Together
Chapter 10
The teacher in the duty room usually didn't have much to do, but at this time, such an urgent matter suddenly came, and he was immediately taken aback.
He quickly went to turn on the broadcasting equipment of the whole building, and said loudly to the equipment: "Please pay attention to the teachers and students, urgent notice, urgent notice, there is H...H..." He clicked, and continued: "HIV-positive patients In the building, this person is aggressive, everyone sees this person, pay attention to avoid, pay attention to avoid!"
As soon as he finished speaking, he saw a tall, thin man wearing a peaked cap rushing out of the stairwell and rushing towards the glass door. At this time, two female students opened the door to come in, talking and laughing.
When the teacher on duty saw this situation, his heart skipped a beat, and he rushed out of the duty room quickly.
The two female students just glanced at the man who ran out quickly beside them for no reason, and didn't pay much attention to each other at all.
And that man had already ran away in a panic, and when the teacher on duty ran out of the gate, he was completely out of sight.
The two girls looked at the teacher on duty suspiciously, and asked, "What's the matter?"
The teacher on duty said nervously: "Just now the tuberculosis laboratory on the fourth floor said that HIV patients came out."
The two girls were startled, but said again: "Teacher, are you referring to that person just now? You can't discriminate against him like this."
The teacher on duty was suspicious and poked his head to look inside and outside, not sure if that person was the one mentioned by the fourth floor, and said: "The fourth floor said that person was aggressive."
"Huh?" The two girls had goosebumps.
The teacher on duty said: "Oh, hurry up and hide! You are not afraid of death, are you?"
Because of the notice from the duty room, the whole building was in a state of panic in an instant. Some people closed the door, and some people ran out to check the situation.
The teacher on duty went to call the fourth floor, but the phone rang for a long time, and no one answered the phone on the fourth floor. The teacher on duty became even more nervous, and immediately called the colleague who went to the bathroom to be on duty, and he was going to the fourth floor to check the situation.
Fourth floor, tuberculosis research room, conference room.
Although Qin Su had calmed down, Gao Minfeng, whose chest was still heaving, roared, "Do you know how dangerous it was just now?"
Gao Minfeng pursed his lips tightly, and it took him a long time to hold back a word: "I'm sorry!"
Qin Su calmed herself down and said to all the other lab students: "You avoid the blood spot on the ground, it's the blood of an HIV-positive patient. Go back first, don't stay here!"
Some of the other students left quickly, some didn't, "Mr. Qin, do you need help?"
Qin Su said: "No, our laboratory will come by itself. If you want to help, you can go to the first floor and ask the teacher on duty to describe the patient's appearance and see if the patient has left. It is very likely that there is still blood on the way he walks." Come on, help us take a look, and deal with it right away!"
Those students are all busy.
Gao Minfeng said: "Teacher Qin, call the police, call the police quickly!"
Qin Su said, "Don't call the police!"
Gao Minfeng didn't understand: "Why? That patient is clearly endangering the society seriously!"
Qin Sudao: "The police caught him, but there is no evidence. Besides, the police are not willing to contact HIV-positive patients."
Gao Minfeng was not convinced: "Then forget it?"
Qin Su frowned and said, "If this matter is reported to the police, other matters will be very troublesome."
"but……"
"Don't worry, go and deal with the pollution in the meeting room. Besides, this patient is still a tuberculosis patient. Although he didn't cough, he may be contagious. All rooms should be opened and ventilated."
And Gao Minfeng was obviously very disappointed with his mentor's compromise, and rushed back to the conference room angrily.
The students on the next floor met the teacher on duty, and some students said: "Teacher, Teacher Qin on the fourth floor asked us to ask, has the patient left?"
The teacher on duty asked: "A man wearing a hat has left."
The student described the general appearance of the aggressive patient just now, and the teacher on duty said: "I saw him run out just after I finished the notice."
The students said: "That's good. Now the whole building is in panic. You can go and send another notice saying that the patient has left, so that everyone need not be afraid, but don't go to the stairwell near the elevator for the time being, patient. Some drops of blood were left in the stairwell."
The teacher on duty hurriedly sent a notice, "Teachers and students, please note that the HIV-positive patient just now has left the building, but he left blood on the stairwell next to the elevator. Go in the stairwell, when you can go, you will be notified later."
Everyone in the building breathed a sigh of relief, and some people came to the fourth floor to inquire about the situation.
The fourth floor also heard the notice, and Gao Minfeng felt even more uncomfortable, thinking, "Okay, people have already run away, everyone is at ease. Anyway, as long as there is no accident, everything will be fine. It doesn't matter whether he wants to Go out and hurt someone."
Qin Su also hurried back to the conference room, and Zeng Yuan said nervously: "Mr. Qin, the blood left by the patient on the ground just stained you and Xiaorui. I asked Xiaorui to change clothes in the laboratory bathroom to see The situation is gone, are you alright?"
The situation was so chaotic just now that Qin Su didn't turn his mind to this matter. When Zeng Yuan said it, his scalp went numb, and he hurriedly said to Zeng Yuan: "Go and see Xiaorui, you don't want the blood in the room." deal with."
Then he told Gao Minfeng: "Xiao Gao, hurry up and call Mr. Jiang about this, and then contact..." He turned his eyes and fixed on the document posted on the wall on one side of the conference room—Professional HIV post-exposure treatment Method.
At the end of the solution, the members of the expert group were posted, and there was only one member of the expert group that he was most familiar with, and when his laboratory was doing the TB/HIV dual-sense project, he also asked the other party to do safety training, and those members stayed. Contact details are above.
Qin Su pointed to the document and said, "Contact Teacher Zhou Xun above, tell us about our situation here, and ask him to bring someone to deal with it professionally. You can't deal with these bloodstains by yourself. What if there is accidental contact? ?”
Gao Minfeng knew that this was not the time to vent his anger, and he had returned to calmness and softness, so he hurried to make a call, and asked Xiao Xiao to help stop everyone from approaching the door of this room and the blood-stained corridor.
There was a draft in the conference room, and Qin Su was the only one left in it. Human voices came from other laboratories and corridors not far away, but suddenly those voices seemed to be very far away from him.
He didn't wear gloves before, and when he hugged Baile, his palm touched Baile's blood, but since there was no wound on his palm, this shouldn't be a big problem.
But because the office area is equipped with central air-conditioning, the temperature is very high, so he only wore a shirt, because it was a gray-black shirt, and the shirt was stained with the patient's blood. His students didn't see it for a while. He was in a hurry and didn't realize it at all, but after Zeng Yuan's reminder, he was already aware of the problem.
When Bai Baile fell to the ground, his elbow was injured, possibly broken, and it was very painful at this time.
Qin Su looked at the blood in her palm, took a cotton swab and wiped the blood away, threw the cotton swab into the sharps box, and then took a cotton swab and dipped it in iodophor to wipe it. He dared to take off the shirt with his hands. He was wearing a white vest. There was no blood stain on the white vest, but the skin on the right elbow was indeed broken, and the skin was severely broken. Blood oozed out and polluted the outer layer. shirt.But at this time, there was no bleeding from the broken skin.
Therefore, before the blood stain on the elbow of the shirt has been tested, it is completely unknown whether it is his own blood stain or the patient's blood stain.
The shirt is made of simple cotton, which is very absorbent and, of course, blood seeps through easily.
If the elbow of the shirt is stained with the blood of the patient, and the skin on the elbow is broken again, the patient's CD4 cells are so few, and the viral load is so high...the probability of being infected is very high.
Qin Su felt cold all over, and he didn't know whether it was caused by the draft from the wide open window, or because of fear.
This kind of dazed daze only lasted for two seconds, how could he let himself be dazed at this time.He wrapped his shirt in a biosafety trash bag and carefully tweezed all the cotton balls the patient had used into a sharps container filled with disinfectant.
After all, everyone knows about biological security protection. Except for Qin Su and Miao Xiaorui's fall and rubbing away the blood on the ground, there are very few trampled ones.
But the area that was wiped away was really quite large, Qin Su took a deep breath, knowing that he might not take any chances.
Gao Minfeng called Director Jiang. It was Saturday, and there was no director Jiang's schedule. She was resting at home. After receiving the call and hearing Gao Minfeng say what happened, she was shocked: "Xiao Qin, what is this?" Too confused, how can I let the patient go to the research room."
