Together

four hours ago.

Night, eight o'clock.

Tuberculosis Research Unit.

Eight or nine years ago, when Qin Sugang joined the hospital, the hospital did not pay much attention to the diagnosis, treatment and research of tuberculosis. There are many reasons for this, mainly because of the nature of tuberculosis, because it is a bacterial infection caused by Mycobacterium tuberculosis. serious infectious disease.

Mycobacterium tuberculosis is mainly transmitted through the respiratory tract, and then infects the lungs, forming the most well-known tuberculosis, or tuberculosis.In the past, pulmonary tuberculosis only refers to the disease formed after the lung tissue is infected with Mycobacterium tuberculosis. Now, in addition to pulmonary tuberculosis, pulmonary tuberculosis also includes tracheobronchial tuberculosis and tuberculous pleurisy, because studies have shown that the latter two tuberculosis rarely exist alone , usually accompanied by tuberculosis infection of the lung tissue, or later developed into the lung tissue, in order to facilitate the treatment and management of these patients, the latter two types of tuberculosis are also included in pulmonary tuberculosis.

The country has a special law on the prevention and control of infectious diseases, and legislation to control these infectious diseases.Among these infectious diseases, you may be very familiar with them such as leprosy, hepatitis B, polio, bird flu, SARS, AIDS, tuberculosis and so on.Up to now, the only serious infectious diseases that have been dealt with by separate working departments are tuberculosis and AIDS.

After many years of work by the infectious disease prevention and control department, the incidence of tuberculosis has been reduced a lot, but it is still a serious infectious disease, let alone many years ago, when China was a big tuberculosis country, the infection was very high. There are a lot of patients, so the country has set up a special tuberculosis prevention and control department to allocate special funds to uniformly treat and manage these patients free of charge. Only when tuberculosis patients in the society are managed and treated well, and they are diagnosed and not spread everywhere, can tuberculosis be spread. There are fewer and fewer patients.

Infectious disease is not a disease that a person goes to the hospital for treatment when he is sick, and the hospital is responsible for curing the patient. Instead, it has to do a lot of other work.

Of course, for the patient, the patient only needs to go to a place where the disease can be treated, and everything will be fine when he is cured, and there is no need to think about anything else.

But for the country's medical and health departments, there are many other tasks to be done besides treating patients.

Take tuberculosis, for example.

Tuberculosis is caused by Mycobacterium tuberculosis infection. Mycobacterium tuberculosis can infect anywhere in the human body except hair and nails. Wherever it grows, it forms a lesion. Therefore, besides pulmonary tuberculosis, there is also bone tuberculosis. Pelvic tuberculosis, genital tuberculosis, tuberculous meningitis, etc., only people can't think of, without it, it doesn't grow there.

Among all these tuberculosis diseases, pulmonary tuberculosis accounts for more than 90% of all tuberculosis diseases.

Tuberculosis is another infectious disease transmitted through the air.This is why you most often see tuberculosis outbreaks in schools.

Students attend class in a closed classroom. If one person has tuberculosis and then coughs or sneezes continuously, Mycobacterium tuberculosis will spread in the air of the classroom or dormitory. If the air in the classroom and dormitory is not circulated, other students will naturally Infected.Therefore, after someone is infected with tuberculosis, as soon as he goes to see a doctor and is diagnosed with tuberculosis, he must immediately report his information in addition to treating the person, and then special staff will locate his address and where he is. The school, the class he is in, and then check the whole class, the whole dormitory, and the family of the student for tuberculosis, so as to ensure that the infectious disease does not infect more people in the space where he is, and supervise the treatment of the student, Make sure that he is cured until he is not contagious before returning to school... In this small example, many areas of public health are involved, for example, to report the information of tuberculosis patients, and then manage the patient's situation throughout the process, and supervise the patient It must be treated, and the close contacts of this patient should be screened for tuberculosis. In addition, the treatment cycle for tuberculosis is very long, at least half a year, so the patient's bacterium positive status must be continuously monitored to evaluate the other party's treatment progress and infectivity. Crowd publicity, let people know about tuberculosis, let people with symptoms must go to the doctor, standardize the treatment, otherwise it is easy to develop drug resistance, don't cough in the crowd, wear a mask, treat the coughed sputum, dry clothes and quilts, etc. Wait, these follow-up tasks do not belong to the diagnosis and treatment work of the hospital, but belong to the category of public health...

In the past, hospitals hardly undertook these public health tasks other than treating patients, and these public health tasks were all taken care of by disease control. Even if the medical school of University S has a school of public health, the affiliated hospital will not do this public health work.In this case, this is a general hospital rather than a chest hospital or an infectious disease hospital that specializes in tuberculosis. Naturally, the leaders of the hospital do not pay attention to the tuberculosis department, and the tuberculosis department of this hospital is not particularly outstanding.

