Text/ Zhao Tianyu Wang Peng
Editor / Wang Xiao
Photo/pixabay
On January 6, 2022, "Xi'an released" news, after a maternal abortion incident in Xi'an High-tech Hospital caused widespread concern in society, causing adverse social impacts. On January 5, the provincial and municipal health commissions organized experts to investigate and determined that the incident was a liability accident.
According to the "Xi'an Release" news, the Xi'an Municipal Health Commission instructed Xi'an High-tech Hospital to take the initiative to communicate with patients, do a good job in postoperative rehabilitation treatment, reassurance and compensation for patients, and instruct the hospital to publicly apologize to the public, actively reflect and sort out the hidden dangers in the work process, and further strengthen hospital management and optimize the treatment process.
Previously, Xi'an High-tech Hospital had told the "Finance and Economics Health" reporter that the hospital was indeed a designated hospital, mainly receiving pregnant women, gastrointestinal bleeding, and heart dissection surgery.
At present, Xi'an High-tech Hospital has dealt with the relevant responsible persons: General Manager Fan Yu will be suspended, and the relevant responsible persons of the outpatient department and medical department will be dismissed.
The Xi'an Municipal Commission for Discipline Inspection gave a warning within the party to Li Qiang, deputy secretary and director of the general party branch of the Xi'an Emergency Center, who did not implement the requirements for emergency work during the epidemic prevention and control period of the province and city, and Gave a warning punishment within the party to Liu Shunzhi, director of the Xi'an Municipal Health Commission, who did not implement the requirements of the province and city for the treatment of special groups during the epidemic prevention and control period.
As of January 4, Xi'an has 3 high-risk areas and 63 medium-risk areas, and more than 42,000 people are being quarantined in the city. Every round of COVID-19 is a big test of local emergency response coordination capabilities.
Pregnant women to be delivered must have a 48-hour nucleic acid test report
There are more and more medium-risk areas in Xi'an's Yanta district, and the father-to-be Chen Xiang (pseudonym) panicked.
Chen Xiang's wife has reached the due date, he called the designated hospital in Yanta District, the hospital said to accept yellow code, red code pregnant women, green code is not recommended to come, because the hospital has no heating and no air conditioning, it is recommended to go to other hospitals.
They are green codes. The hospital to be delivered that Chen Xiang had previously contacted was the Northwest Women and Children's Hospital (hereinafter referred to as "Northwest Women and Children"), but due to the sudden rise of Chen Xiang's street to a medium-risk area, the women and children in the Northwest could not go.
He and his wife asked around, and on the last day of 2021, they were finally admitted to the ward of Xi'an High-tech Hospital, waiting for the birth of the child.
"To go to the hospital, you have to have a 48-hour nucleic acid certificate, so I will do nucleic acid every day to ensure that I have 48 hours of nucleic acid every day." Another pregnant woman in Xi'an told the "Finance and Economics Health" reporter that on the night of December 21, 2021, she began to feel uncomfortable, the contractions were more obvious, and at 12 o'clock in the evening, she went to the hospital, "like we have a community 48-hour certificate, but there is no hospital 48-hour certificate, this type of pregnant woman enters the hospital to be delivered, there will be a special isolation ward, the pregnant woman to wait in the isolation ward, while waiting for delivery, while waiting for the nucleic acid test results."
Regarding the treatment of the sealing and control area and the delivery of pregnant women in the control area, Xi'an City has a plan. On January 1, 2022, Xi'an City issued the Notice on Ensuring Orderly Medical Treatment During the Epidemic Prevention and Control Period, which delineates the corresponding designated hospitals and contact numbers for medical treatment matters such as those in the sealing and control areas, the personnel in the control areas, as well as the centralized isolation personnel and other personnel with yellow health codes.
Xi'an High-tech Hospital is one of the designated hospitals, according to the plan, mainly to receive maternal delivery, gastrointestinal bleeding, aortic dissection and cardiac emergency surgery. It is one of the 6 provincial and municipal designated hospitals in Xi'an, in addition, there are 11 districts with their own district-level designated hospitals.