Gao Minfeng thought that there was no better way at that time. There was no one in the outpatient blood draw department on Saturday night, and they would never accept such an order from the laboratory.Therefore, in fact, there is no choice but to let patients go to the teaching and research section.But Gao Minfeng didn't argue.
Director Jiang scolded, but Qin Su was hers after all, so she still protected her and said, "I'll be there right away. Since the duty room is talking about it through the loudspeaker in the whole building, it must be impossible to hide this matter." Yes, it’s better to go through the formal procedure.”
It was only at this time that Gao Minfeng realized one thing. If such a thing happened, their laboratory might be notified and criticized, and it would be used as a negative teaching material for the entire hospital and medical school to teach everyone not to be stupid.
Gao Minfeng felt very uncomfortable, and said, "Mr. Jiang, will Mr. Qin be punished?"
Director Jiang said: "What are you talking about. But it's useless to talk about it now. I'll go and have a look. It's good that people are fine. Your teacher is already a researcher, and the punishment of restricting him from further promotion is useless to him, so you Put your heart in your belly."
While suffering, Gao Minfeng hated the patient even more. After hanging up with Director Jiang, he called Zhou Xun who was stored in his mobile phone.
Zhou Xun quickly picked it up.
Gao Minfeng knew Zhou Xun, but Zhou Xun didn't know him, so facing this strange number, Zhou Xun asked suspiciously, "Who are you looking for?"
Gao Minfeng said: "Teacher Zhou, I am a student of Teacher Qin Su in the Tuberculosis Research Office. My name is Gao Minfeng."
"Oh, hello. What's the matter?"
Gao Minfeng couldn't help crying, "Mr. Zhou, it's like this. Our laboratory received an HIV-positive patient. He left a lot of blood on our side just now. Teacher Qin asked me to contact you." , can you send someone to deal with our problems?"
In 2013, the "Classification and Catalog of Occupational Diseases" newly issued by the National Health and Family Planning Commission and other four departments included AIDS as an occupational infectious disease.AIDS was included as an occupational disease because after many tragedies of occupational exposure to AIDS, it was included in the occupational disease through the efforts of the medical and health departments.
The original words were to include "AIDS (limited to medical and health personnel and the people's police)" into the category of "occupational infectious diseases".
Although it was included in 2013, it was really implemented in 2015.Because in 2015, the National Health and Family Planning Commission issued the "Regulations on the Procedures for Handling Occupational Exposure to HIV Infection".
This provision is enforceable.
Since AIDS is included as an occupational disease, there must be an official procedure for the identification process. Therefore, it must be identified as an occupational exposure to HIV infection and converted to HIV infection according to this procedure, so it can be regarded as an occupational disease.
The country has regulations for dealing with occupational exposure to HIV, and if you unfortunately become positive later and are recognized as an occupational disease, you will be compensated accordingly.
When it comes to these compensation issues, it is natural to have a professional handling and investigation agency.
Zhou Xun is one of the experts handling this work.
Zhou Xun rushed over at the first time, and also called other staff members in the group to follow the procedure.
Although it is Saturday, it is meaningless to Zhou Xun as a rest day on Saturday. He is still working in the laboratory.
Zhou Xun's laboratory is in the building next door to the tuberculosis laboratory, so he arrived in a few minutes.
When he was in the lobby on the first floor, he saw many students surrounding the duty room, and everyone was discussing the tuberculosis laboratory.
Not long after, all kinds of rumors have been flying in the sky.
"It was an HIV-positive patient who broke into the laboratory building, and happened to crash into the tuberculosis research room to commit an attack. Oh my god, it was terrifying. I heard that their conference room was full of blood." An exaggerated voice said so.
Then there was a calm voice: "As soon as I heard this description, it was full of loopholes. Since it happened to crash into the tuberculosis research laboratory, it was accidental. Since it was accidental, how can we be sure that the person is an HIV-positive patient; secondly, a normal person The total amount of blood in an adult is equivalent to 7-8% of body weight. A 120-jin person only has more than 4 liters of blood. Acute blood loss of 30% would be life-threatening. That person obviously did not lose 30% of blood, otherwise he would definitely run away. No, so his blood loss will be less than 1L, and it is still very difficult to make such a large conference room full of blood with less than 1L of blood."
The people around were stunned for a moment, and echoed: "That's right!"
Another person said: "I heard that the patient was enrolled in a project of the tuberculosis room. The patient wanted 2000 yuan. The tuberculosis room refused, so a fight broke out, and the patient's blood was spilled everywhere."
"2000 yuan!" Surrounded people exclaimed: "Is this a money grab? Why would you want two thousand yuan? It's too much."
Someone else said, "No, no. I heard that the patient was addicted to drugs, mentally disturbed, and deliberately spilled blood to threaten people, so there was blood everywhere."
It seemed that it was getting closer and closer to the truth. People around said: "If we want to contact patients in the future, how can we be sure that the patients are mentally normal? I don't want to meet such people."
"There are so many medical injuries now, how can you be sure that you don't encounter mental disorders? How can you be sure?"
……
Zhou Xun glanced at the group of students, and the elevator he was waiting for just arrived, so he quickly got on the elevator to go to the tuberculosis room on the fourth floor.After thinking about the conversations of these medical students, thinking about the copywriting and art in Zhou Ning's studio, and listening to their way of speaking, I can feel that this group of people is boring, and I firmly don't want to fall in love with them.Zhou Ning didn't mind her own boredom and chose herself. She really saved the galaxy in her previous life.
When Zhou Xun arrived at the tuberculosis room on the fourth floor, the tuberculosis room was once again in a state of chaos.
Gao Minfeng returned to the conference room after making the phone call, and saw Qin Su wearing no shirt in the cold wind, only a vest, and the injury on his elbow was obvious at a glance.
Qin Su quickly tidied away the blood-tainted things in the conference room that people could accidentally come into contact with, put on disposable latex gloves, covered the blood-stained shoes with shoe covers, and prepared to go to the laboratory to wash his hands He used the trough to wash the wound, and he deliberately raised his arm to prevent his elbow from touching other places and polluting other places, so Gao Minfeng saw the wound on his arm at a glance.
Gao Minfeng felt his head go numb, and his whole body became excited: "Mr. Qin, why are you injured?"
Qin Su didn't answer this question, but frowned and stopped him from entering the conference room, saying, "Don't enter the conference room now, wait for the person who handles HIV exposure to deal with the follow-up. Check to see if there is any patient's blood on your body, and go change your clothes quickly and shoes!"
Gao Minfeng shouted excitedly: "I asked you why you were injured!"
Qin Su was taken aback by him: "Don't be so excited! I'm fine, I just fell to the ground when I fell!"
Gao Minfeng had no choice but to constantly adjust his breathing and control his emotions, "I'm not excited. Are you really okay?"
Qin Su said: "You should first check to see if you have been contaminated by the patient's blood."
Gao Minfeng said: "I'm fine. He didn't touch me at all just now."
Qin Su went to the laboratory to wash the wound: "What did Teacher Jiang say?"
Gao Minfeng quickly followed him: "She said she would come right away."
Qin Su: "OK. Where's Zhou Xun?"
"He'll be there soon." Gao Minfeng: "Mr. Qin, I'm going to call the police. The police should arrest that Bai!"
Qin Su stopped and looked back at him: "Don't make up your mind like this, wait for Teacher Jiang to come and see what she says."
Gao Minfeng: "Why did you wait for Teacher Jiang to come?"
Qin Su glanced at him, entered the laboratory, took off her gloves and threw them into the trash can of infectious waste, and washed her hands and wounds: "What do you think? She is the main person in charge. If this incident If you go to the police, it may be reported in the newspapers, and the first person to be punished must be Mr. Jiang. Therefore, Mr. Jiang has the final say on how to decide."
Gao Minfeng was excited again, "So that Bai continued to harm people like this?! What did we do wrong, why did we have to be punished later!! Or just because we were going to be punished, we had to face that Compromise with the surname Bai."
The cold water washed over the wound, Qin Su felt cold to the bone, but this kind of coldness did not make him feel uncomfortable seeing Gao Minfeng's disappointed eyes, he frowned and said: "Just calm down for a while. No, you are too young, I can't talk to you. You are not right to think that we are teachers, but I am your teacher now, so you should listen to me first."
Gao Minfeng held his breath, tears welled up in his eyes again, he wiped his eyes, turned and left.
