Zhou Qiao got goosebumps, waved his hand and said, "You don't have to ask, I will do my best to save it!" ”

There's really no way to take this pair of men and women.

Zhou Qiao thought for a while, looked at those medical staff, and asked, "Which of you will do genetic testing?" ”

Although he can do it himself, there are more important things to do. Of course, if no one can test it, then it doesn't matter, it won't be a test.

Detecting genes and identifying pathogenic bacteria is not very important.

It's nothing more than being able to verify his diagnosis and give people more convincing.

Unexpectedly, he is the boss, in this place, in the medical circle, he has the final say, and he will operate on the patient according to his own ideas and formulate a treatment plan.

Anyway, in the end, it's just a matter of curing people.

The crowd was silent for a while, Zhou Qiao originally thought that there was no, there should be no one who would, and was about to say "accidental", who knows, Chen Zhining suddenly stood up!

Chen Zhining said very seriously: "Doctor Zhou, I will!" ”

"Oh?" Zhou Qiao's eyes lit up!

Chen Zhining added with some humility: "I participated in similar projects when I was studying before, but I haven't done it for many years, but I can give it a try!" ”

So, Zhou Qiao nodded and handed over the task to him.

Chen Zhining was energetic, did a good job of self-protection, took a blood sample from the patient, and walked to another medical laboratory in the base.

This laboratory, next door to Zhou Qiao's medical laboratory, has a different function.

To prevent cross-contamination, a special negative pressure biosafety cabinet is also available.

The laboratory in the base medical area is equipped with OK, at least to meet most of the needs, and it should not be a big problem to do a genetic test.

Moreover, Chen Zhining can also connect to the Internet and seek help from his former university tutors. He used to have a professor at the school who did this.

After that, preparations for the intensive surgery began.

About three hours later, under the protection of strong antibiotics (cephalosporin 3rd generation plus quinolone antibiotics are the mainstay, specifically targeting Vibrio vulnificus, and have broad-spectrum antibacterial properties), Zhou Qiao began to perform emergency reduction incision and negative pressure closure drainage surgery for the patient.

Although the patient's wound is large, the surgical removal is very difficult, and it is estimated that it will take several surgeries to complete after changing the doctor next to him, but Zhou Qiao is a perfect debridement skill, which can be done in one time!

Zhou Qiao naturally would not choose to amputate his leg, in a place like Africa, amputating a patient's limb is no different from directly sentencing him to death. Perhaps, patients are more willing to choose death!

In addition, what kind of ability is amputation? Can you show Zhou Qiao's skills?

Amputation is very simple and rude, if the patient's lesion is small, you can give it a try!

But at such a large size, the amputation loses its meaning.

Zhou Qiao believes that the rate of lethal bacteria and toxins entering the blood can be reduced as much as possible by draining the smooth circulation, and the survival rate of patients can be increased with follow-up antibiotic treatment.

The doctors next to him, like Sampson, have opinions.

Sampson believes that Zhou Qiao's surgery can't completely cut off the infection at all! Because the bacteria and toxins have entered the bloodstream, and the wound has expanded so rapidly, even in the top hospitals in the United States, the chance of being saved by a group of experts is quite small.

In those top literature, it was through amputation to save his life, and Zhou Qiao wanted to succeed, can this be successful?

It's just that the previous vaccine and special medicine have already cast a shadow on him!

So Sampson learned to be smart this time, even though he was very unoptimistic in his heart and had a feeling of strong opposition, he still didn't say anything.

Because, he noticed that he had offended Zhou Qiao last time, Black Scorpion, Margaret and others were not very friendly to him, and the other three doctors, especially Chen Zhining, leaned towards Zhou Qiao again.

Chen Zhining, with his relationship with Zhou Qiao, is Chinese, and there is already a faint tendency to ride on his head!

Sampson didn't dare to offend people anymore, no matter how offended he was, not to mention that the status of the chief doctor of this base was not guaranteed, whether he could continue to work here in the future was still a matter!

