More than 60 days since the Chinese Lunar New Year’s Eve, Wuhan Hanyang Hospital has undergone three transformations from COVID-19 non-designated hospital to designated hospital and then to clean hospital. And through all these transformations, Hanyang Hospital fully performed the advantages of private hospital such as fast action, quick decision-making, high efficiency and human resources, and provided outpatient and emergency medical services to 80,000 non-COVID-19 patients in the first quarter of this year.   ▲Photo: During COVID-19, the medical staff arranged the treatment plan and communicated with the patients in the isolation ward.   Fully committed at the beginning of the outbreak Zhang Fu, Chairman of the Board of Wuhan Hanyang Hospital, introduced the situation during early stages of the epidemic. In order to satisfy people's need of medical treatment service and in the meantime to protect medical staff themselves, Hanyang Hospital has separated a building as a non-COVID-19 ward and other areas of the hospital providing normal medical services on January 25, which operates effectively block the risk of nosocomial infection. In the early days of the outbreak, the number of patients increased rapidly. In order to ensure the treatment of patients, emergency medical director Zuo Xiaobing adjusted the way doctors on duty. The day shift was extended from 8 a.m. to 23 am., for a     total of 15 hours. During this period, Zuo and his colleagues in the department of       emergency medicine engaged 700 patients almost every 24 hours, of whom about 50 were in critical condition. In the day with the most patients, 7 nurses received 700    injections in 24 hours. As COVID-19 d esignated hospital , trying to satisfy  daily medical needs  for non- COVID-19 patients On February 2, according to the overall arrangement of fighting against the epidemic in Wuhan, Hanyang Hospital was transformed into a designated hospital for treatment of COVID-19. On the day of the transformation, Hanyang Hospital completed the transfer of 200 patients and more than 20 departments combined operation. In consideration of the daily medical service needs of the people, Hanyang Hospital insisted on opening general outpatient and emergency services in the isolation area and accepting non-COVID-19 patients according to its own conditions. On February 24, Lao Jin, who was fighting in the front line of the community, accidentally got a fish bone stuck in his throat. Due to the difficulty in seeking medical treatment during the epidemic, he had been hospitalized in Hanyang Hospital for a week. His family cried, "If the fish bone is not taken out again, he will starve to death." Guo Changkai, Department Director of otolaryngology in Hanyang Hospital, immediately arranged the operation and removed a 3-cm-long fish bone from his pharynx. Wang Hui, who works in the emergency service center, said that during the operation of designated hospitals, the life of the emergency medical staff and drivers were very tough. During the peak period of the epidemic, all hospitals were in a state of saturation, and it took up to 12 hours to find a hospital to treat a patient. Due to the high infectivity of COVID-19, patients cannot be accompanied by their family members when they go to the hospital to go through the admission procedures and conduct accompanying examinations. The work that would have been done by their families was also done by these 120 emergency medical staff.                    ▲Photos: Wang Hui and the "soldiers" from emergency center. During the high     outbreak period, a group of emergency medical workers have worked continuously   for 30 hours Transform to clean hospital at  the first time Xie Bin, Vice President of Hanyang Hospital, said that in the situation of the aggravation of chronic patients' condition and the increasing number of emergency patients, in order to rationalize the relationship as soon as possible, to treat non-COVID-19 patients and meet the medical needs of the people, Hanyang Hospital took the lead in transforming into a clean hospital on February 27, thus becoming the only large-scale general hospital in Hanyang district to receive ordinary patients. For this reason, Hanyang Hospital adjusted the management system, broke the division of daily departments, unified allocation and management of all hospital wards, and solved the problems of difficult admission and difficult medical treatment. Yin Xiaoxin, Vice President of Hanyang Hospital, introduced that in order to ensure the cleanliness of the hospital after the transformation, Hanyang Hospital first carried out the thorough elimination of meticulous to the ceiling and desktop. After that, temperature detection points were set up at both entrances and exits of the hospital for screening. In addition, a second temperature measurement and a history of exposure were performed in the outpatient and emergency department before the patient was admitted to the clinic. At the same time, the consultation room has been adjusted according to the current situation, implementing that one doctor receiving one patient in one consultation room. The patients requiring hospitalization should be checked for their blood, chest CT, nucleic acid and serum antibody, and tried not to be escorted. If the patients do have to be escorted, their family members or escort personnel also have to do the COVID-19 screening. When screening showed normal, the patient and family members can be admitted to hospital. And one patient in one ward was guaranteed. Furthermore, all departments have prepared 3-5 extra rooms, one room for one person. Because the general buffer period is about 3 days, the patients suspected of COVID-19 must enter the buffer room first. After screening, they could transfer to the ordinary ward with other patients. On this basis, the patients will get treated according to their degrees of illness. For some patients with mild symptoms, they should set up a doctor's appointment as far as possible. For the emergency and severe patients, green channel is guaranteed all day long.   ▲Photo: Zhang Fu has put a particular emphasis that the smooth operation of the hospital after several transformations in more than 60 days is due to the hard work of the logistics staff, who are unknown to the public and work from dawn to dusk to ensure the operation of the hospital. At present, with the outbreak under further control, Hanyang Hospital and all walks of life in Wuhan city are gradually restored to normal order. Xie Bin introduces except emergency operation patients that has mentioned above, the patient of average treatment also can be admitted to hospital now. What’s more, the fever outpatient department also returns to normal outpatient service at present.

On February 26 th , Hanyang Hospital was transformed into general admission hospital for non-COVID-19 patients and its emergency room visits reached 30,000 at present. Is the visit going well after the resumption of admission? On March 30, Hubei Daily carried out the site visits. Mother of infertile for years gave birth to twins                  On March 18, Hu Changhua, director of Gynecology and Obstetrics, received a woman named Li who was 37 weeks pregnant of full term. She is 30 who has been married for years but barren until they conceived twins through a test tube last year. Because of the epidemic, they didn’t go to the hospital to do pregnancy check-up during the first two months of due date. Through news report, this couple learned that Hanyang Hospital has switched to “clean hospital” and has recovered specialist clinic on March 13, so they immediately registered with the specialist of obstetrics. Before they visit the hospital, Ms. Li and her families were checked temperature and then enter the office with expert name. Changhua Hu asked the questions of medical history and whether they had been in close contact with COVID-19 patients. After excluding COVID-19, the director ordered some corresponding examinations for her and then admitted her to hospital. Hu Changhua introduced that the newborn needed family care, while in the epidemic, the hospital strictly limited that each pregnant woman could only be accompanied by one relative and must accept CT and routine blood tests. After excluding COVID-19, they’ll be admitted to ward care. But a pregnant woman with twins, like Ms. Li, should be accompanied by two relatives, both of whom needed Pulmonary CT and routine blood tests. The ward staff will issue accompany certificate to relatives only if they pass the examination. The certificate involves name, age and ID number information in detail and for personal use only. Two days later, Ms. Li gave birth to the fraternal twins smoothly and discharged from hospital healthily on March 25.     One-hour for elderly patient: From d esperation to operatio n At 10:30 p.m. on February 29, Ms. Wang, who was over seventy years old, had sudden consciousness disorder and hemiplegia and was sent to the hospital urgently. After the patient arrived at the hospital, she completed the pre-operative examination of body temperature, CT and blood routine examination, as well as other relevant examination links to screening COVID-19 in only one hour through the green channel. "Judging by various indicators, the patient is suffering from acute middle cerebral artery occlusion, and emergency operation for artery thrombectomy is imminent. At 11:30 that evening, the patient underwent endovascular intervention to open the vessel." Chao Hao, deputy director of Department of Neurology (I), said that Ms. Wang recovered well after the operation and has been discharged home. Combined treatment for the patient with colon cancer Free right colon, dissecting lymph nodes, cutting off colon...On March 21, Liu Shengxin, deputy chief physician of the Third People's Hospital, entered the operating room on the first day of his arrival in Hanyang Hospital to operate on a patient with right colon cancer. Intraoperatively, he opened the abdominal cavity for exploration, and the patient had ascites. The mass was located in the ascending colon and had leached the serosal layer. With the cooperation of the medical team of Hanyang Hospital, the operation was carried out in a tense and orderly manner. When it was successfully completed, the doctors on the scene could not help but give a slight cheer. At present, the patient is recovering well after surgery and will be discharged in the near future. Liu Shengxin is one of the ten doctors chosen by provincial and ministerial hospitals to support Hanyang Hospital. Hanyang Hospital was the first designated hospital for fever clinics. More than 100 medical staff in this hospital worked for more than 50 days. During these days, 527 COVID-19 patients were admitted and 247 were cured and discharged. Later, the hospital returned to the normal reception in a tightly packed manner, resulting in a shortage of medical staff. Through coordination, 10 doctors, including Liu Shengxin, came to Hanyang Hospital to help treat patients together.