Qin Su washed his hands and wounds, and when he left the laboratory, Zeng Yuan and Miao Xiaorui came out, Qin Su immediately asked, "Are you okay?"
Miao Xiaorui immediately said: "Mr. Qin, I'm fine. I just wore a white coat and long gloves and a mask. My skin wasn't stained with blood. I changed my clothes and shoes just now. It's stained." Everything with blood was thrown into the trash can containing HIV pollutants, clothes and shoes were thrown together, and I was really fine."
Qin Su went to see Zeng Yuan, and Zeng Yuan always felt that Teacher Qin's eyes were much fiercer than usual, so she quickly replied: "I'm fine. We all took precautions, and we snatched the needle from the patient's hand immediately. Nothing."
Qin Su breathed a sigh of relief. If something happened to the students, let alone the school's punishment, how to explain to these children's parents, how to explain to these children, I am afraid that they will not dare to take students with them in the future.
Although Qin Su is not a serious person, she is very conservative when getting along with students.
In order to ensure the balance of men and women in the laboratory, he recruits students every year. One man and one woman are recruited for master's degree, and men and women are recruited for doctor's degree every year.Since there are so many girls in the laboratory, he must always pay attention to his clothes and actions. Therefore, even if he does not wear short-sleeved and slightly shorter pants on hot days, he always wears long-sleeved and long pants. People who don't know how to wear slippers to the lab are wearing only a vest at this time.
Looking at Qin Su's face, the students knew that their teacher was very pale, but Qin Su's exposed arms and other places were even whiter than his face, so white that it reflected in the LED light.With such white skin, the injury on the elbow is particularly conspicuous.
Miao Xiaorui exclaimed as soon as she saw it: "Mr. Qin, what happened to your arm? Why did it hurt! You didn't take protection like us just now, are you okay!"
Qin Su didn't answer for a while, Gao Minfeng, who heard what Miao Xiaorui said, hurried back to Qin Su, met Qin Su's calm and sad eyes, he felt that Qin Su was lying to him just now, he said: "Qin Su Teacher, is your wound contaminated by his blood?"
Qin Su said, "No."
Gao Minfeng said: "This is a very serious matter. You are our teacher, shouldn't you face up to this matter at this time?"
Qin Su had no choice but to say: "Now, I'm not sure, I need to wait for the expert team to come."
Gao Minfeng felt extremely uncomfortable, he knew, in fact, something must have happened, but Qin Su didn't say anything.
He yelled: "That man, why is he! I'm going to kill him..."
Everyone else was frightened by Gao Minfeng's sudden words. Seeing that Gao Minfeng was about to run away, Qin Su hurried to pull him, but thinking that his hands and arms might have been polluted before, he had no choice but to call Miao. Xiaorui and the others: "Quickly hold Gao Minfeng back!"
Zhou Xun arrived at this time. Seeing the appearance of this group of people, his heart immediately turned cold. Knowing that the situation might be very bad, he went over and said, "I am Zhou Xun who is responsible for on-site handling after the exposure! Calm down first!"
Gao Minfeng was so excited that it was difficult to stop his emotions for a while, so the students in the next-door lab ran to get sedatives. After taking the sedatives, Gao Minfeng got better and looked at Qin Su very ashamedly.
Qin Su was exhausted, Zhou Xun asked, "What's the matter?"
Miao Xiaorui gave a general account of Gao Minfeng's affairs, and Zhou Xun looked at Gao Minfeng in surprise when he heard it: "Gao Bo, I didn't expect you to have such a strong personality?"
Gao Minfeng was even more ashamed, and said in a low voice, "I don't."
Qin Su asked Zhou Xun for help: "Say a few words about him for me, these students are getting more difficult to manage every year." Then he gave Gao Minfeng a look, "Do you think I'm spoiling you all the time? My thoughts are more important than my words."
Miao Xiaorui and the others wailed in their hearts, Teacher Qin, don't make such a fuss.
Zhou Xun responded to Qin Su and said, "Gao Bo, don't you think your behavior is particularly stupid?"
Gao Minfeng pursed his lips and lowered his head without answering.
Zhou Xun: "If you don't touch him, he won't live for long. Even if he is alive, it will be painful. If you do it, even if you really beat him to death, it will help him a lot and let him die sooner." Liberation. And you, you can live for a long time, because this kind of person is sentenced to death, is it worthwhile?"
Qin Su: "..." I was startled by Zhou Xun, how could this person be a teacher and say such things to students.
He was about to tell Zhou Xun to stop talking, when Zhou Xun said again: "How are you? You still feel that you sacrificed your life for justice and deserved your death, don't you? But have you ever thought about your parents and your teacher?" .”
Gao Minfeng said in a low voice: "My parents have passed away."
Everyone froze for a moment. Among these people, only Qin Su knew that this student had no father or mother and followed his grandparents.
Zhou Xun sighed: "Since your parents are gone, you have to take care of yourself, otherwise, if something happens to you, what should you do? I think you are not married and have children. If you die, your parents' genes will be broken."
Qin Su: "..."
Gao Minfeng actually accepted it, and agreed with a "yes", "Thank you, Teacher Zhou."
Zhou Xun sighed: "No thanks. Gao Bo, you have to put your own safety first. Don't let your teacher worry about you."
"Yeah." Gao Minfeng replied, and said in embarrassment: "Mr. Zhou, don't call me Gao Bo, I haven't graduated yet with a Ph.D."
Zhou Xun patted him on the shoulder and said, "It's okay, I just want you to remember to take good care of yourself and strive to graduate on time. This is what you deserve."
Gao Minfeng was even more embarrassed: "After graduating, it's just a few more years of study, it's nothing."
Zhou Xun: "If you troubled that patient just now, then you may not be able to go to school anymore. This opportunity to go to school should also be cherished."
Gao Minfeng: "..."
Qin Su thinks that Zhou Xun is really not good at being a persuasive teacher. I wonder if those students of Zhou Xun will have a rebellious mentality every time they are educated by him, or his education method is better, and I should also Learn from him?Today's children are more and more thoughtful, and it seems that it is becoming more and more difficult to understand them.And it is impossible for him to take so much time to understand the thoughts of each student.
Zhou Xun brought a full set of disposal kits, armed himself, and disinfected Qin Su's arm with 75% alcohol, then bandaged it, and began to treat Qin Su's conference room.
Qin Su went to get the clothes, and took off the possibly contaminated pants and blood-stained shoes in the laboratory, and went to put on the shoe covers, mask and gloves.Then I went to talk to Zhou Xun about the contamination of the patient's blood by his hands and the injury to his arm.
Zhou Xun selected representative points of blood in the conference room, took samples and numbered them, all of which were used for identification, to find out who the blood belonged to, whether it was HIV-positive blood, and if so, HIV would have to be done again Gene sequencing and analysis, and preservation of documents, as evidence, traceability of molecular biology, in their laboratory, they will also do HIV culture, preservation of strains.
If anyone in the tuberculosis laboratory has problems due to occupational exposure and is judged to be an occupational disease, the HIV strain of the occupationally exposed person must be related to this strain. If the virus does not mutate, the gene should be the same.
The entire identification work must be rigorous and rigorous in evidence.
Zhou Xun listened to him while working, and he was quite calm after listening. He didn't have any special emotions or expressions. If he was an ordinary person, he might find Zhou Xun unkind and unbearable.
However, Qin Su recognized his professional level, so he felt more at ease.
He didn't want his incident to affect the reputation of the laboratory.
Zhou Xun said: "Mr. Qin, since you think there is only a small possibility that your elbow wound has come into contact with the patient's blood, but as long as there is a slight possibility, it must be treated as exposure. Where is your previous coat?"
Qin Su had already changed into a shirt at this time, and pointed to the biosafety garbage bag on the corner of the table, "It's in the bag."
Zhou Xun thought for a while, and said: "Now the laboratory department must do urgent samples from the emergency department. I can't do your sample right away. I will ask a student to take your clothes and check your clothes for you immediately. We are now using a new enzyme to give you a fluorescent PCR result in about an hour. In this way, if the cloth on your wound does not contain HIV, you can rest assured. However, this cannot give you a report. However, this report It's not very important now, there is so much blood in your room, it can be identified."
Qin Su agreed.
Zhou Xun reported a student's phone number and asked Qin Su to call the number.
He raised his hand holding the tweezers, the mask covered his face, only his eyes were exposed, Qin Su made a call, he quickly approached Qin Su's hand, said a few words to the other side, and asked his student to bring something Come over and load the samples back.
