没课本教过我怎么帮病人找药:8000 条上海求助信息背面的医生
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 本文作者:吞吞</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 4 月中旬,上海浦西某医院住院医师桐生(化名)在互助网站上看到一条求助信息:</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 一位家住上海长宁的<span style="color: black;">病人</span>线上求助,受到疫情封控的影响,<span style="color: black;">没</span>法前往原先就诊的医院。<span style="color: black;">病人</span>急需抗肿瘤药依西美坦片,<span style="color: black;">日前</span><span style="color: black;">已然</span>断药。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 桐生查看了自己医院的<span style="color: black;">药物</span>库存,又询问了好几位在医院工作的<span style="color: black;">朋友</span>依西美坦片的<span style="color: black;">信息</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">「<span style="color: black;">无</span>任何课本教过我,要怎么帮一个被隔离在家的<span style="color: black;">病人</span>找药。」</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 在上海,<span style="color: black;">非常多</span>像桐生<span style="color: black;">这般</span>的<span style="color: black;">大夫</span>自发<span style="color: black;">作为</span>志愿者,<span style="color: black;">她们</span>活跃在医院岗位和在线平台之间,摸索着托起了一个个在隐秘角落里<span style="color: black;">没</span>人看见的求助者。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 要是<span style="color: black;">咱们</span>都在医院,能帮多少人?</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3 月 30 日,对外经济贸易大学大三学生华融琦创建了「上海医疗紧急求助」在线文档,收集上海市民各项求助信息。文档整理了<span style="color: black;">平常</span>的配药、血透、化疗、孕产妇等问题的<span style="color: black;">处理</span><span style="color: black;">办法</span>,还汇总了氧气瓶、造口袋、心理援助等需求的供保<span style="color: black;">途径</span>。在线文档<span style="color: black;">背面</span>的志愿者们叫自己「守沪者」。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="//k.sinaimg.cn/n/sinakd20220427s/123/w331h592/20220427/6eaf-e1ea1262da7eb9d0f425bf71a6eaa116.png/w700d1q75cms.jpg?by=cms_fixed_width" style="width: 50%; margin-bottom: 20px;"><span style="color: black;">「上海医疗紧急求助」在线文档首页</span></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">上海某高校临床医学学生小雷(化名)当晚在<span style="color: black;">伴侣</span>圈看到了这个文档,她<span style="color: black;">快速</span>报名加入,<span style="color: black;">作为</span>最早的核心发起人之一。早在 3 月中旬,小雷所在学校就进入了准闭环管理,<span style="color: black;">本来</span>还在科室轮转的小雷被迫暂停了所有临床工作。「看到自己医院里的带教老师都上一线了,<span style="color: black;">做为</span>医学生,<span style="color: black;">咱们</span><span style="color: black;">亦</span>想帮一点忙。」</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">同一时期,互联网人刘思谈创建了「<span style="color: black;">咱们</span>来帮你·上海抗疫互助网站」。刘思谈在小区做志愿者时产生了创建互助平台的想法,<span style="color: black;">期盼</span>有一个窗口<span style="color: black;">能够</span>关注到独居的老人。4 月 24 日,互助网站还上线了英文版。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="//k.sinaimg.cn/n/sinakd20220427s/156/w663h293/20220427/0f79-1706d3f7f98d579044198983d45ca282.png/w700d1q75cms.jpg?by=cms_fixed_width" style="width: 50%; margin-bottom: 20px;"><span style="color: black;">「<span style="color: black;">咱们</span>来帮你·上海抗疫互助网站」英文版首页</span></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 创始人们在网站上留下<span style="color: black;">这般</span>一句话,「西汉有国,其名稻侯,盈车嘉穗,抱德炀和」。刘思谈说,「<span style="color: black;">这儿</span>是一群<span style="color: black;">兴趣</span>施予和救助的人凑在<span style="color: black;">一块</span>的<span style="color: black;">地区</span>。」</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">桐生在同一个小区里做志愿者时遇到了创建人刘思谈。「我那时候正在搬东西,刘思谈过<span style="color: black;">来讲</span>他做了<span style="color: black;">这般</span>一个帮扶的平台,问我要不要加入。」</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 疫情之下,桐生所在医院轮流排班,常常闭环<span style="color: black;">1星期</span>、<span style="color: black;">休憩</span><span style="color: black;">1星期</span>。在桐生的大学班级群里,有<span style="color: black;">朋友</span>发出感慨,「<span style="color: black;">咱们</span>这么多<span style="color: black;">大夫</span>,<span style="color: black;">倘若</span>都在岗工作的话,能<span style="color: black;">帮忙</span>多少人?」