"看了这篇文章，你才知道武汉医院领导层为什么要隐瞒信息。
根据现在披露出来的越来越多的细节显示，武汉医院领导层隐瞒疫情源于武汉卫健委的指示，而武汉卫健委又听命于武汉市委和湖北省委。根据『财新』报道，即使在中国卫健委最初得知武汉疫情的情形后，也要求不能向社会公开疫情。中国卫健委为什么如此呢？显然在等待中南海的一个决定，中南海的最高决策者，毫无疑问是习近平本人。"
武汉市中心医院：封口比医生的生死更重要
悲伤的消息，总来得猝不及防。
3月9日上午，武汉市中心医院眼科副主任医师朱和平，感染新冠肺炎去世。朱医生是退休后被返聘到眼科工作的，2月中旬感染后入院治疗。
两个月来，这是该院因新冠肺炎离世的第四位医生。而眼科则连续损失副主任梅仲明和李文亮、朱和平三位医生，可谓折损大半。
据媒体报道，2月初，武汉中心医院就有130人感染新冠住院抢救，100多人居家隔离，ICU里还有多名医生命悬一线。这所位于武汉市中心的医院，成了武汉医护人员感染的中心，极其惨烈。
是什么让这个有着140年历史的三甲医院如此不堪，竟无力保护好自己的战士？
武汉市中心医院是武汉27家三级甲等医院之一，在老汉口人心中占有崇高的地位。其中，后湖院区距离华南海鲜市场不到两公里，很多医生因此较早接触到新冠肺炎病例。
去年12月27日，急诊科主任艾芬接诊了一名40多岁的男子，高烧不退，肺部感染严重。经检验后，化验单上标注有 "SARS 冠状病毒 " 字样。这份报告被眼科医生李文亮发在同学微信群里，大量转发后，预警了很多普通市民。
但这份报告却没有引来中心医院领导任何重视。疫情爆发后，全体医护人员几近以裸奔的形式仓促上战场，后果可想而知。
他们亲自改装医疗废物袋、无菌单为简易防服，被迫在朋友圈、微博等交平台呼吁募捐防护物资。大量员工得不到正规防护或者得不到任何防护，和病毒展开肉搏战。
网上还流传着这样一张照片：两名医生用塑料袋互相套住头，权当防护。这简直让医生去送死，草菅人命。
此时，武汉市中心医院的党委书记蔡莉、院长彭义香在干什么？对，他们在开会。
领导总是会多， 开一系列的紧急会议，堵住李文亮们的口。
有人从刚刚离世江学庆医生的笔记本上找到答案：不明原因病毒性肺炎，没有人传人的证据，十条纪律规定，保密纪律，不准到处乱讲乱谈……封口、堵口，对领导有交代。武汉市中心医院领导正忙灭火汇报，哪有空管医生们的防护。因为他们的官帽子比医生的生死更重要!
“仁术百年、精诚至善”是武汉市中心医院的院训。仁术，是医护对病患的仁术；精诚，是医护对病患的真心写照；至善，是医护要有最荣高的善。
当中心医院医护人员前赴后继，用肉搏的方式去和死神抢夺生的希望。本应该带队上战场的领导，却用怯懦和麻木给他们上了一课。
这样的领导，应不应该下课？下课之前，请你到逝去的医生遗像前祈求饶恕。
党性优先，外行优先。
具同等党性者，外行优先。
原因很简单，内行干扰党性。
混沌大陆公众号：
本周以来，后台共有同四名武汉中心医院的医护人员与我进行了接触，在我向其中三位医生了解情况之后，深感痛心疾首。
根据其中一位的说法，目前，武汉市中心医院，除了梅主任，江主任，李文亮三位医生去世之外，还有四名医生濒危。
他们分别是，消化内科专家王萍，泌尿外科专家胡卫锋，心胸外科专家易凡，以及伦理委员会的刘励。
开篇之前，让我们先为这几位医生祈祷......
