Meanwhile, the outpatient clinics and wards of the respiratory medicine department of Zitong County People's Hospital were a different scene.
From Jan. 5 to 6, surging news interviews in Zitong County villages, towns and county-level medical institutions found that life is beginning to recover after the peak of infection, but the pressure to save lives is concentrated in the county people's hospital, where doctors and nurses are still doing their best to cope with the situation.
After the launch of the "one bed for the whole hospital" model, the hospital has strengthened operational training for frontline support staff. This picture are surging news reporter Xu Hui figure
January 5, surging news met Zitong County People's Hospital respiratory internal medicine director Yang Lin, she was involved in the training of medical staff, in the introduction of the use of respiratory machines and special precautions, she paused from time to time, wheezing, coughing. She was previously infected, because of the department's manpower constraints, at one time hanging oxygen masks to receive medical treatment.
In order to ease the personnel and bed tension, Zitong County People's Hospital launched a "hospital a bed" management model: in the peak hours of the new crown epidemic, all departments of the hospital have spare beds can be used to treat "positive" infected people. At present, the hospital is strengthening the training of health care personnel, focusing on general practice and critical patient treatment, first aid capacity.
The first wave of the new coronary infections peaked under the graded, tiered treatment system, and Zitong County Hospital took on the heaviest pressure of the county's treatment tasks, while township health centers and village health centers, according to their respective positioning, took on the task of receiving and treating patients in their own regions, as well as transferring and triaging serious patients to the next level of hospitals, and successfully passed the first wave of the infections peaked.
Early this month, surging news interviewed Zitong County Jewel Township Health Center, Jewel Township celebration village health room, receiving new crown infection patients are only sporadic. Township health centers and village health center hospitals in the mobilization of equipment or preparation of drugs, "Yang" over, or overworked health care workers are also in the recovery and adjustment, "I do not know whether there will be a rebound during the Spring Festival, in all aspects have to be prepared," said a grass-roots doctors.
Celebration of the village doctor: according to the guidance of the "symptomatic treatment"
January 6 afternoon, Zitong County, Jewel Township celebration of the village doctor Fan Jibin, once again came to the villagers Yang Yongfang home, for her blood pressure measurement.
Fan Jibin told Punch News that Celebration Village has a resident population of 1,460, including 334 elderly people, and 127 of these elderly people have high blood pressure, and more than 40 people suffer from diabetes.
As a village doctor, one of the main tasks of Fan Jibin's rounds is to measure the blood pressure of the village's elderly. Whoever's blood pressure is high or low, remind them to consult a doctor and take medicine in time. This is an important service he can provide to villagers with his simple medical equipment. Another important task he has been doing for the past two to three years is to do nucleic acid tests for the villagers.
Fan Jibin was involved in 36 nucleic acid tests last year, including two in the previous two years, and did not find a single "positive" test. The new coronavirus for them, seems to be far away. Until a month ago, all of a sudden, a lot of people around them said they were "positive".
December 7, 2022, epidemic prevention "new ten" began to release, Fan Jibin and many primary care workers called "liberalization".
After the "liberalization," Fan Jibin couldn't tell how many people were infected with the new coronavirus and how many just had colds. According to experts and scholars, higher medical institutions for the general symptoms of the guidance given, all "symptomatic treatment".
In the past 10 years of his career as a village doctor, Fan Jibin has mostly dealt with illnesses such as headaches and fever. The door to the villagers, he judged according to the condition of the disease, the symptoms of the more complex let the patient go to the township health center or county hospital, the symptoms are not serious, direct symptomatic medicine.
Because of the limited conditions in the village, the new crown infected adults and children with complex conditions, Fan Jibin directly recommended to go to the hospital. Especially children, he asked parents to take directly to the county hospital, because children can not express, have to go to a professional, good conditions of the hospital, and Zitong County, every village community through the cement road, directly from the celebration of the village to the county people's hospital has 20 kilometers away, driving is only about half an hour.
The peak time of the township health center: 12 health care only 1 person did not get infected
Jewel Township celebration village is located in a ravine, a road built along the ravine will be the entire village residents strung together, the head of the village to the end of the village has more than 10 miles. Most of the villagers are in separate houses and courtyards, with distances between households ranging from tens to hundreds of meters, and it is not difficult for residents to avoid infecting each other in this environment.
