From small clinic to medical empire

Chapter 146 Is Boss Fauci Wrong? 【Favorites!Please recommend! 】

Zhang Zifan actually didn't know much about the situation.

After all, at first he thought it was Lao Dao who was insane, so he started live broadcasting the operation to bring goods.

It was later discovered that this was not the case.

At Lao Dao's request, Zhang Zifan took his place, wearing a disposable back jacket, gloves and a mask.

Zhang Zifan, the middleman, gradually understood the situation as he continued to relay the words of both parties in the video.

It turned out that this patient had a strange symptom and needed to be consulted by an expert.

This expert named Fauci looked very refined, and gave out the inspection requirements in an orderly manner, and Zhang Zifan followed them one by one.

Of course, from the beginning of Fauci's good intentions and enthusiasm, to now he is trying to find the source of the patient's disease. On the one hand, Ma Fusheng's symptoms really aroused his curiosity. On the other hand, Fauci found that this patient is not only American, and I seem to have had a relationship with him once.

People are selfish, and it is normal to have more compassion for people they know.

……

According to Dr. Fauci's request, Zhang Zifan performed a detailed physical examination on the patient step by step, and gave detailed feedback.

The other doctors in the Second Hospital were very surprised by this young man who appeared suddenly.

However, seeing his English as proficient as drinking water and his proficient physical examination techniques, they kept their mouths shut.

During the examination, the patient awoke from a lethargic coma.

During the stupor just now, Ma Fusheng had a nightmare, dreaming that he was diagnosed with AIDS, and his organs were rotting away bit by bit.

Although he used to be an NBA official, he doesn't have as much money as Magic Johnson. He can spend money to buy his life and use cocktail therapy to treat AIDS.

Waking up from the nightmare, he suddenly found a mobile phone screen in front of him.

And on the screen, it was the famous Dr. Fauci.

In 03, the "AIDS Emergency Relief Plan" designed and led by Fauci was officially approved by Bush Jr.

For well-known reasons, NBA players are also one of the focus groups of the program.

It was at that time that Ma Fusheng had an intersection with Dr. Fauci as an employee of the NBA.

What could be more surprising than a desperate person who is deeply afraid of AIDS and suddenly sees the No. 1 anti-AIDS drug in the United States appearing in front of him?
Then, Ma Fusheng noticed that the doctor holding the mobile phone was actually the Chinese doctor named Zhang Zifan!
Sure enough, he is not just a coach, but a top doctor!

Ma Fusheng mistook Zhang Zifan's translation by accident, and mistakenly thought it was a strong alliance between a medical elite and a medical giant.

This……

Is it heaven!
At this moment, Ma Fusheng felt the happiness of 100+1>101.

However, before he got excited, Dr. Fauci quickly asked, "Sir, have you visited Africa recently?"

Ma Fusheng's head began to hurt again.

He covered his temples and nodded, "In order to discover athletes in the first half of the year, I went to Africa. I think I also went there the year before last. I went to Egypt, is it considered Africa?
But Africa has a lot of AIDS, I have taken care of it, this time it was with a Ukrainian woman, so I didn't..."

"That's not the point!"

Dr. Fauci didn't understand the mixed taste of Ma Fusheng at all. He said: "Although some symptoms are relatively similar, I don't think your disease is related to AIDS."

Hearing this good news, Ma Fusheng was very happy, and then passed out again.

Dr. Fauci frowned, and said to Zhang Zifan and others: "Combined with the clinical manifestations and the patient's travel history, I think the possible source of infection for the patient is Trypanosoma brucei!"

Trypanosoma brucei?
Everyone froze when they heard this strange name.

Not a bacterial infection, but a bug?
But soon someone realized that this is a native animal that is extremely rare in China.

But the African Sleep Syndrome he caused is very famous.

Equally famous is the vector insect that spreads the disease, the tsetse fly.

In addition to blood transmission from person to person, tsetse fly bites are the main cause of illness among patients.

Zhang Zifan also knew about this disease.

He still remembers that the first time he saw information about this strange disease was when he was in elementary school, and he only listened to it as a geographical monster.

I didn't expect to encounter related cases in my lifetime.

At this time, Dr. Fauci also nodded, and said: "Yes, it is African sleep disease. We must immediately test the patient's bone marrow to further confirm the diagnosis."

After all, Dongguan City is a developed prefecture-level city. Even though the Second People's Hospital is not a tertiary hospital, the testing equipment is still rich and powerful.