大家应该都记得，以前刚刚爆发之时，协和医院的医生自制口罩和防护用品，我曾经用大篇幅写过此事。
中心医院也不例外，甚至比协和医院更甚。在医生给我发来的照片里面，我们可以看到，一线敢死队几乎等于赤手空拳。
防护服告罄之后，武汉市中心医院一线医生们用血肉筑起一道新的长城。
防护服隔离服都没有的医生，处理呼吸道插管，专业人员能明白其中的风险，在此时，中心医院的领导又有何作为呢？
在没有防护服的情况下，多次消毒，反复进行无菌操作成为了唯一选择，然而武汉市中心医院在这种关头拒绝个人捐助的酒精，原因是个人捐助标准不统一，不愿意承担风险，要求各科室自行联系。
不光是酒精，一位医生表示，在2月初曾经有人联系到中心医院，愿意捐赠半吨大米，司机开车前往医院，但被管理层退回，因为中心医院严守一切物资通过红会的规定。
随后，中心医院食堂断粮。
缺乏防护装备，身边的同事一个一个从火线上下去隔离，连口热饭都没得吃，这对士气是多大的打击，大家心里有个数。
正在套塑料袋的医生，和后来配发的隔离服
不仅如此，医院的监察科更是极尽媚上之能事，在中国新闻周刊的报道里面，急诊科主任艾芬因为多次向公共卫生科和医务处报告病例，被训斥为不负责任造谣生事。
一位外科医生说，中心医院的监察科无非是上级领导展示权威的刽子手，没有临床经验和实际判断能力。
在过去两年武汉双评议当中，只要医生收到患者的不满意，不论谁对谁错，监察科都要处分，除了扣工资，还要在医院内网公示。
其中一位医生这么形容：
“有的处分看着想笑，大家也麻木了”
防护服产生破洞，大家只能沾上继续用
那么武汉市中心医院的领导到底是谁呢？我们先说院长，彭义香。
彭院长是夏家红院长的继任者，夏院长被评价为虽然操切，但是水平和业务过硬，有丰富的经验，这不失为一个优秀的院长。
而彭院长虽然是本科医学毕业，然而毕业之后一直从事教育方面工作，临床经验的匮乏和理想化的象牙塔生活让他失去了对病毒的敏锐眼光。
外行指导内行，莫过于此
再贴一下彭老师的论文 都是教育 没有医学
但院长只能算二把手，医院组织的真正一把手书记是蔡莉。
根据一位急诊外科医生说法，彭院长虽然工作经验不行，但好歹是医疗系统出身，然而蔡莉是卫生局系统的官员出身，和一线的差距拉得更远，也不清楚一所医院的运作方式。
一名急诊科医生告诉我，蔡莉视察急诊科时候，因为冬季外伤患者少，就要求把冬季较多的呼吸科病人拉过来，没有人敢违抗。
在命令执行下去的三年当中，制造了大量呼吸病人和外伤病人的交叉感染，骨折治好，得了肺炎的现象并不罕见。
这已经是不是决策失当，而是在制造医疗事故
隔离通道仅被木板分割
和根本起不到隔离作用
和钻石公主号异曲同工
中心医院一把手二把手，彭院长和蔡书记二位都仅仅是本科学历，而且长时间远离临床。
但是他们却通过监察科等等手段组织起一个高效的官僚队伍控制一线的博士和硕士们，道路以目，人莫敢言。
武汉中心医院作为一所三甲医院，大量博士人才光是读医学就要10年以上才能参加工作，却被两个没有经验的本科官僚控制得结结实实，这是对人才的一种侮辱。
一位医生提供给我的院内通知
监察科要求所有职工闭嘴
什么也不能说
医疗系统是个自我成长的系统，是一种手工业，通过大量病例的训练和临床经验的积累，优秀人才会转化成医疗水平的优势。
然而粗糙的行政管理和严密的控制手段，让中心医院越来越成为一言堂，成为灾难与风暴的中心，就更不要奢谈什么水平进步。
李医生在被训诫之前早就被院方严厉批评过了，急诊科主任艾芬身为教授，研究生导师，也不能逃脱监察科的耳目。
一位医生透露，“医院所有职工的微信号都被监察科监控”，“领导决定一切。”
在知网上搜索蔡，没有任何相关论文，一线也要写学术论文的当下，她根本不够格。
武汉市中心医院是一个巨大的漩涡，不仅裹挟着病毒，更夹杂着毫无医学素养尸位素餐的官僚。
这不是平时，做好人事管理就可以相安无事，这是战时，每天都有患者去世，每天都有人感染，却有这样一群人在威胁着我们的白衣天使。
医生保护了我们，我也将不惜一切代价，捍卫我们的医生。
发哨子的人 pic.twitter.com/Zm6XeeCMKU
— donWon (@Wdj12846826) March 10, 2020
中共真的对不起医护人员，让他们在病毒环绕中24小时毫无防范地超负荷工作，造成很多不必要的殉职，死了一拨再上一拨，靠人海战术取得他们所谓的胜利，对子民没有尊重和怜惜，毫无人性。 pic.twitter.com/n5lWIwcxDJ
— FIGHT FOR FREEDOM FREE HK? (@crystal78243104) March 3, 2020
接力《发哨子的人》英文版
https://mp.weixin.qq.com/s/cG9oP6VlT2GiyARfFYMyfA
On December 30, 2019, Affin received a virus test report for patients with unknown pneumonia. She circled the word "SARS coronavirus" in red. When asked by a college student, she took the report and circulated it. To this fellow student who is also a doctor. That night, the report spread to doctor circles in Wuhan, and those who forwarded the report included the eight doctors who were disciplined by the police.
This caused trouble for Affin. As the source of the transmission, she was interviewed by the hospital disciplinary committee and suffered "unprecedented and severe rebuke", saying that she was making rumors as a professional.
According to some previous reports, Affin was called "another female doctor who has been instructed to surface," and some people called her a "whistleblower". It was the "whistler".
