Micro-check

The project to monitor changes in HIV drug resistance in patients in the hospital is a small project of the Provincial Medical Association that Zhou Xun applied for in the year he joined the job. Because this project involves some data from clinical doctors, Zhou Xun invited clinical Dr. Xiao participated in this project. Dr. Xiao was young, so he happened to get along with Zhou Xun. The two had a good relationship, and Dr. Xiao happened to be Kang Yongqian's doctor.

When Zhou Xun called him, he had already gone to bed early because he didn't have to work the night shift that day. When he answered Zhou Xun's call, his voice was still hazy, and he asked, "Zhou Xun, what's the matter?"

Zhou Xun said: "Brother Xiao, here is a patient's information, I want to ask you."

Doctor Xiao sighed: "Don't talk about work after get off work."

Zhou Xun said, "I'm still on the night shift."

Dr. Xiao: "I'm off work."

Zhou Xun: "Brother Xiao, do me a favor."

Dr. Xiao: "What's the matter, tell me."

"There was a patient named Kang Yongqian, do you remember?" Zhou Xun asked.

Dr. Xiao said: "He, his medication compliance is not bad, and he has been watching at my place. Once I was out for a meeting, and he came here to see the doctor. I was not here, so he called me and had to wait. I came back to prescribe medicine for him, and I asked Lao Zhao to prescribe it for him, but he was still unwilling."

"That's because you have a good personality, and patients like to come to you." Of course, it is also possible that Xiao He looks like the soft, white and compact version of Hu Jun who is very popular with comrades. Xiao He joked.After Zhou Xun flattered him, he said, "The information you gave me didn't say where Kang Yonggan was from? Do you have these information?"

Dr. Xiao said: "Could it be that he has developed drug resistance? His compliance is obviously very good, so there should be no drug resistance."

Zhou Xun: "It's not that there is drug resistance. He has already done the sample this time, and there is no drug resistance. I am sorting out the results and will give you feedback tomorrow."

"Then why are you asking so many questions?" Dr. Xiao was not a fool, so he would naturally have doubts.

Zhou Xun had no choice but to say: "He has the same name and the same sex as a friend of mine, so I wanted to ask."

Dr. Xiao let out an "ah" in surprise. Although the possibility of the friends around him being infected with HIV is very low, it is by no means impossible.Before, a doctor from another hospital I knew was infected with HIV. The other party was not infected by medical malpractice, but was infected by other high-risk behaviors. Fortunately, he was very self-aware, so he came to Dr. Xiao for an examination soon. Let Zhou Xun use the fastest molecular detection method to shorten the window period to one week, and the result was positive. After he had high-risk behaviors, he started virus blocking treatment, but the result was not ideal, and he still came out positive. After that, he was also very responsible, and immediately explained the situation to the hospital, and was transferred from the clinic to the logistics.At the beginning, his virus was under control, and his CD4+ count was always high, and the ratio to CD8+ was also good. Now that HIV infection has been regarded as a chronic disease, if this continues, he may live for more than ten years, and there will be a cure plan by then, but , I don’t know how he died afterwards, probably because he had frequent contact with tuberculosis patients, and soon became infected with Mycobacterium tuberculosis. Under the dual infection, tuberculosis developed within half a year. The dual infection medication is very troublesome, and the side effects are serious , he soon gave up treatment on his own, and died at around eight months.After all, he was an acquainted friend, and Dr. Xiao was also sad for a while, but as a doctor, he still behaved like this. What he could say was that his fate was up to him.

Dr. Xiao said: "It's from Q City. He's a very energetic young man. There is a scar left by a burn on his neck under the left ear. He is gay. He said he was infected by his ex-boyfriend. His ex-boyfriend has passed away due to illness." .But I'm just dubious about the latter statement, I don't think he's a law-abiding person. Who is the friend you know?"

Zhou Xun said: "A friend of a friend is a friend of him."

Zhou Xun didn't hide anything, Dr. Xiao said: "What kind of friendship, please explain clearly."

Zhou Xun: "Boy-boy relationship."

Doctor Xiao: "..."

"Then there are some problems. I asked him if he was married or had a sexual partner. He said he was not married, and he never found a boyfriend after he was diagnosed with HIV infection, and he never went out to find anyone again," Dr. Xiao said. , "I told him that if he found someone, he would tell the other party the truth about him. However, in this way, they generally never find a partner again, so basically few people are willing to tell the truth to their sexual partners, This has kept the infection rate high."

Zhou Xun said: "There is no sense of responsibility, and there is nothing we can do. When is the next time he sees a doctor?"

"He just came yesterday, it won't be long until next time." Dr. Xiao said.

"Then what should I do? You have his phone number in your information. If I confirm that he already has a sexual partner, can you call him and ask him to tell his sexual partner?" Zhou Xun said.

"I asked him yesterday, and he still said no. He also said that he was obediently taking medicine to control the viral load. I told him the gene sequencing results of his strain that you did before. The HIV he is currently infected has nef gene deletion. The attenuated strain of the virus, as long as he controls it well, he and the virus can coexist peacefully for more than 20 to [-] years. Now that the virus vaccine and disease treatment are developing so fast, when he gets sick, he may be cured. If he If he goes out and messes around, if he is infected with another patient's strain, or infected with tuberculosis and syphilis, once the balance in the body is broken, he will immediately get sick, and the only one who will suffer at that time will be himself, so he is more obedient. I told him so much before, if I call him again, he will definitely have doubts. I can only ask the people from the disease control side to contact him to remind him."

