Compared with the guide to putting on and taking off protective clothing pasted on the wall,
Step by step carefully dressed, worn, and arranged,
Wang Zhe looked in the mirror,
Confirmed the order again,
And then take a deep breath,
Stride into the "battlefield".
These contents have long been familiar to the heart,
But she didn't dare to relax.
It was her turn to be on duty again,
The coordinates are the fever clinic of Tongji Hospital.
Wang Zhe did a good job of protection and stepped into the "battlefield" Photo courtesy of the interviewee (the same below)
Recently, the pressure of epidemic prevention and control in Shanghai is huge, and various medical institutions have continuously supplemented the strength of nucleic acid sampling to ensure the expansion of screening tasks. At the same time, as the forefront of facing patients, they are also constantly accepting the "challenge" of Omicron, and fever clinics are the first to bear the brunt. Abnormal discovery, temporary closure, final elimination, reopening... Such "plots" take turns. Last night, the reporter interviewed the fever doctors in the city and listened to their stories of "fighting monsters".
Is it off?
It will soon be "resurrected"
"When the epidemic situation was stable, there were about 100 patients a day in the fever clinic, which were mainly respiratory and digestive tract diseases. Since march, that number has roughly doubled or tripled. Zhang Bojia, an infectious disease doctor at Shanghai Tenth People's Hospital, said. At the entrance of the fever clinic, check the "two codes" to do the flow adjustment. It is not only fever patients who come to the doctor, but also some who think they are at risk or have a history of exposure, and may not have any symptoms, and also have to take this channel to test nucleic acids.
From March 20 to 22, the ten hospitals issued a number of announcements to suspend fever diagnosis, resume fever diagnosis, suspend again, resume again... The industry tacitly believes that after experiencing this wave of the epidemic, the fever clinics of various hospitals have more or less encountered several infected people, and everyone has become familiar with the process and handled it very smoothly.
"Tenacious existence." "Is it off?" It will be resurrected soon. This is the evaluation of netizens to the fever clinic. With a little helplessness, but very understanding. The young woman Xiaolin (pseudonym) was found positive in the fever clinic. On that day, she went to the fever clinic of the Tenth Hospital, and she had a little cold before, but on the 4th day, she was not well, her body temperature came up, and her throat began to hurt. She was a little worried, so she came to see the doctor alone. Zhang Bojia prescribed her a routine nucleic acid test, and the results came out quickly - positive. Xiao Lin was very cooperative, and a little nervous, and whispered, "Am I going to isolate here?" After receiving an affirmative answer, she followed the nurse into the observation room for isolation, and the emergency plan was immediately activated. After layers of reporting, Xiaolin was quickly transported away by negative pressure truck.
Zhang Bojia work photo
After receiving a positive infected person, the fever clinic presses the pause button. Zhang Bojia quickly changed her contaminated protective clothing, emptied the clinic and stopped treating new patients. After the final elimination, there was no problem with the environmental test, the doctor's nucleic acid test was negative, and the hospital reopened the fever clinic.
"We don't know which patient will be infected, so we always tighten the string of epidemic prevention." Zhang Bojia said that she was not afraid because she confirmed that the protection was in place. "Sometimes the mood is also a little contradictory, afraid of you coming, and even more afraid that you will not come." Every time an infected person is 'caught', it means that other patients cannot be treated in a short period of time; but the mission of the fever clinic is to find and isolate the infected person as soon as possible, act as a 'monitoring post', and block the spread of the virus as soon as possible. ”
Some diseases cannot be "dragged out"
Take a quick look at the protection
"In order to better cope with the new crown and reduce the loss of non-combatant personnel, the hospital decided to implement closed-loop management for the entire population of fever clinics. So, our team is all in the hospital. Zhang Ting, director of the Department of Infectious Diseases and Director of the Department of Gastroenterology at Shanghai Children's Hospital, told reporters. Wang Xing, an infectious disease doctor, is one of them, and for ten days, she has handed over her 3-year-old child to the care of the elderly, and she has made the hospital her home.
