"Then can't we get back all the test data we did in the United States?" Chu Zhixi asked with some concern.

Wu Mian pointed to his head and smiled slightly.

"It's good that my brother is here. Chu Zhixi smiled but was not very happy.

Wu Mian knows that the research environment in China, whether it is in terms of the degree of money thrown or various tools, is much worse than that of foreign countries.

Despite the state's investment in recent years, it still cannot be compared with the old capitalist groups that have made super-profits.

This is a pity, but Wu Mian and Chu Zhixi can't decide the direction of the world situation.

The general trend of the world, Hao Hao soup, Wu Mian can only go with the flow. But in the choice of key issues, Wu Mian did not hesitate and chose to return to China directly. The quarrel with Dr. Anthony was only a trigger, not the main determinant.

"Brother......

"Girl, what do you think of the new column in New England?" Wu Mian asked.

"It's weird. Chu Zhixi forgot what she was going to say to Wu Mian before, she had a bad memory, and followed Wu Mian's train of thought, "e-cigarette pneumonia", this new type of pneumonia I always feel unreliable. ”

"Yes!" Wu Mian said with certainty, "The Lancet is quite rigorous, at least in the selection of some curious case reports, more carefully than magazines such as New England. Wu Mian said as he walked out, "As for the setting of the column, it should be more rigorous." The e-cigarette pneumonia column set up by New England seems like a joke to me. ”

"Well, after watching two episodes, the film doesn't look like ordinary pneumonia, but like ......," Chu Zhixi said, pausing.

"SARS in '03!" Wu Mian said affirmatively, "I compare the image data I left behind, and it is basically certain that it is a new pneumonia, similar to SARS." ”

"Brother, isn't that a Class B infectious disease? Chu Zhixi's question is here.

Although they have studied in Europe and the United States for many years, their academic foundation is done in China, so their views on some things are completely different from those abroad.

In addition, the incident of 03 is still a kind of pain, so Chu Zhixi did not say it directly even if he doubted it.

"Isn't it that why influenza A started spreading in the United States, and they don't care at all. Wu Mian said, "But when the first stream was in the New England magazine, it didn't publish a column, which was completely indifferent." This time, just a few patients, the New England magazine was eager to open a column, and I was thinking about Walter Plantis Bauer's true intentions. ”

"He's an expert and he's academically rigorous. Chu Zhixi said.

"Girl, no expert would be based in New York. There is no academic atmosphere there except for money. Wu Mian corrected, "I've been skeptical about this time, and I'll talk about it after we meet." ”

Chu Zhixi nodded.

"Do you remember the first case report?" Wu Mian asked.

"What case did the patient, female, 18 years old, present for 1 day with fever, dry cough, dyspnea, and chest tightness and inflammatory chest pain?"

"Hmm. Wu Mian nodded, "In the first 2 months of symptoms, patients began to use the "Baby Smok Beast Mod" device containing 6% nicotine liquid, 5 times a day for 30 minutes. The patient has no history of traditional smoking, no history of illicit drug use, no exposure to pulmonary irritants, no recent respiratory illness, or history of travel to the Middle East. ”

"It's really strange that after smoking e-cigarettes for 2 months, the onset is quite urgent. Chu Zhixi said, "The initial chest x-ray showed consolidation of the air space of the right lower lung, which is consistent with pneumonia." The patient was started on intravenous azithromycin and admitted to the hospital for further observation. However, less than 12 hours after being admitted to the hospital, he developed respiratory distress and had to be put on a ventilator for treatment. ”

"Bronchoscopic bronchoalveolar lavage, sputum and alveolar lavage cultures for viral, fungal, and bacterial pathogens were negative, and no other infectious causes were found. Wu Mian said, "Nothing, and finally treated with hormones, is it like what happened in 03?"

"emmmm......" Chu Zhixi is not like Wu Mian, he is not afraid of the sky and the earth. In her mind, the academic status of New England magazine is quite high, and she does not dare to directly deny the opinions of relevant papers.

"There is one more case. ”

The two walked out of the hospital gate, the sun fell on their bodies, but Wu Mian did not feel warm.

Usually when I think about it myself, some opinions and conclusions are slightly vague. chatting with Chu Zhixi, these vague things surfaced and became clearer.

But as the things found became clearer and clearer, Wu Mian was not only happy, but a little cold.

"What case?"

"A patient visited two different medical facilities 2 days after the onset of illness, the hospital thought he had community-acquired pneumonia, prescribed him antibiotics and antiemetics, and the patient was discharged. ”

"Three days later, the patient went to another medical facility and was admitted.

Start treatment with bronchodilators and broad-spectrum antibiotics. Patients report using e-cigarettes or vaping products that contain nicotine but do not contain THC.

With the start of treatment, the patient's respiratory distress and fever intensified, and the question reached a maximum of 38.9°C, which led to the use of systemic glucocorticoids on the 3rd day of admission. ”

"On the 5th day of the hospital, the patient took a prescription of levofloxacin and glucocorticoids and was discharged again. ”

"Two days after discharge, the patient's family reported that the patient had nausea, vomiting, and relapses of discomfort, and they found that the patient was unresponsive. Despite resuscitation and treatment on readmission, the patient died a few hours later. ”

"The symptoms got better, and then suddenly worsened, girl, do you think it looks like ordinary pneumonia?!" Wu Mian asked.

"Not really. ”

"Causing cardiopulmonary failure, from this point of view, it is as similar as SARS in 03. Wu Mian said in a deep voice, "The key point of this case is after the patient goes home. First, nausea, vomiting, and pneumonia rarely cause gastrointestinal symptoms. ”

Chu Zhixi was stunned for a moment.

"Secondly, the time of the patient's death is not described. When the family found out, the patient was dead. The more Wu Mian spoke, the more serious the expression on his face became.

"I'm going to make a simple guess – the patient was treated in a community hospital and his symptoms were relieved, so he was discharged home. However, after returning home, symptoms such as nausea and vomiting appeared, and the family took care of them, and the symptoms were relieved, and the patient fell asleep and rested. ”

But after falling asleep, he never woke up. ”

"Judging from the results of this case, similar to the previous case, the patient's condition deteriorated dramatically. If you are at home and do not notice the occurrence of acute respiratory distress, it can be fatal within a few hours. ”

"Brother, could it be that the virus leaked in the laboratory?" Chu Zhixi shuddered when he remembered that Sand had lost his job before.