Liu Zhiming led the team to participate in the medical security work of the first Wuhan Marathon. (Sixth from the left is Liu Zhiming) Photo courtesy of the interviewee of this article
Liu Zhiming left forever.
His wife, Cai Liping, remembers a message sent to her by her husband lying in the intensive care unit of Wuchang Hospital on the night of February 3.
It was the 10th day that Liu Zhiming was sent to the intensive care unit, a muscular middle-aged man over fifty meters tall, who was already too weak to speak.
"Last night tossed a night, how to engage in oxygen can not come, I thought I was going to die, lack of oxygen, irritability, sweating all over the body." I got my ventilator this morning and it was much better. ”
When her husband sent this message, Cai Liping was busy in the critical care ward of the Optics Valley Branch of Wuhan Third Hospital, because she was the head nurse of this ward.
At noon the next day, Cai Liping ended her 7 consecutive hours of work and hurriedly pulled out her mobile phone to check whether her husband had replied to the message. Before entering the ward, she dialed four video calls in a row that were not answered.
"I'll accompany you." The video finally came on.
At the end of the screen, Liu Zhiming shook his head.
Liu Ruen, director of the Department of Neurosurgery at Peking University People's Hospital, and Liu Zhiming are close friends who have known each other for 20 years.
At 9:30 p.m. on February 17, when he learned the news that Liu Zhiming's life was in danger, Liu Ruen hurried to call him, but no one answered.
Since the outbreak of the epidemic, the two have made a phone call on the second day of the Chinese New Year, in which Liu Zhiming's voice is hoarse, and he confides to his friends about the shortage of beds in the hospital, feeling difficult.
Without saying a few words, Liu Ruen, who was also busy on the front line, hurriedly hung up the phone. He did not know that Liu Zhiming had been diagnosed with new crown pneumonia at that time, was admitted to the intensive care unit, and had a low-grade fever for a week before he fell ill.
On February 18, after 17 hours of treatment with ECMO, Liu Zhiming left.
A "goodbye" on the phone became a farewell.
The second right is Liu Zhiming, the front middle is Wang Lunchang, the front left tu Hanjun, and the second left Roger
Last minute
Time back to 4 p.m. on January 21, due to the impact of the epidemic, Wuchang Hospital was requisitioned as the first batch of designated hospitals in Wuhan to receive fever patients.
Huang Guofu, vice president of Wuchang Hospital, said that after receiving the order, the time left for them to carry out fever diagnosis transformation was only two hours, and the mobilization meeting of functional departments was held at 4:30, and at 5:00, all the clinical first-level directors were convened to discuss.
Hong Yi, secretary of the Discipline Inspection Committee of Wuchang Hospital, told the surging news (www.thepaper.cn) that there were still 499 inpatients in the hospital at that time, and they needed to complete the transfer within three days, because the hospital needed temporary transformation, and the hospital leaders, including Liu Zhiming, were on standby 24 hours a day, meeting overnight, and discussing the deployment of personnel.
Liu Zhiming's wife, Cai Liping, 47, is the head nurse of the intensive care ward of the Optics Valley Branch of Wuhan Third Hospital. At that time, she was a little uneasy, as early as January 20, her husband began to have a slight fever and was weak. But at the time, she did not realize that the reaction that appeared on her husband was the symptom of new crown pneumonia.
Hong Yi revealed that in the early stage of "preparation", due to the lack of comprehensive awareness of epidemic prevention and control, Liu Zhiming had entered the ICU with a first-level protective equipment, when there were many suspected new crown pneumonia patients lying inside, infected or from the time, "He is an expert outside God, and the understanding of each patient needs to go deep into the front line."