After hanging up the phone, Zhou Xun went to work again, and comforted Qin Su while he was busy: "Mr. Qin, don't worry. Wait for the teacher in the treatment group to take a look and give you an evaluation. I suggest that you can overcome obstacles first." Cutting off the medicine, after all, it is recommended to take the blocking medicine two hours before occupational exposure. Taking the blocking medicine may have some side effects, but this also depends on the individual's physique. Some people take the blocking medicine and have no reaction at all, but instead You are more alive and kicking than usual. Maybe you have this kind of constitution. After all, your hands have been in contact with the blood of a patient. Although you said that your palms do not have any wounds, it is more reassuring to take medicine. This is not infected. Infection is bad. I heard you describe the patient's disease process, and his virus should be quite powerful, so you can't pay too much attention, right? "
Zhou Xun's voice was slow and methodical. Qin Su said, "Okay. I understand. I'm going to ask my students again, do they need to take blocking medicine?"
Zhou Xun: "I asked just now. They all took protective measures at the time, and the skin didn't come into contact with the patient's blood. You shouldn't need to eat it."
Qin Su relaxed a little, and said, "That's good. If something happens to the student, I really can't explain it."
Zhou Xun: "Or wait for the teacher from the treatment group to come and evaluate your students, and take medicine if needed. These are all free in the hospital."
Qin Su thought that money was not the problem, although the problem was caused by money today.
Before the treatment group and other experts in the group arrived, Director Jiang came first.
At this time, Zhou Xun had almost finished handling the scene, and his students had already taken Qin Su's clothes for sampling, and took many photos of the scene as evidence later.
Director Jiang had already heard more about the situation on the way here. As soon as she arrived, she winked at Qin Su and went to say hello to Zhou Xun.
She was quite familiar with Zhou Xun, so she asked him for inside information in a low voice, and said, "Has the matter in the laboratory made a big fuss this time?"
As soon as she arrived, she heard the whole building discussing this matter. She was sure that the chief director of the Experimental Medicine Center would know about it soon, but it was better not to make a fuss with the leaders at the hospital and school levels.
After all, this matter involves the laboratory on the hospital side and the students, and procedures must be followed on both sides.If you follow the procedure, you will follow the procedure. The leaders are busy, and it is impossible to care about everything. When the time comes, if you don't pay much attention to it, this matter will not be mentioned more.Things are over.
Zhou Xun said: "Mr. Jiang, don't worry. The handling of HIV occupational exposure has been completely programmed. After all, there are many cases in the hospital every year, and we also do occupational exposure in the public security system. There are so many cases. , the leader will definitely not pay more attention to your case here."
When Director Jiang heard this, he knew what was going on, that is, there should be no further trouble, and if it continued, it would definitely be bad.
Zhou Xun said again: "However, you can't get a positive result. If you are exposed and turn positive, the leaders will definitely care about it. Before you, the hospital only had one exposure and turned positive. In the end, the whole hospital stepped up training, and the subsequent case turned positive. Not really because of professional exposure."
Director Jiang knew about this case, and there was no one who didn't know about it back then.
It happened on the surgical operating table. The hands were contaminated by the patient’s HIV positive blood, and after the exposure was done, he became positive three months later. Everyone lamented for him. All the surgeons were very nervous and worried that they would be the next case. .But later investigations showed that the HIV virus of this person was not the same as that of the patient on the operating table at that time, and he later admitted that it was because of sexual transmission.Later, he refused treatment and passed away half a year later.
The dead are the most important, so it is naturally difficult for everyone to mention this matter.
Director Jiang sighed, human life is impermanent.
Zhou Xun said: "The current blocking is very effective. Although it is not 100%, it is extremely effective for individuals."
Director Jiang said: "Since the blocking rate is so high, why is there no national publicity. The publicity in the United States is so good. And there is such a thing as pre-exposure prophylaxis."
After all, she does not work on HIV, so she still has a hesitant attitude. In addition, she is only a doctor and only thinks about problems from the patient's perspective. Therefore, she is extremely skeptical about this national policy, and feels that the leaders who formulate the policy have a problem with their brains. .
Zhou Xun: "Well, it's a matter of national policy." He sighed again: "The current high infection rate is not a problem of not promoting blocker drugs and PrEP (AIDS pre-exposure prophylaxis), but other problems are more serious. "
Director Jiang didn't know what he couldn't say clearly. Anyway, the country's policy problem is very big: "What other problems?"
Zhou Xun hesitated for a moment, and said: "A survey shows that the infection rate of the group that advertised blocking drugs and PrEP did not decrease, but may be higher."
Director Jiang was shocked: "Why?"
Zhou Xun said with a wry smile: "It's okay that we only do basic research. Those of them who do public health disease prevention and control may have much more experience than us. The situation in China is quite different from that in the United States. Now the spread of HIV in China, More than 97% of them are sexually transmitted. Most of the sexual behaviors are carried out in the state of .... Those people can't even wear condoms. The probability of actually doing PrEP is not very high. In addition, they have HIV and blocker drugs This backup option is even more messy. I was supposed to wear a condom, but I didn’t. Later, when I really took the blocking medicine, it was interrupted for various reasons, which made the infection rate even higher. Also, Mr. Jiang, You don’t know how bad some people’s sense of morality is. For a little sexual pleasure, they have all kinds of crazy ideas. Don’t count on them. And those who really need it will find the disease control and infectious diseases hospital for consultation, as long as Go for a consultation, and both sides will give guidance.”
Director Jiang: "..." A 50-year-old person really doesn't know this.
Zhou Xun also said: "In the previous investigation group, 20% of the people in the group who did high-risk behaviors for free and then stopped taking the medicine at will stopped taking the medicine at will, let alone those who were not in the monitoring group."
Director Jiang couldn't understand, "Why did you interrupt it. After all, it's about your own life."
Zhou Xun: "The first is because the side effects are too great, and I don't want to endure the pain of side effects. Second, I think this person's mind is full of water, he doesn't take this matter seriously, and feels that he has engaged in high-risk behaviors before, but what? Didn’t do it, isn’t it not infected? This time I won’t be infected. So I feel troublesome to take medicine, so I don’t take medicine.”
"Oh my god!" Director Jiang felt his eyes opened, "There really are such people."
Zhou Xun nodded, "There are also those who received our free medicine, sold it, and then went to get the medicine. Because the medicine is quite expensive, if you sell it, you can really sell it for some money." Zhou Xun didn't know that he should use it. What kind of expression is this kind of case.
Director Jiang: "..."
Zhou Xun: "There are also people who don't want others to see themselves taking medicine, so they just don't take medicine by chance."
Director Jiang: "..."
"These are free drugs in the research group, and the situation is much better. Blocking drugs are very expensive. People who have high-risk behaviors basically spend three to four thousand or more to take blocking drugs. The state does not reimburse them and provides them for free. , there are still some people who are unwilling to take the medicine because it is expensive. This is also a large proportion. Director Jiang, only you can't think of it, there are no people who have committed high-risk behaviors that can't do it." Zhou Xun hasn't finished speaking yet. Director Jiang couldn't take it anymore, and said, "Xiao Zhou, your work is still very challenging."
Zhou Xun said: "These are the work of colleagues, and our laboratory is fine."
After communicating with Zhou Xun, Director Jiang felt that nothing else was as important as human life, so he went to Qin Su and said, "Xiao Qin, this time, you should take blocking medicine, you must take it, and you should take a vacation when you should. The body is the most important thing. Don’t think about whether the laboratory will be criticized and punished. If there are other things, I, as your leader, will naturally find a way.”
Qin Su said: "Director Gu has always wanted to take the small department of tuberculosis testing back to the large laboratory department. This time I'm afraid he will use this as an excuse." Qin Su knew Director Jiang's knot, so he felt very sorry.
After all, Director Jiang is an old man. When Gao Minfeng called her, she knew that there might be no reason not to return to the laboratory this time.
This kind of thing happened entirely because of lax management. It is because there is no supervision from the big laboratory that the management is not strict!
Director Jiang: "It's okay. Anyway, I thought it would be better to go back together. This is also convenient for hospital management. You can't always add trouble to the leaders, can you?"
Qin Su felt a little uncomfortable and said, "I never thought that such a thing would happen."
After all, it has been eight or nine years, and nothing has happened before, so how could it be possible to expect such a thing to happen this time.
