On December 31, 2019, at the beginning of COVID-19, the Union Hospital of Huazhong University of Science and Technology immediately established an expert group. Professor Zhang Jinnong, the director of the emergency department, was appointed as the deputy group leader of the expert group, mainly responsible for formulating the clinical treatment plan for the epidemic situation and optimizing Treatment process. Sixteen years ago, he fought against SARS and was a member of the Wuhan City Group of Clinical Therapists.
Fever population increased rapidly, Zhang Jinnong insisted on sending out hot consultations for half a month. Extreme fatigue and close contact with high frequency, even if strict precautions were taken, his body turned on a red light.
He developed symptoms such as fever, chills, and sore throat, and was confirmed to be a new coronavirus after examination. After getting the results, Zhang Jinnong went home and quarantined himself. After a week of oral medication, he has gradually recovered.
During the quarantine period, he was still concerned about the epidemic situation, reading films, discussing cases, and guiding consultations. In addition, in the face of the different characteristics of the outbreak and SARS, he quickly summarized clinical experience, and repeatedly consulted references, and drafted a very practical "Wuhan Union Hospital Treatment Strategy and Instructions for New Coronavirus 2019".
After the program was released by Xiehe Hospital officials, it was widely spread and highly praised and praised by peers. It provided a "concord solution" for the society to effectively control the epidemic.
What experiences did Professor Zhang Jinnong share from the week of diagnosis to home isolation? What are the precautions for home isolation treatment? Will it increase the spread of the virus?
On the 23rd, the reporter interviewed Professor Zhang Jinnong to answer questions for the public.
Q1. Reporter: Recently we also interviewed many front-line medical staff. Some people say that home isolation treatment for mild patients is better for themselves and others. You are a doctor and a confirmed patient.
Zhang Jinnong: If the fever is lower than 38 ℃, the fever can be self-relieved without breathing difficulty. It can be regarded as mild without inhaling oxygen. For mild patients, isolation of oral medication at home can control the condition.
It is not recommended to be hospitalized for mild patients. Most hospital patients are seriously ill, which will lead to cross infection and not good for rehabilitation. In addition, the hospital's isolated patients are not allowed to visit, and family members can be trembling.
Q2. Reporter: It is also the season of high flu. Many symptoms are very similar. Are there any specific symptoms that can help us identify whether they are infected?
Zhang Jinnong: This cannot be judged by oneself. Fever (and some patients have no fever at the beginning of the illness) is an important manifestation of the new coronavirus pneumonia, accompanied by mild dry cough, fatigue, poor breathing, diarrhea and other symptoms. Once these symptoms appear, you need to go to the hospital for a nucleic acid test.
Q3. Reporter: What advice do you have for home isolation treatment?
Zhang Jinnong: Patients with multiple suites, it is best to live alone. Patients without multiple suites should live in a single room, close the door, and do not share the bathroom with other people. Feces can also be transmitted. When you live alone, you don't need to open the window for a long time, keep warm, and it is recommended to drink more chicken soup in your diet, drink sweat, and increase your body temperature is good for anti-virus.
Q4. Reporter: Some citizens are worried that home isolation will increase the spread of the virus. How to avoid this problem?
Zhang Jinnong: The public fully understands such concerns. Now the most dangerous are not the patients, but the healthy drug users and light patients running around. Isolate patients at home to initiate social force management, a special person in the neighborhood committee is responsible for diet issues, and community doctors are trained to manage the family
Q5. Reporter: Is it necessary to go to the hospital as soon as the fever occurs?
Zhang Jinnong: In this epidemic war, we must give full play to the strength of community hospitals. Train community doctors as soon as possible. Patients can call home or contact community doctors through WeChat groups. Community doctors (best protection) for mild patients should go to the family to see if they can go to the designated hospital to avoid cross infection.
Q6. Reporter: How to judge whether he is cured? Under what circumstances can quarantine be lifted? How long is this time?
