SWNOVELXO I can see the status bar
Chapter 1046 D+6 day (4)
Chapter 1046 D+6 day (4)
This middle-aged woman and Shi Chunxiu are of course relatives, although they don't know whether they are mother-daughter or mother-in-law, but this is not important.
A middle-aged woman has a status of urinary system infection, and it is obvious that her fever is closely related to this status.But now, there is only one thought in her mind-my mother is infected, and she is lying on the ground, and her life is uncertain... I may be dying too.
With this kind of cognition, she can still take care of holding her mother's hand to prevent the old man's face from sticking to the not-so-clean and cold ground, that's all she can do.Queuing for more than four hours without seeing a doctor, the fear of the new severe infectious disease, the anxiety caused by the long wait, and the despair of the mother's sudden fainting are mixed together. The fierce conflict and emotional conflict can make the most rational People lose the ability to think.Wang Yan had no idea now, her instinct told her that she should call for help immediately, so she stomped her feet and cried out with the loudest voice she could.
She wanted to call out a way out for her mother and herself.
Sun Li'en was regarded by her as a kind person who came to help, but Wang Yan knew very well that it was useless to have one or two kind people to help.Only doctors, only doctors in white coats and masks, can save the mother's life, and make themselves alive.
So she continued to cry loudly, "Doctor, doctor! Come quickly! Help!"
Sun Lien's ears hurt from the aunt's voice, and he tried to shout loudly, "I am a doctor, stop shouting! Where is the emergency room?"
The status bar has almost written the answer on Sun Lien's face.Shi Chunxiu's disease should be pulmonary embolism, and the condition is quite serious.She is now in urgent need of thrombolytic therapy and diuretic treatment. As a tertiary hospital, He'an Hospital should be able to provide such treatment methods.But...even in the Ningyuan Fourth Central Hospital, which is more on the right track, such patients need to be moved to the emergency room before the doctors can provide further help.In the outpatient corridor of the Fourth Hospital, patients with acute pulmonary embolism could not be treated.
Oxygen can be provided in the emergency room, and there are drugs to reduce pressure on the left ventricle.If you want to save Shi Chunxiu's life, you must first find the right place.
"The emergency room is here!" About seven or eight meters away, the fever clinic doctor who heard the commotion finally broke through the crowd and rushed out.He saw the "Song'an Provincial Emergency Medical Team" logo on the outside of Sun Lien's jacket at a glance.So he subconsciously regarded Sun Li'en as the doctor Liu Pingchuan led to support him.Together with Sun Li'en, he dragged the patient who fell on the ground to a slightly empty treatment hall, then found a hospital bed, and with the help of several enthusiastic people around him, he moved the patient to the bed.
What followed was a run.Wearing an N95 mask and a visor, while wearing a protective suit, it was difficult for the doctor to run, but he was still trying to run. More than 40 seconds later, he pushed the hospital bed and rushed into the emergency room with Sun Lien.
"Pulmonary embolism combined with acute left heart failure, give her oxygen, do a B-ultrasound immediately, and check her vital signs. Put down the catheter, inject 40 mg of furosemide intravenously, and give [-] units of low-molecular-weight heparin, and inject it subcutaneously." Sun Lien quickly After giving the doctor's order for rescue, he asked, "Is there anyone in the interventional department of our hospital?"
The doctor froze for a moment, then slapped his chest, "I am!"
·
·
·
Today is the third day that Dr. Wu Jianping has been on duty at the fever clinic.In the past month, he has worked in the fever clinic of He'an Hospital for almost 20 days.
There is no way, the doctors in other departments are really too tired.The emergency demand of He'an Hospital is not too large, and most of the operations performed by doctors in the Interventional Department are optional.After the epidemic began, all such elective surgeries stopped, and the doctors in the interventional department lost their jobs overnight.
The posts stopped, but the increasing demand for fever clinics made everyone dare not slack off.Interventional physicians who no longer need to take radiation every day soon began to live a glowing life in their new positions. Among the 30 doctors in the fever clinic, [-] are from the interventional department.The other [-] doctors are from the Department of Blood Transfusion, Anesthesiology and Assisted Reproductive Medicine.
The current manpower of He'an Hospital is too tight. Anyway, as long as they have a license to practice doctors, they will be assigned to the inpatient department to deal with the full wards.
However, some departments that are really "not useful" for inpatients will be assigned to fever clinics.At any rate, everyone has obtained the qualification certificate to practice physicians. It is always possible to take a look at the lung film and blood routine to determine whether the patient has viral pneumonia, and then arrange a PCR test.
