Traditional Chinese Medicine Xu Yang
Page 228
Director Ma said again: "After 5 days, I was transferred to Foyi Hospital. On the 28th, I went to the ICU, used a ventilator, and used the best imported antibiotics, but it didn't work. They really diagnosed I didn’t know, so I asked outside for help, and I went over to help.”
Xu Yang nodded. Director Ma is also an excellent respiratory disease expert.
Director Ma said again: "When I got there, I just read the medical records for an hour. Oh, it's two thick. But the strange thing is, generally speaking, pneumonia is very difficult to contagious."
"And the lung shadows of those two patients are very special. The lobes of both lungs are in the shape of large white clouds, and the lesions occupy most of the lungs. It doesn't look like bacterial pneumonia. It's a bit like the female patient we met before."
"Then I suggested that it could be considered a microbial infection other than bacteria, so I think it may be a rare viral respiratory infection in the family, because the medical staff were not infected."
"Then I suggest that on the basis of the ventilator, antiviral drugs, such as ribavirin, should be used for treatment, and the dosage of corticosteroids should be increased, and gamma globulin should be used to improve the patient's immunity."
"Let them take disinfection and isolation measures. It's not once or twice that I go out for consultation, but this case is indeed a bit weird. Director Xu, haven't you been telling your fortune recently? Do you want to do the math?"
Xu Yang ignored Director Ma's ridicule, and said: "This year's weather is abnormal, and people are prone to get sick, especially infectious diseases. I think you'd better report this case to the Department of Health and the CDC. Report to the center, be prepared.”
Director Ma pondered for a moment: "It makes sense."
After finishing speaking, he stood up and was about to go out. He didn't forget to ask again: "I really don't want to eat, so we can discuss it!"
Xu Yangli ignored him and continued to read the information.
Director Ma couldn't make fun of it, so he had to leave by himself.
But this person is quite stubborn, so he will come to Xu Yang to check in every day, rain or shine.
Xu Yang wasn't interested in social interactions at first, but after knowing about this nonsense, he became even less interested.
On January 1, when Xu Yang went to the ward, he happened to meet Director Ma again.
Director Ma checks in Xu Yang's office every day, and now he is gone, so he said: "Xu Yang, I'm going to the health department for a meeting in the afternoon, and I have received an order to wait for a business trip. I will treat you to a meal at noon, just treat it as a gift." I did it."
Xu Yang rolled his eyes, this guy can say this kind of nonsense, he said angrily: "It's really promising, you invite me to dinner, and I will practice it for you."
"Hey." Director Ma smiled and didn't care, and said, "It's fine if you can eat it."
"Next time." Xu Yang said casually, and let himself go.
Director Ma still didn't forget to say: "Remember, don't forget."
Xu Yang ignored him.
……
In the afternoon, Director Ma went to the hall by car.
When he arrived in the hall, Director Ma realized that there were many experts who had been called to the meeting, and he knew quite a few, most of them were respiratory disease experts and infectious disease experts.
Director Ma asked other people, and some people didn't know why, and some people were wondering if it was because of the recent rumors that there was a contagious disease.
Meeting.
The leader spoke on stage. After a very brief opening speech, he said: "Yesterday, our hall received a fax from Heyuan Hospital, saying that in December, two patients with severe lung infection in their hospital had been sent to Guangzhou for treatment."
"However, during this process, the medical staff who were in close contact with the two patients all developed the same symptoms as the patients, and people in the hospital were therefore panicked."
"Especially in Heyuan, there are constant rumors, and there is some panic. So we urgently invited experts to go on a business trip to Heyuan for consultation and investigation."
As soon as these words came out, the experts in the small conference room talked a lot.
Director Ma was also taken aback for a moment, and then quickly frowned.
The brief meeting in room 501 was soon over, and the experts from the hospital and the Center for Disease Control and Prevention boarded the car together and rushed to Heyuan.
When they arrived at the hospital, they found that all the medical staff in the local hospital had put on masks, hats, and gloves on their hands, but despite this, there was concern in everyone's eyes.
Director Ma and his team of experts came over, and they saw the whispers of medical staff everywhere.In the past, the hospital was very busy, and there were still many patients who came to see the doctor, but today, a huge hospital is so deserted.
This also made the experts who came feel a little heavy.