At about six or seven o'clock in the morning of January 22, Cai Liping received another call from Liu Zhiming, saying that the hospital was very busy, so he would not go home and was about to go to work: "I felt that he was breathing a little short, and I told him that he had some problems breathing and could not be taken lightly. ”
Also on this day, Liu Zhiming also ate with Hong Yi in the unit canteen, and once said that his eyes were a little uncomfortable. Hong Yi thought he was joking, and joked that "you can eat, drink and run, and it's not like getting sick anywhere." ”
On the same day, Liu Zhiming measured his body temperature twice, once at thirty-six degrees eight and once at thirty-seven degrees. In the afternoon, he called and told his wife that he was walking breathlessly, suspected of being infected, and had been treated at Wuchang Hospital. The next day, Liu Zhiming was diagnosed. According to the Hubei Provincial Health Commission, on January 23, there were 70 new confirmed cases in Wuhan, with a total of 495 confirmed cases.
On January 24, on the night of Chinese New Year's Eve, which was supposed to be a reunion, Liu Zhiming was transferred to the intensive care unit (ICU) of Wuchang Hospital due to his aggravation of his condition. At this time, Cai Liping has also returned to her post in advance, and can only understand her husband's condition through video calls.
After being hospitalized, Liu Zhiming initially had high fever and did not recede, accompanied by asthma; respiratory distress receded after the high fever receded; once oxygen saturation was as low as 80, how could not go up. Even so, knowing that his condition had deteriorated, Liu Zhiming still told the attending doctor, "If in case, do not intubate and rescue."
On the afternoon of February 4, after seven hours of work, Cai Liping wore a dark green short-sleeved hand-washing suit and leaned down in a pile of cardboard boxes to count the medical equipment in stock.
Before entering the ward in the morning, she dialed four video calls to her husband Liu Zhiming, who was lying in the intensive care ward of Wuchang Hospital, but none of them were connected.
The night before, Liu Zhiming sent a WeChat message to Cai Liping, saying, "Last night tossed a night, how to engage in oxygen can not come, I thought I was going to die, lack of oxygen, irritability, sweating all over the body." Got a ventilator this morning, much better! ”
After the video call was connected, Cai Liping said to Liu Zhiming: "I will accompany you." At the other end of the screen, Liu Zhiming, who could not speak, shook his head.
According to the Yangtze River Daily, on January 27, the Optics Valley Branch of the Third Hospital of Wuhan officially began to accept patients, and in only one and a half days, all wards were full, and Cai Liping's critical ward was under great pressure.
One is the husband lying in the ICU, the other is the same patient who is suffering from the new crown pneumonia, and on several occasions, she has made up her mind and wanted to put down her work to accompany her, but Liu Zhiming refused.
On February 14, Liu Zhiming began intubation after being transferred from Wuchang Hospital to Tongji Hospital's Sino-French Xincheng Branch.
On the morning of February 17, the hospital gave him ECMO (commonly known as "artificial lung") first aid, and a day later, he finally died due to ineffective rescue.
Wang Lunchang, 80-year-old honorary president of Shiyan Taihe Hospital and former party secretary, also lamented and wrote a poem to bid farewell to Liu Zhiming
Sunshine boy with "embroidery needle"
After learning the news of Liu Zhiming's death, Liu Jiamin, secretary, director and researcher of the Shiyan Emergency Center, grabbed the phone and called the people who had intersected with him one by one.
A melon face, love to smile, a smile teeth exposed, very sunny - Liu Jiamin's memory of Liu Zhiming seems to live forever at the age of 22.
In July 1991, 22-year-old Liu Zhiming graduated from the former Hubei Medical College with a bachelor's degree and was assigned to the outer third ward of the former Yunyang District People's Hospital to engage in neurosurgery clinical work.
At that time, Liu Jiamin was the head of the propaganda section and the secretary of the Youth League Committee of the hospital, and Liu Zhiming, who was still a member of the Communist Youth League, was a league cadre of the department, often participated in youth activities, and was cheerful and enthusiastic.
"The surgeon is energetic, studious, and everyone loves him." Liu Jiamin told The Paper that when Liu Zhiming first entered the industry, he studied under Tu Hanjun, the then dean and now the party secretary of Hubei Medical College.
Writing medical records, rounds, and surgery, Liu Zhiming is meticulous. Extraenceal surgery is a delicate job, known in the industry as "embroidery needle surgery", which requires boldness and care, "he can do it".