January 6, villagers Yang Yongfang said that many of their neighbors were "Yang over", but her family is the exception, no one has been infected. Her family runs a kiosk on the side of the highway and has more contact with outsiders. She thinks that the fact that she has not been infected may have something to do with the fact that she has always been careful to protect herself. She wears a mask when she goes out and always keeps a proper distance from outsiders, and she disinfects her laundry.
Last month, there are two driving young men in the roadside parking shopping, rolled down the window and she said, Chongqing back to the "Yang", she rushed to greet each other first do not get out of the car, she will be ready to go, along with the collection of two-dimensional code placed in a place to go away, the young man and then go over to pick up something to pay.
While most of her neighbors have been infected, she hasn't heard of anyone particularly serious. Last month, she said, an 86-year-old fifth-income household in the village died, but he already had high blood pressure, diabetes and bronchitis, and she wasn't sure if the old man's death was related to the new coronavirus. Every winter, diseases of the heart and lungs always take away the lives of some elderly people.
Besides this old man, Yang Yongfang has not heard any other bad news, neighbors are usually resting for a few days after the infection, and the township health center did not go, even though it is only two or three kilometers away.
January 6 afternoon, surging news came to the gem township health center, inside only 73-year-old Cao Juzhen old man in the infusion, his partner accompanied him on the sidelines. The only emergency vehicle in the health center was parked in the yard without a mission.
Cao Juzhen said she developed symptoms of the infection around Dec. 30, and in the past few days felt a bad cough and a little pain in her chest. So, her old partner used a motorcycle to bring her to the health center for medical treatment, and on Jan. 5 began to receive fluids, and went home every day after the infusion, without hospitalization.
Cao Juzhen's infusion included the antibiotic drug penicillin, which is usually the primary means for primary care doctors to deal with pneumonia-like illnesses. Antibiotics are generally used to treat bacterial infections and do not treat viral infections.
While Cao Juzhen was getting her fluids, her husband sat on the side of the bed with his mask in his coat pocket, not wearing it. He was confident that he was in good health and would not get infected. Even if he did get infected, he felt he could just carry on and get over it, just like the other villagers.
January 6, gem township health center medical staff, the peak of infection, the health center every day, 20 to 30 people infusion. A doctor at another nearby township health center described the peak of infection as Dec. 10-20, 2022, when only one of their 12 health care workers was still infected, and he believes the township's infection rate has exceeded 80 percent, but the medical squeeze has not occurred at their level.
The tightness in the supply of medicines has eased a bit for now. A township health center doctor said that when an order is placed for 50 boxes of medicine, only 20 boxes may be delivered, so at least there is no break in supply. When it's time to prescribe three days or a week's worth of medicine, doctors can only prescribe two days to save the day and let patients come back two days later.
Zitong County Hospital: bear the county and townships of the main treatment pressure
Jewel Township Health Center to Zitong County People's Hospital is normally only half an hour's drive, the local township health center's main task is the pre-hospital emergency treatment, routine disease diagnosis and treatment, and the public **** health and epidemiological prevention. Complicated cases will be transferred to county-level medical institutions, or directly to the best hospital in the Mianyang area - Mianyang City Central Hospital.
The fever clinic of Zitong County People's Hospital after the peak of the epidemic.
A township health center doctor in Zitong County told Punch News that most of the township health centers do not have the conditions to take a CT and go on a ventilator, but the referral channel from the township health centers to the county hospitals, and then to the municipal hospitals, is open.
During the peak of the infection, Zitong County People's Hospital took over the main treatment pressure from the county and townships.
When the surging news met Yang Lin, director of the respiratory medicine department of Zitong County People's Hospital, on Jan. 5, she was in a conference room at the hospital, involved in training healthcare workers on ventilators.
Yang Lin paused, gasped and coughed from time to time as she introduced the use of ventilators and special precautions. The hospital staff explained that at the peak of the infection, the respiratory medicine department received too much, Yang Lin was the second wave of infection in the hospital and developed symptoms of pneumonia, has been in the infusion last week, received at one time wearing oxygen, and has not yet fully recovered.
The hospital staff said that in the department's busiest time, some patients found the doctor hanging oxygen when they came in the door, feel more serious than they are, advised "you are like this, go back to rest. In fact, the hospital also asked to protect the normal rest of infected health care workers.
