Doctor: I picked up attributes in the hospital

Chapter 296 Critical Situation - Public Emergency

With the girl's consent, Zhao Heng urgently contacted the operating room to prepare for a minimally invasive surgery to take a brain tissue biopsy.

Preparations for the surgery still needed some time. Zhao Heng returned to the office and began to search for information about Naegleria fowleri.

There are only 10 cases of this kind of parasitic infection in China, and among all the experience picked up by Zhao Heng in Dongfang Hospital, there is no treatment experience for that one case.

Therefore, for this deadly parasitic infection, Zhao Heng can be said to be in the dark at the moment, and it can also be said to be the biggest crisis Zhao Heng has encountered since he became a doctor.

Because this time, it involved not only the treatment of a patient, but also a serious transnational emergency public health event, the complexity of which was unprecedented.

Just as Zhao Heng turned on the computer and checked the documents, Liu Ziang, Gao Jun, and the dean Liu Shangming walked into the office.

As soon as he came in, Liu Shangming said directly to Zhao Heng: "Xiao Zhao, are you sure it's Naegleria fowleri infection?"

Just now, he was chatting with Gao Jun in the dean's office when Liu Ziang came over suddenly and told them about it.

As soon as Liu Shangming heard it, he realized the seriousness of the situation and came over immediately.

If the diagnosis is really confirmed, he must report to the Ministry within two hours of the diagnosis, which is a necessary procedure for handling public health emergencies.

"Judging from the patient's current medical history and symptoms, the possibility of Naegleria fowleri infection is basically more than 90.00%. Now the only thing left is to prepare the operating room and perform a tissue biopsy to detect the pathogen. .”

Zhao Heng said.

Although there are no doctors in Dongfang Hospital who have treated such patients, there are still some doctors who have read the literature on this topic.

So Zhao Heng is still sure of the diagnosis.

"Well, we must be diagnosed as soon as possible. This matter cannot be delayed. Has the family agreed?"

Liu Shangming nodded. He still admires Zhao Heng's ability. Moreover, Zhao Heng has not made any mistakes so far, so Liu Shangming trusts Zhao Heng's judgment very much.

What's more, if the diagnosis is confirmed, it will be a big event for Dongfang Hospital.

Liu Shangming, who just came to power, encountered such an emergency. If he didn't handle it well, the consequences might be very serious.

"The patient's family members have not arrived yet, and the consent of the patient's girlfriend has been obtained."

Zhao Heng said.

"Dean, do you want me to talk to the emergency department of the Ministry now."

Gao Jun said suddenly.

"It hasn't been diagnosed yet. It stands to reason that reporting it now is not in line with the process, but it's good to breathe."

Hearing Gao Jun's proposal, Liu Shangming thought for a while and said.

Of course, the process must be followed, but you must also know how to adapt.

There is no need to say more about Mr. Gao's status in the ministry. If Mr. Gao knows about this matter, then the follow-up treatment will not make Dongfang Hospital too passive.

The handling of this matter cannot be handled by a single unit of Dongfang Hospital.

"In fact, I saw the news last month. The Department of Disease Management of Country H stated that the first case of infection with "brain-eating amoeba" appeared in Country H. According to reports, the patient died of sudden meningitis after showing related symptoms for more than 10 days , the disease control department detected the gene of Naegleria fowleri in its samples."

"Unexpectedly, just a month later, there were suspected cases of Naegleria fowleri infection in tourist attractions like Jeju Island."

Liu Ziang said with some sighs.

As a master and expert in brain surgery, he is of course concerned about the "brain-eating amoeba", a rare parasite that specifically targets brain infections, so as soon as the news came out, he who had been paying attention knew it.

But what he didn't expect was that a month ago, the Department of Disease Control of Country H had confirmed a case of Naegleria fowleri infection. Why did he not take any action on the suspected infection of tourists in Jeju Island this time? Woolen cloth?
Could it be that the hospital on Jeju Island didn't report it?
"If the diagnosis is confirmed, then the first thing Jeju Island will face is to prohibit tourists from entering, and to do comprehensive disinfection and extensive screening. At least within half a year, it will no longer be able to receive tourists."

Gao Jun thought for a while and said.

As the largest island in country H, Jeju Island, as a tourist destination, has created an astonishing economic value. It was closed for half a year and could not receive tourists. The damage and severe damage to the tourism industry was simply unimaginable.

"Is it important to travel or life? I don't believe it. The doctors over there don't think about the patient's illness at all."

Hearing this, Liu Shangming said a little angrily.

The medical treatment in country H is still very developed, and naturally there is an early warning mechanism for the prevention and treatment of infectious diseases. Before the disease management department of country H confirmed a patient infected with Naegleria fowleri, the disease spectrum will be Join the database of the entire infectious disease early warning mechanism.

What's more, in a tourist resort, for patients with symptoms such as headache, vomiting, and fever, which are obviously related to infectious diseases, as local doctors and staff of the Center for Disease Control, wouldn't they consider that there is some kind of Possibility of contagion?
"Dean, the national conditions are different."

"Maybe in our view, human life is the first, but in other people's view, it may not be the case."

Gao Jun said with a sigh, this is a fundamental difference in concept, and it cannot be reversed by manpower. Now we can only try our best to deal with this matter.

"Xiao Zhao, what do you think about the treatment? The 10 cases reported in China all died soon after onset, and the current treatment of Naegleria fowleri infection in the medical field can be said No experience at all."

Dean Liu Shangming said to Zhao Heng with great concern.

"Trozoites of Naegleria fowleri enter the patient's body mainly through the nose, pass through the cribriform plate to reach the human brain, and cause serious damage to the central nervous system, which is why this parasite is called brain-eating The reason for the amoeba."

"At present, the patient has very severe cerebral edema and meningitis. I am considering using a combination therapy of amphotericin B, fluconazole, azithromycin, rifampicin and miltifosine."

Zhao Heng thought for a while and said.

"Xiao Zhao, you are amplifying your moves as soon as you come up, but for now, that's all you can do."

As soon as Liu Shangming heard the treatment plan proposed by Zhao Heng, he knew that Zhao Heng was directly giving this patient a big move, because no matter whether it was amphotericin, fluconazole, or azithromycin, under normal circumstances, it would be when the patient developed other antibiotics that were ineffective. Only used in the case.

(End of this chapter)