Micro-check

Students like Zhou Xun who are capable and thoughtful, hard-working and willing to work hard, and have money and background in their families, naturally no teacher does not like them.

Boss Yu was also the master of the project before, but with several personnel changes in the academy, many benefits of tutors like them who are obsessed with academics and do not follow the administrative route have been cut off.

For example, the number of students recruited, the area of ​​the laboratory assigned to each tutor after the new building is built, the administrative staff neglecting their poor academic tutors, etc. In short, there is no problem. Poverty is uneven, and all kinds of things can make people psychologically unbalanced, so Boss Yu also began to compete for administrative positions.

The academic circle also pays attention to family status and inheritance. Mentors, brothers, sisters, and even disciples are possible partners in the future. These are the most important network resources for ascending channels.

Teacher Yu has a few small tutors under him, but where there are people, there is competition and conflicts caused by the pursuit of interests. After Teacher Yu became the vice president, he first introduced Zhong Li, and then moved Zhou Xun.

Zhou Xun is a person with academic prospects, and Teacher Yu never wants to see him go home to inherit the family business and start a business, so whether it is for Zhou Xun’s good or he wants to use Zhou Xun, Teacher Yu quickly contacted Zhou Xun, I persuaded him to go back to school, and gave Zhou Xun a lot of promises, for example, let Zhou Xun be transferred from the hospital to be an associate professor directly, and let him manage the new laboratory in the newly built laboratory building, and directly give the two new laboratories Zhou Xun was given the office, and he was given start-up funds with the talent introduction policy, etc. Of course, these are not free, and Zhou Xun will produce some results within five years.

Whether it was out of future planning and interests, or out of respect and following for his mentor, Zhou Xun had no reason to refuse. After Teacher Yu proposed this matter to him, he thought about it for a day and gave it to Teacher Yu. reply.

The next day, the province inspected the hospital's TB work, which, needless to say, was really bad.

Tuberculosis, as an infectious disease that spreads through the respiratory tract, requires separate specialized outpatient clinics, so as to avoid nosocomial infection to others, but this hospital does not have a dedicated outpatient clinic at all, that’s all, they only have one outpatient doctor, and Also see other diseases.Even if there were tuberculosis patients, most of them were sent to hospitals in big cities like City C to see a doctor, and those patients who were very poor and could not go to other places to see a doctor, sometimes these patients were simply left untreated. Only a small number were given examination and treatment.

The examination basically uses imaging methods such as chest X-rays, and bacteriological checklists are rarely issued, which is why the laboratory basically does not receive sputum samples from suspected tuberculosis patients.

Because the laboratory has basically never carried out this work, when Ke Mei went to check, it was natural that there was nothing to check, so there was nothing to check.

Zhou Xun didn't know how the CDC would let the county's CDC and the hospital coordinate the work afterwards, but from the next day, an outpatient doctor who used to specialize in tuberculosis was transferred to the hospital to work in the CDC; Another teacher from the laboratory was transferred to the laboratory. The teacher's surname was Song. The hospital also wanted him to be transferred directly, but he did not agree. He was only willing to come here to work here for two months, and then returned to disease control.

Teacher Song is in his early 50s and will retire in two years. He is very serious and responsible.

As soon as he came, he organized the work of sputum examination very clearly.

The laboratory asked the young little sister to learn from him, and she will specialize in tuberculosis in the future.

Teacher Song came from disease control. Although he was also doing testing work in the laboratory, the working method of disease control is still somewhat different from that of the hospital.The hospital pays more attention to the inspection of the patient's personal sample. After the inspection, the report is completed. However, in addition to the inspection of a patient's sample, the disease control will register various information of the patient. For follow-up visits, the number of each visit can be matched, and even the time and results of the previous first visit can be found according to the number. These tasks allow the laboratory to have some intuitive understanding of the condition of the disease.

The little sister followed him and studied very seriously. Doing experiments is a kind of practical work that makes perfect, and long-term work experience is very important. During this process, there is a teacher leading it, and the effect is self-evident, so Mr. Song has to wait for it. Leave in two months.

Although Mr. Song is about to retire, and he is only a small experimenter in disease control in a poor county, he has a very strong thirst for knowledge. When he is not teaching his students, what he likes most is to talk to Zhou Xun. Experiments and projects.

