Medical road ahead

"what?!"

Liu Xuanming's parents turned pale with shock, while Liu Xuanming looked at his parents in a daze.

"Send it to the Department of Infectious Diseases first."

Dr. Tan stopped talking, and together with Dr. Lu, transferred Liu Xuanming to the isolation ward of the Department of Infectious Diseases, and explained his physical condition to Dr. Jia in detail.

"Old Tan, your guess should be good."

Although the diagnosis report has not yet been obtained, after listening to Dr. Tan's account and his own preliminary examination of Liu Xuanming, Dr. Jia is [-]% sure that Liu Xuanming has not only been infected with Brucella sheep, but has also endangered his reproduction. organs, it is very likely that he will be infertile in the future.

After Liu Xuanming was transferred to the Department of Infectious Diseases, Dr. Tan and Dr. Lu quickly evacuated and performed a full-body sterilization, and then fully disinfected the ward where Liu Xuanming lived, and transferred the patients who had previously lived there to other places .

"Contagious?"

After Liu Xuanming settled down, his parents were also sent for an examination, and only then did his father realize the seriousness of the problem.

A nurse from the Infectious Diseases Department explained: "Although there is not much human-to-human transmission of Brucella, just in case, we still need to conduct a comprehensive inspection on you."

Then, she asked the two of them again: "Have you ever drank the goat's milk that you fed little Liu Xuanming?"

"No."

The two shook their heads at the same time.

Mother Liu said awkwardly, "Fresh goat's milk is precious, so we are reluctant to drink it."

"It's true that it's expensive, but non-sterilized fresh milk can cure diseases, and the gains outweigh the losses." The nurse said with emotion.

Hearing these words, Mother Liu bowed her head in silence, showing shame.

Father Liu patted her on the shoulder, and then asked the nurse, "Is our son cured?"

The nurse said, "Don't worry, we will do our best to cure your child."

"The infertility that Doctor Tan said just now, can it be cured?" Mother Liu asked again.

The nurse pursed her lips, and after a moment of consideration, said, "We will do our best."

Afterwards, the Department of Infectious Diseases began to conduct a series of examinations on Liu Xuanming.
"Where do you buy your fresh goat milk?"

During this period, Dr. Jia found Liu Xuanming's parents and asked them about the supply of fresh goat milk to further investigate whether the fresh goat milk that infected Liu Xuanming with Brucella was the source of the bacteria.

If there is a problem with the fresh goat milk itself, then Liu Xuanming's infection is definitely not an isolated case, but a large number of infected groups, or potentially infected groups, and the situation will be even more serious.

"Bought it from the dairy store that delivers milk in the neighborhood."

Mother Liu told Dr. Jia the contact information and address of the dairy store, and the latter quickly contacted the Health Bureau to inform them of the incident and asked them to quickly and thoroughly investigate the dairy store, preferably temporarily shutting it down.

"Doctor Jia, what exactly is Brucella? Is it because my son was infected because the goat's milk was not boiled?"

After Dr. Jia put down the phone, Dad Liu asked him.

Dr. Jia poured a glass of water for the husband and wife each, asked them to drink some water for a while, and then explained to him in detail: "Brucellosis is also called undulate fever, commonly known as lazy man's disease. The infectious diseases caused by human and zoonotic bacteria are classified as Class B infectious diseases in the "Law of the People's Republic of China on the Prevention and Control of Infectious Diseases". However, Brucella is resistant to light, heat, acid, and commonly used chemical disinfection Agents are very sensitive, so they will be killed when they are boiled at high temperature.

Sick sheep, cattle and other diseased animals are the main source of infection for brucellosis, and its transmission methods include damaged skin and mucous membranes, digestive tract and respiratory tract, etc.Your son just drank unpasteurized fresh milk, causing digestive tract infection and suffering from this disease.

Fortunately, the two of you didn't drink it, so you didn't get infected. "

"My son's repeated fever, anorexia, and feeling tired are all caused by Brucella infection?" Dad Liu asked again.

