Chapter 1753 Two ghosts with four ghosts

 What is the most difficult thing about China to unify? Zhang Fan thinks it's about taste, let alone unified, it can't even be discussed as a topic.

For example, there are more and more non-local employees in these two tea hospitals, some from Sanchuan and some from the capital. They are very unified when dealing with the outside world. They are all from Bashu. They all like to set up dragon gates and chirp, but it would be quite difficult to damage their relationship. Simple, just one sentence: Which one is better, the hot pot in Peidu or the hot pot in Sanchuan?

 Then it fell apart instantly!

As for food poisoning and diarrhea in summer, when it comes to food and beverages, China's east, west, north and south are different. People on the coast are often seafood poisoning. When Zhang Fan went to the Bird Market for further study, he saw such a thing with his own eyes. A woman was poisoned. I got pricked with a fish bone but didn't take it seriously, which resulted in amputation of my leg.

As for food poisoning in Yunnan and Guizhou, most of it is caused by various fungi, and most of them are poisoned by neurotoxins. There are people who do whatever they want after eating. Some people talk about having a room with the Monkey King, but they end up being blown away by monkeys. One night's hair.

 In the northwest, diseases are often caused by carrion.

 When Zhang Fan arrived at the hospital, doctors had already been mobilized from the branch hospital. Mass explosive accidents are the most terrifying. If this thing is not handled properly, not only will people die, but it may also lead to panic.

　　It’s scary, really scary to death.

　　When the sun rises, the hall of the emergency center of the hospital is still filled with the smell of snail noodles mixed with stinky tofu. "Did you have extra food last night?"

 A young nurse twisted her nose and asked the nurse who worked the night shift last night, "You just had a snack last night. Please stop telling me. I will vomit if you tell me more."

Just when everyone thought it was Wang Zha last night, the serious Wang Zha arrived.

“Zhang Yuan, Bird City Hospital applied for transfer.”

After staying up all night, Zhang Fan was not very tired, but he was tired. Although he was hungry, he was also a little sick and didn't want to eat. However, Wang Hong not only brought Zhang Fan cornstarch, but also brought tomatoes and scrambled eggs to the office. Zhang Fan wanted to say whether he wanted to say it or not. I already had some diaphragm, and I couldn't stop hiccups when I saw the spicy eggs.

Hearing that Niao Shi applied for transfer to another hospital, Zhang Fan was curious, "How did they figure it out? What is the disease?"

To be honest, the people who are most dissatisfied with Chasu Hospital are not hospitals in other provinces, but hospitals in Niaoshi. When applying for transfer, the lower-level hospital applies to the higher-level hospital.

In order not to admit that Chasu Hospital was a matter of the superior hospital, they never applied for transfer. It felt like if I didn’t admit it anyway, it would not happen.

 But this time, they applied for transfer.

“It was said that he was bitten by an animal, and he was suspected of having rabies.”

Zhang Fanggang was still smiling and took a breath of air after hearing this. "Has the patient left yet?"

"It's almost here. The patient's family strongly requested to be transferred to our hospital. They were supposed to take a flight last night, but the local hospital did not dare to issue a health risk certificate. The airline did not let the patient know the grade. The family directly chartered a 120 and left from Niaoshi overnight. I don’t know what route I took this morning, so the hospital in Bird City had to issue a transfer application.”

"What the **** is this! It's all a surprise attack. This is to give me an exam. In this way, prepare the venue for the academicians and Changhe scholars at home, as well as professors from the Department of Physiology and Department of Microbiology of the International Medical University, Doctors above the associate senior level in each department prepare for the general consultation.”

Although Ouyang Zangzi was at odds with Bird City Hospital, Zhang Fan still believed in Bird City Hospital's diagnostic and treatment standards. It seemed really difficult to get them to grit their teeth and apply for transfer.

Xue Fei had just changed his clothes and wanted to go home when a 120 from Niaoshi quickly entered the emergency center's drop-off platform.

“Nima, even those who have diarrhea in Bird Market should be sent here.”

  120 As soon as the car stopped, four male nurses came out carrying the patient. When Xue Fei saw it, his heart skipped a beat, mania?

On the stretcher was a young girl, wrapped in a hand-width bandage like a mummy. She was still making a low roar like a wild animal.

 The patient was sent directly to the ICU without even entering the emergency center.

 “What’s going on?”

Zhang Fan quickly asked the transfer doctor while arranging expert physical examination and treatment.

“The patient’s family members reported that the patient was bitten by a bat two weeks ago and did not pay attention to it at the time. Yesterday, the patient suddenly developed symptoms such as fear of light, fear of water, and mania.”

 In the hospital, experts have gathered, including professors from the International Medical University. A team of almost a hundred people has gathered.

“Calm down and cool down. The most important issue now is calm down and cool down. The patient already has a high fever, and this severe agitation will aggravate the patient’s condition. Immediately conduct a blood, urine and stool routine and cerebrospinal fluid examination to determine the number of cells in the patient’s body.

