"The patient''s conjunctiva has congestion, ulcer and rash. I think we can start from this side and check it carefully."
"Director Liu, what do you think is the disease?"
"Please have a look at the dermatology department. The patient''s epidermis has scorched scars. I look very strange." director Liu didn''t answer positively, but habitually asked for consultation.
Although he was sure, he still had to go through the process. Who knows what kind of diagnosis the experts of the expert group will give.
Just express your attitude clearly. If you really insist... Director Liu is still a little empty in his heart.
……
"Girl, ask Pengcheng for a picture of the papule on the patient. I want to see if there is eschar on the papule." Wu Mian said calmly.
"Do you suspect tsutsugamushi?"
"Well, the patient''s medical history is basically similar to tsutsugamushi disease, and the mutated virus is not considered for the time being." although Wu Mian gives the diagnosis, he is still worried, and the expression on his face is very cautious, "I hope it''s not the virus mutation..."
Chu Zhixi knew that it was important and was uneasy. He picked up his mobile phone and called Pengcheng.
……
ICU director Zhao received the call. He said two words and his face changed slightly.
"OK, I''ll implement it right away. Professor Chu, is your wechat mobile phone number?"
"I''ll add your wechat, and the picture will be sent to you right away."
After hanging up, the director of ICU looked at director Liu, "director Liu, what you said seems to be right."
"Oh?"
"Professor Chu of the expert group asked me for a picture of the patient''s skin eschar."
"Which expert?"
"Professor Chu called. It should be Wu... Miss Wu is in the remote consultation."
Mr. Wu, this familiar and unfamiliar name makes the atmosphere in the office a little strange.
"Director Liu, go to the dermatology department for consultation. What disease do you suspect?" asked director Zhao of ICU.
"Since Mr. Wu thinks so, it''s very likely." director Liu is relieved. "I suspect it''s tsutsugamushi disease, but there are not many tsutsugamushi patients treated in recent years. Most of them come back from abroad, especially those who go to Thailand, Myanmar and Vietnam. Now ICU patients with severe diseases have no history of going abroad, so if they want to be diagnosed... I''m a little uncertain."
Director Liu said, slightly pondering and sighing, "it''s mainly the patient''s big white lungs. Now I see this film, my heart trembles, and atrial fibrillation follows the dyadic law. If the epidemic situation is not over, I guess I''ll be rescued."
"Director Liu, you see what you said." director Zhao was in a good mood. After communicating with Director Liu, he immediately contacted the doctor in the ICU isolation ward to ask for the photos of the patient''s eschar and some detailed pictures just asked by Chu Zhixi.
It will be fifteen minutes before everything is ready.
The atmosphere in the office relaxed a little and everyone breathed a sigh of relief.
Director Liu and teacher Wu have almost ruled out the possibility of variation of new pneumonia, which is the most important.
If the virus evolves to asymptomatic latency and spreads for 2 weeks, various organ failures, including coagulation disorders, will occur rapidly within 48 hours after onset
Fortunately, fortunately.
The crowd breathed in their hearts.
"Director Liu, if it''s tsutsugamushi disease, what are you going to do next?"
"I guess Mr. Wu will ask me to do a biopsy of epidermal papules and a series of other examinations. These examinations are familiar with dermatology. It depends on what they say at that time." director Liu said with a smile.
Clinical doctors can''t keep their hands. Director Zhao knows it, including himself.
Soon, dermatologists came and established a video link with Wu Mian for remote consultation to make an in-depth analysis of the patient''s situation.
Finally, the rash was determined and examined by puncture biopsy, waifei''s reaction serum, complement binding test, indirect immunofluorescence test, double serum titer test and so on.
From the video, we can see Wu Mian''s caution. He said almost all the examinations about tsutsugamushi disease, even if everyone thought it was tsugamushi disease.
It is considered that it is not important. In this critical period, the possibility of mutation of new pneumonia virus must be ruled out.
It''s a matter of great importance. You can''t be careless.
Blood test, the laboratory department made biopsy diagnosis overnight and determined that it was the pathogen of Rickettsia tsutsutsugamushi.
After learning the news, all the people put down their hanging hearts.
Ask the patient''s family. The patient had a history of fishing 10 days ago.
Pengcheng, fishing, it is difficult to associate this activity with tsutsugamushi disease. But for a clear diagnosis, it is inevitable to be nervous when applying the right medicine to the case.
Just make a diagnosis. There are special drugs for tsutsugamushi disease.
It is estimated that the patient''s condition will get better soon when chloramphenicol is given intravenously while protecting various organs and symptomatic treatment of organ failure.
……
Wu Mian reported the "Oolong" incident of Pengcheng to the headmaster.
In the video, the headmaster looked more haggard. It is estimated that his efforts have been almost boiled these days. Just after reporting the situation of Pengcheng patients, the headmaster''s expression was still dignified, and there was no joy in Wu Mian''s imagination.
What''s the matter? Wu Mian frowned at the headmaster''s face and asked, "headmaster, do you think there is still a problem with the diagnosis?"
"You''re good at diagnosis. If you say no, you''re not."
“……”
Wu Mian was speechless.
The headmaster said this too hard. With Wu Mian''s understanding of the headmaster, something bigger must have happened.
For a moment, Wu Mian stroked the headmaster''s temperament in his heart, and his face was unknowingly gloomy.
"Headmaster, what''s the big deal?" Wu Mian asked.
Wu Mian''s voice changed because he was too nervous. Chu Zhixi was stunned. She didn''t know what had happened.
"A few days ago, director Zhang of Jinyintan called the recovered patients to donate blood. Do you remember?" the headmaster asked with a gloomy face.
Wu Mian was stunned and donated blood?
He remembered it.
Because the blood of newly recovered patients contains antibodies, which is of great help to severe patients, president Zhang called for blood donation for severe patients.
Is it because the recovered patient refused to donate blood that the headmaster was unhappy?
can''t.
Just a second thought, Wu Mian denied this idea.
The headmaster has experienced a lot of battles, and there will be no waves in clinical practice.
"You go on." Wu Mian thought and stared at the headmaster in the video. He didn''t notice that his hand trembled slightly. It didn''t look like a surgeon''s hand at all.
"After the new pneumonia virus infection recovers, the antibody level in the body will drop rapidly. Although the time is very short and looks atypical, it''s just my guess," the headmaster said in a deep voice.
Wu Mian''s hands were cold, and his heart could be heard faintly in his ears.
Is this... Is this virus really perfect?!
If the antibody concentration drops rapidly, it means that wave after wave of infection is endless.
The antibody of influenza virus will also decay, but it will not begin to decrease slowly until it exists in the human body for at least 6-8 months.
They are coronaviruses, which Wu Mian has long recognized.
But it''s only a few days, and the attenuation has been observed?!