Back to the United States? Looking for a hospital or clinic to live an ordinary life?

Hehe, he knows so many secrets!

For the sake of his future future, Sampson silently suppressed the idea of opening his mouth to object!

Baisa had told him privately that he would take Dr. Zhou's opinion first, and he felt that it was time for him to lower his arrogant head!

Sampson is actually a very smart person, not smart and unable to get a doctorate degree, and can also serve as the chief doctor in the East African base, before the psychological pressure was too great, coupled with the death of his girlfriend and relatives, grief and crying, causing him to have an emotional breakdown.

In the past few days, Zhou Qiao has solved the X disease, the pressure has disappeared, the base has a peaceful atmosphere, and his girlfriend comforts him every night, and Sampson is "IQ online" again!

……

"Alas~, without Elena and Ava, I'm really not used to it!"

Zhou Qiao was fully armed and entered the operating room, although he brought a doctor as an assistant and three black female nurses, but he always felt that the atmosphere was not right. It's not the smell of my own iris clinic!

If nothing else, no one is singing!

There is no sound system in the operating room. The three black female nurses are also incomplete and not good at singing.

The conditions are limited, and we can only settle for it.

Because the germ is so powerful, and almost all of the patient's huge wounds and blood all over the body have been "contaminated" by the germ, if the doctor accidentally his finger during the operation, he may face the risk of amputating himself.

If, during surgery, the patient's blood or tissue fluid accidentally splashes into the eye, it may cause the doctor's eyeball to be removed immediately. If it's too late, it'll be too late.

Zhou Qiao has a system, in fact, it doesn't matter, but isn't that to consume points? The account balance is limited, and now it is not replenished, and it cannot afford to be wasted!

In addition, he wants to set an example for others involved in the operation!

Therefore, under his leadership and explanation, everyone in the surgical team was fully armed, and everyone wore three layers of gloves, two layers of surgical gowns and face shields.

At the same time, the level of protection and isolation in the operating room and intensive care unit was immediately raised to the maximum.

And Hatam, Black Scorpion and others who had previously been in contact with patients were also required to go to isolation, do examinations, and give antibiotics!

Fortunately, their blood came back and they were not infected. I have to say that the woman Khatam still has a big life and a bit of luck.

Zhou Qiao made a move, and there was no false hair.

In the end, the operation was a complete success.

After Zhou Qiao's emergency expansion and necrotic skin fascial resection, and after two days of strong anti-infective treatment, the patient's condition and inflammatory indicators were finally quickly controlled.

Sampson: "......"

He is very glad that he really learned to be good this time, and he did it so right! Not openly questioning Dr. Zhou before the operation is simply the most correct choice in this life! Otherwise, I will be slapped in the face again!

Of course, it may be that the "anti-bone" attribute is too strong, and he can't help but have doubts in his heart.

Sampson thought to himself, this is too smooth, right? Is this really Vibrio vulnificus infection? Could it be that Dr. Chow was wrong in his prediction?

However, it wasn't long before Chen Zhining's genetic test results came out!

The reasoned and well-founded test report and iron-clad facts have proved that Zhou Qiao's prediction is correct, this is really a "man-eating bacteria" - Vibrio vulnificus infection!

Sampson: "......"

Another doctor who was also skeptical: "......"

Hatam cried with joy, hugged the black scorpion, and climbed on him like an octopus, unwilling to let go for a long time!

That's right, the black scorpion finally put down his face and openly carried Khatam back to his tent. These days, Hatam has been living with him! Although the old father was hospitalized, the two still sang every night.

Mainly, it makes people feel good and relieves anxiety and stress!

Khatam was worried about his old father, he had insomnia, and after being tossed by the black scorpion and becoming extremely tired, he slept much better!

Since ancient times, the solitary yin does not grow, the solitary yang does not grow, and the harmony of yin and yang has always been a very good way to maintain health, but it cannot be excessive!