Yang Lin said, when the department doctors and nurses have been infected, but the number of patients is increasing, the entire department even her only five doctors, a person has to top a few people. Therefore, the first is not infected first top up, infected people go home to rest, are "Yang" after the symptoms of light top up, and then later is a little faster recovery, a little less symptoms of top up, the symptoms of heavy people rest.
Some doctors and nurses have been busy with their work and have "collapsed". Yang Lin said, two female doctors in the department "Yang", but also three consecutive days of night shift, exhaustion and infection once made them collapse. She as head of the department can only take the lead to insist on hanging oxygen also have to go.
Yang Lin said, she was with the hospital to apply for support for a doctor, although the leadership did not agree, but finally gave her support for a doctor.
In order to alleviate the shortage of human resources during the peak period of infection, the Zitong County People's Hospital redeployed its staff, who have been transferred to administrative and logistic positions, and all those with medical and nursing qualifications have returned to the front-line departments and their professions, breaking down barriers completely between departments, and admitting patients to any department as long as it has extra beds.
Now, the hospital to strengthen the training of medical staff, focusing on general practice and critical patient treatment, first aid capacity.
"One bed for the whole hospital" model: mobilizing the whole hospital beds and medical power
"The beds are tense, but now still have the capacity to admit and treat." Zitong County People's Hospital administrative office director Liu Dan said, this wave of infection peak, the need for hospitalization of infected people continue to increase, as the county's largest and most authoritative public hospital, in accordance with the requirements of the local party committee and government must maintain the capacity to admit and treat.
In order to mobilize medical resources, the hospital launched a "hospital a bed" management model, now all departments are admitted to treat infected patients, by the respiratory medicine hospital checkups, consultation, the development of treatment plans, but the serious patients still need to be transferred back to the respiratory medicine department to implement the "specialist treatment However, seriously ill patients still need to be transferred back to the respiratory medicine department for "specialized treatment". This means that through temporary reform measures, all departments of the hospital, regardless of specialty are involved in the new crown infection treatment work.
Zitong County People's Hospital rescue room.
This has somewhat eased the problem of strained medical staff, Liu Dan told Punch News, the hospital now has 700 people hospitalized, which is considered a record for the hospital. Before the peak of the infection, the highest number of inpatient admissions was just over 500.
Liu Dan said, early last month, the hospital on the upcoming infection peak has some prediction, ordered 165 beds in advance, coordinated more than 100 oxygen tanks, the security department and repair a part of the repair, but also repaired a few idle ventilators, now the hospital has 28 ventilators, Mianyang City Health Commission emergency coordination of three ventilators will also be in place on the evening of the 6th, and now the whole hospital critically ill patients Twenty to thirty, the problem of insufficient ventilators has been alleviated to some extent.
But acquiring new equipment and antiviral drugs remains a thorny issue. Liu Dan said that in early December last year, the hospital ordered 15 ventilators, which have not yet arrived. Antiviral drugs for the new crowns are also in short supply, with two boxes of the Nematrevir/ritonavir combination and 20 bottles of Azulfidine tablets arriving only recently, and can only be used to treat critical cases first.
On the one hand, the focus within the hospital is being on lifesaving treatment, while on the other hand, the number of fever clinic attendances has dropped dramatically as the peak of infection passes.
After the peak, the consultation desk at Zitong County People's Hospital.
January 5, surging news in Zitong County People's Hospital door to see, three or two crowds of people from the side doorway access in and out of the hospital, the hospital plaza less people, an emergency vehicle from the door, did not pull the alarm. Fever clinic only a doctor on duty, no patients.
But recently some patients "Yang" after coughing, chest pain and other symptoms, to the hospital to hang emergency CT more.
Zitong County People's Hospital, a doctor told the surging news, the peak of the infection fever clinic people, and now to the recovery stage, is suspected of "sequelae" of the people, they go to the emergency room to shoot CT, but really diagnosed lung infection, or conversion into pneumonia is only a small part of the discovery of these patients, will be income The first step is to make sure that you have the right kind of care and attention for your patients.
Now, whether the large number of people moving during the Spring Festival will bring a new wave of infections, is another key concern for health care professionals.