Director Jiang: "Hey, don't think too much about it.
He quickly went to turn on the broadcasting equipment of the whole building, and said loudly to the equipment: "Please pay attention to the teachers and students, urgent notice, urgent notice, there is H...H..." He clicked, and continued: "HIV-positive patients In the building, this person is aggressive, everyone sees this person, pay attention to avoid, pay attention to avoid!"
As soon as he finished speaking, he saw a tall, thin man wearing a peaked cap rushing out of the stairwell and rushing towards the glass door. At this time, two female students opened the door to come in, talking and laughing.
When the teacher on duty saw this situation, his heart skipped a beat, and he rushed out of the duty room quickly.
The two female students just glanced at the man who ran out quickly beside them for no reason, and didn't pay much attention to each other at all.
And that man had already ran away in a panic, and when the teacher on duty ran out of the gate, he was completely out of sight.
The two girls looked at the teacher on duty suspiciously, and asked, "What's the matter?"
The teacher on duty said nervously: "Just now the tuberculosis laboratory on the fourth floor said that HIV patients came out."
The two girls were startled, but said again: "Teacher, are you referring to that person just now? You can't discriminate against him like this."
The teacher on duty was suspicious and poked his head to look inside and outside, not sure if that person was the one mentioned by the fourth floor, and said: "The fourth floor said that person was aggressive."
"Huh?" The two girls had goosebumps.
The teacher on duty said: "Oh, hurry up and hide! You are not afraid of death, are you?"
Because of the notice from the duty room, the whole building was in a state of panic in an instant. Some people closed the door, and some people ran out to check the situation.
The teacher on duty went to call the fourth floor, but the phone rang for a long time, and no one answered the phone on the fourth floor. The teacher on duty became even more nervous, and immediately called the colleague who went to the bathroom to be on duty, and he was going to the fourth floor to check the situation.
Fourth floor, tuberculosis research room, conference room.
Although Qin Su had calmed down, Gao Minfeng, whose chest was still heaving, roared, "Do you know how dangerous it was just now?"
Gao Minfeng pursed his lips tightly, and it took him a long time to hold back a word: "I'm sorry!"
Qin Su calmed herself down and said to all the other lab students: "You avoid the blood spot on the ground, it's the blood of an HIV-positive patient. Go back first, don't stay here!"
Some of the other students left quickly, some didn't, "Mr. Qin, do you need help?"
Qin Su said: "No, our laboratory will come by itself. If you want to help, you can go to the first floor and ask the teacher on duty to describe the patient's appearance and see if the patient has left. It is very likely that there is still blood on the way he walks." Come on, help us take a look, and deal with it right away!"
Those students are all busy.
Gao Minfeng said: "Teacher Qin, call the police, call the police quickly!"
Qin Su said, "Don't call the police!"
Gao Minfeng didn't understand: "Why? That patient is clearly endangering the society seriously!"
Qin Sudao: "The police caught him, but there is no evidence. Besides, the police are not willing to contact HIV-positive patients."
Gao Minfeng was not convinced: "Then forget it?"
Qin Su frowned and said, "If this matter is reported to the police, other matters will be very troublesome."
"but……"
"Don't worry, go and deal with the pollution in the meeting room. Besides, this patient is still a tuberculosis patient. Although he didn't cough, he may be contagious. All rooms should be opened and ventilated."
And Gao Minfeng was obviously very disappointed with his mentor's compromise, and rushed back to the conference room angrily.
The students on the next floor met the teacher on duty, and some students said: "Teacher, Teacher Qin on the fourth floor asked us to ask, has the patient left?"
The teacher on duty asked: "A man wearing a hat has left."
The student described the general appearance of the aggressive patient just now, and the teacher on duty said: "I saw him run out just after I finished the notice."
The students said: "That's good. Now the whole building is in panic. You can go and send another notice saying that the patient has left, so that everyone need not be afraid, but don't go to the stairwell near the elevator for the time being, patient. Some drops of blood were left in the stairwell."
The teacher on duty hurriedly sent a notice, "Teachers and students, please note that the HIV-positive patient just now has left the building, but he left blood on the stairwell next to the elevator. Go in the stairwell, when you can go, you will be notified later."
Everyone in the building breathed a sigh of relief, and some people came to the fourth floor to inquire about the situation.
The fourth floor also heard the notice, and Gao Minfeng felt even more uncomfortable, thinking, "Okay, people have already run away, everyone is at ease. Anyway, as long as there is no accident, everything will be fine. It doesn't matter whether he wants to Go out and hurt someone."
Qin Su also hurried back to the conference room, and Zeng Yuan said nervously: "Mr. Qin, the blood left by the patient on the ground just stained you and Xiaorui. I asked Xiaorui to change clothes in the laboratory bathroom to see The situation is gone, are you alright?"
The situation was so chaotic just now that Qin Su didn't turn his mind to this matter. When Zeng Yuan said it, his scalp went numb, and he hurriedly said to Zeng Yuan: "Go and see Xiaorui, you don't want the blood in the room." deal with."
Then he told Gao Minfeng: "Xiao Gao, hurry up and call Mr. Jiang about this, and then contact..." He turned his eyes and fixed on the document posted on the wall on one side of the conference room—Professional HIV post-exposure treatment Method.
At the end of the solution, the members of the expert group were posted, and there was only one member of the expert group that he was most familiar with, and when his laboratory was doing the TB/HIV dual-sense project, he also asked the other party to do safety training, and those members stayed. Contact details are above.
Qin Su pointed to the document and said, "Contact Teacher Zhou Xun above, tell us about our situation here, and ask him to bring someone to deal with it professionally. You can't deal with these bloodstains by yourself. What if there is accidental contact? ?”
Gao Minfeng knew that this was not the time to vent his anger, and he had returned to calmness and softness, so he hurried to make a call, and asked Xiao Xiao to help stop everyone from approaching the door of this room and the blood-stained corridor.
There was a draft in the conference room, and Qin Su was the only one left in it. Human voices came from other laboratories and corridors not far away, but suddenly those voices seemed to be very far away from him.
He didn't wear gloves before, and when he hugged Baile, his palm touched Baile's blood, but since there was no wound on his palm, this shouldn't be a big problem.
But because the office area is equipped with central air-conditioning, the temperature is very high, so he only wore a shirt, because it was a gray-black shirt, and the shirt was stained with the patient's blood. His students didn't see it for a while. He was in a hurry and didn't realize it at all, but after Zeng Yuan's reminder, he was already aware of the problem.
When Bai Baile fell to the ground, his elbow was injured, possibly broken, and it was very painful at this time.
Qin Su looked at the blood in her palm, took a cotton swab and wiped the blood away, threw the cotton swab into the sharps box, and then took a cotton swab and dipped it in iodophor to wipe it. He dared to take off the shirt with his hands. He was wearing a white vest. There was no blood stain on the white vest, but the skin on the right elbow was indeed broken, and the skin was severely broken. Blood oozed out and polluted the outer layer. shirt.But at this time, there was no bleeding from the broken skin.
Therefore, before the blood stain on the elbow of the shirt has been tested, it is completely unknown whether it is his own blood stain or the patient's blood stain.
The shirt is made of simple cotton, which is very absorbent and, of course, blood seeps through easily.
If the elbow of the shirt is stained with the blood of the patient, and the skin on the elbow is broken again, the patient's CD4 cells are so few, and the viral load is so high...the probability of being infected is very high.
Qin Su felt cold all over, and he didn't know whether it was caused by the draft from the wide open window, or because of fear.
This kind of dazed daze only lasted for two seconds, how could he let himself be dazed at this time.He wrapped his shirt in a biosafety trash bag and carefully tweezed all the cotton balls the patient had used into a sharps container filled with disinfectant.
After all, everyone knows about biological security protection. Except for Qin Su and Miao Xiaorui's fall and rubbing away the blood on the ground, there are very few trampled ones.
But the area that was wiped away was really quite large, Qin Su took a deep breath, knowing that he might not take any chances.
Gao Minfeng called Director Jiang. It was Saturday, and there was no director Jiang's schedule. She was resting at home. After receiving the call and hearing Gao Minfeng say what happened, she was shocked: "Xiao Qin, what is this?" Too confused, how can I let the patient go to the research room."
Gao Minfeng thought that there was no better way at that time. There was no one in the outpatient blood draw department on Saturday night, and they would never accept such an order from the laboratory.Therefore, in fact, there is no choice but to let patients go to the teaching and research section.But Gao Minfeng didn't argue.