However, not long after Khatam was happy, about five days later, his old father's condition, which had been stable, suddenly took a sharp turn for the worse!

Zhou Qiao is preparing the third batch of vaccines and special drugs for disease X in the laboratory, because the previous ones are about to run out.

Then, he heard an emergency call for help from the nurse in the intensive care unit, coming from an embedded microphone on the laboratory wall: "Dr. Zhou, Dr. Zhou, the patient's peripheral oxygenation has suddenly dropped to 42%, and he has fallen into a coma, has fallen into a coma!" ”

"Don't worry, I'll be right away!" Zhou Qiao replied.

At the same time, other medical staff also received the news.

And Hatam, during the day, has been staying outside the guardianship room, looking at the old father inside through the glass. At this time, she was as anxious as an ant, and immediately called the black scorpion and asked the black scorpion to hurry over.

Soon, doctors such as Zhou Qiao, Chen Zhining, and Sampson all came in a hurry.

"Doctor Zhou, this should be a problem with the lungs." Chen Zhining arrived first, and said while changing his clothes.

Zhou Qiao nodded and said, "After entering, immediately carry out tracheal intubation!" ”

They put on protective suits and entered the isolation cell. With this kind of "minor surgery", Chen Zhining naturally wouldn't let Zhou Qiao do it himself, and immediately grabbed this job!

He wants to behave in front of Zhou Qiao!

Chen Zhining, a medical doctor and a senior attending doctor, is naturally no problem with endotracheal intubation, and the only thing that needs to be paid attention to is to do a good job of his own protection.

After the endotracheal intubation is completed, the patient's blood oxygen saturation immediately goes up, but after it reaches 95%, it never rises again, and occasionally drops to 94%, 93%, even if the oxygen flow is increased!

"Check another CT!" Zhou Qiao said.

The paramedics got into action, and soon, the CT results came back, and the patient's lungs showed large areas of oozing and atelectasis.

Chen Zhining gasped: "Could it be that Vibrio vulnificus entered the lungs through the blood so quickly?" ”

The other doctors were also shocked, and then looked at Black Scorpion and Hatam with some sympathy.

Because, if this is the case, the hope of treatment will be even more slim, and further amputation is far from solving the problem, and it can't be amputated along with the lungs, right?

That is, the kind that can give up the treatment.

At the same time, the patient's bilateral buttocks, waist and private parts all had edema, the skin was orange-like changes, the high fever restarted, and the inflammatory indicators rebounded!

Zhou Qiao groaned, he had already exchanged his points for the master-level peak Vibrio vulnificus healing technique, and before Luo Ya arrived, there could be no new points, he had to save some use, and he didn't want to consume a small amount of balance to exchange for new special medicines!

The most important thing is that with his master's peak medical skills, comprehensive analysis, I feel that it is unlikely that the lungs are infected with Vibrio vulnificus. It may be other germs, as long as the species can be confirmed, and then according to the germ population, adjust the appropriate treatment plan, and continue the treatment, it may not be hopeless.

So, Zhou Qiao once again made a prediction: "The patient's lungs may be Vibrio vulnificus, but there is a greater probability that they are other pathogenic bacteria!" ”

In a place like Africa, there are too many pathogenic bacteria!

Zhou Qiao suggested that Chen Zhining collect samples again and do a metagenomic test again.

Chen Zhining nodded, took good precautions, acted immediately, suctioned sputum with a fiberscope, collected lung samples, and then entered the previous laboratory where he did gene sequencing to re-conduct metagenomic testing.

Metagenomic testing is the science of applying modern genomics techniques to directly study the organic communities of microorganisms in their natural state, without the need to isolate a single strain in the laboratory.

This technology does not rely on the isolation and cultivation of microorganisms, thus reducing the bottleneck problem caused by it.

To put it simply, it is to extract the whole genome in the sample, regardless of the individual, and obtain all the data, and then through some identification, statistical analysis and other means, to comprehensively screen the microbial community structure and gene functional composition.

