Plague Doctor

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“cough, cough…”

The night was dim, and coughing sounds continued from each ward, echoing in the corridor of the inpatient department.

The facilities of the town hospital are poor. The isolation ward where Shen Haoxuan is located is not a real isolation ward, but is set up in a common ward.

3 beds, 2 are vacant, he lay on one of them, with a needle stuck in the back of his hand and a few bottles of drip. There is no TV in the ward. Fortunately, his mobile phone has not been taken away, and the network signal is also OK, so he can still play with the mobile phone to relieve boredom.

Shen Haoxuan pressed the phone with both hands and sent a message to the loss friend Liu Hui on WeChat:

“Really bad luck, pneumonia, was quarantined.”

“Originally going to the general ward, the doctor suddenly said that quarantine was needed, and even my parents were quarantined.”

“It must have been infected by the uncle on the bus. I may have to live in the hospital for several days. I hope to catch up with the exhibition in the city on the 6th.

After a while, Liu Hui did not return.

Shen Haoxuan coughed more and more uncomfortably, and it took half an hour for the drip. It seemed that the fever had not retreated, and he coughed more …

He looked again at the circle of friends that Deng Nuotong sent today: “The next stop is to apply for the Normal University, thank you for the past, look to the future, come on!”

“Oh, cough …” Shen Haoxuan couldn’t help laughing when he looked at it, feeling that his body was much better. I used to look forward to a few more days of summer vacation, but now I am looking forward to the university opening soon. At this time, the phone received a shock from WeChat. He looked at it and it was sent by Liu Hui:

“Oops, I started coughing in the evening and now have a fever of 39 degrees.”

“May be infected by you, pneumonia? No?”

“My mother gave me cold medicine, should I go to the hospital now?”

Looking at these pieces of information, Shen Haoxuan apologizes to his friends, and has an uneasy whisper. Am I infected? Apart from Liu Hui, will there be others?

He remembered his parents, several other friends, and so many people on the show …

Don’t think about it. Shen Haoxuan coughed and told himself, there is no way so contagious, SARS is no way.

It ’s just pneumonia. If the doctor can do it, it ’s better to stay in the hospital for a few days.

Shen Haoxuan pressed the mobile phone to reply to the past: “Come and see the hospital, blame me, wait for us, I will ask you to have a meal”

……

The 30th case, the 40th case, and the 50th case.

If it were not for Jiangxing Town Hospital’s usual lack of patients and a large number of vacant wards, simply cannot cope with the outbreak tonight. But each patient must be isolated individually, and the ward is not enough. Everyone who was still in the hospital this evening was busy.

The CDC issued an order to the town and closed the hospital. Suspected infected patients can come in, but no one can leave here.

“Hey, Xiaolin, you should pay attention when the tenth patient appears.”

Zhao Yutao changed his tone, already wearing a 3rd-layer mask, and occasionally found an opportunity to slip away from the emergency room and did not want to contact the patient.

Huang Lin ignored him. Although he also put on multiple masks, he stayed in the emergency room and took the time to call his university classmates and Teacher for their opinions.

Teacher gave her an idea, will it be “Legion pneumonia”?

Not to mention town-level hospitals, even in the top three hospitals, Legion’s disease is often misdiagnosed as common pneumonia. Because this is not a common disease, ordinary doctors usually lack understanding of it, and the clinical manifestations of Legion disease are complicated, and the routine examination lacks specificity. Serological tests should be performed to check Legion antibody to confirm.

“Legion’s disease.” Huang Lin read some literature on the Internet herself, which is somewhat like, but not exactly like, the patient’s condition is developing too fast.

Some news made her extremely uneasy. A while ago, there were outbreaks of Legion disease in many cities around the world.

Huang Lin immediately reported this possibility to the people in the hospital’s Department of Senses, only to realize that the disease prevention and control documents had been communicated earlier to be careful of Legion disease. But the prevention and control documents are always coming one after another. The prevention and control work has been done, and the air conditioning and refrigeration system of the hospital has been cleaned up.

Legion disease often breeds and breaks out in hospitals, but the first patient, Wang Guoxin, came to the hospital for the last time several years ago and was not infected in the hospital.

At 21:45 in the evening, one hour and ten minutes after the report, the expert team sent by the city’s CDC to do the epidemiological investigation arrived.

The hospital sense department and the medical staff greeted everyone in the hospital lobby. I saw the leader He Fenghe, the group leader Li Wen Vice Group Leader and the other two wearing a full-body white protective suit and a comprehensive type. Respirator, no skin exposed at all.