</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">桐生说,「后来就想,那既然<span style="color: black;">此刻</span><span style="color: black;">无</span>办法在临床一线做<span style="color: black;">有些</span>工作的话,<span style="color: black;">咱们</span>是不是<span style="color: black;">能够</span><span style="color: black;">经过</span>这个平台,<span style="color: black;">帮忙</span><span style="color: black;">更加多</span>人去<span style="color: black;">处理</span><span style="color: black;">她们</span>的医疗需求。」</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 随着互助文档、互助网站的转发,<span style="color: black;">非常多</span>医学生、<span style="color: black;">大夫</span>纷纷联系,<span style="color: black;">期盼</span>能够加入。「有些人在医院岗位上、有的在方舱医院、还有些在<span style="color: black;">选定</span>医院的<span style="color: black;">大夫</span>,尽管忙,<span style="color: black;">然则</span><span style="color: black;">大众</span>都在不遗余力地帮忙<span style="color: black;">处理</span>问题」桐生说。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">网站<span style="color: black;">创立</span>之初,和所有的志愿者<span style="color: black;">同样</span>,<span style="color: black;">大众</span>在平台上收集到求助者的信息后<span style="color: black;">tel</span>核实并沟通,<span style="color: black;">帮忙</span>对方联系居委会、医院、外卖等<span style="color: black;">各样</span>途径,尝试<span style="color: black;">各样</span>方式<span style="color: black;">处理</span>求助者的问题。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 4 月 10 日,普青(化名)加入了「稻侯」团队。<span style="color: black;">这里</span>之前,普青<span style="color: black;">经过</span>自己的个人公众号收集了浦东新区<span style="color: black;">必须</span>帮扶的老人信息,但他<span style="color: black;">发掘</span>个人的力量仍然有限,看到平台正在招募后就<span style="color: black;">快速</span>加入了「稻侯」。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">做为</span>医院的管理人员,普青在进入团队后不久就<span style="color: black;">发掘</span>,随着志愿者数量和需求量的<span style="color: black;">提升</span>,现有的运行机制会带来问题。「一方面,志愿者都很热情,<span style="color: black;">大众</span>都去<span style="color: black;">帮忙</span>,<span style="color: black;">然则</span>有可能一个求助者会反复接到<span style="color: black;">区别</span>志愿者的<span style="color: black;">tel</span>;另一方面,志愿者的专业、能力、资源都是不<span style="color: black;">同样</span>的,有必要进行工作分流,因优设岗、定岗定人,充分利用<span style="color: black;">每一个</span>志愿者的<span style="color: black;">才可</span>。」</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">当晚,普青联合「稻侯」的核心成员开了一个两小时<span style="color: black;">上下</span>的会,提出要规范流程、<span style="color: black;">按照</span>求助信息设立分组,<span style="color: black;">况且</span><span style="color: black;">必须</span>有专业<span style="color: black;">大夫</span>参与。有专业背景的桐生<span style="color: black;">作为</span>了医疗组的负责人,「<span style="color: black;">日前</span>大<span style="color: black;">大概</span> 20 多名有执业证书的<span style="color: black;">大夫</span>志愿者,基本上都是在住院到主治<span style="color: black;">这般</span>的范围」。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">一样</span>地,「守沪者」团队<span style="color: black;">亦</span>在志愿服务过程中<span style="color: black;">逐步</span>摸索出路径。医药组从 2 个人<span style="color: black;">增多</span>到了 30 余人,小雷成为了负责人。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 为了更<span style="color: black;">有效</span>地处理求助信息,这些在线互助平台形<span style="color: black;">成为了</span>一套相对规范化的流程:</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <span style="color: black;">首要</span>会由志愿者从平台收集信息并联系求助者进行核实,一部分<span style="color: black;">大夫</span>志愿者<span style="color: black;">这里</span>过程中以专业<span style="color: black;">方向</span>帮忙对需求进行<span style="color: black;">归类</span>并判断危急程度;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">随后,将这些<span style="color: black;">区别</span>的需求分发给买药、化疗、血透、<span style="color: black;">看病</span>等<span style="color: black;">区别</span>小组,组内的志愿者再有针对性地给求助者<span style="color: black;">供给</span><span style="color: black;">帮忙</span>或指引;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <span style="color: black;">另外</span>,还有一部分志愿者会<span style="color: black;">连续</span>进行回访,关心求助者的<span style="color: black;">状况</span>并<span style="color: black;">持续</span>优化帮扶流程。