Zhou Xun was also taken by him to visit the laboratory of disease control. Over the years, the state has invested heavily in the grassroots. The P2 laboratory of disease control has a large space, and the equipment is much more advanced than that of the hospital in the county. There is an AIDS project A flow cytometer and a viral load meter, Mr. Song modified the microscope so that it can take pictures, and even a PCR machine and molecular detection equipment for tuberculosis...

Zhou Xun was very interested, so he asked Mr. Song to borrow the laboratory. Some work didn't even need to go back to City C. He could do it directly in the disease control laboratory, and then sent all the things that needed to be sequenced to the company for sequencing. Just do data analysis directly.

Teacher Song was very interested in Zhou Xun's project. Zhou Xun agreed to take him as the main researcher in the project, and accepted him to help him with some experiments.

Time flies, and the province will send someone to check the tuberculosis work in their hospital in November, and the work has been done very smoothly.However, this county is still unable to provide treatment for drug-resistant tuberculosis, and can only be transferred to the city, and because the mountain is too poor, the work in the city is not doing well, and drug-resistant tuberculosis patients can only be transferred to city C to the hospital.

Because tuberculosis can be transmitted through the respiratory tract, the leader of the hospital thought of a way after being inspected, and came out in a separate room, and borrowed an old biosafety cabinet from the disease control department to do sputum testing for tuberculosis.

On this day, the younger sister was not on vacation, so Zhou Xun helped her with this work.

In the corridor outside the laboratory, there is a special window for putting sputum cups, but because the literacy rate of the people here is low, these patients or their family members do not read the instructions and put the sputum cups indiscriminately.

Zhou Xun went out from the laboratory to stretch in the corridor, just in time to meet a dark-faced boy holding a spit cup. The boy was about ten years old. After seeing Zhou Xun, he asked, "Where is this?"

Zhou Xun pointed to the window on the other side of the corridor, and before the other party was about to walk over, he stopped him again: "Wait a minute."

The other party had to stop and look at him, Zhou Xun went to put on a mask and gloves, and took the sputum sample from him.

Zhou Xun took a look and sighed, "Whose is this?"

The boy replied: "My dad."

Zhou Xun asked: "Is he going to be hospitalized?"

The boy replied: "I don't know. But it's troublesome to be hospitalized. We have to go home."

Zhou Xun said: "Your father's sputum sample is not good. It is basically saliva. It needs to be coughed up from the lungs. If your father is still alive, let him cough it up again."

"There are no more cups." The other party was a little worried.

Zhou Xun went into the laboratory and gave the boy a new sputum cup, and wrote the boy's father's name on it.

According to the standard, the sputum samples of non-hospitalized patients generally require three copies of night sputum, morning sputum, and instant sputum, and three tests are performed. This kind of test is more accurate. However, in hospitals, patients are often only asked to cough up instant sputum. This will cause a high false negative rate, and many patients do not cough up sputum as required, and just spit casually. There is no bacteriological diagnosis evidence for pulmonary tuberculosis, which will lead to a certain probability of misdiagnosis.

The boy left with the spit cup, and after a while, he came back, followed by his mother.

This middle-aged woman is not a few years older than Zhou Xun, but she looks much older.

She asked Zhou Xun why her husband was asked to cough again, and Zhou Xun had to explain the reason to her, "His phlegm was not good before, it was basically saliva, so it would be impossible to find out."

The middle-aged woman said: "Why can't it be found out? He was found out to be tuberculosis a few years ago." Seeing that Zhou Xun was too young, she looked at him suspiciously, "Could it be that you can't do it here?"

Where is this and where? Zhou Xun felt that he was doing too much. Before he could speak, another colleague, Mr. Chen, came over. Mr. Chen scolded the middle-aged woman with a sullen face, "Why are you arguing here? You sent it earlier. If the phlegm is not enough, then go and cough again and the thick sputum will come out. After all, we are doctors or you are doctors. If you are a doctor, then you can do it according to your ideas."

The other party was yelled at by Teacher Chen and immediately became awe-inspiring, took her son and left, and went to let her husband cough up phlegm again.

Teacher Chen glanced at their backs, and then said to Zhou Xun: "Mr. Zhou, you, you can't speak softly to these people. The better your attitude, the more they think you are doing bad things, and the more aggressive you are." , they listen to you more.”

Zhou Xun sighed in his heart.