Zhang Jinnong: The symptoms disappear, the appetite is restored, and the spirit is restored. Of course, the final judgement depends on the doctor, to determine whether to recover from laboratory indicators and symptoms completely disappeared.
It is currently defined that two consecutive negative coronavirus tests can release quarantine. Before the virus can be detected, extend the quarantine period as much as possible just in case, usually two weeks.
Q7. Reporter: Many people are now hoarding a large number of antiviral drugs such as oseltamivir, banlangen and Sanjiu cold spirit. Does it make sense to use these drugs as preventive drugs?
Zhang Jinnong: I do n’t understand medicine, I just hoard medicines, I do n’t seek medical treatment if I am sick, I may harm myself.
Q8. Reporter: What do you think of Wuhan ’s closure measures?
Zhang Jinnong: To prevent the global spread of the epidemic, closing the city and banning public transportation are effective measures, but supporting measures are needed. Such as encouraging private cars and electric bicycles. For carless people, electric bicycles are probably the most commonly used means of transportation for the general public. In special periods, including several bridges in the center of Wuhan City, electric bicycle lanes must be delineated to allow crossing.
For foreign residents stranded in Wuhan, it is possible to provide relatives, friends, and the government to provide free accommodation to prevent them from finding opportunities to escape outside the city.
This is the "self-healing" case of Professor Zhang Jinnong
In addition, Sun Guobing, director of the emergency department at Xinhua Hospital, also advised mild patients to be isolated at home. "We recommend that patients with mild illness be isolated and treated at home. The treatment effect is the same as that of an injection in the hospital, and treatment at home is good for rest and food, which is more conducive to the recovery of this disease!
At 11:40 am yesterday, Sun Guobing, director of the emergency department of Xinhua Hospital in Hubei Province, picked up his small trumpet and began to publicize the patients waiting.
Since the end of December last year, Sun Guobing's emergency department's number of admissions for respiratory diseases has increased significantly. Usually, there are 60 to 70 patients a day, now more than 300, and on the 22nd, 400 people.
Like other tertiary hospitals in Wuhan, since the number of patients with new-type coronavirus-infected pneumonia has increased, the emergency and fever clinics of Xinhua Hospital in Hubei Province have been under tremendous pressure and overloaded, and the departments related to breathing are also hard to find.
"We persuade patients with mild conditions to be treated at home for isolation, because there is no need to be hospitalized for treatment. It is entirely for the safety of patients to avoid cross-infection in the hospital!"
Sun Guobing told reporters that isolation and treatment of mild patients at home is better than hospitalization. Because there is no specific medicine for new coronavirus infectious pneumonia, symptomatic supportive treatment is the main treatment, and rest and nutrition have become important treatments. "Food and rest at home are better than hospitals." Sun Guobing also said that home isolation is also a need for epidemic prevention and control, which can reduce cross-infection in hospitals.
Sun Guobing's mild patients refer to cough, low fever, and no gasping. Every patient judged to be mild after visiting the Xinhua Hospital in Hubei Province, the doctors here have advised them to take medication at home for isolation. Patients who obey their orders will create a profile and follow-up instructions by telephone during isolation. At present, 80% of the patients admitted to this hospital are taking medication at home isolation.
How to isolate at home?
Sun Guobing introduced that living in separate rooms, the patients lived alone, and the meal was sent to the room to eat alone. All rooms, including the patient's room, and the living room and toilet, should be opened for ventilation twice a day for half an hour. Keep the windows open at night when you sleep.
Two weeks after the symptoms have completely disappeared, the patient can leave the isolation room.
"Eating four eggs a day, steaming them into eggs that are easy to digest and absorb." The four eggs are the highlights of nutrition prescriptions prescribed by Sun Guobing for home isolation and treatment of patients. He also asked patients to eat a balanced diet, eat more vegetables, fruits, and drink more. water.
"Our judgment and treatment of the disease must be rigorous. It is based on treatment and patient safety." Sun Guobing appealed to patients who are anxious about the new coronavirus infectious pneumonia: "Please trust us and follow our doctor's advice! Let's fight together!
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