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="//k.sinaimg.cn/n/sinakd20220427s/388/w665h1323/20220427/20b2-c0e4b50be7ac027fe454e0bb92bea13d.jpg/w700d1q75cms.jpg?by=cms_fixed_width" style="width: 50%; margin-bottom: 20px;"><span style="color: black;">「守沪者」部分分组</span></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 图源:小雷<span style="color: black;">供给</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">非常多</span>参与志愿服务的<span style="color: black;">大夫</span>都还有自己在医院的本职工作,只能在空余时间处理求助信息。互助平台并<span style="color: black;">无</span>给<span style="color: black;">大夫</span>志愿者做硬性的排班规定,<span style="color: black;">更加多</span>还是采取了「派单」的方式,有空的<span style="color: black;">大夫</span>在群里回复<span style="color: black;">信息</span>或认领任务。尽管<span style="color: black;">大众</span>时间安排<span style="color: black;">区别</span>,但工作群始终<span style="color: black;">保准</span>有人在线。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <span style="color: black;">日前</span>,「守沪者」在线互助文档<span style="color: black;">已然</span>累计收到了两千多条求助<span style="color: black;">信息</span>,每日平均上百条。小雷告诉丁香园,「从<span style="color: black;">咱们</span>的群聊人数来看,<span style="color: black;">实质</span>上可能是远远超过 2000 人的」。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="//k.sinaimg.cn/n/sinakd20220427s/378/w795h383/20220427/f54a-bdc483e7a462d9455a8f75568f3d1459.png/w700d1q75cms.jpg?by=cms_fixed_width" style="width: 50%; margin-bottom: 20px;"><span style="color: black;">「守沪者」求助数据统计</span></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">一样</span>地,「<span style="color: black;">咱们</span>来帮你·上海抗疫互助网站」的求助信息<span style="color: black;">亦</span><span style="color: black;">已然</span>编号到了 6500 多条。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="//k.sinaimg.cn/n/sinakd20220427s/203/w1080h1523/20220427/5dcd-cb0c20cdd995515afef86a39fd9a8f20.jpg/w700d1q75cms.jpg?by=cms_fixed_width" style="width: 50%; margin-bottom: 20px;"><span style="color: black;">「稻侯」累计求助数据</span></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <span style="color: black;">大夫</span>的加入,让找药在医疗圈里流动了起来</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 在所有的求助里,买药似乎是最大的需求。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">受到上海封控下物流影响,不少<span style="color: black;">病人</span>求助,<span style="color: black;">必须</span>冷链运输的胰岛素<span style="color: black;">没</span>法购买。小雷和「守沪者」的其他志愿者先后联系了国大<span style="color: black;">药店</span>、华氏大<span style="color: black;">药店</span>,询问<span style="color: black;">药物</span>购买和配送<span style="color: black;">状况</span>。有一位海王星辰的区域负责人找到桐生,希望加入「稻侯」志愿者团队,帮忙<span style="color: black;">查找</span>海王星辰各个门店的<span style="color: black;">药物</span>库存。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <span style="color: black;">经过</span>多<span style="color: black;">途径</span>的联系,「守沪者」志愿者团队还拿到了国大<span style="color: black;">药店</span>在全市直营和加盟药店的<span style="color: black;">仔细</span>信息,<span style="color: black;">包含</span>门店位置、药店名<span style="color: black;">叫作</span>、<span style="color: black;">是不是</span>开放、留守工作人员及个人<span style="color: black;">tel</span>等。小雷说,「<span style="color: black;">咱们</span>当时给这些药店一个个打<span style="color: black;">tel</span>过去,问有<span style="color: black;">无</span>药。」