This time, it is clear that the disease is contagious, so everyone dare not be careless. They have put on isolation gowns, hats and multi-layer masks.
Director Ma has also been thinking about this strange illness.
Everyone entered the isolation ward, checked the conditions of the eight infected medical staff, and then came out for emergency consultation and discussion.
……
"Director Xu." Shen Yuyan hurried in and said, "Mr. Deng has come to the hospital, and I invite you to go to the meeting together."
Xu Yang immediately stood up and asked, "Old Mr. Deng Tietao?"
Shen Yuyan nodded: "Yes."
"Okay, let's go right away." Xu Yang didn't dare to delay, and immediately stood up and walked to the meeting room.
After entering the meeting room, I realized that many people came, all of whom were Chinese medicine practitioners.
Seeing Xu Yang coming, they also greeted Xu Yang, and Xu Yang nodded and smiled at them.Xu Yang found his own position, the first one at the bottom, the one closest to Mr. Deng.
Shen Yuyan found a stool and sat behind Xu Yang. She had no place, so she could only sit in the open space behind. Then she took out her pen and notebook and prepared to record.
After Xu Yang sat down, he turned his head and glanced at these people in the conference room.A lot of people really came this time, besides the middle-level leaders, many small Chinese doctors also came, and they all sat in the back.
Xu Yang couldn't help frowning slightly.
Soon, the door opened, and Mr. Deng with snow-white hair stepped in, and everyone stood up to greet him.
"Sit down, sit down, you're welcome." Elder Deng smiled warmly.
Xu Yang looked at a young man following Mr. Deng, showing doubts. He didn't know this person.
Others were also looking at the young man.
The young man shyly showed a friendly smile.
Xu Yang and Shen Yuyan were also looking at him.
"Are you all here?" Elder Deng sat down and looked at the crowd with a smile. Seeing that everyone was looking behind him, he subconsciously looked back and saw this young man.
"Oh, I forgot to introduce you, this is one of my grandsons, called Sun Ziyi, who came to study with me this time."
Sun Ziyi immediately bowed slightly to everyone.
Everyone understood.
"Sun Ziyi?" Xu Yang frowned and touched the name.
Shen Yuyan rubbed his forehead, and muttered a little thoughtlessly: "Why did he become someone's grandson again?"
Chapter 384 Dialectical Research
Heyuan Hospital.
Several experts were discussing intensely in the conference room, and medical staff passed by the door of the conference room from time to time worriedly.
It's fine if it's a normal process, but there are quite a few guys here, how many times has passed by in such a short time, and the expressions of these people are also extremely worried.Not only are there rumors outside, but they are also worried in the hospital.
In this world, the most feared thing is the unknown.
In the meeting room, several experts preliminarily felt that it was likely to be a viral infection, and the route of transmission was likely to be transmitted to other people through the air, droplets, etc. through the respiratory tract, and suggested testing for this.
However, for the etiology of the disease, several experts have not been able to reach a completely consistent conclusion.
The sky was slowly getting dark, and it was already the off-duty time of the hospital.The hospital, which was already deserted, became even more deserted now, and the medical staff hurried off work wearing masks and hats.
The hospital, which was supposed to be busy, was surprisingly quiet at dusk.
Only the discussion in the conference room remained intense.
Director Ma pinched his brows, a group of experts were still arguing fiercely, Director Ma quickly pressed his hand: "Okay, okay, don't argue about the pathogens we haven't found, let me first summarize what we have obtained so far Is the information good?"
Everyone nodded.
Those who were the most noisy also hurriedly took a sip of water tactically.
Director Ma looked at the information he had simply recorded in front of him, and said, "From the perspective of disease summary, cases 1 to 4 of this group of patients are included in the criteria."
"That is, fever, respiratory symptoms, lung X-ray shadows, symptoms of low or low white blood cells. First of all, what we can confirm now, first, this must be a type of pneumonia."
"And it was an acute respiratory infection caused by a microorganism. At the same time, according to the results of sputum culture done by Heyuan Hospital, no bacteria such as Streptococcus pneumoniae were found, so this is not a typical manifestation of pneumonia."
"And we can't determine what the pathogen is at the moment, so based on the current evidence, I suggest to report to the superior with the conclusion of 'pneumonia caused by atypical pathogens'."
As soon as these words came out, everyone choked.
