After the operation, he went to the Sihai Restaurant for dinner, and Chen Wenqiang, as the chief surgeon, did not drink, so the person who invited the guests asked the boss to go to the provincial capital to promote the drink in the past two years: lychee juice produced in Zhuhai.And Chen Wenqiang's mind was not on eating, he finished a bowl of rice in two bites, and said, "I'll go back to the department to see the patient, and sleep for a while by the way."
I don't know I'll have to work the night shift tonight. ”Director Li said to him: "Lao Chen, you should also pay attention, even if you are guarding the obstetrics and gynecology department, you can't stay awake all night and night."
If you're still like today, well, like today, you're going to postpone tomorrow's aneurysm. ”When Director Li said this, Chen Wenqiang immediately sat up straight, and he immediately replied after Director Li finished speaking: "I will definitely sleep tonight."
If not, I'll cancel the surgery tomorrow morning. ”Director Li nodded, and Chen Wenqiang greeted everyone: "You eat slowly." ”Alone and left early.The patient's family said, "Director Li, Dean Chen has a lot of respect for you." ”Director Li smiled silently.Director Liang took over and said: "Dean Chen is a person who abides by the old rules, not to mention being a teacher for one day and a father for life, but it is not too much worse.Lao Chen and I have been trained under Director Li for two years, which is the model of teaching students by master in the past.It's like Xiao Li is studying with Dean Chen now.Isn't it, Xiao Li?
”Li Min smiled and nodded: "Yes." ”Chen Wenqiang returned the original manuscript of his revised ependymoma case report to her for her own safekeeping, and the red-pen-circled part above showed that Chen Wenqiang had read it very carefully.Chen Wenqiang said that he had asked the typist to print the revised draft, and also made copies of all the X-rays and CT films, and went through the formalities and sent them out.Even if it is his own parents, he can do this level of support.Li Min felt that it was appropriate to call Teacher Chen Wenqiang, and it was also appropriate to learn from Chen Wenqiang to respect Director Li.The late lunch was quickly finished, and Li Min followed Director Li and Director Liang to the hospital.Director Li suddenly turned around and said, "Xiao Li, your excuse for shaking hands will not be used again next time, otherwise there will be something unpleasant in the operating room, which will affect your future development." ”Li Min was embarrassed and replied embarrassedly: "Not next time." ”"What do you say Xiao Li does.It's hard enough for her.I said that it's not a problem for Lao Chen to stay up like this.In case of a clinical error, no amount of hard work can resist the determination of responsibility. ”Director Liang opened his mouth to speak for Li Min, and at the same time shifted the focus of the topic."
Alas.What can he do if he doesn't stand up like this, do you think he, the assistant to the dean, still has room to step down?
”Director Li sighed.Oh, yes.Chen Wenqiang stepped down from the position of administrative director, and the sadness and embarrassment were not seen in their eyes."
Now in this situation, it's good to get through it."
Director Li's sigh, everyone understands that the matter in the obstetrics and gynecology department is an accident in the final analysis, and the director of the obstetrics and gynecology department also took remedial measures that night, if the condition of the infected person does not deteriorate, the number of people does not increase......
In the end, it won't be much provincial.* When they returned to the surgical ward, they found Chen Wenqiang in the intensive care unit, wrapped in a military coat, leaning on a radiator and asleep.There were patients, nurses, and two family members in the room, and apart from the occasional sound of monitors, even the corridors of the wards were quiet."
Let's go back."
Director Li whispered."
This old boy is too desperate.I thought he was going to sleep in the duty room.Lao Li, go back and rest.I'll take Xiao Li to check around. ”"A group of them are reading books in the duty room, and according to Chen Wenqiang's character, he won't go in to sleep."
Director Li pierced Chen Wenqiang with a word.It was past four o'clock, and Li Min felt that the time of the day passed too quickly.She followed Director Liang to check all the more than 20 patients, the dressing should be changed, the doctor's order should be modified, and the course of the disease record was written, and it was almost time to get off work on this day.Chen Wenqiang rubbed his sleepy eyes, wrapped in the military coat on duty and wandered to the office.Seeing Li Min inserting the medical records into the car, he said, "Don't insert it yet, I'll take a look." ”Director Li opened his mouth to stop him and said, "Lao Liang and I have seen it."