In the early 1990s, although Yunyang Hospital was the fourth largest hospital in Hubei Province, there were not many undergraduates in the hospital, and Liu Zhiming, who had just arrived, was naturally "pushed" onto the operating table.
In 1993, Liu Zhiming, who had just taken a scalpel, took over a tricky case: a three-year-old girl fell from a building, fell into a serious brain trauma injury, and was in a coma for more than 60 days.
At that time, the girl's father almost wanted to give up, Liu Zhiming was a bed doctor, responsible for care, he encouraged the child's mother, there was a precedent for successful rescue of similar diseases, alleviating her anxiety.
Liu Jiamin remembers that Liu Zhiming would also accompany the child's mother to sing and massage the unconscious child. Eventually, a miracle happened.
After work, Liu Zhiming likes to follow the teacher to ponder the technology, he once told Liu Jiamin that for the future, he does not have too many ideas, that is, to be a good doctor and do a good job in surgery.
Liu Zhiming's home is in the Shiyan countryside, and like many children from the countryside, he is simple in mind and diligent in his hands and feet. Seeing that his colleagues lived on a high floor, he took the initiative to help carry the liquefied gas canister.
In his weekend leisure time, Liu Zhiming and his young colleagues gathered in the single staff dormitory in Qingsongpo to sing, dance ballroom dances and play basketball. Liu Jiamin is the secretary of the Youth League Committee, organizing hospital colleagues to create their own "cultural festival", one of the links is the fashion show, Liu Zhiming, who is 1 meter 8 tall, wears a suit and walks in, "stunning" the whole field.
"At that time, everyone was still young, the canteen was very cheap, the salary was average, but people were very optimistic, and there was no barrier between them." In the years without cell phones and computers, listening to the live of the unit band was a major pastime for doctors. Liu Zhiming always came early to help the band set up the venue and move the instruments.
In 1995, Liu Zhiming left Shiyan and went to Wuhan to work alone. Before leaving, Liu Jiamin also told him that the opportunity was good, "It's good to work in Wuhan, there is a chance to see you again." However, due to the busy work, most of them met in meetings after that, but Liu Zhiming would still politely ask: "Have you been working well lately?" ”
After the outbreak, Liu Jiamin, who was also on the front line, did not know that Liu Zhiming had been infected. Until the night of February 17, he learned from a friend that Liu Zhiming had an artificial lung, and he had the worst plan in mind.
Healers cannot self-medicate.
This time, Liu Zhiming, who had saved many lives, could not save himself.
"Desperate to do things"
Whether it is in Yunyang Hospital, wuhan third hospital, or Wuchang hospital, Liu Zhiming's hard work is almost unknown to everyone.
Li Wei, a 39-year-old neurosurgeon at Wuhan Third Hospital, was one of the doctors who led Liu Zhiming when he was the former president, and in his view, the progress of neurosurgery in Wuhan Third Hospital was founded and promoted under Liu Zhiming's care.
Li Wei told the surging news that earlier neurosurgery was not an independent department in the Wuhan Third Hospital, and during his tenure, Liu Zhiming took the initiative to contact experts from Peking University People's Hospital to carry out surgical research on trigeminal neuralgia and facial muscle spasm in the hospital.
The expert in Li Wei's mouth is Liu Zhiming's good friend Liu Ruen. While studying for a doctorate in the Department of Neurosurgery at Union Hospital affiliated to Huazhong University of Science and Technology, Liu Ruen met Liu Zhiming, who was also studying in Concordia.
Liu Ruen remembers that Liu Zhiming, who had been working for many years at that time, still insisted on reading books on weekends and learning business, so the two got closer. He found that Liu Zhiming was extremely dedicated, and whether he was on duty or not, he would get up in the middle of the night and follow the teacher to the stage for surgery.
After graduating with a Ph.D., Liu Was assigned to Beijing to specialize in functional neurosurgery, where they used microvascular decompression to treat facial muscle spasm and trigeminal neuralgia. After Liu Zhiming took office, he also wanted to do this therapy in Wuhan.
