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Written by: Li Enci
2020-07-26 10:00
Last update date: 2020-07-26 10:00Six months after the new pneumonia struck Hong Kong, more than 40 patients in the isolation ward of the Eastern District Hospital required physical therapy, of which 7 were diagnosed. The Physiotherapy Department of Eastern Hospital received an exclusive interview with "Hong Kong 01", sharing the past few months, fighting side by side with patients in the isolation ward.
Wu Jiahua, a senior physiotherapist at Eastern Hospital, said that some patients have poor breathing, coupled with prolonged bed rest, resulting in decreased cardiorespiratory function, tight muscles and joints, and weakened muscle strength. Among them, the elderly are particularly prone to deterioration.
She revealed that after two patients in the hospital recovered and discharged, they still need to receive regular physical therapy, mainly for shoulder stiffness, hand nerve trauma and other sequelae, to train cardiopulmonary function.
Wu Jiahua said that the Eastern District Hospital welcomed the first patient in need of physical therapy at the end of February. (Photo by Gao Zhongming)
The physiotherapist sweats all over his body while taking a bath three times a day
Senior physiotherapist Wu Jiahua of Eastern District Hospital said that at the end of February, Eastern District Hospital welcomed the first confirmed patient who needed physical therapy. At first, it was "a therapist kicked". In March, the number of patients in the hospital increased sharply, and the team increased to There are two people in each round, and so far there are 13 physical therapists who have taken care of patients with new pneumonia.
Work starts before 9 o'clock every day, patients one by one
Yao Zhenggang, a second-level physical therapist at the Eastern District Hospital, recalled that the busiest days are from the end of March to the beginning of April, taking care of 6 to 8 patients every day. "In February, there were a side stove group and a Buddhist temple group, mainly elderly people, more in need of physical therapy. He was not discharged from the hospital, and there were many young people returning from overseas at the end of March." He was in early April. Join the team and start work before 9 o'clock every day, with patients one by one. The physiotherapist needs to wear a full set of protective clothing and lift the patient’s hands and feet to move back and forth. Within a few minutes, he becomes sweaty. He smiles and says that he needs to take a bath three times a day on working days. After patrolling the ward, rush once, then return to the house and rush again.
Seven confirmed patients had received physical therapy and most of them stayed in the intensive care department
A total of more than 40 people in the isolation ward of the Eastern District Hospital have received physical therapy, of which 7 were diagnosed with new pneumonia, and most of them were in the intensive care department. Wu Jiahua explained that the patient's breathing was not smooth, and the long-term bed rest resulted in decreased cardiorespiratory function, tight muscles and joints, and weakened muscle strength. Among them, the situation of the elderly is especially prone to get worse, and it is even difficult to get up from bed.
It takes about one hour to tailor a small magic treatment for the patient
Physiotherapists provide services from Monday to Friday, tailor-made treatment courses for patients, and exercises for lung rehabilitation and limb exercises. Pulmonary rehabilitation is a physical therapy of chest and lung, including breathing exercises, sputum sputum, sputum expectoration, and sputum suction; while physical exercises are aimed at relaxing the bones and strengthening muscles, such as walking, doing stretching exercises, etc. She said that the treatment time varies from person to person, and most patients need about one hour a day.
The hospital stipulates that the items sent to the isolation ward can only be "in and not out". In addition, the patients' mobility is generally weak, and it is not suitable for physical therapy with fitness machines. With a touch of inspiration, the physical therapist turns daily necessities into exercise kits. For example, Wu Jiahua said, "You can use a water bottle for blowing exercises. You can blow to the height of the water in the canal (patient), or you can use a towel or a shirt to hold your feet. Pants or sheets."
From left: Yao Zhenggang, a second-level physical therapist at Eastern District Hospital, Wu Jiahua, a senior physical therapist at Eastern District Hospital, and Chen Yingshan, a second-level physical therapist. (Photo by Gao Zhongming)
Recovered patients have poor breathing, stiff shoulders, and hand nerve trauma
Wu Jiahua revealed that after some patients recovered and were discharged from the hospital, "the road is not as good as before, the pace is not as fast as before, and the distance is not as far as before." They need to practice cardiopulmonary function regularly, such as using bicycle machines, treadmills and other equipment. Currently, two recovered patients in Eastern District Hospital need to receive physical therapy, including on-site services and follow-up visits to the outpatient clinic. They will be treated once a week for one to two hours each time, mainly for sequelae such as shoulder stiffness and hand nerve trauma; physical therapists will also continue to monitor their cardiorespiratory function.
Yao Zhenggang recalled that the busiest days are from the end of March to the beginning of April. (Photo by Gao Zhongming)
"Remote" physical therapy allows patients to exercise following instructional videos
Yao Zhenggang said that in addition to traditional physical therapy, 8 patients have also received "distance" physical therapy. He explained that this service is to reduce the manpower requirements of physiotherapists, and more importantly, to save protective equipment. Remote physiotherapy is mainly provided to patients with higher knowledge level and better condition, such as young people with a small amount of sputum and a little flowery lung film. Patients can scan the QR code with the phone to read the manuals and instructional videos of physical therapy, which covers more than a dozen sports for different needs. The physiotherapist will call every day to remind the patient to exercise. "Sometimes when you call a patient, they (patients) will do (exercise) together in the whole ward, and even some foreign students bring a buried yoga mat to do it. movement."
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