Journalists In-depth Investigation into Beijing Childrens Hospital Over 7000 Patients Treated in the Department of Internal Medicine Daily, Far Exceeding the Hospitals Capacity - What Other Information is Worth Paying Attention to?

Tianjin Children’s Hospital Current Situation

Outrageous Situation The recent situation at Tianjin Children’s Hospital

It’s really outrageous.

I had some psychological expectations, after all, the progress abroad is about a year faster than in China. From last year to the first half of this year, we experienced shortages of fever-reducing medicine and antibiotics. After the immune system was weakened, various viruses took turns attacking, and the infections caused by environmental bacteria and fungi became more serious.

But the situation in China is just way too outrageous!!!

Probably the tens of times higher population density led to outbreaks on a completely different scale. Really, the situation here has never been as serious as it is now in China. After all, the pediatric doctors here don’t work overtime and take a more relaxed attitude towards treating patients. If we had this level of infection here, we would have collapsed long ago. China hasn’t collapsed yet, it’s purely because the national situation is different. Everyone just assumes it’s unlimited exploitation of healthcare workers, and healthcare workers truly have a compassionate heart to endure the exploitation. But this is not sustainable!

Don’t even mention masks, it immediately turns into various social and ideological problems. I see people wearing masks on the train every day, especially after the temperature dropped. Only in China is wearing a mask treated like a thunderstruck issue. The scientific literacy of the people of Myanmar seems to be better than those jumping around on the internet.

What’s the difference between wearing a mask for personal protection during the peak of the virus and wearing clothes for warmth in cold weather!!! If you have the ability, why don’t you go without clothes!!! Clothes are obstructing your freedom of the body, aren’t they!!!

The Effectiveness of Wearing N95 Mask Outdoors

Wear N95 masks when going out, they are really effective.

Don’t eat outside, take the food to go and eat it at home.

Don’t unnecessarily join crowded places.

Remember to wash your hands frequently, ventilate your home, and apply alcohol to the soles of your shoes and clothes.

No Improvement in the situation this year.

Keeping an eye on the time, here is the news from the United States exactly one year ago today. I have been shouting for years, and now I am exhausted.

Unfortunately, the situation hasn’t improved this year. On November 18th, American media reported that the spread of respiratory syncytial virus among children this year has “far exceeded previous years.”

Once the genie is out of the bottle, don’t expect it to go back in on its own.

Here is my response from early December last year.

My response from mid-December last year.

Removing Masks: Scientific or Risky?

Last year, the collective act of taking off face masks during a press conference by the Guangzhou Health Commission left me speechless. If strictly preventing and eliminating COVID-19 is deemed unscientific, then is the act of taking off masks and turning a blind eye to the issue completely rational?

Outbreak of Probiotics: A Warning of Possible Consequences.

What is there to say?

There’s not much to say.

In the first half of last year, I said probiotics were incredible. The early symptoms of an infection are worse than HIV.

At the time, I even posted a chart showing the trend of T cells after being infected.

Later in October, I debated with various unknown people.

And I received the honorary title of the Hero of Old Children.

Then in November, I came out and said the big epidemic won’t last more than three times, and if it does, there will be disasters. This is a rumor in the new era.

Well, probiotics broke out in 2019, and we’re already in the fourth year, and next year will be the fifth.

Later on, I said that if this disease becomes popular, it will lead to many sequelae due to weakened immune systems. Many people may suffer from diseases such as diphtheria and hand, foot and mouth disease.

As a result, someone below told me to lock the door and not to go out.

There were a few more civilized ones who said I don’t understand medicine, and this is called immune debt.

I really don’t understand medicine, but I read this information from foreign news myself. It’s well-reasoned and well-illustrated, and the author is an expert from the United States CDC.

I truly don’t understand medicine, and neither do they?

Let’s not talk about these anymore. Since it has come to this, talking about this doesn’t seem to be useful anymore.

Everyone should eat well, exercise more, keep a calm mindset, and wear masks.

As for masks, I recommend the head-mounted N95 mask worn by Mr. Zhang Wenhong, a great figure standing among the top 2 percent of scientists in the world.

The mask he bought is the 3M 1860 model, which only costs a little over ten yuan (previously over thirty yuan).