In order to invite experts from Beijing, Liu Zhiming repeatedly drove Liu Ruen, who was dispatched by the Central Organization Department at that time and was serving as vice president of the Jiangxi Provincial People's Hospital, to Wuhan.
Liu Ruen recalled to the surging news that once on Friday, the meeting in his hospital was open until more than six o'clock in the evening, and Liu Zhiming drove to Nanchang at noon and waited until he was adjourned before picking him up to Wuhan, and it was midnight when he arrived.
Another Sunday, Liu Ruen was going to rush from Wuhan to Yichun for a meeting, and Liu Zhiming arranged five surgeries on the morning of departure, insisting that after the operation, he personally drove Liu Ruen to Yichun.
Why not consider rescheduling surgery? Liu Ruen said that Liu Zhiming told him that because patients could not be reimbursed after leaving Wuhan, he wanted them to do surgery at the door of their home and was willing to sacrifice his time.
In Liu Ruen's view, Liu Zhiming sacrificed too much of his time to solve the problem that Locals in Wuhan can enjoy high-level medical services locally. Liu Zhiming often talks to his friends, in Wuhan, the neurosurgery departments of Union Hospital, Tongji Hospital, Zhongnan Hospital and People's Hospital are very powerful, and it is not easy for the three hospitals in Wuhan to develop.
Pick-up, delivery, morning and evening shifts, Liu Zhiming never seems to be tired. "In fact, the doctor worked three shifts, and it was not easy to get up early, but every time I came down to eat, he waited in the hall early, and for many years he was like this." Liu Ruen said.
The efforts eventually paid off, and the surgical research on trigeminal neuralgia and facial muscle spasm in Wuhan Three Hospitals was a great success, and has since become one of the distinctive businesses in Hubei Province. At the same time, neurosurgery was classified as an independent department in the Wuhan Third Hospital, with Liu Zhiming as the director of the department.
After the establishment of the Neurosurgery Department, Liu Zhiming also actively promoted the department to participate in the review of wuhan municipal key disciplines, during which he personally worked, actively prepared materials on the basis of improving business, and helped neurosurgery pass the review of municipal key disciplines.
Wu Wei, a doctor who also worked in the Wuhan Third Hospital, often went to the Neurosurgery Department to exchange work experience with Liu Zhiming and the doctors and nurses in the department, and always felt that Liu Zhiming had "brought the neurosurgery too well", "Some directors are very concerned about whether the surgery is done beautifully, and they do not care about management, but Liu Zhiming is very capable in medical treatment and management."
Anyone familiar with neurosurgery knows that the patient's postoperative recovery work is particularly important. In the absence of a dietitian in other departments, Liu Zhiming recruited a professional dietitian to assist in post-operative care.
After being transferred to the director of the medical office, Liu Zhiming did not idle, he proposed to create the hospital's 120 emergency center, and Wu Wei became his subordinate at this time. Wu Wei said that at the beginning of the establishment, Liu Zhiming led several of his subordinates to plan, from "digging people" to finding cars, from purchasing materials to setting up a work system. In this way, the 120 emergency center in the Wuhan three hospitals to achieve from zero to have built three first aid stations.
In 2013, Liu Zhiming was transferred to the vice president of Wuchang Hospital, and after completing his daily work, he also thought about establishing a nutrition department and recruiting professional sales talents, and Wang Qian was the first dietitian he recruited.
On the first day of her employment, Wang Qian went to Dean Liu's office to discuss her work after reporting in the human resources department. Liu Zhiming has been busy, and in the middle of the trip back to the office, he said to her: "I have a lot of books in the bookcase, you look at it first, I will come back when I am busy."
Liu Zhiming was busy for a long time, and when he returned, his shoes were covered with mud. Wang Qian thought to herself at that time, "The dean is really personal in his work and very dedicated. Wang Qian said that Liu Zhiming attaches great importance to the work of creating a nutrition department, and has always told him that if there is a difficulty, he can directly find him, and he will do his best to solve it.