</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="//k.sinaimg.cn/n/sinakd20220427s/410/w795h415/20220427/9db9-32459ed5bab73d4e6954dc87e3eb5eb1.png/w700d1q75cms.jpg?by=cms_fixed_width" style="width: 50%; margin-bottom: 20px;"><span style="color: black;">「守沪者」获取的国大<span style="color: black;">药店</span>门店信息</span></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 图源:小雷<span style="color: black;">供给</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 相对非医学背景的志愿者<span style="color: black;">来讲</span>,<span style="color: black;">大夫</span>的资源和<span style="color: black;">途径</span><span style="color: black;">更加多</span>,在<span style="color: black;">处理</span>买药<span style="color: black;">困难</span>的时候<span style="color: black;">能够</span><span style="color: black;">供给</span>更<span style="color: black;">有效</span>的<span style="color: black;">指点</span>和<span style="color: black;">帮忙</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">文案</span>开头<span style="color: black;">必须</span>依西美坦片的<span style="color: black;">病人</span>,求助时<span style="color: black;">已然</span><span style="color: black;">处在</span>断药状态,而<span style="color: black;">病人</span>自己大病<span style="color: black;">医疗保险</span>的<span style="color: black;">选定</span>医院又<span style="color: black;">由于</span>疫情<span style="color: black;">原由</span>关闭了门诊。桐生告诉丁香园,「抗肿瘤药只能在医院门诊开,看到这条求助后我先是就近看了一下自己医院的库存<span style="color: black;">状况</span>。」桐生所在医院<span style="color: black;">仅有</span>进口药阿诺新,<span style="color: black;">没</span>法<span style="color: black;">运用</span>大病<span style="color: black;">医疗保险</span>,<span style="color: black;">病人</span>难以自费承担进口药的<span style="color: black;">昂贵</span><span style="color: black;">花费</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 桐生又拜托了几位大学<span style="color: black;">朋友</span>,然而部分医院尽管有药,却规定<span style="color: black;">没</span>法给初诊<span style="color: black;">病人</span><span style="color: black;">供给</span>。一番询问后,浦西某家医院的<span style="color: black;">朋友</span>告诉桐生,<span style="color: black;">她们</span>医院有国产药速莱,且门诊<span style="color: black;">能够</span>配药。得到<span style="color: black;">信息</span>后<span style="color: black;">病人</span>向居委会申请外出,成功拿到了药。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">普青回忆起自己接到过一个女生的求助,她的家人<span style="color: black;">必须</span>多巴丝肼片。「我当时的<span style="color: black;">第1</span>反应是安抚她。我自己在门诊工作的时候就觉得安抚<span style="color: black;">尤其</span>重要,<span style="color: black;">非常多</span>求助人其实是<span style="color: black;">由于</span><span style="color: black;">无</span>得到反馈而焦虑。」</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">普青给求助者发了<span style="color: black;">有些</span>互联网医院的链接,请她先去咨询<span style="color: black;">大夫</span>。<span style="color: black;">同期</span>,普青还联系自己在京东的<span style="color: black;">伴侣</span>,询问京东大<span style="color: black;">药店</span>「<span style="color: black;">药物</span>登记平台」<span style="color: black;">是不是</span>有该药<span style="color: black;">能够</span>配送。「我<span style="color: black;">始终</span>鼓励她,我说<span style="color: black;">咱们</span><span style="color: black;">一块</span>想办法找一找,<span style="color: black;">必定</span><span style="color: black;">能够</span>买到药的。」</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <span style="color: black;">经过</span>普青<span style="color: black;">供给</span>的<span style="color: black;">各样</span>信息<span style="color: black;">途径</span>,求助者<span style="color: black;">最后</span><span style="color: black;">经过</span>美团买到了多巴丝肼片。事后,求助者告诉普青,此前<span style="color: black;">已然</span>失败过<span style="color: black;">非常多</span>次,<span style="color: black;">倘若</span><span style="color: black;">无</span>普青的<span style="color: black;">保持</span>和鼓励,可能这次<span style="color: black;">亦</span>不会再<span style="color: black;">保持</span>两个小时。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="//k.sinaimg.cn/n/sinakd20220427s/329/w334h795/20220427/6a33-c913c63c610d3f6741edbc0a89bad838.png/w700d1q75cms.jpg?by=cms_fixed_width" style="width: 50%; margin-bottom: 20px;"><span style="color: black;">求助者和普青的聊天记录</span></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 图源:普青<span style="color: black;">供给</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">普青的本职工作和互联网医院相关,在对接了不少买药的求助后,他和桐生商量,提出<span style="color: black;">必须</span>对配药流程进行系统的梳理。