Chapter Forty-Nine: Fighting Grievances
The next morning, Liu Tangchun woke up leisurely. But the sky outside was still dark, as if it were still night.
As people get older, they sleep less. Moreover, the location of the capital is further north than Ningyuan, and it seems completely understandable that the sky is still dark after waking up in the morning. But getting up too early is always a bit of trouble. It's half past four in the morning, and breakfast at the hotel doesn't start until half past six. After washing up, Liu Tangchun began to sit down and look at the information.
Although the medical team in Africa is China's sole action, the WHO and other organizations will also consciously tilt some assistance to the members of the medical team. This is especially true because of the lack of a systematic primary health care system in Africa, and the lack of resources for immunization – where there is a shortage of medicines, it is certainly not possible to implement a planned immunization policy. As a result, some infectious diseases, which are almost impossible to see in the country, are still active in this ancient land of Africa.
Liu Tangchun is looking at such a piece of information. As a chief physician with more than 30 years of experience, Liu Tangchun is also a person who has come out step by step from that era of poor medical care in China. He knew better than the young doctors how terrible the diseases that would have required the nation's efforts to be eradicated.
Although Liu Tangchun did not catch up with the vigorous schistosomiasis eradication campaign that year, he still heard about it as a medical worker. In fact, even today, schistosomiasis has not been completely eradicated in China. Although the number of new infections each year has changed from the original "regional, concentrated" outbreak to the current "sporadic infection", it has to be said that after more than 60 years of treatment, China has still not been able to completely eradicate this parasite.
China, one of the five permanent members of the United Nations Security Council and the world's second-largest economy, has managed to reduce the estimated number of schistosomiasis infections to 37,000 in more than 60 years. And in Africa, where there is no epidemic prevention work and action at all, the prevalence of schistosomiasis is staggeringly high. More than 90% of the estimated 200 million cases of schistosomiasis infection worldwide are located in various regions of Africa. The medical teams were not spared, and many of the young members of the teams were not spared because they were not vigilant about local basic services, or simply lacked knowledge and knowledge of schistosomiasis. Therefore, such imported cases of infection are not uncommon.
Liu Tangchun is going to Tanzania this time, which happens to be an area with a high incidence of schistosomiasis. And the one he is looking at is the report on the local infectious disease epidemic submitted by the WHO.
The more Comrade Liu looked at it, the deeper his brows wrinkled, and he couldn't wait to call directly to scold his unsuccessful African students. The recent outbreak of infectious diseases in Tanzania is really not light, and the outbreaks reported by the WHO alone include cholera, anthrax, and chikungunya. As for schistosomiasis and other parasites, there are no precise statistics – it is too difficult to keep a record of the prevalence of these "common diseases" in the eyes of Africans.
Liu Tangchun does not have a background in public health, parasitology or infectious diseases, but this does not prevent him from being highly vigilant about infectious diseases in Africa. This is also related to the characteristics of emergency work. Patients with infectious diseases who are brought to the emergency room are generally very ill and highly contagious. Since SARS, doctors in China have gradually changed from the original idea of "emphasizing treatment and ignoring prevention" to the current "grasping with both hands, both hands should be firm". And such a change has come at the cost of blood.
As the day gradually brightened, Liu Tangchun took the documents and went to the hotel restaurant for breakfast. He had only gotten the document in his hands last night, and this morning was the first time he had seen it. And the more he looked, the more he felt that the burden on his shoulders was a little too heavy.
A total of 25 doctors visited Tanzania this time, most of whom were doctors in ophthalmology, general surgery, internal medicine, obstetrics and gynecology and laboratory medicine. There is no specialized infectious disease doctor. This means that if there is a need to face a sudden outbreak, the members of the medical team will probably not be able to cope at all. When the time comes, let alone supporting medical treatment, I am afraid that the members of the medical team will be in danger.
"You're up early. At half past seven, Professor Zhu Minhua finally arrived at the hotel. He looked at Liu Tangchun, who had already finished breakfast, and sighed. "Wake up early in the morning and read the papers?"
"Lao Zhu, you have to help me. Liu Tangchun put down the documents in his hand and rubbed his eyes a little tiredly. "You are familiar with the people in the ministry, can you help me ask if there are any specialized infectious disease doctors in the medical team in Africa?"
"Where can I ask this?" Zhu Minhua looked embarrassed, "Although the medical team is selected by the Health Commission from below, there are also arrangements from the Ministry of Foreign Affairs. Where is the list that I can ask?"
"Then think of a way. Liu Tangchun frowned and handed over the document in his hand, "Since last year, the cholera and anthrax epidemics in Tanzania have a tendency to spread. This group of former medical teams did not have professional infectious disease doctors, not even doctors from hospitals. With such a team configuration, it is no problem to do basic medical care and roving diagnosis and treatment, but it basically does not have the ability to deal with infectious diseases. ”
Zhu Minhua scratched his bare head, shook his head and said, "The medical team is treated as a treasure in Tanzania, but you will not be allowed to go to any dangerous area." If you're only stationed in a big city, you don't have to worry about that, right?"