As the outbreak has been gradually brought under control, Some hospitals in Wuhan take outpatient services back to normal. Based on strict screening, prevention and control measures, Non-COVID-19 patients get treated. During the outbreak, Hanyang Hospital resolutely performs its duties as the COVID-19 designated hospital, and also provides emergency treatment and outpatient services to protect the health of other patients   As a private hospital, Hanyang Hospital has been the fifth batch of designated hospital of COVID-19 since February 2. Since then, a total of 16994 fever patients have been treated and 527 COVID-19 inpatients have been admitted. At the same time, the hospital has overcome numerous difficulties and has been providing emergency internal and surgical first-aid access for 24 hours during the pandemic. All specialized outpatient services are open to the public in the daytime.       (Wang Guoju, Assistant to the Director, Head of Medical Department of Hanyang Hospital) “To ensure the treatment of COVID-19 patients, Hanyang Hospital has consolidated many departments and diverted medical staff from other departments to support COVID -19 ward. At the same time, the emergency internal and surgery departments admit patients for 24 hours to ensure the emergency and severe treatment access for non- COVID-19 patients. We have reserved two internal medical wards for the treatment of non- COVID-19 patients with other internal diseases, and all surgical departments have been ensuring the normal operation.”   On February 25, after the referral of few COVID-19 undischarged patients, Hanyang Hospital took outpatient services back to normal on February 27. In order to implement the prevention and control measures of COVID-19 and avoid cross-infection, the hospital requires the patients to take personal protection, wear masks correctly throughout the whole process, and maintain 1-meter distancing. Each consulting room implements “one doctor, one patient and one room” policy, and sets three checkpoints before the treatment.   Yin Xiaoxin, Vice Director of Hanyang Hospital said, “First of all, we carried out 24-hour temperature tests for people in and out. Next, we set checkpoints near elevators and stairs to check the passes of people. People with respiratory symptoms should be strictly screened for routine blood tests, chest CT scans, nucleic acid tests and antibody tests.” In order to build a firewall for pandemic prevention and control, the hospital not only carries out strict screening for outpatients, but also sets up a buffer zone for inpatients.   Yin Xiaoxin: “When a patient enters the ward, he or she should stay in the buffer zone singly. After two to three days of COVID-19 tests and screening, the patient can go to the specialist clinic for hospitalization treatment. In about one month from February 27 to now, we have admitted a large number of outpatient visits and hospitalizations. We strictly follow the regulations to see the patients and the overall operation of the hospital is in good condition.” In order to avoid the cross-infection in hospital, Hanyang Hospital makes great efforts to disinfect and sterilize, and carries out strict physical examination and training for the returning medical staff, so as to provide safe and clean medical conditions for the patients.   (Zhou Hong, Member of the Party Committee of Hanyang Hospital) “The hospital basically meets the international standards for clean hospitals, which are the five cleanings required by WHO: clean hands, clean objects, clean environment, clean equipment, and clean procedures. Our strictness and efforts have won the trust of patients. The daily outpatient amount in our hospital has increased rapidly, with the highest daily outpatient amount reaching 1400, which is only second to that of Hubei Cancer Hospital. As a private hospital, we can win the trust of people by to our solid work and continuous optimized services. Isolate the virus, not the love. Facing the outbreak, Hanyang Hospital spares no effort to prevent and control the epidemic, and builds a strong defense line to protect the health of the public.