Wearing the most expensive mask to prevent the mildest flu.

3M, you deserve it!

By the way, the hospital where Mr. Zhang Wenhong, a great figure standing among the top 2 percent of scientists in the world, works, Huashan Hospital, recently purchased a batch of equipment called 222-nanometer wave.

It is said that this equipment is also used in the Asian Games Village.

And it’s not cheap, it costs 10,500 yuan to enjoy the 222-nanometer wave like Director Zhang and the Asian Games.

I don’t know if it’s useful or not. Personally, I feel like it might not be useful.

After all, the dealer can just put the equipment there and take a few photos. It’s not impossible.

Besides, if Mr. Zhang Wenhong secretly bought this kind of thing for himself without telling anyone, it doesn’t seem reasonable either.

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Also, if you’re not running a fever and it’s not urgent, it’s best not to go to this hospital.

Cross-infection is still very frightening.

Wearing masks in public, including children. Pediatric IV infusion in hospitals overcrowded.

Remember to wear masks in public places, including children. The pediatric department in the hospital is also overcrowded with intravenous drip patients.

Be Vigilant about Mycoplasma Pneumoniae: Summary of Answer.

I mentioned in my answers from February to April of 2023 to be wary of the great demon king, Mycoplasma pneumoniae.

Mycoplasma pneumoniae is difficult to detect in the early stages of the disease and is not easily cured once contracted. Even after recovery, it is prone to relapse.

Currently, in China, Mycoplasma pneumoniae shows a resistance rate of 80% to the frontline drug azithromycin. After macrolide antibiotics (such as azithromycin) become resistant, there are not many options left for children. The only options are tetracycline drugs and quinolone drugs.

Tetracycline drugs may cause tetracycline teeth, which used to be more common in the past. Quinolone drugs (such as levofloxacin) face the potential risk of cartilage damage and are generally prohibited for those under 18 years old.

So, if a child with Mycoplasma pneumoniae is hospitalized and azithromycin does not show improvement after three days, the doctor may ask the parents to sign a consent form to use either corticosteroids or off-label use of tetracycline or quinolone drugs. At this point, parents may hesitate, as they know that corticosteroids are not good for children, and quinolone drugs may hinder growth. Then what should the doctor use? Should they use Traditional Chinese Medicine?

Doctors also have to balance the pros and cons, especially when dealing with Mycoplasma pneumoniae, which progresses rapidly to pneumonia. As parents, we should cooperate with the doctors as much as possible, as the early recovery of our children’s health is a shared goal for both doctors and parents.

Currently, children’s hospitals are overcrowded, with no available beds. The influenza epidemic has already begun, and the COVID-19 pandemic is looming. We used to mock the sudden emergence of ghosts from Europe and America, and now we are facing the ghosts ourselves.

COVID-19, influenza, RSV, hand, foot, and mouth disease, Mycoplasma pneumoniae, and other miscellaneous respiratory infections will give us a strong shock this winter.

I typically don’t criticize others, but recently, some self-media outlets have gone too far. They claim that Mycoplasma pneumoniae is a self-limiting disease that does not require treatment and will get better on its own, presenting data from before 2020 without considering the pathogen’s mutations and drug resistance, as well as the damage caused by COVID-19 to the lungs and the harm to the immune system. It is truly misleading.

In addition, on platforms like Douyin and Kwai, some people cannot distinguish the severity of illnesses. They claim that Traditional Chinese Medicine is better than Western medicine and that Chinese herbal medicine is superior. They claim that Western doctors are only after making money. Some parents believe this and, as a result, delay treatment, leading to serious consequences.

If you are ill, please go to a reputable tertiary hospital, fully cooperate with the doctors, follow their instructions, and seek early detection, early treatment, and early recovery.

Let me repeat: If you are ill, please go to a reputable tertiary hospital, fully cooperate with the doctors, follow their instructions, and seek early detection, early treatment, and early recovery.

Now, onto the second issue: immunomodulators.

Immunomodulators have recently become a hot topic, and many parents have started a new round of panic buying.

