Early in the morning of January 2, Lin Yueqin came to her unit, Wuhan Jimin Hospital. The hospital has a complete range of disciplines, a gathering of famous doctors, advanced medical technology and equipment, and strong scientific research strength, and is a well-known tertiary first-class hospital in Wuhan.

Lin Yueqin is the director of the hospital's respiratory and critical care department, and a well-known chief physician, professor and master's supervisor. The Department of Respiratory and Critical Care mainly diagnoses and treats respiratory diseases, including trachea, bronchi, lung and pleural diseases, such as chronic obstructive pulmonary disease, asthma, pneumonia, pleurisy, lung cancer, bronchiectasis, respiratory failure, pulmonary embolism, pulmonary interstitial lesions and various respiratory diseases. Among them, their Respiratory Critical Care Unit (RICU), relying on rich clinical experience and advanced diagnosis and treatment equipment, has successfully treated many critically ill patients transferred from our hospital and other hospitals, bringing good news to patients and winning good praise from industry insiders.

After having breakfast in the cafeteria, Lin Yueqin first came to the 10th floor of the inpatient department to inspect the ward and inquire about the treatment and recovery of the patient. After the ward round, I came out of the ward and was just about to take the elevator downstairs when I met Ai Xia, a doctor in the inpatient department, in the elevator. Because there were many people in the elevator, it was inconvenient to talk, so she whispered in Lin Yueqin's ear: "Director Lin, I'll talk to you about something after I go downstairs." ”

Ai Xia is 36 years old this year, and she usually compares well with Lin Yueqin. Last time, Ai Xia sent her a WeChat message, saying that her classmate Li Wenliang informed them that they had a new virus pneumonia in the Huanan Seafood Market.

After getting out of the elevator, Ai Xia pulled Lin Yueqin to a corner of the hall where no one was around, and said to her mysteriously: "Director Lin, I told you about the classmate named Li Wenliang two days ago, because I posted the WeChat in the classmate group that said that there was a suspected SARS virus in the Huanan seafood market, I don't know who posted this WeChat on the Internet, and it was known by the police." On December 31, Li Wenliang was called by the police, saying that he had spread rumors and caused trouble, causing panic among the citizens, and was severely reprimanded. ”

Lin Yueqin was surprised: "How can this be? As a doctor, Li Wenliang discovered that there was a new virus of unknown cause, and he sent a WeChat message in the group of his classmates to remind his classmates and other medical personnel to pay attention to precautions.

Ai Xia agreed with Lin Yueqin's point of view, and nodded hurriedly: "Yes, I also think it's incredible." So my classmate Li Wenliang felt very aggrieved and sad. I heard that a total of eight doctors who spread this WeChat message were reprimanded by the police. It's unbelievable!"

Both of them felt very angry and sympathized with what happened to Li Wenliang and those doctors, but they had no choice but to look at each other and smile, shake their heads helplessly, and wave goodbye.

At nine o'clock in the morning, Lin Yueqin came to the specialist outpatient room to sit for a consultation, and as usual, began to have "close contact" with patients day after day.

Although Lin Yueqin is a well-known medical expert, she never pretends to be like this, condescending to others, and commanding. On the contrary, she is a very easy-going person who gets along well with her superiors and colleagues around her. She is also a very responsible and patient doctor, although she is constantly patient and busy with work every day, she is always kind to patients, very attentive to their patients' self-reports, and never loses her temper with patients.

While receiving a patient in earnest, the phone on the desk rang.

"Director Lin, our emergency department received a critically ill patient the day before yesterday and hospitalized him for examination, we feel that the situation is very bad and want to transfer to your critical care unit. Do you think you can?" Deng Yixian, the director of the emergency department, called her urgently.

"Is the patient in the emergency department or inpatient department?" asked Lin Yueqin.

Deng Yixian: "In the inpatient department." Would you like to come and have a look?"

Lin Yueqin hurriedly called a doctor from the department to substitute her for the outpatient department, and immediately rushed to the inpatient department in a hurry.

Seeing Lin Yueqin coming, Deng Yixian seemed to have invited a big savior, and hurriedly stepped forward: "Director Lin, I can look forward to you." ”

"What's the situation? Director Deng, tell me about it." Lin Yueqin asked her anxiously.

Deng Yixian: "I heard from the patient's family that on December 16 last year, the patient had an inexplicable high fever, and he was treated in a hospital near his residence for nearly 10 days, but there was no improvement, and his body temperature could not be lowered. Came to our emergency department the day before yesterday. We hospitalized him for an examination and took a CT scan that showed "ground-glass lesions in both lungs" and ruled out common viral infections, not mycoplasma and chlamydia. , gave him a throat swab test, which was positive. In order to further confirm the diagnosis, we did a fiber bronchoscopy for him to take alveolar lavage fluid, and sent it to a testing institution for high-throughput sequencing. ”

Lin Yueqin: "Where did this patient come from?"

"The 42-year-old patient said he was helping people at the Huanan Seafood Market in Hankoww, and his main job was to help the market owner unload and carry seafood products," Deng said. ”

Lin Yueqin was suddenly shocked in her heart: "Oh no! show me his CT and test report."

From the CT scans and test reports, his lungs were in a mess, and his blood oxygen saturation was only 90%. SARS-like coronavirus, Pseudomonas aeruginosa, and 46 oral/respiratory colonizing bacteria suspected to be of bat origin. The note below reads: SARS coronavirus is a single-stranded positive-stranded RNA virus. The virus is mainly transmitted by droplet transmission or contact with respiratory secretions of patients, which can cause a special pneumonia that is obviously contagious and can affect multiple organ systems, also known as atypical pneumonia.

Lin Yueqin carefully read the report several times, broke out in a cold sweat, and said to herself: "This virus is too terrible! I thought that the 'enemy' was far away from us, but I didn't expect it to come." ”

She told the director of the inpatient department who was present: "Quickly transfer the patient to the ICU (intensive care unit) for isolation treatment, and all medical staff must wear full protective clothing and use positive pressure head coverings." ”

Lin Yueqin turned around and told Deng Yixian: "Please call the public health department and the hospital infection department of the hospital quickly and report the situation of this case to them!"

Lin Yueqin immediately called Xiao Zhang, the administrative staff of her department, and asked her to quickly notify several experts from the department to consult with the inpatient department.

Through the consultation of experts in the respiratory and critical care department, it is believed that the symptoms of pneumonia caused by this coronavirus are very consistent with the SARS virus, and no special drugs can be found to treat it.

Lin Yueqin said: "According to the patient's current condition, intubation surgery must be performed immediately, otherwise it will cause respiratory failure and be life-threatening. Other experts agreed.

"Prepare for surgery right away!" Lin Yueqin said.

The intubation operation was presided over by Lin Yueqin herself. She and several medical staff involved in the operation immediately put on full protective clothing and pushed the patient into the operating room. I saw that the patient had difficulty breathing, and his face was suffocated and turned purple.

Lin Yueqin immediately intubated the patient. When the intubation was inserted into the lungs, a stream of dark red blood and mucus suddenly gushed out and sprayed on Lin Yueqin's protective clothing, even on the goggles. Fortunately, everyone wore a full set of protective clothing, otherwise they would have been infected.

The patient's blocked airway seemed to have cleared a lot at once, and his bruised face was slightly relieved.