Almost all communities around He'an Hospital have reported confirmed cases.According to the current diagnostic criteria, as long as the patient is from the surrounding community and has any two of the three choices of fever or normal white blood cell count, decreased or decreased lymphocyte count, and imaging features of viral pneumonia, it can be judged for suspected cases.
According to regulations, patients with suspected cases should be kept under observation by medical institutions, and samples should be sent to PCR or virus gene sequencing in time.As long as there is etiological evidence, the suspected patient can be identified as a confirmed case, and then the patient will be sent to a designated hospital for treatment.
However, so far, the limit of the number of PCR tests that all hospitals and CDC laboratories in Yunhe City can provide is only about 2000 per day.
Starting from the 26th, the State Food and Drug Administration has approved the emergency approval of the new coronavirus nucleic acid detection products of five companies.According to the feedback from these agencies, from the day before yesterday until now, the number of samples they received every day is more than double the testing capacity of the company.Companies are now actively expanding their testing capabilities.But it still takes time.
Dr. Wu Jianping and other colleagues also know that now may be the most strenuous stage in the development of the entire epidemic.And what they can do is to make the inspection as detailed as possible, and look at the results more seriously.Give priority to precious PCR testing resources to those patients who seem to be more in line with the new coronavirus infection.
During the three-day working hours of the fever clinic, Dr. Wu received four to five hundred fever patients.When he woke up this morning, he realized that his hair had turned gray.
·
·
·
The work of the fever clinic is exhausting, so after learning that the lady he sent to the emergency room had acute pulmonary embolism, Dr. Wu's first reaction was to be happy.
He finally had some excuses to temporarily leave his post in the fever clinic.
But once off the job, it means that the 30-person fever clinic suddenly lacks an outlet to relieve stress.What about other patients waiting at the door of the consulting room?They have been queuing in the hospital for five or six hours to see a doctor.
Dr. Wu Jianping hesitated.
"I am the administrative director and deputy chief physician of the Comprehensive Diagnostic Department of the Fourth Central Hospital of Ningyuan City." Just when he was hesitating, Sun Lien suddenly introduced himself to him, "I came here this time to take medical care tomorrow. The team supports the front station. But now the situation is special, I need uh...cough cough, I need your doctor's job number and the login password of the doctor's order system." Sun Li'en slipped his lips just now, and almost called out Wu Jianping's name that was prompted on the status bar.Fortunately, he quickly realized something was wrong, and abruptly rounded up the conversation.
"Employee number? Isn't this against the rules?" Wu Jianping has never seen such a doctor who does not follow the routine. The employee number and the login password of the doctor's order system are very important basis for judging responsibility in clinical work.The electronic doctor's order system formed by this system together with the doctor's hand-signed or stamped name on the paper constitutes the doctor's prescription system.If something goes wrong during the treatment, according to this system, the relevant departments can immediately trace it back to the doctor who prescribes it.
Handing over your job number and password to others, to put it more seriously, is equivalent to handing over your life and career to others.
This is only a ghost if you can rest assured.
Wu Jianping's first reaction was to refuse, but Sun Li'en had already thought of the other party's concerns, "This is my work certificate." He took out the work card issued by the Infectious Disease Hospital yesterday to testify for himself, and pulled out the same A staff member of the Municipal Health Commission who came to He’an Hospital by himself added, “This is the teacher of our Municipal Health Commission, he can testify to you—the patient in the back is treated by me, in case there is any problem, Nothing to do with you."
The teacher from the Health and Medical Commission had just caught his breath, and then he was suddenly pulled out by Sun Lien to make a tiger skin.This process happened suddenly, which caught him off guard.However, he still carried out the entrustment of the leaders of the Municipal Health and Health Commission to "never hide personal information and resolutely protect"—after being dragged out by Sun Lien, he immediately took out his work permit.
"I am from the Policies, Regulations and Sanitation Supervision Department of the Municipal Health and Health Commission. This is my work certificate. My name is Wang Zhenyu." Section Chief Wang spread out his certificate for Wu Jianping to read carefully, and then said seriously, "Doctor , now is a special period. Although it is against the rules, I can testify for you."
Wu Jianping looked at the work certificates of the two of them, then nodded, "The matter is urgent, and I will leave the patients behind to Dr. Sun."
·
·
·
Sun Lien put on his face shield and industrial protective clothing.Taking a deep breath, he walked through the crowd and entered the consulting room where Wu Jianping worked before.
I just got off the night shift, and now I have to work another half day shift.Sun Li'en quietly praised his luck—it's really worthy of me. I came to Yunhe for six days, and two times I stepped on the spot in advance and encountered an emergency, so I had to go to work in advance.
He sat on the seat in the consulting room, looked at the layout in front of him, and then raised his voice to the door and shouted, "Next!"