Immunomodulators are medications, and parents must be cautious and respect the doctor’s advice; they should not be taken indiscriminately. Modern medicine’s understanding of the immune system is not yet complete. Children’s immune systems are also different from those of adults and have their own characteristics. As the primary guardians of our children’s health, the best measure to support the immune system is to avoid getting sick as much as possible. Wear masks, wash hands frequently, eat fruits and vegetables, supplement protein appropriately, breathe fresh and clean air, and engage in moderate physical exercise.

The third issue is the eternal topic of wearing masks.

Whether parents or children, please wear masks as much as possible. With one wave after another of COVID-19, the respiratory and immune systems of the human body have suffered significant damage. Let’s do our best to recover and avoid falling ill frequently.

By the end of 2022, the crematorium furnaces in a certain eastern country were burnt out, and it’s only been 10 months…

The 10% of long-term COVID-19 patients are still watching the world…

Long-term COVID-19’s power has only just begun to show, not because it is merciful to us, but because we gave up resisting after just 11 months.

However, the tens of millions or even hundreds of millions of people who died from COVID-19 have lost the right to refute.

You can’t argue with the dead; that’s all humans are capable of.

Restrictions have been lifted, no more nucleic acid tests, no more lockdowns, no more isolation cabinets. Have Tang Fei’s company made a fortune?

We don’t know which will come first, tomorrow or unexpected events.

Floods, earthquakes, high mortgages, a stagnant economy, an impending economic crisis, and the ongoing epidemic have already exhausted our bodies, with 996 (working from 9 a.m. to 9 p.m. six days a week) or even 007 (working anytime, anywhere) being put to the test.

History is just a series of cycles.

Now, it is the first year of El Niño, and an economic crisis is about to erupt. Coupled with the COVID-19 pandemic, we don’t know if unemployment and job losses will become as widespread as COVID-19.

Some people are destined to pay the price.

I only hope that you and I won’t be the ones paying that price.

May China enjoy peace and prosperity, with smooth weather and the people living in harmony, healthy and safe.

Economic Recovery After One Year of Reopening?

Nothing much to say. We’ve already discussed what happened last year. Why don’t we ask everyone? It’s been a year since the lockdown was lifted. Have our efforts paid off? Has everyone’s economy improved with the lifting of the lockdown?

Excessive daily outpatient visits at Beijing Children’s Hospital’s internal medicine department lead to concerns.

Beijing Children’s Hospital, an average of over 7,000 patients are treated per day in the Department of Internal Medicine, far exceeding the hospital’s capacity, what other information is worth paying attention to? (See the most comprehensive guide to night emergency treatment for children in the capital at the end of the article)

Beijing Children’s Hospital’s daily reception of over 7,000 patients in the Department of Internal Medicine is an astonishing number. It represents the large number of patients coming to the hospital every day seeking help from internal medicine doctors. This number also reflects the current tension in medical resources and the urgency of medical needs.

From the perspective of doctors and patients, a daily reception of over 7,000 people means that doctors and nurses need to deal with a large number of patients every day, including diagnosis, treatment, prescribing medicine, and explaining the condition. This high-intensity workload not only exhausts them physically and mentally but may also affect the quality of medical and service.

Apart from this number, what other information is worth paying attention to?

First, we need to understand the reasons behind this number. It is understood that the main reason why the daily reception in the Department of Internal Medicine at Beijing Children’s Hospital exceeds the hospital’s capacity is due to three factors: the recent high incidence of childhood influenza and mycoplasma infection, the high incidence of internal medicine diseases themselves, and the uneven allocation of medical resources and limited doctor service capacity.

Second, we need to pay attention to the measures taken by the hospital. In order to address this issue, Beijing Children’s Hospital has taken a series of measures, including strengthening internal management, increasing the number of medical staff on duty, and optimizing the diagnosis and treatment process. In addition, the hospital actively cooperates with relevant departments to seek more support and resources.

In addition, we also need to pay attention to the needs and rights of patients. In the case of tight medical resources, the needs and rights of patients are easily neglected. The more critical the situation, the more important it is not to neglect them. Priority should be given to treating critically ill patients to ensure their lives are protected. Therefore, we need to pay attention to whether the hospital can meet the needs of patients and safeguard their rights.

