RICU medical team of Beijing Chaoyang Hospital： Give every breath the meaning of rebirth.
Editor’s Note: As the old saying goes, "Pipa can be swept lightly and touched with pity, and it is necessary to be a champion by faith and practice." Love one’s job, be proficient in business and consolidate one’s thinking, and every profession can produce outstanding talents. The work is dedicated to ambition, and the industry is broad and diligent. The General Secretary of the Supreme Leader pointed out that the vast number of young people should base themselves on their own duties, work hard, overcome difficulties, achieve their own wonderful lives with hard-working hands and first-class achievements, and be brave enough to go to the grassroots level with difficult conditions, the front line of national construction and the forefront of project research, undergo exercise and grow their talents. China Youth Network specially launched a series of interviews with the practitioners of the "Chinese Dream", "Stand on their posts and make contributions", to share inspirational stories of outstanding young people in various fields in China with young netizens, to supplement the calcium of the spirit for realizing the "Chinese Dream" and to create a youthful country and a youthful nation with a youthful self.
Interview with a series of characters of "Chinese Dream Practitioners" Based on their posts and making contributions, the third issue
All medical staff in the respiratory intensive care unit (RICU) of Beijing Chaoyang Hospital affiliated to Capital Medical University are handing over the morning and evening shifts. China Youth Network Intern reporter Yang Zhixuan photo
"Patients with severe pneumonia and ARDS in bed 8 were given mechanical ventilation through oral intubation, mode P-A/C, PC12cmH2O, PEEP 18cmH2O, oxygen concentration 100%, oxygenation index 65, and were given prone position ventilation for 10 hours at night. The oxygenation index of blood gas analysis this morning was 95. The patient has no fever at present … …”
Every morning at 8: 00, it is the morning and evening shift handover time for all medical staff in the respiratory intensive care unit (RICU) of Beijing Chaoyang Hospital affiliated to Capital Medical University. Tong Zhaohui, the 51-year-old vice president of Beijing Chaoyang Hospital and deputy director of Beijing Institute of Respiratory Diseases, began the routine "Dean’s rounds" of RICU in Beijing Chaoyang Hospital after listening carefully to the case reports of all patients.
"I came to Chaoyang Hospital in 1988 and began to participate in the establishment of the respiratory intensive care unit in 1991. It should be said that like them, I was still a little doctor at that time." Standing in front of the camera, Tong Zhaohui looked at the busy young faces in the department, full of his 25-year-old figure.
RICU, Chaoyang Hospital, Beijing, is a young team with an average age of only 29 years. As a nationally renowned respiratory department, there is the most complete respiratory support technology system in China, which has accumulated rich experience in clinical applications such as non-invasive ventilation operation technology and application indications, ventilator-related lung injury and lung protective ventilation, and extracorporeal membrane oxygenation (ECMO), providing new support means for the diagnosis and treatment of respiratory failure and critically ill patients; It undertakes the study task of specialists and nursing advanced studies from all over the country, and has trained a batch of doctors and nurses who are good at respiratory support technology and critical care for the country, making outstanding contributions to improving the survival rate of critically ill patients and improving the prognosis of critically ill patients.
Here, every hard "breath" is given the meaning of rebirth.
In this year’s staff sports meeting, four male nurses from RICU participated in many competitions, which made great contributions to the second place in the respiratory department. Zhang Chunyan (middle) happily took a group photo with the male nurse. Photo courtesy of Zhang Chunyan, head nurse of RICU, Chaoyang Hospital
Is a pioneer, a warrior, a patron saint.
In 2003, SARS ravaged the whole country. In the battle against SARS, the Department of Respiratory Medicine of Beijing Chaoyang Hospital gave full play to its own advantages in respiratory and critical care, and moved to major hospitals to identify and treat SARS patients.
Tong Zhaohui, as the director of the SARS ward, worked in the ward for more than three months continuously, led the medical staff in the respiratory department of Chaoyang Hospital to sacrifice themselves to save others, and was United in strength, and successfully treated nearly 200 SARS patients in this battle of public health and safety.
"All colleagues in this photo have participated in the treatment of SARS." Zhang Chunyan, the head nurse who has been fighting in the clinical front line of RICU for 13 years, pointed to the old photos on the photo wall and said with emotion, "In August 2013, when I graduated from college and came to the hospital, SARS had just ended."
Zhang Chunyan, who is new here, didn’t participate in this battle that went down in history, but the stories of blood and tears around her deeply shocked her. Since then, she has a new understanding of her career, a new mission and a new responsibility.
