Chapter 71: The CDC Story
Li Bai continued: "The colloidal gold test is very fast, and the results can be obtained in ten minutes, and they immediately conduct a second test, and the results are established by the yin and yang control.
I wondered, is it really the plague?
The plague emergency response team set up in the city is urging for confirmed results and discussing whether to upgrade the Level 3 response to Level 2 response.
But I was still skeptical of the results, so I decided to go into their lab and do the experiments myself.
Put on protective clothing and enter the laboratory, take out the same batch of colloidal gold reagent, and find the patient specimen they used, only to find that they actually used the patient's urine for testing.
You've studied microbiology and know that Yersinia pestis is present in the bloodstream and rarely breaks through the blood-urine barrier into the urine.
I said to the guy who was going into the lab with me, go out and pee, bring in the freshest urine.
The man was stunned for a moment, looked at the colloidal gold detection reagent in my hand, and immediately understood, he went out for a while, and came in with a cup of urine.
Dripped his urine into the test window and, as I expected, had a positive result.
So I said to him, "There's something wrong with your sample, you should test the patient's blood, not urine."
The result was a big oolong incident. ”
Lin Xiaoxiao was dumbfounded when she heard this, "And this kind of oolong incident?"
"Yes, I can't imagine it, in fact, the position of testing in epidemic prevention and control is very important, and problems with laboratory results will directly affect on-site epidemic prevention and control. ”
"Well, it suddenly feels like they have a heavy responsibility on the shoulders of the inspectors, so how did that person get the plague in the first place?"
"We went to Shahe Village to conduct an on-site investigation and found that the patient had dug up sand near his home two days before the onset of the disease, and found gerbil nests during the sand digging process.
We set up rattraps near his house and caught three mice, which were tested for Yersinia pestis.
Therefore, it is speculated that the plague patient was originally infected by exposure to the environment containing Y. pestis during the dredging process. ”
"Contact transmission?" Lin Xiaoxiao asked.
"It's more likely to be aerosol transmission, and a lot of bacteria or viruses can be transmitted by aerosols when they reach a certain level of concentration. ”
Lin Xiaoxiao breathed a long sigh of relief, "Danger is everywhere, are there any other stories?"
"Yes, there are many more, this time to tell you a story about a fish that almost led to an amputation. ”
Li Bai spoke slowly.
"Last year, we received a report from the first hospital of the city of a case of marine Vibrio infection, the patient is an old lady, she accidentally pricked her hand by a fish bone while handling marine fish, as a result of that night a high fever, hand and whole arm swollen, self-medication not only did not relieve, but swollen so much that she could not move, she arrived at the hospital after the doctor said that if she came a little later, she might have to amputate her leg. ”
Li Bai finished telling this story in one sentence.
"Is this the end of this story?" asked Lin Xiaoxiao with squinted eyes.
"It's a short story, but it's a great reminder to remember to wear gloves when handling fish in the future. ”
Lin Xiaoxiao nodded heavily, "In the future, if I handle marine fish, I must wear gloves, not only marine fish, but also when handling raw meat, I must wear gloves, there may be a lot of parasites on raw meat." ”
"Clever, know how to draw inferences. ”
Lin Xiaoxiao shouted in her heart, where is this smart, this is basic health common sense.
"Tell me another story, preferably a more thrilling one. Lin Xiaoxiao begged.
"Thrilling? There are a few. Li Bai began to speak again, "Mr. Li is a successful business person, in a business meeting, he suddenly had hearing impairment, followed by convulsions and fainted, his companions sent him to the hospital, through the examination found that there was a shadow in his brain, the doctor suspected that it was a tumor, and the surgery was incised, but found that it was a worm, guess what worm?"
Lin Xiaoxiao's scalp was numb when he heard this, but his brain turned quickly, "Give me a hint, you must have done the on-site investigation, just talk about the discovery of the on-site investigation, otherwise it is difficult to judge." ”
"Through the flow survey, we found that Mr. Li likes to eat steak, especially undercooked steak. ”
"Tapeworms?"