The most important point, which I saved for last, is that if community hospitals or secondary hospitals can handle it, who would be willing to go to the higher level hospitals? Or who wouldn’t have visited the smaller hospitals below a few times before going to a higher-level hospital? In the current situation of our medical system, many community hospitals or secondary hospitals often cannot provide sufficient medical resources and professional medical services, which forces many patients to go to higher-level hospitals for treatment. This phenomenon not only brings unnecessary troubles and pressures to patients but also increases the burden on the medical system. Therefore, solving the problem of tight medical resources has become an urgent task, and we also need to consider how to solve this problem from a long-term perspective. In addition to the measures taken by hospitals, we also need to strengthen the construction of medical resources, improve the level of medical services, and optimize the allocation of medical resources from a policy perspective. Only in this way can we fundamentally solve the problem of tight medical resources.

First of all, we should recognize that community hospitals and secondary hospitals play an important role in the medical system. They are widely distributed, convenient for patients to go to, and can provide basic medical services, relieving the pressure on higher-level hospitals. However, for various reasons, these hospitals often face problems of insufficient medical resources and low level of medical services. This not only affects the medical experience of patients but also restricts the development of the medical industry.

Ultimately, the government must increase investment in grassroots medical institutions, improve the treatment and benefits of medical staff, and encourage excellent medical staff to work in grassroots medical institutions. At the same time, the government can also guide social capital to enter the medical field, allowing more medical resources to sink to the grassroots level and encourage the establishment of private medical institutions to increase the supply of medical resources. In addition, the government can optimize the allocation of medical resources and improve the level of medical services by establishing regional medical centers, promoting the construction of medical consortia, etc.

In conclusion, solving the problem of tight medical resources requires efforts from various aspects. Only by starting from both hospitals and policies can we achieve the rational allocation of medical resources and improve the level of medical services. Only in this way can we provide timely and effective medical services to patients at grassroots medical institutions and alleviate the diagnosis and treatment pressure on higher-level hospitals.

Attached - the most comprehensive guide to night emergency treatment for children in the capital

Currently, there are quite a few hospitals in Beijing that have 24-hour emergency departments for pediatrics (fever, fainting, shock, etc.), but only 3 hospitals have 24-hour pediatric surgery emergency departments (fractures, trauma, acute abdominal pain, etc.), which are Beijing Children’s Hospital, Institute of Pediatrics, and Bayi Children’s Hospital.

Beijing Children’s Hospital

Phone: 010-59616161

Address: 56 Nanshishi Road, Xicheng District, Beijing, the emergency building is on the south side of the outpatient building (east gate).

It can handle various pediatric internal and external emergencies and has a 24-hour pediatric ultrasound. To facilitate patient visits, Beijing Children’s Hospital has now opened seven reservation and registration channels, including an app (search “Beijing Children’s Hospital” in the app store), WeChat (search “掌上北儿” in WeChat), self-service machines, telephone (010-114), website (http://www.bjguahao.gov.cn), physician workstations, and reservation windows. The emergency department provides 24-hour reception for patients, and parents can also make appointments for special evening outpatient clinics through these channels.

Affiliated Pediatric Hospital of Capital Institute of Pediatrics (Institute of Pediatrics)

Phone: 010-85695555, 010-85695756

Address: 2 Yabao Road, Chaoyang District, Beijing, the emergency building is on the north side of the outpatient building of the Institute of Pediatrics (east gate). It is forbidden for motor vehicles to travel from north to south on Ritan Road, which is between Guanghua Road and Ritan North Road. Please pay attention, parents.

To meet the needs of children’s medical visits as much as possible, the Institute of Pediatrics has 24-hour emergency departments for internal medicine, surgery, and infectious diseases.

Bayi Children’s Hospital

Phone: 010-66721117

Address: 2 Chaonei North Street, Dongcheng District (200 meters west of Exit D of Dongsiqitiao Station on Line 2), the pediatric building is on the right side of the outpatient building of the Beijing Military Region General Hospital. The traffic around it is not very smooth, so it is recommended to enter the north gate from Ping’an Avenue. There is a shortage of parking spaces during the day, but there are more empty spaces at night.