"Some of our colleagues were unfortunately infected with SARS virus during the treatment of SARS, which caused sequelae such as femoral head necrosis that were difficult to cure, resulting in walking inconvenience and lifelong disability." Recalling those brave and firm faces, Zhang Chunyan’s words are full of admiration. "They are particularly great, just like soldiers."
The SARS in 2003 was only the beginning of the battle for the respiratory department of Beijing Chaoyang Hospital. H5N1 avian influenza in 2008, H1N1 influenza A in 2009, and H7N9 avian influenza &hellip in 2013; … "In the national public health emergencies, RICU of Chaoyang Hospital has played an important role, shouldered great responsibilities and is the backbone of the crisis." Tong Zhaohui said.
Influenza A (H1N1) broke out in China in 2009, and RICU of Beijing Chaoyang Hospital treated many critically ill patients as usual. "Although it is not as tragic as SARS, it is also a very big test for us." Zhang Chunyan said that the more patients are admitted, the workload and work intensity of medical staff will increase exponentially. "Even so, no one in our whole team has retreated, and everyone is actively doing the treatment of seriously ill patients."
Nervousness is a feeling that Zhang Chunyan remembers vividly so far. "We didn’t consider whether we were infected at that time. What we were most worried about was whether the patient could be saved and whether his family was safe." During the fight against H1N1, Zhang Chunyan fought side by side with Wang Shuqin, the deputy head nurse of RICU.
Even though she was pregnant, Wang Shuqin risked being infected and stuck to her job. At this time, Zhang Chunyan’s physical condition also turned red, and she began to have symptoms similar to H1N1 flu.
"I once suspected that I was infected, but I didn’t have time to hesitate and stop, because many critically ill patients were waiting for me to save." Zhang Chunyan said that because she was afraid of transmitting the virus to her two-year-old daughter, she lived in the duty room of Corey with some colleagues and didn’t go home for a week. "For ourselves, we simply don’t care so much."
In May this year, Murong Yiyi (second from left) was doing a routine review in RICU, Chaoyang Hospital. Tong Zhaohui (third from left) asks about Murong Yiyi’s physical condition during rounds. China Youth Network Intern reporter Yang Zhixuan photo
An angel, a friend, a family member.
"I will be 2 years old this year. Thank you for incubating me again. I will definitely be a baby that makes you feel proud, proud and promising!"
Two years ago, Murong Yiyi, a girl from Sichuan, suffered from postpartum depression. She left her one-month-old daughter in a moment and tried to commit suicide by taking paraquat orally. This leads to severe pulmonary fibrosis, and the lungs cannot maintain oxygenation. Only through lung transplantation can life be saved.
Sun Bing, director of RICU of Beijing Chaoyang Hospital, went to the 307 Hospital for consultation with Murong Yiyi, and immediately led the medical team with Zhang Chunyan to the 307 Hospital to establish ECMO (commonly known as "artificial lung") for her, then successfully returned to RICU, and successfully performed lung transplantation for her after waiting for lung source.
Because of her serious illness, Murong Yiyi can only lie lonely in a cold glass room most of the time when she is receiving treatment, and she is full of medical pipelines, large and small. The long road to survival often makes her lose confidence in life. In RICU, she needs to be cared for not only physical illness, but also psychological and spiritual trauma.
"In the process of hospitalization, Murong Yiyi’s mood often fluctuates greatly. Sometimes her desire for survival will be very strong, and sometimes she will become very depressed at once." Every patient’s cautious emotional expression can’t escape the eye of RICU specialist nurses.
In order to make Murong Yiyi receive treatment more actively, the nurses in RICU always look at the pictures of children on the IPad for her. We also blow rubber gloves into balloons, and draw all kinds of little people on the balloons. The bulging palms are little people’s faces, and five fingers are five big braid. The nurses draw eyes and mouths on them, show them to Murong Yiyi through the glass, and make victory gestures to encourage her to overcome the disease and reunite with her children and relatives as soon as possible.
Slowly, Murong Yiyi no longer kept silent. Even if she couldn’t speak, she would write all her bad feelings on the drawing board when she was depressed, so as to talk to the medical staff in RICU in this way. In response, nurses will also pick up the drawing board in their hands and write encouraging words on the drawing board. Those gentle and hopeful words shine into Murong Yiyi’s darkest life time like a rainbow.
Nowadays, Murong Yiyi has basically recovered after careful treatment and nursing after operation, and has become the longest surviving case after lung transplantation with paraquat poisoning in the world. The second month after leaving the hospital, Murong Yiyi, who likes singing, went to the plateau to record his own MV. "Now I can only sing pop songs." She said with a smile.