Therefore, Qin Su was lucky. When he came here, it was the time when the hospital leaders began to pay attention to this department, so he got a lot of opportunities.

Nowadays, the tuberculosis department of the hospital has been well developed, and Qin Su has led the hospital's basic research in this field, led many projects, and produced many results. Now, there are many other developments.

Because Mycobacterium tuberculosis can be transmitted through the respiratory tract, when doing tuberculosis testing, the staff in charge of the testing are high-risk groups who are prone to infection. Other colleagues working in the same environment are at risk of being infected. After all, everyone is in the same Breathing in the space, and unwilling to wear N95 masks all the time, so the leader of the large laboratory department was very concerned about taking on this task at that time, and was unwilling to put the tuberculosis test in the micro-examination department, but suggested to open another inspection room, and assign special personnel to be responsible for tuberculosis testing.

At that time, the leadership of the big laboratory department was very strong, and the hospital leaders had no choice but to give the laboratory and funds to open a separate tuberculosis testing laboratory.Judging from the later development, the decision and the vigorous and resolute approach of the leaders at that time were extremely wise and forward-looking.

Qin Su was recruited for this reason.

The diagnosis and treatment of tuberculosis does not make money for the hospital, because it is an infectious disease, and the health administrative department will strictly control the cost of this disease that the patient will bear. In addition, the hospital has to hire a special person to be responsible for the disease and report information to the special network, etc. , some hospitals will even lose money in the diagnosis and treatment of tuberculosis. As a profit-making institution that supports all medical workers, the departments that make money are naturally strong, and departments that do not make money are weak. If not only do not make money , but also need the money earned by other departments to support him. Thinking about those days, it can't be good.

When Qin Su came, the tuberculosis department was so weak that it was hard to talk, let alone how aggrieved.

When Qin Su arrived, with the help of his mentor, the department joined a large national project at that time. After that, he applied for several large projects, and made a lot of achievements through cooperation with other hospitals and disease control. That's what made the tuberculosis department's waist a little stiffer.

In this way, the tuberculosis laboratory was independent from the laboratory from the very beginning.However, in the tuberculosis research room, there are still many groups. There is a department that specializes in the detection and reporting of tuberculosis in outpatients and inpatients in the hospital, and the other is a dedicated research group.

The hospital wanted to reorganize many times, and bring the tuberculosis inspection department back to the big inspection department, but it has not been implemented so far after many attempts.

Qin Su is now the deputy director of the Tuberculosis Research Office. The director is not in charge of research work, but Director Jiang, who manages the laboratory and is extremely protective of Qin Su.

Director Jiang, female, nearly fifty, has a particularly aggressive personality. She was sent to the tuberculosis laboratory in a wild place back then. Now, she still remembers the director of the big laboratory department back then, so she refused to return the developed laboratory Big laboratory.

The hospital leaders had nothing to do with her, so they had to continue to do her work slowly.

The history of the development of this tuberculosis research laboratory is like building a tall building on a deserted and desolate land. It is very inspirational, because it is so inspirational, it is talked about very much, and it even makes Qin Su a little famous. , although he felt a little embarrassed every time he listened to others talking about him, he said humbly that the development of the laboratory was entirely due to the efforts of everyone in the team and had nothing to do with him personally.

According to ordinary people's thinking, if you do tuberculosis, you will have tuberculosis. There should be no occupational exposure to HIV, but that is too naive.

HIV is the abbreviation of human immunodeficiency virus. After HIV infection develops into AIDS, it mainly dies from various infections and complications due to immune deficiency.

HIV is most likely to be co-infected with syphilis, and then tuberculosis.

HIV-infected people, as long as they take medicine all the time to control the viral load in their bodies, some people have even achieved coexistence with the virus. Achieving a functional cure in the near future. HIV infection is no longer an infectious terminal disease, but a chronic disease.Zhou Xun's laboratory has made a lot of research results in this area.

However, the above is in the absence of co-infection with tuberculosis.

For double-infected patients who are infected with HIV and tuberculosis at the same time, in the past few years, most HIV-infected patients will develop AIDS within half a year, and will die within two years on average. In recent years, the survival time of dual-infected patients has been longer Some.

As a general hospital, the hospital also treats HIV-infected and AIDS patients. Because this hospital is well-known, the patients who come here for treatment will be more serious than other hospitals, and there are many double-infected patients.

And all HIV-infected people, after being diagnosed, must undergo tuberculosis screening to ensure early treatment, which can prolong the survival of patients and even achieve cure in the future.