Front-line medical workers have made great contributions. They're under unimaginable physical and psychological stress. Their persistent and dauntless, indomitable struggle selfless dedication and the humanitarianism spirit of the doctor is the key to treat and cure plenty of patients. The following is an introduction of several pioneers of epidemic prevention and control war in non-public hospitals which reported by Wuhan Economic TV correspondent. Medical personnel fight side by side, concentric fight against the epidemic!   Hanyang Hospital, a privately hospital, was included in the fifth batch of COVID-19 designated hospitals on February 2. To fight against the epidemic, all staff in this hospital do their best.   Xie Bin, Vice Director of Hanyang Hospital, says, “In order to deal with outbreak, we immediately increased the emergency department and related medical staff. Eventually, we transformed the physical examination department of the medical building into a fever clinic and provided 24-hour treatment service. According to the standard of ‘three areas and two channels’, we changed the internal medicine building into a standard treatment ward, and set up seven respiratory wards, with the total number of beds reaching 250, which increased the treatment capacity and alleviated the shortage of medical treatment resources.   Chairman of the hospital, Zhang Fu, urgently contacted the China Non-Public Medical Association, which sent 165 medical staff to support Hanyang Hospital and easing the pressure of understaffing. Hospital executives work edify morale as they work alongside front-line medical staff.         Xiang Li, from Human Resources Department of Hanyang Hospital, says, “the hospital chairman specially brought 150 Kilograms of vegetables from a hundred miles away to our hospital and stay together with us in the front line of the fight against the epidemic. On February 25, we received a notification from our higher government that the hospital would transform to receive non-COVID-19 patients. When the COVID-19 patients were in the process to transferred to Huoshenshan Hospital, and Leishenshan Hospital, the chairman rode a Mobike bicycle to the hospital late at the night to participate in the hospital transfer work.       Wang Yufang, an emergency department nurse born in 1999, has been working as a medical staff for less than half a year. She was told by an old nurse in the department that the volume of infusion would be more than usual before the Chinese Lunar New Year. However, she never expected that she would experience such an unprecedented major epidemic when her career just started.      Wang Yufang, the emergency department nurse at Hanyang hospital, says, “When I was first admitted to the hospital, my heart was broken and I was totally at a loss. My family, especially my father, were set against it. They told me to quit. They said the job was too dangerous.” However, after recovering from her illness, Wang Yufang chose to return to work after the quarantine period.   Wang Yufang says, “After being isolated at home for 14 days, I could not continue to work until there was no problem after checking again. Our department has been very busy and very short of staff. I experienced SARS in 2003, when I was very young, only four years old, but I knew that the medical staff at that time was also very hard. As the Internet says, they used to guard us who were born after the year 1990, now it's our post-90s’ turn to guard them.”   The mother of Ai Hongyan, director of respiratory medicine, is nearly 80 years old this year and has been receiving targeted drug treatment in her hometown for lung cancer. She had planned to visit her mother during the Spring Festival, but the sudden outbreak of the disease has left her unable to take care of it. She has been fighting in the department for more than two months.   Ai Hongyan, director of the department of respiratory medicine at Hanyang hospital, says, “All the doctors and nurses in the department worked very hard, but none of the medical staff flinched. Our department doctor Gong Lili was scheduled to go home on the sixth day of the first lunar month to get married, however, the epidemic postponed the wedding date, everyday stick to the ward. Another example, our doctor Wu Bangyin's father and brother-in-law had a fever at home. I was worried about him, so I asked him to have a lung CT to see what happened. He said he was alright and taking some medicine will be OK. He has been stick to his post. Zuo Xiaobing, director of the emergency medical department who was used to the big scene, also set a new record for his work—working 16 hours a day at the peak of the day, trying his best to treat patients.   Zuo Xiaobing, director of the department of emergency medicine at Hanyang Hospital, says, “Our hospital is not very big, but the number of patients we treated soared during the period of rising epidemic. The peak of our emergency medicine treatment was more than 500 patients in 24 hours. We had to work until 12:00 at night, which was equivalent to working for 16 hours. The whole department was very hard." Thanks to every medical worker. Never stop to save one more person, even when the danger is too close. We would like to thank them for all they have been through.