At the turn of winter and spring, children have a high incidence of upper respiratory tract infections, viral gastroenteritis and other diseases, and there are sporadic cases of influenza, and the fever clinic is particularly busy. Wang Xing recalled that March 13-15 was the busiest phase, that is, before the grid screening, the fever diagnosis workload was very large. A child with intestinal infection and sepsis during chemotherapy for leukemia was sent to a fever clinic and already had shock manifestations. Considering that the child's condition was critical, adhering to the principle of "life first", the medical staff immediately opened a green channel, fortunately, the treatment was timely, and the child's life was picked up.
Wang Xing in duty
Wang Xing said that the fever clinics of major hospitals have been detected by new coronavirus infections, and some parents are worried about cross-infection, even if their children are sick, they also want to delay and wait. "Generally, not too serious diseases can be observed at home, including the child's body temperature, spirit, appetite, sleep, etc.; if the child has a high fever, bad spirits, severe abdominal pain, asthma, cramps and other symptoms, or immediately sent to the hospital to avoid delay in treatment."
Recently, the number of children who have visited the fever clinic in children's hospitals is not high. Wang Xing said that considering that the current round of the epidemic is still continuing, Omi kerong is extremely contagious, once the child is tested positive, it is difficult to accompany the parents, so I hope to accompany the parents as much as possible. She also suggested that recently children are studying at home, exercising scientifically, eating reasonably, washing their hands frequently, and often opening windows for ventilation at home. In particular, children can easily get their masks wet and dirty, so they should be replaced in time. Some small babies who are not suitable for wearing masks can also choose to wear a fisherman's hat with a face screen.
The patient defaults to "I'm okay"
Doctors have to "keep an eye on it."
Many hospitals have fever clinics turned on and off, and the brother hospitals that are still operating normally consciously or unconsciously enter the "mutual aid mode" and receive many patients from afar. Shanghai Tongji Hospital is located at the junction of Putuo, Baoshan and Jing'an districts, and the pressure of epidemic prevention and control can be imagined. On that day, Wang Zhe received more than 10 patients in the fever clinic, most of whom were common diseases of the season such as respiratory tract and digestive tract, and they also tacitly believed that they were just common colds or gastroenteritis. But as a doctor in a fever clinic, the most important thing is to have a golden eye, keep one more heart, and cannot let go of a suspicious person, because the symptoms of the new crown are similar to the common cold and gastroenteritis.
Xiao Zhu (pseudonym), who lives near the Tenth Hospital, came to Tongji Hospital for treatment due to the temporary closure of the fever clinic of the Tenth Hospital. "He had diarrhea, but he said he was sore and weak in his limbs, so I had a nucleic acid test and a CT test. At about 11 o'clock, the nucleic acid report came out, positive. We immediately started the process and temporarily isolated him in a single room. Wang Zhe recalled that during the period from the discovery of positive to the time of being transferred, the hospital will provide toiletries, food and essential daily necessities to ensure the basic life of patients, and patients are also very understanding and cooperative.
"I was a little nervous when I first came into contact with an infected person, and now I'm not afraid." Wang Zhe said that her parents always sent her a message to "ring the alarm bell", telling her that she must do a good job of protection and obey the arrangements of her superiors. She smiled and agreed, asking her parents to rest assured. "Now my biggest change is that I wash my hands and put on and take off protective clothing more carefully. I am responsible not only for myself, for my patients, but also for my colleagues. ”
In the outpatient clinic, she occasionally encounters patients who are particularly anxious, repeatedly asking, "Doctor, am I getting COVID-19?" "Will I be cross-infected at the fever clinic?" Wang Zhe said that the citizens should eliminate fear and anxiety, follow the guidance of doctors, and standardize and orderly medical treatment. As long as everyone can wear masks correctly, maintain a safe distance, and pay attention to hand hygiene, the risk of cross-infection is very small.
Recently, a number of medical institutions in the city in order to cooperate with the epidemic investigation work suspended some medical services, in order to facilitate the public to seek medical treatment, the Municipal Health Commission sorted out the main medical institutions suspension and same-day follow-up (according to the dynamic adjustment of the epidemic situation), the public can learn through the "Health Shanghai 12320" public account, you can also pay attention to the official website and public number of each medical institution.
Xinmin Evening News original manuscript
Reporter: Zuo Yan
Editor: Tang Mengye