Tong Zhaohui, the vice president of Beijing Chaoyang Hospital and respiratory critical disease expert who worked hard for days in Wuhan, also attended the case discussion. Combined with the experience accumulated in recent treatment, he put forward his own suggestions on the clinical diagnosis and discharge standard of new crown pneumonia.
Choking dialogue between medical couples in two places
After several days of debugging, on February 8, Beijing medical team formally discussed remote cases with experts from Chaoyang Hospital through 5g technology. Because it is the Lantern Festival, before the case discussion, the leaders of the rear hospital first sent the blessing of the festival to the medical team members, you must do a good job of protection, and dont worry about things at home. Im looking forward to your safe return. No one is missing!
Family members of several members of the Beijing medical team were also invited to the rear scene. The wife of one of the team members is a nurse of Chaoyang Hospital. Before the conversation, someone half joked, dont cry, but after a few words, their voices were choked.
Tong Zhaohui, the vice president of Beijing Chaoyang Hospital in Wuhan and an expert in respiratory crisis, also came to the scene of case discussion, and he was very cognizant of this form. Tong Zhaohui said that 5g remote case discussion reflects the importance of severe patients, and the medical team has limited time to go to the front line, and some doctors in the field of non breathing participate in the discussion, which helps to further improve the diagnosis and treatment process.
It is suggested that the discharged patients should be isolated for two weeks
In the remote case discussion yesterday morning, an important topic was the discharge time of patients and the observation and isolation of patients after discharge.
Wang Feng, a respiratory doctor in Chaoyang Hospital, introduced the situation of two patients. One 35 year old female patient was admitted to the hospital on January 31 and had symptoms of fatigue and fever. The initial CT examination showed ground glass image. After treatment, another examination was carried out on February 7, and the CT image has changed a lot, and was discharged yesterday afternoon.
Another 30-year-old male patient, also admitted on January 31, had been feverish for ten days and had chest pain while breathing. On February 7, CT scan showed more interstitial changes. According to the fifth edition of diagnosis and treatment plan of pneumonia with new coronavirus infection, the suspected cases in Hubei Province with the imaging characteristics of pneumonia are clinical diagnosis cases.
Combined with his working experience in Wuhan for days, Tong Zhaohui, vice president of Chaoyang Hospital in Beijing and an expert in respiratory crisis, said that due to the limitations of nucleic acid detection in technology, sampling and other aspects, there is a possibility of false negative test results, so there is a concept of clinical diagnosis cases.
According to the fifth edition of the diagnosis and treatment plan, the standards for discharge and isolation removal are: the body temperature returns to normal for more than 3 days, the respiratory symptoms improve significantly, the pulmonary imaging shows that the inflammation is obviously absorbed, and the nucleic acid test is negative for two consecutive times (the sampling time is at least one day apart).
For the two patients in the discussion, Tong Zhaohui said that many of the cases were the peak of inflammation from 7 to 14 days, CT images may change again, and the symptoms such as dyspnea aggravation may occur. Some patients may have the condition of repeated illness and nucleic acid detection turning to Yang after discharge. He combined with the experience of working at the front line of SARS, for example, at that time, he was generally discharged 21 days later, and the chest CT image showed the absorption state, which was more stable.
Tong Zhaohuis point of view is also supported by experts from Chaoyang Hospital in the rear. When will discharge patients really lift the ban and return to society really need to be considered in a longer term. Combined with the actual situation of the two patients, Tong Zhaohui suggested that since the first female patient had a short time from onset to discharge from the hospital, follow-up work must be carried out. In the face of the fact that the pressure of bed circulation is great, Tong Zhaohui thinks: even if the patients are discharged, its better to isolate them for another two weeks.
Diary of epidemic area
Thank you letter on the medicine box
The Beijing medical team received the first thank-you letter from the isolation ward, which was written on the medicine box.
Zheng Yunhui, a nurse at Century Altar hospital in Beijing, heard the call bell at 3:00 p.m. in the 12th floor ward on February 7. It was aunt Gans bed in her 70s. She was also one of the first patients in the ward.
Aunt Gan beckoned Zheng Yunhui to help herself up, and suddenly said, I know that you have been very hard. When she said this, aunt Gan covered her mask with her hand, because she was afraid of bringing risks to the medical staff. Every time she communicated, she tried to avoid direct contact. With that, aunt Gan put an open medicine box into Zheng Yunhuis hand, turned it over, and a thank-you letter was written on it: I sincerely thank you, the medical staff from afar, for leaving your home and ignoring your own safety, and thank you for your patient treatment.
Zheng Yunhui was a little surprised. In the medical work in Beijing, people often receive thank-you letters, mostly because they get along with patients for a long time, and most of the thank-you objects are specific people. But in the isolation ward, several shifts rotate back and forth, and a thank-you letter is an affirmation for everyone.
Seeing this thank-you letter, many medical staff who have contacted aunt Gan are not happy. She is a middle-aged patient in the ward, but its not convenient to move. When someone saw her going to the bathroom, she had to hold the wall all the way and move slowly. You can imagine how hard she would take to write this letter...
At ordinary times, aunt Gans words are not much, leaving the impression that she has a good temperament and wants to be strong. Even if she is in the isolation ward in the pain, she still insists on washing and brushing her teeth every day, and on combing her hair neatly. Her waist is not good, but she doesnt want to lie in the ward all the time. She always has to get out of bed and sit down.
Aunt Gan mentioned that she used to work in the hospital, so she loved to communicate with medical staff about her physical condition and put forward her own ideas on treatment. Yuan Xiaodong, a doctor at Shijitan Hospital, said such a degree of cooperation is rare. Every time she communicates with us, she is very calm, says her own ideas, and respects our decisions.
As usual, aunt Gan didnt say anything more after giving this thank-you letter. A doctor remembered that when he overheard aunt Gan contacting her family, he asked them to rest assured, Im very careful here.