Director Jiang scolded, but Qin Su was hers after all, so she still protected her and said, "I'll be there right away. Since the duty room is talking about it through the loudspeaker in the whole building, it must be impossible to hide this matter." Yes, it’s better to go through the formal procedure.”
It was only at this time that Gao Minfeng realized one thing. If such a thing happened, their laboratory might be notified and criticized, and it would be used as a negative teaching material for the entire hospital and medical school to teach everyone not to be stupid.
Gao Minfeng felt very uncomfortable, and said, "Mr. Jiang, will Mr. Qin be punished?"
Director Jiang said: "What are you talking about. But it's useless to talk about it now. I'll go and have a look. It's good that people are fine. Your teacher is already a researcher, and the punishment of restricting him from further promotion is useless to him, so you Put your heart in your belly."
While suffering, Gao Minfeng hated the patient even more. After hanging up with Director Jiang, he called Zhou Xun who was stored in his mobile phone.
Zhou Xun quickly picked it up.
Gao Minfeng knew Zhou Xun, but Zhou Xun didn't know him, so facing this strange number, Zhou Xun asked suspiciously, "Who are you looking for?"
Gao Minfeng said: "Teacher Zhou, I am a student of Teacher Qin Su in the Tuberculosis Research Office. My name is Gao Minfeng."
"Oh, hello. What's the matter?"
Gao Minfeng couldn't help crying, "Mr. Zhou, it's like this. Our laboratory received an HIV-positive patient. He left a lot of blood on our side just now. Teacher Qin asked me to contact you." , can you send someone to deal with our problems?"
In 2013, the "Classification and Catalog of Occupational Diseases" newly issued by the National Health and Family Planning Commission and other four departments included AIDS as an occupational infectious disease.AIDS was included as an occupational disease because after many tragedies of occupational exposure to AIDS, it was included in the occupational disease through the efforts of the medical and health departments.
The original words were to include "AIDS (limited to medical and health personnel and the people's police)" into the category of "occupational infectious diseases".
Although it was included in 2013, it was really implemented in 2015.Because in 2015, the National Health and Family Planning Commission issued the "Regulations on the Procedures for Handling Occupational Exposure to HIV Infection".
This provision is enforceable.
Since AIDS is included as an occupational disease, there must be an official procedure for the identification process. Therefore, it must be identified as an occupational exposure to HIV infection and converted to HIV infection according to this procedure, so it can be regarded as an occupational disease.
The country has regulations for dealing with occupational exposure to HIV, and if you unfortunately become positive later and are recognized as an occupational disease, you will be compensated accordingly.
When it comes to these compensation issues, it is natural to have a professional handling and investigation agency.
Zhou Xun is one of the experts handling this work.
Zhou Xun rushed over at the first time, and also called other staff members in the group to follow the procedure.
Although it is Saturday, it is meaningless to Zhou Xun as a rest day on Saturday. He is still working in the laboratory.
Zhou Xun's laboratory is in the building next door to the tuberculosis laboratory, so he arrived in a few minutes.
When he was in the lobby on the first floor, he saw many students surrounding the duty room, and everyone was discussing the tuberculosis laboratory.
Not long after, all kinds of rumors have been flying in the sky.
"It was an HIV-positive patient who broke into the laboratory building, and happened to crash into the tuberculosis research room to commit an attack. Oh my god, it was terrifying. I heard that their conference room was full of blood." An exaggerated voice said so.
Then there was a calm voice: "As soon as I heard this description, it was full of loopholes. Since it happened to crash into the tuberculosis research laboratory, it was accidental. Since it was accidental, how can we be sure that the person is an HIV-positive patient; secondly, a normal person The total amount of blood in an adult is equivalent to 7-8% of body weight. A 120-jin person only has more than 4 liters of blood. Acute blood loss of 30% would be life-threatening. That person obviously did not lose 30% of blood, otherwise he would definitely run away. No, so his blood loss will be less than 1L, and it is still very difficult to make such a large conference room full of blood with less than 1L of blood."
The people around were stunned for a moment, and echoed: "That's right!"
Another person said: "I heard that the patient was enrolled in a project of the tuberculosis room. The patient wanted 2000 yuan. The tuberculosis room refused, so a fight broke out, and the patient's blood was spilled everywhere."
"2000 yuan!" Surrounded people exclaimed: "Is this a money grab? Why would you want two thousand yuan? It's too much."
Someone else said, "No, no. I heard that the patient was addicted to drugs, mentally disturbed, and deliberately spilled blood to threaten people, so there was blood everywhere."
It seemed that it was getting closer and closer to the truth. People around said: "If we want to contact patients in the future, how can we be sure that the patients are mentally normal? I don't want to meet such people."
"There are so many medical injuries now, how can you be sure that you don't encounter mental disorders? How can you be sure?"
……
Zhou Xun glanced at the group of students, and the elevator he was waiting for just arrived, so he quickly got on the elevator to go to the tuberculosis room on the fourth floor.After thinking about the conversations of these medical students, thinking about the copywriting and art in Zhou Ning's studio, and listening to their way of speaking, I can feel that this group of people is boring, and I firmly don't want to fall in love with them.Zhou Ning didn't mind her own boredom and chose herself. She really saved the galaxy in her previous life.
When Zhou Xun arrived at the tuberculosis room on the fourth floor, the tuberculosis room was once again in a state of chaos.
Gao Minfeng returned to the conference room after making the phone call, and saw Qin Su wearing no shirt in the cold wind, only a vest, and the injury on his elbow was obvious at a glance.
Qin Su quickly tidied away the blood-tainted things in the conference room that people could accidentally come into contact with, put on disposable latex gloves, covered the blood-stained shoes with shoe covers, and prepared to go to the laboratory to wash his hands He used the trough to wash the wound, and he deliberately raised his arm to prevent his elbow from touching other places and polluting other places, so Gao Minfeng saw the wound on his arm at a glance.
Gao Minfeng felt his head go numb, and his whole body became excited: "Mr. Qin, why are you injured?"
Qin Su didn't answer this question, but frowned and stopped him from entering the conference room, saying, "Don't enter the conference room now, wait for the person who handles HIV exposure to deal with the follow-up. Check to see if there is any patient's blood on your body, and go change your clothes quickly and shoes!"
Gao Minfeng shouted excitedly: "I asked you why you were injured!"
Qin Su was taken aback by him: "Don't be so excited! I'm fine, I just fell to the ground when I fell!"
Gao Minfeng had no choice but to constantly adjust his breathing and control his emotions, "I'm not excited. Are you really okay?"
Qin Su said: "You should first check to see if you have been contaminated by the patient's blood."
Gao Minfeng said: "I'm fine. He didn't touch me at all just now."
Qin Su went to the laboratory to wash the wound: "What did Teacher Jiang say?"
Gao Minfeng quickly followed him: "She said she would come right away."
Qin Su: "OK. Where's Zhou Xun?"
"He'll be there soon." Gao Minfeng: "Mr. Qin, I'm going to call the police. The police should arrest that Bai!"
Qin Su stopped and looked back at him: "Don't make up your mind like this, wait for Teacher Jiang to come and see what she says."
Gao Minfeng: "Why did you wait for Teacher Jiang to come?"
Qin Su glanced at him, entered the laboratory, took off her gloves and threw them into the trash can of infectious waste, and washed her hands and wounds: "What do you think? She is the main person in charge. If this incident If you go to the police, it may be reported in the newspapers, and the first person to be punished must be Mr. Jiang. Therefore, Mr. Jiang has the final say on how to decide."
Gao Minfeng was excited again, "So that Bai continued to harm people like this?! What did we do wrong, why did we have to be punished later!! Or just because we were going to be punished, we had to face that Compromise with the surname Bai."
The cold water washed over the wound, Qin Su felt cold to the bone, but this kind of coldness did not make him feel uncomfortable seeing Gao Minfeng's disappointed eyes, he frowned and said: "Just calm down for a while. No, you are too young, I can't talk to you. You are not right to think that we are teachers, but I am your teacher now, so you should listen to me first."
Gao Minfeng held his breath, tears welled up in his eyes again, he wiped his eyes, turned and left.
Qin Su washed his hands and wounds, and when he left the laboratory, Zeng Yuan and Miao Xiaorui came out, Qin Su immediately asked, "Are you okay?"
