Stanley's inauguration was arguably the most important event in the United States, with the streets filled with posters and videos of his oath, and the news media took the trouble to broadcast his speeches. Pen | fun | pavilion www. ｂｉｑｕｇｅ。 ｉｎｆｏ

In the words of the media, Stanley is a young but miraculous president, he is always humble and elegant, he has no pretensions, he looks like an elegant gentleman in classical novels, but this is just his disguise, our president is actually a man who is good at grasping the situation and has great ambitions, his coming to power will bring us a completely different America, the grandfather of Congress and the ordinary people of the United States, are they ready to welcome such a president?

The news media are constantly building momentum for a new president, as if a new president has changed and the whole country has been completely renewed.

This is undoubtedly a romantic sentiment at play, but it may be true that the arrival of a new president could provide a glimmer of hope in the tense U.S.-China relationship.

People who are tired of the norm always like new things, just like the boss of a company, when they are familiar with the ability of employees, even if they know that the old employee has a good quality, but also know that his ability is limited to this, and still hope to recruit new employees to bring vitality to the company from the heart.

Because of the unknown, so overestimated, this is why many companies are reluctant to give old employees a salary increase, but willing to use high salaries to recruit new employees, strictly speaking, this is actually a very wrong imbalance, because too many things are pinned on the unknown.

Seeing the media propaganda, Stanley himself was a little fluttering, but he was quite clear that he was not as tall and majestic as the media advertised, and in fact, Stanley was carrying a heavy burden.

At this time, Stanley sat on the soft sofa chair, read the report in his hand, and said to the official of the Ministry of Health with a solemn face: "Is the news confirmed?" ”

"Yes, Your Excellency the President, at present, the health agency initially suspects that it is a very rare variant of Escherichia coli, which is highly infectious, and there are no antibiotics in the world that can resist it, but the specific situation will not be known until the test report of the pathology laboratory comes out."

Health ministry officials have been cautious in their rhetoric, saying that the threat to public safety from the emergence of superbugs can be big or small, which is definitely not good news for President Stanley, who is about to visit China.

"Well, you go down first, pay attention to the strict monitoring of this case, organize relevant experts to discuss the condition, and formulate a treatment plan as soon as possible! And also managed to find the source of the mutant strain! ”

Stanley waved his hand and let the officials from the Ministry of Health out.

After the official went out, Stanley picked up the report and read it again, and the entire White House office was unusually quiet, and he always had a bad premonition in his heart.

Superbugs are not uncommon, and with the misuse of antibiotics by humans, conventional bacteria mutate to produce antibiotic-resistant bacteria, forcing medical institutions and pharmaceutical companies to develop new antibiotics to kill them.

Just like the game of catching thieves by the police, there are always thieves who can't be caught by the police, and there are policemen who can't escape the thieves, and both sides see who is more professional!

The superbug infection was detected in a female patient from a suburb near Harrisburg, Pennsylvania, who became unwell in the morning and went to a nearby clinic, where she was immediately referred to a state hospital after the clinic found an abnormality, and then her sample was sent to the ****** Reed National Military Medical Center in the United States, where the bacteria were found in her urine sample.

Because the bacterium has a pathogenic and contagious nature that is rare for common superbugs, the case quickly caught the attention of the U.S. Centers for Disease Control and Prevention and the Pennsylvania Department of Health, and by the time the report reached Stanley's office, 10 people had been found to be infected with the bacterium.

These ten people are all medical staff who have had contact with the woman during the delivery process!

Damn it! There are all indications that this is a highly contagious germ.

Stanley's premonition was soon fulfilled, and in the afternoon another report was delivered to him.

The female case died.

Yes, after being infected with the Escherichia coli variant superbug, the treatment is ineffective and he dies!

From the onset of symptoms to death, it was only five hours!

At the same time, the number of infected cases has rapidly expanded from 10 at the beginning to 100!

Stanley's face had turned green, and the speed of the infection was so fast that it had become an extremely dangerous epidemic at all.

Escherichia coli, commonly known as Escherichia coli, is a facultative anaerobic bacterium that is negative for Gram staining.

Generally speaking, E. coli is not too harmful to humans, there is a certain amount of E. coli in the human intestine to survive, and only when the number of colonies exceeds the safe threshold will there be adverse symptoms, such as diarrhea! Generally speaking, it is safe, but the mutant E. coli is not so kind, because it is a bacillus that humans are more familiar with, so it is usually used as a host for various gene vectors, adding resistance genes such as ampicillin, kanamycin, chloramphenicol to it, to express the foreign protein that people want.

This process has also made the E. coli population more diverse, at present there has been a super E. coli with resistance to all antibiotics on the earth, the fatality rate is about 50%, because there is no cure, so the whole process can only rely on the patient's own immunity to play a role, is a very headache disease.

