Micro-check

Zhou Xun walked to the preparation room at the end of the corridor before calling Teacher Peng, because it was noon at this time, and Teacher Peng had just finished eating at home, so she probably had some preparations in mind, so when Zhou Xun told her the result, she didn't Not as excited as before, but Zhou Xun could hear the heaviness in her voice.

"You mean to do another sputum test?"

Zhou Xun said: "Yes. It's not just a sputum test, it's better to check the chest X-ray. The PPD should have the results tomorrow. You bring Fei Fei and Aunt Gu over tomorrow. I will ask a friend to make an outpatient checklist. You don’t need to go to the doctor, you can go directly to take a chest X-ray, and the sputum sample can be collected directly in my laboratory. It would be better if there is nocturnal sputum. If you have time, you can come to me in the afternoon to get some Go back with a sputum cup and let Fei Fei and Aunt Gu, if you and your spouse can cough up sputum, it’s better to collect it. It’s even better. You can do a sputum smear and do another GeneXpert test tomorrow. Tomorrow If it is still positive, I will introduce you to a clinician. I am not very clear about the clinical treatment plan, and it will depend on the judgment of the clinician."

Teacher Peng asked painfully: "Is it possible that the test is wrong, or it may be negative, right? Since Sister Gu also coughs, it is not positive. Fei Fei has not been to the countryside to meet anyone, so how could she be infected?" .”

Zhou Xun has never known how to comfort others, especially when it comes to illness. Even when Zhou Ning is sad, he will only hug him and coax him. He can't use this trick for other people, right? .

After a moment of silence, he said: "It may be that the test was wrong. GeneXpert's sensitivity is very high, and a slight contamination may cause a wrong judgment. Therefore, if the first test is positive, do a second test. It is very necessary. However, Mr. Gu, Fei Fei’s sputum sample was actually not good. Although there was thick sputum, there was also a lot of saliva. In this case, a strong positive was still detected, and it was still resistant to rifampin , the possibility of a false positive is very low. Therefore, you should be mentally prepared. When you contact Feifei, you can ask Feifei to wear a medical mask. Don’t use N95 all the time. N95 masks are too poor in air permeability and have been worn for a long time It creates hypoxia, which is not good for the respiratory system or the brain."

After all, Ms. Peng herself is a student of testing, but the tutor she followed was in hepatitis. In addition, she had to take care of her family when she was in school, so the time she spent on studies was limited, so she didn't study as extensively as Zhou Xun.But of course she still has the basic qualities. She took a deep breath and said to Zhou Xun, "Okay. I will spare time in the afternoon to get the sputum cup, and I will trouble you again tomorrow. I also checked the tuberculosis on the Internet. Is this disease treated for free?"

Zhou Xun thought for a while and replied: "Because I am in the laboratory, I only know a little about the policy of free tuberculosis treatment. In this regard, the disease control and outpatient reimbursement are mainly in charge, but I can help you with it." The situation. But as far as I know, it seems that general tuberculosis treatment can be free now, and domestic drugs must be used. Drug-resistant tuberculosis can only be reimbursed partly, and only domestic drugs can be used. I think Fei Fei At a young age, he is so thin and in poor health, and the side effects of using domestic drugs are a bit severe, so I suggest using non-free imported drugs. But these will depend on the judgment of the clinician and your decision."

Teacher Peng said very politely: "Thank you, Xiao Zhou."

Zhou Xun said: "Mr. Peng, you're welcome. I didn't do much to help, and it's such a result. I feel uncomfortable. However, if Fei Fei is diagnosed tomorrow, his information will be available at the outpatient clinic." It will be entered into the system, and now there is a special tuberculosis reporting system, which is networked nationwide. Afterwards, the hospital will treat him, and the disease control will be responsible for tracking him until he is cured. And it is judged that he is now strongly positive... he How long have you had the cough?"

"He has been in poor health. He often catches colds and coughs. The previous cough was not necessarily due to tuberculosis..." Teacher Peng replied immediately, and Zhou Xun interrupted her, "Has it been a long time? He is like this, If he is diagnosed, he may have to suspend school for at least one semester, and he may have infected his classmates at school before, or he was also infected by his classmates. Those who have been in contact with him must be checked to see if they are infected..."

Before Zhou Xun finished speaking, Teacher Peng said excitedly, "Didn't you say that you only need to suspend school for two months? Why is it going to be a semester?"

Zhou Xun was startled by her sudden loud voice, and he quickly comforted her: "It's because he has rifampicin resistance now, and the treatment of drug-resistant tuberculosis is more difficult to treat than ordinary sensitive strains. Of course, these are not I have the final say, and what the clinical diagnosis doctor will say when the time comes. Feifei is very young and tired every day, so he is in poor health and has poor resistance, which is why he is easily infected with Mycobacterium tuberculosis You don’t need to control him so tightly because he is about to get sick, let him have a good rest, go out to bask in the sun, go for a walk, and recuperate, which is also very good.”

