smoothly and survive... This can only depend on whether her own desire to survive is strong enough, and whether her body can repair the damage before it completely collapses.

The two directors discussed the details again, and then Li Chengping remembered another serious matter, "Director Sun hasn't arrived yet?"

"I heard from the doctor in his group today that something serious happened to him when he was eating this morning." Lu Zhimin frowned and replied, "When I asked head nurse Hu just now, she also said that she didn't see Director Sun in the morning. .”

"This is weird..." Li Chengping was a little curious. Sun Lien had been in Yunhe for so long, and he had always been known as a "desperate Saburo".As the youngest director, Sun Li'en always regards himself as a front-line doctor.Dedication and hard work have become synonymous with Sun Lien in front of the two directors.And it is a bit strange that such a young doctor suddenly left his post today without any reason.

"Don't you encounter something?" Lu Zhimin was pissed off by Li Chengping's thoughtful expression. He took out his mobile phone and dialed Sun Lien's number, and said while listening to the ringtone, "I'll give Sun Let the director call and ask about it."

The phone rang for a long time before Sun Lien answered the phone, "Hello?"

"Director Sun, where are you?" Lu Zhiming asked very carefully, "I didn't see you this morning. When I discussed the case with Lao Li, I always felt that something was missing."

"Ah, I'm sorry, I'm sorry." Sun Li'en on the other end of the phone finally came back to his senses, and he quickly apologized, "I'm at the high-tech campus of Tongde Medical College...the patient who went to the consultation last time was in a bit of a condition. changes, so I came here early in the morning to take a look."

"Oh, the patient's condition has changed a bit, right?" Lu Zhimin breathed a sigh of relief, "It's fine as long as you're fine." He paused and comforted, "There are still many, many patients waiting for us to rescue, Dr. Sun, you must be sure." Pay attention to your physical condition, don’t become a sick person yourself.”

"Okay, okay." Sun Li'en nodded, and then took this sentence as the senior's deep advice, "I will pay more attention."

After hanging up the phone, Sun Lien scratched his head worriedly.His original plan was to go back to the hotel as soon as possible to change into a pair of pants, and then go straight to the hospital.but now……

Where is this?
After leaving the hospital, Sun Lien tried to call an online taxi through the taxi app on his mobile phone.But... There is no way to realize such an intention - Yunhe is now implementing comprehensive traffic control, and all taxis and online car-hailing vehicles have stopped operating.

Sun Lien didn't know many Yunhe people himself. Except for a few staff members from the Health and Health Commission and his contacts, the Yunhe people he knew were only a few colleagues from the Second Department of Comprehensive Clinic and Chen Tianyang.

With such a distribution of "acquaintances", Sun Lien did not have the conditions to "make a phone call and ask someone to pick him up".So, he successfully started worrying - it is more than ten kilometers away from Yunhe City Infectious Disease Hospital, so he can't go back by bicycle, right?

Sun Li'en was melancholy for a while, and decided to brush a bicycle and walk for a while before talking.He remembered that there was a traffic police comrade's duty gate ahead, and maybe he could seek some help there.

Today's weather in Yunhe is actually very suitable for cycling outings. The temperature is not high but there is sunshine.The sun was shining and very warm.The most important thing is that the windless weather is very suitable for people like Sun Lien who are not used to wearing gloves to ride a bicycle - it does not freeze hands.

Sun Lien now only has two pairs of cold-proof gloves, and these two pairs of gloves were all given by Hu Jia.This time when he came to Yunhe, Sun Lien didn't wear this thing at all.

If it weren't for the great weather today, Sun Li'en might choose to trot all the way to the duty station.

After riding hard for more than ten minutes, Sun Li'en finally arrived at the vehicle inspection point that he passed by before.

The police comrades had seen Sun Lien's figure long ago, but they didn't realize until Sun Lien approached that this was the doctor who just passed by in a truck.

"Comrade policeman, I want to ask you something." Sun Lien asked a little embarrassedly, "I'm going to Yunhe City Infectious Disease Hospital to go to work now, but I can't find a taxi or an online car-hailing..."

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Sitting on the back seat of the fast-moving police motorcycle, Sun Li'en couldn't help but sigh with emotion.What do you mean it is difficult to find the police?Good guy, the speed of this motorcycle is probably already 80?

Fortunately, this police motorcycle also wore a helmet. There were no cars on the road and the police comrade was indeed driving steadily.Otherwise, Sun Li'en might have shouted to get off the car a few minutes ago.