It's almost time to get off work, so you better go to sleep in the duty room. ”"Well, that's good.Thank you both. ”Chen Wenqiang wrapped his coat and walked out, walked to the door and turned around and asked Li Min: "The one who will operate tomorrow," Director Liang intercepted his questioning: "I took Xiao Li to check that."
If you don't believe it, go and see it again. ”Chen Wenqiang smiled: "If you can't believe it, no one can trust you." ”* However, no one in the provincial hospital expected that the next day the province sent a joint working group to conduct a comprehensive medical quality inspection of the provincial hospital.Dean Fei was the first to be called to the working group for questioning because he had taken over the logistics work.Then Dean Fu, Dean Shu, then the staff on duty on the day of the incident in the Department of Obstetrics and Gynecology, and finally it was the turn of Director Qin, Assistant to the Dean, Chen Wenqiang, and Director Guan of the Respiratory Department that night.Dean Shu is not worried about others, he is only worried that Chen Wenqiang will quarrel with the people of the investigation team if he does not do it well.But he couldn't stand outside the conference room door, he should go to the obstetrics and gynecology department or go to the obstetrics and gynecology department.The investigation team carefully questioned the relevant medical staff and plumbers in the provincial hospital, and later found the families of the patients who were present - those who rushed into the waiting room.After a week of investigation, they were evacuated on a snowy Saturday morning.This week, Li Min has been very worried about Chen Wenqiang's state - she has to go to the obstetrics and gynecology department at night and go on stage during the day, and she can't remind Chen Wenqiang to postpone the two craniotomy operations in the future.But Director Li came forward to call Dean Shu, and finally Chen Wenqiang went to the obstetrics and gynecology department at 9 o'clock in the evening, which can be regarded as buying him about the same amount of sleep.The Department of Obstetrics and Gynecology is inseparable from the sitting of the president of the provincial hospital - the attitude of supporting clinical doctors to let go of diagnosis and treatment.Such an attitude is not only for the superiors, but also for the peace of mind of patients and their families.Because there is no specific treatment for this nosocomial infection: it is a coxsackievirus infection, and only symptomatic treatment can be given.However, such efforts and dedication have not received satisfactory results, and with the news of the death of newborns coming back, the news that adults who are transferred to the ICU of the Affiliated Hospital of the Medical University are in danger is also being transmitted back every day.A cloud of sorrow hung over Chen Wenqiang's face.Even if it was a simple aneurysm clamping operation, Director Li had to accompany and stand behind him and watch.* It was still snowing heavily on Sunday, and the ambulance from the provincial hospital left the provincial hospital in the heavy snow.The swirling roof lights, the wipers bobbing back and forth, and the chirping of "Avoid me, avoid me", slowly melted into the ice and snow on the street, where there were basically no pedestrians or vehicles, following the ambulance of the Medical University Affiliated Hospital.From the first day of infection, the provincial hospital has successively referred batches of newborns with fever symptoms to the Affiliated Hospital of the Medical University in the past few days, and then adults who have become more and more seriously ill after giving birth.Although the critically ill patients were transferred to the ICU of the Affiliated Hospital of the Medical University in time, such efforts still failed to save the lives of the postpartum infected patients from the hands of death.Since yesterday morning, the Provincial Hospital and the Affiliated Hospital of the Medical University have cooperated to speed up the transfer of patients to the Affiliated Hospital of the Medical University.Shu Wenchen hasn't closed his eyes for a day and a night.The Affiliated Hospital of the Medical University has also worked hard for several days to prepare a special ward to accommodate this batch of postpartum patients infected with coxsackievirus.Because the provincial department instructed to vacate the obstetrics and gynecology department of the provincial hospital and reopen the clinic after comprehensive disinfection, the obstetrics department of the surrounding hospitals can no longer continue to accept the waiting women who have been separated from the provincial hospital.Leaders at all levels of the provincial hospital, headed by Shu Wenchen, braved the wind and snow to stand in front of the door of the 17-story building, watching the last ambulances carrying obstetrics and gynecology infected people leave."