This is the second report of "People" March cover "Doctor Wuhan".
Whistler-Riptide
A text message from Affin, the director of the emergency department of Wuhan Central Hospital, agreed to be interviewed at 5 am on March 1, and about half an hour later, at 5.32 am on March 1, her colleague and director of thyroid and breast surgery Jiang Xueqing was infected with New crown pneumonia died. Two days later, Mei Zhongming, deputy director of ophthalmology at the hospital, died. He and Li Wenliang were in the same department.
As of March 9, 2020, 4 medical staff in the Wuhan Central Hospital have died of new crown pneumonia infection. Since the outbreak, this hospital, just a few kilometers away from the South China Seafood Market, has become the hospital with the largest number of employees in Wuhan. One, according to media reports, more than 200 people in the hospital were infected, including three deputy deans and multiple functional department directors. Multiple department directors are currently maintained with ECMO.
The shadow of death hangs over this Wuhan's largest tertiary hospital. A doctor told People in the large group of hospitals that almost no one spoke, but mourned and discussed in private.
Tragedy had a chance to avoid. On December 30, 2019, Affin received a virus test report for patients with unknown pneumonia. She circled the word "SARS coronavirus" in red. When asked by a college student, she took the report and circulated it. To this fellow student who is also a doctor. That night, the report spread to doctor circles in Wuhan, and those who forwarded the report included the eight doctors who were disciplined by the police.
This caused trouble for Affin. As the source of the transmission, she was interviewed by the hospital disciplinary committee and suffered "unprecedented and severe rebuke", saying that she was making rumors as a professional.
In the afternoon of March 2nd, Affin received an interview with People in the Nanjing Road District of Wuhan Central Hospital. She was sitting alone in the emergency room office. The emergency department, which had admitted more than 1,500 patients a day, had returned to quiet. There was only one tramp lying in the emergency hall.
According to some previous reports, Affin was called "another female doctor who has been instructed to surface," and some people called her a "whistleblower". It was the "whistler". During the interview, Affin mentioned the word "regret" several times, and she regretted that she did not continue to whistle after being interviewed. Especially for the deceased colleague, "I knew today that I would criticize him for not criticizing," Lao Tzu "Everywhere, right?"