The tuberculosis testing room has to undertake the tuberculosis testing of many HIV-positive patients. In addition, the laboratory also has several research projects on TB and HIV dual infection, and has also received orders from the company for multi-center evaluation of products to be launched on the market. Earn some extra money.

This accident happened because of a project related to TB/HIV dual sense.

At eight o'clock, the takeaway Qin Su ordered was delivered.

The school cafeteria closest to their research room had the most unpalatable food of all the canteens in the whole school.

Therefore, since the development of the food delivery industry chain, everyone in the laboratory has chosen food delivery instead of eating in the school cafeteria.

After the school cafeteria has fewer customers, there is no money to make, so it is said that the food has become even more unpalatable.

Other canteens can do well, but this canteen is so poor, everyone is shocked how the chef can maintain such craftsmanship.

Qin Su's view on money is very characteristic, that is, he has almost no concept of saving money, and the salary is not low. There are also considerable labor fees in the project, various expert consulting fees and expert lecture fees, etc. A lot of other things Miscellaneous income, but he has no savings at all.

For dinner, he ordered a whole Peking duck, another steak and pasta, and he also ordered several catties of fruit from the fruit takeaway shop. The consumption level in S City is not high, but he still needs to spend a meal. Two or three hundred go out.

He himself doesn't think there is anything, his students, no one does not feel sorry for the mentor's wallet.I can't wait to order takeout for my tutor every time, and delete his own app to stop him from spending money randomly.After all, Qin Su is not too young anymore. She has no wife or girlfriend, and her parents have to provide for the elderly. If she wants to get married in the future, will she not spend money?If you don't get married all the time, you want to provide for yourself in the old age without spending money?

Qin Su couldn't eat anything by herself. In order to get closer to the students, she always ate in the conference room that was used for rest and meetings. When she ordered more food, she ordered them for the students or other colleagues.

Qin Su is not serious outside of work, so the atmosphere between the students and him is always lively.

Because he is not stuck with the graduation of the students, every time the students seem to be unable to graduate, he is more anxious than the students, so every year, everyone happily sends the graduates away, and the postponement of graduation has never happened.

Currently, there are three students in his school who are PhD students and six master students. There is also a post-doctoral fellow in the research laboratory, two management teachers, and an aunt who does odd jobs.

In addition to his own students, there are two other mentors and their students in the big research room, but because Qin Su is the deputy director of the research room, and the director is his mother's fan, so although he is young, he is still a member of the research room. The first big boss and the other two mentors, although they each have their own projects and positions, they still have to take him as the main one.

Probably because Qin Su has a better personality, and the atmosphere in the whole laboratory is not bad.

The takeaway brother delivered the meal, and the first floor of the research building needs to swipe the card to enter, and because there are infectious substances in this building, the takeaway boy is not allowed to go upstairs.

The takeaway boy already knew how to deliver the food here, so he dialed the video call of the tuberculosis laboratory at the gate and called, "Teacher Qin's takeaway!"

Zeng Yuan, a student of Qin Su's Boyi School, heard this and replied, "Wait a minute, right now." She went downstairs to pick up food for Qin Su at the door where she needed to swipe her card, and saw that Teacher Qin wasted money again. Can a person eat such a big thing?

While waiting for the elevator, she looked at the takeaway list and sighed when she saw that a Beijing roast duck was 128 yuan.Maybe Mr. Qin married his wife, and his wife told him every day to tell him to save milk powder money and children's interest class fee, so he might change his habit of being extravagant.

Miao Xiaorui, the junior sister of Yansan in the laboratory, came in from the outside and rejoiced when she saw the elevator opening, "Yeah, don't wait for the elevator, lucky!"

Seeing Zeng Yuan, he smiled and called her: "Senior Sister Zeng, you haven't had dinner yet. Why are you bringing so many takeaways?"

There are indeed enough, a whole duck, the sliced ​​parts are packed into three boxes, and the duck rack is made into a spicy duck rack, with potatoes and onions and other side dishes added to stir-fry. There is a bag of pancakes, two boxes of roast duck sweet sauce, and three boxes of shredded cucumbers and scallions. This is a big bag. This shows how cost-effective the 128 RMB is. There are so many, enough for several people to eat.In addition to the roast duck, there is also the steak and pasta that Qin Su wants to eat, and another bag is filled.

Zeng Yuan entered the elevator with her and said, "I, poor man, ordering one fried rice is enough. There are so many, it must belong to Teacher Qin!"

Miao Xiaorui looked down at the takeaway list, and cheered: "Yeah, Teacher Qin spent money again. This is a Peking duck. I like Peking duck."

Zeng Yuan herself is a little beauty with a round face and a thin body, so no matter how thin her body is, limited by her round face, she will always be considered a bit fat.

