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Chapter 1123 New Mission
Chapter 1123 New Mission
三天的时间，让整个局面发生了巨大的改变——这是孙立恩没有想到的。从17日开始，全国的新增病例数量开始快速下降。从17日的新增确诊一千800多例、新增疑似一千400多例直接下降到了20日的新增880多例，新增疑似病例一千600多例。
On the 17th, more than 1000 more than 760 people were discharged from hospitals in northern Hunan Province, and [-] of them were from Yunhe.
The more eye-catching news came from the press conference held on the afternoon of the 21st.Yunhe newly diagnosed 319 cases, and 766 cases were cured and discharged.The number of daily confirmed cases and cured cases has completely reversed, and the number of patients squeezed into Yunhe medical system has begun to decrease. In Song Wen's words, this is called "victory is in sight."
Sun Lien expressed cautious optimism about this judgment.As long as Yunhe's anti-epidemic measures continue, the patients remaining in the hospital will be cleared sooner or later.To achieve victory in this war, the most typical goal should be no new patients within [-] days, and all patients receiving treatment in the hospital should be discharged.
Only when such a goal is achieved can Sun Lien have the confidence to say, "We have completed the mission and tasks entrusted to us by the party and the country, the people and history."
Victory is in sight, but the Long March continues.
Sun Lien's medical team received a brand new task at noon on the 21st.
"Basically all of our medical strength is now focused on the fight against the new coronavirus. Yunhe's current medical system has almost transformed into a specialized treatment model for the new coronavirus." Section Chief Wang, with dark circles under his eyes, The office of the Infectious Disease Hospital said to Sun Lien, "If we persist in this way, the new coronavirus will be completely wiped out. There is no doubt about it. But... Yunhe is a big city with a population of 1000 million, and we still have many Patients who are not infected with the new coronavirus but have other diseases."
"I've thought about this before." Sun Li'en nodded and agreed with Section Chief Wang's words, "Those patients with chronic diseases are better, at least we can provide necessary medicines now. But others with sudden diseases , or patients whose elective surgery can no longer be delayed will be in trouble."
"The people of Yunhe have made great sacrifices in this epidemic." Chief Wang said solemnly, "The situation has improved now, and we must put the safety of the people's lives first—so, I can only think of asking Director Sun and your team to take charge of this task."
The "task" mentioned by Section Chief Wang is actually quite simple.But at the same time, it is not simple.
Sun Lien and his treatment team will tour the three hospitals where the National Emergency Medical Team of Song An Province is stationed in the next three days, assisting these hospitals to restart outpatient services-the patients they receive are confirmed It is not a new type of coronavirus infection, but a case that doctors in community hospitals cannot handle.
The reason for choosing the first group and the second group of Sun Lien's comprehensive diagnostic center to carry out such tasks is also very simple. This team has strong comprehensive capabilities, covers a sufficient range of departments, and is also an emergency department.
Such a team can achieve as many medical services as possible with as few people as possible.Sun Lien, who was in charge of the diagnosis, could guarantee that even if he couldn't treat the patient, he could at least determine which department the patient needed to enter for further treatment.
In addition to the need for itinerant treatment by the treatment group, other doctors in the medical group who are not stationed in the Yunhe City Infectious Disease Hospital and other doctors in the Yunhe City medical system will provide remote consultation services to patients through the Internet consultation platform.
Remote consultation does not require too many personal protective equipment, and it can also reduce the difficulty and inconvenience for patients to leave home and go to the hospital for medical treatment-now Yunhe is still implementing closed management of the community. To leave the community, residents must at least Three entry and exit certificates are required.
"Okay, we have no problem with this." Sun Lien agreed to the job very happily, and then he frowned and said, "Professor Chen Tianyang can do the general surgery work, and we can also handle the supernatural surgery, but These operations require at least one team to perform. We also have to have post-operative recovery treatment and hospital care to complete. What if there are surgical needs for other departmental projects?"
