682. real hammer
After Qi Jing obtained the list of the obstetrics conference in California, just an hour later, the country accepted his opinion and strictly controlled the planes from the United States. The most important ones were California on the West Coast, North Carolina on the East Coast, Virginia, Washington, DC and Maryland on the East Coast.
If it were six or seven years ago, there would definitely be no such a big reaction in China.
After experiencing sars' pain, our tolerance for respiratory infectious diseases is very low, and influenza is basically spreading with a red line. Of course, the high mutation rate of influenza is also an important factor in its ease to coexist with humans.
After 2003, the country has indeed made considerable changes in public health.
Especially when a number of Western countries pointing to the nose and saying that the treatment of infectious diseases in China is not transparent enough, we have indeed upgraded the mechanism and statistical ability to report infectious diseases. Although the mechanism itself is not perfect enough and there are also problems of this and that, at least we have achieved truth from facts.
The rest of the matter has to be left to major experts for recognition.
For infectious diseases that have been recorded, it is not difficult to diagnose and treat, especially those on the list of infectious diseases, which basically see one strangling to death. Many old diseases in the past have lost their living space step by step under such high-intensity prevention and control pressure.
The Yangtze River pushes the old waves forward, and the difficulty of public health lies in the new microorganisms that emerge inexplicably.
Especially for those viruses hidden in cells, it is not easy to identify them as soon as possible. When it is time to hide, the body has been infected for a long time. In terms of treatment, antiviral drugs are slow to take effect and have poor results. In the end, they rely on their immunity to survive the infection period. (1)
For sudden viral infections, their abilities, habits, transmission vectors, and pathogenic mechanisms are all blank. If you want to get information and correct responses, it takes time to fix them. During this period, those who first became ill can only use supportive treatment and take one step at a time.
This is true on sars more than five years ago, but on this H1N1, the challenge in China is much smaller than that of sars.
Not only is the reason why H1N1 is less aggressive, but also learned about the spread of the US situation in advance, as well as the almost complete clinical information about H1N1. Although Qi Jing cannot give specific values and data, some descriptions to some extent have already made Huang Xinghua very concerned.
Huang Jianshi, who was standing by, sighed even more: It would be great if he could solve the problem so easily every time he encountered a public health problem.
"The plane has arrived. There should be only two people with their temperatures for the time being. There is Hu Dongsheng at the scene. Don't worry." Qi Jing had just received the news from Danyang and continued, "It's too troublesome to spread the message like this. I'll give Hu Dongsheng your office and mobile phone numbers. Let him contact you directly at that time."
"Where did your virus-related news come from?"
"American CDC." Qi Jing had already decided to give up the blame.
"It's not that I haven't been abroad, nor that I have communicated with these white people." Huang Xinghua obviously doesn't believe that the other party is so generous. "The information about the new virus must be a secret. Will they tell you all this so easily?"
"Oh, I have a solution." Qi Jing fooled casually, "Director Huang, don't worry about that much."
Huang Xinghua looked at the key points he wrote down. In addition to the basic contents of incubation period and influenza-like symptoms, there are also some serious disease evolution processes and ICU response methods. Qi Jing even specifically talked about some insights about medication for pregnant women and newborns after they were infected with H1N1.
"Okay, I get it." Huang Xinghua asked, "When will you come back?"
"Come back." Qi Jing paused and said, "They should be able to return to Danyang in the next few days. Ji Qing wants to manage the medical center, and Xu Jiakang has to go back to the first hospital for investigation. Now it must be the priority in China, so..."
"I'll ask you!"
"My words probably won't be that fast. I still have something to do in the United States."
Huang Xinghua had long regarded him as half of his student, and at this time he couldn't help but worry about his body: "If all you said is true, the love there should have begun. It's too dangerous to stay there!"
"It's okay, the severity rate is not high." Qi Jing didn't care much about this.
"Stop kidding, if your parents know, I can't explain it."
