381. Chasing the murderer (3): accident
The old friend of Yuenan mentioned by Qi Jing was Pei Hongying whom he met on the plane last year. The duodenum and appendix abscess caused by roundworms combined with fish bones. The condition was very complicated at the time. People were either lying in bed with abdominal pain or on the way to abdominal pain.
Fortunately, Qi Jing's diagnosis was timely, and Pei Hongying spent more than half a month in Danyang Hospital without any danger, and finally escaped unscathed.
Pei Hongying felt that it was a blessing in disguise to meet such an outstanding doctor in a foreign country.
Of course luck is one thing. After spending a long time in society, he understands the principle of repaying kindness. Even if he returns to China for so long, he will keep in touch with Qi Jing from time to time. In fact, no one wants to have a doctor friend, if there is another physical problem in the future, if it cannot be solved in China, then you can find this person.
In the past, Qi Jing treated him as the boss of an ordinary food processing factory, and was probably not as big as Guo Ruowei's father.
But after this in-depth contact, he found that this guy seemed to have mastered a lot of resources. Not only did he occupy more than half of the market share in the northern Yuenan, but people also knew both black and white. The ability to inquire about information was much better than that of local medical experts, and he was like a local tyrant.
"Boss Pei, what's going on?"
"I sent someone to ask. The places you gave are quite regular and there is no such business." Pei Hongying lay on the sofa, shaking a glass of red wine in his hand, and said lightly, "I have also specially found the owners of several Honglan Lane shops around him, and they all said they had never seen this person."
"How is the hotel he and his wife staying in?" Apart from std, Qi Jing's second doubt was the hotel, which was also the place where Wang Gui came into contact with the most, "mainly on the hygiene aspect."
"As usual, I have never heard of any infections." Pei Hongying said, "The chefs who cooked the meal were almost locked up in the hotel. You also know that there is no peace there recently."
"There is no cholera affecting there?"
"No, the last time the patient who found diarrhea was more than half a month ago. After the forced quarantine, the hotel also disinfected it." Pei Hongying was in his hand with a copy of the hygiene examination. After looking at it, he continued, "The news I received is fine, and then I will see how Dr. Qi judged it."
"That's it..." Qi Jing lost twice in a row, sighed and replied with a smile: "Okay, please trouble you."
"A small matter." Pei Hongying smiled twice without saying anything, and said casually, "If you have something to do, I will try my best to help if I can."
"Thanks for your hard work."
"If it's okay, I'll just hang up first."
"Um."
After hanging up the phone, Qi Jing's face had already expressed his inquiry results: "STD was ruled out, he was very clean all the way, it shouldn't be gonorrhea."
As soon as the words were finished, a gentle sigh echoed in the venue. Although several experts felt that the possibility of gonorrhea was very low, gonorrhea was simpler than other infections. Now that std is ruled out, the next thing will be complicated.
At 1:04 am on October 14, the consultation in the conference room 3i on the 3rd floor of the International Conference Center was at a deadlock.
After a day of meeting, several directors were obviously tired and seemed unable to do so, and they yawned one after another. Then the smoke was shrouded in smoke and began to refresh themselves. Especially the old smoke guns could no longer hold on, and Luo Tang was even more at the point where he was in constant smoke. In the end, Yan Hong coaxed them out.
Huang Xinghua's words just now were not alarmist. Sars just passed, several disaster-stricken big cities across the country have just resumed operations, and the people across the country have just developed some confidence in the domestic public health system.
If I do it again now, no one can bear the pressure of public opinion.
The story is just like what Huang Xinghua said. It only takes three days from the onset to septic shock. It can be explained if it happens at the patient's home, but Wang Gui lives in the Centers for Disease Control and Prevention. Even if Licheng lacks medical treatment, there are no shortage of supportive treatments.
In this way, the pathogens rampant in the patient's body still turned Wang Gui into septic shock, and this item alone was enough to show the degree of risk of infection.
