Doctor Zhao, help!

Chapter 307 The future is worrying?

Next, the ward that Zhao Sheng was responsible for was almost at full capacity or even overloaded. In this way, Zhao Sheng and his people were busy until nine o'clock the next morning, and the wave of children's patients calmed down a little.

When the shift changer came to take over the responsibility of this ward, Zhao Sheng let the others go to rest, but he couldn't rest because he still had a director on duty, and it would be another twenty-four hours.

Before leaving, Zhao Sheng discussed with the director of pediatrics Cai Lijun and the hospital, and introduced several measures to alleviate the epidemic of children in the pediatric department.

The first is to differentiate wristbands of different colors according to children's fever levels (blue below 38 degrees, yellow high-risk from 38 to 41 degrees, red critical above 41 degrees), strengthen the rapid treatment mechanism for critical children, and promptly deal with critical children if necessary. Initiate multidisciplinary consultation across the hospital.

Second, implement the "test before diagnosis and treatment" measure. When children with fever and cough symptoms come to the hospital, after preliminary pre-examination and triage, they can apply for blood routine, Mycoplasma pneumoniae and other tests in advance at the designated clinic. While waiting for treatment, children can go to the testing window to complete routine tests and provide the test results directly to the doctor during the visit.

However, despite these measures, the pediatric building is still overcrowded. If nothing else, the pediatric emergency hall is almost packed with children and parents.

Back in the department, Zhao Sheng came to the doctor's office.

As soon as he came in, Zhao Sheng saw Lin Haizhou sitting on a chair with a tired look on his face, as if he had not slept all night.

"Director Lin, go and have a rest."

Seeing that Lin Haizhou was already tired, his face was pale, and his lips were dry, Zhao Sheng couldn't help but said to Lin Haizhou with concern.

Lin Haizhou cannot fall down, otherwise, Li Weidong is often absent, and if Lin Haizhou falls down again, the director will be the only one on duty.

Although his body can withstand working overtime for several days and nights, it takes time to relieve mental fatigue and even boredom.

"I can still hold on, Director Zhao, you should go and rest. I heard that you worked with people in the pediatric department all night, and you are exhausted. It's okay, I can still hold on."

Lin Haizhou said with a reluctant smile.

"We can't go on like this. We are doctors, not cows and horses. If we go on like this, we will die."

Zhao Sheng suddenly said angrily.

No matter how dedicated a doctor is to his profession, he can't go on like this every day.

Fortunately for him, since his awakening, his endurance and physical strength have been at the peak of human beings or even surpassed human existence. But how long can a normal human body like Lin Haizhou survive?

If one day he suddenly dies suddenly, it would be a bit ridiculous for a doctor.

"There's nothing we can do, Director Zhao, just get through this outbreak period."

Lin Haizhou smiled bitterly again and said.

Next, Zhao Sheng forced Lin Haizhou to take a rest, and he took over Lin Haizhou's duty as director.

After taking over, Zhao Sheng discovered that the pediatric department was in dire straits, and the critical care center was not much better either.

Although it is true that winter is a period of high incidence of cardiovascular and respiratory diseases, there are an unbelievable number of severely ill patients.

Especially among people over eighty years old, the number of people who are usually in good health suddenly suffer from cardiovascular disease suddenly increases.

This reminded Zhao Sheng of a document he had read, which stated that after patients with underlying diseases were infected with a certain virus, the vascular endothelial system was disordered, and vascular plaques were prone to inflammatory reactions, which would lead to the incidence of thrombosis. increase in height. Moreover, investigations have shown that a certain virus can indeed mediate immune response and inflammation, thereby causing serious damage and dysfunction to the cardiovascular system.

Previously, research published in BMJ showed that about 57% of people infected with a certain virus reported persistent cardiovascular-related symptoms, and even had cardiac structural and functional abnormalities, such as myocardial damage, for many weeks after "Yang Kang" .

Similarly, an article in the Nature sub-journal also mentioned the impact of a certain virus on cardiovascular disease. Magnetic resonance imaging showed that 78% of the people surveyed who were infected with a certain virus had heart damage, and 58% of them still had heart damage. of infected people have heart abnormalities one year later.

Viruses may induce myocarditis in the following three ways:

① Direct damage to myocardial cells by the virus;

② Inflammatory cells migrate to cardiomyocytes and induce local inflammation;

③ Due to systemic inflammation, the autoimmune system is overactivated and damages the myocardium.

Early symptoms of viral myocarditis include:

Fatigue, chest tightness and shortness of breath, palpitations, dizziness, loss of appetite, difficulty breathing, chest pain, etc.

Once the above symptoms appear, you must be vigilant!

If symptoms worsen, or symptoms such as arrhythmia, tachycardia, or slow heartbeat occur, go to the hospital as soon as possible to check whether there are changes in myocardial damage on the electrocardiogram.

If diagnosed and treated as early as possible at this time, most of the prognosis is good. If the condition continues to progress, it will often take a turn for the worse, possibly causing heart failure, shock, or even sudden death.

Avoid strenuous exercise even if you have general upper respiratory tract infection symptoms.

Because when a person has a fever, his or her heartbeat speeds up, blood circulation speeds up, and the stroke volume of blood from the heart increases, which increases the load on the heart.

Vigorous movement of the movement at this time will further increase the burden on the heart, especially patients with underlying heart diseases, who may also develop acute cardiac insufficiency and fatal arrhythmias.

In addition, strenuous aerobic exercise can cause high heart rate and increase oxygen consumption, which is not conducive to myocardial repair.

Excessive anaerobic exercise, such as equipment exercise, will produce a large amount of lactic acid and other metabolites, which accumulate in the myocardium and are not conducive to heart recovery.

It is recommended to control the intensity of exercise to no more than one-third of the usual intensity. After subsequent adaptation, slowly return to the usual amount of exercise. People with underlying diseases or severe infections should first ask their doctor to evaluate when they can resume exercise.

It's ten o'clock in the afternoon.

After finally dealing with the severe patients in the morning, Zhao Sheng was sitting in the doctor's office, and Li Mujia was also sitting and resting. She suddenly said to Zhao Sheng: "Do you think I should ask my parents to go to the hospital for a comprehensive cardiovascular system examination in my hometown? "

This morning, so many elderly people with sudden cardiovascular diseases were sent to the hospital. Moreover, they were all very healthy before, but they only became ill recently. This reminded Li Mujia of his parents in his hometown.

"Okay, this is necessary."

Zhao Sheng nodded and said without hesitation.

"Ah."

"The current working conditions are really painful."

Li Mujia, who has always been optimistic and strong, suddenly expressed such emotion.

The entire state of the hospital now makes her feel like her life is hopeless.

(End of this chapter)