Busy with the size of the hospital, Liu Zhiming rarely showed fatigue on the way home. Shi Yan, a former employee of Wuchang Hospital, lives close to Liu Zhiming's home, and sometimes when she drives home, he will let her take him by the way. Many times, Liu Zhiming fell asleep as soon as he got into the car, "I didn't dare to talk to him, he was very tired."
Two faces of rigor and gentleness
In addition to academic and scientific research, Liu Zhiming spends more attention on patients, even if he is discharged from surgery, he will often call back to track the recovery.
Li Wei recalled to the surging news that in 2008, there was a patient who did not improve after facial muscle spasm surgery, Liu Zhiming learned about it, personally went to the intensive care unit to understand the situation, and guarded the patient in the intensive care unit for a whole week.
Similar examples liu ruen are also like several family treasures.
Once, when Liu Zhiming changed the patient's postoperative dressing, he found that the wound had some hematoma. In Liu Ruen's view, the work of changing the medicine does not need to be personally fought by the director, and it is normal for the knife to have a slight blood leakage after the operation, and it can be judged whether it needs to be dealt with according to the CT report.
At 3 a.m. the next day, Liu Ruen's phone suddenly rang, and it was Liu Zhiming who called. It turned out that he was not at ease with the patient's bleeding and wanted to ask his friend to remotely assist in seeing ct. Liu Ruen's judgment is that no special treatment is required.
Liu Zhiming hung up the phone, ran back to the ward for observation, and two hours later, he sent another text message saying that the patient was in severe pain and that the hematoma was a little bigger. Liu Ruen still believes that there is no need to deal with it. After another two hours, it was already 7 o'clock in the morning, Liu Zhiming called Liu Ruen again, and the tone of the speech relaxed a lot, "The patient's hematoma has not changed anymore, it has stabilized."
Another example is teaching a new resident to brush their hands. Once, a graduate student who had just been assigned to Liu Zhiming's department did not brush according to the standard and went directly into the operating room, and Liu Zhiming immediately followed up, saying "no" to the graduate student and asking him to re-brush. Such a rigorous style has run through his 29-year career.
"If a patient trusts you completely, it depends on the doctor's service – meticulous work, your patience with him and your very skill, and he has achieved this." Liu Ruen commented so.
Rigor is not liu zhiming's only face in his work. In dealing with subordinates, he never put up a leadership frame, especially "caring" for the younger generations in the unit.
Zhang Li, a retired employee of Wuchang Hospital who worked with him for four years, recalled to The Paper that Liu Zhiming had "paid close attention" to the work of the hospital's 120 emergency center due to the poor performance of the hospital's 120 emergency center.
The soldiers and horses did not move, and the grain and grass went first. In order to improve the working and living environment of the staff of the center, he sent people to renovate the housing of hospital staff and "temporary stretcher workers" to "let them work with dignity" and "let them work with dignity." Some "vigorous grasping" has achieved results, and the work ranking of the emergency center of Wuchang Hospital has jumped from the back of the city to the forefront for a while.
Recalling the details of the work, Zhang Li choked up several times. Liu Zhiming often forgot to eat because of his busy work, and sometimes, several colleagues made an appointment to eat together, and when everyone else had finished eating, he was not busy yet.
But even if he is busy, in many things, he still insists on doing it himself. Zhang Li recalled that every time the trade union organized a visit to retired workers, he always told him that "I must arrange to personally visit the old comrades when I am free."
Xiaoxi, a nurse at Wuchang Hospital, who only joined the staff last year, couldn't help but cry at the news on the screen of her mobile phone. When going through the entry procedures, Liu Zhiming signed for her, and the first impression was that the dean was very approachable. He asked where Xiaoxi's hometown was and told her to work hard.
Also hired in the same year as Xiao Xi was Wang Jing. In November 2018, Liu Zhiming personally came to Heilongjiang Qiqihar Medical College to recruit people, and Wang Jing was one of the psychiatric doctors he personally selected. Knowing that it is not easy for several female dolls to leave their hometowns, and there is no staff dormitory in the Nanhu Campus where several people are located, Liu Zhiming won two rooms for them in the hospital as dormitories, as a special care, "let us have a sense of home."
