Matthew''s phone rang.


    "Hello, this is Matthew."


    "Ma Yuan, this is Wang Zuming." the voice of vice president Wang, who is in charge of clinical practice, came. "There is a fever patient in the fever ward who is undergoing consultation. Do you have time? Have a look?"


    "What''s going on?"


    As soon as he heard that he was suffering from fever, Matthew began to have a headache.


    "Fever can''t be reduced for 3 days. Nucleic acid test and antibody test are negative, and infectious hospitals don''t accept it." President Wang said angrily, "what''s the process now, and what to do for patients with fever without clear reason!"


    His words were full of irritability, and Matthew had a splitting headache.


    Fever due to unknown causes is a disease that is particularly difficult to diagnose and treat. In case of unknown fever that cannot be diagnosed before the epidemic, they usually consult the rheumatology and Immunology Department.


    Now the situation is very different.


    With the outbreak of the new pneumonia virus, everyone is agitated and nervous. Once they encounter fever, they will certainly associate it with the new pneumonia.


    With a sigh, Matthew ran away on crutches.


    "Horse yard, video consultation?" Han Guangyun suggested.


    "No." Matthew shook his head. "If I dare not even enter the door of the fever ward, what will the people in the front think? They will stab me in the spine!"


    "But..."


    "Han Chu, you go around the ward to see if there are any mistakes," Matthew said.


    Han Guangyun hesitated, but silently rejected the proposal.


    He knew that the horse yard was to appease himself. In another word, he was afraid of his own fear.


    "Horse yard, let''s go together." Han Guangyun smiled. "People in our medical office have never been cowards!"


    Matthew did not continue to persuade. After all, he went to the fever ward and presided over the consultation in the clean area. If he was afraid of this, he might as well go home and have grandchildren like He Xin.


    They came to the fever ward, took the passage of medical staff, changed masks, disinfected their hands and entered the office.


    Dean Wang was stunned when he saw Matthew coming in with a crutch.


    "Horse yard, what are you?"


    "I''ve been busy these days. The disc is prominent and I can''t walk." Matthew walked into the office with a crutch. "What''s the situation with the patient?"


    "Horse yard, no... you go home and have a rest." President Wang couldn''t cry or laugh.


    Matthew frowned and glanced at President Wang, "Wang hospital, what''s the situation with the patient?"


    Seeing that Matthew insisted and didn''t say much, President Wang said, "wait a minute. Director Tang of the respiratory department has just checked the room and is changing clothes in the semi polluted area."


    After finding a position, Matthew tried to change a more comfortable position and sat down slowly and vigorously.


    It''s only a few days. I feel sick all over, and Matthew is a little helpless. But the situation in the hospital was so urgent that he couldn''t retreat at all. He had to bite his teeth.


    The province and the city called to inquire about the situation every day. Everyone was trembling for fear of making any more moths.


    After a full 30 minutes, director Tang came out.


    She is the director of the respiratory department of the second hospital. She is an experienced doctor who can be trusted in Matthew''s cognition.


    "Horse yard." director Tang said hello to Matthew after entering the house.


    "Sit down and talk about the situation," Matthew said.


    "Well, the patient is a 36 year old male, whose main complaint is cough and expectoration for 4 + years, aggravated for 1 month, dyspnea and fever for 3 days. Dyspnea and fever occurred 3 days ago, and the maximum body temperature reached 38.5 ℃. He came to our hospital for treatment. Chest CT showed bilateral pulmonary interstitial lesions with multiple exudation."


    "Ma Yuan, this is a film." director Tang inserted the film into the film reader. "According to the experience of Tianhe City, imaging should be able to judge that it is a new type of pneumonia."


    Hearing the words "new pneumonia", Matthew''s heart tightened suddenly.


    "But I always feel wrong," director Tang said. "Moreover, the nucleic acid test is negative, which has been the case for several times in a row, so the infectious hospital does not agree to accept it. I think we can sit down and discuss it together."


    Matthew got up, went to the reader and looked at the film.


    The double lung is white, which is similar to the recent films of patients with new pneumonia in Tianhe City.


    "Are patient isolation measures in place?" Matthew asked.


    "In place." director Tang said, "now all fever patients follow the diagnosis and treatment process of the Affiliated Hospital of Southern Medical University."


    "That''s good. My first feeling when I watch the film should be new pneumonia," Matthew said.


    "Three new pneumonia nucleic acid tests and one new pneumonia antibody test were negative." director Tang explained, "although I heard that the Tianhe side may use CT as a reliable basis for large-scale screening..."


    "What''s wrong with you?"


    "In the past, the patient was in good health and engaged in physical labor, but coughed and expectorated for more than four years. If there was no new pneumonia, other tests must be done to make a clear diagnosis. But now, it can only be preliminarily considered as new pneumonia."


    "I''ll contact the infectious hospital."


    "Horse yard..." director Tang stopped talking.


    "Well? Is there anything you didn''t say?" Matthew asked.


    "I think it''s better to improve the relevant examinations. Otherwise, patients now go to the ICU of the infectious hospital with a ventilator. Once they are infected, it''s not the same."


    Director Tang was rather awkward, but Matthew understood her.


    ICU is the gate of death, especially in the ICU of the infectious hospital. The patients treated there are patients with new pneumonia. People who have nothing to do are sent to the ICU, which is likely to be infected. Although the patients are now in a separate room, it''s better not to send them if they are not sure about the new pneumonia.


    "Director Tang, what disease do you feel like?" Matthew hesitated.


    "I don''t know." director Tang didn''t obscure that she didn''t make a clear diagnosis. She said, "under normal circumstances, bronchoscopy + alveolar lavage and lavage examination are needed. But you know the relevant situation."


    "Three tests were negative," Matthew mused.


    "Yes."


    "I''ll ask Mr. Wu and see his opinion." Matthew couldn''t make up his mind.


    Although the first feeling is to send the patient away, such a hot potato is better to send to an infectious hospital.


    But what director Tang said is reasonable. Once a healthy person is sent there, it means that the survival probability of patients is further reduced.


    "I don''t think it''s necessary to do more examinations," said President Wang in a deep voice. "Many imaging doctors in Tianhe suggest that we can make a fixed diagnosis based on imaging diagnosis. It''s better to send it to the horse hospital and contact the provincial infectious disease hospital as soon as possible."


    "The situation is different," director Tang insisted in a low voice.


    "Tianhe City can make a definite diagnosis, why can''t we?" said President Wang dissatisfied. "I have reservations about director Tang''s view and suggest transferring to an infectious disease hospital."