Chapter 168: Symptoms (I)
"You give the bones a call to them, hurry up."
Wu Xiangzhi said as he rummaged through the drawers.
Call?
Wu Xiangzhi's expression didn't look like he was joking, based on his trust in Dr. Wu, although he had some doubts in his heart at this time, the thin man still took out his mobile phone to call the bones.
"Toot ......"
The phone rang for a while, and there was an automatic unanswered prompt in Chinese and English.
"It's strange, why don't any of them answer the phone?"
The thin man wondered.
"No one answered the phone?"
Wu Xiangzhi stood up and looked at the thin man.
"Yes, no one answers the phone, you say it's a bit strange, they are on 24 hours a day, how can no one answer the phone."
The thin man was also a little puzzled by this.
"Wait...... It's ......"
Wu Xiangzhi suddenly handed over a bag of things, and everyone exclaimed, "Masks? ”
"Dr. Wu, you want to ...... the mask"
Everyone's faces were a little unsightly at this time.
"Put it on, it's a bit complicated."
Wu Xiangzhi also put on a mask for himself, covering half of his face, and said in a muffled voice: "I don't have the medical conditions here to do a specific examination, but I guess that Brother Wen is likely to suffer from an infectious disease." ”
"Contagion?"
With their mouths open, everyone's faces turned pale with fright, and they couldn't stop taking a few steps back, looking at that appearance, they all wanted to run away.
"Don't move!"
Wu Xiangzhi shouted: "It's too late to run now, all the people who should be contacted have been contacted, do you want to pass the disease on to others?" ”
"Wu, Dr. Wu......"
The thin man cried: "I haven't read, don't scare me, what kind of infectious disease, isn't Brother Wen a common cold?" ”
"At first, I thought it was a common cold, but I prescribed medicine for Brother Wen last night, and it stands to reason that I slept all night, and it won't be so serious today."
Wu Xiangzhi said slowly: "But I just had a preliminary examination, Brother Wen suffered from severe pneumonia, but most pneumonia is not contagious, and a small number of pneumonia that can be transmitted through human contact do not need to be afraid of people with good immunity." But judging from your previous conversations, there are many people who have also suffered from the so-called 'cold' after coming into contact with Brother Wen, and you still have you. ”
Pointing to the man in gray and the thin man, seeing their frightened white faces, Wu Xiangzhi said solemnly: "There are still bones that can't be contacted, they may all be infected, which is impossible in terms of probability." ”
As soon as they heard this, the other three unconsciously took a few steps away from the man in gray and the thin man.
"Of course, these are just my guesses now, let's go to the hospital and do a specific examination."
Wu Xiangzhi was worried, pneumonia is not only caused by bacterial infection, like the flu, it can also cause pneumonia, and the flu, the huge transmissibility is enough to make everyone talk about it......
Hopefully, I'm thinking too much about it. Wu Xiangzhi secretly thought and hurriedly asked them to carry Huang Wentao, but Wu Xiangzhi's previous words scared everyone miserably, and no one dared to help carry it.
"Are you looking for death?"
Wu Xiangzhi said dissatisfied: "I said it all, all this is just my guess, if the guess is wrong, what will Brother Wen think of you guys who are greedy for life and afraid of death when he wakes up?" ”
As soon as he said this, someone reluctantly stood up and carried Huang Wentao into the car, and the group, including Wu Xiangzhi, everyone wore masks, and they all rushed towards Tuen Mun Hospital on Tsing Chung Guan Road.
Driving non-stop along the way, and I don't know how many traffic rules were violated, the driver drove as fast as he could to this public hospital and stopped.
Doctors and patients passing by slowed their pace and looked curiously at the group of people wearing masks as they got out of the car.
"Quick, quick, where's the doctor?"
As soon as he got out of the car, he shouted loudly, attracting the attention of many people.
However, the emergency room of the outpatient department is on call 24 hours a day, and as soon as people shout, doctors and nurses rush out of the hospital lobby.
"What's wrong?"
The doctor was a thirty-year-old man with good eyes, and he frowned when he saw the appearance of several younger brothers, knowing that he had met a gangster.
"Hurry up, my eldest brother is sick."
"Big brother?"
Frowning, the doctor waved his hand and wanted the nurse behind him to put the patient on the push frame, but one of them shouted, "Wait." ”
It was Wu Xiangzhi who got out of the car, and he jumped out of the car and shouted: "I'm a doctor, this patient is likely to have an infectious disease, pay attention to keeping a distance." ”
"What?"
The doctor stopped and was stunned, not only him, but also the rest of the nurses.
Wu Xiangzhi knew what to say, and quickly reported Huang Wentao's illness at the moment, and several other people, including himself, could be infected.
Hearing Wu Xiangzhi's report of illness, the doctor stabilized his emotions and immediately took emergency measures.
The flu turmoil in Hong Kong in the 90s, as well as the flu in 03, still makes people's hearts palpitate when they think about it now, and this doctor certainly does not dare to slack off, whether it is an infectious disease or not, it is best to take foolproof measures.
