Chapter 84 Polythanvia (3200 words for subscription on June 4 1/1)

The news from this inquiry is divided into two parts: bad news and good news. The good news is that Sun Lien will soon be able to meet his girlfriend Hu Jia. The bad news is that he has to make a special trip to Polythanvia for this purpose — instead of pulling out a banner at Ningyuan International Airport that reads "Welcome my leaders back home from their mission of guiding the Polythanavian medical system."

Polythanvia...... At the end of this year, Sun Lien suddenly felt as if there was a heavy object on his chest, nothing else mattered, the scar on his arm probably wouldn't be able to get rid by the end of this year.

Director Liu said that the health system in Polythanvia is far more fragile than they thought – the local doctors are not trained and the lack of a systematic health system has led to the incredible progression of the disease. Dr. Pascal has participated in Doctors Without Borders, and he also has a deep understanding of the extremely scarce medical resources in African countries, "Director Liu's idea is to let you go with the domestic donated materials that will leave at the end of the year, and then do a diagnosis locally. On the one hand, it can help local doctors adapt to the new medical equipment and resources as quickly as possible, and on the other hand, it can also improve their own skills - that place is simply a museum of disease progression. ”

China has the largest population in the world, and with this population base, any rare disease can be magnified into a very large group. However, China's medical resources are still much more adequate than those of African countries, especially under the long-term relatively cheap medical coverage, basically everyone will choose to buy their own drugs or go directly to the hospital if they are slightly unwell. Therefore, it is actually very difficult to see the full progression of a disease – it is human instinct to help a sick companion, or to seek help because you are unwell. Early intervention also leads to many clinicians not having the opportunity to face the disease that progresses to the terminal stage.

Some diseases progressed over time and exhibited two completely different states than in the early stages. The most typical is syphilis – early syphilis is characterized by skin defects. In the end-stage, it becomes syphilitic encephalopathy or syphilitic liver disease, affecting many organs with varying symptoms.

Although it is said that it is a museum of diseases, this seems to be a bit ...... Cold-blooded and inhumane. But that's true, at least in Polythanvia, in the greater Malawi region where Liu Tangchun lives, the most advanced diagnostic equipment in the highest level of hospital, which covers millions of people, has nothing more than an X-ray machine produced in the 70s of the last century, and a desktop optical microscope made in China.

The tribes and villages in the region live largely without health care. If you are sick, you can only choose to carry it yourself. If you can't carry it...... In a remote corner of the Greater Malawi region, there would be an extra low mound.

For thousands of years, it has been like this.

Sun Lien was a little surprised at first that he might go to Africa, and then he was only worried. The reason is also very simple - his medical license may not come down until the end of the year. He had no clue what to do about the relevant procedures, how to go to Africa to carry out treatment activities in the name of a practicing physician.

"I don't think it hurts you to go. Dr. Pascal tapped the table with his hand, and the old man on the street was ready to tell the young man about his life experience, "The more patients you come into contact with, the stranger the symptoms, and the less likely you will be to panic when you encounter unexpected situations in the future—of course, you are now in a better state than many attending doctors—but people always have to find a way to improve, don't they?"

"Besides, it's only three months since you went to Polythanvia. Three months later, the time limit for the medical team to assist Africa has arrived, and they will definitely return when the time comes. I went out for treatment for three months, opened my eyes, and then returned to China with the medical team. By the way, you can also have the title of 'Doctor of Aid', which will definitely do more good than harm to you. Dr. Pascal smiled, "Oh yes, I have some friends over there, and I can ask them to take care of you if you need to." ”

When it came to this, Sun Lien could only nod, "Let's talk about it when Director Liu and I contact me later...... I'll think about it again. ”

What else is there to consider? Liu Tangchun is his master's supervisor, although this old bastard hasn't taught himself a day yet. But a mentor is a mentor, and a boss is a boss. The boss has spoken, even if you are scolding the street, you have to do the boss's orders before scolding - unless you are already planning to completely tear your face with the boss, this graduate student will not study, and the degree will not be needed.

The main basis that Sun Lien used to comfort himself was that Liu Tangchun was a bright person. Although Comrade Liu was particularly shameless when poaching doctors from other hospitals, in all fairness, Director Liu was indeed an impressive leader who was willing to believe in him. At the time of the avian flu, it was obvious that Xu Yourong did not wear personal protective equipment in accordance with the regulations, and he did not follow the regulations of the hospital and entered the isolation room. But Liu Tangchun didn't say a word to the two from beginning to end, but covered up the two in front of the angry Song Wen in every way, and finally made himself be assigned to Africa. Based on this alone, Sun Lien, who still has young enthusiasm in his heart, feels that even if he is allowed to go to Africa to support for a year, he will not have any complaints.