"The places you tour are all tertiary hospitals. As long as you need it, you can call for consultation at any time. However, the number is relatively limited-we try to complete the initial triage at the level of community hospitals and Internet consultations, and then treat patients who may need surgery. Treated patients are sent to the hospital."
"Yes." Sun Li'en thought for a while and added, "Can't we be the only one making the rounds? Yunhe has a population of more than 1000 million."
"Of course it's not just you, but...you should be the most useful team at present." Section Chief Wang said, "Other medical teams and Internet hospitals in other regions are providing services, but it is impossible for other medical teams to cooperate with you." The same—to cover such a large range of departments and categories with such a small number of people. So your work pressure will be relatively high..." He paused and added, "If there are more troublesome and complicated patients, we will send them The patient is sent to you..."
"Send it to me." When Sun Lien heard the seven words "more troublesome and complicated" patients, he opened his mouth to get a job, but it happened to overlap with Section Chief Wang's words, "I am good at difficult and miscellaneous diseases." For the diagnosis of rare diseases, it is most suitable for such patients to be sent to me.”
Section Chief Wang showed a grateful smile, "That's great. At first, we were worried that after you left the comprehensive diagnosis center, there might be problems in handling such patients."
Section Chief Wang's words immediately aroused Sun Li'en's...surprise.Only then did he suddenly realize that the patients he was going to consult did not receive diagnosis and treatment in the comprehensive diagnosis center building of the Fourth Hospital.
Without the CT and MRI equipment of the comprehensive diagnosis center, without a dedicated laboratory and laboratory capable of completing mNGS examinations, Sun Lien's own ability... can it be used?
Sun Li'en fell into silence, and after a few seconds he asked, "Then how to deal with the expenses incurred during the diagnosis process?"
"It is still the same as the normal process now. If the hospitalization is not due to the new coronavirus infection, the expenses can be borne by the medical insurance and the patients themselves." Section Chief Wang said, "If there are patients who really have difficulties in life or cannot afford the expenses, they should also first Carry out examination and treatment, and we will figure out a solution later.”
That is to say, some patients will not lose the opportunity to make a definite diagnosis because they cannot afford or cannot afford the cost of examination.Sun Lien breathed a sigh of relief, "Okay, I see."
The current situation is special, and the daily life of too many people has been affected, and even their income may not be guaranteed.Under such circumstances, some unconventional means must be used in order to "put the people's lives and health as the top priority".
·
·
·
"That is to say, we can finally look at other patients besides the new coronavirus infection?" After Sun Lien informed his team members of the situation and arrangements, Bruen was the first to get excited. "Great! Finally, I don't have to wear such ill-fitting protective clothing anymore!"
"It might be a little early for you to be happy." Sun Li'en said with a sigh, "Now the whole Yunhe is still considered an epidemic area. When we go out for medical tours, we still need to take a full set of protection - protective clothing is still required."
Bruen's big face immediately collapsed, he yelled "No way, no way!" Then he made a gesture to go out.After walking a few steps under everyone's gaze, Bruen turned around and came back and asked, "Then can you give me a positive pressure protective mask? It's too embarrassing to wear an N95."
Wearing N95 masks for a long time has left most of the doctors in the medical team with scars on their faces.The scars on Brunn's face were a little more obvious than those of other doctors - the uniform-sized mask was extremely tight on his face.
"This...not necessarily, I can go and ask." Even Sun Li'en couldn't refuse such a request directly.Three or four places on Lao Bu's face were cut by the mask.Treat the ulcerated wound briefly and then continue to wear a mask to suffocate—it’s no wonder that the wound heals.
The scars on Bruen's face were relatively obvious, and the scars on the faces of other doctors were not light.Xu Yourong also had a wound on his face, and it happened to be on the bridge of his nose.She usually doesn't say much, but Sun Li'en has observed it a few times, and every time after taking off the mask, Xu Yourong has to take out the mirror to observe for a long time.
Then put away the mirror with the "depressed" status bar.
Even if she already has a wife, a woman is still a woman, and Xu Yourong still cares a lot about her appearance.