About Wuhan Central Hospital and Affin what have they experienced in the past two months or so? The following is what Affin told—
Whistler-Riptide
Affin
Unprecedented reprimand
On December 16, last year, we received a patient from the Emergency Department of Nanjing Road Hospital. Inexplicably high fever, the medication has not been good, the body temperature does not move. On the 22nd, she transferred to the respiratory department, performed a bronchoscopy, took alveolar lavage fluid, and sent it out for high-throughput sequencing. Later, the coronavirus was reported orally. At that time, the colleague who had the tube bed chewed several times in my ear: Director Ai, that person reported the coronavirus. Later we learned that the patient was working in South China Seafood.
Immediately after December 27th, another patient came from the Nanjing Road Hospital. He was the nephew of a doctor in our department. He was in his 40s without any underlying diseases. His lungs were messed up and blood oxygen saturation was only 90%. The hospital has been treated for almost 10 days without any improvement, and the patient was hospitalized in the respiratory department. Fibrobronchoscope was also taken, and the alveolar lavage fluid was taken for testing.
At noon on the day of December 30th, my classmate at Tongji Hospital sent me a screenshot of a WeChat conversation, which said: "Don't go to South China recently, there are many people with high fever ..." He asked me if it was true Yes, at that time, I was watching a CT of a typical patient with pulmonary infection on the computer. I sent him a 11-second video of the CT and told him that this was a patient who came to our emergency department in the morning and was in South China. Seafood market.
Just after 4 pm that day, my colleague showed me a report that said: SARS coronavirus, Pseudomonas aeruginosa, 46 kinds of oral / respiratory colonization bacteria. I have read the report many times and the following note reads: SARS coronavirus is a single-stranded positive-strand RNA virus. The main mode of transmission of the virus is close-range droplet transmission or contact with respiratory secretions of patients, which can cause a special pneumonia that is obviously contagious and can affect multiple organ systems, also known as atypical pneumonia.
At the time, I was scared of cold sweat, which was a terrible thing. The patient was admitted to the respiratory department. It should reasonably be reported by the respiratory department, but for the sake of insurance and attention, I immediately called and reported it to the hospital's public health department and the hospital's sensory department. At that time, the director of the respiratory department of our hospital happened to pass by my door. He was a person who had participated in SARS. I caught him and said, "We have a patient who received your department and found this thing." He said at a glance that it was troublesome. I knew it was troublesome.
After calling the hospital, I also circulated this report to my classmates. I purposely drew a red circle on the line "SARS coronavirus, Pseudomonas aeruginosa, 46 types of oral / respiratory colonization bacteria." It is to remind him to pay attention. I also sent the report to the doctors in the department to remind everyone to take precautions.
That thing was spread that night, and the screenshots of the transmission were the photos I painted in red circles, including the ones that I later learned that Li Wenliang passed on to the group. At that time, I was thinking that it might be bad. At 10:20, the hospital sent a message. It was a notice of transfer to the city health committee. The main point was that pneumonia of unknown cause should not be arbitrarily released to avoid causing panic among the people. If panic is caused by information leakage, accountability should be pursued.
I was very scared at the time and immediately passed this information to my classmates. About an hour later, the hospital sent another notice, again stressing that related news within the group cannot be circulated. One day later, at 11:46 pm on January 1st, the head of the hospital supervision department sent me a message to let me pass by the next morning.
I didn't fall asleep that night, I was worried and thought over and over again, but I felt that there are always two sides to everything. Even if it caused adverse effects, it is not necessarily a bad thing to remind medical staff in Wuhan to take precautions. At 8 o'clock the next morning, before I finished the shift, I called to call in the past.
After the interview, I suffered an unprecedented and very severe rebuke.
At that time, the leader of the conversation said, "We ca n’t afford to raise our heads when we go out for a meeting. The director of XX criticizes our hospital. As the director of the emergency department of Wuhan Central Hospital, you are a professional. Thing? "This is the original sentence. Let me go back to the 200-odd person in the department to convey them verbally one by one. We ca n’t send them by WeChat or SMS. We can only talk face-to-face or call us. We ca n’t say anything about this pneumonia. ...
