The speed of development of the epidemic will always surprise everyone. With a lot of research on the disease and the whole society taking strict precautions, it will take half a year to bring SARS under control. And in the face of an almost new disease that people don't know anything about, choosing "cold treatment" and "limited external notification" will not help to control the epidemic. It may even further fuel the spread of the epidemic and generate "revenge rumors" when the outbreak is chosen to be notified later.

On the fifth day of the hospital lockdown, the number of medical staff and patients confirmed to have symptoms of viral pneumonia has reached 21. It was also on this day that the condition of the first patient with a cerebral hemorrhage deteriorated further.

"Sepsis, acidosis, and refractory hypoxia. Sun Lien looked at the briefing on the situation on the screen, and moved his butt that he had been sitting for three hours with some uneasiness—he had been sitting in the conference room all morning, and now he was a little numb.

The rescue room is now clean as if it has never been put into operation. A group of doctors who were stuck in the hospital and couldn't go anywhere used their brains to make use of this rare free time. Dr. Brunn and Dr. Pascal conduct a daily LAN live broadcast to doctors in the Rheumatology and Immunology Departments and Emergency Department of the four hospitals, respectively. And the two's work mailbox will be stuffed with emails asking questions every day.

Other times, doctors either communicate with each other or read the literature themselves. All in all, you can't be idle, but it's really a bit boring. In this slightly contradictory mood, in addition to the courses of two American experts, the most concerned are the patients who have been isolated for treatment and the changes in the conditions of their colleagues.

The infected healthcare workers are in stable condition. But the two patients who were infected in the ICU at the beginning, as well as the "patient 0" who had the first disease, did not do so well. All three developed severe respiratory distress syndrome. Patient 0 has been fitted with ECMO.

"Doctor Sun, what about the medical records?" Dr. Cao Yanhua was also quite bored today, he wandered to the small conference room to exchange first aid experience with Brunn, but only found Sun Lien staring at the computer in a daze. He shook his waist and walked to Sun Lien's side and asked, "You are quite experienced in rare diseases and infectious diseases, what do you think of the patient this time?"

Sun Lien carefully discerned it, and confirmed that the thirteen words "I am quite experienced in rare diseases and infectious diseases" did not contain any mockery, and then rubbed his chin and replied, "This ...... In fact, from my intuitive feelings, this infectious disease is not particularly serious. ”

"Oh?" Dr. Cao Yanhua became interested, "Isn't it particularly serious?" he counted with his fingers, "How long has it been since it infected twenty people, how can it not be considered serious?"

"In terms of contagiousness alone, we definitely need to be vigilant. Sun Lien said seriously, "Now the disease is a clear sign of human-to-human transmission, and the incubation period of the disease itself is uncertain, and it is doubtful whether it will be contagious during the incubation period." However, the current lethality of the disease is limited, and the threat to human life is not as terrifying as SARS. He pointed to the screen and motioned for Cao Yanhua to come over and take a look.

Dr. Cao's gaze followed Sun's finger to the screen, on which the three patients' "underlying diseases" were labeled in an Excel spreadsheet.

"You see, these three critically ill patients all have relatively serious underlying diseases. Sun Lien scrolled the mouse to explain, "The first patient is patient 0. He was admitted to the hospital because of a sudden cerebral hemorrhage, but he had cirrhosis, hepatitis B, and high blood pressure. The second place is among the elderly, with type 2 diabetes and stomach cancer. The third was an elderly man with a fracture of the femoral head, secondary hypertension, coronary artery stenting, and chronic bronchitis. Sun Lien stopped his mouse and said seriously, "The three critically ill patients all have serious underlying diseases, and after the latter two patients were infected, Dr. Dong Xin, who was immediately infected, had much milder symptoms - at present, there are only signs of fatigue, cough and low-grade fever. ”

Cao Yanhua nodded, then shook his head again, "The symptoms of these three patients may be in line with your judgment, but there is a lack of more data, and this assertion itself still lacks credibility." ”

Sun Lien leaned back, half-lying in his chair and shook his head, "I'd rather that this inference will never have enough evidence to confirm it...... How exactly that patient 0 got infected, we still don't know anything. ”

"Dean Song is already in contact with the relevant departments, and there should be a result soon. Dr. Cao Yanhua comforted Sun Lien twice, then shook his head and said, "I heard that this patient came from Yunhe City to visit relatives...... he glanced at Sun Lien and asked, "I heard...... Doctor Sun, do you still have some connections over there in Yunhe City?"

Sun Lien frowned, thinking about what his relationship was with the transportation hub of the thoroughfare of the nine provinces. But suddenly thought of the director of general surgery who set a table of dishes and was finally abducted to Africa by Liu Tangchun, the white and chubby Professor Chen Tianyang.

Professor Chan...... He has worked in Yunhe City for so many years, and his protégés are everywhere. Maybe Chen Tianyang can have some inside information?

One of the hallmarks of emergency physicians is that they are highly mobile. Cao Yanhua only mentioned the matter of Yunhe City, and Sun Lien had already taken out the phone and started dialing-as for what time it was in distant Tanzania, it was not in his consideration at all.

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"Do you fucking know what time it is?!" Liu Tangchun was called by Sun Lien's phone call, Tanzania at one o'clock in the morning, it was pitch black, not to mention, there was not even electricity - the medical team was stationed here There were regular power outages, so everyone slept early. Liu Tangchun: If they don't have to go to the doctor, they should go to bed at eight o'clock in the evening.

"Director Liu, I have something urgent. Sun Lien didn't have a hard top with Liu Tangchun, but directly talked about something, "Is Professor Chen here?"

"Not here!" Liu Tangchun was furious, "He's not my wife, can he still sleep in the same bed with me at night?"

Sun Lien apologized repeatedly, and then hurriedly said the content of the request, "Director Liu, that's the case, our fourth hospital has accepted a patient, and it is said that he came from Yunhe......"

"The hospital is closed?" Liu Tangchun was frightened by the news, and all his drowsiness disappeared, "Confirm that the patient is from Yunhe? How many people have been infected in our hospital?"

Sun Lien briefly reported the situation and urged, "Director Liu, you should go and ask Professor Chen......" Before he finished speaking, Sun Lien heard Liu Tangchun shouting confidently on his mobile phone, "Chen Tianyang, get up quickly!

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"How's it going?" Liu Tangchun was wearing a green military coat and a pair of cloth shoes under his feet, looking like an old farmer who was about to go to the chicken coop to see if the hens had laid eggs, and in front of him, Chen Tianyang, who was squatting on the ground and talking on the phone, seemed to have just come out of the chicken coop - he had a chicken coop on his head.

"There is indeed a problem. Chen Tianyang frowned and said in a deep voice, "The doctors in our hospital said that they did admit some such patients, and they also reported to the CDC. ”

"Why didn't you see the announcement? This has spread to Ning Yuan. Liu Tangchun frowned and asked, "What about countermeasures? Have you activated the emergency response?"

"No...... Nothing. Chen Tianyang's expression was like crying and laughing, "It is not allowed to diagnose viral pneumonia, doctors are not allowed to prompt protection, and it is not even allowed to remind other patients who come to the clinic to gather in the affected area." ”

"What?, have all figured out the affected areas, and they haven't moved yet?" Liu Tangchun's eyes widened, "How many patients are there?"

"I don't know, there could be dozens, maybe even hundreds. Chen Tianyang closed his eyes in some pain, "Gather the affected area...... A game market in Yunhe. ”