Author: Tim
Source: Zhengzhong Academy
The fourth doctor has died and there are four critically ill patients
On the morning of March 9th, Zhu Heping, a retired deputy chief physician of the Ophthalmology Department of Wuhan Central Hospital, died of COVID-19 at the age of 66 after ineffective rescue efforts. Zhu Heping was the fourth doctor at Wuhan Central Hospital to die from COVID-19 and the third in the Ophthalmology Department. Previously, ophthalmologists Li Wenliang, Jiang Xueqing, director of the Thyroid and Breast Surgery Department, and Mei Zhongming, director of the Ophthalmology Department, died on February 7th, March 1st, and March 3rd, respectively.
On January 29th, Zhu Heping also participated in the COVID-19 protection training organized by the hospital. On February 3rd, he first showed symptoms, and then the symptoms appeared intermittently. On the one hand, he isolated himself at home, and on the other hand, he sought medical treatment outside the hospital. On February 18th, he called the hospital's duty room when his condition worsened. The hospital immediately admitted him. By then, he had been experiencing "difficulty breathing for more than half a month." On February 19th, a CT scan of his lungs showed multiple infectious lesions, and he was transferred to the West Zone of Wuhan Union Hospital for further treatment. On the evening of March 8th, Dr. Zhu Heping's condition worsened, and he died on the morning of March 9th after ineffective rescue efforts.
Zhu Heping was skilled in the diagnosis and treatment of fundus diseases, as well as laser treatment of the anterior and posterior segments of the eye. With nearly 30 years of clinical experience in ophthalmology, he was rehired after retirement and had been working in the Nanjing Road Ophthalmology Clinic. Medical staff at Wuhan Central Hospital expressed their condolences for the death of Dr. Zhu Heping, with one doctor unable to hold back tears during a phone call. A department director told Caixin reporters that Dr. Zhu Heping was always "quiet" in his interactions with others. After retiring, private hospitals wanted to hire him, but Dr. Zhu never agreed. "He probably couldn't bear to leave here."
In the words of Zhang Wenhong, he was an honest person who suffered and died.
Currently, there are still four doctors in critical condition at Wuhan Central Hospital. They are Wang Ping, a gastroenterology specialist, Hu Weifeng, a urology specialist, Yi Fan, a cardiothoracic surgery specialist, and Liu Li, a member of the Ethics Committee.
The terrifying Supervision Department
Since Dr. Li Wenliang's interview with the Beijing Youth Daily, netizens have learned about a terrifying department in this hospital, the Supervision Department.
An insider provided information to the self-media account @Zhang Beihai's Natural Selection, stating that "the WeChat accounts of all hospital staff are monitored by the Supervision Department" and "the leaders make all the decisions."
So, it's no wonder that after the city was locked down, people in Wuhan stopped posting on their Moments.
A surgeon said that the Supervision Department of Wuhan Central Hospital is nothing more than an executioner demonstrating authority on behalf of the higher-ups, without clinical experience or practical judgment.
Investigation revealed that the hospital's Discipline Inspection Commission and Supervision Department are the same department, but they have different responsibilities.
Dr. Li had already been severely criticized by the hospital management before being reprimanded. Ai Fen, the director of the Emergency Department and a professor and graduate supervisor, was also under the watchful eye of the Supervision Department.
During the past two years of the dual evaluation in Wuhan, if a doctor received a patient's dissatisfaction, regardless of who was right or wrong, the Supervision Department would take disciplinary action, including salary deductions and public announcements on the hospital's internal network.
What responsibility does President Peng Yixiang bear?
This account has previously published an article titled "President Peng Yixiang of Wuhan Central Hospital" to draw attention to Wuhan Central Hospital.
The article reported that Peng Yixiang is an administrative bureaucrat with a medical background but no medical practice.
Peng Yixiang succeeded President Xia Jiahong, who was evaluated as an excellent president despite being strict but highly skilled and experienced.
Although President Peng Yixiang of Wuhan Central Hospital has a medical undergraduate degree, he has had no clinical experience since graduation. He worked at Tongji Medical College of Huazhong University of Science and Technology, focusing on education. How could he have enough expertise to lead a hospital with 4,000 staff?
The lack of clinical experience and an idealistic ivory tower life have made him lose his keen insight into viruses.
It has been revealed by some self-media that the papers published by Peng Yixiang have nothing to do with medicine.
At the end of February, a team led by Zhong Nanshan submitted a paper to the New England Journal of Medicine, and Huang Yixiang's name appeared as one of the authors. This time, he had the same name as Academician Zhong Nanshan, which was really lucky.