I was stunned all at once. He didn't criticize you for not working hard, but it seemed that the good situation of Wuhan's development was destroyed by me alone. I had a very desperate feeling at the time. I was a serious and hard-working person. I felt that everything I did was done in accordance with the rules and made sense. What did I do wrong? I After seeing this report, I also reported it to the hospital. My classmates and my colleagues communicated about the situation of a certain patient. Without revealing any personal information of the patient, it is equivalent to discussing a medical case between medical students. When you As a clinical doctor, I already know that a very important virus has been found in patients. When other doctors asked, how could you not say it? This is your instinct to be a doctor, right? What am I doing wrong? I have done what a doctor and a person should normally do. In the case of anyone, I think I will do it.
I was very emotional at the time, saying that I did this thing, and it had nothing to do with the rest of the people, you just arrest me and go to jail. I said that I am not suitable for continuing to work in this position and want to take a break. The leader did not agree, saying that this was the time to test me.
I went home that night, I remember quite clearly, and told my husband after entering the door, if something went wrong, you can bring the child up. Because my second treasure is still very young, I'm only over 1 year old. He felt inexplicable at the time. I didn't tell him what he was being told. On January 20th, after Zhong Nanshan told people, I told him what happened that day. During that time, I just reminded my family not to go to crowded places and wear masks when going out.
Peripheral department
Many people worry that I am also called to admonish one of those eight people. In fact, I was not warned by the Public Security Bureau. Later, a good friend asked me, are you a whistleblower? I said that I am not a whistleblower, I am the one who sent the whistle.
But that interview hit me a lot, very big. After I returned, I felt that my whole heart was broken. I really worked hard and worked hard. Then all the people asked me again, and I couldn't answer.
All I can do is get the emergency department to focus on protection. We have more than 200 people in the emergency department. From January 1st, I asked everyone to strengthen their protection. All people must wear masks, hats, and fast-moving hands. I remember one day when there was a male nurse who did not wear a mask during the shift, I immediately scolded him on the spot "don't come to work without a mask in the future."
On January 9th, I saw a patient coughing at the pre-examination table when I was off work. From that day on, I asked them to wear a mask to the patient who came to see the patient, one for each person. Don't save money at this time. No one passed on, and I want to emphasize here that wearing a mask to strengthen protection is contradictory.
That time was really depressing and very painful. Some doctors proposed to wear the outer clothing outside. The meeting in the hospital said they would not let it go, saying that wearing the outer clothing would cause panic. I asked the people in the department to wear an isolation gown inside a white coat. This was out of specification and ridiculous.
We watched more and more patients, and the radius of the spreading area became larger and larger. First, the South China Seafood Market may be related to it, and then it spread, the radius became larger and larger. Many of them are family-transmitted. Among the first seven people, there was a disease in which the mother gave the son food. The clinic boss got sick, and the patients who came for the injection were passed on to him. They were all too heavy. I knew there must be someone passing on. If there is no human-to-human transmission, the South China Seafood Market will be closed on January 1. Why are there more and more patients?
Many times I was thinking, if they did n’t rebuke me like that, ask the ins and outs of this matter calmly, and then ask other respiratory experts to communicate with them, maybe the situation will be better, I can at least communicate more in the hospital a bit. If everyone was so alert on January 1, there would not be so many tragedies.
On the afternoon of January 3, in the Nanjing Road Hospital, doctors of urology gathered to review the work history of the old director. Dr. Weifeng Hu, who is 43 years old, is now in the rescue; on the afternoon of January 8, the Nanjing Road Hospital On the 22nd floor, Director Jiang Xueqing also organized a Wuhan Rehabilitation Party for Onyx Patients in Wuhan. On the morning of January 11, the department reported to me that Hu Ziwei, a nurse in the emergency room of the emergency department, was infected. She should be the first infected nurse in the central hospital. The first time I called the Chief of the Medical Department to report, and then the hospital held an emergency meeting. The meeting instructed to change the report of "two lung infections, viral pneumonia?" To "two lungs scattered infection"; the last of January 16th At a weekly meeting, a deputy dean was still saying, "Everyone must have a little medical knowledge. Some senior doctors should not make themselves scary." Another leader took office and continued, " No one can pass it on, but it can be prevented, treated and controlled. "One day later, on January 17, Jiang Xueqing was hospitalized, and 10 days later he was intubated and taken to ECMO.
