"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.


    "Fortunately, there is a brother." Chu Zhixi smiled, but he was not very happy.


    Wu Mian knows that the domestic research environment, whether from the degree of throwing money or various tools, is much worse than that abroad.


    Although the state has invested heavily in recent years, it is still unable to compare with the old capitalist groups that obtain excess profits.


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


    The general trend of the world is vast, and Wu Mian can only drift with the tide. However, in the choice of key issues, Wu Mian did not hesitate and chose to return home directly. The quarrel with Dr. Anthony was only an inducement, not a major determinant.


    "Brother..."


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


    "It''s strange." Chu Zhixi forgot what she had to say to Wu Mian before. She has a bad memory. She went on along Wu Mian''s train of thought, "e-cigarette pneumonia". I always feel that this new type of pneumonia is unreliable. "


    "Yes!" said Wu Mian with certainty. "The lancet is quite rigorous. At least it is more cautious than New England and other magazines in the selection of some adventure case reports." Wu Mian said as he ran away, "as for the setting of the column, it should be more rigorous. I think the e-cigarette pneumonia column set by New England is like a joke."


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


    "Atypical pneumonia in 2003!" Wu Mian said positively. "I compared the previous image data, it is basically certain that it is a new kind of pneumonia, similar to SARS."


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


    Although they have studied in Europe and America for many years, their academic foundation is completed at home, so their views on some things are completely different from those abroad.


    In addition, the events in 2003 are still a kind of pain, so Chu Zhixi didn''t say it directly even if he was suspicious.


    "Didn''t the H1N1 flu spread in the United States? They didn''t care at all," said Wu Mian. "But New England didn''t publish a column during the H1N1 flu. It was a completely indifferent attitude. Just how many patients this time," New England "urgently opened a column. I was thinking about Walter prentice Bauer''s real intention."


    "He is an expert with rigorous scholarship," Chu Zhixi said.


    "Girl, no expert will be headquartered in New York. There is no academic atmosphere except money." Wu Mian corrected, "I''ve been doubting about this time. I''ll talk about it after the meeting."


    Chu Zhixi nodded.


    "Remember the first case report?" Wu Mian asked.


    "The patient, female, 18 years old, was hospitalized for 1 day due to fever, dry cough, dyspnea and chest tightness and inflammatory chest pain?"


    "HMM." Wu Mian nodded. "In the first two months of symptoms, the patient began to use the" babysmokbastmod "device containing 6% nicotine solution, five times a day for 30 minutes. The patient had no history of traditional smoking, illegal medication, exposure to lung irritants, recent respiratory diseases or Middle East Tourism."


    "It''s really strange. After smoking e-cigarettes for 2 months, the onset is quite urgent." Chu Zhixi said. "The initial chest film showed consolidation of the right lower lung cavity, which is consistent with pneumonia. The patient began intravenous injection of azithromycin and was admitted to the hospital for further observation. However, less than 12 hours after admission, he had respiratory distress and had to be treated by ventilator."


    "Bronchoscopic bronchoalveolar lavage, sputum and alveolar lavage were negative for virus, fungus and bacterial pathogen culture, and no other infectious causes were found." Wu Mian said, "there was nothing. Finally, hormone treatment was used. Is it like what happened in 2003?"


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


    "There is another case."


    They walked out of the hospital door, and the sun fell on them, but Wu Mian didn''t feel warm.


    Some opinions and conclusions are slightly vague when thinking about them. Chatting with Chu Zhixi, these vague things emerge and become clearer.


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


    "What case?"


    "A patient visited two different medical institutions two days after onset. The hospital thought he was community-acquired pneumonia, prescribed antibiotics and antiemetic drugs, and the patient was discharged."


    "Three days later, the patient went to another medical institution and was hospitalized.


    Bronchodilators and broad-spectrum antibiotics were used. The patient reported that he was using electronic cigarettes or atomized products containing nicotine but not tetrahydrocannabinol.


    With the beginning of treatment, the patient''s respiratory distress and fever increased, reaching a maximum of 38.9 ° C, resulting in the use of systemic glucocorticoids on the third day of admission. "


    "On the fifth day in the hospital, the patient took levofloxacin and glucocorticoid prescription, and then discharged from the hospital."


    "Two days after discharge, the patient''s family reported that the patient had nausea, vomiting and discomfort again. They found that the patient had no response. Despite readmission for resuscitation and treatment, the patient died a few hours later."


    "The symptoms improved and then suddenly worsened. Girl, do you feel like ordinary pneumonia?" Wu Mian asked.


    "No."


    "It causes cardiopulmonary failure. From this point of view, it is as much like SARS in 2003." Wu Mian said in a deep voice. "The key point of this case is after the patient comes home. First of all, nausea, vomiting and pneumonia rarely have gastrointestinal symptoms."


    Chu Zhixi was stunned.


    "Secondly, the time when the patient died was not described. When the family found out, the patient was already dead," said Wu mianyue, with a more serious expression on his face.


    "I''d like to make a simple guess - the patient''s symptoms were relieved after treatment in the community hospital, so he was discharged from the hospital and went home. However, after returning home, he had nausea, vomiting and other symptoms. The family took care of him, the symptoms were relieved, and the patient fell asleep and rested."


    "But after falling asleep, I never woke up again."


    "Judging from the results of this case, similar to the previous case, the patient''s condition worsens sharply. If he doesn''t notice the occurrence of acute respiratory distress at home, he will be fatal in a few hours."


    "Brother, is it the virus leak in the laboratory?" Chu Zhixi shivered when he thought of Sander''s unemployment before.