Now there is another superbug infection, and the infection capacity and lethality rate are alarmingly high, and Stanley has to take it seriously.

He immediately ordered a state of emergency for the health department, while flights and trains in the United States were quarantined from the affected areas, and the military was ready to form a firewall at any time.

University of Pennsylvania Hospital.

Today's hospital is very busy, and today alone, 172 superbug infections have been treated, and among them, more than 100 high-risk patients have been treated!

First aid room.

A patient who was hospitalized with pneumonia was unfortunately infected with the Escherichia coli variant in the hospital, and when he was admitted to the emergency room, he was in a state of shock.

"Body temperature 36 °C, radial artery unpalpated pulse, respiration 42 times/min, blood pressure 0/0 kPa, confusion, clammy skin all over the body, cyanosis of the lips and limbs, heart rate 120 beats/min, rhythm. Heart sounds are muffled, and abdominal examination is normal. ”

Hearing the assistant's report on the patient's condition, Professor Adrian from the University of Pennsylvania School of Medicine has seen more of this situation, but he has not lost his senses.

He picked up the ancillary test report that had just been delivered: "Leukocytes 22.3× lO^9L, neutrophils O.85." Chest X-ray showed that there was a large uniform and dense shadow in the middle lobe of the right lung, and the procalcitonin PCT index was seriously exceeded, and the preliminary diagnosis was lobar pneumonia and bacterial septic shock. ”

After clarifying the condition, Professor Adrian immediately issued a rescue order: "Establish three-channel rehydration immediately!" 0.9% sodium chloride 1000m1, fast drip! 5% glucose, sodium chloride 250m1 + dopamine 40mg + alamine 20mg instilled! Dexamethasone 10mg intravenously, bacterium 1g intravenously! ”

"The three-channel has been successfully established and is being rehydrated!" The paramedics reported immediately.

Time is life in the rescue room, Professor Adrian thought about it, and quickly gave an order: "Low molecular weight dextran 500ml intravenous infusion, 5% glucose 250ml + penicillin sodium 6.4 million units intravenous infusion, 654-210mg intravenous injection, naloxone 0.4mg intravenous injection, 5% sodium bicarbonate 250ml intravenous infusion!" ”

Twenty minutes later, it was reported again: "The radial pulse is palpable, and the blood pressure can be measured at 8/5kPa!" ”

This is a good sign, Professor Adrian just nodded, who knew that at this moment, the situation took a turn for the worse, electrocardiogram and blood pressure monitor alarmed one after another, and the medical staff immediately reported: "The patient has a strange reaction and has lost his heartbeat and breathing ......"

"Immediate CPR!" Professor Adrian was startled and reacted immediately.

Under the order of the attending doctor, the medical staff present did not dare to slack off and took turns to give the patient cardiopulmonary resuscitation.

"There's a heartbeat, but it's faint!"

"Create 'invasive arterial blood pressure monitoring', ready for norepinephrine, 150μg/min continuous intravenous pumping!" Professor Adrian gave the order calmly.

"Understood!"

Strictly speaking, this measurement is a bit high, and there is a certain risk for a high-risk patient, but Professor Adrian knows that first aid is not the same as ordinary treatment of patients, and that it is not possible to blindly pursue safety, and if decisions are not made now, the hope of survival of patients is almost zero.

The assistant did not hesitate, and then touched the patient's radial artery pulse with his left hand, and gently pulled the artery with his index finger, and when he felt that the position was appropriate, he carried out routine disinfection, laid sterile towels, took the 20-gauge trocar, and pierced it at a 30-degree angle.

"Invasive arterial blood pressure monitoring is created, and norepinephrine is pumped in!"

"Blood pressure responds!" The paramedics reported immediately.

Professor Adrian grimaced, his gaze unwavering at the patient's reaction. In fact, Professor Adrian has no bottom in his heart now, this disease has never been encountered before, and in the spirit of doing his best to obey the fate of God, he can only be a dead horse and a live horse doctor.

Fortunately, the following went well, and the patient's indicators gradually returned to around normal levels.

"Whew! It seems that the treatment plan is working. The solemn atmosphere in the rescue room dissipated a little, but just when everyone thought that the difficulty had been overcome, the patient lying on the rescue platform suddenly began to convulse without warning, as if 10,000 ants were biting him, making him tremble and struggle!

"Hold him down!" Professor Adrian shouted.

It took a lot of effort for the medical staff to finally control the patient, but by this time the patient was no longer alive.

Professor Adrian took off his mask and sighed, "At 15:35 in the afternoon, the patient was declared dead!" ”