Chapter 11: There are doctors to start and go down

Early in the morning of January 8, Lin Yueqin's sister-in-law Cheng Shuang called her and told her very eagerly: "Sister-in-law, it's terrible, as of yesterday, our hospital has received more than 20 patients with new coronavirus pneumonia, and the number of patients in the fever clinic has more than doubled than usual in the past few days." ”

Lin Yueqin was shocked when she heard this: "Why are there so many patients all at once?" You must be careful, you must pay attention to precautions and protect yourself!"

"Yes, I heard that this new coronavirus is very contagious, similar to the SARS virus in 2003. If left unchecked, the infection can be quite rapid. ”

Lin Yueqin said: "We still don't know much about this new virus, but in any case, it will not be wrong to pay more attention to safety and strengthen prevention." Two days ago, our hospital also transferred a new crown pneumonia patient from outside, and he was seriously ill, and he was in a very bad condition, and he is now being treated in the ICU. ”

"Sister-in-law, then you have to be careful!" Cheng Shuang admonished.

"Okay, let's all take care of ourselves and take care of ourselves!"

After going to work in the hospital in the morning, Deng Yixian, director of the emergency department, hurriedly came to Lin Yueqin: "Director Lin, no, more than a dozen medical staff in our hospital have been infected. We examined them in the emergency department and found that the symptoms were very similar to the new coronavirus, so please help us diagnose them. ”

"Ahh Lin Yueqin hurriedly rushed to the emergency department with Deng Yixian.

Along the way, Deng Yixian walked to her to introduce the general situation of the doctor's infection: "In December last year, the hospital surgery admitted a patient with cholecystitis in his 60s, and the surgery department made him go through the hospitalization procedures to prepare for his gallbladder removal surgery. The patient did not have any obvious symptoms of respiratory tract infection before the operation, and although the lung examination showed some problems, it was considered normal because the patient had a history of smoking. ”

Lin Yueqin said: "People with a history of smoking, some people's lungs are really not very good. ”

"yes, so no one cares. The patient had surgery on January 3 and started to have a fever the day after the operation, and the day before yesterday he had been diagnosed with pneumonia caused by the new coronavirus. The medical staff who came into contact with him also started to have a fever and cough yesterday. Yesterday afternoon, we took CT scans at the emergency department, and from the film, it felt that the situation was very bad. Deng Yixian explained further.

The two hurried to the emergency department, Lin Yueqin carefully looked at the CT films of the lungs of these medical staff, showing that there were "ground-glass lesions" in the lungs, and sighed in her heart: "This is indeed not an ordinary viral infection, hurry up and isolate them for treatment and immediately conduct nucleic acid testing!"

After further investigation, the gallbladder surgery patient did not have any intersection with the Huanan Seafood Market in Wuhan, and did not know where the source of the virus came from. There were also other infected patients in the ward where he was stayed. Of course, not all of the medical staff who were infected at this time were surgical staff, and four nurses from the gynecology, cardiac surgery and cardiology departments were also infected.

At the special meeting on the analysis of the condition of the infected medical staff urgently organized by the hospital, Lin Yueqin introduced the condition of these infected medical staff: most of them had a high fever of more than 38 degrees, cough or rapid breathing, shortness of breath, respiratory urgency syndrome, and pulmonary rales. X-rays and CT scans show that the lungs have varying degrees of flaky, patchy infiltrative opacities or reticular changes, and antimicrobial therapy has no obvious effect.

Lin Yueqin said to Vice President Qin Hui, who presided over the meeting: "Although the source of the virus is still unclear, it is clear that the phenomenon of 'human-to-human' transmission of the virus has indeed occurred, and it happened in our hospital." This shows that this new coronavirus is very contagious. This new coronavirus is very cunning, and some patients may not necessarily have obvious fever at the beginning, which is somewhat hidden. President Qin, I suggest that the hospital should notify all departments as soon as possible and take strict precautions. At the same time, Lin Yueqin also suggested that the hospital should immediately report this emergency to the city and district centers for disease control and prevention.

Vice President Qin Hui took a sip of tea, moistened his throat, and said, "This time, so many medical staff in our hospital have been infected, which really has to arouse our great attention. What Director Lin said just now is very reasonable, and all departments should attach great importance to it, take immediate action, and take effective measures to take strict precautions. Hospitals must isolate and treat patients with new crown pneumonia to prevent large-scale infection. Otherwise, if a large number of medical staff fall, not only will the hospital not be able to carry out its normal work, but it will also have a huge impact on the reputation of our hospital!"

After the meeting ended, walking out of the conference room, Lin Yueqin quickly caught up with Vice President Qin Hui in the corridor and said to him privately: "Dean Qin, there were many people at the meeting just now, there was one thing I wanted to say, but I felt that it was inappropriate, and I wanted to suggest it to you in private." ”

Qin Hui immediately stopped: "Director Lin, what's the matter?"

Lin Yueqin was full of melancholy and suggested: "From the fact that so many medical staff in our hospital have been infected, I have a hunch that the next step may be very bad, and it is estimated that there will be more and more new crown pneumonia patients." In order to avoid cross-infection, such patients must be isolated and treated. But at the moment we only have 30 beds in the ICU, which is far from enough. I suggest that the hospital step up the preparation of some isolation wards, convert all the 31st and 32nd floors of the inpatient building that are currently idle into isolation wards, and build an isolation area to centralize the admission and treatment of new crown pneumonia patients. At the same time, the hospital should urgently purchase a batch of N95 masks, protective clothing, ventilators, nucleic acid testing kits and other materials, and prepare for a rainy day!"

Hearing Lin Yueqin say this, Qin Hui also had a premonition of the seriousness of the problem and praised her suggestion: "Director Lin is worthy of being a well-known expert in this field, who sees the problem deeply, far-sightedly, and forward-looking. Your suggestion is very good, we will seriously consider it, and let the relevant departments implement it as soon as possible. Thank you for the good advice!"

After nucleic acid testing, all 13 infected medical staff tested positive and were diagnosed with pneumonia caused by the new coronavirus.

The hospital immediately issued instructions to transfer all of them to the intensive care unit of the inpatient department for isolation and treatment, and Lin Yueqin was specifically responsible for saving the lives of these medical staff at all costs.

Lin Yueqin immediately convened a team of experts from the department for a consultation, analyzed the condition of each patient one by one, and treated them according to the severity of their condition, according to mild and moderate disease. Mild cases are mainly treated with traditional Chinese medicine, while moderate cases are treated with a combination of Chinese and Western medicines.

Since the afternoon of January 8, the number of patients in the emergency department and fever clinic has increased significantly than usual, and a total of 5 suspected cases of new crown pneumonia have been admitted throughout the day.

The news that the medical staff had been infected and that five suspected new coronavirus patients had been admitted spread quickly among the medical staff at the hospital, and everyone's hearts began to become nervous.

When she returned home in the evening, Lin Yueqin said to Cheng Fenglei: "There are medical personnel in our hospital who have been infected by the new coronavirus, and they are not yet medical personnel in the emergency department and the infection department, but are infected by neurosurgeons during surgery, which shows that this new coronavirus is extremely contagious! However, why did the relevant government departments not say that it would not be transmitted from person to person and that it could be controlled and controlled? Isn't this misleading to the public?"

Cheng Fenglei got up from the sofa and said indignantly: "As an emergency, when an epidemic that endangers people's lives appears, the people need the most timely and accurate right to know, which is the basic truth and social norms. If this continues, once the situation expands and gets out of control and an epidemic breaks out, they will not be able to eat and walk around, and they will have to swallow this cup of bitter wine!"