Xi'an International Medical Center Hospital, also one of the designated hospitals in Xi'an, and Xi'an High-tech Hospital is a listed company international medicine (000516. SZ）。
A nurse in the hospital's obstetrics department who is responsible for connecting pregnant women said, "The obstetric examination can take a negative nucleic acid result within 48 hours and related obstetric examination information." That is to say, it is excluded that it is a sealed control area, there are no positive cases in the community, and you can come to the hospital with nucleic acid for 48 hours; after arriving at the hospital, do the test at the door nucleic acid window, wait for the results to come out to the inpatient place to check in, and then go to the ward.
On January 5, pregnant woman Wang Li went to the International Medical Center Hospital for a maternity examination and saw that the hospital was running normally and many pregnant women were doing examinations. "My husband said that the situation outside is grim, do not let go to the hospital, afraid to come back to become a red code, said that in case it is very troublesome." After coming to the hospital, I realized that we thought too much, the examination or the examination, more than usual people. She told the "Finance and Economics Health" reporter.
Under the conditions of epidemic prevention and control, although strict, the emergency medical treatment of pregnant women in other cities is not without solutions.
"Finance and Economics " reporter learned that at the end of September 2020, a pregnant woman in Beijing also suffered a sudden miscarriage at night, and was admitted to the hospital on the same day, and the hospital also needed nucleic acids, CT, etc. that accompanied the patient and the accompanying family, but when the results did not come out, out of emergency, the patient was admitted to a separate isolation ward for treatment, and then transferred to the ordinary ward for treatment the next day.
AIDS patients use medication to help each other
Many groups need regular medication and hospital support, such as those living with AIDS.
On January 5, Tang Wen of the Shaanxi Love Home, a patient mutual aid organization, had more than a dozen anti-AIDS drugs waiting for him to deliver them one by one. The plan for the day was this: According to the power of attorney previously provided to him by the patients, he went to the Third Hospital of Xi'an City to collect the medicine, plus a few pills that had not been sent out in time the first day, and drove on the road.
Tang Wen first went to a distant place to send - Lintong, a suburban county in Xi'an, there was a patient who was afraid of cutting off the medicine, and looked for medicine everywhere very early. Then, on the way back, Tang Wen passed by which one he passed, and he sent it to which one, basically on the eastern and southern suburbs of Xi'an on this day.
Tang Wen drove a commercial car, ran almost two or three hundred kilometers a day, and delivered less than 15 copies, half of which were patients who had been drugged. These patients are people who cannot go out to find medicines due to the epidemic.
To send medicine to isolated patients, he will send them to the centralized isolation point, perhaps not to see the patient himself, but the medicine must be packaged, packed in a bag that can be sealed, and opaque. In order to protect the privacy of patients, "when sending it, it is said that it is antihypertensive drugs and hypoglycemic drugs, and it is also written that it is written according to the dosage and taken according to the doctor's instructions." Tang Wen said.
There are more than 9,000 AIDS patients in Xi'an, and it is unlikely that the medicine will be delivered one by one.
On the evening of January 4, Tang Wen received a call for help, and a patient in the southern suburbs of Xi'an cried to him that he had been out of medicine for 4 days. He looked through the records and found that a few days ago he had sent another patient in the same village to this patient for 1 month, and the two of them had taken the same medicine, so he gave them the phone and asked him to borrow a week's worth of medicine to temporarily get through the difficulties.
At present, AIDS patients in Xi'an City, if they can go out, go to the Third Hospital of Xi'an City to receive medicine; if they cannot go out, they can send e-mails to the Eighth Hospital of Xi'an City, which is an infectious disease hospital.
In addition, patients who cannot go out can report their needs to the CDC of their district, and the district CDC will contact the Eighth Hospital for delivery, but this channel is not smooth enough, because many of the personnel responsible for AIDS work in the CDC have also been transferred to busy epidemic prevention and control.
In addition, patients can borrow drugs from each other, and with the help of express delivery, etc., they can also help them get through the difficulties temporarily.