"The answer is basically correct, it is the larvae of tapeworms, cerebral cysticercosis. ”
Lin Xiaoxiao's scalp was numb again, and he couldn't eat raw meat in the future, even half-cooked meat.
"One more thing. ”
With a smile in his eyes, Li Bai continued, "An elementary school teacher suddenly couldn't speak while teaching students, and then he convulsed and fainted like a seizure. After being sent to the hospital, the doctor found that the male teacher had the habit of eating drunk crabs, and he had been coughing a lot recently, and after a series of examinations, he found a shadow in the patient's brain, and took out the worm for me after a craniotomy, guess what bug it is?"
"Drunken crabs, could it be aphasia and epilepsy caused by ectopic parasitism of lung flukes?"
"Clever! It's caused by the ectopic parasitism of the lungs flukes in the brain. ”
Lin Xiaoxiao touched his head, and sighed in his heart, he couldn't eat raw river fresh seafood.
"One more story!"
Li Bai's eyes smiled even more, and he continued, "A couple went out on their honeymoon and ordered a plate of spicy screws in a restaurant in the scenic area. After returning from the honeymoon, the groom has a short temper, personality change symptoms, the couple has a conflict, and the groom suddenly faints in shock during the quarrel. Sent to the hospital, the doctor found a shadow in the groom's brain, and after a craniotomy, guess what he found?"
"It can't be a parasite again, right?"
"It's a bug, what do you think it will be?"
Lin Xiaoxiao endured the numbness of her scalp, and analyzed it carefully, since it is a spicy screw, then it is a common parasite in the screw, "Strongyloides?"
"How can you guess this? There are a lot of parasites in snails. ”
"I usually pay attention to all kinds of news in our Yunhai City, and last year the city CDC pushed an article on the official account, and there were reports of couples infected with strongyloides because of eating spicy screws. ”
Li Baimu approving, "Yes, I usually pay attention to accumulation, if I continue to talk about it, are you sure you can still have dinner?"
"Of course you can, 10 more stories. ”
"The meal is coming, eat first, the story is owed, and I will tell you next time. ”
Uncle Zhang knocked on the door and brought the insulated lunch box to Li Bai, and after Li Bai thanked him, Uncle Zhang withdrew from the ward.
After eating, Lin Xiaoxiao wanted to listen to the disease control story again, but was rejected by Li Bai and asked her to lie down early to rest.
Early in the morning of the second day, after the doctor's examination, there were no sequelae, and Li Bai went through the discharge procedures for her.
——
Xinhua Apartment.
Li Bai sent Lin Xiaoxiao home.
Because Lin Xiaoxiao was unable to move, Li Bai supported him all the way until he settled Lin Xiaoxiao on the sofa in the living room.
Although the two have been neighbors for a while, this is the first time Li Bai has entered Lin Xiaoxiao's home.
There is a family photo on the living room table, Lin Dad, Lin Ma, and little girls about four and ten years old, all look very similar to Lin Xiaoxiao.
Li Bai stared at the photo in a daze, and a scene from many years ago appeared in his mind, a little girl lying in the cold morgue, her parents were crying heartbreakingly, and a little girl about four years old was next to her, panicked and helpless.
Outside the morgue, a large crowd pulled banners......
"Director Li?" Seeing that Li Bai was stunned, Lin Xiaoxiao reminded him.
"Oh. Li Bai came back to his senses, pointed to the little girl in the photo, and asked, "Who is this? Which one is you?"
"The younger one is me, and the older one is my sister, my own sister, who died in an accident when she was ten years old. At the mention of her sister, Lin Xiaoxiao's expression was gloomy.
"I'm sorry. ”
"No need to apologize, it's not your fault, besides, the murderer has been punished. ”