Surgeons dressed as poor people in the Republic of China

The conditions of the moderate and mild patients are much better. They are all conscious and not life-threatening. When they arrived at the temporary hospital, because all the conditions have improved, all the critically ill patients have been isolated separately. The sun shines through the windows after snow. In the white lobby, looking at the white coats coming in and out and the weak but smiling companions beside them, it seemed that something called hope burst out from the bottom of their hearts again.

Ye Yibai sat with red eyes in the conference room that had just been tidied up. The conference room was not big, and there was a simple dining table and a few chairs that would only be used in common people's homes. After finishing the disinfection work, I changed my clothes again, and gathered here with red eyes.

"The existing patients have been quarantined. In the morning, Yangcun also sent medical staff to investigate. Dongxian County and other areas in Hangzhou are conducting investigations and are proceeding in an orderly manner. Patients found in Dongxian County will be sent to On our side, an isolation hospital has also been set up in the new district of Huaning in the urban area, and will collect plague patients near the urban area.

Patients with mild and moderate symptoms have improved significantly after medical intervention, especially those with mild symptoms, who have a very high hope of being cured, but this time the plague is raging, and once an outbreak occurs, most of them will be severe..." Xu Yuanhe understood Comparing the feelings of the two doctors, Shen Zhou, the feeling of powerlessness was almost suffocating.

"That's why I called you here." Ye Yibai's eyes were bloodshot, and he looked at his companions, "Wearing this white coat, I will always earn a way out for them."

Looking at those patients with severe respiratory failure, Ye Yibai could calmly say to the little doctors: "Give up, you have to know how to choose." This is his professional and rational decision, but his emotions and beliefs do not allow him to keep So powerless to go on.

"The follow-up investigation work will be handed over to the police station and doctors with less seniority, and we will return to our own work to treat diseases and save lives. I don't have time to sort out the data, so I can only express my thoughts verbally."

Ye Yibai had been thinking about this question on the way back to Zhonghua Village from the temporary isolation point. Pei Zebi had already sent a telegram to Xiangjiang, asking them to send as much sulfa to Hangzhou as they had. One week, and judging from the telegram sent back, the sulfonamide that Xiangjiang can send over is extremely limited, not enough to supply these patients at all.

"First, serum therapy. As early as 1891, the German medical scientist Emil used the serum of a cured diphtheria patient to treat severe diphtheria patients and achieved success. During the Spanish flu pandemic in 1918, serum therapy was also confirmed. It is effective, so we can also try to learn from this method.”

As soon as Ye Yibai's words fell, heated discussions erupted in the small meeting room, and the red-eyed white coats who almost had their haggard written on their faces immediately jumped up, especially the two doctors Shen Zhou, Ye Yibai, etc. Bai Xuyuan and these patients had only been together for two days, while the two doctors Shen Zhou stayed in the temporary isolation point for half a full month.

Patients who died of respiratory failure were still struggling to breathe at the last moment, so when they left, they usually kept their mouths wide open and their eyes wide open. One after another, they were wrapped in white cloth and sent away. From numbness to escape, every time they dream back at midnight, that powerlessness has almost become their nightmare.

But they can't help it, there is no medicine, no rule of law, they don't even have a way to try, but at this moment, someone pointed out a way for them.

"Serum therapy, I seem to have heard of this, is it to infuse plasma from a cured patient to the patient? Is it really useful?" Shen Zian said excitedly.

"Doctor Ye, please tell me carefully, what is the principle? How effective is it? Will there be any sequelae?" Although the doctors present are limited, not all of them can receive the most cutting-edge and advanced medicine in the world. Medical knowledge, but out of professional sense, they immediately asked the most critical questions.

Ye Yibai organized his words, and said: "Patients who have experienced the plague and are cured will produce antibodies against the plague bacteria in their bodies, and serum therapy is to artificially infuse these antibodies that cured patients into the bodies of critically ill patients, so that they will produce antibodies against the plague bacteria. Bacterial antibodies, thereby self-healing, its effect varies from person to person, but if there is a sufficient supply of qualified plasma, there is still hope for a cure."

Everyone can hear that the key to Ye Yibai's words is "sufficient and qualified".

"How much plasma does a patient need, and what kind of plasma works best?"

"A critically ill patient needs seven to ten cured patients to provide plasma. Healthy patients without other blood infectious diseases, 60-80 days after the cure, the best effect."

Ye Yibai's answer made the white coats present gasp. A severe case requires seven to ten cured patients to provide plasma, and while ensuring health, there is a relatively strict time requirement. Such strict conditions, No wonder this form of treatment is not widely available.

"The outbreak of the plague in Hangzhou is only a matter of this month. Where can I find patients who have been cured for 60-80 days?" Xu Yuanhe said dejectedly.