Liu Tangchun's brows furrowed even deeper, "Actually, if this team configuration was placed two years ago, no, even if it was placed a year ago, there would be no problem." But since June, more than 8,000 cases of cholera have been reported in Tanzania. This is too much of a threat to the medical team. ”
"The composition of the team must have been eight months ago. Do you think everyone is like you Liu Tangchun, and you can still add it when the team has set off?" Zhu Minhua glanced at Liu Tangchun. "Now that you've seen these reports, remind the rest of the team when you're working later. ”
Liu Tangchun sighed, and put on a heart-wrenching gesture towards Zhu Minhua, "Old Zhu, brother, you should always know why I was assigned to the medical team, right? To tell you the truth, I'm really afraid of this now, when it comes to infectious diseases, Lao Liu's spine is like a small insect crawling up, from L4 all the way to T3. ”
"You just say it's itchy from the waist to the chest, and that's it. Zhu Minhua was a little dismissive of Liu Tangchun's heartfelt words. Anyway, even if he worked hard to help Liu Tangchun find the list, if there was any accident at that time, Liu Tangchun would not be able to have any good way to deal with it - the countries in charge of each medical team are different, not to mention the possibility of a certain epidemic spreading across borders, even if the epidemic is only limited to Tanzania, it is impossible for the medical team to transfer people from other countries to Tanzania.
"It's true. Seeing that Zhu Minhua didn't react, Liu Tangchun thought about it and said in a low voice, "I went to Tanzania this time, and I still have two places in my hand." ”
Liu Tangchun went to Tanzania to take CDC's cross-border exchange program. An invitation letter was sent from Tanzania, and then Comrade Liu went to Tanzania as a specially invited expert to guide the work. As a specially invited expert of Tanzania, Liu Tangchun can theoretically bring two accompanying experts with him.
It's just that none of those doctors in the Fourth Central Hospital, Liu Tangchun, plan to take them with him - anyway, he was relegated to avoid the limelight, and there was no need to take his disciples and grandchildren to leave his hometown and follow him to distant Africa. But that doesn't mean he really plans to go to Africa on his own.
In fact, Liu Tangchun originally planned to dig up an emergency nurse from the capital and take her with him. However, the position of a nurse not only requires a high sense of responsibility and meticulous observation ability, but more importantly, if you want to get to work as soon as possible, you must find a nurse who is familiar with you and can work together. And this kind of nurse is really not easy to find.
Since it's hard to find, settle for the next best. Liu Tangchun pondered for a while and decided to decisively revise the target. Nurses who do not cooperate well do not play a greater role than other attending doctors. Considering the possible risk of the epidemic in Tanzania, Liu Tangchun decided to simply dig an infectious disease doctor or public health management expert with him during breakfast.
Unfortunately, the hospitals in the capital are not strong in this aspect, and in the ranking of infectious disease hospitals in China, Shanghai Huashan Hospital and the First Hospital of Zhejiang University are tied for the best, while the third place is the Southern Hospital of Southern Medical University. There are five hospitals in the capital that can be ranked in the top 10, but none of them are particularly high. And the sixth-ranked Tongxie guarded himself like a thief...... Liu Tangchun shook his head and put all his hopes on Zhu Minhua.
"Two places?" Zhu Minhua was stunned, then asked with a strange smile, "Why don't we go to the First Hospital of Peking University later?"
The First Hospital of Peking University, the Department of Infectious Diseases ranks 10th in the country. Director Lin of the Department of Infectious Diseases is a member and secretary of the Society of Tropical Diseases and Parasitology of the National Medical Association. The Department of Infectious Diseases under her leadership has a very deep research on liver diseases caused by infectious diseases.
"That's a good feeling. Liu Tangchun immediately laughed, "However, it's easy for me to go in." You, Professor Zhu, are going to enter their hospital, but I'm afraid it's not very convenient, right?"
"What's inconvenient. Zhu Minhua smiled sinisterly, "It's a big deal for me to register an account!
The two directors of the emergency department were both acute children, and after confirming the arrangements later, the two went directly out of the hotel. On the road, I slipped and bent with my hands behind my back, and within a few minutes, I walked to the First Hospital of Peking University.
"Excuse me, get a number. "Zhu Minhua, as the host, naturally can't let Liu Tangchun line up. He stood in line at the registration window and waited in line for about 40 minutes before he reached the window.
"The number of the infectious disease department is all hung up today. The cashier in the window waved his hand to Zhu Minhua impatiently, "You can come back tomorrow." ”
"It's all over?" Zhu Minhua was stunned, "What about the non-expert number?"
"You have to make an appointment. The cashier gestured to the poster next to him, "Look at that." Then he shouted behind Zhu Minhua, "Next!"
Lao Zhu was forced out of front of the window by the family members who were in a hurry to queue up, he looked at the content on the poster, and was a little unsure whether he should call Director Lin directly to explain the situation.
At this moment, in the waiting area behind the window, there was a sudden commotion. Zhu Minhua turned his head, but was startled by the scene in front of him.
Liu Tangchun was scuffling with a middle-aged man, and Lao Liu, who had been a soldier, was obviously better at fighting than the middle-aged man. With a slight stumbling block under his feet, he directly put the middle-aged man on the ground. But Liu Tangchun couldn't rush up and punch the man twice, four or five people appeared behind him out of nowhere, and those who suddenly came out of nowhere swung their fists and smashed them at Liu Tangchun's head.
Liu Tangchun quickly dodged the attack, and yelled at these people, "Damn, you dare to cheat other people's life-saving money?!" After scolding, Comrade Liu threw off the down jacket on his body and threw himself directly towards several people.
The commotion in the registration hall rang out.