Zhou Xun said: "The viral load I made for him today is very low, and the infectivity should be very low. In addition, it is a weak strain. In a short period of time, the possibility of infecting others should be very small. Therefore, it is necessary to let his sexuality Companion knows his situation now, lest the two have high-risk behaviors, and it will be too late when they are infected."

Dr. Xiao said: "I'll tell the disease control teacher who is following him about this after I go to work tomorrow. Zhou Xun, I'm really sleepy. Let me sleep."

Zhou Xun heard his soft voice that was almost pleading with himself, and thought to himself that it is no wonder that you are molested by colleagues in the department. He is the most popular doctor among comrades, and he said: "Then I will trouble you, you can continue to sleep."

Zhou Xun hung up the phone, turned his head, and fixed his eyes on Zhou Ning.Knowing that Zhou Ning was very concerned, he told him what Xiao He had told him just now, "He said that Kang Yongqian was indeed from Q City, and that there was a burn scar on his neck under the left ear. Friends, do you have this characteristic? But Kang Yongqian told Dr. Xiao that he has never had a boyfriend or sexual partner."

Zhou Ning thought for a while, and said, "I went to eat Japanese food today, the room is rather dim, and he was wearing a sweater with a slightly high collar, so I didn't notice his neck."

Zhou Xun no longer had the appetite to eat eel rice, so he sat down opposite him, held his hand and rubbed it, "Ningning, don't worry, whether it is or not, I have already told Dr. Xiao that he will give medical treatment tomorrow. The teacher who tracked Kang Yongqian's information called and asked him to urge Kang Yongqian to tell his sexual partner about it. If it was really your senior brother, he should be asked to do an examination. Now do the examination, using the method of detecting antigen and antibody , the window period can be shortened to 2 to 3 weeks. If molecular methods are used, the window period can even be shortened to one week. Therefore, as long as he has an examination immediately, there should be no problem. Because Kang Yonggan is one of our projects Therefore, the gene sequencing analysis of his virus strain was done before. His virus strain is a weak strain, and his body's viral load is also low. About one-tenth."

Zhou Ning knew that Zhou Xun had used all he could to comfort herself, so he lightly kissed the corner of Zhou Xun's lips, and said, "I'll call my brother and ask."

Zhou Xun quickly grabbed him and said, "According to the regulations on AIDS prevention and control, we have the obligation to protect the privacy of the patient. At most, when he does not tell his sexual partner himself, the medical staff or the disease control teacher will tell him about his sexuality." with."

Zhou Ning said, "Don't worry, I won't tell him directly."

After he finished speaking, he pushed that Napoleon in front of Zhou Xun: "Eat this."

Zhou Xun had no choice but to start eating dessert, while Zhou Ning sat aside to call his senior brother Fan Dong.

Zhou Xun saw that Zhou Ning's face changed. It was heavy one second, but lighthearted the next second, and said, "Brother Fan, I, Zhou Ning. Are you home yet?"

"Oh, not yet. I'm still in the car. I didn't arrive until eleven twenty. What's the matter?"

"Oh, it's all right, but Brother Kang has burn marks on his neck?"

"Ah. You observed carefully. He said that he was scalded by a stick when he was playful when he was a child. Why do you ask this?" Fan Dong asked curiously.

"Is Brother Kang beside you?"

"Yes."

"Can you step aside and answer the phone?"

"Ah, what's the matter?" Fan Dong's voice paused.

Zhou Ning said, "Do you live together?"

"Not yet, but we plan to live together, but we are both busy, and the places where we work are far apart, so he is not very happy to move here." Fan Dong's voice was sweet, and it seemed that he was in the period of love, otherwise He would not bring people to see Zhou Ning.In Zhou Ning's impression, Fan Dong is the kind of person who really wants to live a good life, so he often spreads the idea of ​​being virtuous and virtuous to live a good life to Zhou Ning, and every time he asks him to be with Zhao Qicheng, sometimes Zhou Ning listens to I was so annoyed, I didn't block him just out of politeness, and after he broke up with his boyfriend who had been with him for seven or eight years, two years later, he suddenly said that he had another boyfriend, but it turned out like this .

Zhou Ning immediately wanted to tell him that Kang Yongqian was HIV-infected, but for Zhou Xun's sake, he controlled it, and only insinuated, "Didn't he tell you anything? It's about his past?"

Fan Dongdao: "He's always been fine, what's wrong, Zhou Ning, he's so eccentric."

Zhou Ning couldn't answer the call for a while, he looked at Zhou Xun, Zhou Xun came over and took the mobile phone in his hand, and hung up for him.

Zhou Ning looked at him in astonishment, and Zhou Xun said, "Don't worry, the disease control teacher will look for him tomorrow. You have done enough, don't worry about other people's affairs like this."

Zhou Ning leaned her face into his arms, Zhou Xun put her arms around his back, and patted him gently, "If you are tired, you can go home and sleep. I have finished the night shift, and I can take a day off tomorrow."

"I want to be here with you." Zhou Ning sighed again in a weak voice, "Actually, I know several people infected with HIV, but I didn't know they were infected with HIV until they died."

The author has something to say: All the data are from the latest research papers and reports.

MSM is the abbreviation of menwhohavesexwithmen, that is, men who have sex with men, including homosexuality, heterosexuality and bisexuality.

This was written in the previous article "Gourmet Notes", so this article does not specify it.