On February 8 th , Li Lina, living in Hanyang, beat a gong and cried on the balcony of her apartment, asking for help for her mother. The related video clip quickly spread on Weibo and attracted much public attention. The reporter learned from Hanyang H ospital on February 10 th : Li ’ s mother has been admitted to the department of respiratory medicine in the hospital about 6 p.m.  on February  9 th .  According to Ping Maohua, her attending doctor: the patient’s COVID-19 nucleic acid testing (NAT) result came out positive. She is under treatment with a combination of oxygen, soul-medrol, Moxifloxacin and other such medicine and her physical condition is stable.  

“Thank you, thank you very much! When my mother was rushed to the hospital by 120, her breath and heartbeat were gone. You gave her a second life. Now she is getting better day by day and can eat by herself today. I finally feel at ease at the isolation point.” On the morning of February 13, after receiving a phone call from the doctor of Hanyang Hospital in Wuhan, Mrs. Wang’s daughter said excitedly. Respiratory and Cardiac Arrest Caused by COVID-19     Ms. Wang, 60 years old, who lives in Wangjiawan, Hanyang, usually has basic diseases of high blood pressure and diabetes. Since Mid-January, Ms. Wang began to feel feverish and tired, and was uncomfortable. After intermittent infusion treatment in the community hospital, her physical status was still unstable, and her health was not completely improved. Until the morning of the first day of the Lunar New year, January 25, her family found that Ms. Wang was lying in bed, unconscious and could not be waken up, and they immediately dialed 120 for help.   Ms. Wang's daughter said ,”when my mother was not feeling well, she always felt bitter and no taste and had to drink two bottles of soda a day. This situation went on for three days, and there was no way to stop it. The night before the incident, she did not seem to be in condition, but still watching TV and chatting with us. Unexpectedly, after nine o'clock that morning, I asked her to have breakfast but only to find her lying in bed, unconscious, regardless of our shout.” Professor Zuo Xiaobing, director of emergency medicine at Hanyang Hospital, said that Ms. Wang had stopped breathing and had no heartbeat at that time, and lost consciousness completely. Medical staff immediately began cardiopulmonary resuscitation (CPR), and endotracheal intubation was performed immediately. Then the machine on her finger showed that her blood sugar was high. In order to save time, Director Zuo arranged a series of tests for Ms. Wang, including blood gas analysis, urine routine, electrolytes, liver and kidney function, blood routine, chest CT, etc. while they were trying hard to increase her blood pressure, reduce her blood sugar and give the infusion. Almost 10 minutes later, Ms. Wang's heartbeat and breath recovered, but she was still unconscious. There are multiple patchy ground glass shadows in Ms. Wang’s both lungs. Taking other symptoms into consideration, Ms. Wang was initially diagnosed with diabetic ketoacidosis and suspected COVID-19 and then was admitted to the first ward of the respiratory department. Qin Yonggang, an associate professor, explained that Ms. Wang’s deterioration to respiratory and cardiac arrest was mainly due to the delay of her treatment. When Covid-19 progressed rapidly, diabetic ketoacidosis was the catalyst. Good Psychological Defense Facilitate Fighting Against the Epidemic "Ms. Wang was intubated with an endotracheal tube when she was admitted to the hospital. If her airway were opened, the surrounding environment would produce aerosols and there would be a high risk of infection. Her condition was really critical, but we all had the belief that we must snatch her back from death, though she has been critically ill for many times in the process." Said Qin Yonggang, the deputy director of the first ward of the respiratory department of Hanyang Hospital. On the third day after admission, Ms. Wang's nucleic acid test showed positive