An expert from the Centers for Disease Control and Prevention was the first to say: "If you say this conclusion, it means you didn't say it."
Director Ma asked back: "Can you find the pathogen? Can you determine what caused it? If you can find it, I have nothing to say."
CDC experts choked again.
The infection expert is on the side of Director Ma: "I agree with Dr. Ma's point of view, we should first report the conclusion of atypical pneumonia to the higher authorities, draw attention to it, urgently formulate various regulations to prevent infection, and then slowly investigate and find the pathogen .Otherwise, if you drag it like this, the more you drag it, the more troublesome it will be."
"I agree."
"I agree."
The CDC experts also nodded.
This meeting ended today's meeting with such an unclear preliminary conclusion.
After returning, everyone studied all night again, almost without sleep.
……
over there at the hospital.
Mr. Deng sat at the top and said gently: "Everyone, take it easy. This time, there is nothing particularly important. I just want to discuss the epidemic with you. It is an academic discussion, and it does not focus on any real cases."
All the Chinese medicine practitioners in the conference room looked at each other with strange expressions, why did they suddenly talk about this?
Everyone had some guesses in their hearts. The information was not clear these days, but as people in the medical system, they also vaguely heard some rumors.
The director of the rheumatology department of traditional Chinese medicine said: "Mr. Deng, you said that it is being passed on recently?"
Mr. Deng waved his hand: "Hey, as for those rumors, we still have to maintain a rational attitude and listen to the analysis, judgment and instructions of the above. This time, we are just an academic discussion, adding that there will be an epidemic this year or in the spring of the next year." , how do we analyze it?"
As soon as these words came out, everyone immediately fell into thinking.
The conference room fell into silence for a while.
Elder Deng looked at the crowd and asked, "Why, haven't you considered this issue?"
No one answered.
Elder Deng's complexion was slightly gloomy, and his brows were furrowed. He had already heard the rumors.Although it is not known whether the rumors are true or not, it is always necessary to make a guess about the situation this year.
Although Mr. Deng still had a warm smile on his face, his expression was slightly off.
At this time, Xu Yang took a look at the people in the venue, and said: "Old Deng, let me make a fool of myself and analyze a few words."
Elder Deng looked at Xu Yang in surprise, then nodded: "Okay, then you can talk to Dr. Xu first."
Xu Yang also nodded, and then said: "In "Su Wen Six Yuan Zheng Ji Da Lun", it was said that 'the era of the end of the ugly...the qi of the second...the disease is very febrile, and the distance is as salty as it is.'"
"The period of the end of the ugly refers to the year of the ugly and the end of the Ganzhi calendar. The Lunar New Year will be celebrated in a few days. Next year will be 2003, which is the year of the end of the year and belongs to the period of the end of the ugly."
"The second qi refers to spring, including the four solar terms of the vernal equinox, Qingming, Guyu, and Lixia among the 24 solar terms we are talking about, which is what we call the period between mid-March and mid-May."
"In terms of age, at this point in time, it will be easier for the epidemic and spread of infectious diseases. If there is an infectious disease, this period of time may be very intense."
Elder Deng looked at Xu Yang in surprise.
The others also looked at Director Xu Yang.
These things can't be said by opening one's mouth. They must be prepared in advance. It is obvious that Xu Yang has done corresponding research in advance.
The grandson Yi who was sitting behind Mr. Deng on the small bench looked at Xu Yang with bright eyes.
The director of the Department of Pediatrics of Traditional Chinese Medicine said: "But if we want to discuss the unknown infectious disease that has been rumored recently, it has already appeared now. Some of the current cases, including those who were infected, were all cases in December."
"Of course, I know very little now. I don't know if such a case had occurred earlier in November. I am also waiting for the conclusion from the higher authorities."
"But for now, corresponding cases have already appeared in November and December, but we simply summarize it as spring temperature, which is inappropriate."
"The previous season belonged to the end of autumn and the beginning of winter, and this year there is an obvious heat wave, and the syndrome of humidity is obvious, so I personally think that it is more appropriate to classify the current one as Fushu."
Others also nodded.
Xu Yang also nodded slightly. In fact, what the director said was not unreasonable, it was also based on consideration.
Mr. Deng also showed a smile, for discussion, just talk more, not afraid of many opinions, but afraid of lack of ideas, he said: "Does anyone have any ideas?"
Chapter 385 I go first
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