Rural epidemic situation in three village doctors' mouths (stories of village doctors with epidemic situation)

After the release of the "Ten Articles of New China", all localities ushered in the peak of epidemic infection, which led to a tight supply of epidemic-related materials such as antipyretics. In the past few days, many cities have taken measures to continuously improve the drug supply capacity. However, rural areas with weak epidemic prevention ability still face problems such as drug shortage and manpower shortage.

In the notice issued on February 26th of 12, the National Health Planning Commission mentioned that it is necessary to give full play to the role of the medical and health network at the county, township and village levels, do a good job in the health survey of key populations, strengthen the allocation of medical resources, and equip with auxiliary treatment equipment such as drugs for respiratory diseases and oxygen generators. Establish and improve the counterpart assistance mechanism between urban secondary and above general hospitals and county-level hospitals. Smooth the referral mechanism at the city and county levels, improve the ability of severe treatment in rural areas, and provide medical security for high-risk groups such as rural elderly and patients with chronic basic diseases.

With the arrival of the wave of returning home during the Spring Festival, some grassroots medical staff began to worry about whether the rural medical system could withstand greater pressure.

On February 26th, 65438, three grassroots medical workers from Shaanxi, Hebei and Anhui talked with China News Weekly about the current epidemic prevention situation in rural areas.

Their experience may provide some enlightenment for the upcoming epidemic peak in other rural areas.

The following is from the village doctor's dictation.

Yankou Town Village Doctor Yang Chun, Xixiang County, Hanzhong City, Shaanxi Province

"The remaining medicine can last for three days."

From about 65438+February 20, the number of people seeing doctors increased.

At most, there are hundreds of people a day, especially from 10 am to 3 or 4 pm, and the infirmary is full of people.

Most people's symptoms are fever, sore throat, cough and general pain. Some people have difficulty swallowing and can't eat anything. In addition to the right medicine, patients with weak constitution need intravenous drip to supplement energy.

There are about 4000 permanent residents in our village, including nearly 800 elderly people, and there are only two village doctors in total, which is very stressful. I was too busy to ask my family for help, but they didn't know medical skills and could only help.

The biggest problem in rural areas is the lack of medical care and medicine. Before the epidemic policy was changed, there was basically no one in the outpatient department except the elderly with basic diseases who came to boil medicine and drip every day, and I never thought about hoarding medicine.

A few days after the implementation of the "Ten Articles of New China" policy, the director of the town health center sent a message reminding us to prepare medicines to cope with the next epidemic, and it is best to buy them for three to six months. But I don't have that much money, and I can't buy much medicine when I place an order in February 12.

At the pharmaceutical company's side, only about RMB 1 1,000 can be purchased at a time. For example, only a few boxes can be bought for clearing away heat and toxic materials and reducing fever in response to the COVID-19 epidemic, which is simply not enough.

Without medicine, villagers can only be restricted from buying medicine. I was asked to prepare medicine, but I basically refused. We also open a box of medicine for people who come to the rescue with symptoms, and each person can prescribe medicine for up to 3 days.

Even if you save money, it is still far from enough. For example, the antipyretic analgin, I have prepared three large bottles, a total of thousands of tablets, and now I sell at least four or five hundred tablets every day, and there is not much left.

There were not enough pills, so we used Chinese herbal medicine and made a medicine package according to the prescription of COVID-19 in the county hospital. Everyone has two pairs, and a little western medicine can also relieve the symptoms. Basically, just drink it for two or three days.

The trouble is, from February 26th of 65438+, Chinese medicine began to be in short supply, and the medicine package could not be boiled.

I have two village doctors who are doing experiments on themselves because of lack of medicine, trying to reduce fever through acupuncture.

In addition to the lack of medical care and medicine, the villagers' medical knowledge is also very limited. Many people have symptoms and will not go to see a doctor for the first time. Some people have medicine, but they don't know how to take it. Some elderly people have problems in the middle of the night, and the situation may become serious after dawn. So I still need to give them some popular science every day, including how to use medicine, how to cool down physically and so on.

If there is an emergency, such as pregnant women or elderly people with serious basic diseases have too much fever, I will try my best to go to their superior hospital for treatment, for fear of delaying the opportunity.

Fortunately, most of the recent infections in the village are young and middle-aged, and there are not many elderly people. However, when the Spring Festival travel rush craze returns home after a while, young people who work in other places will come back one after another, especially the elderly, who may face greater risks. At that time, the pressure on county hospitals and municipal hospitals will be even greater.

I made a rough calculation, and the remaining medicine can not last for a week at present, but can last for three days at most. I can only take a small amount of medicine these two days.

Not only rural clinics, hospitals in towns and hospitals in county towns, but also the stock of drugs is not optimistic. There are also colleagues in the county hospital who buy medicine from me and take it home to their relatives.

This is what worries me most. If there is no medicine, the number of elderly people with basic diseases will continue to increase, which will be very troublesome.

These days, the health bureau is also counting the drugs in various clinics and clinics, but the problem of drug shortage has not been solved. I hope the medicine will be in place as soon as possible.

Li Liang, a village doctor in Fangzhai Town, Handan City, Hebei Province

"I took medicine before the peak of infection, but I was short of manpower."

The peak of infection in rural areas of Handan is in the week around February 5 15.

During this period, my clinic never lacked medicine. Because before the peak of the epidemic, the Health Bureau issued a notice to prepare drugs, and I was almost ready at that time. In the next few days, I drove to the pharmaceutical factory myself. Fortunately, I got some medicine. Although I don't have ibuprofen, I have paracetamol and antongning injections, as well as Qingkailing and Ribavirin injections for clearing away heat and toxic materials. Although it is not a specific medicine, it has an effect.