"It's okay, no need to explain." Qi Jing said with a smile, "One is the director of the largest hospital in Danyang, and the other is the boss of obstetrics. How can I take care of me if I have the time to take care of me?"
"You're too hard..."
"By the way, Director Huang." Qi Jing still had some doubts when he said this, hoping to get his affirmation. "I can give news and predict the scale of infection. But I hope that these news can attract the attention of the above. After all, anti-yi is a national matter."
"I understand this. With our Erhuang here, are you still afraid that the news will be blocked?"
One is the director of the domestic CDC, the director of the National Virology Institute of Shangjing, and the other is an expert on defense with nearly 20 years of public health work experience. Qi Jing was particularly at ease when he thought of them: "I will leave the domestic affairs to you next, and the situation will be reported to the WHO as soon as possible. Not only can I tell the truth to the whole world, but I will also give it a loud slap."
"Yes, we were scolded behind the scenes for five years after sars, and our spine was about to be broken..."
With strong domestic support, Qi Jing’s motivation to continue.
He had previously worried that Willow Yin would be infected, and the evidence on the nationality of the case was insufficient. Now it seems that these concerns are redundant. Monterey Resort has become a hotbed for H1N1 spread.
Both cases that need to be reported to WHO are from California. After they are landed, they are under full isolation. As long as the ordinary flu test is negative, they can be reported for unknown viral pneumonia.
This is a real hammer in the true sense.
Qi Jing actually wanted to say a few more words to Huang Xinghua. There were still many problems in fighting H1N1 in the last lifetime, and the control was relaxed due to the so-called suggestions from some foreign experts. Afterwards, many people even felt that the symptoms of H1N1 were mild and the spread of the situation was not serious, and they did not reflect on it.
They had no idea that this was just a "training force". If they didn't do it well, they would eventually lose more than a few hundred people on the battlefield.
However, Qi Jing can't say much now. All he knows is the symptoms and treatment measures. How large will H1N1 be, what countermeasures will the United States have here, how will the WHO deal with it, and the trend of global situations, it is impossible for people who are not reborn to say.
Moreover, he is still at Lehn Hospital. Although there is no strict information control, Qi Jing still thinks it is better to be more restrained.
Staying in the United States naturally has his own ideas. As he said, H1N1 is just a training exercise. What we need to do now cannot be all in front of us. We need to see ten years later. For the time being that big yi in ten years, Qi Jing needs to continue to stay here.
But when you are in a foreign land, the next thing will never be easy.
......
For Magna, there is nothing more comfortable than sleeping in bed.
Usually at 10 o'clock in the morning, he should be in the hospital. If you really want to count it, he has seen several patients and is worried about what to eat for lunch. Sometimes when he encounters unreasonable patients and family members, he has to restrain himself and explain the condition patiently.
He loves his job, but no matter how much he loves it, he will encounter bad things.
Fortunately, today and tomorrow are off days. Being able to sleep soundly at home can also relax the string that has been tense for a long time.
After waking up, I will have a morning jog first...
Well, it seems that it is not morning...
What if I care about him, no one can take care of me, noon run or night run...
I do whatever I like...
Very sleepy...
I don’t know how long it took, but when he opened his eyes again, it was already two o’clock in the afternoon. There was no alarm clock that was like urging people in the morning, no patient’s nagging, no old man and old woman’s unstoppable cough, and no...
Suddenly, Magna, who had just turned on his head, thought of something strange, why didn’t there be any unread new information on the mobile phone interface?
The respiratory department is still a relatively busy department in Lehn Hospital. With the local functions of Lehn Hospital and the number of people who come here to support the elderly, the purpose of heart and lungs is fully demonstrated.
Among the 100 beds in the hospital, nearly 40 are related to respiratory departments. Since the new flu appeared three months ago, this number has risen to 60. In extreme cases, except for the pediatrics on the top floor, the rest of the beds are more or less related to him.
Magna trained in respiratory medicine, but when she arrived in town, she realized how lucky it was to be able to rotate in the internal medicine.