After roughly arranging the configuration of the consulting room for several colleagues, Sun Lien turned and left the Green Zone office.He is going to find director Lu Zhimin who is about to take over, and then discuss with him his work arrangements after he leaves the Yunhe City Infectious Disease Hospital.
"We are not very short of manpower now." Lu Zhimin thought for a while after listening to Sun Lien's report, "However, the patients who have recently been transferred to our North Fifth District feel that their condition is getting worse."
Several designated hospitals are currently gradually shifting from "admitting and treating patients when they are diagnosed" to "admitting and treating patients who meet the hospital's capabilities and treatment conditions".A few weeks ago, even critically ill patients could not necessarily be admitted to a bed with a ventilator and bedside B-ultrasound.And even if there are beds, the level of the intensive care medicine department of the hospital may not be able to meet the actual needs of patients.
It can be said that in the early stage of the epidemic, such "resource misallocation" led to a certain extent that the mortality rate of new coronavirus patients in Yunhe City was at a high level.
However, the current situation has been greatly improved, and the deployment capacity of the medical system has made great progress.Designated hospitals can already negotiate with other hospitals to allocate patients according to their own resources.
The patients accepted by Leihuoshenshan Hospital are mainly severe patients. They have the largest number of beds among all designated hospitals, and the most powerful medical force-the military medical system has always had in-depth research on infectious diseases.The patients sent to the two hospitals in Leihuoshenshan were mainly in severe condition.
但这两家医院对于危重症患者的收治能力比较有限。火神山的ICU一个病区有17张床位，配置7名医生和7名护士。而整个火神山医院目前一共有两个ICU科室四个病区，加在一起一共可以提供68张重症监护病房床位。而雷神山一共可以提供60张重症监护病房床位，两家医院能同时收治的危重症患者一共128人。
The two ICU wards of the Yunhe City Infectious Disease Hospital can treat a total of 48 patients. If the centralized intensive care unit set up in other wards is added...the total treatment capacity exceeds 80 patients.
Due to the outstanding critical capacity of the infectious disease hospital, critically ill patients from other designated hospitals are often transferred here for follow-up treatment.And these patients... In fact, there are not many solutions that can be applied to them.
Triple therapy is essentially a defensive measure to prevent critically ill patients from turning into critically ill.It is not a panacea that can conquer the world, let alone a specific therapy for the new coronavirus.Most of these patients who were transferred to the Yunhe City Infectious Disease Hospital had inflammatory storms, and the inflammatory storms in their bodies were often not effective for triple therapy.
For such patients, in addition to actively using plasma exchange and hormone suppression, other programs...mainly focus on life support, rebuilding intestinal microecology, enhancing enteral nutrition and parenteral nutrition, etc.
Six patients have been admitted to the intensive care unit in North Fifth District so far, and the work pressure of the medical team is not insignificant.But... Fortunately, after a period of running-in, everyone's work efficiency has also been greatly improved.Coupled with the fact that both Lu Zhimin and Li Chengping are top experts in intensive care medicine, it is possible for Sun Lien to lead a team to make rounds.
"So, these people who work in the Health and Medical Commission are all human beings." After thinking about this, Lu Zhimin couldn't help expressing emotion, "How did they study to find out and take you away from here?" To engage in medical tours, and it will not affect the normal operation of our department?"
"This shows that Xiao Sun, I'm not of much use here." Sun Li'en joked with Lu Zhimin with a smile, "With Director Lu and Professor Li here in charge, it doesn't matter if I have one more or one less."
Director Lu Zhimin couldn't help laughing, "You boy, if you catch me saying something that is inappropriate, you have to make a joke?" He coughed lightly and said in a serious and somewhat "abnormal" tone, "Our entire North Fifth District The medical staff are all closely united around Director Sun..."
"Okay, okay, take your time." Sun Li'en quickly stopped Lu Zhimin's words, "I'll leave the rest of the work to you and Mr. Li, I expect it will take three days here... But I don't know when it comes to actual work What's the situation."
"Don't worry." Lu Zhimin nodded and said with a smile, "Lao Li and I will definitely guard the three-acre land in North Fifth District for you."
