Chapter 7 Critically Ill Patients
According to the address contacted on the phone, the two went directly to the patient's attending doctor.
The attending doctor was a thin man in his forties, wearing a pair of black-rimmed glasses, and he looked polite.
On the white coat on the doctor's chest hangs an identity tag with his name, department, and position.
"Hello Dr. Zhao, I'm Nan Zhiqiao from China Disease Control and Control, and this is my research assistant Ye Zhenzhen. Nan Zhiqiao took the initiative to introduce himself.
"Hello, Director Nan, Xiao Zhao of District Disease Control and Prevention told me that you will come here in person this morning, it's really troublesome. ”
"You're welcome, let's talk about the patient's condition first. ”
Dr. Zhao began to introduce the condition: the patient is a 16-year-old female patient, named Zhang Lina, who lives in M County, L City, G Province, a month ago, Zhang Lina began to have diarrhea symptoms, went to the local county hospital for treatment, the doctor diagnosed bacterial food poisoning, antibiotic infusion treatment, the condition did not improve, transferred to L City People's Hospital.
On the third day of admission, the patient developed multiple organ failure, and the hospital issued a critical illness notice.
Two days ago, Zhang Lina's parents transferred her to our hospital, the patient's diarrhea did not improve, the organ failure worsened, the laboratory did not find the cause, we can only treat the symptoms, the patient is currently in the intensive care unit of our hospital.
At the same time as Dr. Zhao introduced, he put the case information of patient Zhang Lina in front of Nan Zhiqiao.
Nan Zhiqiao looks closely at the case, focusing on the patient's experience and medical history before being admitted to the hospital.
"Did the patient travel long distances before being admitted to the hospital?" Nan Zhiqiao asked, looking down at the case.
Dr. Zhao: "Because the patient was already in a coma when he came, these medical histories were dictated by the patient's parents, and they said that a week before the onset of the disease, the patient's family of three had been to the southern M city 1,000 kilometers away, and during the whole tour, the family of three ate and lived together, and after returning to the county's hometown, the parents were normal, and the daughter Zhang Lina had diarrhea symptoms. ”
Nan Zhiqiao looked at the hospital examination report in the case, which contained tests for various pathogens, toxin-producing Escherichia coli, Shigella, Salmonella, and several pathogenic bacteria were all negative.
Nan Zhiqiao took out one of the test reports and asked, "Do you suspect that it is traveler's diarrhea?"
Dr. Zhao: "Yes, our hospital is not as comprehensive as the disease control system in some pathogen detection, and can only detect some of the pathogens. ”
"Okay, we can now go to the ward and collect patient specimens. ”
Dr. Zhao took the two to the intensive care unit.
The three of them changed into sterile overalls before entering the monitoring room.
Zhang Lina on the hospital bed was full of tubes, and her organs were in serious failure and needed external support.
There was a nurse standing next to the bed, and when she saw the attending doctor come in, she reported: "Zhang Lina just excreted 20 milliliters of feces half an hour ago. ”
In the basket under the hospital bed, there is a transparent bottle, and the liquid in the bottle is slightly yellowed, which is what the nurse said about the patient's feces.
The feces that Zhang Lina is expelling now have no shape and are completely liquid.
Ye Zhenzhen used her hands to collect the patient's urine, blood, nasopharyngeal swabs, anal swabs, cerebrospinal fluid and feces collected from the hospital before.
After the sample collection was completed and the sampling box was sorted out, Nan Zhiqiao and Ye Zhenzhen left and agreed with the attending doctor that the results would be fed back before 3 o'clock in the afternoon.
——
On the way back to the CDC central laboratory, Zhen Zhen asked a little puzzled: "Senior Nan, this sampling is very simple, and the patient information is also on the case, so you can let the hospital send samples by itself, or I can go with the students to take samples, why do you have to insist on going in person?"
was seen through by Zhen Zhen's thoughts, and Nan Zhiqiao no longer concealed it, "Okay, I'm a little nervous because of the hacker yesterday, I don't worry about you going out alone, I insist on coming, I also want to give you another demonstration, and when you go to the scene for sampling, you must follow the standard just now." ”
Zhen Zhen tilted her head sideways, staring at Nan Zhiqiao who was driving, the man next to her had handsome facial features, and he was even more handsome when he spoke seriously, and after looking at it silently for a few seconds, Zhen Zhen said: "Senior Nan, this call has been called for so long, it is really not in vain, in front of you, I feel that I am a student." ”
Nan Zhiqiao held the steering wheel in one hand, freed the other hand, rubbed Zhen Zhen's hair, and comforted: "Your performance today is good, you can become a teacher, you will do better than me in the future." ”
"Well, I try. ”
——
When Nan Zhiqiao drove back to the central compound, it was already half past twelve at noon.
Zhen Zhen was worried that the lunch in the central restaurant had been served, and as soon as she got off the bus, she saw a familiar figure standing in front of the gate of the laboratory building.
A lean old man in a suit, tie, and formal and well-dressed man holds two white insulated lunch boxes in his hands.
"Uncle Li?!"
Zhen Zhen and Nan Zhiqiao greeted him at the same time.
Uncle Li is the housekeeper of the Nan family, and he usually takes care of Grandpa Nan in the old house in the suburbs, how can he appear here with a lunch box at this time?
Uncle Li smiled, "Young master, young lady, this is the lunch that the old chairman asked me to deliver." ”
Uncle Li stretched out his hand and handed the two lunch boxes to Nan Zhiqiao, and then said: "The old chairman also explained, so that the young master and the young lady have time to go back to the old mansion. ”
Uncle Li is the housekeeper of the Nan family, since he was a child, he followed the old chairman into the Nan family, and the relationship with Nan Zhiqiao is like a relative, usually at home is called Nan Zhiqiao "Young Master Zhiqiao", and sometimes he directly calls "Young Master", for Ye Zhenzhen, he has always been called "Ye Girl", Zhen Zhen corrected it several times, saying that it can be called "Zhen Zhen", but Uncle Li changed his mouth to "Zhen Zhen girl".
Now that they met, they directly changed their names, and "Zhen Zhen Girl" became "Young Lady", it seems that Grandpa Nan already knows about the marriage of the two of them.
Zhen Zhen looked at Nan Zhiqiao and asked with her eyes, "Did you tell Grandpa the news?"
Nan Zhiqiao made an innocent expression at Zhen Zhen, turned his head to take the lunch box handed by Uncle Li, and asked, "Uncle Li, how does Grandpa know that we have come back from Lianhai City?
Nan Zhiqiao's tone did not mean to complain, but with the laziness that only relatives have.
The smile on Uncle Li's face remained unchanged, "I don't know if the old chairman has arranged bodyguards, but when he went to the headquarters of Nanmu Group today, he seemed to have met Liang Chen, and the two chatted for a while." ”
Uncle Li put the responsibility for leaking secrets on the head of Nanzhi Qiao Faxiao-Liang Chen.