Doctor Chen, Don't Be a Coward! Chapter 442

  Chapter 442 The situation is serious

  After hearing Ge Yerong's words, Chen Nan couldn't help but look solemn.

   "Already delivered?!"

  Ge Yerong nodded: "That's right!"

   "The patient is now in the ward, but not for us to assist."

   "It's the Health and Medical Commission who has made an emergency plan in advance, so that we can know it in advance."

   "Not only our hospital, but many hospitals also accept some patients for research."

  After Chen Nan heard it, he immediately understood.

  In fact, medical treatment is the same as any action, and relevant preparations must be made.

   It cannot be said that there is no such disease in China, so it is negligent.

   At this time, Ge Yerong said: "Let's meet and talk."

  “Many things are unclear on the phone.”

   "That's it for now."

  After hanging up the phone, Chen Nan stood up and walked to the yard.

  When Master Lu gave him this yard as a gift, it was still very empty, but now after living in it for several years, and Shang Chaoyan took care of it last year, it now has a lot of life.

  The chef, aunt, and driver are all from Annan Pharmaceutical Company.

  Chen Wenyin personally selected.

   Moreover, the two entrance courtyards are very spacious. Chen Nan, Shang Chaoyan, and Master Yu are in the inner courtyard, and other personnel are in the outer courtyard if there is no special matter.

   In this way, it will not affect daily life.

   "Chao Yan, you need to settle down with Master first, I need to go to the hospital."

   "What's going on in a while, you ask Brother Wang to go with you."

  Shang Chaoyan waved his hand: "Well, let's get busy!"

   "Leave us alone."

  In addition to Chen Nan's car, there are two other cars at home. Firstly, it is because of the limited number, and secondly, it is just in case.

  Chen Nan's Hongqi car has a special pass and records, so it will not have any impact.

Yu Mei was walking around in the yard, looking here and there, followed Shang Chaoyan to look at her house, obviously she had been here many times, but it was still very fresh, after hearing Chen Nan's words, she also nodded with a smile Said: "Yes, go get busy and leave us alone."

   Seeing this, Chen Nan shook his head, and drove away by himself.

   Yu Shi was able to live steadily, which actually made him overjoyed.

  However, right now, Chen Nan is still thinking about what Ge Yerong said just now.

   Not long after, Chen Nan's car stopped in the courtyard of the hospital.

   This is already Dean Chen's exclusive parking space, which saves a lot of unnecessary trouble.

  Ge Yerong was already waiting downstairs for Chen Nan, and when he saw it, he hurried over.

   "What is it that needs to be said in person?"

  Chen Nan asked curiously.

  Ge Yerong said in a low voice: "There are big bosses up there."

   "A board member of the World Health Organization came, and the deputy director of the Ministry of Health from India also came."

   "Mr. Qin is also there."

   "I'll let you know in advance."

  Chen Nan was completely taken aback when he heard the sound: "Huh?"

   "This... so grand? What do you mean?"

  Ge Yerong pulled Chen Nan and said as he walked:

   "You know, our ChinJapan Friendship Hospital was built to build an international hospital. After all, the money was donated by Japan at the time, so building an international hospital is a better choice."

   "At that time, the Ministry of Health had relevant agreements on foreign exchanges and mutual medical assistance."

   "So, take our hospital as an important pilot."

  Chen Nan nodded: "Well, I know this."

  Ge Yerong continued: "Last time, you ran for the president of the World Association of Otorhinolaryngologists, and we successfully undertook the construction and achieved some results."

   "So, the Domestic Health Commission hopes to increase our medical influence."

   "And the World Health Organization, with the help of Mr. Miro, has gradually increased the recognition of Huaxia Medicine."

  “Last year, India and other countries, including the number of deaths due to hepatitis E virus soared.”

   "In winter, it's actually not bad, but after the beginning of spring this year, the World Health Organization's Center for Infectious Disease Research and the Institute of Virology in the United States found that the mutation rate of type E virus has increased a lot this year."

   "And there is no specific drug or special treatment for hepatitis E virus."

   "Therefore, the World Health Organization Center for Infectious Diseases Research believes that the situation of hepatitis E virus may be more serious this time."

   "So, let's give each country hope to jointly study this topic."

   "And, I think, the World Health Organization may want to build a special disease research group for hepatitis E virus."