 Check the antigen immediately. After Ren Li quickly gave the verbal medical instructions, she looked at Zhang Fan: "Zhang Yuan, what should we do now?" "

At this time, the patient's mother looked at the wealthy woman with a ferocious look in her eyes, "Zhang Yuan, please save the child, we have the money."

  There was a successful treatment for rabies that had already developed symptoms in the early years, but only one case. Later, not only other countries wanted to copy this treatment method, but even China also tried to copy it, but all failed without exception.

 The patient’s family members probably know something about medical treatment. Therefore, when she learned that the child might have rabies, she immediately came to Chasu from Bird Market. She knew that if the child could be saved now, it would only be at Chasu Hospital.

Zhang Fan simply nodded, and then asked Lao Chen and his family members to explain his condition. The family members were on the verge of collapse. They signed when asked to sign, and pressed fingerprints when asked to do so.

 Lao Chen even told his family: "We will give her experimental treatment, which may speed up her death."

To be honest, there is currently no routine clinical treatment for rabies. Once an outbreak occurs, patients almost always die within one to five days.

Now that the patient's family members have a strong desire to rescue him, Zhang Fan simply gives it a try.

Many people think that after entering the hospital, it is the doctor's business whether to resuscitate the patient or not. In fact, this is wrong.

 After the patient enters the hospital, whether to rescue or not is a matter for the patient’s lover and immediate family members. For example, if there are no family members, the hospital can request colleagues of the hospital director to carry out rescue in an emergency.

If there are family members, the consent of the family members must be obtained. Many patients, for example, when there is only a glimmer of hope for rescue and they can only wait to die without rescue, they often choose not to rescue.

 This result is very frustrating, but this is the implementation.

 Furthermore, there is a characteristic that children tend to give up treatment by their parents. The next step is that the lover gives up the rescue of the partner. The most common thing is that the parents give up the rescue of the child.

Of course, a lot of it is because of reasons that Zhang Fan doesn’t want to say but has to say, money.

 In a rescue operation, most people actually use money to sacrifice their lives. Some people may spend thirty years of their life frugally in just a few hours in the emergency room.

 Time is too limited. Zhang Fan is not sure when this patient will die. He might die in the next second.

"It's too late. Regardless of whether it works or not, we still have to give it a try. Now I give the order: Comrade Ren Li will lead the clinical team to put the patient under deep anesthesia, and Comrade Gao Jingjing will lead the medical basic team to immediately extract the patient's antigens for animal culture experiments. , to identify the viral DNA.

Jumabike informed and led the life maintenance team to fully support the patient's life. Take action now. "

In the largest ward of the ICU, the patient is lying on the bed. A large amount of drugs that suppress the brain, such as ketamine and phenobarbital, directly put the patient's brain into a state of brain shutdown.

 The life support team has also begun to provide patients with various supports. Ventilators, life monitors, various proteins, and various nutritional drugs have been opened.

At this time, to put it bluntly, the goal is to buy time for the patient so that the patient can produce antibodies to fight the rabies virus.

Although not the entire hospital, experts from the entire hospital are in the ICU to evaluate the patient's treatment at this time.

Deep anesthesia is no joke. If you play it well, the hospital will be wonderful. If you play it poorly, the patient will be brain-dead.

The various signal lights in the ICU are red, yellow, and green, flashing back and forth like flying saucers from an alien planet. They look very nice, but in fact they are all made with money.

The patient is in his 20s, and his family is said to be engaged in wholesale of small commodities. Although he is not the richest man in the area, he still has a fortune of tens of millions. To be honest, without this family background, the savings of ordinary people will definitely not be able to support him in the ICU. These instruments flash for a week.

 Just when Zhang Fan thought that this patient was probably the most serious patient today, Lu Shuyan from the obstetrics and gynecology department made a call directly to the ICU, which was not like an operating room.

There are actually many telephones in the operating room. There are various landline phones on the walls of the corridor and in the free spaces inside the operating room.

The ICU is different, there is only one phone, and this phone must not be used for personal communication.

 Now that Lu Shuyan is making this call, it shows that the situation is very serious.

“Zhang Hospital, a pregnant woman has suffered from premature labor, but the patient has an obvious high fever and is cold. The fetal heart rate is currently extremely unstable…”

 “I’m here!” Zhang Fan hung up the phone and ran towards the obstetrics and gynecology department.

As soon as he entered the obstetrics and gynecology department, Zhang Fan saw a pregnant woman with a big belly lying on the bed. The pregnant woman would be shaking constantly as if she was being shocked. "I suspect that the pregnant woman is infected with unknown bacteria, and there is a high probability that it has penetrated The placental barrier, the fetus has also been infected.”

 “A full-term child?”

 “Full term!”

“Prepare high-dose spectrum antibiotics and perform caesarean section immediately.”

“Zhang Yuan, there will be organ failure.”

"There is no choice. There are only two ways now, one dead and two lives, or..."

 The surgery is not difficult, but maintaining the current condition is a test.

 (End of this chapter)