Plague Doctor

Shanhai City is a small city, and Jiangxing Town in Shanhai City is a small place, but there is no tourism industry by the sea.

In this small town hospital, more than 20 similar cases were received from morning to night on August 2: fever, fatigue, cough.

Light cases are suspected of colds and severe cases are suspected of pneumonia.

When Attending Physician Huang Lin, an emergency physician on night shift, consulted an 18-year-old patient named Shen Haoxuan, she heard the patient clearly state that she had been infected by a cough from a middle-aged uncle on the bus, and she immediately noticed something was wrong.

It's like an outbreak of an infectious disease.

So Huang Lin became alert and looked at similar cases received by the hospital all day long in the medical record system.

Shen Hao Xuancou's middle-aged uncle did have a man, a 43-year-old patient admitted to the Grand Internal Medicine Hospital from the emergency department at more than 8 a.m. this morning, the Kingdom of New.

The more Huang Lin looks at the Kingdom's new hospital records, the more disturbing her mind becomes.

The new initial diagnosis of the kingdom by current physician Zhang Bo is “lower right pneumonia”.

The new condition in the Kingdom is quite serious, with a body temperature of 39.5°C to 41°C, coughing, coughing dark brown thick sputum, occasional haemorrhaging, and the appearance of suspected erosive meat, considered as lung inflammatory rotting tissue. With asthenia, general soreness, significant wet rales can be heard in the back of the right lung. X-ray chest radiographs show a 6cm x 8cm flaky, non-homogeneous blurred shadow of the right inferior lung field. Inflammation is severe, but not specific.

He said he had been coughing for a few days and started feeling particularly bad this morning, coughing up more sputum and haemorrhaging, so he was scared to come to the hospital.

At that time, Dr. Zhang gave patients perfection of the three major routines, liver, kidney function and other tests, and the routine of blood suggests a significant increase in leukocytes. Combined with the results of the emergency chest X-ray, Dr. Zhang considered bacterial infection of the lungs, given sputum and blood for bacterial culture, immediately carried out empirical medication, given intravenous cefuroxime sodium anti-infection, phenylethylamine hemostasis, glycosaline rehydration support and other treatments, as well as oral acetaminophen for reheating.

The patient's body temperature list turned Huang Lin's heart upside down. Although she had taken oral antipyretics, the patient's body temperature had not dropped and had been above 39°C.

“Hope I'm just sensitive.” Huang Lin immediately called the inpatient department to find out about the new current condition in the kingdom, and a heart went straight under the ice cellar.

When the nurse on duty gave her feedback, the patient's symptoms such as cough, sputum, haemorrhage and other symptoms were significantly worse, and the spirit was even more depressing...

Huang Lin felt that it was not like general pneumonia.

Dr. Zhang may have misdiagnosed...

The internship experience in college told Huang Lin that it was common practice to receive 40 or 50 pneumonia patients a day if it was Sanjia University Hospital; however, for Jiangxingzhen Hospital, there were too many 20 pneumonia patients a day, and she knew that she had worked here for several years after graduating from undergraduate school.

The Kingdom is the first patient to receive pneumonia today, with a second case by 3: 00 p.m. and a surge after 7: 00 p.m.

Eighteen cases of pneumonia have been treated by her hand! Plus Shen Hao Xuan's statement...

“This may be an infectious atypical pneumonia. ”

Huang Lin told another doctor on duty in the emergency room who was responsible for surgery, Zhao Yutao, to consider reporting the epidemic.

The town hospital is small, and the emergency room has two doctors, one inside and one outside.

“Epidemic!?” Zhao Yutao in his midlife said he frowned heavily, "The weather has been dull these days, and it is normal for several more patients with pneumonia than usual. ”

Once the epidemic is reported, whether it ends up true or false, there is more to it. Especially in the middle of the night, Zhao Yutao was reluctant.

