Introduction: Review 2020, "new crown pneumonia" word across the year, domestic and foreign are y disturbed by it. On the eve of the Spring Festival, the epidemic broke out in Wuhan, China's national efforts to support, including more than 42,000 health care workers emergency aid Hubei, Hubei after two months of new cases to clear zero, only to return triumphantly one after another. If 2020 is a turning point in history, China can complete a relatively magnificent turnaround during the period, inseparable from the heroism of these healthcare professionals. Xiao X (anonymous) was one of the first medical nurses to support Wuhan, rushing to help on New Year's Eve, fighting the epidemic in the "red zone" of the Jingyintan Hospital. At the end of the year, the Observer invited him to review the battle at the beginning of the year.
Interview/Observer Li Ling
- New Year's Eve
Observer: support for Wuhan's fight against the epidemic, your side is a voluntary enrollment, or directly arranged?
Small X: The organization will set the quota, but will not determine who will come. New Year's Eve in the wee hours of the morning received a notice that they want to draw people over to support, they first asked the head nurse of each department to let the department recommend people, I myself is the head nurse, so I said that if only one person, then it will be me on.
China's anti-epidemic timeline (Figure / CDC official website)
Observer: After determining to go to Wuhan, what preparations have been made on your side?
Xiao X: At that time, I did not know exactly when to leave, only let hurry to get ready, at any time may go. After receiving the mission, we first participated in some emergency training, the hospital unified organization of the wear and take off the protective clothing training. After that, another partner and I spent about an hour frantically shopping. Because we don't know how long we'll be there, we'll stock up on a three-month supply and prepare for a long battle. Chongqing's roads are basically slopes, we have finished purchasing in one fell swoop is still climbing the slope, received a phone call, said, "Hurry up quickly, 10 minutes after the collection of the", we hurriedly took the things dashed back, and immediately changed clothes, packing.
Observer: Is it too late for New Year's Eve dinner?
Small X: We rushed to catch the plane, a large table of food just ate two mouthfuls was pulled away. The first thing we did was to get a lot of money to pay for the work we did, and then we had to pay for the work we did, and then we had to pay for the work we did, and then we had to pay for the work we did, and then we had to pay for the work we did, and then we had to pay for the work we did, and then we had to pay for the work we did. We arrived in Wuhan in the early hours of the first morning of the first day of the Chinese New Year, so we couldn't care less about the New Year's Eve dinner, and instant noodles were good enough. Once you're officially settled in, there's a specialized chef, and after that it's much better.
- "Life and death in Jin Yin Tan"
Observer.com: as soon as you went over there, you were put into Jin Yin Tan hospital?
Small X: Yes, we lived across the street from the Treasure Pool. Treasure pool is a hospital specializing in infectious diseases, at that time can be said to be the center of the epidemic center, people hear that place is terrible, but we happen to be the most terrible place to go.
On February 29, a medical staff pushed a garbage can in front of the inpatient building of the Jingyintan Hospital in Wuhan. (Photo/National Health Commission website)
Observer: You're still backing up the "red zone" (the area where patients are being treated) at Jinyintan, which, according to you, is sort of the center of the epicenter of the epidemic, the most dangerous place. Were you screened before you went in?
X: Into the "red zone", the psychological quality to be stable, because if the psychological fluctuation is very big, it is very dangerous for themselves and others. Technically, when dealing with Ebola, they will be outside the protective clothing sprinkled with fluorescent powder, if the inside of the clean clothes rubbed, there will be a fluorescent reaction, that is, contaminated; we did not use fluorescent powder, but also similar test, must be qualified. So the day we arrived in Wuhan, we repeatedly practiced putting on and taking off protective clothing in the hotel, and when the teacher felt that we were fully qualified for the process, we were allowed to enter the Treasure Pool.
In the "green zone" (clean area) "yellow zone" (semi-polluted area) is relatively easy, in the "red zone" in addition to the protective clothing, the head also have to hoop more things on the physical and mental quality is still very high. The requirements for physical and psychological quality are still very high. But each time you go in only 4 hours, if you go in not adapt to the words, you can put forward, and then transferred to the shift, these are available.
Observer: Can you describe your daily workflow in the "red zone" of the Treasure Tank?
Small X: We almost never encountered the need to go into the ICU intubation can not move the kind, mostly light to moderate degree of the new coronary pneumonia patients, can move on their own. We give them blood pressure and glucose, infusion, etc. every day as we used to do in the ward. In addition, we have a job that we didn't do in the past in the clinical department - part-time housekeeping, because there is no housekeeper in there. For patients who have passed away, we also have to help with cadaveric care.
Since there are no caregivers in the red zone, medical staff also have to help with chores, such as taking out the garbage (Photo/CCTV News Client)
OBSERVER: Do you remember how long you supported the hospital in Jingyintan?
Small X: It seems like it was only one week, one shift a day, four hours per shift, every day; after seven days you were sent to other hospitals.
Observer: four hours per shift, is there anything to this timing?
Small X: According to previous experience in the prevention and control of infectious diseases such as Ebola, four hours is the limit of what the human body can withstand, so we implemented it accordingly.
Observer: We learned from some media reports and social media platforms that medical supplies were in short supply at the beginning, so much so that the medical staff made their own masks, and even took garbage bags to make temporary protective suits. Did you encounter this when you first went in?
Small X: No. The medical supplies were really tight. It's true that medical supplies are in short supply and can't afford to be wasted, but they're not in such short supply that you have to make your own masks. It's also possible that because we're in the "red zone", we have relatively stable security. If we didn't have N95s or protective clothing, we would never be able to go in.
Observer: When you were at your tightest, how tight was it?