The cost of the central hospital is so large that it is related to the lack of transparency of our medical staff. If you look at the fallen people, the emergency department and the respiratory department are not so heavy, because we have a sense of protection, and we should quickly rest and treat as soon as we are sick. The most important ones are the peripheral departments, Li Wenliang is an ophthalmologist, and Jiang Xueqing is a nail specialist.
Jiang Xueqing is really a very good person with high medical skills. It is one of the two Chinese physician awards in the hospital. And we are still neighbors. We are a unit. I live on the 40th floor. He lives on the 30th floor. The relationship is very good. However, because I am too busy at work, I can only meet during meetings and hospital activities. He is a workaholic, either in the operating room or at the clinic. No one will go to tell him specifically, Director Jiang, you have to pay attention and wear a mask. He didn't have the time and energy to inquire about these things, and he must have taken care of it: "What's the matter? It's pneumonia." This was what the people in their department told me.
If these doctors can get timely reminders, perhaps this day will not be. Therefore, as a client, I regret it. I knew that today, I would criticize him for not criticizing me. Lao Tzu said everywhere, right?
Although he was in the same hospital with Li Wenliang, I didn't recognize him until his death, because the hospital had too many 4,000 people and was usually busy. The night before his death, the director of the ICU called me to borrow a cardiac press from the emergency department and said that Li Wenliang was going to be rescued. I was shocked at the news. I did not understand the whole process of Li Wenliang, but his condition was affected by him. Does it matter if you are in a bad mood after being reprimanded? I will ask a question mark here, because I feel the same way I feel.
Later, when things got to this point, it proved that Li Wenliang was right. I can understand his mood very much. It may be the same as my mood. It is not excitement and happiness, but regret. Regret should continue to scream loudly at the beginning. When people asked us, they continued to say. Many, many times, I was wondering if it would be time back. Whistler-Riptide
Alive is good
On the night before the city was closed on January 23, a friend from the relevant department called to ask me about the true situation of emergency patients in Wuhan. I said you represent private or public. He said I represent private. I will tell you the truth when I speak on my behalf. On January 21, our emergency department saw 1,523 patients, three times as often as usual, of which 655 had fever.
During that time, the situation of the emergency department will never be forgotten by people who have experienced it, and it will even subvert all your outlook on life.
If this is a war, the emergency department is at the forefront. However, the situation at the time was that the following wards were saturated, and basically none of the patients were accepted, and the ICU was resolutely refused to accept them. They said that there were clean patients in them, and they became contaminated as soon as they entered. The patients kept rushing to the emergency department, and the road behind was not open, so they all piled up in the emergency department. Patients come to see a doctor for a few hours. We ca n’t get off work at all. There is no distinction between fever and emergency. The hall is full of patients. The infusion room in the rescue room is filled with patients.
Another patient's family came and said he wanted a bed. My dad couldn't do it in the car, because the underground garage was closed at that time, and his car couldn't get in. I ca n’t help but run into the car with people and equipment. At a glance, people are dead. What do you say, it ’s uncomfortable and uncomfortable. The man died in the car and had no chance to get off.
There is also an old man, his wife had just died at Jinyintan Hospital, her son and daughter were infected, and she was given an injection to take care of her son-in-law. As soon as I saw that she was very ill, I contacted the respiratory department to be admitted to the hospital. At first glance, her son-in-law was a culturally qualified person. Come over and tell me that I thank the doctor and so on. As a result, he died. Thank you for a few seconds, but it was delayed for a few seconds. This thank you sentence weighs me down.
There are still many people who send their families to the ward, the last time they see you, and you will never see them again.
I remember that I came to work in the morning of the 30th year of the New Year. I said that we would take a picture to commemorate the 30th year of the New Year. I also sent a circle of friends. No one said blessings that day. At this time, it is good to live.
In the past, if you made a mistake, for example, if you did n’t get an injection in time, the patient might still be in trouble. Now no one, no one is arguing with you, no one is arguing with you. It's confusing.
The patient died, and it was rare to see family members crying sadly, because there were too many, too many. Some family members will not say that the doctor begged you to save my family, but said to the doctor, hey, let's get rid of it quickly, this is the point. Because at this time everyone is afraid of being infected.