Then everyone in the emergency room also saw that Zhao Yutao quickly put on two more masks.

Huang Lin is already mentally prepared, and people with disease control suspect Legion is sick, airborne …

After knowing each other, He Feng and the others and Huang Lin went to the isolation ward area while talking about the patient. They went to see Wang Guoxin first. His condition continued to deteriorate, and he was already showing signs of unconsciousness. He just spit out a large amount of blood sputum, and the strong bloody and rancid smell filled the ward.

“These medical wastes can’t be treated normally.” He Feng specially instructed people in the hospital.

After seeing several patients, especially Shen Haoxuan, he determined that this was an epidemic outbreak.

“Expansion?”

After being infected, Shen Haoxuan participated in a long exhibition with more than 3000 visitors, which made He Feng feel very disturbed for a while.

He Feng made a number of calls in a hurry, demanding that the CDC take it seriously, upgrade the epidemic control work, and apply for a temporary control block on Jiangxing Town.

But he knew that the time was too rushed, the test results supported were too few, and it was a big night, and the efficiency would not be too high. If Legion’s disease did not occur frequently all over the world recently, and there was a document on the larger one, he would be called back immediately.

Now that he reported the suspected Legion’s disease, the doctor on duty Huang Lin also expressed this opinion, and the disease control and various sections were still nervous.

Is it Legion disease? Is it pneumonia?

It’s too late to take the serum for antibody detection. It takes a week or two for the patient with the body to produce antibodies; and the bacterial culture that the town hospital is doing is longer.

However, in recent years, nucleic acid amplification technology has become mature, and the recognition of microorganisms has changed from external structural features to internal gene structural features, and detection has also changed from biochemical and immune methods to genetic level detection. PCR technology can be used to quickly complete preliminary tests and effectively respond to such public health emergencies.

But the town hospital has limited conditions and there is no PCR laboratory. Either ship the sample out or ship the equipment in.

As early as when he came, He Feng applied to bring the PCR equipment into Jiangxing Town.

It was also because of the importance he attached to Legion’s disease that he quickly approved his request.

In the early morning hours, a batch of instruments and equipment finally arrived at the town hospital. A group of testing technicians also arrived, all wearing protective clothing. After setting up the PCR equipment in a small laboratory in the hospital, everyone immediately used the 22-item respiratory pathogen nucleic acid detection kit for rapid screening.

Whether it is a pandemic virus, parainfluenza virus, coronavirus, Legionella pneumophila, Mycoplasma pneumoniae, etc., can be detected by its DNA.

It was also at this time that Li Wen, who was in charge of guiding the doctor’s work, hurried into the laboratory, and his face under the breathing mask was ugly.

“What’s wrong?” He Feng asked, knowing something was wrong.

“Dr. Huang Lin has cough symptoms.” Li Wen icily said, “Another doctor Zhao Yutao and several nurses in the emergency department also have symptoms.”

He Feng’s eyebrows suddenly twisted up … Dr. Huang Lin has been on duty till now, only 6 hours, the onset time is even shorter than the average 36-hour incubation period of non-pneumonia Legion disease …

This entire hospital is an epidemic area.

Although PCR technology is fast, it is relatively speaking. From early morning to 2nd day morning, everyone in the laboratory is busy and waiting.

Not a virus, not streptococcus, not chlamydia …

Legionella pneumophila! The DNA structure indicates that this is a new type of Legion bacteria.

As soon as this test result came out, He Feng, who had never slept overnight, was somewhat happy. The pathogen is within the known range. Although the onset is rapid and the condition is developing rapidly, the method of controlling Legion disease should be able to calm the epidemic. Although Legion bacteria are airborne, they rely heavily on aerosols as carriers …

When He Feng felt thankful, there was no sign. Because of the sudden sensation in his throat, he suddenly coughed and his lungs were stuffy.

For a moment, He Feng stood in this small laboratory, complexion pale, turning a little bit. All the experimenters around were stunned.

“Level 3 protective clothing doesn’t work, Level 3 protective clothing doesn’t work …”

He Feng murmured blankly, suddenly burst out a series of coughs, and at the same time, the panic and panic flowed out, causing him to fall to the ground almost at once.

From person to person, the air spreads.

Contagion can penetrate Level 3 protective clothing …

Most of the visitors that Shen Haoxuan participated in the exhibition are probably infected.

The entire Jiangxing town is an epidemic area.

The entire Shanhai City is an epidemic area …