The nurses and doctors wearing masks hurriedly sent Huang Wentao who was in a coma to the emergency room, and for Wu Xiangzhi and others, they were isolated separately and waited for blood tests to be confirmed.
"What, contagion?"
Lu Zhiyuan, the hospital's administrative director, was suspicious after receiving the call: "What the hell is going on?" ”
Listening to the explanation on the phone, Lu Zhiyuan was silent, and finally spoke: "Immediately draw blood for testing, and do a good job of isolation measures." ”
With perfect medical equipment, it didn't take long for the preliminary test report to come out, it was the flu!
"The flu?"
Lu Zhiyuan felt a chill in his heart, it was not a joke to be able to infect the human body with the flu.
"What type has it identified?"
"It's going to take a while, but it's ......"
"But what?"
"But it's probably bird flu."
Lu Zhiyuan was dissatisfied: "Don't speculate, hurry up and make the appraisal." ”
"Okay."
Laboratory tests must be performed for the detection of influenza, including virus isolation and culture, serological diagnosis, and rapid diagnostic methods, and the virus isolation and identification is very accurate, but unfortunately it takes three to four days to perform a blood clotting test with the collected amniotic fluid and allantoic fluid, which is too slow. Serologic diagnosis, on the other hand, can only be used as an indicator of whether there is a recent infection. Therefore, if you want to produce results quickly, you still need to use rapid diagnostic methods, using direct immunofluorescence and ELISA methods to detect viral antigens.
Needless to say, the staff in the hospital laboratory have long used the smear of exfoliated epithelial cells from Huang Wentao's mucosal smear, and then used fluorescein-labeled influenza virus immune serum to carry out immunofluorescence staining to check the antigen.
During this time of testing, the other six people who sent the patient to the hospital all fell ill one after another, and the symptoms were almost the same as those of the first patient, which frightened the surrounding doctors and nurses into a panic, and finally placed the patient under strict protection.
Lu Zhiyuan was a little upset when he waited, he had already called the Centre for Health Protection of the Department of Health, and the record was also made there, until 22 o'clock in the evening, and he did not wait for the test report. He knew that there was no urgency, so he simply went home first and asked the hospital staff to wait until the test report came out, and then notify him in time.
"Toot ......"
Walking into the underground parking lot, I was about to pick up the key and press the electronic lock, but the ringtone of my mobile phone rang.
Lu Zhiyuan took out his mobile phone and saw that it was the phone number of his friend from the Center for Health Protection.
"Hey ......"
"Zhiyuan, just now the Center for Health Protection received a report that patients with similar conditions have been found in other hospitals."
"What?" Lu Zhiyuan's body shook, "Where did you get the report?" ”
"It's Sai Ying Pun Hospital and Tung Wah Hospital."
These two famous big hospitals in Hong Kong, how could Lu Zhiyuan not know.
He took a deep breath, suppressed his emotions and asked, "How many are there?" ”
"Patients with similar conditions now...... A total of 45 cases have been reported so far. ”
45 cases? Excluding his seven patients, the other two hospitals have 38 patients.
"By the way, has there been a lab test for a specific type of flu?"
"This one isn't there yet, and it should take a while."
"Well, so be it."
"Zhiyuan, be careful yourself."
"Okay, I got it."
After hanging up the phone, Lu Zhiyuan fell into a deep thought, and now it seems that there is likely to be an outbreak of influenza in Hong Kong, but I don't know whether this flu is a small trouble once a year or a large-scale epidemic.
"Hey, I must be thinking too much, this kind of thing happens every year, so don't think about it."
To comfort himself like this, Lu Zhiyuan opened the car door and got into the car, drove out of the underground parking lot, and drove towards his home. When he returned home, his wife and daughter were already asleep, he rubbed his temples, poured himself a glass of water, and sat down on the soft sofa.
"Toot ......"
The phone suddenly rang again, and this time Lu Zhiyuan quickly answered the phone, "Hey? ”
"Dr. Lu, the test report is out."
"Coming out? Say it. Lu Zhiyuan was in good spirits.
"Confirmed to be a variant of H5N1."
"A variant of H5N1?"
Lu Zhiyuan breathed heavily, as a doctor, he knew what it meant.
"Can you confirm that?" Although he knew that it was impossible to make a mistake, Lu Zhiyuan still asked with a glimmer of hope.
"Dr. Lu, after we detected H5N1, we have tested it with the "H5 Subtype Avian Influenza Virus Fluorescence RT-PCR Detection Method" and "H5 Subtype Avian Influenza Virus NAS**A Detection Method", and confirmed that it is correct, but this H5N1 is different from the H5N1 that appeared before, and the laboratory predicts that it is likely that some amino acids of HA and other proteins have been replaced, resulting in changes in protein sequences and new variant strains."
"That is to say......"
Lu Zhiyuan said heavily.
"Yes, Dr. Lu." There was a pause on the other side of the phone, and he continued: "At present, the vaccine developed by humans against the original virus is not effective. (To be continued.) )