Chen Zhining only needs to do the previous "extraction" work, and the follow-up database analysis, he can package the "massive data" and send it to the professors in the previous university, asking them to help analyze the report in the United States, so as to draw conclusions!

So Chen Zhining's data is still very credible! After all, he didn't do it alone!

This time, the results of genetic testing found that Khatam's old father had more than a dozen pan-drug-resistant superbacterial infections in his lungs, including Acinetobacter baumannii, Pseudomonas aeruginosa and Klebsiella pneumoniae, any of which could be fatal in a short period of time if not properly treated.

I really don't know how this old black man survived until now! I have to say that its vitality can be called strong!

It is also possible that it is the wild crawling from childhood to adulthood, and various viruses and pathogenic bacteria are tossed, resulting in its immunity far beyond ordinary people!

In fact, it's a real possibility.

For example, children who play with mud from an early age have stronger immunity than children who grow up in "greenhouses" in big cities! Children who play with mud in the countryside have a variety of complex flora since childhood, and those who can survive can be said to have been "screened", and their immunity is naturally not comparable to that of children in greenhouses.

Khatam's old father was able to live to be over 60 years old in such a harsh environment in Africa, and naturally he was "tempered". That's when I was fucked down!

However, fortunately, this time the metagenomic results showed that although there were many very virulent bacteria, the more virulent Vibrio vulnificus did not appear in its lungs.

These germs have been in their lungs, but they have always been suppressed by their immunity, however, this time, the old black man was dried down by Vibrio vulnificus, and his immunity almost collapsed, and those latent germs slowly multiplied, and after these few days, they counterattacked in one fell swoop and began to rebel!

Chen Zhining reported the test results to Zhou Qiao, and Zhou Qiao sneered, and immediately it was a large output:

Levofloxacin, cefoperazone, sulbactam, vancomycin, seven or eight antibiotics, improved lower limb CTA, nutritional support, mechanical ventilation, anticoagulation, organ support......

In the end, about ten hours later, the patient's condition improved significantly, the condition of the lungs gradually stabilized, and the tracheal intubation was removed.

Once again, the condition is under control! Once again, the crisis has been resolved!

When Khatam heard this, he cried with joy and hugged the black scorpion and cheered! She decided to treat the black scorpion again in the evening.

Although the condition was stabilized, the skin of the patient's left leg was almost debrided and removed during the previous operation, so Zhou Qiao demonstrated the "cicada wing skin" and "seedling transplanting method" on the spot again, but this time, Zhou Qiao did not use magical energy.

First, the account balance is insufficient, and secondly, a black old man, who has been crawling in the African wilderness all year round, although he has the face of a black scorpion, Zhou Qiao feels that conventional means are more than enough.

Scars are not scarred, it is not important. It doesn't matter if the healing time is longer.

Anyway, hospitalization here, the expenses are all paid by the black scorpion.

Although the Black Scorpion is the commander here, the base will also calculate the cost! Even if it's a black scorpion, you have to give money!

This time, the black scorpion can be described as a big bloodletting!

After Khatam found out, while feeling sorry for the money, he was naturally moved beyond measure, and he could only repay the black scorpion at night! I will never leave for the rest of my life!

There are also many people in the base who secretly laugh at the black scorpion, thinking that this commander is really a big wrongdoer, but Zhou Qiao, Margaret and others all feel that as long as the black scorpion is happy, it doesn't matter if he spends some money or something.

Isn't it true that people live in the world just to have a comfortable heart?

The old man's condition was stable, and recovery was just around the corner, and the black scorpion hugged Khatam and came to thank Zhou Qiao.

Zhou Qiao can receive "thank you gifts" from different tribes almost every day, and the black scorpion is no exception.

Therefore, he took out his treasure, a bright yellow three-carat diamond, and gave it to Zhou Qiao to express his gratitude!

