Chapter 189 Come back to me soon!

"The patient is a female, 86 years old, who lives next to Huatian Nursing Home. Her children are away at work and are not with her. Only hourly workers come to cook and clean for her during the day."

The infectious disease doctor, wearing disposable protective clothing and a mask and holding a medical record, was reporting the patient's condition to Director Hou while speaking quickly: "The patient had symptoms such as coughing and low fever the day before yesterday. His condition worsened while he was resting at home yesterday. He had difficulty breathing in the early morning, so he called 120 for emergency treatment and was sent to the hospital."

"Because he is a resident of Huatian Community, the emergency center sent him directly to the infectious disease department." The infectious disease doctor's voice was transmitted to the ears of Director Hou and others through the mask. It was a bit muffled but extremely serious.

Because this new pneumonia is an infectious disease and also a respiratory infectious disease.

Therefore, whether it was the 120 staff who were transferring patients or the doctors and nurses in the infectious disease department, they all strictly wore blue protective suits, masks and gloves.

Director Hou frowned as he looked at the elderly man who was having difficulty breathing, and instructed his doctors, "Hurry up and arrange this critically ill patient to Ward 421, together with the other two critically ill patients, and arrange for a non-invasive ventilator! If the patient's condition has not improved after two hours, prepare for endotracheal intubation immediately!"

Director Hou has been dealing with dozens of new pneumonia patients in the past few days. Even though the old lady in front of him has not been examined yet, he can judge from her residence and current condition that she is 99% likely to be the 39th new pneumonia patient.

39 people were infected in just 4 days, which shows how fast the disease spreads and how many people are infected. This is the most serious situation Director Hou has ever seen in his decades of work.

"Yes!" Upon hearing Director Hou's order, the subordinate doctors and nurses immediately took action. They moved quickly, some rushed the patient to the ward, and others hurried to prepare the ventilator.

After dealing with the new pneumonia in the past few days, many medical staff in the infectious disease department have realized that the biggest problem with this new pneumonia is to solve the patients' difficulty breathing!

Low blood oxygen concentration! Carbon dioxide retention!

If the blood oxygen problem is not solved, these patients will be like fish caught on shore and will eventually die painfully from respiratory failure and suffocation.

Everyone in the infectious department was extremely busy. There was the gurgling sound of the stretcher wheels, the busy footsteps and voices of the medical staff, and the sounds of mechanical footsteps coming from various wards. All the sounds intertwined into one, and along with the vibrations in the air, they kept reaching the ears of Su Tang, Pan Yuhao and others.

Su Tang and Pan Yuhao frowned, looked at each other, nodded, and immediately followed to report to Director Hou of the Infectious Diseases Department! In such a busy situation, they couldn't just stand at the door of the Infectious Diseases Department and wait for Director Hou to come to them.

then.

Director Hou had just asked his doctors to connect the patient to a ventilator when he turned around and saw Su Tang and others coming to report on the scene.

I am busy at work, but I don't waste time talking.

Director Hou glanced at Su Tang and the others, then waved to the other doctors in the department.

Ask them to quickly help Su Tang, Pan Yuhao and others to familiarize themselves with the work flow of the infectious department as soon as possible, and to arrange for the current situation of the infectious department and the patients who were sent there by the CDC overnight.

"Because this new infectious disease has a wide range and spreads quickly, the number of patients in the infectious disease department will only increase for a long time to come." As the attending physician of the infectious disease department, Zeng Ming was assigned by Director Hou to take Su Tang and Pan Yuhao to familiarize themselves with the department.

Zeng Ming looked serious as he said to Su Tang and the others, "The staff at the CDC are now conducting tests on the residents of Huatian Community overnight. Once anyone is found to be infected with the new coronavirus, they will be sent to our hospital immediately!"

"The infectious disease department already had more than 20 patients, plus the 39 new pneumonia patients in the past few days... Now the department is almost fully loaded." Zeng Ming said in a heavy tone: "The CDC has discussed with the hospital that the hospital will try its best to treat new pneumonia patients, but if the situation gets out of control, the hospital may need to clear out other department wards to accommodate infected patients."

"Cleaning up other departments' wards as an infectious disease envoy?" Pan Yuhao glared, "What about the patients in other departments?"

Unlike other key departments, the Infectious Diseases Department of the Sixth Hospital, like the General Internal Medicine Department, has only one ward, instead of one, two, three, four or five wards like the Orthopedics Department, Hepatobiliary Surgery Department and the like.

"Either transfer to other hospitals or reduce the admission conditions." Zeng Ming sighed helplessly, raised his chin, and pointed to several wards next to him that were already filled with patients with the new pneumonia: "There is no other way. The Sixth Hospital is the closest tertiary hospital to Huatian Community. If the hospital does not take this responsibility, there will be no more suitable hospital nearby."

"……Um."

Su Tang and Pan Yuhao frowned but nodded in understanding.

The two followed Zeng Ming to understand the work flow of the infectious disease department, familiarize themselves with the patients with the new pneumonia, and carefully note down the wards where these patients were staying.

The hospital has transferred staff from other departments to the infectious disease department. I'm afraid they have already made plans to vacate wards in other departments for use in the infectious disease department.

Otherwise, they would not be allowed to come to the infectious disease department in advance to familiarize themselves with the procedures.

The more Su Tang followed Zeng Ming and became familiar with the work flow of the infectious disease department and understood these new pneumonia patients, the more he understood the difficulties the infectious disease department was facing today.

Patients with tuberculosis can take special medicines such as isoniazid and rifampicin, and patients with poliomyelitis can be prevented by taking polio sugar pills.