After walking on the line of life and death, the young girl vowed to live a more wonderful life. In the past two years, Murong Yiyi began to devote herself to public welfare, and her figure was active on the stage of various public welfare performances. "After standing up again, I feel that I can’t live in vain. I want to make the world a better place! "
During the treatment, Murong Yiyi shaved all her hair, and the nurses carefully kept the cut hair. Not long ago, Murong Yiyi reattached these hairs, and mischievously dyed one of them into bright red. She said, "I am very happy now, because all the medical staff in RICU are my family, and I will live happily no matter how big the setbacks!"
It’s baby, it’s strength, it’s half the sky.
"It may be generally believed that male nurses are careless in the public’s cognition. In fact, it is not the case. Both men and women in our nursing industry must be careful. " Bai Hongming, a male nurse born in 1980s, has been engaged in nursing for five years. Together with more than ten brothers in RICU, Chaoyang Hospital, Beijing, he holds up half the sky of the department nurse team.
In RICU, the advantage of male nurses is first reflected in strength. Bai Hongying often takes the initiative to undertake strength-based work. "The patient has to turn over every two hours. The light weight is good, and the heavy one requires the cooperation of several male nurses Qi Xin." Bai Hongwei said, "Before there was a patient weighing more than 400 kilograms in bed six, it took six nurses to turn over. There is nothing to say. At this time, male nurses must rush ahead."
Chen Lao, a three-bed patient cared for by Bai Hongming, was admitted to the hospital earlier than when he entered the department. "I have been taking care of him since here." At the beginning, as a novice, Bai Hongwei will inevitably have some minor problems in nursing. Unfortunately, Chen Lao’s wife is a family member who is very strict with all kinds of nursing requirements. "Even the time to eat can’t be worse." To this end, Bai Hongying had a lot of troubles.
Helpless or complaining, Bai Hongying prefers to take this as an opportunity to temper. "If you can take care of three patients, you can take care of most patients." From then on, he consciously chatted with his wife, learned about Chen Lao’s work and rest habits and treatment rules for many years, and gradually established a close and trusting relationship with patients and their families.
Even sometimes, Bai Hong-wei became a "royal" nurse for patients, and the exclusive trust of "he can’t do it" made young boys both gratified and moved. During the hospitalization of an old patient, his daughter often sent her hand-made patties to the nurses. One month after the old man died, her daughter returned to RICU and sent three pennants to the medical staff, just for the words of the old man before his death, "They took care of me very comfortably."
In Zhang Chunyan’s eyes, male nurses are the "treasures" in the department. "They are not only patient and meticulous, but also have strong emergency response ability, and they are more likely to master new technologies."
In 2015, a patient with severe pneumonia needed to be transported to the respiratory department of Chaoyang Hospital. Xin Xu, a male nurse from RICU who had worked for 8 years, and her colleagues went to more than 300 kilometers. After establishing ECMO in the local hospital, they transported the patient with the ambulance overnight. In the intensive care unit, transporting patients needs to bear great risks, and such a critical task often falls on the shoulders of male nurses. "With the accumulation of experience, my professional skills have also been qualitatively improved." In 2014, Xin Xu attended the certification class for ICU nurses, and now she is still working as a teacher in the department.
"Xin Xu, there is a patient whose mood is not stable these two days. You should keep an eye on the ward for two days." In the tense doctor-patient relationship, male nurses are the umbrella of female nurses, but also the mediator to ease the atmosphere. "Some patients will lose control of their emotions during the treatment, and they will have some verbal excesses on female nurses." Xin Xu said that in order to stabilize patients’ mood and avoid unnecessary disputes, male nurses usually stand in the front and use men’s unique humor and patience to relieve patients’ boredom and open their hearts.
Talking about family, Bai Hongming and Xin Xu are both fathers of a child.
When the reporter asked if the child was absent from work at the important moment of his growth, Bai Hongyu smiled shyly. "I was at work on both his birthdays." From 8:00 to 18:00, the next day from 2:00 to 8:00, and from 18:00 to 2:00 on the third day, there are two days in a group, and the last two days are closed for two days, with an infinite cycle of 365 days a year.
"Every time I go home, the children have to stare blankly for a while before they can remember me." Looking back at the first time as a father, both Bai Hongming and Xin Xu felt the same way. Bai Hongming said: "Since I have chosen this profession, I will demand myself with the professionalism of medical staff, and I will stick to it without complaining."
(China Youth Network reporter Liu Shangjun Intern reporter Yang Zhixuan)