Xinhua News Agency, Shanghai, April 29 (Reporters Jiang Wei, Gong Wen, Zhou Lin) took off their heavy protective clothing, the mask was full of fog, and the gloves were covered with sweat... In such an environment, it is also necessary to complete various types of testing and treatment for elderly and seriously ill patients without error and without error, and strive to achieve "one person, one policy".
On the afternoon of the 27th, the head nurse Mei Jinghua was busy in the ICU ward, and there were more than 20 critically ill patients in the area he was responsible for, and within a few minutes, the vital signs would change dramatically, and life and death were sometimes an instant "race against the clock". A few days ago, when he inspected the ward, he found that an old gentleman's blood oxygen saturation had dropped to more than 80%, and the emergency examination found that it was a mouthful of phlegm stuck. The medical staff immediately dealt with it and helped the old man turn the crisis into safety.
Healthcare workers are caring for the elderly. (Courtesy of the interviewee)
This is a temporary practice site of Zhongshan Hospital affiliated to Fudan University in Minhang District, which was originally a new Shanghai Geriatrics Center, which is scheduled to open to the public in May. An epidemic disrupted the rhythm, and on March 1, it was urgently requisitioned as a designated hospital for new crown pneumonia, and officially opened on March 11. With the gradual increase of elderly infected people, the center "carries the weight" and undertakes the treatment of many elderly and seriously ill patients.
At present, among the about 1,000 patients in the hospital, there are more than 600 elderly patients, and nearly 50% of the elderly over 70 years old, how to achieve fine diagnosis and treatment? On the 27th, the reporter saw at the scene that unlike the "liveliness" of many square cabin hospitals, the wards here are more tranquil, and from time to time you can hear the "beep" sound of various types of monitors; when the doctor checks the room, it is obvious that the "big voice" that matches the hearing of the elderly can be heard.
"Many elderly people have poor ears, they also have difficulty accurately describing their symptoms, some people can't take care of themselves, and they have higher requirements for nursing." Mei Jinghua said that every life is fully cared for, and the "speed of life and death" is staged here every day. "In the ICU ward, I really can't relax for a moment, although there are monitors next to the bed, but we move the work point forward to the ward corridor, even if it is found one second earlier and disposed of one minute earlier, it is conducive to better handling of emergencies."
Paramedics are sending the elderly to be tested. (Courtesy of the interviewee)
In the face of elderly patients, especially the "post-90s" and "post-00s", the "problems" of severe treatment are emerging in an endless stream, which is a test of technology and ability, and also a responsibility and resilience. "In our case, the 70s are young, there are more than 200 people over 80 years old, 120 people over 90 years old, and 6 people over the age of 100. Doctors need to treat COVID-19 on the basis of challenges from underlying diseases such as hypertension, heart disease, diabetes, COPD, and tumors. Yan Zuoqin, vice president of Zhongshan Hospital affiliated to Fudan University and secretary of the party committee of Shanghai Geriatrics Center, said.
On March 22, Zhongshan Hospital affiliated to Fudan University took over the Shanghai Geriatrics Center, and more than 300 medical staff voluntarily signed up, 40% of whom were party members. This critical care team has been "fighting" with the new crown since the epidemic in Wuhan, and Ju Minjie, deputy chief physician of the Department of Critical Care Medicine of Zhongshan Hospital, is also one of them.
"Compared with the epidemic in Wuhan, the situation faced by this round of severe illness is more complex and diverse, and it is necessary to move the treatment threshold forward, detect the signs of critical illness earlier, and do everything possible to reduce the case fatality rate." Ju Minjie said that the treatment of elderly severe diseases must be strictly waited for, can not be taken lightly, not only to carry out the treatment of basic diseases, for elderly patients for more refined airway management, but also for small molecule drugs, Chinese medicine decoctions and other combination treatment, work together to fight the new crown virus.
In addition to the "forward position" going all out, there are also solid "fortresses" in the rear. Every day at 3 p.m., a routine online consultation will be held here, and the doctors in the isolation ward will introduce the real-time data and treatment plan one by one, and Ge Junbo, academicians and chief physicians of Zhongshan Hospital affiliated to Fudan University, will consult together to "support" and optimize the plan online. A 93-year-old special patient once let the on-site team face a "small test", the patient combined a variety of underlying diseases, the treatment is very tricky, must be multidisciplinary, multi-team "cooperation", and now after careful diagnosis and treatment, has been cured and discharged.
Healthcare workers are caring for the elderly. (Courtesy of the interviewee)
In the "encounter" with Omicron, the doctor must "fight with the virus in the ICU" on the one hand, and on the other hand, he must make the plan more complete and the communication more detailed. "Fortunately, sending me to this hospital really saved my life and gave me the confidence to recover." 86-year-old Grandma Li, who just underwent breast cancer surgery more than a month ago, was unfortunately infected with the new crown virus recently.
When she first came to the hospital, Aunt Li's wounds healed poorly and she was disappointed in life. What she did not expect was that the doctor not only carefully wiped the original wound every day, carefully guided the medication on time, but also took care of her from time to time to drink more water and accompany her to an appropriate amount of rehabilitation activities. "Listening to the doctor, I am close to the discharge standard, and I feel that the two meat and two vegetarian meals taste better." On the 27th, Grandma Li told reporters.
Li Apo's attending physician, Song Kang, is the deputy chief physician of the Department of Liver Surgery at Zhongshan Hospital affiliated to Fudan University, and he has been in the isolation ward for nearly a month. "Many of the elderly I treated added my WeChat, and after being discharged from the hospital, they would also take the initiative to send me messages asking how to eat and how to raise during home monitoring." These old people are the same age as my parents, our neighbors and relatives, so we must try our best to think carefully and carefully, and we must better take care of these old babies in life and emotions. Song Kang said.
After more than 2 years of experience accumulation, the ICU not only has the defense of life defense, but also the protection of psychological defense. "Multidisciplinary joint rounds and consultations are carried out at fixed times every day, one person and one policy are carried out for treatment, and the plan is adjusted in a timely manner." As of the 27th, we have treated more than 4,000 patients, and more than 3,000 have been cured and discharged. Yan Zuoqin said.
Fang Hao, vice president of the Shanghai Geriatric Medical Center, said that Shanghai is a city with more than 5 million elderly people, and elderly patients remind us all the time that Omi Kerong is not a "big flu". "Therefore, we must be extra firm and make every effort to rescue and treat, and achieve 'dynamic clearance' as soon as possible."