This is what the director of a certain hospital emphasized on the prevention and control of the new crown at an internal meeting of the hospital. I was very educated and felt that it was necessary to popularize it. I believe in the professionalism of the director.
The recording of this conference speech has been circulated on the Internet. Since the recording sounds time-consuming and not suitable for dissemination, I have converted the recording into text. Please understand it as soon as possible. If you find it useful, please forward it to your family and friends so that they can increase their understanding. Be prepared, don't panic.
Note: The recording time is at 9 am on December 12, 2022
In order to quickly grasp the key points, I have summarized the following points:
1. 100% will be infected, but the infection should be as low as possible.
2. In these two weeks, after the first wave and the second wave, the symptoms will be significantly relieved.
3. Do not use antibiotics, just use Tylenol and cough allergies. (Prepare antipyretics)
4. During the onset, drink a lot of water and ensure nutrition, eat small meals frequently, and ensure calories.
5. Ensure sleep, sleep is particularly important. Get a good night's sleep and you'll be fine in two days. (Need to prepare sleeping pills)
6. Do not go to the hospital, the hospital is the place with the highest viral load. Seriously go to the hospital.
7. Prepare an oxygen-filled clip. If the pulse oxygen saturation is lower than 85, it means severe pneumonia. Seek medical attention immediately.
The full text of the dean’s speech is as follows:
By the end of last week, the situation was already very serious. Now, many hospitals are actually in a state of paralysis. At four o'clock yesterday afternoon, Beijing recruited all retired medical staff to return to work. Now Guangzhou is also doing this.
So the first wave is very severe, and it seems to be different from what we imagined. It's not about lying flat, but now is the beginning. The United States was liberalized in July last year. After the liberalization, the first wave of symptoms was very severe, just like our symptoms today. Now the United States has basically reached the ninth and tenth waves, and now there are almost no symptoms. There is no nasal obstruction, but the first wave of symptoms are very severe .
Although the symptoms are severe, the overall illness is mild, so everyone must let every employee know that this wave must be severe. So, the first thing to talk about today is personal protection. Protect yourself and your family. Infection is inevitable, but it can make the symptoms of infection mild. The current guidelines in the United States require that masks be worn all the time. If there are infected people at home, the whole family, including infected people, should wear masks all the time in public places and all the time at work. Except for eating, everyone wears masks.
why is it like this? Studies in the United States have shown that the antibodies produced by low-load infections and high-load infections are exactly the same, but the symptoms of high-load virus infections (that is, high-concentration infections) are severe, so we must strive to achieve low-concentration and low-load infections , This is the first measure of our protection, and then we must wash our hands every time we touch patients or go out. These two measures must be in place.
The infection is definitely 100%, but the symptoms of high-load infection will be severe , so this is what everyone needs to know. It turned out that I didn't know enough about this piece. The infection is 100% sure to be infected, and there will be four or five waves of infection. This is something everyone should be prepared for, but the symptoms of each wave are milder than the first wave , but what we are facing within a month is all the first wave .
The second question is about the diagnosis of "severe illness" (Editor's Note: 注意这里说的重症并不是感冒症状重，而是肺炎重症), because there are more severe illnesses in the first wave than in the third wave, this is beyond doubt, no matter what the experts say now, judging from the global situation Generally speaking, the first wave of symptoms of letting go is severe, and relatively speaking, there are many severe symptoms. Everyone needs to know the diagnosis of severe disease, and the most important thing is severe pneumonia. So how is severe pneumonia discovered? It is oxygen saturation. So the United States is behind, and every family has an oxygen saturation clip, yes, yes, it is the oxygen saturation clip that is clipped on the finger to measure the pulse oxygen.
If it is measured above 90, it is basically unnecessary to pay attention. However, if it falls below 90, especially if it falls below 85, it is necessary to seek emergency medical treatment. This is something everyone should understand. Therefore, we would like to appeal to all employees, including our members (Editor's Note: 这是一家综合性、会员制医院), to prepare oxygen saturators for every family, and the oxygen saturators are also very cheap. Today we will quickly adjust the oxygen-adjusting and filling clips, but we must use medical oxygen-filling clips. Everyone must know that this oxygen saturation clip is very important. It is placed on the finger. Every family with infection must prepare this. This is very important. Because of this wave of severe illness, this is the only way to diagnose, and there is no need to go to the hospital at all, just self-examination.
