Tao Qiaonan is the chief physician of the Department of Critical Care Medicine of the Sixth People's Hospital of Shenyang, and has repeatedly participated in the rescue and treatment of the new crown pneumonia epidemic in other provinces and cities. In the past 3 years of fighting the epidemic, every time there has been a local epidemic, in the isolation ward of the sixth hospital in Shenyang, Tao Qiaonan has never been absent - as long as there is treatment of critically ill patients, he can be seen every time.
Move the threshold forward to be a strong force that defends against the attack of the virus at any time
At the time of this round of epidemics, Tao Qiaonan had just finished the task of helping other cities to treat the epidemic. After the isolation and recuperation, he threw himself into the treatment of the local epidemic. Systematic screening of high-risk COVID-19 patients,including advanced age and underlying diseases—is Tao Qiaonan's first job in the isolation ward.
"Healing without sickness". In this round of local epidemic, the six hospitals in Shenyang have treated 10 patients over 80 years old and more than 70 patients over 65. "We finally screened out 7 patients with high risk factors, because of the combination of severe underlying diseases, these patients will progress to severe if they are not careful," Tao Qiaonan said, "this is the purpose of screening, focusing on high-risk factors to avoid the progression of these patients."
(Tao Qiaonan asked about the elderly patients during the rounds)
Critical care medicine is the last line of defense for the continuation of a patient's life
Specialized scientific monitoring, life support and treatment of intensive care management are important measures to effectively slow down the development of the disease. After a systematic evaluation of the patient, refined care is required to adjust the treatment plan at any time
Patients with postoperative laryngeal cancer, the trachea is incised for a long time; patients after tumor surgery are extremely weak; and patients with heart failure and hypertensive diabetes... Through the formulation of personalized treatment plans and precise treatment, Tao Qiaonan has controlled the patient's new crown pneumonia and primary diseases, effectively avoiding the negative effect of "1 + 1 is greater than 2".
"Usual diet, sleep, bowel movements... These sounds simple, but they need to be monitored at any time every day," Tao Qiaonan said, "for example, once there is no defecation, it is necessary to take measures to laxative to avoid intra-abdominal infection; if you can't cough up sputum, you must suck sputum, otherwise it may cause lung infection." ”
"At present, six of the seven patients with high risk factors have been transferred to the general ward or discharged home," Tao Qiaonan said, "and there is another patient who has been bedridden for many years, and has begun to reduce the treatment plan and dosage, and the situation is good."
Humanistic care, physical and mental co-governance
In the department of critical care medicine, there are doctors who work day and night, because there is not only the "ticking" sound of cold instruments, but also the need to warm the heart "big white" to protect.
An uncle with an underlying disease of asthma showed resistance to treatment. Tao Qiaonan said to him: "I can understand your pain, because my mother is also perennial asthma and needs long-term medication control." In the next few days, Dr. Tao Qiaonan closely monitored the condition of the uncle and readjusted the prescription for inhaling aerosol with him, and the uncle's condition further improved. He took Tao Qiaonan's hand and said: "The doctors and nurses in the sixth hospital are the best, on call, this feeling I have never experienced, I have asthma for so many years, now is the time when the symptoms are the mildest."
Whoever is a healer, a great hero, is commanded to suffer from illness and suffering from the plague. Tao Qiaonan said that since joining the team of intensive care medicine, he has established a belief that "intensive care medicine is a marathon of staying power". "In the process of fighting the epidemic, our role is still to help patients run this marathon of life together," Tao Qiaonan said.