In Lehn, Magna not only had to be in charge of respiratory medicine, but also had to take care of cardiology and cardiopulmonary circulation. Sometimes he didn't have enough staff, so he had to play a guest star in Shennei and gastroenterologists, and even gynecology had to be inserted...
Usually, people always call for night shifts, but in the morning, people will send text messages to inform some difficult cases of night shifts. But today, it was fine. In the afternoon, there was no news.
This day off is so comfortable.
With this peaceful mindset, Magna picked up the newspaper at the door, went to the kitchen to pour himself a full glass of milk, soaked in delicious cereals. He brought biscuits and cereal milk, and returned to the living room, turned on the TV, and prepared to continue the drama that he had done last night's fucking tricks.
Seeing that the leisurely day was about to begin, he always felt an indescribable sense of uneasiness in his heart when he looked at the TV screen.
No...this is wrong.
The more Magna thought about it, the more he felt something was wrong. He grabbed the phone beside him and glanced back and forth. The notification bar was empty, and there were indeed no missed calls or text messages. He turned on the Internet and went to FK, which made him discover something abnormal.
"Why is something wrong in the hospital again??"
Several friends from the hospital have posted photos one after another since the morning. There are some CDC specialists coming and going, and the picture only uses one word "flu", which brings conciseness to the extreme.
For other places, flu is influenza, but for Lehn Hospital, which has experienced the new flu, flu has another meaning. Because three months ago, they also used "flu" to replace the already qualitative H1N1 to achieve the purpose of concealing people.
The current method is exactly the same as before.
Thinking of the lack of staff in the hospital before, I worked there for a whole week, eating, drinking, urinating, sleeping in the hospital, and I couldn’t even go back home if I rested. If it was really H1N1 now, the hospital would definitely bomb his mobile phone in a wheel-like manner. How could I let myself sleep quietly until now?
Even if it is not H1N1, it is impossible for him to forget his respiratory doctor just by the letter "flu".
There is a problem!
Magna called the front desk of the hospital and spoke directly to the topic: "Hey, I am Magna, what's wrong with the hospital? Is the new flu coming again?"
"ah?"
The nurse at the front desk was a little confused after hearing these two questions and didn't understand why someone was so confused in the afternoon. After reminiscing about this for two seconds, the nurse began to focus her doubts on the name "Magna".
"Magna? Dr. Magna?"
"Yes, it's me, I want to ask how the hospital is now?"
"The virus has come again before. Didn't the hospital have already undergone nucleic acid tests for all employees..."
"So serious?" Magna was still a little angry, "Why didn't you call me to notify me?"
The nurse was even more confused after hearing this. Before she could say more, the other party hung up the phone. The two of them had less than a minute of conversation, but the content was full of questions: "What a mess... You are Magna, who was the one who came here just now?"
Fortunately, the workload of the front desk soared did not give her much time to think about it.
In addition to the previous triage work, she also needed to provide questionnaires for new patients, provide guidance on accounting and testing for people, and register people who leave the hospital... In the face of piles of work, everything else is just a small matter that can be ignored.
However, for Magna himself, this is a big deal.
The hospital is an important place for him to work. He will not abandon patients and hospitals, and naturally he does not want this hospital to abandon him.
Magna's residence is not far from the hospital, and he will arrive after a while by bike. Including changing clothes and parking, it will not last more than ten minutes in total. He rushed into the gate and looked at the front desk full of people. He chose to go through the emergency hall and go straight to the lounge.
Since the new flu has rekindled, he, the doctor who specializes in respiratory medicine, is particularly important. As for the question of "why don't the hospital call to notify himself", he is not very brave to think deeper.
Nowadays, work and patients are the most important, so let’s put other things aside.
Before starting work, he should first communicate with the CDC specialists who come here to understand the current situation and make hospitalization plans for infectious patients. If there are serious patients, he must also give advice on medication and rescue, whether to go to the ventilator, whether to transfer to the hospital, whether to...
etc......
Where is my white coat?
Chapter completed!