"Yes."

Doctor Jia nodded.

"Then Dr. Tan said that he might be infertile. What's going on? Didn't you just say that he had a digestive tract infection? Why did it have something to do with the reproductive organs?" Father Liu was puzzled.

Dr. Jia carefully explained: "This is related to complications. Usually, a disease is accompanied by different complications. For example, diabetic patients may suffer from the complication of blindness, and the complication of Brucella includes a A male reproductive disorder called epididymo-orchitis.

When Brucella enters the patient's body through the digestive tract, if it is not treated in time, it will invade the male reproductive system, leading to epididymo-orchitis, which is manifested as testicular swelling and pain, mostly unilateral.After suffering from this complication, testicular function is impaired, and fertility is affected. "

Mother Liu asked anxiously, "Can it be cured?"

Dr. Jia said: "This needs to be diagnosed and treated by a doctor of urology or emergency surgery. At present, the most troublesome thing is the Brucella in his body."

Although through the suspected diagnosis, it has been confirmed that Liu Xuanming has brucellosis, but the final diagnosis still has to wait for the results of the pathological examination.

However, Dr. Jia has arranged for nurses to treat Liu Xuanming with medication according to his condition and age, and contacted the nutrition department to formulate a nutritional treatment plan for him as a supportive treatment.

woo la woo la——

"Quick! Send to the emergency room."

While the Department of Infectious Diseases and the Department of Nutrition were busy with Liu Xuanming, the 120 ambulance suddenly brought a girl who was unconscious and convulsed all over her body.

Seeing this, everyone at the gate gave way one after another, providing the smoothest road for the medical staff in the emergency department.

Wang Xiaobo led his colleagues to the front, and as soon as the ambulance stopped, he hurriedly asked, "What's the patient's condition?"

The medical staff at 120 said: "Suddenly fainted, followed by convulsions all over the body."

"How long has the twitch lasted?" Wang Xiaobo asked again.

"About 30 minutes."

"What first aid measures were performed?"

"Her roommate said that she had been given Suxiao Jiuxin Pills."

"Roommate? Did you send it from school? Can you be accompanied by a teacher?"

"It's not a school, it's a weight-loss institution. Only two roommates came with me, and I didn't see the person in charge or staff of that institution."

"A weight loss agency?"

Hearing this, Wang Xiaobo immediately deduced the reason for the girl's fainting, as for the convulsions.
"The patient's heartbeat has stopped and needs to be defibrillated immediately!"

During the few seconds when Wang Xiaobo was meditating, the girl suddenly stopped breathing, her pulse disappeared, and her pupils also spread. The medical staff in the emergency department quickly performed defibrillation on her.

"Get ready for the adrenaline!"

The first time, defibrillation failed, and Wang Xiaobo performed CPR on her again, and arranged nurses to administer epinephrine for manual rescue.

"Bilateral pupillary dilation and loss of light reflex."

The medical staff at 120 checked from the side and found that the girl's condition was getting worse and worse, and neither electrical defibrillation nor manual rescue seemed to be effective.

"Prepare for the second electric defibrillation." Wang Xiaobo shouted.

Nourishes—

Accompanied by the sound of electric current, the second defibrillation was successfully completed, but the girl still did not recover her vital signs.

"Continue manual rescue!"

Wang Xiaobo didn't want to give up easily, and he and his colleagues tried their best to save the girl's life.

"Respiratory and heart sounds were not heard, the pulse of the major arteries disappeared, the extremities of the extremities were discolored, and the physiological and pathological reflexes were not elicited. The rescue failed."

Several times of rescue failed, and the girl died in the end, while Wang Xiaobo sat on the ground slumped.

This is the first rescue failure he has encountered since he became an emergency doctor. He is both helpless and sad.

Looking at the girl's head and face covered by a white cloth, his vision was gradually blurred by tears