But there is no specific medicine for this new type of pneumonia!

The infectious disease department can only provide treatment according to the most primitive old rules - if the patient has difficulty breathing, give oxygen assistance. If the patient coughs and expectorates, give expectorants and cough suppressants.

If the patient has other symptoms due to difficulty breathing, then other treatment options should be considered immediately.

But no matter which type it is, it is obviously only a temporary solution and not a fundamental solution. Some elderly patients with poor immunity even have their conditions worsen.

This made everyone in the infectious department worry so much that their hair turned white. Director Hou didn't even have a good sleep in the past two days!

"We have used various antiviral drugs on patients before, but the results were not satisfactory."

Zeng Ming said as they walked: "If the patient doesn't get better in the next two days, the hospital will start considering using anti-HIV drugs, such as Lopinavir."

"Drip, drip, drip!——"

Just as Zeng Ming, Su Tang and Pan Yuhao were passing by an intensive care unit, an old man with gray hair and a ventilator was seen in the room, holding his chest and gasping for breath.

He was clearly wearing a breathing mask, and a large amount of oxygen was entering the old man's respiratory tract through the mask.

But the other party's face turned purple due to lack of oxygen and he was groaning in pain!

The ECG monitor at the patient's bedside became increasingly shrill as the old man's condition worsened.

"No! The condition of the patient in bed 37 is getting worse and worse. The non-invasive ventilator is of no use and tracheal intubation must be performed immediately!" Zeng Ming looked serious. He took two steps forward, walked into the ward, and immediately made a judgment and formulated a plan.

A doctor from the infectious disease department and other departments heard the screams and ran into the ward to check on the patient.

With a serious face, he gave the treatment plan to the nurse and asked someone to send the endotracheal intubation equipment immediately.

"Suction the phlegm and clean the oral secretions!"

"Give me the catheter!"

"Bring me the laryngoscope!"

Following orders and instructions, the critically ill patient in bed 37 has been surrounded by medical staff from the infectious department. While they quickly intubated the patient, they solemnly reminded the nurses to observe the patient's condition carefully in the next period of time and not to relax.

Su Tang and others had just arrived at the infectious disease department and were not familiar with the place yet, so they had already been pushed aside by the medical staff.

Seeing the scene before them, Su Tang, Pan Yuhao and others couldn't help but frown more and more.

After seeing two critically ill patients having difficulty breathing, Su Tang has clearly understood that the biggest problem for patients with the new pneumonia is the feeling of suffocation!

"Oxygen cannot pass smoothly through the lungs into the blood vessels for gas exchange." Su Tang thought calmly: "Patients with the new pneumonia are essentially no different from patients with water in their lungs after drowning."

"More than 80% of the patients in the infectious disease department are elderly people. In addition to the outbreak of the disease in Huatian Nursing Home, it is also because the physical fitness of the elderly is relatively poor and their resistance is not as good as that of young people. Otherwise, why is it that in the family of five infected, the child goes to school, but only one person has been sent to the hospital so far? And there are so many people infected in Huatian Nursing Home?"

As for schools, of course, one reason is that they have not yet conducted large-scale inspections.

It is conceivable that even if some students were infected with the new coronavirus, the symptoms would not be too serious, otherwise the students would have been sent to the hospital by their parents.

Instead, two or three days later, still no one called the 120 emergency number.

Su Tang frowned, and stared at the old man with deep eyes through his dark pupils.

She thought, judging from the current situation, she could try the cancer treatment plan that she had previously developed for Wei Feng and others!

——Use Chinese medicine and acupuncture to improve the patient's immunity, and add other antiviral drugs to treat pneumonia, a double combination!

Maybe the effect will be as significant as the treatment of Wei Feng and the 21 cancer patients previously treated by the General Internal Medicine Department!

"My acupuncture can improve headaches and limb spasms, but it cannot directly change the lungs that have been eroded by the virus and whose respiratory function has been impaired."

"But improving the patient's immunity and enhancing the body's resistance can help the patient kill the virus in the body and fight against the new pneumonia." Su Tang murmured: "Even if it cannot cure the infected patient immediately, it can at least ensure that the patient's condition will not worsen."

As the saying goes: one gains while the other loses.

The same is true of the relationship between the human body and viruses.

“Swish!——”

Su Tang stopped watching the rescue of the critically ill patient in the room and turned around and walked out!

She wants to go find Director Hou of the infectious disease department immediately!

In this infectious disease department, only after Director Hou agrees to her plan can it be implemented immediately and quickly in the infectious disease department!

Pan Yuhao widened his eyes and thought to himself, "Oh shit!"

Damn! What’s wrong with Dr. Su?

Is she going to run away? Why did she run away before the critically ill patient was even treated?!

Pan Yuhao's heart was pounding and his face was filled with confusion and embarrassment.

Especially when his arch-enemy, Dr. Liu from the Department of Gastroenterology who was also sent to support the Department of Infectious Diseases this time, looked at him with a strange look, Pan Yuhao felt even more guilty and embarrassed.

Damn! No! He has to get him back as soon as possible!

then.

Zeng Ming looked up and saw Pan Yuhao's back running out.

Zeng Ming: “……???”

No, I am so old, where are the two temporary trainees? How come they ran away?!

Come back to me! Come back!

The author has something to say:

I was exhausted. This disease is so difficult to write about. I looked up a lot of information, but when I wrote it, I always felt something was wrong. Then I asked my friend about the workflow of pneumonia treatment again, and found that the workflow I wrote before was wrong, so I had to rewrite it.

I hope it’s correct this time. If the process is still wrong, just consider it a private setting. Xoxo.