<span style="color: black;">日前</span>,「稻侯」平台整理出了一个<span style="color: black;">仔细</span>的配药、就诊流程,非医学专业的志愿者<span style="color: black;">亦</span><span style="color: black;">能够</span><span style="color: black;">按照</span>手册一步步指引<span style="color: black;">病人</span>。「我的本职工作<span style="color: black;">亦</span>是流程梳理,<span style="color: black;">帮忙</span>患儿和家属更好、更安全地就诊,我<span style="color: black;">亦</span>会把我在门急诊的工作经验分享给桐生,<span style="color: black;">咱们</span><span style="color: black;">一块</span>收集<span style="color: black;">有些</span>新的方式对接求助者。」</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="//k.sinaimg.cn/n/sinakd20220427s/432/w625h607/20220427/7372-8be13723a554a7dbe7f0261e64e4ab87.png/w700d1q75cms.jpg?by=cms_fixed_width" style="width: 50%; margin-bottom: 20px;"></div>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="//k.sinaimg.cn/n/sinakd20220427s/372/w594h578/20220427/4d77-12a69239b748117a12bde777442efbcf.png/w700d1q75cms.jpg?by=cms_fixed_width" style="width: 50%; margin-bottom: 20px;"><span style="color: black;">「稻侯」整理的配药、<span style="color: black;">看病</span>流程</span></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 图源:桐生<span style="color: black;">供给</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 求药之外,<span style="color: black;">另一</span>一部分需求来自于<span style="color: black;">看病</span>。尽管上海<span style="color: black;">日前</span><span style="color: black;">已然</span><span style="color: black;">经过</span>上海发布、随申办等各大平台<span style="color: black;">颁布</span>医院的就诊信息,<span style="color: black;">然则</span>疫情动态时刻变化、信息多而杂乱,未必能够<span style="color: black;">即时</span>同步或公开。而<span style="color: black;">大夫</span>的加入有效地填补了这种信息差。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">桐生说,「<span style="color: black;">咱们</span>对自己单位的开诊、<span style="color: black;">药物</span>库存、能开展什么样的治疗等信息都是相对比较清楚的。非医疗行业的人对这些信息的更新可能<span style="color: black;">无</span><span style="color: black;">那样</span><span style="color: black;">即时</span>和准确。<span style="color: black;">咱们</span>获取到信息后做一个汇总,就<span style="color: black;">能够</span>帮到<span style="color: black;">更加多</span>的人。」</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">桐生回忆,平台上线之初求助量非常大,「<span style="color: black;">第1</span>次拿到表单的时候有上百条,我感觉头都晕了。」<span style="color: black;">不外</span>随着上海医院逐步<span style="color: black;">起始</span>接诊,药店、配送等服务<span style="color: black;">逐步</span>恢复,桐生告诉我们,<span style="color: black;">近期</span>几日的求助量下降到了 20 条<span style="color: black;">上下</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 「守沪者」们<span style="color: black;">亦</span><span style="color: black;">一样</span><span style="color: black;">发掘</span>了求助数量下降的趋势。小雷告诉丁香园,「从上周<span style="color: black;">起始</span>,求药的需求<span style="color: black;">显著</span>少了<span style="color: black;">非常多</span>,可能是<span style="color: black;">由于</span>医院<span style="color: black;">持续</span>开诊了,<span style="color: black;">亦</span>有可能是<span style="color: black;">由于</span><span style="color: black;">药物</span>能够<span style="color: black;">即时</span>送到<span style="color: black;">药店</span>,<span style="color: black;">药店</span><span style="color: black;">亦</span>能够<span style="color: black;">即时</span>送到<span style="color: black;">病人</span>手中。<span style="color: black;">此刻</span><span style="color: black;">已然</span>是<span style="color: black;">咱们</span>见过的求助最少的状态了,一天大概<span style="color: black;">仅有</span>十几条。」</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">绝不<span style="color: black;">供给</span>诊疗服务,这是红线</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 从收集求助信息到对接求助者,在这个标准化的流程中,<span style="color: black;">大夫</span>志愿者很重要的任务之一是从自己的专业<span style="color: black;">方向</span>出发判断<span style="color: black;">病人</span>的危急程度,以便其他志愿者跟进时能够<span style="color: black;">恰当</span>排序。