AIDS patients are difficult to find medicine and seek medical treatment, so that a person who has participated in the mutual assistance of AIDS patients in Xi'an did not forget to remind on the public platform, "Friends from all over Henan remember to prepare medicines in advance these days", because there is an epidemic in Zhengzhou, and how to develop next is still unknown.
Tang Wen's suggestion is that the mailing channel needs to be opened, with the participation of the courier brother, professional mail can be more convenient, the current delivery of drugs can already use the postal service, Shaanxi Province can basically guarantee the timeliness, still need more courier companies to join; in addition, the staff in charge of AIDS prevention and control in the disease control agencies in various districts, hoping to return to their positions as soon as possible.
Mechanism, how to establish
Since the new crown epidemic for more than two years, every time there is closure and isolation, seeking medical treatment and seeking medicine is often in two ways: either private assistance, or the local epidemic prevention and control command has opened up more medical hospitals and drug purchase channels from the government.
"Finance and Economics " reporter observed that the local media in Shaanxi Province, Huashang Daily, formed a "Huashang Reporter Gang" to help patients coordinate some emergency medication matters, for example, the 17-year-old child's anti-cancer drugs faced the problem of drug discontinuation and could not go out, the agency contacted the Xi'an Taxi Management Office, and the taxi driver helped complete the drug distribution.
In addition, some PEOPLE FROM AIDS patient organizations suggested that during the epidemic period, there is a special platform to solve the drug problems of corresponding patients, or with the help of volunteer networks, or errand platforms, that is, professional teams to solve more effectively.
On the afternoon of January 5, Xi'an Held a Press Conference on Epidemic Prevention and Control: In response to the medical service guarantee issues that the masses are concerned about, in order to prevent cross-infection in the process of medical treatment, special buses are arranged to send special cars "point-to-point" to designated hospitals for medical treatment, and return them in a closed loop. Other personnel holding a 48-hour nucleic acid negative certificate, go to the hospital that is normally open in the city for treatment, and no hospital may affect the patient's visit on the grounds of epidemic prevention and control. For patients with acute and critical illness, hemodialysis, tumor radiotherapy and chemotherapy, and pregnant women, open service telephones, green channels, and provide diagnosis and treatment services.
"It can't be one-size-fits-all, it can't be closed, and it can form a closed-loop management." A Wuhan doctor who helped patients with chronic diseases to seek medical treatment in time during the Epidemic in Wuhan suggested relying on experts to propose a feasible plan. Invite hospital sense experts to participate in the rational formulation of the process. And the DISEASE Control and Health Commission cooperated, and the epidemic prevention and control headquarters listened to opinions.
The above-mentioned Wuhan doctor once said in an interview with Caijing Health that the industry generally believes that if reasonable adjustment is made, it may be possible to solve the problem of chronic disease patients in the epidemic.
In a city of more than 10 million people, there is such a public health emergency, and many doctors and disease control personnel have never experienced it in their lives. This brings a lot of unknowns, they do not know what will happen, can only rely on professional quality and professional ability to predict.
The above-mentioned Wuhan doctors have read the corresponding documents in Xi'an and have stipulated designated hospitals. It shows that the general direction has been put in place, it should be that the details of the problem have not been implemented, and "the opinions of various professionals need to be further listened to." He told Finance and Economics Health.
During the epidemic in Wuhan in 2020, the "Wuhan Public Health Incident (COVID-19) Hemodialysis Clinical Emergency Plan (Trial)" was issued. This is co-authored by more than 60 experts of Wuhan Hemodialysis Quality Control Center. The purpose of the relevant institutions to make this plan is to guide the government decision-making department to consider from a clinical perspective and plan in advance for dialysis patients when a public health event occurs.
This is a good idea to combat public health emergencies. "In short, we want to be able to see a doctor in an orderly manner." The above-mentioned Wuhan doctor said that in the epidemic period, everyone has difficulties, if orderly, these difficulties may be less, in the epidemic can minimize losses, try to protect our patients. "We hope that the impact of the outbreak on patients will be minimized."
【Copyright Notice】The copyright and other intellectual property rights of this work belong to [Finance and Economic Health], Tencent News enjoys the right to disseminate the information network of this work, and any third party shall not reprint it without authorization.