Micro-check

The patient's sputum smear was positive, and Zhou Xun asked Mr. Song to take the remaining sputum samples for culture. In addition, P county was a demonstration site equipped with molecular testing equipment. Zhou Xun asked Mr. Song to help do this. Drug resistance screening.

"This is a re-treated patient, and it is likely that drug resistance has developed. Please help to check."

Since putting the diagnosis and treatment of tuberculosis in the hospital, Mr. Song has changed from focusing on tuberculosis to focusing on tuberculosis, AIDS and other microorganisms in disease control. In fact, the work is not easy, but he still complied. I gave Zhou Xun the result in the morning.

Because the molecular detection equipment for disease control can only identify whether it is tuberculosis and rifampicin resistance, Zhou Xun got the result the next day that it was indeed Mycobacterium tuberculosis and it was confirmed to be rifampicin resistance at the same time.

Zhou Xun sent the positive result of the sputum smear to the receiving doctor the afternoon before, and went to tell him the patient was rifampicin-resistant the next day.

The doctor, surnamed Deng, was transferred from the disease control department. He had a good personality and said: "The patient has been arranged to be hospitalized. He has not recovered after five or six years of treatment. The possibility of drug resistance is very high. We can only give him Second-line drugs, but our hospital has no way to treat drug-resistant tuberculosis, nor does it prepare second-line drugs, so we can only transfer them to other places for treatment.”

Zhou Xun sighed in his heart, the patient in this family dragged his condition to such an extent by himself, what can they do.

Since this was the case, Zhou Xun had nothing to say, and wanted to go back to the laboratory. When he turned around, he met the middle-aged woman and her son whom he met yesterday.

Her son looked at Zhou Xun timidly, as if he wanted to talk to him but dared not.

The woman also looked at Zhou Xun, and then said to the receiving doctor: "Doctor, does my family have to be transferred? How much will it cost? How can our family have so much money?"

Dr. Deng said: "His condition is serious, and there is really nothing we can do here. We are acting responsibly. We don't want to delay his condition. It is better to transfer him to a hospital that can treat him as soon as possible."

The woman cried, "Is there really no other way? Why don't you go home and see a doctor of traditional Chinese medicine? It's not as good as the disease control here."

Dr. Deng said: "Seeing Chinese medicine is also possible. Anyway, there is really no way to treat it here. I don't want to waste your time."

Dr. Deng's attitude is very kind, but he also expresses it very clearly. In short, there is no way to treat it here, and you can go for treatment wherever you want, and don't care about you at all.

Zhou Xun stood by the door and didn't leave for a while. The woman cried even harder. She must have understood the seriousness of the situation and cried, "Isn't taking Chinese medicine a cure? I need to transfer to another hospital, where will I go? How much will it cost? "

Dr. Deng also looked at her with pity, and said at this time: "He didn't receive standardized treatment before, but now his condition is very serious. The cavity in his lungs is already so large, and he has become resistant to drugs. This is very difficult to treat. I think we can only go to the hospital. C City has been treated, let me see where the tuberculosis designated hospital in C City is, you go there."

"How much will that cost?" The woman looked at him blankly.

Dr. Deng said, "I don't know about this."

The woman was even more bewildered, and so was her son, looking at his mother and Dr. Deng sadly, and then looked back at Zhou Xun.

Because of his eyes, Zhou Xun couldn't help it. After thinking about it, he called Ke Mei on the way back to the laboratory and asked her, "Do you have any help for drug-resistant tuberculosis patients from poor families?"

Ke Mei said: "Where do we have this kind of policy here? Our system is so poor that there is no money. Why do you ask this?"

Zhou Xun told her about the situation of the patient he met just now, and Ke Mei said after hearing this: "For poor drug-resistant patients, we ask local governments to increase the amount of reimbursement, but it is also determined by local governments according to their own conditions. , more can be reimbursed tens of thousands, and less is nothing. However, if her family’s situation is really bad, I will see where they refer them, and then I can only see if I can raise donations. Hey, speaking of donations, this year I have raised donations several times. Those of us working on tuberculosis have poor patients and poor staff. We are all so poor. Every time we raise donations within the system, we don’t get much money. Tens of thousands of dollars are not bad.”

Zhou Xun said: "Then I'll go and tell them about it, and when the time comes to collect donations, I'll donate some money to you."

Ke Mei laughed and said: "That's right, it's time to rob the rich and help the poor."

Zhou Xun went to Dr. Deng, and Dr. Deng asked the nurse to call the patient's family. Zhou Xun told her that the disease control could raise donations for her family. The other party was naturally very grateful, and Dr. Deng helped her. I contacted the designated hospital in City C and asked them to refer him the next day.

In the evening of the same day, Zhou Xun received another call from Ke Mei. Ke Mei said, "There is good news. I will tell the leader about the patient on your side. Subsidies for tuberculosis, some money, because the number of places is very small, a few impoverished counties have been designated, and he will designate one for you at that time, and he will greet the disease control there and give it to this patient. But you don’t want to go to this matter yet Tell the patient that if there is any problem in the middle of the day, then some of them will not be human. I am fine, I am a bachelor, and I am not afraid of anything, except that I am afraid of causing trouble to the leader.”