Small X: Various substitutions. A lot of supplies were sent in from outside, both foreign donations and support from different provinces, so often, for example, this batch of styles of booties were not available, we changed a batch of adaptations, as long as they can play a protective role. In the middle and late stages of the epidemic, the supply is more adequate.
Observer: before that, you physically and psychologically experienced such intense work?
Small X: Psychologically definitely never. At the time, we were really in the dark, we had no real-world experience, and we didn't know whether we were going to live or die up ahead. I don't think the second medical team was much clearer. As far as physically, it's been more intense than that.
Observer: Is there anything you should pay attention to when you're in the "red zone"?
Small X: It's important to pay attention to the fact that when you're not working, you don't want to stay up late, you don't want to think about chatting or catching up on your favorite TV shows, but you're not in the mood to do so at the time. The experts' advice to us is to rest more and sleep more after work, so that we can avoid fainting in the "red zone". If you're not feeling up to it, you'll be vulnerable to occupational exposure, which means you'll be vulnerable to contamination.
Observer: Is there any discomfort on your side? Or was there anyone around you who couldn't hold out?
Small X: Too much. I'll tell you what, when we first went in it wasn't four hours, it was two hours at the beginning, but the first two hours, I could barely hold on. To an hour and a half, the head is like the Monkey King wearing a tightrope, supraorbital nerves are hooped for a long time, the head will be very swollen and painful; coupled with so many layers of masks, the air is not good, in this case it is very tempting to vomit.
My most uncomfortable time is my waist can not straighten up, especially difficult, can only bow to 90 degrees below the line, the patients look at said too masochistic.
This was fine, thank goodness, but I've heard other nurse managers talk about worse. A male nurse went into the "red zone" with her, worked there for 4 hours, and then had to go to the bathroom. But taking off protective clothing is not like taking off clothes like we usually do, you have to do it one layer at a time, because if you are not careful, you may contaminate yourself. So he took his time and finally peed directly in his pants. Now talk about this thing may feel particularly funny, but at that time it was really ...... then the head nurse's tears came down at once.
Observer: the outbreak of the early days of the epidemic, whether doctors or patients, the heart more or less a little panic. Did the patients at the scene cooperate with your work?
Small X: They were very cooperative. They were scared, but as soon as they saw the hospital and the names written on our protective suits, they felt there was hope of living again.
Observer: So there was basically no conflict, no misunderstanding between you and the patients, and everyone communicated quite smoothly?
Small X: Right, there was definitely no conflict. One thing that is relatively difficult for families to accept is that patients are dying when they are transported in, and many families have not even seen the last of them. However, we will tell the family through the work cell phone that the person has gone, and some family members will say, "Can you take a picture of the last appearance for us?", and some family members will hand something in and ask, "Can you help me put the life jacket on him?". There are so many of these human needs, and we try to help them as much as we can.
Observer: You're under a lot of psychological pressure.
Small X: At that time, there was a gym in the hotel, and ping-pong tables were introduced at the back, and you could walk around the neighborhood. Some people would do some exercise, like jogging, and some would find friends to talk to via phone or video - our communication was still very smooth when we came back from work. There was also a special psychiatric team at that time, and some psychologists were sent over.
Observer: watching the news, the Square Pod Hospital was hot and heavy with square dancers and others; what was the atmosphere like at your place?
Small X: Compared to the patients in the square-cabin hospital, our patients are a little bit more serious, and the hospital we're in is not the kind of big pass-through like the square-cabin hospital, so it's still a little bit different. We have taken the patients to sing, sang "I and my motherland", and other wards have medical nurses who have taken them to dance the seaweed dance.
File photo
- "If I don't tell them, they don't know"
OBSERVER: How long were you in Wuhan?
Small X: One **** stayed 99 days.
OBSERVER: Did your family know you were traveling to Wuhan?
Small X: Yes. Before I left, I thought I might not be able to come back, so I called my mom, dad and husband one by one and said I was going over there to say goodbye to them.
Observer: how did they all react?
Small X: They were definitely surprised at first, especially my parents, because they are old, asked "can not go", but eventually they supported me. I asked my mom if she watched the Gala on New Year's Eve, and she replied, "What's the Gala? There's no sound on New Year's Eve, and I'm sitting at this end of the house, and your dad is sitting at that end of the house, and your brother is sitting at the other end of the house, and the three of them look at each other without saying anything, and they're all sighing.
OBSERVER: In the blink of an eye this 2020 is almost over and you've been back for a few months now. Can I ask if you guys have gotten any rewards for coming back?
Small X: Some health care directly into a regular employee, the civil service examination can be additional points, etc.. But it didn't make much of a difference to me. These incentives are time-sensitive, for example, they said that within three years your child can read the best in Chongqing, squeeze through the head can not be squeezed into the kindergarten, like me, three years after the child may be only one year old, can not catch up; and said that your child this year, reference to the college entrance examination can be added to the 10 points, where is my child? I don't think so.
Observer.com: then around the people's attitude towards you have no change? Especially the patients, in the past due to the conflict between doctors and patients, medical staff did not get enough respect - this is only my personal feeling - experienced this support to fight the epidemic, their attitude towards you have not changed? Did they become more respectful, for example?
Small X: In fact, usually I don't have such a deep feeling about doctor-patient conflict. In my opinion, the patient himself is physically and mentally uncomfortable, if you treat him poorly, he is more likely to be angry; stretching hands do not hit the smiling face of the people, if you treat him a little bit more peaceful attitude, he will not be so big resentment.
Observer: the last small question ...... Mongolia donated mutton, you eat it?
Little X: Haha, it seems not yet.