Lao Shu, go back."
Dean Fei opened his mouth to persuade Dean Shu, who was standing still.This week, Dean Fei went to the provincial department to report the situation, cooperated with the investigation team's inquiry, and went to the medical university to mediate, accompanied a lot of smiling faces, and received a lot of white eyes.If it weren't for the coxsackievirus that was taken from the plumber's water boots and cultured in the laboratory, he would have been able to blame himself for being pushed out by Shu Wenchen.The culprit is obviously the plumber of the provincial courtyard who went in later to repair the radiator.In Dean Fei's mind, such a chain has been formed: the plumber rushed to the waiting room after receiving the news, and had to wade through the warm water flowing all over the place after bursting the radiator, and went into the waiting room for emergency repairs.Then the coxsackievirus on their boots volatilized in the corridors of the obstetrics and gynecology department, in the waiting room.However, Director Li and they disinfected the delivery room and waiting room several times, but they could not fully disinfect the obstetrics and gynecology corridor.In other words, they can't do anything to disinfect the families of patients who have been infected with the virus in the hallways.As a result, the people who have the closest contact with the mother have become the source of obstetric mobility.His inference has also been proved to be correct from obstetrics and gynecology infections and uninfected mothers and newborns.There are two major wards, none of them are infected, and none of their newborns are infected.- Because the obstetric medical staff were busy delivering and disinfecting, they did not take back the children who were sent out for breastfeeding.In the panic of the day shift the next day, most of them secretly discharged from the hospital with their children while the ward was not completely locked down and isolated.Children who remain in the neonatal unit have not escaped the infection.The children were breastfed the next morning and then retracted to the neonatal unit.These children not only came into contact with their mothers, who may have been infected with the virus, but also had close contact with relatives such as the new father, who stayed through the night in the obstetrics and gynecology department."
Okay, let's go back.Half an hour later, the discussion will be held in a small conference room. ”Dean Shu was silent for a long time before responding to Dean Fei in a heavy manner and taking the lead towards the hospital office.※※※※※※※※※※※※※※※※※※※※* Coxsackievirus is an enterovirus, divided into two categories, A and B, which is a common virus that infects the human body through the respiratory tract and digestive tract, and after infection, people will have cold symptoms such as fever, sneezing, and coughing.There was no significant difference in fetal malformations, neonatal cardio-cerebral diseases, vertical mother-to-child transmission, and cesarean section rates from coxsackievirus occult infection at different stages of pregnancy, which may be related to the use of interferon and antiviral drugs.At the same time, it also suggests that regular prenatal screening of pregnant women for coxsackievirus is of great significance to control the development and spread of the virus.
**Coxsackievirus type A infection presents as an upper respiratory tract infection with an incubation period of 1-3 days, acute onset, runny nose, cough, sore throat, fever, and general malaise.The typical symptom is herpangina, which is a vesicular rash in the nasopharynx, epiglottis, tongue, and soft palate, red and swollen mucous membranes, lymphatic follicular hyperplasia, exudation, tonsil enlargement, dysphagia, and decreased appetite.Coxsackievirus B infection causes characteristic infectious chest and rib pain, known as Bornholm′s disease.Meningoencephalitis, myocarditis, fever, Guillain-Ba-rré syndrome, hepatitis, hemolytic anemia, and pneumonia may be present.Neonatal systemic infection with sudden onset, refusal to eat, vomiting, convulsions, dyspnea, cyanosis, arrhythmias, and rapid enlargement of the heart and liver.The mortality rate is extremely high.Autopsy showed encephalitis, myocarditis, hepatitis, pancreatitis, and adrenal gland lesions.There is a lack of effective antivirals.Symptomatic treatment is basically directed at the clinical presentation.() The distance is a bit far