Wang Jing told the surging news that the last time he saw Liu Zhiming was eating in the staff canteen, asking for good, Liu Zhiming also pulled her to introduce to other leaders, "This is the beautiful woman I recruited from the northeast!" After saying that, she was also concerned about whether she was adapted to the weather in Wuhan.
In addition to the care of life, Liu Zhiming is more willing to leave some opportunities for practice to his subordinates, and he teaches hand in hand from the side. Li Wei said that under his leadership, the professional ability of his colleagues has improved rapidly, "he taught us what he learned without reservation, even after he was transferred to Wuchang Hospital, colleagues in the department are still very concerned."
Almost all people who knew Liu Zhiming well did not want to believe that the extra-divine expert who did everything himself, Dean Liu, who had no leadership frame, was gone forever.
According to Red Star News, before the Department of Critical Care Medicine of Wuchang Hospital was taken over by the support medical team on January 26, the medical staff had been working continuously for nearly 30 days without rest, and when it was taken over, Wuchang Hospital treated a total of 469 patients with fever, including 30 patients with severe diseases.
Wuchang Hospital has also issued announcements many times during the epidemic prevention period and requested material assistance from the society. Li Wei believes that when the patient is transferred, Liu Zhiming must personally calm the patient's emotions, which may be contagious in the process.
After the outbreak of the epidemic, Liu Ruen, who was far away in Beijing, only talked to Liu Zhiming on the phone, that is, the second day of the Chinese New Year, Liu Zhiming used a hoarse voice on the phone to confide in his friends about the intensity of work and the shortage of beds in the hospital, feeling difficult and "carrying a heavy burden."
Without saying a few words, the noisy ambient sound of the earpiece overshadowed Liu Zhiming's voice, and Liu Ruen knew that he must have turned his head and gone busily, so he hurriedly hung up the phone. He did not tell Mr. Liu that he was already in the intensive care unit at the time.
Liu Ruen could not have imagined that a "goodbye" on the phone would become a farewell. At 9:30 p.m. on February 17, he saw the news that his best friend was dying and immediately called to contact him, but no one answered.
On the morning of February 18, after 17 hours of artificial lung treatment, Liu Zhiming left forever, and he also became the eighth medical worker officially announced to have died in the front line of the fight against the epidemic. Earlier, on February 13, the National Health Commission reported that medical staff had confirmed 1,716 cases of new crown pneumonia.
Upon learning the news of the death of his beloved disciple, Tu Hanjun could no longer control his emotions, and in the mist of tears, he seemed to see Liu Zhiming's vivid face again, as if he had not left. As Liu Zhiming's professional enlightenment teacher, Tu Hanjun once taught skills by hand, and in the long-term relationship, the two were also teachers and friends. After taking up a leadership position, Liu Zhiming often discussed hospital management issues with his master.
"As an excellent doctor and hospital administrator, in the face of the sudden surging epidemic, he led by example as always, threw himself into the battle, and became the first hospital president to die in this anti-epidemic battle." At the end of the eulogy, Tu Hanjun wrote that Liu Zhiming's eldest daughter is studying clinical medicine at Hubei Medical College, and he hopes to train her to be a good doctor like her father in the near future.
Upon learning of the death of his former subordinates, Wang Lunchang, 80-year-old honorary president of Taihe Hospital in Shiyan City and former secretary of the party committee, also lamented and wrote a poem to bid farewell to Liu Zhiming: "The coronavirus has abused the world, and the fight against the epidemic in China is still in full swing." Shocked to hear zhiming's sand, the old tears flowed like a fountain. The war epidemic is still in a state of stalemate, and people cannot loosen their strings for themselves. The plague god is difficult to block the path of healing the soul, and carries the hero to move forward! ”
(In the text, Zhang Li, Wu Wei, Xiao Xi, Wang Jing, Wang Qian, Shi Yan, and Li Wei are pseudonyms)