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">小雷告诉丁香园,<span style="color: black;">亦</span>是出于这个<span style="color: black;">思虑</span>,「守沪者」医疗组中的医学生大部分都是高年级有过实习经验的<span style="color: black;">朋友</span>,「说实话<span style="color: black;">无</span>上过临床,对这些事真的<span style="color: black;">无</span>概念。」</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 一方面,在海量的求助信息中,<span style="color: black;">必须</span><span style="color: black;">大夫</span>识别出真正<span style="color: black;">处在</span>急<span style="color: black;">严重</span>症<span style="color: black;">状况</span>下的<span style="color: black;">病人</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">桐生回忆起一个令她印象深刻的求助。<span style="color: black;">病人</span>当时<span style="color: black;">始终</span>用药,<span style="color: black;">然则</span>血糖依然居高不下。并且<span style="color: black;">因为</span><span style="color: black;">病人</span>年纪<span style="color: black;">很强</span>,<span style="color: black;">基本</span><span style="color: black;">状况</span>并<span style="color: black;">欠好</span>,<span style="color: black;">同期</span>还<span style="color: black;">伴同</span>呕吐、<span style="color: black;">认识</span>模糊的<span style="color: black;">状况</span>。「求助信息写的是糖尿病,<span style="color: black;">然则</span><span style="color: black;">咱们</span>从专业<span style="color: black;">方向</span>来看,认为有糖尿病酮症酸中毒的可能,这是<span style="color: black;">基本</span>的区分门急诊的区别。」</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <span style="color: black;">认识</span>到这一点后,桐生当即给求助者打<span style="color: black;">tel</span>,<span style="color: black;">意见</span>对方不要再等其他的救助方式,应该马上申请外出急诊<span style="color: black;">看病</span>,收到<span style="color: black;">信息</span>后,<span style="color: black;">病人</span>当晚就前往了医院。「我觉得这是<span style="color: black;">咱们</span><span style="color: black;">大夫</span>在这个平台上的<span style="color: black;">道理</span>,<span style="color: black;">咱们</span>能够识别<span style="color: black;">有些</span>特殊<span style="color: black;">状况</span>,<span style="color: black;">发掘</span>真正<span style="color: black;">必须</span><span style="color: black;">帮忙</span>的人。」</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">「守沪者」的<span style="color: black;">大夫</span>志愿者,上海某医院重症医学科主治医师沈<span style="color: black;">大夫</span><span style="color: black;">亦</span>经历过类似的求助。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">一位老年<span style="color: black;">病人</span> 3 月初确诊<span style="color: black;">身患</span> ANCA <span style="color: black;">关联</span>性血管炎,<span style="color: black;">必须</span>做 CTX 治疗,<span style="color: black;">由于</span>疫情<span style="color: black;">原由</span>诊疗被推迟。后来,<span style="color: black;">病人</span>病情加重就诊于某二级医院,<span style="color: black;">时期</span><span style="color: black;">显现</span>了急性肾衰竭,伴严重高钾血症、<span style="color: black;">没</span>尿、<span style="color: black;">呼气</span>困难、血肌酐>1000,而该二级医院当时<span style="color: black;">没</span>法进行血透。「这是一个非常紧急的<span style="color: black;">状况</span>,<span style="color: black;">病人</span>急性肾衰、<span style="color: black;">没</span>尿合并严重高钾,随时有生命危险。」</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">雪上加霜的是,<span style="color: black;">病人</span>核酸检测呈阳性,按规定<span style="color: black;">必须</span>转入有救治能力的<span style="color: black;">选定</span>医院,但床位相当紧张。<span style="color: black;">病人</span>的子女并不在身边,「守沪者」团队接到求助后,<span style="color: black;">思虑</span>到危及生命,<span style="color: black;">帮助</span>多次联系卫健委、疾控、部分<span style="color: black;">选定</span>医院、<span style="color: black;">媒介</span>等多<span style="color: black;">途径</span>,两天后<span style="color: black;">病人</span>被妥善转诊至某市级<span style="color: black;">选定</span>医院接受治疗,后续跟踪随访<span style="color: black;">病人</span>病情有所好转。「针对这些命悬一线的<span style="color: black;">病人</span>,我觉得<span style="color: black;">咱们</span>的<span style="color: black;">帮忙</span>是<span style="color: black;">特别有</span><span style="color: black;">道理</span>的。」