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Written by: Zhang Meilan
2020-05-19 06:58
Date of last update: 2020-05-19 06:58Fighting against the new coronavirus is a battle without smoke. If the public hospitals are frontline soldiers, the laboratory team is the most indispensable support force to send ammunition to the frontline.
The team of the Department of Clinical Microbiology of the Eastern Hospital is tenacious. It has tested more than 10,000 samples of new coronavirus in the past 4 months, and received a quarter of the confirmed patients in the ward during the peak period. , Expanded to 24-hour operation.
Dr. Hu Jialun, who has been practicing medicine for 23 years, has been coordinating the laboratory testing of the Hong Kong Island East Hospital. Colleagues described him as "don't make a fuss". In an exclusive interview with "Hong Kong 01", Hu Jialun revealed that the alarm clock will be checked in the middle of the night to check the test results; when the epidemic was the worst, he once communicated with Zhang Zhujun, director of the Infectious Diseases Department of the Center for Health Protection, at 1 and 2 in the morning to explain the group outbreak. He emphasized that every test report must be accurate, and it would be more laborious to do a good role as a gatekeeper without accounting.
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Hu Jialun (centre), microbiology consultant doctor of the Clinical Pathology Department of the Hong Kong Island East Hospital (center), Qiu Zhuangyi (left), scientific director (medical affairs), and He Xiyong (right), a medical laboratory microbiologist, are in charge of testing samples of patients with new pneumonia. (Photo by Gao Zhongming)
Feeling shocked to experience the SARS Ward
Hu Jialun is currently a consultant microbiologist at the Department of Clinical Pathology of the Hong Kong Island East Hospital, but this is not his first major epidemic, but the SARS campaign as early as 2003. He graduated from the School of Medicine of the Chinese University in 1996. After a year of internship, he officially received special training in the Department of Infectious Diseases and Infectious Diseases at the Prince of Wales Hospital in Shatin. During the SARS epidemic, he took on the role of Dirty Team.
"I used to work in the wards 8A and 8B of the Weiyuan Hospital. It was so profound. Suddenly I got sick in one day (health care). Everyone was nervous and the caller returned to X-rays." He was a trained doctor in the Department of Infectious Diseases at the time, he recalled Helping to analyze suspected or diagnosed SARS patients that year, suddenly received a lot of colleagues infected with SARS on March 11 and 12, "I personally experienced, I feel shocked." He was also worried about infection to his family, but fortunately in the late stage of the epidemic The serum was tested to confirm that he was not infected. This experience led him to open up another field of medicine later. In 2005, he was transferred to the Department of Microbiology of the Eastern District Hospital to study clinical microbiology and infectology, and has entered the 15th year.
During an exclusive interview with Dr. Hu Jialun, it was revealed that the alarm clock will be set in the middle of the night to check the test results, so that the hospital can arrange treatment for patients and transfer isolation beds as early as possible. (Photo by Gao Zhongming)
Going to the front is like sending bullets to the front
Compared with SARS in 2003 and the new type of pneumonia in 2020, Hu Jialun ’s position is different. Now he does not need to directly face the patient. "It seems that I have not helped the frontline colleagues. I did not personally leave the scene, but there is an accurate test on the front. Report. (Testing) Supporting the battle, you will feel that you are the front line, although not at the front of the battlefield. "He described that although the laboratory medical staff did not shoot directly, they sent bullets to the front line.
The laboratory is critical to the overall treatment speed of the patient. Regardless of whether the laboratory result is yin or yang, it contributes to clinical work. Dr. Hu explained that the isolation wards in public hospitals were very tight at one time, and second-line wards had to be used. If the hospital laboratory can report to the hospital as soon as possible and confirm that the patient sample is negative, the isolation bed can be freed to the patient, which can help transfer the bed. Patients who are positive receive treatment as soon as possible. Laboratory personnel must also notify the CHP as soon as possible to start tracking patient contacts. "To shorten the time that those people contact other people in the community is one link after another, and the transmission rate can be lowered first."
It seemed to help the frontline colleagues, did not personally leave the scene, but there was an accurate test report on the front line. (Detection work) Supporting the battle, you will feel that you are the front line, although not at the front of the battlefield.
Hu Jialun, Consultant Microbiologist, Department of Clinical Pathology, Hong Kong East Hospital▼ Click the picture below to see the test procedure ▼
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The Eastern District Hospital has received a large number of new pneumonia patients from the end of January, from the "bordering furnace group", "fotang group", and a large number of confirmed patients returning to Hong Kong from mid-March. The hospital tested 304 on March 26 The number of samples is three times that of other days.
Learned about the outbreak of Buddhism Church infection group: big wok
Hu Jialun is responsible for coordinating the testing of new virus samples in the Eastern District. He repeatedly emphasized that the testing cannot be wrong and must be fast and accurate. Revealed the outbreak of the "Buddha Group" at Fuhui Abode in North Point. He recalled that the clinical medical staff were alert and asked the patient's contact history carefully, "At first I thought it was a sparrow group, and there were older women (positive ), The front line is eye-catching, and you will ask if you have been to the Buddhist hall. "When he knew that another group broke out, he knew that" the big wok ", and the workload of the laboratory was expected to increase greatly.
Qiu Zhuangyi, Scientific Director (Medical Service) of the Networked Clinical Pathology Department of the East Hospital of Hong Kong Island who fought side by side with Hu Jialun, described Hu as the most sleepless in the laboratory team. Dr. Hu said with a smile, "There are rests, late, yeah, so it ’s not an exaggeration." In fact, he will receive colleagues ’work at 2, 3, and 5 in the morning before the laboratory does not carry out 24-hour non-stop testing of samples. The message, "I don't want a colleague to issue a report, and no one is going to review the check." He will also calibrate the alarm on weekdays and check the test results in the early morning hours.
Hu Jialun, a consultant microbiologist at the Department of Clinical Pathology of the Hong Kong Island East Hospital Network, will also check the test results in the early morning. (Photo by Gao Zhongming)
Medical staff suspect the most worrying infection
In addition, there are also emergency situations that require immediate treatment. Some test samples were taken at 5 a.m. There was a shock in the medical staff of Ruttonjee Hospital. Qiu Zhuangyi said: "A colleague has wet eyes outside (in the laboratory). Corridor and other results. "It reflects that they were worried.
Hu Jialun continued, "Usually medical staff suspect that something is wrong, they will become a ward (wards) so worried. Someone has dealt with a patient, will it be an invisible patient? A negative report, you will feel relieved, Trust me. "
An exchange group broke out with Zhang Zhujun in the early morning: Qu is so hard
Dr. Zhang Zhujun from the Center for Health Protection has not been absent from the press conference since the end of January. She was asked by reporters if she had taken a holiday. Dr. Hu may have revealed a small clue. He said that the hospital ’s test results must be notified to the CHP for review, “Dr. Zhang will check the message at midnight, and the channel will respond with“ Say OK, I know, I ’ll do it ”, and we will communicate with each other. "Dr. Hu said bluntly:" Qu (Zhang Zhujun) is very hard. "
Hu Jialun said that starting in April, after the epidemic in Hong Kong slowed down, laboratory personnel could finally relax, but they should not be taken lightly. In the face of the new normal of anti-epidemic, even if there is no major outbreak, the laboratory must do a good job of checking and responding to the next wave of epidemic.
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