Why did the United States open up in July? He dared to let it go. A lot of national preparations were made in the early stage, and every family was prepared with oxygen. If the oxygen saturation was low, he would not go to the hospital for treatment. It is necessary to minimize visits to the hospital. The first wave of visits to the hospital will cause a medical run, and secondly, there will be no treatment at all. So the deaths are all due to this medical run. We will make it clear today that when it comes to diagnosing severe and mild illnesses, no matter how severe his symptoms are (Editor's Note: Here we are talking about severe cold symptoms), he is still mildly ill. The premise must be to exclude those who are seriously ill, especially if there are elderly people in the family, they must prepare an oxygen saturator , so today we will urgently transfer the goods, because we must buy a medical type, otherwise the commercial oxygen saturator is useless , everyone must know.
Now let’s talk about how to treat the symptoms. From the release last July until now, the consensus of the entire medical community is: to treat the symptoms, don’t use complicated medicines. one of a kind. " So now, we don't recommend Qingwen Capsules, because of its liver toxicity, which was published in a magazine last week, and it can cause serious acute liver damage, so our hospital does not recommend it.
But if you insist on buying it, we also sell it, but we don’t recommend it because of liver damage. Once the disease occurs, during the first wave, when the fever is high, the burden on the liver is the heaviest. At this time, the attack on the liver is likely to lead to liver failure. Every employee must be very clear about it. We do not recommend it.
Our employees must know that not to take a lot of medicine, the most important thing is to be symptomatic, and the most important thing in the symptomatic is to drink plenty of water and adequate nutritional intake. Because the first wave of high fever is very common, and it is also true in the United States. When it is released, the fever reaches 40 degrees, which basically accounts for 90% of all infected people with symptoms. energy.
Therefore, the most important thing is to drink water, plus you must eat and drink, and you must have enough calories. (Editor's note: 热卡表示食物的能量值) Calories are very important. The way to replenish calories is to eat less and eat more. Now that the guidelines are out, how to eat less and eat more? Because when he has a fever, the intestinal wall will swell, so he can't eat it. What should I do then? Eat smaller meals more often. During this period of time, don’t eat big fish and meat, mainly steamed products. This is something that everyone has reached a consensus on, and mainly steamed and boiled foods.
Generally speaking, most people start to get better in three to five days, and only a very few become severe. The treatment of severe cases is now clear. In severe cases, generally speaking, patients over 65 years old with severe symptoms have a medicine, which is a The special medicine, which can be used, is from Pfizer in the United States. The formula has been given to China, and now it is copied for free in China.
This medicine can be used, but most people do not advocate it. Elderly people who already have dyspnea and have severe symptoms are advised to use this medicine. But the real treatment, patients with respiratory failure when they go to the hospital, I mean patients with severe pneumonia, the treatment of patients with respiratory failure is now standardized (after these three years), small doses of hormones are used for three days, almost 99% are cured without the use of other drugs and small doses of glucocorticoids.
Basically two to three days, basically 100% remission, all doctors and nurses in the hospital must know. Those who are so severe that they need to be pulled on a ventilator are rare in this wave. If a critically ill patient comes to the hospital, he or she needs to be treated with hormones, and it is a small dose of hormone therapy, which is usually given intravenously.
Generally, in two to three days, 99% of the cases are under control, and only a small number of patients are on ventilators, but it is very rare to use ventilators in this round. There is also a third problem, how to judge whether you can return to work, that is, to make antigens at home. In the United States, people who are finally positive should try not to be on the job. When can they return to work? It is enough to test the antigen, and if the antigen is negative, you can return to work. But I'm talking about returning to work with symptoms. Asymptomatic people, they don't care about them in the United States now, so they don't care.
In the United States, since last year, they have not been tested for nucleic acid, so those who are asymptomatic do not hide (stay at home). Those who have symptoms are tested for antigen at home, and the condition for returning to work is that the antigen is negative. Those without symptoms don't need to toss, but this is the United States. Since the condition for returning to work is the antigen, every family must prepare the antigen. Basically, in the United States, every family has antigens.
So now the focus of our work today is to ensure that the people we are in are as cloudy as possible, do our best to protect ourselves, and try to lighten the symptoms of infection as much as possible.
This is the focus of our work this week. For members, as long as they do not go to the hospital for two weeks, their incidence of severe illness will decrease, because the hospital is the place with the highest capacity, everyone must be clear. So starting today, all of us, those on the job, will do a lot of work to interact with members. I will use the title of medical recommendation, and I will post one, and everyone will send one, and the whole hospital will send them one by one through text messages and WeChat, so that all members can feel that the hospital is supporting them and helping them. Let everyone not be in a hurry, just don't go to the hospital now, and you will win.
However, severe cases must be detected in time, so now we need to open more online consultations and online consultations to minimize hospital visits. In this way, our medical staff can also be effectively protected, so patients can also be effectively protected.
Here are a few things to summarize today: first, personal protection, wearing a mask all the way, washing hands frequently, so that everyone can get infected with low concentration and low load; second, to detect severe cases in time. Therefore, every family must have an oxygen supplement, which is the most important thing. If it is lower than 90, you must be vigilant, and if it is lower than 85, you must see a doctor quickly.