Miao Xiaorui immediately said: "Mr. Qin, I'm fine. I just wore a white coat and long gloves and a mask. My skin wasn't stained with blood. I changed my clothes and shoes just now. It's stained." Everything with blood was thrown into the trash can containing HIV pollutants, clothes and shoes were thrown together, and I was really fine."
Qin Su went to see Zeng Yuan, and Zeng Yuan always felt that Teacher Qin's eyes were much fiercer than usual, so she quickly replied: "I'm fine. We all took precautions, and we snatched the needle from the patient's hand immediately. Nothing."
Qin Su breathed a sigh of relief. If something happened to the students, let alone the school's punishment, how to explain to these children's parents, how to explain to these children, I am afraid that they will not dare to take students with them in the future.
Although Qin Su is not a serious person, she is very conservative when getting along with students.
In order to ensure the balance of men and women in the laboratory, he recruits students every year. One man and one woman are recruited for master's degree, and men and women are recruited for doctor's degree every year.Since there are so many girls in the laboratory, he must always pay attention to his clothes and actions. Therefore, even if he does not wear short-sleeved and slightly shorter pants on hot days, he always wears long-sleeved and long pants. People who don't know how to wear slippers to the lab are wearing only a vest at this time.
Looking at Qin Su's face, the students knew that their teacher was very pale, but Qin Su's exposed arms and other places were even whiter than his face, so white that it reflected in the LED light.With such white skin, the injury on the elbow is particularly conspicuous.
Miao Xiaorui exclaimed as soon as she saw it: "Mr. Qin, what happened to your arm? Why did it hurt! You didn't take protection like us just now, are you okay!"
Qin Su didn't answer for a while, Gao Minfeng, who heard what Miao Xiaorui said, hurried back to Qin Su, met Qin Su's calm and sad eyes, he felt that Qin Su was lying to him just now, he said: "Qin Su Teacher, is your wound contaminated by his blood?"
Qin Su said, "No."
Gao Minfeng said: "This is a very serious matter. You are our teacher, shouldn't you face up to this matter at this time?"
Qin Su had no choice but to say: "Now, I'm not sure, I need to wait for the expert team to come."
Gao Minfeng felt extremely uncomfortable, he knew, in fact, something must have happened, but Qin Su didn't say anything.
He yelled: "That man, why is he! I'm going to kill him..."
Everyone else was frightened by Gao Minfeng's sudden words. Seeing that Gao Minfeng was about to run away, Qin Su hurried to pull him, but thinking that his hands and arms might have been polluted before, he had no choice but to call Miao. Xiaorui and the others: "Quickly hold Gao Minfeng back!"
Zhou Xun arrived at this time. Seeing the appearance of this group of people, his heart immediately turned cold. Knowing that the situation might be very bad, he went over and said, "I am Zhou Xun who is responsible for on-site handling after the exposure! Calm down first!"
Gao Minfeng was so excited that it was difficult to stop his emotions for a while, so the students in the next-door lab ran to get sedatives. After taking the sedatives, Gao Minfeng got better and looked at Qin Su very ashamedly.
Qin Su was exhausted, Zhou Xun asked, "What's the matter?"
Miao Xiaorui gave a general account of Gao Minfeng's affairs, and Zhou Xun looked at Gao Minfeng in surprise when he heard it: "Gao Bo, I didn't expect you to have such a strong personality?"
Gao Minfeng was even more ashamed, and said in a low voice, "I don't."
Qin Su asked Zhou Xun for help: "Say a few words about him for me, these students are getting more difficult to manage every year." Then he gave Gao Minfeng a look, "Do you think I'm spoiling you all the time? My thoughts are more important than my words."
Miao Xiaorui and the others wailed in their hearts, Teacher Qin, don't make such a fuss.
Zhou Xun responded to Qin Su and said, "Gao Bo, don't you think your behavior is particularly stupid?"
Gao Minfeng pursed his lips and lowered his head without answering.
Zhou Xun: "If you don't touch him, he won't live for long. Even if he is alive, it will be painful. If you do it, even if you really beat him to death, it will help him a lot and let him die sooner." Liberation. And you, you can live for a long time, because this kind of person is sentenced to death, is it worthwhile?"
Qin Su: "..." I was startled by Zhou Xun, how could this person be a teacher and say such things to students.
He was about to tell Zhou Xun to stop talking, when Zhou Xun said again: "How are you? You still feel that you sacrificed your life for justice and deserved your death, don't you? But have you ever thought about your parents and your teacher?" .”
Gao Minfeng said in a low voice: "My parents have passed away."
Everyone froze for a moment. Among these people, only Qin Su knew that this student had no father or mother and followed his grandparents.
Zhou Xun sighed: "Since your parents are gone, you have to take care of yourself, otherwise, if something happens to you, what should you do? I think you are not married and have children. If you die, your parents' genes will be broken."
Qin Su: "..."
Gao Minfeng actually accepted it, and agreed with a "yes", "Thank you, Teacher Zhou."
Zhou Xun sighed: "No thanks. Gao Bo, you have to put your own safety first. Don't let your teacher worry about you."
"Yeah." Gao Minfeng replied, and said in embarrassment: "Mr. Zhou, don't call me Gao Bo, I haven't graduated yet with a Ph.D."
Zhou Xun patted him on the shoulder and said, "It's okay, I just want you to remember to take good care of yourself and strive to graduate on time. This is what you deserve."
Gao Minfeng was even more embarrassed: "After graduating, it's just a few more years of study, it's nothing."
Zhou Xun: "If you troubled that patient just now, then you may not be able to go to school anymore. This opportunity to go to school should also be cherished."
Gao Minfeng: "..."
Qin Su thinks that Zhou Xun is really not good at being a persuasive teacher. I wonder if those students of Zhou Xun will have a rebellious mentality every time they are educated by him, or his education method is better, and I should also Learn from him?Today's children are more and more thoughtful, and it seems that it is becoming more and more difficult to understand them.And it is impossible for him to take so much time to understand the thoughts of each student.
Zhou Xun brought a full set of disposal kits, armed himself, and disinfected Qin Su's arm with 75% alcohol, then bandaged it, and began to treat Qin Su's conference room.
Qin Su went to get the clothes, and took off the possibly contaminated pants and blood-stained shoes in the laboratory, and went to put on the shoe covers, mask and gloves.Then I went to talk to Zhou Xun about the contamination of the patient's blood by his hands and the injury to his arm.
Zhou Xun selected representative points of blood in the conference room, took samples and numbered them, all of which were used for identification, to find out who the blood belonged to, whether it was HIV-positive blood, and if so, HIV would have to be done again Gene sequencing and analysis, and preservation of documents, as evidence, traceability of molecular biology, in their laboratory, they will also do HIV culture, preservation of strains.
If anyone in the tuberculosis laboratory has problems due to occupational exposure and is judged to be an occupational disease, the HIV strain of the occupationally exposed person must be related to this strain. If the virus does not mutate, the gene should be the same.
The entire identification work must be rigorous and rigorous in evidence.
Zhou Xun listened to him while working, and he was quite calm after listening. He didn't have any special emotions or expressions. If he was an ordinary person, he might find Zhou Xun unkind and unbearable.
However, Qin Su recognized his professional level, so he felt more at ease.
He didn't want his incident to affect the reputation of the laboratory.
Zhou Xun said: "Mr. Qin, since you think there is only a small possibility that your elbow wound has come into contact with the patient's blood, but as long as there is a slight possibility, it must be treated as exposure. Where is your previous coat?"
Qin Su had already changed into a shirt at this time, and pointed to the biosafety garbage bag on the corner of the table, "It's in the bag."
Zhou Xun thought for a while, and said: "Now the laboratory department must do urgent samples from the emergency department. I can't do your sample right away. I will ask a student to take your clothes and check your clothes for you immediately. We are now using a new enzyme to give you a fluorescent PCR result in about an hour. In this way, if the cloth on your wound does not contain HIV, you can rest assured. However, this cannot give you a report. However, this report It's not very important now, there is so much blood in your room, it can be identified."
Qin Su agreed.
Zhou Xun reported a student's phone number and asked Qin Su to call the number.
He raised his hand holding the tweezers, the mask covered his face, only his eyes were exposed, Qin Su made a call, he quickly approached Qin Su's hand, said a few words to the other side, and asked his student to bring something Come over and load the samples back.