Feelings Bruno usually likes this kind of thing?Use your body to fight the strong wind directly... It's really a sport that Texans like.

The large-displacement motorcycle really runs faster and faster when it accelerates. Sun Lien felt that his somatosensory speed may have exceeded 130 kilometers per hour more than once-this is the highest speed he has ever achieved in his own Volvo. He has no personal experience with faster speeds.After several failed attempts to get used to the speed, Sun Lien simply closed his eyes as if resigned to his fate, and then resisted the discomfort caused by this sense of speed.

After about ten minutes, Sun Lien felt that the speed of the traffic police comrade had slowed down significantly. After a few minutes, he heard the traffic police comrade in front of him say, "Doctor, we have arrived."

Sun Lien turned over from the car with difficulty, and after returning the helmet on his head, Sun Lien bowed to the heroic traffic policeman, "I'm sorry."

Comrade traffic policeman was taken aback for a moment, then saluted Sun Lien.Although the mask covered the opponent's face, Sun Lien couldn't see the smile, but listening to the voice, the traffic police comrade must be smiling. "On behalf of the people of Quanyunhe, I want to thank you, thank you for coming to treat our hometown."

Sun Lien nodded with a smile, then turned and ran towards the infectious disease hospital.

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"I saw it. You came here on a Spring Breeze motorcycle." As soon as he arrived in the green area of ​​the North Fifth District, Sun Lien was wrapped around Brunn's shoulders, and the Texan asked with his eyes shining. ,"how do you feel?"

"Uh...quick." Sun Lien came up with this adjective after thinking for a long time. He looked at Brunn and several other doctors in the green zone and asked, "Are you in the second shift today?"

"Director Lu and Professor Li are both in the red zone, and they have enough manpower there now." Bruen replied, "I asked just now, and they were also taken aback after seeing the news in the morning, so they hurried away. Come here to prepare for a large number of patients to be admitted to the hospital."

Sun Lien secretly rolled his eyes, it seems that it is indeed common to read the news and only read the headlines.Even Professor Li Chengping was recruited.

"How many people are going to be transferred in from our ward today?" Use what you have.There is a director of semi-intensive medicine in the red zone, and whether Sun Lien can get in or not doesn't seem to be very important anymore, "I remember there are seven or eight empty beds in the North Fifth District, right?"

"Director Lu admitted four patients last night, and this morning transferred two to the North Sixth District, and left one. Oh yes, the North Sixth District sent two patients to the centralized isolation point." Bruen can now Proficiency in the use of the four words "receive, transfer, go, and send" in the hospital system, "It means that we have added a new patient, and the total number of patients admitted to the North Sixth District will not increase or decrease."

Receiving and forwarding are easier to understand, but "going" and "sending" must be used strictly.In the hospital system, especially in the inpatient department, "walking" refers to patients who have died of illness.Send it to the hospital.

Sending four patients will make the doctors feel irritated-the discharged patients need to go through the discharge procedures, complete the discharge medical records, bring the doctor's orders and pay the fees, and sending the patients means a lot of paperwork.

But if four patients "passed away" in one day, the doctors might go crazy.Even in the ICU, it is almost unacceptable to lose four patients in one day.Inform the family members of the situation, issue a death certificate, complete relevant documents and reports, call the morgue to have them transfer and temporarily store the patient's remains, and then let the family members complete the payment and discharge operation... Finally, the case, doctor's order, and all inspections must be unified and sealed into the case After completing the discussion of death cases in the general department, they will be archived and stored by the Medical Records Department.

Such a complicated and extremely time-consuming and labor-intensive process makes it fundamentally impossible for all doctors to deliberately let patients become seriously ill or even die.For a responsible doctor, allowing the patient's condition to deteriorate is completely inconsistent with his professional ethics, while for a dawdling doctor, allowing the patient's condition to deteriorate is completely asking for trouble for himself.

Sun Li'en thought about it, and felt that the pressure was really not that great today.He took the table and said to Li Chengping, "Director Li, you brought someone here now...how about we switch shifts today?"

Entering the red zone requires the consumption of protective clothing.Although Yunhe now has a nationwide supply, and the Yunhe City Infectious Disease Hospital is the top priority to ensure supply, things like protective clothing are still tight - the North Fifth District now has to use industrial protection from time to time take it.

