A strong cold wave has hit in recent days, and the temperature in Shencheng continues to hover around freezing. In extremely cold weather, how to add "temperature" to the treatment of cancer patients, the medical workers of the electrocardiogram examination room and the radiology center technician group of the Affiliated Cancer Hospital of Fudan University used two "small ideas" to build a warm "medical line" in the cold winter.
ECG room
40 wet cotton balls in a thermostat
In the electrocardiogram examination room on the third floor of the outpatient clinic of Fudan University Cancer Hospital, the doctor skillfully took out one or two 40 wet cotton balls dipped in purified water from the thermostat, applied them to the patch of the ECG equipment wire, and quickly placed the patch on the patient's bare chest, abdomen and ankle surface, and the examination was completed in a short time.
In this seemingly "assembly line" operation process, these sterile cotton balls with "temperature" are the "small thoughts" of Chen Chen, director of the electrocardiogram room of the hospital and secretary of the party branch of United 1.
In the winter, the ECG lead patch is directly in contact with the patient, which will make the patient feel cold, and the medical experience is particularly bad. Chen Chen said that in the electrocardiogram examination, the wire patch that connects the patient's body to the computer must use liquid as a medium to ensure that the image is clear and complete.
Why not use alcohol?Aren't alcohol cotton balls disinfectant?Liu Haiyuan in the electrocardiogram room explained that considering that some patients are allergic to alcohol, the patch has always been applied with a soaked sterile cotton ball and then applied to the surface of the patient.
In winter, in order to make the patient** not feel cold at the moment of contact with the patch, the department physician came up with a solution, that is, on top of the sterile cotton ball jar filled with pure water, with a heated coaster, it seems that the problem can be solved quickly.
But in practice, we find that with regular heating coasters, the temperature of the jar is increased very high, sometimes even exceeding 60 . Chen Chen said that if it is too hot, patients will also feel uncomfortable. Subsequently, the doctors purchased a batch of heating coasters that can be controlled at a constant temperature to ensure that the temperature of each jar is controlled at about 40, which is close to the body temperature of the human body, and to ensure that the patches wiped by 40 sterile cotton balls can make patients feel a trace of warmth when placed on the body.
Today, there is a cotton ball jar with a thermostatic heating coaster placed next to each of the four examination beds, and the "small cotton ball" that patients have not noticed contains "great warmth".
Radiotherapy machine room
**Technician "runs" out of the warmth
At 7 o'clock in the evening, when I walked into the waiting hall of the radiotherapy machine room of Fudan University Cancer Hospital, patients from all over the country were queuing up for radiotherapy.
According to statistics, there are currently more than 1,100 radiotherapy patients per day in Xuhui and more than 600 in Pudong Hospital. The work of the radiotherapy machine room is composed of "morning shift", "middle shift", "small night shift" and "big night shift", and the average daily working time of the radiotherapy machine in Xuhui Hospital is about 22 hours.
Each room is manned by 2 radiographers, who are responsible for the positioning and positioning of each radiotherapy patient. Xiao Xia is a radiographer in the radiotherapy machine room of the Xuhui branch of the hospital.
At the hot water dispensing area in the hallway, he was holding a hot water bottle to receive hot water. After that, Xiao "Run" returned to the control room of the computer room, put the hot water bottle in an insulated plastic box, and gently put a piece of "equivalent compensator" similar to human tissue on it ......
Xu Qing, secretary of the hospital's radiotherapy 4 party branch and leader of the technician group of the ** radiation center, explained the role of "tissue equivalent compensators". "This is a filling made of silicone or polystyrene with a density similar to that of human tissue, 30 centimeters long, 30 centimeters wide and 03 cm. ”
Xu Qing introduced, in the process of radiotherapy, after the radiation is irradiated to the human body, the highest point of the dose is not on the surface of the human body, but at a certain depth in the body, in order to ensure the accuracy of the radiation dose, some irradiation sites are relatively shallow, such as when the chest wall needs to be irradiated after total breast cancer resection, the position of the chest wall and ** is relatively shallow, and the dose may not be enough, in order to increase the dose of the superficial part, we will place an object on the surface of the human body, which is similar to the tissue density of the human body, so that the original ** The location becomes an area at a certain depth under the skin, which is like adding a piece of "human tissue" to the body part of the irradiated area, and the dose is also raised.
In order to avoid the first division directly covering the surface of the patient with the cold "tissue equivalent compensator", resulting in the cold body feeling and the movement of the body, the medical staff of the radiation center group came up with a simple and convenient method. "We put the 'tissue equivalent' compensator of each computer room in an insulated box with a hot water bottle to ensure that there is heat and 'temperature' for the patient every time it is used. Lu Wei, deputy head of the technician group of the Radiology Center, said.
Today, the 13 radiotherapy machine rooms in the two campuses of the hospital have such a set of seemingly simple but very heart-warming "boxes".
In the window service, this "warmth" is "run" by the hospital's radiographer. "In winter, the 'tissue equivalent' in the box gradually loses heat as the hot water bottle cools. Xu Qing counted that in one day of clinical work, the radiographers in the "on-duty" group in each room had to "run" at least twice to catch water for the hot water bottle, and there were "four shifts" a day, and each room was 8 times. There are a total of 13 radiotherapy machine rooms in the two hospitals of the hospital, and at the end of the day, our radiographers have to "run" more than 100 times for this warmth.
Maybe the patients don't know that we have done so much work in this process, although it is insignificant, but every winter, when we put this 'tissue equivalent compensator' with temperature on the patients, they do not have any discomfort, and they can receive precise radiotherapy in the right position, we are very happy!Xu Qing said, "As the medical staff of the window service department, we must learn to empathize, think about what patients think, be anxious about what patients are anxious about, and constantly improve the medical experience of patients!"”
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Reporter: Wu Huixiong.
Editor: Qiu Caihong.
Reviewer: Wei Li.
*Please indicate that it is from the official account of Shanghai Xuhui.