It takes 5 hours to line up at the hot clinic every day. A woman fell down in a row, watching her wearing a leather coat, carrying a bag, and wearing high heels. She should be a particular middle-aged woman, but no one dared to step forward to help her, and lay on the ground for a long time. I had to call the nurse and doctor to help her.
On the morning of January 30, I came to work. The son of a white-haired old man died at the age of 32. He stared at the doctor and gave him a death certificate. There are no tears at all, how can I cry? There is no way to cry. Look at his dress, it may be an outside migrant, there is no channel to reflect. Without a diagnosis, his son became a death certificate.
This is what I want to call for. The patients who died in the emergency department were all undiagnosed and could not be confirmed. After this epidemic passed, I hope to give them an explanation and give their families some comfort. Our patients are very poor and pathetic.
"lucky"
Having been a doctor for so many years, I have always felt that there is no difficulty to bring me down. This is also related to my experience and personality.
At the age of 9, my father died of gastric cancer. At that time, I thought of growing up as a doctor to save the lives of others. Later, when I entered the college entrance examination, all my volunteers were filled in medicine, and I finally passed the Tongji Medical College. After graduating from university in 1997, I went to the Central Hospital. I previously worked in cardiovascular medicine and became the director of the emergency department in 2010.
I think the emergency department is like a child of mine. I made it so large that it united everyone and made this situation not easy, so I cherish this group.
A few days ago, one of my nurses sent a circle of friends saying that I miss the big emergency department that was busy before, and that kind of busyness and this kind of busyness are totally two concepts.
Prior to this epidemic, myocardial infarction, cerebral infarction, gastrointestinal bleeding, trauma and so on were the areas of our emergency department. That kind of busyness is a busy one with a sense of accomplishment. The purpose is clear. There are smooth procedures for various types of patients. They are very mature. And this time there are so many critically ill patients who have no way to deal with and cannot be admitted to hospital, and our medical staff is still at this risk. This kind of busyness is really helpless and sad.
One day at 8 in the morning, a young doctor in our department sent me a WeChat, and it was quite personal, saying that I would not come to work today and I was not comfortable. Because we have rules here, if you are uncomfortable, tell me about the arrangement in advance. You tell me at 8 o'clock, where do I go to find someone. He lost his temper to me in WeChat and said that a large number of highly suspected cases were put back into the society by the emergency department you led. We understand that this is sin! I understand him because of his conscience as a doctor, but I was also anxious and I said you can Go tell me, what should you do if you are the director of the emergency department?
Later, the doctor came to work after a few days of rest. He did not say that he was afraid of death and fatigue, but that he encountered such a situation and felt very collapsed in the face of so many patients at once.
As doctors, especially the many doctors who came to support them, they couldn't bear it psychologically. When this happened, some doctors and nurses cried. One is crying others, and the other is crying themselves, because everyone does not know when it is their turn to become infected.
Around mid-to-late January, the hospital's leaders also became ill one after another, including our director of the office and three vice presidents. The daughter of the Chief of Medical Services was also ill and he was resting at home. So basically no one cares about you at that time, you just fight there, that's the feeling.
The people around me also started to fall down one by one. On January 18, at 8:30 in the morning, the first doctor we poured down, he said that I was recruited as the director, did not burn, only had CT, and the lungs had a large ground glass. Soon, a responsible nurse in charge of the isolation ward told me that he had fallen. At night, our head nurse fell down. My very real first feeling at that time was-luck, because it fell early, and I could get off the battlefield early.
I have been in close contact with these three people. I just work every day with the belief that I must fall. Everyone in the hospital thought I was a miracle. I analyzed it myself, it may be because I have asthma, and using some inhaled hormones may inhibit the deposition of these viruses in the lungs.
I always think that the people we do in the emergency department are considerate people. In Chinese hospitals, the status of the emergency department should be relatively low among all departments, because everyone thinks that the emergency department is nothing more than a passageway. It is enough to take patients in. Already. This neglect has always existed in this fight.
