Doctor Chen, Don't Be a Coward!

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

"Already delivered?!"

Ge Yerong nodded: "That's right!"

"Patients are now in the wards, but not for us to assist."

"It's the Health and Medical Commission who has prepared emergency plans in advance, so that we can know 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."

"A lot of things can't be explained 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 several years of living in it and Shang Chaoyan's care of it last year, it now has a lot more life.

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

Chen Wenyin personally selected it.

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 business.

In this way, it will not affect daily life.

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

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

Shang Chaoyan waved his hand: "Well, go get busy!"

"Leave us alone."

In addition to Chen Nan's car, there are two other cars at home, one is for the number limit, and the other is just in case.

Chen Nan's Hongqi car has a special pass and records, so it will not be affected in any way.

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.

In fact, Master Yu was able to live steadily, which actually made him overjoyed.

However, right now, Chen Nan was still thinking about Ge Yerong's words 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. After seeing 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 member of the World Health Organization's board of directors 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 China-Japan 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 exchange and mutual medical assistance."

"That's why we made our hospital an important pilot."

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

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."

"In the past year, countries such as India have seen a sharp increase in the number of deaths from hepatitis E virus."

"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 American Institute of Virology found that the mutation rate of type E virus has increased a lot this year."

"In itself, there is no specific drug or special treatment for hepatitis E virus."

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

"So, it is hoped that all countries will jointly study this topic."

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

"This group will attract members from all over the world."

"And our country is also in the ranks of invitations."

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

"At the same time, it's also an assessment!"

"You should understand what I mean, right?"

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

He couldn't help laughing immediately: "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 anxiously: "It's up to you to tell the fuck!"

"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 win honor for the country?"

"Must participate!"

Chen Nan didn'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, I'm 28!"

Ge Yerong nodded: "Yes!"

"Do you still remember that 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 able to come back?"

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

"I understand to tell you!"

"If you go, 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.

At this time, he heard the other party's words, and fell silent.

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

Ge Yerong continued: "You know that?"

"It's not that our country has no precedents for going out to support medical treatment, but... this time, the matter seems to be more serious than before."

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

"You're only 28 years old!"

"Do you lack honor?"

"Or, are you missing this opportunity?"

"Your future is limitless."

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

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

"Did you go safe?"

"This is another question!"

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

"I was serious."

"You think about it carefully."

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

He knew there was 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 through?"

"Or……"

"Can we escape?"

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

yes……

Can you escape?

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

"Boss Ge!"

"I know, you are thinking about me."

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

"However, you should know that when you put on this outfit, you are doomed to not have many choices. Similarly...you are also doomed. Your life is not just for yourself."

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

"Is fecal-oral transmission okay?"

"Be careful, it's okay."

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

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

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

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 important.

While talking, the two walked up.

In Chen Nan's mind, he was crazily thinking about the situation of hepatitis E virus.

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

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

The main hazard is acute liver damage, and the clinical manifestations are mainly 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, as long as symptomatic treatment is needed, there is a very good prognosis.

The vast majority of patients can be completely cured after systematic and scientific treatment without liver damage.

But……

Obviously this time the situation is different.

Because viruses are actually evolving.

This is an uncertain and safe factor.

Therefore, we still need to see the patient.

...

...

It didn't take long for the two to arrive at the infectious disease department.

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. Galawa from the Ministry of Health of India."

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

"Two, this is Professor Chen Nan."

After the two saw Chen Nan, they quickly greeted each other.

Dior also came with two staff members of the World Health Organization Center for Infectious Disease Research.

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.

Without too much nonsense, everyone cut directly to the topic.

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

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

"I hope you will not be 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 talking, the staff member came over with a laptop in his hand. After opening it, the detailed information had been sorted out.

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

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

"But 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 \u003e 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 have no way to give you 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;

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

"However, 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 solemn.

He didn't 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 it was occasionally caused by other viruses.

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 the 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 of the human body, what would happen if there was a sudden strike?

If we say that ordinary hepatitis only damages some stem cells.

Then liver failure is a large amount of necrosis of liver cells!

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

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

The most effective is specific treatment, which is based on what virus and what antiviral drug to use.

However, there is apparently no cure for hepatitis E.

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

Second, immunotherapy, this plan... At present, 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, firstly, it is expensive, secondly, it is slow, and thirdly, the curative effect is mediocre.

Finally... other treatments.

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

I understand everything.

At present, Western medicine treats diseases with these brushes.

If you run out of three axes, you can only look at the sky if you can't.

Such as supportive treatment, prevention of complications...

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

Medicine is not everything!

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 he 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 proper 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 went straight in.

Dai Yanhong introduced: "The patient is a 40-year-old woman. The current main condition 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... ..."

After Chen Nan finished listening, he walked in.

"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?!"

"Woooo..."

"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: "En!"

"Already have hepatic encephalopathy."

"Why……"

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

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

"Why……"

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

"I originally 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.

At the beginning, there are behavior and personality changes, inability to answer questions correctly, decline in direction discrimination and calculation ability, and gradually develop into excitement or lethargy, flutter-like tremor, abnormal EEG, and finally coma.

After Chen Nan listened to the other party's words, he 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 didn't win in qualifying last night.

Thanks for the 5,000 tip from "Oh, I'll go, go" and the 1,500 tip from "The Laity". Thank you.