Huang Yixiang's name in this case represents the hospital and should have no academic significance.
Is the responsibility of the secretary greater?
The true leader of the hospital organization is Secretary Cai Li.
According to an emergency surgery doctor, although President Peng Yixiang lacks work experience, he at least has a medical background. However, Cai Li comes from the Health Bureau system and is even further removed from the front line, with no understanding of how a hospital operates.
An emergency department doctor told me that when Cai Li inspected the emergency department, because there were fewer trauma patients in winter, she asked to transfer more respiratory patients, and no one dared to disobey.
During the three years of implementing this order, there have been numerous cases of cross-infection between respiratory and trauma patients. It is not uncommon for fractures to heal but pneumonia to develop.
Under this inexperienced leadership, chaos ensues.
At the beginning of the outbreak, when there were no protective suits available, repeated disinfection and aseptic operations became the only option. However, Wuhan Central Hospital refused personal donations of alcohol at this critical moment, citing inconsistent personal donation standards and unwillingness to take risks, and asked each department to contact suppliers on their own.
A doctor said that in early February, someone contacted Wuhan Central Hospital offering to donate half a ton of rice. The driver went to the hospital, but the management returned the donation because the hospital strictly followed the Red Cross regulations for all supplies.
Ultimately, this chaos stems from a lack of humanistic care and professional knowledge.
What responsibility does the Jianghan District Health Department bear?
According to a public account, a doctor from this hospital submitted a document titled "Explanation of the Handling of the Novel Coronavirus Outbreak" to the public account and media outlets such as China Youth Daily, detailing the hospital's response to the epidemic in the first half.
The document states that Wuhan Central Hospital received a guidance manual issued by the national government on January 4th, which stipulated that the infectious disease report card should be submitted within 12 hours and sent directly to the National Center for Disease Control and Prevention.
However, on January 5th, the Jianghan District intervened and required the hospital to report to the district after expert consultation before reporting the infectious disease.
This is essentially creating artificial obstacles and additional steps to the reporting process specified by the government, which is strictly prohibited.
On January 11th, patient Liu was suspected of infection at the Houhu Hospital and was preparing to contact the CDC for sampling and investigation. However, Zhang Yan, the director of the Jianghan District CDC, replied that they needed to wait for further notice.
On the 12th, the Hubei Health Commission led a team to supervise the work at the Houhu Hospital and issued instructions that the reporting of infectious disease report cards should be cautious and can only be done after provincial and municipal consultations.
According to national regulations, hospitals are required to report directly without the need for other levels of review and consultation to avoid underreporting or concealing cases.
On the 13th, the Wuhan Municipal Health Commission issued instructions to Wuhan Central Hospital again, requiring testing at the district, municipal, and provincial levels before reporting, with approval from the Hubei Health Commission. On January 24th, the National Health Commission investigated Wuhan Central Hospital, by which time 175 medical staff had developed a fever, 56 cases had been admitted, and 119 cases were under observation. According to the interviewed doctor, Wuhan Central Hospital has now confirmed 300 cases.
Why does Wuhan Central Hospital have so many chaotic practices? The interviewed doctor said it was because of the leadership.
Where does the real chaos come from?
It's the word "concealment."
Caixin interviewed Yuan Guoyong, a member of the third batch of high-level expert groups of the National Health Commission, a member of the Chinese Academy of Engineering, and a professor in the Department of Microbiology at the University of Hong Kong, who is 63 years old.
According to Yuan, the places visited in Wuhan were probably "demonstration units." We asked them questions, and they answered as if they were prepared. However, Zhong Nanshan was exceptionally sharp and asked several times, "Are there still more cases?" and "Are all these individual cases you mentioned true?" But their answer was that they were still testing because the Hubei Provincial CDC only received the test kits on January 16th. Finally, they were forced to admit that there was a case in the neurosurgery department where one patient infected 14 medical staff, but they also said that those medical staff were not confirmed.
The "they" referred to by Yuan Guoyong are officials from the Wuhan Health Commission, Wuhan CDC, local hospitals, and the Hubei Health Commission.
He recalled, "When I was having a meal, I saw a deputy mayor sitting at a table with Zhong Nanshan, looking very bad and feeling heavy. They should have known that something big was happening because the third batch of experts had arrived. I believe that if they had any concealment before, there would be no more concealment at that stage. But they kept emphasizing that the test kits had just been issued to Wuhan and without testing, there could be no diagnosis."
The following is the leadership of Wuhan Central Hospital:
(This blog's most obvious shortcoming: it does not support pasting images)
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