https://kiwifarms.net/threads/wuhan...ngs-admonition-and-future-developments.67446/
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The People’s reported information relating to Doctor Li Wenliang: A Response
7th of February, 2020, State Supervision Department formed an investigation team to investigate information surrounding Dr Li Wenliang. Now, the investigation results will be reported on.
Section 1: Dr Li Wenliang’s background information, Wechat chatlogs, and the spread of information
Li Wenliang, Male, Manchu ethnic, born in October, 1985, from Jin Zhou of Liaoning, member of the CPC. He sadly passed away due to being infected with the new coronavirus on the 7th of February. He was an ophthalmologist working at Wuhan Central Hospital.
December, 2019, Chinese Western Fusion Hospital [1] of Hubei province, the “Hou Hu” area of Wuhan Central Hospital, Wuhan Redcross Hospital etc accepted patients with an unknown case of pneumonia. 27th of December, Chinese Western Fusion Hospital of Hubei province (CWH), Zhang Ji, the manager of the department of respiratory and critical illness reported information on 3 patients diagnosed with an unknown case of pneumonia. The hospital relayed this information to the department of disease control of Jiang Han district, city of Wuhan [2]. On the same day, the department of disease control of Wuhan tested these 3 patients for epidemic-related viruses. On the 29th of December, CWH reported on 4 cases of unknown pneumonia, all from Huanan Seafood market [3].
The Health Department of Wuhan organised experts for investigation, and brought the patients to Jin Yin Tan Hospital of Wuhan. Knowing that many hospitals in the city handled similar cases, the Department of Health of Wuhan released two reports, “Emergency: Relating to Unknown Cases of Pneumonia and their Conditions” and “Emergency: Relating to the Handling of this Case of Unknown Pneumonia” on 13:10 and 18:50 respectively, on 30/12/2019. They wanted professionals to handle the unknown pneumonia with care and investigate Huanan Seafood Market in retrospect. These two reports were released online on 15:22 and 19:00 respectively, on the same day.
17:30, 30/12/2019, Dr Li received messages from colleagues. On 17:43, Dr Li under the pseudonym of “Li Wenliang, Wuhan, Ophthalmology” appeared in the Wechat group “University of Wuhan, Clinical Grade 04” shared information regarding to “Huanan Fruit and Seafood market, 7 cases of SARS has been verified”, “we are waiting for the Hou Hu area of the hospital to quarantine these patients that are in critical conditions” etc. He included images of a pathogen report stating, “Highly likely, SARS Coronavirus, tested positive”, CT video footage that is 11 seconds. On 18:42, further information was released in this group stating, “new information, verified infection of coronavirus, we are analysing the virus”, “please don’t spread this, let family and friends be aware and take appropriate measures [4]”. Simultaneously, similar messages were shared among other Wechat groups. The reports that were uploaded online and Dr Li’s words was them spread, subsequently people began discussing the case and following it.
Section Two: Dr Li Wenliang reprimanded, discussions with the police and hospital information
On 13:38, 31/12/2019, Department of Health Wuhan’s report “Relating to the Pneumonia Infections and Situation in our City” claims that there’s 27 cases of such pneumonia, it is a viral infection, and there isn’t sufficient evidence that the virus is contagious [5], and no medical experts have been infected yet. Many media outlets reported on this case.
With the knowledge of Wuhan’s schedule to control the unknown pneumonia, the police department’s knowledge on controlling and preventing the virus, social law and order enforcement laws, in addition to the health department’s report, law enforcement subsequently investigated the spread of “SARS related viral infection” messages online.
At around 13:30, 03/01/2020, Police department of Wu Cang District, Wuhan, on Zhong Nan road contacted Dr Li Wenliang, who was accompanied by colleagues to visit the police station. The head of the police office Yang… An [6] scheduled the police accountable for handling back office duties, Hu… to talk to Dr Li Wenliang. After the conversation and fact checking, the incident was recorded. According to Dr Li Wenliang, the act of posting SARS-related information in Wechat groups was wrong, he will take precautions [7] next time. The police who talked to Dr Li made an admonition report. Dr Li Wenliang has one admonition report and left the police station on 14:30. The police involved in the conversation was back office police Hu… and one assistant police officer. Hu… signed his own name on the admonition report and Xu…’s name, who was another officer on the day’s schedule. In reality, Officer Xu did not join the conversation.