Before there is no serious illness, no matter how severe the symptoms are, only two medicines are needed for the symptoms. The main ones are Tylenol and cough sensitivity, and other medicines are not recommended by international guidelines. Symptoms will generally be severe during the first wave of shocks, and the rate of severe cases will be higher than later, which we must be soberly aware of. At this time, do not use complex medicines, because once the fever is high, everyone knows that the liver is the most vulnerable time, so using these Chinese patent medicines will increase the chance of acute liver failure, so please do not recommend patients to use those Chinese patent medicines. Also, if we are at home, high fever will cause body aches, high oxygen consumption, and high energy consumption, so drinking a lot of water ensures enough calories.
Then there is food, try not to eat fried, deep-fried, greasy and spicy food, which is particularly important, and focus on steamed and boiled food, everyone should know this, every employee should know it, and members should know it .
Regarding the treatment of severe cases, it is also very clear now, it is not that complicated. For severe cases, this wave of severe cases, once severe cases are found, low-dose hormone therapy, two to three days, basically 90% will be relieved, only a few Part of it has to pull the ventilator. So everyone should know that once severe symptoms come to us, we know that we will use hormones, but not high-dose hormones, but low-dose hormones. Everyone must remember, because many of the ICUs in China are shocking with high-dose hormones. , After the impact, there will be a lot of "necrosis of the femoral head". Especially for the elderly, if a large dose of hormones is used, many of them will be complicated by "necrosis of the femoral head". So now the United States is using small doses of intravenous (injection) hormones, which must not be shock treatment.
In addition, if there are no symptoms, no special attention is required. If you have symptoms, you are contagious. Now the United States has found that the infectivity of asymptomatic people is very low. Those who have symptoms, even if they go to work, as long as they wear a mask, they are hardly contagious. Note that if you have symptoms, you are contagious. Therefore, if you have symptoms and go home, the basic condition for returning to work is to test for antigens. If you are negative, you can return to work.
So today, we just do these few things, all the work is to reduce the number of members coming here for medical treatment, and we will win. Reduce them to run on (hospitals), because the hospital is the place with the highest viral load, try to reduce the number of people going to the hospital, and we will immediately arrange online medical consultations and online consultations to answer questions.
We do this for two weeks, but in fact it doesn't matter later, it's these two weeks (Editor's Note: 从发言时间看，是指12月12日至12月25日). The following week and next week will be the most severe test. In fact, the second wave of infection will enter later, and the symptoms of the second wave of infection will be significantly milder.
Alright, this is the end of our emergency meeting today. Anyone else have anything to add?
Q: Do I need to prepare nutrient solution?
A: It's very important, especially for the elderly. The elderly can hardly eat it when they have a fever. The elderly and children can't eat it at all. The nutrient solution is definitely okay, and it's very good.
Q: At present, if these elderly people have fever and similar symptoms, do we accept them now?
A: You see, the oxygen saturation folder is very important. If the oxygen saturation is low, it must be collected. We will further arrange it today, that is, the positive area. Now all hospitals have a special positive area, but only two days , the negative area will be positive in two days. But if it is a serious case, we will definitely still have to accept it, and now all hospitals have to accept it. But try to let patients self-test at home, self-test, prepare antigens, and then measure oxygen saturation, symptomatic.
The hospital is the most unsafe place, because it must be the place with the highest viral load, and the antibodies obtained from low-load infections are as much as those from high-load infections. But the symptoms are completely different, the contagiousness is completely different. It’s right not to come to the hospital. Basically, the winning rate is 70%.
A: Dean, I see someone said that if you have this disease, you must ensure sleep. Is that so?
Q: Yes, so at this time, you can use some stabilizers like "Estazolam". Sleep is especially important. If you sleep well, the symptoms will be mild within two days. Just prepare seven sleeping pills at home. For most people, half a capsule is enough, but prepare seven capsules for the family, the standard amount. Sleep is especially important. Because of the pain, many people can't sleep at all, but if they can't sleep, the symptoms will get worse.
Starting today, all people (editor's note: refers to the hospital staff) will broadcast the "medical recommendation" of our hospital, and they must be guided correctly, because the main thing everyone panics is the symptoms. If he knows (what's going on), there will be no problem up.
Alright, that's the end of it, everyone, those who are meeting and listening today, pass it on to the people around you, to your family, okay.
Note: This article has not been authorized by the hospital, but in view of the importance of saving lives in extraordinary times, this article was published first. Invasion and deletion.
Note: In order to avoid unnecessary trouble, this article has been slightly abridged, the names of hospitals and doctors are hidden, the content of suspected propaganda is hidden, and only the most important information is kept.
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