Zhou Xun was very grateful for the good news.

Ke Mei said: "Thank you for what I'm doing. These are also our work. If we want to completely control tuberculosis, we don't know when it will end. Maybe we can only wait for an effective vaccine to be available, but this year several None of the vaccines have passed clinical trials, and I really don’t know how long it will take. I really don’t want to face the matter of those patients. I feel that human beings are too small and always powerless. This is also the reason why they didn’t apply for clinical trials back then.” Having said that, She changed her heavy tone and became lively, "Hey, I said you, brother Xun, you haven't been working for long, and you have a lot of miscellaneous things. When will you come back?"

Zhou Xun said, "I'll be back in a while."

Ke Mei said: "Come back soon, I'm too embarrassed to go to your house for dinner without you here, I haven't eaten Zhou Ning's barbecue for a long time, I was drooling in my dreams last night."

Zhou Xun: "..."

The patient was referred to C City Hospital the next day. Before they left, Zhou Xun gave the woman 1000 yuan. Yes, I asked for Zhou Xun's phone number again, wrote it down on a piece of paper, and asked her son to take it.

After a while, Zhou Xun happened to be on vacation, so he went back to City C for vacation and went back to school to go through some formalities.After Zhou Ning's company expanded, it got on the right track, and it wasn't as busy as before, so he asked Zhou Xun to invite friends to his house to play.

Zhou Xun invited Xiao Yuan, Ke Mei and the others. Although Zhou Xun generally has many friends, but these are the only ones who can be invited to meet Zhou Ning at home.

Because he was going back to school to work, Zhou Xun had gotten very close to Zhong Li recently, but he didn't intend to invite Zhong Li either.

Because Ke Mei wanted to eat barbecue, Zhou Ning made a special barbecue. The beef was yellow beef that Zhou Xun bought from the mountain, and the pork was Tibetan pig that Zhou Xun bought from a relationship when he was in the hospital. The ingredients are excellent and go well with Zhou Ning Cooking skills, Ke Mei didn't want to talk to Zhou Xun, so she just surrounded the barbecue grill, eating her mouth full of oil.

Zhou Xun thought to himself that Ke Mei was so gluttonous, it would be no wonder she could lose weight.

He deliberately said to Ke Mei: "How much weight do you have now? Don't you post weight loss in Moments every day? I didn't see you lose weight!"

Ke Mei glared at Zhou Xun, "It's winter, and there's smog, so I can't run. How can I reduce it? Let's talk about it next spring."

Zhou Xun said: "To lose weight, you should not only exercise but also pay attention to diet. I think you should calculate your daily calorie needs according to your height and control your diet within a reasonable range. You see that you have eaten at least Two catties of meat."

Ke Mei chased Zhou Xun and called: "Brother Xun, do you blame me for eating too much? Ningning didn't mention me, but you did."

Zhou Xun had no choice but to hide quickly, "You eat too much, and Zhou Ning has to cut the meat again. It's too much trouble, why don't you eat less."

"When you asked me to do business, you didn't think I ate too much, but now you start to hate me."

Everyone saw that the two were chasing back and forth, but no one cared, so Zhou Xun had no choice but to ask for forgiveness: "Don't chase me, I'll go and cut the meat, you can eat as much as you want."

After eating barbecue, Zhou Ning went to take a shower to get rid of the smoke on her body, and Zhou Xun moved the table to let Ke Mei set up a mahjong table.

Seeing that Zhou Ning did not go downstairs for a while, Zhou Xun went upstairs to check on the situation. Zhou Ning had finished dressing and was packing the bedding to wash.

He got up early in the morning and was busy entertaining guests, so he didn't have time to make the bed.

Zhou Xun hurried forward, "I'll clean it up."

Zhou Ning looked at him and smiled, "Why are you here, didn't you play cards?"

Zhou Xun stepped forward to remove the quilt cover, and leaned up to Zhou Ning to kiss him, "I don't like playing cards, so go ahead and play. You must be tired just now, and you can sleep if you don't play cards. They already have enough card players anyway. "

Besides Xiao Yuan and Ke Mei and his wife, there was also a friend of Zhou Ning who happened to have all the cards ready.

Zhou Ning changed the bed sheet and quilt cover together with him, and said, "It's not good if you don't entertain guests."

Zhou Xun pressed him on the bed, "It's okay, I'll just entertain them, and sleep for a while when you're tired."

Zhou Ning wrapped his arms around his neck and kissed him twice, and said, "Then I'll sleep for a while, you take these down and wash them. I'm afraid they won't be clean, so you have to wash them in two tubs."

Zhou Xun nodded in response: "I know."

Seeing that Zhou Ning had fallen asleep again, he made the quilt for him, and then carried the bed sheet and quilt that he had changed before and went downstairs.