Before Dr Li Wenliang was reprimanded, on 31/12/2019, his messages were spread across numerous Wechat groups and shared online, Central Hospital of Wuhan had hospital managers talked to Dr Li. According to Dr Li Wenliang, he is regretful of his actions of spreading SARS-related information into his classmate groups. He said his original intentions were wanting his classmates to take appropriate measures. The hospital wanted Dr Li Wenliang to write a report [8]. Until Dr Li Wenliang was infected with the virus, he was working in ophthalmology as usual.
Section Three: Details on Dr Li Wenliang’s infection, emergency procedures, and rescue attempt
10/01/2020: Fevers
12/01/2020: Dr Li moved to Wuhan Central Hospital’s ophthalmology section as patient
14/01/2020: Dr Li moved to respiratory and critical conditions section
23/01/2020: Dr Li moved to respiratory and critical conditions section’s critical care area
07/02/2020: Dr Li passed away
09/12/2019, Dr Li was scheduled to work at the ophthalmology ward instead of outpatient area. He handled an 82-year-old patient with eye illness. The patient started to have fevers on 07/01 and was diagnosed with the virus after, who passed away on 23/01/2020. 10/01, Dr Li started to experience fevers as well, he was diagnosed at the fevers section of the hospital.
12/01, Dr Li was quarantined at district number two of Wuhan Central Hospital, ophthalmology section. He was diagnosed with acute eye conjunctivitis on the right eye and lung infections. 14/01, the illness in Li’s lungs worsens, and he was moved to the respiratory section of the hospital. He was quarantined, had his own patient room, and a special team of medical professionals to monitor aspects of his blood oxygen saturation, heart rates and blood pressure. They have been providing Dr Li with respiratory assistance, medicine to combat the virus, infections, sputum dissolving, and stomach protection etc. They also used hormones and gamma globulin. On 15/01 to 18/01, according to Dr Li’s illness status, the head doctor tweaked the prescribed medicine and treatment.
19/01, Dr Li’s fever worsened. In the afternoon, the leader of the medical team and an expert in the fields of respiratory, critical conditions, new coronavirus and pneumonia continues to monitor Dr Li’s illness, providing curing advice. That night, the hospital invited a medical expert in the fields of critical illnesses from Hua Zhong Technology University’s Tong Ji Hospital and Wuhan’s new Coronavirus pneumonia medical expert to provide Dr Li with treatments.
20/01 to 22/01, Dr Li’s fevers are gone, but he was still breathing heavily. On the 15th, 19th, 20th and 21st, various experts handling the new coronavirus in the hospital monitored Dr Li’s illnesses and provided medical advice.
23:50, 22/10, after a bathroom break, Dr Li started to suffer from respiratory and breathing difficultness. His blood saturation level dropped to 88%. After treatments, he felt slightly better. The medical team leader emphasised on the severity of the illness and moved Dr Li to an ICU at 3:30 in the morning, 23/01, after permission was given from his family.
Before 27/01, many hospitals including Wuhan Central Hospital did not have the equipment and ability to test nucleic acids. After the equipment was upgraded, on 27/01, Wuhan Central Hospital started to test for nucleic acids. On the 28th and 31st of January, Dr Li underwent nucleic acid testing twice, first result was negative, and second result was positive [9], to which he was diagnosed with the new coronavirus.
31/01-03/02, Dr Li’s fevers seem to be suppressed, breathing is back to normal, but his sanity and appetite was still on the low. 04/02, he starting to vomit and coughed rapidly, following with breathing issues, which was alleviated slightly after treatment. 05/02, Dr Li no longer has fevers, but he is still breathing heavily when at rest, and his pneumonia is worsened. 06/02, Dr Li’s illness became more serious, pneumonia is worse, and he was at risk for further serious conditions. After the medical team’s discussion, under the guidance of two nurses and permission from his family, he was transported to the Hou Hu section which has better medical capabilities. He arrived there on 18:55, permission was given on 18:20.
19:20, 06/02, Dr Li suffered from delusions, drop of heart rate, and progressive decline in blood pressure. He was treated with epinephrine, which loosens blood vessels that makes it easier to increase blood pressure. A medical respiratory machine was also used to help his breathing issues. 21:30, cardiopulmonary resuscitation therapy was used, which helps the heart. Specialised medicine was used, and the rescue attempt continues. 22:40, a borrowed EMCO (aka artificial lungs) from Wuhan Ya Xin hospital was used [10] in Dr Li’s treatment. Wuhan health department organised experts from Beijing Xie He hospital to aid in rescuing Dr Li. On 2:58, 07/20, Dr Li passed away, illustrated by the straight line on the ECG. His death was released on 3:48 to the public [12].