and she was diagnosed with COVID-19, but not a single medical staff flinched. During her stay in hospital, Ms. Wang mainly received comprehensive symptomatic treatment such as ventilator-assisted ventilation, antiviral, anti-inflammatory, and blood sugar control. In addition to drug treatment, what is more important is that doctors and nurses, patients and their families had jointly set up a solid psychological line of defense. Qin Yonggang said, “Every time we make rounds of the wards, we would hold Ms. Wang's hands and say in her ear that she is recovering well. And she should take more rest, eat more, and can also use her mobile phone to get in touch with her family more. We used close-up actions to make her no longer afraid and cheer her up.” Not only to Ms. Wang, but also to all the ward patients, the first thing doctors and nurses do is to help them build up confidence in overcoming the disease, so then they can see their patients’ spirits getting better day by day and them recovering quickly. Wu Bangyin, the doctor in charge of the patient, made bedside rounds at least twice a day. He always carefully explained Ms. Wang’s disease condition and his advice during shift handovers, never forgot to call from home late at night to inquire about her illness, and often went to the ward to feed her water and taught her how to exercise herself to restore lung function. Because of the risk of cross-infection, family members were forbidden to accompany the hospitalized. During this period, nutritional support completely depended on nurses mashing and injecting food through gastric tubes. Apart from oral care and pressure sores care, nurses often did psychological counseling for Ms. Wang on a regular basis. “Keeping psychological defense is really important for recovery,” said Associate Professor Qin Yonggang,” I had a ball friend who was hospitalized because of COVID-19. At that time, his CT photo suggested that both lungs were white and he was expected to have difficulty in breathing soon. After his being hospitalized, the medical team cheered him up every day and helped him build up the confidence to overcome the disease. After about ten days, he got better and was quickly recovered and discharged from the hospital. Off the Ventilator after 10 Days and Eat on Her Own after 20 Days On February 3, the 10th day of her stay in hospital, Ms. Wang successfully got off the ventilator, removed the endotracheal intubation, and began to breathe on her own. “Although she still had poor lung function and was too weak to speak, when she became conscious that day, she thumbed up for us, trembling, full of tears. We were also much moved”, said associate Professor Qin Yonggang. When Ms. Wang's daughter, though still in isolation, knew that her mother was getting better, her suspended heart finally relieved. She said, “Thank the doctors and nurses in Hanyang Hospital, also thank the unknown care worker, an aunt who used her phone every day to let me video with my mother. Although my mother can't talk for the moment, seeing her eat soft noodles and porridge and her state better day by day, I was really touched.” Wu Bangyin, the doctor in charge, said that up to February 13, Ms. Wang, who had been hospitalized for 20 days, began to eat on her own, and was now in the stage of recuperation and functional recovery. Qin Yonggang, associate professor of Respiratory Medicine Department, the first ward of Wuhan Hanyang Hospital suggested that the general public must listen to the arrangement during the epidemic period, avoid going out, strengthen nutrition, do protect themselves, wash their hands frequently, and often keep the room ventilated. Once found fever, cough and fatigue, report to the community in the first time. With early diagnosis and early treatment, many patients can be cured, so they must have the confidence to conquer the disease. In addition, he suggested residents should not take in so-called prophylactic agent, for any drug can be harmful to the body in some extent, which may turn out to be the opposite of their wish.