Looking at Miao Xiaorui again, she has a pointed face and a fleshy body, but it is difficult for everyone to notice that she is fat, and they always think she is quite thin.

Zeng Yuan looked at Miao Xiaorui and said, "Come on, take it."

Miao Xiaorui happily received the Peking duck and said, "Teacher Qin doesn't like Peking duck very much. It's not bad to eat a piece of cake every time, but I always like some."

Zeng Yuan came to Qin Su's place as a doctor after working in disease control for 2 years. It must be said that the two are also very destined.At that time, Qin Su followed the teacher from the School of Public Health to the city's disease control department to do a cooperation project. Zeng Yuan worked there. After talking with Qin Su for a while, she suddenly had a brain jump and said to Qin Su: "Mr. Qin, I'll go to you to do a doctorate, will you accept me?"

Qin Su had a good impression of her, so she said, "Okay, come here."

She then resigned.

She came to work in the laboratory during the summer vacation, and it has been nearly half a year now. Although Bo Yi has to take public classes, except for class time, she spends the rest of the time in the laboratory, and her level of diligence is completely comparable to that of Qin Su. Fighting, everyone saw that Senior Sister Zeng might become Teacher Qin's favorite disciple.

Because Zeng Yuan went to work, she is only younger than the post-doctoral fellow, so even the third-year students were molested by her to call her senior sister.

Miao Xiaorui has a distasteful personality, especially greedy. Now that she is in the third research institute, she has already decided to do a doctorate in the European laboratory that has a cooperative relationship with Qin Su.The doctorate in Europe does not count the three years she has been studying for a master's degree in China, so in the past, she had to study for a doctorate degree in five years. However, there are still a small number of doctorates who can graduate in five years, and many of them have to be postponed. Others see When this age limit is reached, they will retreat.

But Miao Xiaorui was happy, as if he didn't care about the age issue.

After arriving at the floor and getting out of the elevator, Miao Xiaorui quickly passed Zeng Yuan and ran to the door of Qin Su's office. With the bag of roast duck in hand, he poked his head at the door and called Qin Su: "Teacher Qin?"

Qin Su was reading a paper sent to him for review, when she raised her head and saw Miao Xiaorui at the door, she said, "Xiaorui, what's the matter?"

Miao Xiaorui raised the roast duck bag, "Mr. Qin, your takeaway has arrived. This is roast duck. You don't like roast duck and you still order it. Do you order it because I like it?"

Qin Su said: "I ordered a big one, and you can eat more if you like it. Put it in the meeting room, and everyone who is still there can eat some."

Miao Xiaorui said: "Okay, thank you, Mr. Qin. Your other takeaways are also in the meeting room, right? Come and eat too."

Miao Xiaorui is in his third year of graduate school and has been Qin Su's student for nearly three years, so he knows his habit of always eating in the conference room like the back of his hand.

Zeng Yuan also arrived at the door of the office and sighed in her heart. Anyway, she didn't like Miao Xiaorui very much, but she didn't have the same knowledge as her.

Qin Su saw Zeng Yuan carrying a takeaway bag. Sure enough, Zeng Yuan had been promoted to one of Qin Su's favorite disciples in less than half a year. He smiled and nodded at Zeng Yuan, and said, "Why, you're still here. Didn't eat? It's getting late."

Zeng Yuan said helplessly: "Mr. Qin, this is your takeaway. I ate it early. Shall I put it in the conference room for you?"

Qin Su: "Oh, let it go, I'll go right away. Thank you all."

There are less than ten students in the whole laboratory. Although they are always very harmonious and loving on the surface, and they are indeed very harmonious and loving, they always fight for favor with Qin Su in some trivial matters.

Teacher Qin is a man loved by many people.

The author has something to say: TB: short for tuberculosis, tuberculosis.

China is still a big country for tuberculosis, ranking third in the world, followed by India and Indonesia.

Now the country is gradually transferring all tuberculosis diagnosis and treatment to hospitals, mainly in chest hospitals, infectious disease hospitals or public health clinical treatment centers.

There are also provinces and cities that retain treatment in the former tuberculosis control centers, but such provinces or municipalities are relatively rare.

The main reason is that tuberculosis is also facing more complicated problems now, and the patient's situation is complicated. The tuberculosis prevention that only treats tuberculosis cannot deal with other diseases that patients may have.

Although the emotional line of the two protagonists in this article will be more like a fairy tale, other directions are realistic.The time is now, and some of the medical and health policies of the countries involved in it are also written in accordance with today's policies.

This article belongs to the micro-check series. For those readers who haven’t read the previous two articles, you can read it first, and you will have a certain understanding of the background of this article. Of course, you can also just read this One, the story has no effect