First-line experts and experienced patients advise： common flu may cross-infect when running to the hospital.
On the 25 th, the number of citizens who went to the fever clinic of Hankou Hospital for treatment and examination was greatly reduced compared with the previous days. The number of people waiting in line was small and orderly. Changjiang Daily reporter Ke Aesthetics photo
On January 23, Wuhan announced that the city’s urban buses, subways, ships and long-distance passenger transport were suspended;
On January 25, Wuhan City closed the river-crossing tunnel, and carried out temperature detection and control on the traffic of the river-crossing bridges in the Third Ring Road and within the Third Ring Road;
… …
All these initiatives point to one key word: isolation. Avoid cross-infection through isolation and avoid the spread of the epidemic.
However, in this extraordinary period, many citizens went to the hospital because of panic and headache, and the fever clinic was full of people. Fortunately, on the 25th, after Wuhan implemented the city-wide investigation of fever patients and classified arrangements for fever patients, the fever clinics in some hospitals finally began to "cool down". However, are you relieved when you get home? In the face of the epidemic, will home isolation work? On the 25th, experts who fought in the front line and patients who experienced it all advised that common flu may cross-infect when they get together and run to the hospital.
Running to the hospital when you have a fever may be infected in a muddle.
It is understood that last year, the number of influenza patients diagnosed in Wuhan in January and February alone exceeded 50,000, and the number of common cold patients exceeded 100,000. This year, there is a global influenza outbreak, and there are more patients with common cold and flu.
Attending surgeon Sheng Shi, a vascular specialist in the Union Hospital affiliated to Tongji Medical College, Huazhong University of Science and Technology, believes that the current disease is one point, while the panic is ten. He has to rumor on WeChat more than 20 times a day. "If you have a fever and are uncomfortable, it doesn’t mean that you are infected with new pneumonia."
"Every time I have a fever, do I go to the hospital?" Sheng Shi asked questions to netizens on the Internet in the name of a doctor. After all, such people are definitely a minority.
Wrapped in panic, what happened in the fever clinic is probably to take your temperature, and there are 100 people waiting in line in front; Check a blood, look at the number of lymphocytes and white blood cells, and there are another 100 people; Do a CT scan to see if there is ground-glass degeneration in both lungs, and there are another hundred people … … In this process, it is likely that you will really be infected in a daze. Sheng Shi appealed that if you don’t feel uncomfortable, just rest at home honestly and stop panicking for medical treatment.
"Under the age of 40, patients with new pneumonia who have no high fever (> 38.5 degrees) or active dyspnea can be completely isolated at home without panic!" On the afternoon of 25th, when Changjiang Daily reporter contacted Du Ronghui, the leader of the expert group on prevention and treatment of new pneumonia in pulmonary hospital, her attitude was very clear.
Dr. Du Ronghui said that at present, severe patients with new pneumonia are concentrated in elderly patients over 65 years old with diabetes and basic diseases such as kidney, liver, cardiovascular and cerebrovascular diseases. Their condition develops rapidly and often develops into severe cases within one or two days. Therefore, these patients should go to the fever clinic for medical treatment as soon as they have symptoms.
Suspected patients are isolated at home for ten days, and the situation is getting better.
"Oh, Lao Liu, who played cards together, had a fever. He should have been infected by another colleague named Wang." On the evening of January 13th, the mother mentioned this in her phone call, and Ms. Huang (pseudonym) who lives in Panlongcheng still felt lucky.
On 14th, Lao Liu was hospitalized with a high fever of 39℃, and Huang Mu also felt uncomfortable. Until 16th, Huang Mu’s body temperature reached 37.8℃.
Since 17th, the situation has become serious. Huang Mu has been drinking water, but her mouth is still dry. She has a persistent high fever, poor appetite and insomnia for several days. The next day, Huang Mu had a CT scan of her lungs, showing the shadow of "ground glass" on both lungs. She was suspected of new pneumonia and needed to be hospitalized, but there was no bed. Ms. Huang accompanied her mother to several hospitals, all of which were overcrowded.
In order to save herself, Ms. Huang consulted a doctor through her relationship. The doctor comforted her. At present, the treatment of this disease mainly depends on self-resistance. Home treatment is not necessarily a bad thing. The environment and food are better. There are many critically ill patients in the hospital, which increases the risk of cross-infection.