Because the medicine was saved in advance, the price did not fluctuate much. In addition to the clinic, there are several pharmacies here, and the villagers are very clear about the prices of commonly used drugs.

The antipyretics in our outpatient department are basically not board medicines, but a bottle of 1000 paracetamol. The purchase price is only tens of dollars, and several tablets are enough for one person. Therefore, when a person sees a doctor, the medicine for two or three days is eight or nine yuan or even more.

If COVID-19's symptoms appear, paracetamol should be added with some antiviral, antitussive and expectorant tablets, or vitamin C and Radix Isatidis should be added.

However, the conditions of clinics are still limited. There is no nucleic acid test, we have no antigen kit and no oximeter for intensive monitoring, so we can only prescribe the right medicine according to the symptoms.

There are still some people who have a high fever, or their symptoms have not been alleviated after a few days, and they are in poor health and need injections and some nutrient solutions.

Although there is no shortage of medicine, there is a special shortage of manpower. Our village/kloc-has a population of over 0/200, with a permanent population of over 700. However, besides the villagers and the surrounding village clinics, many villagers will come to me.

The peak of infection suddenly came. In rural areas, basically a person has symptoms and will soon be infected. On the most day, more than 65,438+030 people came to the clinic. In addition to people infected with COVID-19 virus, some elderly people with chronic diseases came to see a doctor, and the people in line were all waiting outside the door.

The weather is very cold, and many people are shouting fever, sore throat and pain all over. I can't handle it alone.

After handling the patients who come to the clinic, I still need to go to the village to see a doctor. Some people have a severe fever and can't get out of bed, and some old people are already unable to move.

After the rush hour, I was recruited myself. The night before 10 just sent the patient away, and someone knocked at the door at 3 am, saying that my family had a fever of 40 degrees, and they couldn't do it themselves. At 7 o'clock in the morning, the queue at the door began again and it was busy until 2 o'clock in the afternoon. My throat is smoking, and I feel a little dizzy when I stand up. In all my years as a doctor, I have never been so tired.

Fortunately, there are no elderly people with serious post-infection or aggravated basic diseases here during the peak period, probably because the medical conditions here are better than those in remote mountainous areas, and there is never a shortage of medicine.

In addition, in the past, our village clinic and health center established health records for the elderly over 65 years old. I know very well who has chronic diseases and who has basic diseases in the village. After the epidemic, I will also call regularly to ask if I have a fever or have any difficulty in seeing a doctor. If there is an emergency, please contact an ambulance for referral.

Now, the peak period here has basically passed, and the higher-level government has also launched an emergency supply guarantee mechanism. More drugs are beginning to tilt to the grass-roots rural areas, and the shortage of drugs in surrounding towns and villages is gradually easing.

Dr. Zheng Furen, Guanghua Village, Qimen County, Huangshan City, Anhui Province

"Old people who are not infected should not go out for the time being."

I am 74 years old. I am a cancer patient. I had colorectal cancer surgery the year before last, and I have been undergoing chemotherapy since then. I will check it again this year. Cancer cells have spread to my lungs.

Guanghua Village is located in the mountainous area of southern Anhui. There are 7 villagers' groups in the village, with a permanent population of more than 800, of which about one third are elderly people and children.

I was in poor health, so I didn't go to the clinic of the village Committee, and I went to see the villagers at home instead. Everyone who can't move in his bed is sick, and I can't see a doctor one by one.

In the last week, the number of people who came to my house to see a doctor suddenly increased, especially in the past two days, there are no antipyretics here. I contacted the drug company, and they said they were looking for medicine, and they would contact me when they got it.

A few days ago, caring people helped us raise drugs online and mailed us antipyretics and cold medicines.

On February 27th, 65438, I received a box of Ganmaoling granules, a box of acetaminophen and a large number of masks. It is not enough for these drugs to be distributed to infected villagers, that is, a family.

After I was recruited, my family was soon infected and coughed in bed. It turned out that they could still help, but now there is nothing I can do. I can only insist on it myself.

I am the only doctor in the village. The village is 30 kilometers away from the county seat and 100 kilometers away from the urban area. Many old people are counting on me. I can't lie down.

After canceling the nucleic acid, because there is no antigen, I can't accurately judge whether the people who come here are COVID-19 patients, winter flu or common cold. I can only prescribe the right medicine according to my experience and master it flexibly.

I open the door at seven o'clock every morning and stay busy until seven or eight o'clock at night. Recently, about 20 people come to see a doctor at home every day, and most of them take medicine. If you can take it orally, you don't need an injection or infusion. The drugs prescribed are mainly analgesic, antipyretic and antiviral.

There are also some people who come to me to buy spare medicine for fear that they will get sick. I stop taking medicine here and it is inconvenient to go to the county seat. But I am short of medicine now and can't sell it to him. What if an elderly person or a person with severe symptoms wants to take medicine later? I'm going to leave some for them.

There is no medicine, so we can only tell them that if the symptoms are mild, they can carry them. If you have a fever and headache, you can't take it before taking medicine. The physical condition was really not good, so I quickly went to the county hospital.

In our county hospital, many medical staff are also infected and have to rest at home. They are also very nervous.

Most of the 80-year-old and very old people in the village are not infected. But they are in poor health. If it is a sudden infection, the situation may be more serious and it will be more troublesome to treat.

So I have repeatedly told those old people who are not infected that they should try not to go out now, reduce contact with outsiders and try to avoid serious illness.

Author: Wang Chunxiao