Respiratory disease promotion content

The optimal logic for ordinary people to deal with respiratory diseases is "layered protection, seeking medical treatment as needed, not blindly stocking up on medicines and not dragging out the disease." There is no so-called "universal prevention formula". All protection and treatment plans must be adjusted based on their own physical conditions. There is no absolute right or wrong standard.

During this period, the number of respiratory outpatient clinics in community hospitals has tripled. When I helped guide patients last week, I met more than a dozen patients a day who had misunderstandings. I have accumulated a lot of practical experience, which I will break down and talk about today.

Let’s talk about the most controversial issue: “Should we wear a mask every day?”: Director Wang of the Infectious Diseases Department of our hospital has worked in infection prevention and control for 20 years. Now she still wears KN95 when going to the hospital, closed KTV, and the subway during morning and evening rush hours, especially if there are elderly people over 80 years old and children under 3 years old at home. She repeatedly said that the protective efficiency of wearing a mask in these high-risk scenes can reach more than 80%, and it is the most cost-effective way of protection with the least investment.； However, Xiao Li, a young doctor in the Department of Public Health, has a different view. He believes that there is no need to wear a mask when walking in open parks and communities. Long-term over-protection of healthy people will cause the respiratory flora to lack "exercise" and be prone to problems when exposed to common pathogens.

I was particularly impressed by a mother who came for consultation last month. She said that her child wiped the furniture with disinfectant spray every day at home and never left the house without N95. As a result, she contracted mycoplasma pneumonia when she went to the kindergarten for the first time. On the contrary, the children downstairs who were playing around and playing around every day only had runny noses for two days before they became active again. In fact, both statements are reasonable. The core depends on the scene you are in and your own basic situation. Those with underlying diseases should pay more attention. Young people who are in good health do not need to put shackles on themselves.

Let’s talk about the medication issue that everyone is most concerned about: last week I met a young man in his 20s. His face was red and he came in. The first thing he said was, “Doctor, do I have pneumonia?” His hands were shaking when he took out a bag of medicine and showed it to me - he had a fever and cough for 5 days, and since then I took azithromycin for three days and cephalosporin for two days at home, and also drank half a bottle of cough syrup, but it was of no use at all. A blood test showed that it was a mixed infection with influenza A and syncytial virus. There was no indication of bacterial infection at all. The antibiotics were in vain and caused stomachache for several days.

It is also worth mentioning here that there is a lot of controversy now about "whether diet therapy is useful or not": Teacher Zhang from the Department of Traditional Chinese Medicine always said that if you have a severe dry cough and your throat feels like sandpaper is stuck, boiling some rock sugar, snow pear and Fritillaria can indeed relieve it, but if it is a cold cough caused by a cold, the phlegm will be thin, and drinking pear water will make you cough more.； Most doctors of Western medicine believe that these dietary prescriptions are essentially to replenish water and soothe the throat mucosa, and have no special therapeutic effect. In fact, there is no need to compete. If it works, just take it. If it doesn’t, just take the medicine. There are not so many black and white considerations.

Many people go to tertiary A hospitals when they have a fever. Last month, I met an old man who had a fever of 37.8 degrees. He was afraid that the community hospital would not see him well, so he went to the tertiary A emergency department for three hours. It was just a common cold, but he was directly cross-infected with influenza A when he came back. Nowadays, most community health service centers have rapid tests for respiratory pathogens, and the results of influenza A, mycoplasma, and syncytial virus can be obtained in 15 minutes. It is much more convenient to prescribe appropriate medicines than in large hospitals. If you really have shortness of breath, chest pain, or high fever that persists for more than 3 days, it is not too late to go to a large hospital.

Harmful, in fact, respiratory diseases are just like adding clothes when the seasons change to cool down. You don’t need to wrap yourself up in a down jacket every day to worry about catching a cold, but don’t wear short sleeves on cold days. Opening more windows for ventilation and staying up less late is much more effective than hoarding a bunch of health products and special medicines. If you really feel uncomfortable, don't force yourself to take medicines. Ask your community doctor, everything can be solved.