</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 沈<span style="color: black;">大夫</span>告诉丁香园,「<span style="color: black;">由于</span>我本身就在 ICU 工作,对病情危急程度的判断相对<span style="color: black;">熟悉</span>,我自己经手过的求助里,大概有 10% <span style="color: black;">上下</span>确实属于急<span style="color: black;">严重</span>症。」</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">另一方面,求助者在描述<span style="color: black;">状况</span>时可能并不清楚自己真正的紧急程度,出于担心和焦虑的心情,求助信息可能会有所失真。桐生说,「所有来求助的人,他的描述肯定都是紧急的,但其实可能是有失偏颇的。<span style="color: black;">咱们</span><span style="color: black;">不可</span>仅仅依靠<span style="color: black;">她们</span>的叙述,而要从专业<span style="color: black;">方向</span>进行<span style="color: black;">评定</span>。」</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">小雷前几日接到一个求助,<span style="color: black;">病人</span>自述<span style="color: black;">头昏</span>、头疼,有焦虑病史,惊恐<span style="color: black;">爆发</span>亟需<span style="color: black;">看病</span>。「<span style="color: black;">咱们</span>和求助者<span style="color: black;">认识</span>了一下<span style="color: black;">状况</span>,<span style="color: black;">发掘</span>对方的描述其实并不是典型的惊恐<span style="color: black;">爆发</span>表现,<span style="color: black;">况且</span><span style="color: black;">通常</span>惊恐<span style="color: black;">爆发</span>的时间较短,而求助者跟<span style="color: black;">咱们</span>联系时长达到数小时,<span style="color: black;">因此</span>后来<span style="color: black;">咱们</span>给求助者<span style="color: black;">举荐</span>了互联网医院。」</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 但<span style="color: black;">大夫</span>志愿者们的职责<span style="color: black;">亦</span>止步于此,在病情判断、<span style="color: black;">看病</span><span style="color: black;">指点</span>和安抚之外,<span style="color: black;">大夫</span>不<span style="color: black;">供给</span>任何诊疗服务。<span style="color: black;">大夫</span>志愿者更<span style="color: black;">大都是</span>给求助者<span style="color: black;">供给</span>指引,让对方有办法<span style="color: black;">得到</span>他<span style="color: black;">必须</span>的医疗资源。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">桐生告诉丁香园,「<span style="color: black;">咱们</span>是一个志愿者平台,而不是一个专业的医疗<span style="color: black;">公司</span>。<span style="color: black;">咱们</span>的执业证书是<span style="color: black;">选定</span>的,不<span style="color: black;">能够</span>在非医疗<span style="color: black;">公司</span>或非<span style="color: black;">选定</span>医疗<span style="color: black;">公司</span>的<span style="color: black;">地区</span>进行执医活动。出于对志愿者的<span style="color: black;">守护</span>,<span style="color: black;">咱们</span>不<span style="color: black;">意见</span>志愿者直接给予线上医疗咨询服务。」</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">普青<span style="color: black;">亦</span>说,「绝对<span style="color: black;">不可</span><span style="color: black;">供给</span>医疗服务,这是<span style="color: black;">咱们</span>的红线。这其中<span style="color: black;">触及</span>到多点执业的合法合规问题,<span style="color: black;">咱们</span><span style="color: black;">能够</span><span style="color: black;">供给</span><span style="color: black;">有些</span>指引,但<span style="color: black;">病人</span>的就诊依然<span style="color: black;">必须</span>严格落实首诊负责制。」</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 策划:yuu.</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 监制:gyouza, Leu.</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 题图<span style="color: black;">源自</span>:「上海医疗紧急求助」在线文档</p>
<!--article_adlist[<p> 丁香园招聘</p><p> 1. 新媒体运营实习生(丁香园)</p><p> 独立运营丁香园公众号丁香早读栏目</p><p> 协助运营丁香园公众号</p><p> 工作地点:杭州</p><p> 点此直接投递简历</p><p> 2. 新媒体运营(丁香园)</p><p> 独立完成原创内容策划</p><p> 协助运营丁香园公众号 微博</p><p> 工作地点:杭州</p><p> 点此直接投递简历</p><p> 也可将简历投至邮箱</p><p> hujiafeng@dxy.cn</p><p> 邮件标题:投递岗位名称-姓名</p><p> <img src="https://mmbiz.qpic.cn/mmbiz_png/NzKkzoeG5s2XKicVIUf6cceYuEttS5qjXH66c2waA6lN5QXwtQj1Zn52aC7Ra1Zmph5nDwaVbG3ddoVhocgUruQ/640?wx_fmt=png"/></p>]article_adlist-->
你的见解独到,让我受益匪浅,非常感谢。
页:
[1]