After hanging up the phone, Zhou Xun went to work again, and comforted Qin Su while he was busy: "Mr. Qin, don't worry. Wait for the teacher in the treatment group to take a look and give you an evaluation. I suggest that you can overcome obstacles first." Cutting off the medicine, after all, it is recommended to take the blocking medicine two hours before occupational exposure. Taking the blocking medicine may have some side effects, but this also depends on the individual's physique. Some people take the blocking medicine and have no reaction at all, but instead You are more alive and kicking than usual. Maybe you have this kind of constitution. After all, your hands have been in contact with the blood of a patient. Although you said that your palms do not have any wounds, it is more reassuring to take medicine. This is not infected. Infection is bad. I heard you describe the patient's disease process, and his virus should be quite powerful, so you can't pay too much attention, right? "
Zhou Xun's voice was slow and methodical. Qin Su said, "Okay. I understand. I'm going to ask my students again, do they need to take blocking medicine?"
Zhou Xun: "I asked just now. They all took protective measures at the time, and the skin didn't come into contact with the patient's blood. You shouldn't need to eat it."
Qin Su relaxed a little, and said, "That's good. If something happens to the student, I really can't explain it."
Zhou Xun: "Or wait for the teacher from the treatment group to come and evaluate your students, and take medicine if needed. These are all free in the hospital."
Qin Su thought that money was not the problem, although the problem was caused by money today.
Before the treatment group and other experts in the group arrived, Director Jiang came first.
At this time, Zhou Xun had almost finished handling the scene, and his students had already taken Qin Su's clothes for sampling, and took many photos of the scene as evidence later.
Director Jiang had already heard more about the situation on the way here. As soon as she arrived, she winked at Qin Su and went to say hello to Zhou Xun.
She was quite familiar with Zhou Xun, so she asked him for inside information in a low voice, and said, "Has the matter in the laboratory made a big fuss this time?"
As soon as she arrived, she heard the whole building discussing this matter. She was sure that the chief director of the Experimental Medicine Center would know about it soon, but it was better not to make a fuss with the leaders at the hospital and school levels.
After all, this matter involves the laboratory on the hospital side and the students, and procedures must be followed on both sides.If you follow the procedure, you will follow the procedure. The leaders are busy, and it is impossible to care about everything. When the time comes, if you don't pay much attention to it, this matter will not be mentioned more.Things are over.
Zhou Xun said: "Mr. Jiang, don't worry. The handling of HIV occupational exposure has been completely programmed. After all, there are many cases in the hospital every year, and we also do occupational exposure in the public security system. There are so many cases. , the leader will definitely not pay more attention to your case here."
When Director Jiang heard this, he knew what was going on, that is, there should be no further trouble, and if it continued, it would definitely be bad.
Zhou Xun said again: "However, you can't get a positive result. If you are exposed and turn positive, the leaders will definitely care about it. Before you, the hospital only had one exposure and turned positive. In the end, the whole hospital stepped up training, and the subsequent case turned positive. Not really because of professional exposure."
Director Jiang knew about this case, and there was no one who didn't know about it back then.
It happened on the surgical operating table. The hands were contaminated by the patient’s HIV positive blood, and after the exposure was done, he became positive three months later. Everyone lamented for him. All the surgeons were very nervous and worried that they would be the next case. .But later investigations showed that the HIV virus of this person was not the same as that of the patient on the operating table at that time, and he later admitted that it was because of sexual transmission.Later, he refused treatment and passed away half a year later.
The dead are the most important, so it is naturally difficult for everyone to mention this matter.
Director Jiang sighed, human life is impermanent.
Zhou Xun said: "The current blocking is very effective. Although it is not 100%, it is extremely effective for individuals."
Director Jiang said: "Since the blocking rate is so high, why is there no national publicity. The publicity in the United States is so good. And there is such a thing as pre-exposure prophylaxis."
After all, she does not work on HIV, so she still has a hesitant attitude. In addition, she is only a doctor and only thinks about problems from the patient's perspective. Therefore, she is extremely skeptical about this national policy, and feels that the leaders who formulate the policy have a problem with their brains. .
Zhou Xun: "Well, it's a matter of national policy." He sighed again: "The current high infection rate is not a problem of not promoting blocker drugs and PrEP (AIDS pre-exposure prophylaxis), but other problems are more serious. "
Director Jiang didn't know what he couldn't say clearly. Anyway, the country's policy problem is very big: "What other problems?"
Zhou Xun hesitated for a moment, and said: "A survey shows that the infection rate of the group that advertised blocking drugs and PrEP did not decrease, but may be higher."
Director Jiang was shocked: "Why?"
Zhou Xun said with a wry smile: "It's okay that we only do basic research. Those of them who do public health disease prevention and control may have much more experience than us. The situation in China is quite different from that in the United States. Now the spread of HIV in China, More than 97% of them are sexually transmitted. Most of the sexual behaviors are carried out in the state of .... Those people can't even wear condoms. The probability of actually doing PrEP is not very high. In addition, they have HIV and blocker drugs This backup option is even more messy. I was supposed to wear a condom, but I didn’t. Later, when I really took the blocking medicine, it was interrupted for various reasons, which made the infection rate even higher. Also, Mr. Jiang, You don’t know how bad some people’s sense of morality is. For a little sexual pleasure, they have all kinds of crazy ideas. Don’t count on them. And those who really need it will find the disease control and infectious diseases hospital for consultation, as long as Go for a consultation, and both sides will give guidance.”
Director Jiang: "..." A 50-year-old person really doesn't know this.
Zhou Xun also said: "In the previous investigation group, 20% of the people in the group who did high-risk behaviors for free and then stopped taking the medicine at will stopped taking the medicine at will, let alone those who were not in the monitoring group."
Director Jiang couldn't understand, "Why did you interrupt it. After all, it's about your own life."
Zhou Xun: "The first is because the side effects are too great, and I don't want to endure the pain of side effects. Second, I think this person's mind is full of water, he doesn't take this matter seriously, and feels that he has engaged in high-risk behaviors before, but what? Didn’t do it, isn’t it not infected? This time I won’t be infected. So I feel troublesome to take medicine, so I don’t take medicine.”
"Oh my god!" Director Jiang felt his eyes opened, "There really are such people."
Zhou Xun nodded, "There are also those who received our free medicine, sold it, and then went to get the medicine. Because the medicine is quite expensive, if you sell it, you can really sell it for some money." Zhou Xun didn't know that he should use it. What kind of expression is this kind of case.
Director Jiang: "..."
Zhou Xun: "There are also people who don't want others to see themselves taking medicine, so they just don't take medicine by chance."
Director Jiang: "..."
"These are free drugs in the research group, and the situation is much better. Blocking drugs are very expensive. People who have high-risk behaviors basically spend three to four thousand or more to take blocking drugs. The state does not reimburse them and provides them for free. , there are still some people who are unwilling to take the medicine because it is expensive. This is also a large proportion. Director Jiang, only you can't think of it, there are no people who have committed high-risk behaviors that can't do it." Zhou Xun hasn't finished speaking yet. Director Jiang couldn't take it anymore, and said, "Xiao Zhou, your work is still very challenging."
Zhou Xun said: "These are the work of colleagues, and our laboratory is fine."
After communicating with Zhou Xun, Director Jiang felt that nothing else was as important as human life, so he went to Qin Su and said, "Xiao Qin, this time, you should take blocking medicine, you must take it, and you should take a vacation when you should. The body is the most important thing. Don’t think about whether the laboratory will be criticized and punished. If there are other things, I, as your leader, will naturally find a way.”
Qin Su said: "Director Gu has always wanted to take the small department of tuberculosis testing back to the large laboratory department. This time I'm afraid he will use this as an excuse." Qin Su knew Director Jiang's knot, so he felt very sorry.
After all, Director Jiang is an old man. When Gao Minfeng called her, she knew that there might be no reason not to return to the laboratory this time.
This kind of thing happened entirely because of lax management. It is because there is no supervision from the big laboratory that the management is not strict!
Director Jiang: "It's okay. Anyway, I thought it would be better to go back together. This is also convenient for hospital management. You can't always add trouble to the leaders, can you?"
Qin Su felt a little uncomfortable and said, "I never thought that such a thing would happen."
After all, it has been eight or nine years, and nothing has happened before, so how could it be possible to expect such a thing to happen this time.
Director Jiang: "Hey, don't think too much about it.
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