In the early days, the supplies were not enough. Sometimes the quality of the protective clothing assigned to the emergency department was very poor. I was angry when I saw that our nurses wore such clothes to work and got angry in Zhou Huiqun. Later, many directors gave me all the clothes they kept in the department.
There are also eating problems. When there are many patients, the management is confusing. They simply ca n’t think that the emergency department still has something to eat. Many departments have food and drink after work. They have a large row. We have nothing here. In the WeChat group of hot clinics, doctors complain. "Our emergency department only has diapers ..." We fought at the forefront, and as a result, sometimes I was really angry.
Our collective is really good. Everyone is off the line only when they are sick. This time, more than 40 people in our emergency department were infected. I built a group of all the sick people, originally called "emergency sick group", the head nurse said unlucky, changed to "emergency refueling group". Even people who are sick don't have a sad, desperate, and complaining mentality. They are all very positive, that is, everyone helps each other to overcome difficulties.
These children and young people are very good, just follow me and be aggrieved. I also hope that after this epidemic, the country will increase its investment in emergency departments. In many countries' medical systems, the emergency department is highly valued.
Whistler-Riptide
Unachievable happiness
On February 17th, I received a WeChat message from a classmate at Tongji Hospital. He said "Sorry" to me. I said, "Fortunately, you passed it out and reminded some people in time. If he didn't pass it on, he might not have Li Wenliang and the eight of them, and he would probably know less.
This time, we had three female doctors infected with the whole family. The father-in-law and mother-in-law of the two female doctors were infected with her husband, and the father, mother, sister, and husband of a female doctor were infected by five people. Everyone thinks that the virus was discovered so early, but it turned out to be so costly.
This cost is reflected in all aspects. In addition to those who died, those who were sick also suffered.
In our "Emergency Emergency Team", people often exchange physical conditions. Some people ask that the heart rate is always 120 beats per minute. Does it matter? It definitely matters, and panic as soon as they move. This will affect them for life. Can't heart failure? It's hard to say. In the future, others can go hiking and traveling, they may not, and that is all possible.
And Wuhan. You said that Wuhan is a lively place. Now it ’s quiet and quiet along the way. Many things ca n’t be bought and we have to support the whole country. A few days ago, a nurse of a medical team in Guangxi suddenly fell into a coma while at work, and was rescued. Later, a heartbeat occurred, but she was still in a coma. If she doesn't come, she can have a good time at home, and this kind of accident will not happen. So, I think we owe everyone's favor, really.
Having experienced this epidemic, many people in the hospital have been hit hard. Several medical staff below me have thoughts of resignation, including some backbones. Everyone's previous concepts and common sense of this profession are inevitably a little shaken-is that you work so hard, right? Just like Jiang Xueqing, he works too hard, is too good for the patient, he is doing surgery every year and the New Year . Today, someone sent a WeChat written by Jiang Xueqing's daughter, saying that her father's time was all given to the patient.
I have had countless thoughts myself, have I returned home to be a housewife? After the epidemic, I basically did not go home and lived outside with my husband. My sister helped me take care of my children at home. My second treasure didn't recognize me. He didn't feel me when he watched the video. I was very lost. It was not easy for me to give birth to this second child. He was 10 kg at birth. This time, weaned too — when I made this decision, I was a bit sad. My husband told me that he said that someone can encounter such a thing in his life, and you are not only a participant, you also Bringing a team to fight this battle is also a very meaningful thing. When everything returns to normal in the future, it is also a very valuable experience for everyone to remember.
The leader talked to me on the morning of February 21st. Actually, I would like to ask a few questions, such as, do you think that criticism was wrong that day? I hope to give me an apology. But I dare not ask. No one said sorry to me on any occasion. But I still feel that this time it is more clear that everyone still insists on their own independent thinking, because if someone wants to stand up and tell the truth, there must be someone, and the world must have a different voice, right?
As a Wuhaner, which one of us does not love our own city? We now recall how extravagant happiness we lived in the most ordinary life. I now feel that holding the baby, going out to play with him on a slide, or going out to watch a movie with my husband, but it is not common in the past, but until now it is a kind of happiness, it is an unachievable happiness.
https://mp.weixin.qq.com/s/MgespzTVMfADCSg3jiFj6A
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