Thanksgiving is such a thing, and when you say it, it is vulgar and fake. People who are truly grateful will keep everything in their hearts and then find an opportunity to work hard to reciprocate. The return is not to thank the other party, but to make yourself feel comfortable - the most difficult thing in the world to pay back is always human favor.

With something in mind, Sun Lien ended today's work. According to the doctor in the emergency room, Wang Baoguo, who had suffered a cardiac arrest in the morning, had successfully intervened, and the doctors in the interventional department had already sent Wang Baoguo to the CCU for further observation after implanting a stent. Sun Lien looked at his arm and laughed in a low voice, as long as the person is saved, then his twenty-five stitches will not be in vain.

After returning to the dormitory, the first thing Sun Lien did was to pick up the computer and start searching for all the information related to Polythanvia. Since I am going to go there to support in the future, I have to understand the basic situation of the local area as soon as possible.

Polythanvia is a country in east-central Africa that was once a Portuguese colony. The country was founded in the mid-to-late 70s and the official languages are Portuguese, English and Swahili. And for historical reasons, the border is less than forty kilometers from the nearest place in the Indian Ocean, but it is still a landlocked country without a port. Of course, Politavia is in a slightly better position than other landlocked countries, and she can use the Rufuma River as a water transport route to the Indian Ocean, and then through ports in Tanzania in the north or Mozambique in the south for further transshipment.

In general, Polytavia, which is between a landlocked country and an "inland sea" country, has been in a relatively stable but impoverished environment since gaining independence. The two neighboring countries are relatively politically stable but equally poor. Polytavia has never had a particularly good economic backbone – like Mozambique and Tanzania, she is a standard agrarian country.

Fortunately, with special natural features such as Lake Great Malawi and Great Savanna, a large number of wildlife populations, and a relatively stable political situation, Polytavia is still trying to develop tourism. Despite the large mineral resources, in order to ensure the priority of tourism, the Polythanvian authorities decided to postpone mineral development and only have some traditional coal and diamond mining in the north-western province near Mozambique. Large-scale industrial mining is carried out, and there are currently only three mines in Polythanvia. A coal mine, an iron mine and a copper mine.

All three coal mines are located at the mouth of the Rufuma River, near the "estuary", while the eastern side of Lake Greater Malawi, the hinterland, is dominated by nomadic, settled villages – with the exception of Port Melati, the capital of Polythanvia on the eastern shore of Lake Greater Malawi, there are few cities with a population of more than 100,000.

Port Melati is home to the transportation and fishing industries of Lake Malawi, and is one of the few international airports in the Greater Lake Malawi region. Across the east and west, there are only three modes of transport from Port Melati to the mouth of the Rufuma River – either by boat from Lake Malawi to Mozambique, or from Port Melati to the northeast after about 300 kilometers of low-grade roads, dirt roads and about 120 kilometers of Chinese-aided high-grade roads to reach the middle and lower reaches of the Rufuma River, or from Melati International Airport, after about 600 kilometers in the air to reach the mouth of the Rufuma River.

All in all, due to Polytavia's unique geographical location and economic structure, it presents a somewhat surprising appearance. The western capital is the largest city in the country, and the eastern estuary region is an important industrial town. The vast hinterland in the middle includes savannas, rainforests, plains, and other landforms, and is extremely difficult to get to – even the capital and the mouth of the Rufuma River are difficult to navigate.

Sun Lien is not interested in investing in these things, as topography and traffic conditions are often highly correlated with infectious diseases. For example, Zambia, Mozambique, Malawi and Tanzania, which are also part of the Greater Malawi region, have regular freighter traffic with Port Melati. And the passengers and goods that a freighter can "carry" are far more than just people and goods.

Infectious diseases can also spread along with human traffic.

Sick people, animals carrying disease, ballast water in the cargo hold, and even the air in the hold of a ship can be a route for infectious diseases to spread.

Paying attention to traffic means that Sun Lien can have a direction to check the regional infectious disease report released by the WHO. Hu Jia and others are currently operating mainly in the Greater Malawi Lake region, which means that he can ignore reports of infectious diseases in eastern Madagascar, which is easy to reach from Madagascar to the mouth of the Rufuma River, but difficult to reach Port Melati from the mouth area.

"Area-borne diseases of concern are tuberculosis, malaria, measles, cholera, Marburg fever, salad fever, Ebola, AIDS...... There is still polio?" Sun Lien read the WHO's regular report for a while, and then felt a layer of white sweat welling up on his back.

What kind of disease museum is this, this is simply a collection of infectious diseases!