Chapter 35: Taking a Risk? I have a better way
The group hurried to the maternity intensive care unit.
The children from before have now been sent here.
One of the nurses, who was taking care of the child, looked up and saw Du Wei returning.
When she saw Du Wei following behind House, her mouth opened slightly, and she said with some surprise:
"Are you really a diagnostician?"
Du Wei smiled and did not speak.
However, Cameron saw the communication between Du Wei and the female nurse, looked at Du Wei with some curiosity, and then asked in a low voice:
"You know?"
Du Wei also leaned close to Cameron's ear and whispered:
"I just met, but I had a little misunderstanding because of my identity."
Hearing that it was just acquaintance, Cameron unconsciously breathed a sigh of relief, this small gesture that even she didn't realize it was herself.
House in front of them ignored the nurses' greetings.
He took the case record on the side and looked at it, and after a while, he frowned and said:
"Du Wei is right, there is an unknown infectious disease spreading in the hospital.
Because in addition to her, the child next to her also had a high fever for unknown reasons.
The difference between the two was no more than 4 hours, and they were born in the same delivery room.
Postpartum wards are adjacent to each other, which is fully consistent with the possibility of transmission. ”
Furman frowned and said:
"But this baby girl has a high fever caused by intestinal obstruction, and this baby boy has a pure high fever, and there is nothing in common between the two, right?"
House glanced at Furman and handed over the X-ray in his hand:
"See for yourself, there is air in the stomach, it can't be an intestinal obstruction.
This is just a misjudgment made by some doctors who are not very professional.
Dewey, you go and check every child in the obstetrics.
Pay attention to whether they are experiencing similar symptoms, and isolate them as soon as possible if they do.
Also, Chase, you go and inform the dean, just say that I said, the hospital stopped accepting obstetric patients, understand? ”
Chase nodded, turned and walked upstairs.
Then House said to the two behind him:
"I need to know their test results and drug reactions as soon as possible."
Not long after, Du Wei, who had explored the entire maternity ward, found six other children with high fevers.
When the results were brought back to the diagnostic department, everyone felt the pressure.
Because at the time of the diagnosis, all the babies had fever, blood pressure dropped, and it was almost impossible to maintain the contraction of the heart.
If this sign continues, all the babies will die within a day.
That means eight families are going to experience the loss of their children!
And now, the pressure to detect infectious diseases as soon as possible is on all the diagnostics present!
Looking at the symptoms listed on the small whiteboard in front of him, House looked at Du Wei, who was the first to notice the symptoms.
"Where do these children come from, and do they have anything in common?"
Dewey, who had been prepared for a long time, began to guide House's train of thought:
"2 delivery rooms, 4 postpartum wards, no public staff, no shared instruments.
Theoretically they wouldn't have been infected, but I noticed that there was a person in the hospital who had contact with all of them. ”
"Who?"
"The aunt who gave the doll, and I noticed that she didn't wear a mask as prescribed and wore disposable sterile gloves.
This means that these babies are likely to be infected with the adult virus. ”
Hearing Du Wei's 'high theory', Furman couldn't help but retort:
"If it's an adult virus, then why is it that only babies have accidents, and their parents don't have any symptoms?
And explain why there is no increase in lymphatic demand during blood tests?
In addition, we have given them ribavirin (an antiviral drug, mainly used to treat viral cold) and they have not had any reaction.
I think we should think about bacterial infections first. ”
Du Wei shook his head and pointed out the most crucial point:
"If you think it's a bacterial infection, then these kids are hopeless.
It takes at least 48 hours to grow the bacteria, and they can't wait that long.
Unless you take separate medications, use other children's lives as test subjects.
But it's risky, and there are bound to be several children who die.
I still insist on my judgment that the newborn's antibodies come from the mother.
I recommend that the blood of healthy babies be drawn first to be used as a control group.
By testing which virus antibodies are missing from the mother of the sick baby, we can find the right option among the many viruses.
In this case, we only need to do blood tests on the eight mothers and the aunt who handed out the toys. ”
After finishing speaking, Du Wei subconsciously reached out to get the coffee and touched the air.
At this time, Cameron handed the coffee in her hand to Du Wei.
Du Wei was stunned for a moment, then smiled at Cameron and drank the bitter coffee in his cup.
House was pondering the feasibility of the method Dewey had spoken.
Furman looked like he wanted to say something on the side.
He found that he could not find a reason to refute Dewey's arguments.
Du Wei's point of view is the fastest way to determine whether the babies are collectively infected by the virus.
His method was to gamble with the baby's life first.
It is clear which of the two methods is better or worse.
At this time, House has already made a decision:
"Go ahead, take blood from their mother, I remember a healthy baby who was moved to the fifth floor and hasn't been discharged yet, go get her blood drawn.
Rule out non-viral infections before taking a risky approach. ”
Hearing House's decision, Cameron was the first to breathe a sigh of relief.
After all, if you want to try to treat possible anti-methicillin Staphylococcus aureus with vancomycin, as Furman said, and treat other causes with aztreonam.
They have to inform the family to prepare for the loss.
It's the last thing Cameron wants to do, and she hates to bring her despair to others.
Dewey's method avoids this possibility.
Even if Du Wei's method didn't work in the end, if she still had to go on an adventurous path, at least she would have some time to buffer and be mentally prepared.
Now, all she has to do is do the simple job of drawing blood.
Looking at the relieved Cameron, House's eyes flickered twice, and he saw the weakness in Cameron's heart.
Of the three assistants, Furman has now lost his sense of proportion and is frantically targeting newcomers.
Cameron is too weak, and Chase doesn't care much about work because of his family background.
He looked around, and the performance of these three assistants was not as good as that of Du Wei, who was still a mere newcomer.
It was a bit of a disappointment for him.
It seems that it is necessary to talk to Du Wei after work and touch his bottom.
Hausen, who had made a decision, walked towards the outpatient clinic, and he still had outpatient work to make up.
As for the laboratory test, it can be handed over to the four of Du Wei.
When the results come out, it's not too late for him to come back and preside over the overall situation.