Years of clinical experience also tells them that there are indeed possibilities in this regard.
These directors all have a high opinion of themselves and do not like Xiaomao and minor illnesses. However, at this time, they have to support their bodies to pull out the pathogen.
Now, those who should smoke and those who should drink tea are using the usual way to refresh the mind and relieve stress to solve fatigue. Qi Jing continued to talk about the patient's itinerary in the venue in the past few days. According to him, the incubation period of such rapid disease is generally not too long. The infection should be within this week, and the location is in yuenan.
Even if it is possible in China, you have to eliminate all the yuenan before considering it.
Huang Xinghua also acknowledged this statement.
"But it's too troublesome to see places like this. Let's distinguish them from food, clothing, housing and transportation." Qi Jing fiddled with the mobile blackboard, put 27 places aside, and wrote a few words on the other board. "The patient has only had a rash, but he has changed into the CDC's hospital gown three days ago, so he can be ruled out when wearing it."
Everyone in the audience nodded: "If there were dermatology infections, there would have been problems long ago."
Qi Jing used a laser pen to point the hotel in Hanoi and said, "My friend asked about the accommodation, everything is normal. Of course, it may be that there is a problem with the news, the hotel food, sheets or even toiletries. But I believe my friend's news, and it will be temporarily ruled out."
Everyone in the audience had no objection after hearing this.
This young man looked a little arrogant, but his search ideas were very clear, which saved them a lot of their brains.
"Now only food and hang out are left." Qi Jing said, "If you have it, the patient has been taking a bus, and it is impossible to check which one is not available. Director Huang and I have asked Yuenan, several infectious disease experts to investigate, and we will wait for their news next."
"Then just focus on three meals."
"We have to check out a few specific places we go to."
"We were in peace on the 5th. On the 6th, the patient took his wife to find a real estate developer who sold the land and was preparing to arrange several local warehouses for himself to specialize in the transfer of goods." Qi Jing pointed to the words written beside him and added, "Then I ate beef pho at noodle shop for lunch. The store is very famous, but it still cannot be too absolute."
Expert a drank a sip of strong tea and said, "Beef, this range is large, and the most troublesome thing is the zoonotic Brubacillus."
Expert C sat aside and echoed: "Indeed, the store is not guaranteed to be absolutely clean. Brubacterium is indeed difficult to treat, but I think E. coli cannot be ruled out. Of course, what I am talking about is multiple drug-resistant species, and it will be very troublesome to get infected."
"The range of beef is indeed too large." Expert b lit a cigarette for himself, then stood up consciously under Yan Hong's resentful eyes, raised his legs and walked out the door. "I also need to supplement Salmonella paratyphimurium, which is also a relatively foodborne. I have seen it several times when I went to the countryside to provide assistance, but I have eaten dead beefs, and the prognosis is not very good."
Several people's proposals were written by Qi Jing on the mobile blackboard for reference.
"After the morning's work, they went to find a manufacturer specializing in the fruit cold storage in the afternoon. I heard that the whole process was discussed in the other party's office, and the store has been fine, so there should be no problem." Qi Jing said down the road along the way, "It's fine all night."
On the next 7, 8 and 9 days, Wang Gui and his wife went to several orchards in the north of Yuenan. They took a long-distance bus and lived in several houses that they had contacted early in the morning. They were used by people all year round and never had any problems.
But I can't explain the food clearly. After all, it is made by the houses themselves, and some of them are used to grow well water, river water, and food. Although the locals have not seen any problems yet, everything is hard to say now.
"Let's study it first." Qiu Xuan said.
"Well, first remove the city and then go back to deal with these places."
Qi Jing listened to their opinions, skipped the middle areas, and circled the laser point and returned to Hanoi: "I returned to the city area later on the 9th. I didn't go to a restaurant on the night street for dinner."
a: "Pork burrito and seafood soup?"
c: "For pork, it is actually similar to beef."
d: "Unless it is like swine fever, there is not much difference between other zoonotic bacteria."
c: "Swine fever is not transmitted."