Therefore, things like protective clothing can be saved. As long as you wear protective clothing and enter the red zone, the doctors will insist on at least four hours before leaving the cabin unless there are special circumstances.In the actual medical process, doctors will basically consider the problems five or six hours after entering the cabin.

"Okay." Professor Li Chengping agreed to Sun Lien's request very happily, "Anyway, there is no pressure to admit a large number of patients now, and we can cover this small scene." He paused and said, "Director Sun, you first Take the doctors in your group back, take the opportunity to rest quickly, tonight is another night shift."

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After dismissing Sun Lien, Li Chengping communicated with Lu Zhimin again, and then sent away this colleague who had been on duty in the yellow zone for more than ten hours.

The members of the medical team are now very accustomed to clinical work. After completing today's ward rounds in the red zone with hands behind their backs, Li Chengping slightly adjusted the execution of the doctor's orders.Then he went upstairs alone to the North Sixth District.

Qian Hongjun is currently the only third-line doctor in the North Sixth District.In such a ward, although most of them are mild patients, it is obviously not practical to rely on Qian Hongjun alone.Therefore, the directors of the North Fifth District have to go to the North Sixth District to take a look after each house inspection.

Most of the doctors and nurses working in the North Sixth District have no work experience in intensive care medicine. The directors of the North Fifth District came to have a look. The relatively immature medical staff make up lessons.

After they mature, the medical staff of the North Sixth District can also participate in the shift process of the North Five District, which will further reduce the pressure on the first batch of medical team members, won't it?

As the chief director of the Department of Respiratory and Critical Care Medicine, Li Chengping himself can be regarded as half a doctor in the Department of Critical Care Medicine.Years of teaching experience have given him teaching skills that Lu Zhimin and Sun Lien did not have—in a high-pressure environment, let young doctors quickly learn the necessary knowledge, and at the same time let them adapt to the pressure and mature as soon as possible. It takes skill.

After arriving in the North Sixth District, Li Chengping first visited Guan Guxue's family of three.Little Zhao He'an's condition today is considered stable - no obvious improvement has been observed yet, and his blood oxygen saturation is still not enough.However, the progress of Guan Guxue's recovery is quite gratifying. The CT examination of her showed obvious signs of shrinking the infection in her lungs.

"Why does Director Sun advocate speeding up the recovery of puerpera, and suggest that puerpera should start breastfeeding as soon as possible?" Li Chengping came to the ward of Guan Guxue's family of three for rounds. Of course, he couldn't come alone. After seeing the general situation , Professor Li asked other young doctors questions.

"Because early breast milk contains antibodies." This question is not difficult. Although the research progress on breast milk immunity is very limited, the protective effect of breast milk on newborns has become the consensus of the medical community.

"Breast milk contains the most IgA antibodies, that is, immunoglobulin A." Li Chengping nodded and continued, "This kind of immunoglobulin mainly exists in...?"

"Mucosa."

"The symptoms that may be caused by the new coronavirus include diarrhea caused by the virus attacking the intestinal mucosa." Li Chengping was very satisfied with the answers of the young doctors, "So we have always advocated and suggested breastfeeding-but everyone It can’t be bookish, but it needs to be analyzed on a case-by-case basis.”

Having said that, Li Chengping asked again, "Assuming that we have admitted a newly diagnosed woman, and the amniotic fluid sample collected and the child's early PCR test for the new coronavirus nucleic acid are all negative, then we should continue to recommend Are you breastfeeding?"

This question resulted in disagreement.Most doctors agree that continued breastfeeding can be considered - to avoid respiratory transmission of the virus from the mother, consider pumping breast milk and then feeding it.However, a small number of doctors believe that breastfeeding should be avoided altogether and formula feeding should be used instead.

"So, the specific situation needs to be analyzed on a case-by-case basis. Even if there is not enough data, you should first consider the risk that breast milk may contain live viruses." Li Chengping listened to the doctors arguing for a while before coming out with a final word, " Our research on [-]-nCoV is still insufficient, and it is impossible to say that breast milk will not contain live [-]-nCoV. To avoid oral transmission of [-]-nCoV through breast milk, breastfeeding should not be recommended for infants who test negative for PCR. "

 Today is 918, I believe you have a full understanding of this special day.Sanguan doesn't intend to say anything more, I just hope everyone will always remember one sentence - we have no right to forgive our predecessors, so at least don't forget.

  Forgetting the past means betrayal.

  
 
(End of this chapter)

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