According to doctors who participated in the emergency, Dr Li is their colleague, he’s still young, and they don’t want him to go. They said if there’s even a glimpse of hope, they will not give up, nothing else but trying to save him was in their mind at the time. Therefore, the rescuing was prolonged. The leader of the medical team says, although they were not able to save Dr Li, they tried their best, the team was professional, and the rescue attempt was immediate. According to professionals who reviewed the case, the hospital’s rescue attempt was professional, and they obtained permission from Dr Li’s family whenever it is needed, they were able to reflect on the illnesses and make swift decisions.
Section Four: Details on the reparations and aftercare of Dr Li Wenliang and his family
After Dr Li tragically passed away, Wuhan Central Hospital formed a special group to take care of Dr Li’s family. During the afternoon of 07/02, leaders at the hospital visited Dr Li’s parents, his wife and children. Responding to Dr Li’s wife’s request, his child and wife were brought to the hospital to recover.
After Wuhan Central Hospital’s request to Wuhan Human Resources and Social Security Bureau, Dr Li’s passing away was attributed to work injuries. According to legislature, Dr Li’s family received work injury reparations, and money to help with the funeral [11]. The insurance company also paid Dr Li’s family the insured amount and an additional portion dedicated to medical staff who were at the front line of combating the virus. Wuhan Central Hospital’s union held a fundraiser event for Dr Li’s family, and the Redcross of Wuhan relayed donations to Dr Li’s family.
04/03, National Health Department and other departments decided to commend individuals that assisted in combating the new coronavirus, among them was Dr Li Wenliang.
Section Five: Advice on future work
Due to Zhong Nan Road police station’s inappropriate admonition report [12], inadequate law enforcing procedure, the investigation team recommended the supervisory authority of Wuhan to monitor and correct the wrongdoings, investigate the people who breached the code of contact, and release the results to the public.
Interview Summary
- Investigation team was formed on 08/02, officials visited Wuhan and many citizens wanted an answer
- 240+ files were analysed
- Dr Li was not faced with any discrimination or isolation after he was unlawfully reprimanded, the hospital didn’t punish him
- Dr Li being reprimanded was unlawful, the admonition case has no basis, and is dropped. The law enforcement that’s accountable will be punished
- Dr Li showed symptoms on 10/01, he was diagnosed on 31/01. This is because he contacted an 82-year-old person with the virus, and the hospital did not have any medical equipment to actually test for the virus.
- A magazine got the Dr Li’s time of passing away wrong. 22:40 06/02, EMCO was used. 3:48 the next day, Wuhan Central Hospital released the news.
- Dr Li’s death is considered work injury, his family was rewarded 785,000 yuan and 36,800 yuan for the funeral. 2020 renewed some of these laws, so his family was awarded with another grant that’s not disclosed. The insurance reward was also not disclosed. There’s also fundraising evens and donations that have been relayed to the family.
- Dr Li is an outgoing person, he’s professional, good at his job, willing to help others, and he wanted to be cured as soon as possible because “my co-workers must be very busy, they need me there” as he states. Objectively, his original intent was caring about family and friends, and he in no way broke the law.
- He is a member of the CPC
Footnotes
[1]: Yeah, that’s literally the fucking name.
[2]: The disease was first reported on 27/12/2019
[3]: So the first cases of the virus were NOT from this market. This is basically China saying they have and know the identity of “patient zero”.
[4]: He was reprimanded for spreading rumours, lol.
[5]: Department of Health said this.
[6]: Chinese law prohibits the release of full names of individuals unless under extraordinary circumstances, this is done to protect the criminal and law enforcement. I partly agree, some names such as those of child molesters should be released however. Yang… An is Yang [redacted] An, 某 means “one, some person someone, some word…”.
[7]: Shut up goy.
[8]: No idea what they meant by 認識材料
[9]: Accuracy of the test seems to suck
[10]: The hospital had one EMCO, but it was being used on another patient at the time. Pretty humane of them to not just strip that machine from the patient to save mianzi. Good job.
[11]: They got almost 800,000 yuan initially according to the interview, they were given more afterwards.
[12]: According to the interview, Dr Li did not break any laws and whatever stupid admonition case that was tangled to him is now of no effect.
[13]: The time disparity discussed earlier was a mistake some magazine made. 18:55, Dr Li was moved to the Hou Hu section in critical care. He didn’t pass away yet. Information was released by Wuhan Central Hospital on 3:48. People’s Daily probably took the wrong information released by the magazine.