(End of this chapter)
三天的时间，让整个局面发生了巨大的改变——这是孙立恩没有想到的。从17日开始，全国的新增病例数量开始快速下降。从17日的新增确诊一千800多例、新增疑似一千400多例直接下降到了20日的新增880多例，新增疑似病例一千600多例。
On the 17th, more than 1000 more than 760 people were discharged from hospitals in northern Hunan Province, and [-] of them were from Yunhe.
The more eye-catching news came from the press conference held on the afternoon of the 21st.Yunhe newly diagnosed 319 cases, and 766 cases were cured and discharged.The number of daily confirmed cases and cured cases has completely reversed, and the number of patients squeezed into Yunhe medical system has begun to decrease. In Song Wen's words, this is called "victory is in sight."
Sun Lien expressed cautious optimism about this judgment.As long as Yunhe's anti-epidemic measures continue, the patients remaining in the hospital will be cleared sooner or later.To achieve victory in this war, the most typical goal should be no new patients within [-] days, and all patients receiving treatment in the hospital should be discharged.
Only when such a goal is achieved can Sun Lien have the confidence to say, "We have completed the mission and tasks entrusted to us by the party and the country, the people and history."
Victory is in sight, but the Long March continues.
Sun Lien's medical team received a brand new task at noon on the 21st.
"Basically all of our medical strength is now focused on the fight against the new coronavirus. Yunhe's current medical system has almost transformed into a specialized treatment model for the new coronavirus." Section Chief Wang, with dark circles under his eyes, The office of the Infectious Disease Hospital said to Sun Lien, "If we persist in this way, the new coronavirus will be completely wiped out. There is no doubt about it. But... Yunhe is a big city with a population of 1000 million, and we still have many Patients who are not infected with the new coronavirus but have other diseases."
"I've thought about this before." Sun Li'en nodded and agreed with Section Chief Wang's words, "Those patients with chronic diseases are better, at least we can provide necessary medicines now. But others with sudden diseases , or patients whose elective surgery can no longer be delayed will be in trouble."
"The people of Yunhe have made great sacrifices in this epidemic." Chief Wang said solemnly, "The situation has improved now, and we must put the safety of the people's lives first—so, I can only think of asking Director Sun and your team to take charge of this task."
The "task" mentioned by Section Chief Wang is actually quite simple.But at the same time, it is not simple.
Sun Lien and his treatment team will tour the three hospitals where the National Emergency Medical Team of Song An Province is stationed in the next three days, assisting these hospitals to restart outpatient services-the patients they receive are confirmed It is not a new type of coronavirus infection, but a case that doctors in community hospitals cannot handle.
The reason for choosing the first group and the second group of Sun Lien's comprehensive diagnostic center to carry out such tasks is also very simple. This team has strong comprehensive capabilities, covers a sufficient range of departments, and is also an emergency department.
Such a team can achieve as many medical services as possible with as few people as possible.Sun Lien, who was in charge of the diagnosis, could guarantee that even if he couldn't treat the patient, he could at least determine which department the patient needed to enter for further treatment.
In addition to the need for itinerant treatment by the treatment group, other doctors in the medical group who are not stationed in the Yunhe City Infectious Disease Hospital and other doctors in the Yunhe City medical system will provide remote consultation services to patients through the Internet consultation platform.
Remote consultation does not require too many personal protective equipment, and it can also reduce the difficulty and inconvenience for patients to leave home and go to the hospital for medical treatment-now Yunhe is still implementing closed management of the community. To leave the community, residents must at least Three entry and exit certificates are required.
"Okay, we have no problem with this." Sun Lien agreed to the job very happily, and then he frowned and said, "Professor Chen Tianyang can do the general surgery work, and we can also handle the supernatural surgery, but These operations require at least one team to perform. We also have to have post-operative recovery treatment and hospital care to complete. What if there are surgical needs for other departmental projects?"
"The places you tour are all tertiary hospitals. As long as you need it, you can call for consultation at any time. However, the number is relatively limited-we try to complete the initial triage at the level of community hospitals and Internet consultations, and then treat patients who may need surgery. Treated patients are sent to the hospital."