Teacher Peng said with complete disapproval and almost heartbroken: "Xiao Zhou, you don't know how we feel as parents because you don't have children yet. He is now in the second year of junior high school. If he doesn't study hard, he will go home to recuperate for a semester." , After playing for a semester, my heart will be loose, and I will not study hard in the future. If the children today relax their discipline a little, their academic performance will not keep up, and they will lose now. What should we do in the future?"

Zhou Xun didn't want to argue with her, he just said: "If drug-resistant tuberculosis is diagnosed, he will have to suspend school. Generally, the treatment period for tuberculosis is about six to eight months, but for drug-resistant tuberculosis, it basically takes two years. Time, he has to take a break from school for the first six months, and he has to come for a sputum test every month."

Teacher Peng felt very painful when he said these words coldly, "Why did he contract tuberculosis, and our family didn't take him to the countryside, so why did he get infected. And the infection is drug-resistant."

Zhou Xun felt that her understanding of the disease was wrong, "Ms. Peng, in the past, the living conditions in the countryside were poor, people had poor food and poor immunity, so they were prone to tuberculosis infection, and after they got tuberculosis, they had no money for treatment. So we can only wait to die. At that time, it was called tuberculosis and tuberculosis. Tuberculosis was basically a disease of the poor, but this is no longer the case. Although most people who suffer from tuberculosis are still relatively poor people, but now in cities, diabetes People, HIV-infected people, the elderly and infirm, and even children with weakened immune systems are all susceptible to tuberculosis infection, and soon become active tuberculosis after infection. Therefore, you say that you have not taken Feifei to the countryside, which is not true Said he was not close to the source of infection."

Teacher Peng really didn't want to hear what Zhou Xun said to her. Although he knew that Zhou Xun had good intentions, the more she listened, the more chilled she became.Because of Fei Fei's matter, she was very upset and couldn't listen to people's reasoning calmly, so she said: "Xiao Zhou, I will go to your office to find you in the afternoon. I have to do something now, so I will hang up first."

After hanging up the phone, Zhou Xun himself was a little dazed. In fact, Mr. Peng was not the first person to ask him about tuberculosis. The incidence of tuberculosis is very high now, and with the increase of people with diabetes and HIV infection, the spread of tuberculosis has been slow. Before it was under control, the colleague of his junior sister's parents had tuberculosis, and the other party had not gone home to recuperate and was at work. She was worried that her parents would be infected, so she brought her to ask him to help with the examination.

In fact, due to the improvement of living standards and people's health, the human immune system will fight against Mycobacterium tuberculosis. In addition, taking other antibiotics usually has an inhibitory effect on Mycobacterium tuberculosis, or taking other medicines to suppress cough symptoms. Many people who have tuberculosis do not have too many cough symptoms, or even if they cough, there is no sputum at all. Because there is no sputum, or the sputum test is negative, these people are basically not contagious.This was the case with the colleagues of the younger sister's parents at that time. After her parents came for a checkup, there was no problem, so they went back to work with peace of mind.

In addition to these relatives and friends who came to consult, the hospital also receives patients with severe tuberculosis every month. Most of these people were not rescued because of their serious conditions.And Zhou Xun's department also gave him some understanding of these situations.

Of course, as a doctor, it is impossible for him to take these things lightly when they involve the human body and life, but as his job, he faces these things every day, so how can he not take them lightly? In this way, he can only do his best to do the most correct thing.

In the final analysis, doctors are human beings, not gods, and they can only save those who can be saved.If the doctor is really a god, then the mortals in this world are just like dogs in his eyes.Human life and the pathogenic bacteria in his body, no one is better than the other, and the human body is just a culture medium for those pathogenic bacteria.

However, no matter how you think about these problems, you can't make Zhou Xun feel more relaxed. After all, he is a mortal among mortals, and he can neither save the people from physical pain, nor make his spirit transcend human beings. Afflicted with the misery of sickness and death.

He sat in the preparation room for a while, until Zhou Ning called him, and he was in a better mood. Zhou Ning said, "Zhou Xun, I'm going to the city in the afternoon, why don't we stay in the city at night?" How about dinner?"

Zhou Xun's heart softened into a ball of cotton, which made him feel that his body was also softened. He leaned on the chair and said with a smile: "Okay, what do you want to eat? I know a family of grilled fish is very good. ,do you want to eat?"

Zhou Ning said, "Okay. Where will I wait for you then?"

Zhou Xun said: "You go to the store and wait for me. There are many germs in our hospital, so you don't want to come here."

Zhou Ning smiled and said, "Then send me the address. I'll be there around six o'clock. Come over after you get off work."

"Okay." With a smile on his face, Zhou Xun lazily closed his eyes and said, "I love you, Ningning."

Zhou Ning's chest felt hot from his soft, slightly magnetic voice, and said, "Me too, then I'll hang up, bye."

Zhou Xun hung up the phone, and when he opened his eyes, he saw the door of the preparation room opened. Sister Liu was standing at the door, looking at him gossipingly, and said, "Ah, Zhou Bo, are you getting married? Who Ah, who is Ningning?"

Zhou Xun was dumbfounded, blushing all over his face, ignored her, and ran away quickly.

Fortunately, Sister Liu didn't continue to tease him. She took the reagents in the preparation room and went to the laboratory.