   “This group will attract members from all over the world.”

   "And our country is also invited."

   "The patient sent this time can actually be said to be a precursor."

   "At the same time, it is also an assessment!"

   "You should be able to understand what I mean?"

   At this moment, Chen Nan suddenly found that Ge Yerong had been staring at him, which was very meaningful.

  He suddenly couldn't help laughing: "Yes, I know!"

   "If the assessment is successful, we can also join this group, is that what you mean?"

  Ge Yerong frowned and scratched his head impatiently: "You don't need to talk about it!"

"I mean…"

   "Why don't you get involved in this matter?!"

  When Chen Nan heard Ge Yerong's words, he immediately became puzzled: "Why?"

   "Isn't this a good thing?"

   "Why can't I get involved?"

   "Isn't this a clear opportunity to fight for honor for the country?"

   "Must participate!"

  Chen Nan couldn't understand what Ge Yerong was thinking.

   At this moment, the two of them were in a corner on the first floor, and there was no one around. What was Ge Yerong doing so mysteriously?

"etc…"

   "Boss Ge, what are you... doing?"

   "Bring me here..."

  Ge Yerong took a deep breath, looked at Chen Nan thoughtfully, and then asked seriously:

"How old are you?"

  Chen Nan: "It's the new year, 28!"

  Ge Yerong nodded: "Yes!"

   "Do you still remember, when you called during the Chinese New Year, you told me that you planned to get married in May?"

  Chen Nan nodded: "Yes, I remember."

  Ge Yerong sighed: "It's March now!"

   "And, in May...will you be back?"

   "Do you think this matter can be resolved in a few weeks?"

   "I understand to tell you!"

   "You have gone, and you will definitely not be able to come back in May."

   "Moreover, not only will it not come, even...in May, the disease will develop to an unprecedented peak!"

   "At that time, even if you have time, you won't be able to come back, understand?"

  When Chen Nan heard this, he realized why Ge Yerong called him here.

  He also fell silent when he heard the other party's words.

   There is no doubt that Boss Ge is really thinking of himself.

  Ge Yerong continued: "You know?"

   "It's not that our country has never gone out to support medical treatment, but... this time, the matter seems to be more serious than before."

   "If you did get infected, what do you think... would happen?"

   "You are only 28 years old!"

   "Do you lack honor?"

   "Or, are you missing this opportunity?"

   "Your future is unlimited."

   "Don't tell me that opportunities are rare, I only know that opportunities are when people are safe!"

   "And, do you know, how many people in this world hate you?"

   "Did you go safe?"

   "Another question!"

   "Chen Nan, I'm not joking with you."

"I was serious."

   "You should think about it carefully."

  Chen Nan was silent for a moment, thinking for a long time in his mind.

  He knows that there is nothing wrong with being selfish.

But…

   Is this just a problem for neighboring countries like India?

  He looked at Ge Yerong and asked, "Do you think the virus can't get over it?"

"Or…"

   "Can we get away with it?"

  As soon as these words came out, Ge Yerong couldn't help but panicked.

yes…

  Can you escape?

  Chen Nan continued: "And, if it really comes, do we have the power to parry?"

   "Boss Ge!"

   "I know, you are thinking about me."

  During the conversation, Chen Nan put on the white coat directly on his body, put on the mask, and said with a smile:

   "But, you should know that when you wear this outfit, you are doomed to not have many choices. Likewise... it is also doomed that your life is not just for yourself."

   "Okay, this thing is not a respiratory infectious disease."

   "Is fecal-oral transmission good?"

   "Be careful, it doesn't matter."

   "Let's go, let's go up first and then talk."

  Ge Yerong saw that Chen Nan had already made a decision, so he simply stopped persuading him.

  As Chen Nan said, it is a good thing to be wise and protect yourself, but the premise is that the matter has nothing to do with yourself.

   But if you are watching the fire from the other side, do you need to consider whether the fire will spread?

  This question is actually very critical.

   While talking, the two walked up.

  Chen Nan was thinking wildly about hepatitis E virus in his mind.

  Hepatitis E virus refers to an entero-transmissible disease caused by hepatitis E virus, which is mainly transmitted through the fecal-oral route.

  This kind of disease is not serious under normal circumstances, and it belongs to the Class B infectious disease in my country.