"Yes." Sun Li'en thought for a while and added, "Can't we be the only one making the rounds? Yunhe has a population of more than 1000 million."
"Of course it's not just you, but...you should be the most useful team at present." Section Chief Wang said, "Other medical teams and Internet hospitals in other regions are providing services, but it is impossible for other medical teams to cooperate with you." The same—to cover such a large range of departments and categories with such a small number of people. So your work pressure will be relatively high..." He paused and added, "If there are more troublesome and complicated patients, we will send them The patient is sent to you..."
"Send it to me." When Sun Lien heard the seven words "more troublesome and complicated" patients, he opened his mouth to get a job, but it happened to overlap with Section Chief Wang's words, "I am good at difficult and miscellaneous diseases." For the diagnosis of rare diseases, it is most suitable for such patients to be sent to me.”
Section Chief Wang showed a grateful smile, "That's great. At first, we were worried that after you left the comprehensive diagnosis center, there might be problems in handling such patients."
Section Chief Wang's words immediately aroused Sun Li'en's...surprise.Only then did he suddenly realize that the patients he was going to consult did not receive diagnosis and treatment in the comprehensive diagnosis center building of the Fourth Hospital.
Without the CT and MRI equipment of the comprehensive diagnosis center, without a dedicated laboratory and laboratory capable of completing mNGS examinations, Sun Lien's own ability... can it be used?
Sun Li'en fell into silence, and after a few seconds he asked, "Then how to deal with the expenses incurred during the diagnosis process?"
"It is still the same as the normal process now. If the hospitalization is not due to the new coronavirus infection, the expenses can be borne by the medical insurance and the patients themselves." Section Chief Wang said, "If there are patients who really have difficulties in life or cannot afford the expenses, they should also first Carry out examination and treatment, and we will figure out a solution later.”
That is to say, some patients will not lose the opportunity to make a definite diagnosis because they cannot afford or cannot afford the cost of examination.Sun Lien breathed a sigh of relief, "Okay, I see."
The current situation is special, and the daily life of too many people has been affected, and even their income may not be guaranteed.Under such circumstances, some unconventional means must be used in order to "put the people's lives and health as the top priority".
·
·
·
"That is to say, we can finally look at other patients besides the new coronavirus infection?" After Sun Lien informed his team members of the situation and arrangements, Bruen was the first to get excited. "Great! Finally, I don't have to wear such ill-fitting protective clothing anymore!"
"It might be a little early for you to be happy." Sun Li'en said with a sigh, "Now the whole Yunhe is still considered an epidemic area. When we go out for medical tours, we still need to take a full set of protection - protective clothing is still required."
Bruen's big face immediately collapsed, he yelled "No way, no way!" Then he made a gesture to go out.After walking a few steps under everyone's gaze, Bruen turned around and came back and asked, "Then can you give me a positive pressure protective mask? It's too embarrassing to wear an N95."
Wearing N95 masks for a long time has left most of the doctors in the medical team with scars on their faces.The scars on Brunn's face were a little more obvious than those of other doctors - the uniform-sized mask was extremely tight on his face.
"This...not necessarily, I can go and ask." Even Sun Li'en couldn't refuse such a request directly.Three or four places on Lao Bu's face were cut by the mask.Treat the ulcerated wound briefly and then continue to wear a mask to suffocate—it’s no wonder that the wound heals.
The scars on Bruen's face were relatively obvious, and the scars on the faces of other doctors were not light.Xu Yourong also had a wound on his face, and it happened to be on the bridge of his nose.She usually doesn't say much, but Sun Li'en has observed it a few times, and every time after taking off the mask, Xu Yourong has to take out the mirror to observe for a long time.
Then put away the mirror with the "depressed" status bar.
Even if she already has a wife, a woman is still a woman, and Xu Yourong still cares a lot about her appearance.