The line of people lined up in several rows in the corridor moved slightly.
(End of this chapter)
This middle-aged woman and Shi Chunxiu are of course relatives, although they don't know whether they are mother-daughter or mother-in-law, but this is not important.
A middle-aged woman has a status of urinary system infection, and it is obvious that her fever is closely related to this status.But now, there is only one thought in her mind-my mother is infected, and she is lying on the ground, and her life is uncertain... I may be dying too.
With this kind of cognition, she can still take care of holding her mother's hand to prevent the old man's face from sticking to the not-so-clean and cold ground, that's all she can do.Queuing for more than four hours without seeing a doctor, the fear of the new severe infectious disease, the anxiety caused by the long wait, and the despair of the mother's sudden fainting are mixed together. The fierce conflict and emotional conflict can make the most rational People lose the ability to think.Wang Yan had no idea now, her instinct told her that she should call for help immediately, so she stomped her feet and cried out with the loudest voice she could.
She wanted to call out a way out for her mother and herself.
Sun Li'en was regarded by her as a kind person who came to help, but Wang Yan knew very well that it was useless to have one or two kind people to help.Only doctors, only doctors in white coats and masks, can save the mother's life, and make themselves alive.
So she continued to cry loudly, "Doctor, doctor! Come quickly! Help!"
Sun Lien's ears hurt from the aunt's voice, and he tried to shout loudly, "I am a doctor, stop shouting! Where is the emergency room?"
The status bar has almost written the answer on Sun Lien's face.Shi Chunxiu's disease should be pulmonary embolism, and the condition is quite serious.She is now in urgent need of thrombolytic therapy and diuretic treatment. As a tertiary hospital, He'an Hospital should be able to provide such treatment methods.But...even in the Ningyuan Fourth Central Hospital, which is more on the right track, such patients need to be moved to the emergency room before the doctors can provide further help.In the outpatient corridor of the Fourth Hospital, patients with acute pulmonary embolism could not be treated.
Oxygen can be provided in the emergency room, and there are drugs to reduce pressure on the left ventricle.If you want to save Shi Chunxiu's life, you must first find the right place.
"The emergency room is here!" About seven or eight meters away, the fever clinic doctor who heard the commotion finally broke through the crowd and rushed out.He saw the "Song'an Provincial Emergency Medical Team" logo on the outside of Sun Lien's jacket at a glance.So he subconsciously regarded Sun Li'en as the doctor Liu Pingchuan led to support him.Together with Sun Li'en, he dragged the patient who fell on the ground to a slightly empty treatment hall, then found a hospital bed, and with the help of several enthusiastic people around him, he moved the patient to the bed.
What followed was a run.Wearing an N95 mask and a visor, while wearing a protective suit, it was difficult for the doctor to run, but he was still trying to run. More than 40 seconds later, he pushed the hospital bed and rushed into the emergency room with Sun Lien.
"Pulmonary embolism combined with acute left heart failure, give her oxygen, do a B-ultrasound immediately, and check her vital signs. Put down the catheter, inject 40 mg of furosemide intravenously, and give [-] units of low-molecular-weight heparin, and inject it subcutaneously." Sun Lien quickly After giving the doctor's order for rescue, he asked, "Is there anyone in the interventional department of our hospital?"
The doctor froze for a moment, then slapped his chest, "I am!"
·
·
·
Today is the third day that Dr. Wu Jianping has been on duty at the fever clinic.In the past month, he has worked in the fever clinic of He'an Hospital for almost 20 days.
There is no way, the doctors in other departments are really too tired.The emergency demand of He'an Hospital is not too large, and most of the operations performed by doctors in the Interventional Department are optional.After the epidemic began, all such elective surgeries stopped, and the doctors in the interventional department lost their jobs overnight.
The posts stopped, but the increasing demand for fever clinics made everyone dare not slack off.Interventional physicians who no longer need to take radiation every day soon began to live a glowing life in their new positions. Among the 30 doctors in the fever clinic, [-] are from the interventional department.The other [-] doctors are from the Department of Blood Transfusion, Anesthesiology and Assisted Reproductive Medicine.
The current manpower of He'an Hospital is too tight. Anyway, as long as they have a license to practice doctors, they will be assigned to the inpatient department to deal with the full wards.
However, some departments that are really "not useful" for inpatients will be assigned to fever clinics.At any rate, everyone has obtained the qualification certificate to practice physicians. It is always possible to take a look at the lung film and blood routine to determine whether the patient has viral pneumonia, and then arrange a PCR test.
Almost all communities around He'an Hospital have reported confirmed cases.According to the current diagnostic criteria, as long as the patient is from the surrounding community and has any two of the three choices of fever or normal white blood cell count, decreased or decreased lymphocyte count, and imaging features of viral pneumonia, it can be judged for suspected cases.
