In the face of the cold tide of winter and the normalization of epidemic prevention and control, what should rural doctors do? Attach great importance to the epidemiological history of patients at any time, be vigilant against symptoms that cannot be treated, and do not sell related drugs at will

Source: Primary medical community

Today is the standing winter in the traditional twenty-four solar terms, indicating the official entry into the cold winter. Spring birth, summer long, autumn harvest, winter Tibet, the life cycle of all things, the human body follows. In the Yellow Emperor's Inner Classic, it is said, "Winter does not hide essence, and spring will be sick and warm." This means that if people do not pay attention to the way of raising treasures in winter, the body is prone to weakness, providing opportunities for evil qi to enter the body for storage, that is, "ambushing evil and accumulating", and the sun will rise in the spring of the next year, and there will be warm diseases.

This winter, presumably, is an unusual winter for most rural doctors.

On the one hand, the domestic local epidemic still exists from time to time, as far as the current situation is concerned, there are many provinces and cities with local epidemics, and the normalization of epidemic prevention and control still maintains a high-pressure situation.

On the other hand, with the advent of the cold wave, the human body is prone to common respiratory diseases due to weather changes, such as colds, bronchitis, acute tonsillitis, acute laryngitis, etc., and the clinical symptoms of these diseases are the same as some of the clinical symptoms of new crown pneumonia.

In accordance with the requirements related to the normalization of the prevention and control of the new crown pneumonia epidemic, rural doctors cannot routinely treat patients with clinical symptoms such as fever, dry cough, sore throat, runny nose, nasal congestion, diarrhea, obvious loss of taste and smell, and conjunctivitis. That is to say, the respiratory diseases that people are most susceptible to in winter are basically unable to receive routine treatment by rural doctors.

In many places, there are still local epidemics, coupled with the situation of entering the cold winter, rural doctors must pay attention to the following three major aspects.

On November 6, the relevant person in charge of the press conference of the joint prevention and control mechanism of the State Council said that the new round of local new crown pneumonia epidemic, as of 24:00 on November 5, the country has reported a total of 918 cases of infection, affecting 20 provinces and 44 cities. The results of viral gene sequencing and flow tracing show that the current outbreak is caused by multiple unrelated overseas import sources.

This information is told to all rural doctors, and it is very important to ask about epidemiological history. For example, in this local epidemic, the majority of cases caused by "tour groups" account for the majority. Some local outbreaks are even associated with the concealment of epidemiological history by relevant personnel, such as the epidemic in Jinniu District, Chengdu, which is related to the concealment of the epidemiological history of a 23-year-old man who has been to medium- and high-risk areas in 14 days.

Officially entering the winter, due to the cold temperature, people are prone to respiratory diseases, coupled with some villagers' low awareness and attention to epidemic prevention and control, which brings great prevention and control challenges to rural doctors. Therefore, rural doctors must be vigilant, any patient comes to the village clinic, or at any time encounters a patient with suspect symptoms, should take the initiative to actively inquire about the epidemiological situation of the patient, once the suspicious person is found, it should be reported to the village committee or health center at the first time.

It has been observed that some rural doctors have been more or less lax in the face of epidemic prevention and control since the outbreak of the epidemic, and even for patients with clinical symptoms related to new crown pneumonia, they also do not pay attention to it, and also receive relevant patients without authorization.

With the advent of winter, the number of patients with upper respiratory tract infections will inevitably increase, which is another problem for rural doctors. At any time, patients who cannot be treated may be encountered, but villagers are accustomed to coming to the village clinic for treatment, what should I do? If there are patients with clinical symptoms such as fever and dry cough, the patient cannot be allowed to leave the village clinic at will, and the patient should be referred to the health center at the first time.

From a certain point of view, Lidong means that the workload of rural doctors increases, but no matter how much work there is, it is also necessary to increase vigilance, give yourself a wake-up call at any time, and cannot make mistakes in the face of epidemic prevention and control, otherwise the consequences may be very serious.

For patients with clinical symptoms such as fever, dry cough, sore throat, runny nose, nasal congestion, diarrhea, obvious hypostamia and smell, conjunctivitis, etc., rural doctors not only cannot receive treatment, but also pay attention to epidemiological history inquiries and record them.

For rural doctors, another tricky problem with the arrival of winter is the sale of medicines. Some villagers are accustomed to buying medicines as ordinary goods, and it seems that rural doctors are not allowed to ask more questions.

This situation reminds rural doctors that not only can not sell antipyretic drugs, cough medicines, antidiarrheals, painkillers and other drugs, but also other types of over-the-counter drugs that are sold normally should also be registered, write down when and who bought, the number of sales, the name of the drug, etc. should be recorded in detail for future viewing.

If the village doctor does not do a good job of sales registration, in case there are villagers in the pharmacy to buy antipyretic drugs, cough medicines and other drugs that can not be sold at will under the normalization of the epidemic prevention and control, for a little longer, if one day some villagers forget which drug they bought from, they rely on saying that it is the rural doctor who sold it to him, what to do?

Winter means that winter is officially coming, rural doctors must not only do a good job in epidemic prevention and control, but also do a good job in their own health protection, timely increase or decrease clothes, avoid staying up late for a long time, pay attention to travel safety, etc., only if they and their families are healthy, can they better protect the health of others.