After roughly arranging the configuration of the consulting room for several colleagues, Sun Lien turned and left the Green Zone office.He is going to find director Lu Zhimin who is about to take over, and then discuss with him his work arrangements after he leaves the Yunhe City Infectious Disease Hospital.
"We are not very short of manpower now." Lu Zhimin thought for a while after listening to Sun Lien's report, "However, the patients who have recently been transferred to our North Fifth District feel that their condition is getting worse."
Several designated hospitals are currently gradually shifting from "admitting and treating patients when they are diagnosed" to "admitting and treating patients who meet the hospital's capabilities and treatment conditions".A few weeks ago, even critically ill patients could not necessarily be admitted to a bed with a ventilator and bedside B-ultrasound.And even if there are beds, the level of the intensive care medicine department of the hospital may not be able to meet the actual needs of patients.
It can be said that in the early stage of the epidemic, such "resource misallocation" led to a certain extent that the mortality rate of new coronavirus patients in Yunhe City was at a high level.
However, the current situation has been greatly improved, and the deployment capacity of the medical system has made great progress.Designated hospitals can already negotiate with other hospitals to allocate patients according to their own resources.
The patients accepted by Leihuoshenshan Hospital are mainly severe patients. They have the largest number of beds among all designated hospitals, and the most powerful medical force-the military medical system has always had in-depth research on infectious diseases.The patients sent to the two hospitals in Leihuoshenshan were mainly in severe condition.
但这两家医院对于危重症患者的收治能力比较有限。火神山的ICU一个病区有17张床位，配置7名医生和7名护士。而整个火神山医院目前一共有两个ICU科室四个病区，加在一起一共可以提供68张重症监护病房床位。而雷神山一共可以提供60张重症监护病房床位，两家医院能同时收治的危重症患者一共128人。
The two ICU wards of the Yunhe City Infectious Disease Hospital can treat a total of 48 patients. If the centralized intensive care unit set up in other wards is added...the total treatment capacity exceeds 80 patients.
Due to the outstanding critical capacity of the infectious disease hospital, critically ill patients from other designated hospitals are often transferred here for follow-up treatment.And these patients... In fact, there are not many solutions that can be applied to them.
Triple therapy is essentially a defensive measure to prevent critically ill patients from turning into critically ill.It is not a panacea that can conquer the world, let alone a specific therapy for the new coronavirus.Most of these patients who were transferred to the Yunhe City Infectious Disease Hospital had inflammatory storms, and the inflammatory storms in their bodies were often not effective for triple therapy.
For such patients, in addition to actively using plasma exchange and hormone suppression, other programs...mainly focus on life support, rebuilding intestinal microecology, enhancing enteral nutrition and parenteral nutrition, etc.
Six patients have been admitted to the intensive care unit in North Fifth District so far, and the work pressure of the medical team is not insignificant.But... Fortunately, after a period of running-in, everyone's work efficiency has also been greatly improved.Coupled with the fact that both Lu Zhimin and Li Chengping are top experts in intensive care medicine, it is possible for Sun Lien to lead a team to make rounds.
"So, these people who work in the Health and Medical Commission are all human beings." After thinking about this, Lu Zhimin couldn't help expressing emotion, "How did they study to find out and take you away from here?" To engage in medical tours, and it will not affect the normal operation of our department?"
"This shows that Xiao Sun, I'm not of much use here." Sun Li'en joked with Lu Zhimin with a smile, "With Director Lu and Professor Li here in charge, it doesn't matter if I have one more or one less."
Director Lu Zhimin couldn't help laughing, "You boy, if you catch me saying something that is inappropriate, you have to make a joke?" He coughed lightly and said in a serious and somewhat "abnormal" tone, "Our entire North Fifth District The medical staff are all closely united around Director Sun..."
"Okay, okay, take your time." Sun Li'en quickly stopped Lu Zhimin's words, "I'll leave the rest of the work to you and Mr. Li, I expect it will take three days here... But I don't know when it comes to actual work What's the situation."
"Don't worry." Lu Zhimin nodded and said with a smile, "Lao Li and I will definitely guard the three-acre land in North Fifth District for you."
(End of this chapter)
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