According to regulations, patients with suspected cases should be kept under observation by medical institutions, and samples should be sent to PCR or virus gene sequencing in time.As long as there is etiological evidence, the suspected patient can be identified as a confirmed case, and then the patient will be sent to a designated hospital for treatment.
However, so far, the limit of the number of PCR tests that all hospitals and CDC laboratories in Yunhe City can provide is only about 2000 per day.
Starting from the 26th, the State Food and Drug Administration has approved the emergency approval of the new coronavirus nucleic acid detection products of five companies.According to the feedback from these agencies, from the day before yesterday until now, the number of samples they received every day is more than double the testing capacity of the company.Companies are now actively expanding their testing capabilities.But it still takes time.
Dr. Wu Jianping and other colleagues also know that now may be the most strenuous stage in the development of the entire epidemic.And what they can do is to make the inspection as detailed as possible, and look at the results more seriously.Give priority to precious PCR testing resources to those patients who seem to be more in line with the new coronavirus infection.
During the three-day working hours of the fever clinic, Dr. Wu received four to five hundred fever patients.When he woke up this morning, he realized that his hair had turned gray.
·
·
·
The work of the fever clinic is exhausting, so after learning that the lady he sent to the emergency room had acute pulmonary embolism, Dr. Wu's first reaction was to be happy.
He finally had some excuses to temporarily leave his post in the fever clinic.
But once off the job, it means that the 30-person fever clinic suddenly lacks an outlet to relieve stress.What about other patients waiting at the door of the consulting room?They have been queuing in the hospital for five or six hours to see a doctor.
Dr. Wu Jianping hesitated.
"I am the administrative director and deputy chief physician of the Comprehensive Diagnostic Department of the Fourth Central Hospital of Ningyuan City." Just when he was hesitating, Sun Lien suddenly introduced himself to him, "I came here this time to take medical care tomorrow. The team supports the front station. But now the situation is special, I need uh...cough cough, I need your doctor's job number and the login password of the doctor's order system." Sun Li'en slipped his lips just now, and almost called out Wu Jianping's name that was prompted on the status bar.Fortunately, he quickly realized something was wrong, and abruptly rounded up the conversation.
"Employee number? Isn't this against the rules?" Wu Jianping has never seen such a doctor who does not follow the routine. The employee number and the login password of the doctor's order system are very important basis for judging responsibility in clinical work.The electronic doctor's order system formed by this system together with the doctor's hand-signed or stamped name on the paper constitutes the doctor's prescription system.If something goes wrong during the treatment, according to this system, the relevant departments can immediately trace it back to the doctor who prescribes it.
Handing over your job number and password to others, to put it more seriously, is equivalent to handing over your life and career to others.
This is only a ghost if you can rest assured.
Wu Jianping's first reaction was to refuse, but Sun Li'en had already thought of the other party's concerns, "This is my work certificate." He took out the work card issued by the Infectious Disease Hospital yesterday to testify for himself, and pulled out the same A staff member of the Municipal Health Commission who came to He’an Hospital by himself added, “This is the teacher of our Municipal Health Commission, he can testify to you—the patient in the back is treated by me, in case there is any problem, Nothing to do with you."
The teacher from the Health and Medical Commission had just caught his breath, and then he was suddenly pulled out by Sun Lien to make a tiger skin.This process happened suddenly, which caught him off guard.However, he still carried out the entrustment of the leaders of the Municipal Health and Health Commission to "never hide personal information and resolutely protect"—after being dragged out by Sun Lien, he immediately took out his work permit.
"I am from the Policies, Regulations and Sanitation Supervision Department of the Municipal Health and Health Commission. This is my work certificate. My name is Wang Zhenyu." Section Chief Wang spread out his certificate for Wu Jianping to read carefully, and then said seriously, "Doctor , now is a special period. Although it is against the rules, I can testify for you."
Wu Jianping looked at the work certificates of the two of them, then nodded, "The matter is urgent, and I will leave the patients behind to Dr. Sun."
·
·
·
Sun Lien put on his face shield and industrial protective clothing.Taking a deep breath, he walked through the crowd and entered the consulting room where Wu Jianping worked before.
I just got off the night shift, and now I have to work another half day shift.Sun Li'en quietly praised his luck—it's really worthy of me. I came to Yunhe for six days, and two times I stepped on the spot in advance and encountered an emergency, so I had to go to work in advance.
He sat on the seat in the consulting room, looked at the layout in front of him, and then raised his voice to the door and shouted, "Next!"
The line of people lined up in several rows in the corridor moved slightly.
(End of this chapter)
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