Ms. Huang’s heart is a lot more solid. Since the status quo is already so, it is better to rest and nourish at home with peace of mind. After coming back from the hospital, Huang mother washed her hair, bathed and washed clothes, and cleaned up the hygiene inside and out. After such a busy time, she actually felt a lot lighter. To help her mother sleep, Ms. Huang also let her take sleeping pills. With the improvement of sleep quality, Huang Mu’s appetite has gradually recovered. Although she is still closely observing, she is getting better every day. From the emotional collapse due to not being admitted to the hospital, Ms. Huang now believes that sleep and nutrition are very important, and we must strengthen our own resistance; More importantly, we must pay attention to isolation from our families and avoid cross-infection.
Home isolation is to help patients clarify the steps of seeing a doctor
Home isolation does not mean no treatment, but triage through port moving forward, which helps patients to clarify the steps of medical treatment and avoid cross-infection so that the epidemic will not spread.
Zhao Su, chairman of the Respiratory Branch of Wuhan Medical Association, winner of the China Doctor Award and chief physician of the Department of Respiratory and Critical Care Medicine of central hospital of wuhan, worked in the SARS isolation ward for 36 days during the SARS period in 2003. With the outbreak of new pneumonia, he has been on the front line, wearing protective clothing every day to go to the isolation ward for rounds of consultation, and he also participated in the formulation of technical specifications for community prevention and treatment of new pneumonia in Wuhan as an expert.
Zhao Su introduced that fever is a symptom of many diseases. Just starting to have a fever, don’t panic. Observe at home for a day or two. Some slight fever may be a cold, temperature fluctuation, and some may be caused by tension, so it needs to be observed. First go to the community for fever screening. It is understood that in the technical operation specifications for community hospitals, patients with fever are required to be screened first: patients with body temperature over 37.5℃ and fever for more than two days without flu-like symptoms (stuffy nose, runny nose and sneezing) should be sent to the fever clinic for further screening.
"Community screening can find patients early and reduce cross-infection caused by patients rushing to fever clinics." Director Zhao Su said that those who need to be hospitalized do not need to be hospitalized for minor illnesses or go back to community concentration points for isolation treatment or home isolation treatment.
Taking good care of your health will definitely overcome the new pneumonia.
On January 19th, Zhou Ning, deputy chief physician and associate professor of the Department of Cardiology, tongji hospital, affiliated to Tongji Medical College, Huazhong University of Science and Technology, underwent an operation, and successively developed dizziness, fatigue, nausea, diarrhea, chills and other symptoms. His temperature was 38.9℃, and he was suspected to be infected. On the 21st, Zhou Ning cut off all close contact with his parents that day. Wear a mask when sleeping, close the door and monitor your body temperature … … By the 24th, the body temperature was 36.8℃ and returned to normal.
Zhou Ning’s self-reported experience has more than 11 million readings on the Internet. Many people question whether the new pneumonia has been included in Class B infectious diseases, Class A management, home isolation treatment or hospitalization. On the 25th, Zhou Ning said in an interview with Changjiang Daily that home isolation, whether it is diet or accommodation, is better than hospital. As long as we eliminate fear and remain optimistic, it will be very helpful to reshape our immune system.
Viral infections are self-limited. As long as they don’t induce substantial organ damage, such as viral pneumonia, they can be defeated by keeping healthy and waiting for their own immune system to grow and counterattack.
The epidemic situation is fierce, and rushing to the hospital blindly will not only increase the risk of cross-infection, but also make it unlikely to be admitted to hospital. Because the current beds are mainly for patients who are diagnosed or seriously ill.
According to the emergency guidelines previously issued by the World Health Organization, when hospitalization conditions are not allowed or safe and medical resources are insufficient, alternative isolation methods including home isolation should be considered for mild patients suspected of infection.
At the same time, Zhou Ning believes that home isolation has put forward higher requirements for community management and self-supervision. For infectious diseases, even mild ones are contagious. On the day he found symptoms, he entered the house wearing a mask and kept a safe distance of one meter from others.
Changjiang Daily reporter Tian Qiaoping Wang Kaining Wu Ye Wu Wei Su Jinni correspondent Wang Min