This diamond, originally he wanted to give it to his future wife, but now that he and Hatam are back together, after discussing with Hatam, they jointly decided that it should be given to Zhou Qiao!

Zhou Qiao was disrespectful and accepted it.

He played with the diamond on his fingertips, he liked it very much, this diamond was extremely dazzling, clear, pure, if it was made into a necklace or diamond ring, it would be good to give it to Murphy.

"It's just, I can't favor one over the other, what about Elena and Ava? What do you want to bring them? ”

If you send something casually, Zhou Qiao can take out a lot of things, but if you want to be special and appear to have a heart, then you have to put a little more effort into it.

As for Luo Ya, helping her solve the X disease in the East African base this time should be the best gift, but there is no need to prepare for it.

Zhou Qiao returned to his room and began to sort out the gifts he had received recently. After solving the X disease, he naturally no longer lives in the medical laboratory, and he is not used to living in an outdoor tent, so the black scorpion arranges an "upper room" for him in the base.

Jacqui and Lusena live next door to him.

However, Jacqui and Lusena would spread out the camp bed in his room at night under the pretext of keeping him safe.

Zhou Qiao picked and chosen, and there was no suitable one.

was worried, Margaret called: "Doctor Zhou, someone has come to give you a thank you gift again." This one is a little special. ”

"Special?" Zhou Qiao's spirits were lifted and he was immediately energetic!

No one doesn't like to receive gifts, especially from patients!

When Zhou Qiao came to the outside of the base, he saw several black people from a distance, including three black girls, each carefully holding a wooden box. Margaret was at their side, with men.

Not far away, many people watched, pointed and discussed.

Seeing Zhou Qiao come out, Margaret immediately waved her hand and shouted, "Doctor Zhou, this way!" ”

Zhou Qiao walked over quickly.

When those black people saw Zhou Qiao, one of them was very excited, a black man with a loud voice, but a little yellow complexion, bowed slightly, and said loudly and respectfully: "Doctor Zhou, thank you for saving your life, I will kowtow to you on behalf of our entire Xiyou Village!" ”

It turned out to be broken Chinese!

Zhou Qiao was stunned for a moment, and then, he saw that the three black girls carefully put the three wooden boxes aside, and then, together with the other black people, knelt down together!

There are nine people, kneeling at the same time, that scene is still very interesting!

Margaret couldn't help but exclaim: "Wow~"

Not far away, the crowd of onlookers also broke out in an uproar.

Zhou Qiao hurriedly shouted: "You don't have to be like this! "It's the first time he's enjoyed someone else's kneeling!

In modern society, this kind of etiquette is just too heavy!

It's just that he always feels that the kneeling posture of these people looks a little familiar, well, yes, with a bit of ancient Chinese flavor, similar to in film and television dramas, slightly different from the kneeling posture of other East Africans.

"Yes, yes, there are more than 300 people in our Xiyou Village, if there is no special medicine from Dr. Zhou, it is estimated that the incense will be cut off this time!" The black man in the lead was always "amazing."

"Who are you?" Zhou Qiao asked in surprise.

Do you still know about the "inheritance of incense"?

"We are the descendants of the generals who stayed behind when the great Zheng He went to the West more than 600 years ago! At that time, our ancestors were seriously ill and could no longer follow the fleet, so they had to stay in the local area to recuperate, so we had Journey to the West Village. ”

"Doctor Zhou, these three treasures can be said to be the 'heirlooms' of our Journey to the West Village, if it were someone else, we would never give them away! But Dr. Zhou, you are Chinese, and you have saved the lives of our whole village, we have nothing to repay, so we specially brought the heirloom over, I hope Dr. Zhou will not dislike it, and must accept it! "Although the young man in the lead is not standard in Chinese, his words are unusually sincere.

Chen Zhining rushed over when he heard the news, and when he saw this scene, he sighed, and said in his heart, I have been here for so many years, and I haven't seen you come to visit me. I'm Chinese, too!

(End of chapter)