Sleepless Doctor

"Then we can't get the data from the tests we did in the United States?" Chu Zhixi asked with some worry.

　　 Wu Mian pointed to his head and smiled slightly.

　　 "Fortunately, there is brother." Chu Zhixi smiled but was not very happy.

　　 Wu Mian knows that the domestic research environment, both in terms of the level of money spent and various tools, is much worse than abroad.

　　 Although the country has invested heavily in recent years, it still cannot be compared with the established capitalist groups that have made excessive profits.

　　 This is a pity, but Wu Mian and Chu Zhixi cannot determine the direction of the world situation.

　　 The general trend of the world, and Wu Mian can only follow the trend. But in the choice of key issues, Wu Mian did not hesitate and chose to return to China directly. The quarrel with Dr. Anthony was only a predisposing factor, not the main determinant.

"elder brother……"

　　 "Girl, what do you think of the new column in "New England"?" Wu Mian asked.

"It's very strange." Chu Zhixi forgot what she had to say to Wu Mian before. She has a bad memory and follows Wu Mian's line of thinking, "e-cigarette pneumonia". I always think this new type of pneumonia is unreliable. . "

"Yes!" Wu Mian said affirmatively, "The Lancet is quite rigorous, at least in the selection of some curious case reports, more cautious than magazines such as "New England"." Wu Mian said as he walked out, " As for the setting of the column, it needs to be more rigorous. I think the e-cigarette pneumonia column set up by "New England" is like a joke."

　　 "Well, after watching two issues, the film doesn't look like ordinary pneumonia, but it looks like..." Chu Zhixi said, and paused.

　　 "Atypical pneumonia in 2003!" Wu Mian said affirmatively, "Compared with the image data left before, it is basically a new type of pneumonia, similar to SARS."

　　 "Brother, isn't that a Type B infectious disease." Chu Zhixi's question is here.

　　 Although they have studied abroad in Europe and America for many years, their academic foundation is completed in China, so their views on certain things are completely different from those abroad.

　　 The incident in 2003 has been a pain so far, so even if Chu Zhixi was suspicious, he did not say it directly.

"Isn't H1N1 spreading in the United States? They don't care at all." Wu Mian said, "But at the time of H1N1, "New England" didn't publish a column. It was a completely indifferent attitude. "New England" opened up a column in a hurry, I was thinking about Walter Plantis Bauer's true intentions."

　　 "He is an expert with rigorous academic research." Chu Zhixi said.

"Girl, no expert will set up his headquarters in New York. There is no academic atmosphere except money." Wu Mian corrected, "I have been skeptical about this matter, and I will talk about it after we meet. ."

　　 Chu Zhixi nodded.

　　 "Remember the first case report?" Wu Mian asked.

　　 "Patient, female, 18 years old, which case went to the doctor for one day due to fever, dry cough, dyspnea and chest tightness and inflammatory chest pain?"

"Yeah." Wu Mian nodded. "Two months before the onset of symptoms, the patient started to use the "　" device containing 6% nicotine solution, 5 times a day for 30 minutes. The patient has no history of traditional smoking and no illegal drugs. History, no exposure to lung irritants, no recent respiratory disease or history of travel to the Middle East."

“It’s really weird. After smoking e-cigarettes for 2 months, the onset is very urgent.” Chu Zhixi said, “The initial chest radiograph showed consolidation of the air cavity of the right lower lung, which was consistent with pneumonia. The patient started intravenous azithromycin and was admitted to the hospital for further observation. But Less than 12 hours after admission, he developed respiratory distress and must be treated on a ventilator."

"Bronchoscopic bronchoalveolar lavage, sputum and alveolar lavage were negative for viral, fungal and bacterial pathogen cultures, and no other infectious causes were found." Wu Mian said, "Nothing, and finally hormone treatment, and 2003 Does things look like?"

　　 "emmmm..." Chu Zhixi is not like Wu Mian, not afraid of the sky or the earth. In her mind, the academic status of "New England" magazine is quite high, and she dare not directly deny the opinions of related papers.

　　 "There is one more case."

　　 The two walked out of the hospital gate, the sun fell on them, but Wu Mian did not feel warm.

　　 When I think about it by myself, some opinions and conclusions are slightly vague. Chatting with Chu Zhixi, these vague things emerged and became clearer.

　　 But as what became clearer and clearer, Wu Mian was not happy, but rather cold.

　　 "What case?"

　　 "A patient visited two different medical institutions 2 days after the onset of illness. The hospital believed that he was community-acquired pneumonia, prescribed antibiotics and antiemetics, and the patient was discharged."

　　 "Three days later, the patient went to another medical institution and was admitted to the hospital.

　　 Started treatment with bronchodilators and broad-spectrum antibiotics. Patients reported that they used e-cigarettes or aerosol products that contained nicotine, but did not contain tetrahydroda ephedrine.

　　 With the start of treatment, the patient’s respiratory distress and fever increased, and the questions reached a maximum of 38.9°C, leading to the use of systemic glucocorticoids on the third day of admission. "

　　 "On the 5th day in the hospital ~www.wuxiaspot.com~ the patient took a prescription for levofloxacin and glucocorticoids and was discharged again."

　　 "Two days after discharge, the patient’s family members reported that the patient had nausea, vomiting, and recurrence of discomfort. They found that the patient had no response. Despite being re-admitted to the hospital for resuscitation and treatment, the patient died a few hours later."

　　 "Symptoms improved, and then suddenly worsened, do you think it looks like ordinary pneumonia, girl?!" Wu Mian asked.

　　 "It's not like."

"Causes cardiopulmonary failure. From this point of view, it looks as much like SARS in 2003." Wu Mian said in a deep voice, "The key point of this case is after the patient goes home. First of all, nausea and vomiting. , Pneumonia rarely has gastrointestinal symptoms."

　　 Chu Zhixi was startled.

　　 "Secondly, there is no description of when the patient died. When the family found out, the patient was already dead." Wu Mianyue said, the more serious the expression on his face.

　　 "I simply guessed-the patient was treated in a community hospital and his symptoms were relieved, so he was discharged home. However, after returning home, he developed nausea and vomiting. The family members took care of him and the symptoms were relieved. The patient fell asleep and rested."

　　 "But after falling asleep, I never woke up again."

　　 "Judging from the results of this case, it is similar to the previous case. The patient's condition worsened drastically. If you were at home and did not notice acute respiratory distress, it would have been fatal within a few hours."

　　 "Brother, is it a virus leak in the laboratory?" Chu Zhixi shuddered when thinking about Sander's job loss.