"No, yes! There must be! Although the outbreak happened in the past month, I had contact with suspected patients in October. There must be, but we don't know, there must be!" He stood up in the conference room Pacing back and forth, "Pengcun and Yangcun, the places where the outbreak first broke out, we can ask, there is such a big Hangcheng! We must find it!"

After going through that nightmare for half a month, the two doctors, Shen and Zhou, didn't want to repeat the days of wandering in the dark without a glimmer of hope. Since someone pointed out the way for them, they should go on, go on, go on with all their strength. go down!

"Yes! If we all give up hope, what will happen to them who are lying upstairs." An older doctor said: "We are their only hope. Since we are hope, we have to shoulder the responsibility of hope." .I brought my students here, so I must set an example for these little guys.”

Several young doctors who were lucky enough to attend the meeting were already flushed with excitement. Newborn calves are not afraid of tigers. They had just put on their white coats and heard that they had the opportunity to cure patients with severe plague. The risk of infection becomes excited and eager.

Ye Yibai's nerves, which had been tense for more than 40 hours, seemed to relax a little in this one. No matter how difficult the road ahead is, he is not fighting alone.

"Secondly, sulfonamide. This is an anti-infective drug. I have published about its preparation method in the "Medical Journal", but its raw materials are hard to find, and most of them are used as raw materials for red dyes in Europe. .”

Ye Yibai feels that since serum therapy is on the agenda, it is not unacceptable to have another sulfonamide that has not undergone drug experiments, but obviously, doctors in this era are far more accepting of new things than Ye Yibai imagination.

After 90 years, laws and regulations and various rules and regulations are sound, and all treatments by doctors are protected by rules and systems. This protects doctors on the one hand, but at the same time limits their courage to try.

Just like Ye Yibai, he has been slow to bring sulfa to the table, not because he is self-conscious, but because he subconsciously believes that drugs that have not undergone careful drug experiments cannot be used clinically. Other doctors and rules do not allow it to be applied in such a hasty manner in clinical practice. At this time, doctors obviously do not have such a complicated brain circuit. They feel that since they can cure diseases, they must use it, so there are so many scruples.

A group of people in white coats perked up their ears after hearing the word "Second", and then they found that they couldn't understand what Dr. Ye said later.

If there are people in white coats who know a little bit about serum therapy, then sulfa is a completely new thing for them, an anti-infective drug?Hearing these five words, the hearts of all the white coats were shocked.

Anti-infective medicine, five simple words, may not feel much to ordinary people, but the people in this conference room are all medical graduates, even the youngest who has just put on a white coat knows What do these five words mean.

Infection is the biggest enemy of modern medicine. It is no exaggeration to say that out of ten people who die from illness, six or seven will die from infection, yet Dr. Ye actually said that he has anti-infection drugs!

This is like 90 years later, when someone tells you that he has a medicine that can cure cancer, your first reaction must be that this is absurd, how is it possible, not to mention that compared to cancer with a small chance, infection is almost all Ordinary people can't avoid things in their whole life. Those who are not serious or those who are lucky will get through it, and those who are serious and unlucky will die.

According to statistics in 1935, the average life expectancy in the Republic of China was only 35 years old, but in less than 100 years, the average life expectancy in the world has more than doubled. The biggest contribution is the discovery of anti-infective drugs such as sulfonamides and antibiotics.

If ordinary people or ordinary doctors say such things, they will definitely attract disdain and mocking voices, but the person who said this is Ye Yibai, and it is now 1933. Underdeveloped communication and poor information make Hua Guo doctors There is a blind faith in Western medicine.

Maybe foreign doctors can do what they think they can't do?Dr. Ye is a person who has been on the "Lancet", and he is a famous doctor all over the world.

But even so, the event was incredible.

"Doctor Ye, is there a problem with our understanding, anti-infective medicine? How effective is it, can it cure the plague?" Xu Yuanhe, the person who is most familiar with Ye Yibai among the people present, raised the question under the urging eyes of his peers. this problem.

Ye Yibai also tried his best to persuade his companions to try sulfa, so he said very sincerely and affirmatively, "As you all know, before the Hangzhou plague, plague patients were found in Shanghai, and I was the first to discover the plague patients. This drug was tried on the three plague patients, and the treatment effect was very good. Except for the only patient who had severe respiratory failure, the other two critically ill patients were successfully rescued."

"Actually, if it wasn't for the supply of sulfonamides not being able to keep up, this patient might not have no hope of being rescued." The matter of Zhang Honglang has always been a hurdle in Ye Yibai's heart, and he will always regret it.

The conference room was quiet, except for the sound of a group of white coats breathing harder because they were wearing masks. Several young doctors were immersed in the joy of saving the severe plague patients, while the older ones understood that, If the drug called sulfonamide is really effective, then a brand new chapter of medicine, no, not just medicine, but a brand new history of human development will turn a new page in front of them. Thinking of this, Xu Yuanhe and others People's breathing couldn't help but become two points heavier.