  The main hazard is acute liver damage, and the main clinical manifestations are fatigue, loss of appetite, oily, jaundice and so on.

  The etiology of hepatitis E virus is infection with hepatitis E virus, and the main treatment method is to support symptomatic treatment.

   At present, although there is no specific drug for hepatitis E virus, there is no good vaccine effect.

  However, only symptomatic treatment is required, and the prognosis is very good.

  Most patients can be completely cured after systematic and scientific treatment without liver damage.

But…

   Obviously the situation this time is different.

  Because viruses are actually evolving.

   This is an uncertain and safe factor.

   Therefore, we still need to see the patient before talking.

  The two arrived at the Infectious Diseases Department not long after.

  The layout of this department is slightly different from other departments, and the control is stricter. The purpose is to prevent nosocomial infection and cross-infection.

  When Chen Nan arrived at the hospital, there were already many people in the hall.

  After Qin Shiming saw Chen Nan, he nodded: "Here we are."

  Chen Nan nodded and smiled: "Yes."

  Qin Shiming began to introduce: "Let me introduce to you, Mr. Jalava from the Ministry of Health of India."

   "This is Mr. Dior from the World Health Organization."

   "Two, this is Professor Chen Nan."

   After seeing Chen Nan, the two quickly greeted each other.

  Following Dior, there are also two staff members from the Center for Infectious Disease Research of the World Health Organization.

  Pan Yanhong, Director of the Department of Infectious Diseases, is also a female director.

   "Dean Chen, all the leaders, come to my office for a detailed chat."

   While speaking, Pan Yanhong led everyone into the office.

   There is not much nonsense, everyone directly cut to the topic.

  Dior took the lead in saying: "Professor Chen, we respect you very much, and we have also admired Chinese medicine for a long time."

   "This time I came to the ChinJapan Friendship Hospital specifically, and I also want to meet you in person."

   "I hope you will not get tired of teaching me."

  Chen Nan nodded: "Mr. Dior is polite, we will naturally do our best."

   "It's just that I don't know much about the patient's condition this time, and I've only heard about the hepatitis E virus this time."

  Dior said quickly: "My staff here brought relevant information."

   "I'll let you make an introduction."

   While speaking, the staff member came over with a laptop in his hand. After opening it, the detailed information had been sorted out.

   "Professor Chen, this time the hepatitis E virus has changed compared to last year!"

  "Generally, according to clinical manifestations, viral hepatitis E can be divided into acute icteric hepatitis, acute anicteric hepatitis, cholestatic hepatitis, and liver failure."

   "And this time, the patient's jaundice is not the most serious, but the most serious, and it is liver failure with a relatively high morbidity and mortality rate!"

   "Our team did a detailed statistical analysis in an area with a high incidence in India in February."

   "The number of patients with acute liver failure has reached 1.9%."

"Acute liver failure, extreme fatigue within 14 days of onset, obvious gastrointestinal symptoms, sharply deepened jaundice (daily increase > 171umol/L), progressive reduction of liver dullness, and... hepatic encephalopathy appeared rapidly. "

   "So far, the pathogenesis of liver failure is also very complicated, and no specific reason has been found so far."

   "So, we can't give you any better advice."

  “Currently, the main treatment plan is mainly symptomatic treatment.”

  “According to the data of our institute, hepatitis B is still the most common cause of infectious factors, but the liver failure caused by hepatitis B has a downward trend in recent years;

  The severe hepatitis and liver failure caused by hepatitis E virus infection have been on the rise in recent years. "

   "The number of patients with acute liver failure caused by hepatitis E virus this year has seriously exceeded the standard."

  Chen Nan was listening, but his face couldn't help becoming serious.

  He did not expect that the hepatitis E virus was so powerful this time that it directly led to acute liver failure.

  In the past, AHF caused by viral hepatitis was mainly caused by hepatotropic virus, and those caused by other viruses were occasionally seen.

  Hepatitis B is the most common cause of AHF.

  However, the proportion of malformed liver failure is only about 1%.

  But this time, nearly 2% of Type E virus!

   This is not a seemingly simple number...

  Liver failure is not a simple disease.

  As one of the important organs of the human body, the liver is also called a "processing plant" because of its functions of synthesis, detoxification, metabolism, secretion, biotransformation and immune defense.

  As one of the largest processing plants for the human body, what would happen if there was a sudden strike?