Bayi Children’s Hospital is also a public children’s hospital. Compared to the first two hospitals mentioned, there are fewer patients here, and the departments are complete. The general internal and external medicine emergency departments are open 24 hours a day, and the speed and environment of medical treatment are better than those of Beijing Children’s Hospital and the Institute of Pediatrics. Both internal medicine and surgery have 24-hour emergency services, and the surgery department can perform ultrasound examinations! They can do ultrasounds! They can do ultrasounds! It’s important, so I’ll say it three times! The hospital also has a green channel for children in need, making it convenient for them to seek medical treatment. The cost for a general appointment is 5 yuan, and the fee for a special appointment is 300 yuan.

Dongcheng District

Peking Union Medical College Hospital and International Department

East Zone Phone: 010-69156114/010-69155564/010-69158010

International Department Phone: 010-69159180

Address: 1 Shuaifu Garden, Dongcheng District, Beijing

The pediatric department of Peking Union Medical College Hospital only has internal medicine emergency services, which are available 24 hours a day. For mothers who are not short of money, the international department of Peking Union Medical College Hospital is the best choice. The registration fee is 500 yuan, and the consultation time is from 5:30 pm to 8 am the next day. The doctors are very cautious in medication, and there are not many people. However, there is only one emergency doctor at the international department, so it is best to call and confirm before registering to avoid disappointment.

Beijing Tongren Hospital Affiliated to Capital Medical University (including the South Zone)

Headquarters Phone: 010-58269911/010-58266699

Headquarters Address: Dongjiaomin Lane East, Dongcheng District

South Zone Address: 2 West Ring South Road, Beijing Economic and Technological Development Zone

Beijing Traditional Chinese Medicine Hospital Affiliated to Capital Medical University

Phone: 010-52176677, 010-52176852

Address: 23 Houshi Street, Dongcheng District, Beijing

Massage and acupressure are the specialties of the pediatric department of this hospital. Families with children who have chronic illnesses and have not seen much improvement with Western medicine can come here. Please note that the night emergency department is open until 10 pm.

Xicheng District

Peking University First Hospital Maternal and Child Hospital (Peking University Maternal and Child)

Phone: 010-83572211/010-66551056

Address: 1 Xianmen Street, Xicheng District, Beijing, near the North Gate of Fuyou Street

Peking University Maternal and Child Hospital only has internal medicine emergency services at night. It is a one-story building, and the pediatric department is on the first floor. There are usually two general doctors and one specialist doctor, with the same fees as during the day. The areas for blood tests, medical treatment, and medication are close to each other, which is convenient, and nebulization can also be done. There are relatively fewer people, and there are sufficient parking spaces.

Peking University People’s Hospital

Phone: 010-88326666

Address: 11 Xizhimin South Street, Xicheng District, Beijing

Mothers in the west can take their children to Peking University People’s Hospital. The medical treatment is located in a bungalow. The pediatric department’s night emergency department only provides internal medicine services. Parking is not so good during the day but is fine at night.

Beijing Friendship Hospital Affiliated to Capital Medical University

Phone: 010-63014411/010-63016616

International Department Appointment Phone: 010-63137608

Address: 95 Yongan Road, Xicheng District, Beijing (parking is available in the hospital)

Friendship Hospital has a pediatric outpatient department that is open 24 hours a day. It is said that the homemade cough medicine here is effective. The regular internal and external medicine emergency departments are available 24 hours a day, and the internal medicine emergency department can also perform ultrasounds. The fees for appointments range from 100 yuan to 300 yuan.

Haidian District

Peking University Third Hospital (Peking University Third Hospital)

Phone: 010-82266699

Address: 49 Huayuan North Road, Haidian District, Beijing

The night emergency department of Peking University Third Hospital only has internal medicine. Patients need to go to the triage desk, then to the emergency registration desk, and they need to bring their Peking University Third Hospital medical card. The pediatric department at Peking University Third Hospital is separate from other departments and has its own area. There is a path from the pediatric department to the emergency department for blood tests and laboratory tests, which helps avoid infection. Oh, and Peking University Third Hospital’s nebulization room is relatively spacious compared to other hospitals. Pay attention to the hospital’s WeChat account for online registration, payment, report viewing, doctor’s schedule, etc.