Doctors from the infection department immediately performed bone marrow puncture on the patient and sent it for testing.

Sure enough, trypanosomes were indeed found in the patient's bone marrow!
This time, everyone couldn't help but breathe a sigh of relief.

The source of the disease has been found!

Boss Fauci really is a big boss Fauci, and he easily did what everyone couldn't do!
But Fauci, who has been maintaining communication, immediately poured a basin of cold water on everyone.

There are two types of Trypanosoma brucei, Trypanosoma gambiense and Trypanosoma rhodesiense.

The former is distributed in West and Central Africa, the main source of infection is humans, and the medium of transmission is Glossia palpita.

The so-called tsetse is actually a general term for two types of flies.

The treatment options for these two trypanosomes are quite different.

Time is life, and pathogen genetic analysis must be done immediately.

This is beyond the capabilities of the Second People's Hospital.

Even the No.1 civilian hospital in Guan City does not have the ability to do rapid genetic analysis.

……

At this time, Fei Tong on the other end of the connection was quite sober, but the phone was held by Mr. Fauci, so he didn't dare to ask, and he didn't dare to ask for it.

But at this time, he still suggested to send the patient to Yangcheng Central Hospital immediately.

As the director of the Infectious Diseases Department of the Second Hospital, he knew how much his team was worth.

Even if it was really confirmed what kind of trypanosome it was, the Department of Infectious Diseases of the Second Hospital would not be able to see it at all.

As for the arrangement of beds, Fei Tong looked at the old face of Mr. Fauci, and then at the director of the infection department of Yangcheng Central Hospital not far away who was pushing a glass of wine. He felt very confident.

It couldn't be easier.

……

The patient's condition and treatment method seemed to be clear, and Zhang Zifan also planned not to get involved in this matter.

Zhu Jiannan was going to Yangcheng with the car, and Zhang Zifan wanted to kill him, so naturally he had to wait another day.

As for the vehicles used to transport patients, the Second Hospital has its own ambulance, so Zhang Zifan would not take the initiative to contribute his own medical Hummer.

It's not that I'm reluctant, but it's unnecessary, and it adds more explanations.

However, when he was helping to carry the patient, Ma Fusheng's thick leg accidentally slipped off the stretcher.

On his ankle, a not-so-conspicuous red spot appeared in Zhang Zifan's eyes.

Zhang Zifan touched it with his hand, and found that the erythema was a rare induration.

And it looked like it was bitten by some large insect.

Is this a symptom of African sleep sickness?
Or just a simple unrelated disease?

Zhang Zifan frowned.

In fact, during the physical examination before, Zhang Zifan had a lot of doubts.

For example, the patient had unilateral non-pitting swelling of the eyelid, and obvious enlargement of the liver and spleen. When listening to heart sounds, Zhang Zifan also found that the patient had some arrhythmias and tachycardia.

These are not typical features of African sleep sickness.

However, these signs were inconspicuous compared to more definite ones like drowsiness, and did not attract the attention of everyone.

Later, the pathology department reported that Trypanosoma brucei was found in the patient's bone marrow, so Zhang Zifan didn't think too much about it.

But now seeing this strange erythema and induration and strange bite marks, Zhang Zifan couldn't help feeling puzzled.

Could Dr. Fauci be mistaken?

Although he is an international authority on infectious diseases, Zhang Zifan knows little about infectious diseases, but these doubts do exist.

【Ding!You have discovered the blind spot of complex diseases, if you can solve the mystery, you will receive huge rewards]

At this moment, the system prompt sound appeared in Zhang Zifan's ear.

The last time something like this happened was when Zhang Zifan checked a child with hand, foot and mouth disease who was misdiagnosed as oral ulcer and found something suspicious.

Sure enough, there was something wrong with the diagnosis this time!
Zhang Zifan narrowed his eyes.

Even without the so-called huge rewards, Zhang Zifan suggested to Zhu Jiannan out of curiosity that he wanted to follow by car.

"Okay, but you have to keep up. If you lose track, we won't be able to stop and wait for you!" Zhu Jiannan said quickly.

"Of course, with my junior sister here, I lose if I lose you!" Zhang Zifan nodded.

At this moment, Yang Tingting, who had been thinking about "who am I", "where am I", "what am I doing", "why does the brother understand everything", suddenly woke up.

(End of this chapter)