  If it is said that ordinary hepatitis only damages some stem cells.

  Then liver failure is massive necrosis of liver cells!

  Severe impairment or decompensation of the above-mentioned functions leads to a group of clinical syndromes mainly manifested by coagulation mechanism disorders, jaundice, hepatic encephalopathy, and ascites, which is called liver failure.

  At this point, the means of treatment are actually very limited.

  The most effective treatment is specific treatment, which is to use antiviral drugs according to the virus.

   However, there is apparently no cure for hepatitis E.

  So, the specific treatment of the first step no longer exists.

  Secondly, immunotherapy, this program... There are still different opinions on the application of adrenocortical hormone in the treatment of liver failure, so the effect is average.

  The third is: the treatment to promote the growth of stem cells, not to mention, the first is expensive, the second is slow, and the third is the curative effect.

  Finally... other treatments.

   Well, generally speaking, if the disease is really in remission at this point, it is actually... hard to say.

  I understand everything.

  At present, western medicine treats diseases with these brushes.

   The three axes are used up, if it doesn't work, you can only look at the sky.

  Such as supporting treatment, preventing complications...

  However, in any case, these are like discovering that the bucket is leaking, but you can't find where the water is leaking, so you can only add water desperately, or some other methods.

  Medicine is not a panacea!

so…

   This time, whether it is the arrival of Dior or the sincerity of the Indian Ministry of Health.

   To put it bluntly, I also hope that Chinese medicine can help once.

  Chen Nan quickly finished listening to the other party's report.

   then said:

   "Director Pan, take me to see the patient first!"

   "From what you hear, it's obvious that... no very effective clues can be found."

  Pan Yanhong nodded, led Chen Nan out, and then gave Chen Nan gloves, a hat, and a mask.

  Although it is fecal-oral transmission, the necessary protection still needs to be in place.

  Qin Shiming followed Chen Nan out, and said to Chen Nan: "Thank you!"

  Chen Nan smiled: "It's okay!"

   And then walked in directly.

Dai Yanhong introduced: "The patient is a 40-year-old woman. The main condition at present is extreme fatigue, and severe gastrointestinal symptoms such as obvious anorexia, abdominal distension, nausea, and vomiting. The gastrointestinal bleeding is obvious, the liver shrinks, and the jaundice rapidly deepens in a short period of time... "

  Chen Nan walked in after listening.

   "Not comatose?"

   "Not yet, but... there may be a precursor to hepatic encephalopathy, and we are currently mainly supporting treatment."

   "The patient is Chinese. He traveled there and just sent him back."

  When Dai Yanhong spoke, the other party blinked and woke up.

  However, when the other party saw Chen Nan, he immediately sat up excitedly.

   "Are you...Chen...Professor Chen Nan?!"

   "Woooooooooooo..."

   "Professor Chen, help me!"

"please…"

   "No, save my child, my child is only 11 years old, please."

   "I...you don't need to worry about me, save my child."

  At this moment, Chen Nan also noticed the little boy lying next door.

   "Hepatic encephalopathy?!"

  Chen Nan just glanced at it, and his expression changed immediately.

  Dai Yanhong heard the sound and sighed: "Yes!"

   "Already have hepatic encephalopathy."

"Why…"

   "Before I came, I was already in a coma...and had cerebral edema."

   "We now suspect that the other party has fulminant liver failure."

"Why…"

   "Now we can only give treatment to prevent gastrointestinal bleeding, anti-infection, and correct electrolyte imbalance as much as possible."

   "Originally I wanted a sedative, but... I didn't dare to use it."

   "The situation is more dangerous now."

  The so-called hepatic encephalopathy, also known as hepatic coma, is the most characteristic manifestation.

  Behavior and personality changes in the early stage, unable to answer questions correctly, direction discrimination and calculation ability decline, and gradually develop into excitement or lethargy, flutter-like tremor, abnormal EEG, and finally coma.

  After listening to the other party's words, Chen Nan was also a little silent.

   Obviously...

   What happened this time was more serious than I expected!

  ps: Well, I didn't miss the wedding today, but… I qualified last night and didn't win.

  Thank you for the 5,000 tip from "Oh, I'm going to go" and the 1,500 tip from "Ordinary People", thank you.

  (end of this chapter)

Chapter end