Chaoyang District

China-Japan Friendship Hospital and International Department

Hospital Phone: 010-84205288

International Department Phone: 010-64282297

Address: Sakura Garden East Street, Chaoyang District

China-Japan Friendship Hospital has more pediatric doctors. Many children with persistent cough come here to see Dr. Xu Pengfei, who is said to have a good reputation in treating such conditions. The general pediatrics emergency department and the international medical department both only have pediatric internal medicine services, which are available 24 hours a day. The cost for the international department starts at 100 yuan.

Beijing East Zone Children’s Hospital

Phone: 010-52009999

Address: 42 Dongsanhuan South Road, Chaoyang District, Beijing

The East Zone Children’s Hospital is located on the East Third Ring Road and is affiliated with Beijing Children’s Hospital. Most of the doctors here come from Beijing Children’s Hospital. There is only a pediatric night clinic for internal medicine, which is available from 5:30 pm to 8 pm. The registration fees range from 350 yuan to 550 yuan.

Capital Medical University Affiliated Beijing Chaoyang Hospital

Phone: 010-85231000

Address: 8 Gongti South Road, Chaoyang District, Beijing, the emergency department is located on the basement level of the east gate outpatient building. Motor vehicles traveling from north to south are not allowed on Chaoyang North Road from Chaoyang Bei Road to Gongti South Road. Parents, please pay attention.

The night emergency department at Beijing Chaoyang Hospital only has pediatric internal medicine services. Patients need to go to the triage desk to get a number and then go to the emergency registration desk. Blood tests, medical treatment, and medication are all close to each other, making it convenient.

Winter Respiratory Infections: Prevention and Response

The arrival of winter brings with it the high season for respiratory infectious diseases. So why is winter the peak season for respiratory infections? Faced with the surge in the number of children visiting hospitals, how should parents and children cope? Let me, a senior health manager/nutritionist, explain in detail.

I. Why are respiratory diseases more common in winter?

To understand why winter is the peak season for respiratory infections, we first need to understand the characteristics of these infectious diseases.

Respiratory infectious diseases are a type of disease transmitted through the air, droplets, etc., such as influenza, common colds, pneumonia, etc. In winter, the temperature is low and the air is dry, causing our respiratory system’s resistance to decrease. This makes children, in particular, more susceptible to respiratory infections.

So how can we prevent respiratory infections in children?

II. How to prevent respiratory infections in children

With the surge in visits to the children’s hospital’s internal medicine department during winter, many parents are becoming anxious. How can we help our children prevent and cope with respiratory diseases this winter?

1. Boosting the immune system

First, we need to guide children to maintain a good schedule, such as ensuring sufficient sleep and a balanced diet. They should eat plenty of fruits, vegetables, meat, eggs, and dairy products to supplement essential nutrients. Regular exercise should also be encouraged to improve their physical resistance.

2. Paying attention to personal hygiene

Parents should encourage children to wash their hands frequently, especially after touching public objects. We should also teach children to cover their mouths and noses with tissues when sneezing or coughing to avoid direct contact with their hands.

3. Minimizing outdoor activities

During winter, parents should try to avoid taking children to crowded places such as shopping malls and cinemas. This will help reduce unnecessary gatherings and meals.

Text/My Pocketful of Healthiness

4. Wearing masks

There is another important point: parents should urge children to wear masks in public places, especially when using public transportation. This can effectively reduce the risk of infection.

5. Timely vaccination

Finally, parents can also take their children to the hospital for appropriate vaccinations, such as influenza vaccines and pneumococcal vaccines.

But what should parents and children do if respiratory symptoms have already appeared?

III. What to do if symptoms have already appeared?

1. Observing symptoms

First, we can observe the symptoms in children. Once we notice symptoms like fever, cough, runny nose, etc., we should promptly monitor changes in their condition and determine whether it is a respiratory infection.

2. Strengthening household disinfection

If a child is already showing respiratory symptoms, parents should regularly disinfect the floors, furniture, door handles, etc., at home. It is important to maintain indoor air circulation and reduce the risk of virus transmission indoors.

3. Home isolation

If a child is diagnosed with a respiratory infection, they should be isolated and treated at home to avoid contact with other family members and prevent transmission to others.

In conclusion, during the high season for respiratory infections in winter, parents should remain calm and rational without excessive panic. We should also learn to adjust our mindset, maintain a good emotional state, and create a warm and harmonious family atmosphere for our children.