Zhao Yutao has always not liked this Huang Lin much. She is a famous college student. She is a young and cheerful undergraduate from Dongzhou University School of Medicine and always likes to get in trouble. “The first case you mentioned should be referred to the City Hospital for treatment. We have limited conditions.” He also persuaded.

“Brother Zhao, this is really unusual.” Huang Lin insisted on his judgment, "to invite people from the city's disease control side. ”

She immediately called the Hospital Infection Management Office and the Medical Education Department to report “communicable atypical pneumonia” in category B infectious diseases, either in a case or in an outbreak.

“The incubation period for the first patient should be more than five days with precursor symptoms, but after a fever this morning, the condition progressed very quickly. The same is true for another patient suspected of being infected by the first episode, who has hemorrhaged in 6-7 hours! ”

Huang Lin said it very seriously and clearly stated the seriousness, demanding that it be reported immediately.

The epidemic of infectious diseases has a reporting time limit of 2 hours for category A infectious diseases and 24 hours for category B and C infectious diseases.

In the event of an outbreak of an outbreak of an outbreak of an outbreak of an outbreak of an outbreak of an outbreak of an outbreak of an outbreak of an outbreak of an outbreak of an outbreak of an outbreak of an outbreak of an outbreak of an outbreak of an outbreak of an outbreak of an outbreak of

But that can be within two hours. Huang Lin was really worried about dragging it over to the Medical Education Department and didn't report it until an hour later.

Every minute is now invaluable, and every minute of epidemic control measures can save one more life.

The medical department responded fairly quickly, calling the city's CDC at 20: 32 on the evening of August 2.

When Huang Lin returned to work, she also received 21 cases of pneumonia, followed by 22 cases and 23 cases...

When the number quickly broke through 30 cases, Zhao Yutao panicked, and the hospital sensory department panicked, and all the nurses understood that something was wrong.

At the same time, the Municipal Centers for Disease Control and Control immediately deployed in response to this public health emergency, demanding that Jiangxing Town Hospital do the work of isolating patients, protecting the safety of medical personnel, etc., on the other hand, they dispatched the chief expert He Feng to lead the epidemiological investigation and take charge of on-site handling.

“Oh, good, good.” He Feng received a call from the center and the whole family was eating dinner at home, "I'm leaving. ”

My wife is also sick, I understand that, but my seven-year-old daughter, Niuniu, is not very happy: “Dad, why don't you leave after dinner? ”

“Dad's gonna do something, you listen to Mom.” He Feng stroked his daughter's head and left.

Disease control is about racing against time and running wherever there is a suspicion of an epidemic, which has long been the norm in his life.

Under the dark night, He Feng boarded his own epidemic prevention and control car. Deputy Li Wen immediately handed him a stack of documents. It was the "Infectious Disease Report Card" filled in by the reporting physician Huang Lin, related patient medical records and personal reports. He Feng looked carefully on one page, and the more he looked at it, the heavier he felt...

Town hospitals are unable to complete most of the pathogenic antibody testing, do not even have CT equipment, and the half-day period is too short. It is not good to say what pneumonia is new in the Kingdom.

But He Feng agrees with Dr. Huang Lin's clinical judgment that this is not like ordinary pneumonia.

At this time, deputy Li Wen answered a phone call and said, “Team leader He, there are 30 cases at Jiangxing Town Hospital. ”

“Immediately isolate the entire hospital.” He Feng's decree wrinkled slightly, resolutely said: “The patient's cough and vomit cannot leave Jiangxing Town, let the center send the equipment in, everyone should be level 3 protection. We may have to apply for a blockade this time… Jiangxingzhen. ”

After a while, he did not say the ominous “blockade of the mountain seas”.

Let's hope it's just a false alarm, but let's hope it spreads through close contact with the patient and inhalation of the coughed up splash.

Hopefully... the epidemic will not be very large...

The uneven road made the car a little bumpy. He Feng looked out the window at the dark and backward street, and the face of his wife and daughter flashed through his heart.

Niuniu, it may take Daddy a few days to get home this time.