Chapter VII Empiric Medication

Sun Lien and his own treatment team occupied the entire ninth consultation room. The room, which was not very large, was fitted with two tables, which could accommodate four patients at a time. Sun Lien, Pascal, Xu Yourong, and Zhou Ce are the first echelon, while Bruine and Yuan Ping'an are the reserves. If any of the four of them is too tired to hold on, they will be replaced by a reserve echelon.

"Is it just a cough? Do you have a fever? Do you feel particularly tired?" Sun Lien's diagnosis speed was unconsciously accelerating, and he could complete the diagnosis almost every two minutes - if he only relied on the status bar and did not ask for a medical history, this speed could even be compressed to less than fifteen seconds. But if he did this, not only would Dr. Pascal, who was sitting next door, be surprised, but the patients would also think that Sun Lien did not take the doctor seriously, but just wanted to send them away.

"It's not all, is it? It's just a little cough?" Sun Lien asked again, and then quickly typed a few words on the computer screen in front of him, "It's okay, I'm afraid your condition doesn't even count as a cold." Just go home and drink plenty of hot water and rest for two days. There really wasn't any negativity in this patient's head, just the "anxiety, panic" that everyone had on their heads.

"Don't prescribe medicine, doctor, can you at least prescribe me an anti-inflammatory drug?" the middle-aged man was a little embarrassed, "My throat is really uncomfortable......"

"Anti-inflammatory drugs can only be prescribed if they are inflammatory. Sun Lien patiently explained, "Your throat is not red and swollen, nor is it difficult to swallow, there are no indications, I can't prescribe anti-inflammatory drugs to you." He pointed to the crowd behind the middle-aged man and said, "This kind of mild symptom, don't come to the hospital if you can not come to the hospital in the future." If you look at so many people behind you, if you really have a contagious disease, you are more susceptible to infection. โ€

When the middle-aged man heard this, he nodded quickly, and then covered his mouth and nose with his sleeve.

"There are masks here. Sun Lien handed over a mask, "Put it on and go home quickly, these days, don't go out if you don't feel uncomfortable." โ€

After sending off another patient, Sun Lien didn't even have time to stretch his waist, so he was ready to call the next person waiting to come in. At this moment, a series of red alerts suddenly flashed in front of his eyes, still familiar to the old three, "warning, high transmission risk", "warning, fatal risk", "warning, pathogen mutation risk".

Sun Lien's pupils narrowed sharply, and then he forcibly restrained his urge to clear the field - the one who walked in at the door had an N95 mask on his face, and it was the kind without a breathing valve. This means that he is at a lower risk of spreading the disease to others.

Shen Youhua, male, 58 years old. High blood pressure (27743.55.16) ,???? coronavirus infection (158.22.42), low-grade fever (33.14.51)" Sun Lien saw the status bar on his head, and then motioned for the other party to sit down, and moved the stool back slightly, "Is there anything uncomfortable about you?"

"Me, nothing particularly uncomfortable. Shen Youhua nodded towards Sun Lien, "It's just a little headache...... I went to Yunhe City for a meeting four days ago. I only came back this morning. My wife said that those who have been to Yunhe have to isolate themselves when they come back, and I have also finished taking the medicine to control blood pressure, and my body temperature is a little high."

"How many degrees is the body temperature?" Sun Lien asked while taking out the thermometer, "Is it thirty-seven degrees five?"

"Almost, right......" Shen Youhua thought for a moment and said uncertainly, "About thirty-seven degrees and eight?"

Sun Lien thought for a while and prescribed a doctor's order for imaging examination, "You take this examination form to pay a fee, and then go to the imaging department to take a film." Sun Lien tried his best to make his expression appear calmer, "After all, you have a history of Yunhe travel, and this symptom is also a little suspicious, so it's better to take a film to rule it out." โ€

Sun Lien said carefully, but there was still a sound of footsteps in the ninth consultation room. Many patients who were anxiously standing in the consultation room waiting to see a doctor retreated to the outside of the clinic. Some even muttered nervously, "This one is sick!"

Shen Youhua also looked nervous, "Doctor...... Do you think I'm ...... Infected too?"

"You'll have to go through an inspection to find out. Sun Lien stubbornly told a lie against his will, and the prompt in the status bar could not be used as evidence, but still had to go through relevant tests, "You go and shoot a film first, and I'll take a look later." He thought for a moment and added, "You haven't been home since you came back from Yunhe, have you?"

Shen Youhua shook his head, "I haven't been back...... he pointed to the mask on his face, "This mask was given to me by the shop owner over there when I got on the high-speed train in Yunhe." โ€

"Please provide me with the train number you took when you came. Sun Lien temporarily added a step that was not required in the diagnosis and treatment guidelines. According to the calculation of several infection cases in the four hospitals, I am afraid that many people will be infected on this train. Timely identification of the other party's transportation process also helps the disease control department to identify close contacts and carry out medical observation.

"By the way, don't take off this mask on your face when you go to have a CT scan. Sun Lien told Shen Youhua before leaving, "After the filming is over, you will come back directly." โ€

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"Your face is a little dark. "The ninth clinic saw 200 patients in one morning. This result is actually not good, because at 10:25 in the morning, Shen Youhua's CT results came out. Diffuse ground-glass opacities in both lungs, high suspicion of viral pneumonia. As a result, the entire ninth clinic was temporarily closed and thorough UV exposure and floor disinfection began. Shen Youhua himself was also admitted to the negative pressure isolation room of the rescue room, the isolation ward of the Department of Infectious Diseases, which currently only accepts confirmed patients. Looking at the CT results, Dr. Cao Yanhua wore a protective suit and sighed to Sun Lien, "Among the thousands of people who came to see a doctor today, you met a suspicious one. โ€

Sun Lien muttered in his heart, "It's not suspected to be a diagnosis", but he could only echo it, "Dot-back......" Fortunately, the train number has been obtained. After reporting to the Center for Disease Control and Prevention, Sun Lien and Yuan Ping'an changed shifts and came back to sort out the materials and prepare to report to Zhou Jun.

"What do you think of this patient's treatment plan?" Dr. Cao Yanhua chatted with Sun Lien while looking at the imaging report, "I went to the infectious disease department to see it, and their treatment methods are ...... Compare empirical. โ€

The Department of Infectious Diseases currently admits 18 patients (Dr. Dong Xin and Director Huang Wenhui have stopped treatment and have been transferred to observation), and the 18 patients are on a total of eight different treatment regimens. From oseltamivir to arbidol , from ribavirin injection to nebulized inhaled ฮฑ-interferon, as well as zanamivir and peramivir, and even lopinavir and ritonavir were used. All 18 patients signed the "experimental medication" form. The earliest patient 0 was given pulse glucocorticoids on the basis of lopinavir and nebulized inhaled ฮฑ-interferon.

"What can I think?" Sun Lien said helplessly, "I haven't even figured out the pathogenic mechanism of the virus, so now I can only rely on the experience of the SARS period to see how it is treated." โ€

In the early days of the epidemic, when medical institutions still lacked awareness of the disease, they could only try to treat it through empirical medication. Later, as the study of the disease continues, a relatively effective treatment plan can be found.

This is a serious and somewhat cruel objective fact, and it is not subject to human will. All countless scientists and medical staff can do is to minimize harm to patients in the process. And try to speed it up a little more.

"The results are out in the lab. Sun Lien and Dr. Cao Yanhua were exchanging views, and Zhou Ce trotted into the small conference room with a report in his hand, "The electron microscope has confirmed, it's the coronavirus!"