Expert b pushed the door and walked in, and threw away the smoke around him. When he heard about the swine fever, he became interested and thought of a new thing he had just seen: "Swine fever is indeed not transmitted, but I heard that there was a newly discovered virus that is very powerful, called Ni, what's the point..."
Qi Jing nodded. Minghai's disease control has already reached the first-class level in the country: "It is called Niba virus, which is a type of Niba virus. Two years ago, I heard that there was a small outbreak in Mengjl country, which infected more than 30 people. Signs of human transmission should be confirmed, but it has not been found in China."
"It seems that we have to add this based on the previous few mushrooms of beef."
Qi Jing took the opportunity to write "Niba" on the blackboard. He turned around and was about to talk about their next trip when Huang Xinghua's cell phone rang.
If it was someone else's call, he might get up and go to the venue to pick it up, but this time he called Lin Rong.
Four hours have passed since Wang Gui's septic shock, and Wangu and Taineng are probably about to arrive in Licheng. At this time, the call from Lin Rong made everyone present think of the worst possibility.
Huang Xinghua answered the phone and turned on the speakerphone: "Hey, Lao Lin, what's wrong?"
"Old Huang, things have changed." Lin Rong's voice on the other end of the phone was very low, for fear of being heard.
"What's wrong?"
"I just went to Ding Xiujuan's isolation ward to explain Wang Gui's situation." Lin Rong's voice became more and more wrong, and finally he even trembled. "Ding Xiujuan also had problems."
"Problem? What's the problem?"
"I'm having a fever." Lin Rong said, "It's not high yet, 37.8 degrees, and I've had blood routines. Next, I'll check the chest radiograph and..."
Huang Xinghua frowned and raised his voice very rarely: "Don't you know what you should care about now?"
"I, I should care..."
Lin Rong's voice became lower and lower, and he had already reached a state of being in a state of being in control of the six gods.
Ding Xiujuan and the passengers on the entire flight were fine before, which shows that even if Wang Gui's situation is serious, it is Wang Gui's own. But now Ding Xiujuan has a "problem, and the situation is much more complicated. Not only does the passengers and crew on the flight have to be isolated, but I'm afraid the entire Licheng Center for Disease Control and Prevention will not be able to escape.
"Lao Lin, cheer me up."
Huang Xinghua calmed down and returned to the calm Huang Xinghua, who was originally calm: "Now you have gathered all the medical staff who have been in contact with Ding Xiujuan, and at the same time pass on the matter to your director, so that he can write a report to his superiors as soon as possible. We are already looking for pathogens here, so there will be no problem with subsequent treatment."
Lin Rong had no voice: "..."
"Lin Rong!" Huang Xinghua slapped the table suddenly and cursed, "You are the backbone I sent here, and the next successor I agreed with your director. I have provided you with the protection of others. If you collapse first, where will I put my face?"
When it came to this point, Lin Rong responded: "Old Huang, I was distracted just now and was a little distracted. Don't worry, everything is already done."
"The main thing is the isolation of medical staff. Those who have been in contact with and have not been in contact should be strictly distinguished and closely monitor the temperature changes. If the medicine is delivered, you must also protect it." Huang Xinghua said, "By the way, are there any other symptoms in Ding Xiujuan besides having a fever?"
"Not yet." Lin Rong said, "If there is a new situation, I will call you as soon as possible."
"Okay, stay in touch."
......
A phone call of less than ten minutes reduced the enthusiasm for discussion to freezing point, and what everyone least wanted to happen still happened.
"In fact, if Ding Xiujuan is sick, it cannot be said that it will definitely be transmitted from person to person." Expert D was more optimistic and expressed his thoughts, "After all, they have been together for so long, and they are in contact with the same place. Maybe it will be one-way transmission, but Ding Xiujuan's illness was three days late."
"There is such a possibility, and the possibility is not low."
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Chapter completed!