Doctor Peerless

Chapter 203 The So-Called Occupation

The route of infection for typhoid fever is fecal-oral transmission.

In short, after livestock or human carriers are excreted, they pass through unclean contact with food and drink to cause infection.

The length of the latent outbreak and epidemic time of the disease period is related to the nature of the infection. Most of the outbreaks of food-borne infections occur within 48 hours, and the incubation period of water-borne outbreaks can last up to 30 days.

After Tong Han's description, it can be determined that Tang Yi's infection route is the former, and the bacteria invaded after drinking raw milk.

Isn't raw milk a source of water?

Water-borne nature refers to the spread of excrement in the water source. After the amount of pathogenic bacteria is diluted, the number of bacteria infected in the human body is naturally not high.

However, Tang Yi directly drank raw milk containing bacteria, which is tantamount to directly letting germs enter the human body.

As for why other people have no problems...

in fact.

This situation is really hard to say. The outbreak time of the disease varies from person to person. Perhaps after Tang Yi and Tong Han left, some herdsmen became infected, but for now, no one will pay attention to those things.

It sounds very cold-blooded, but in terms of Tong Han's experience, the local conditions are the same. If Zhang Zhongjian hadn't contacted China Railway for emergency treatment, it may not be possible for the two of them to be treated. In the local area, human life is really worthless.

In addition, Tong Han's infection is of an involved nature.

Tang Yi suffered from vomiting and diarrhea. The local sanitation environment is poor, and it is inevitable that infection will occur when contacting.

Therefore, Tong Han's condition is milder and the number of bacteria is less.

After the typhoid bacteria enter the body, it directly destroys the function of the digestive system, and the body's own antigens will start to fight back against the bacteria. The interaction between the two is like using the stomach and intestines as a battlefield.

Who is affected?It can only be that the digestive system used as a battlefield is riddled with holes, resulting in perforation and bleeding.

If Tang Yi could take antibacterial treatment as soon as he felt unwell, the current situation would definitely not happen. The problem is that the time dragged on for too long, the number of bacteria could not be suppressed and skyrocketed, and the digestive tract would be crazily invaded and eaten away.

in surgery……

The perforated intestines were marked everywhere, and the expressions of the people in front of the stage became more serious.

The more markers there are, the more time it takes to deal with them, and the greater the challenge they face.

The angiographic location is only part of the result, more needs to be confirmed after laparotomy, and right now——

"The number of piercings has exceeded our expectations..."

"There is blood in the ascites, Professor Scott, could it be..."

Before Silan finished speaking, Jack said in a deep voice: "There should be a serious perforation, which exceeds the normal perforation bleeding. I will continue to mark, and you find the bleeding location...Philip, prepare to debride the wound and cooperate with me to repair it." Stitch."

Compared to Slan, Jack has always remained methodical.

Although the situation is much worse than they imagined, but as the team leader, he must grasp the rhythm.

aside.

Zhou Sheng clenched his fists. He had already found the bleeding point with the system, which was located in the jejunum in the front part of the small intestine.But he didn't dare to speak at this time, Director Wang was on the side, even if he spoke English, he couldn't hide.

As long as Zhou Shengsheng didn't lie and say that he had something to do, he could go in with Director Wang now, but now...

A lie always needs countless ways to make up.

hate.

Unconsciously, the operation time has been carried out for 5 minutes.

It is still too early for the best completion time of 10 minutes, but as far as the current situation is concerned, 10 minutes is definitely unstoppable. Abdominal examination is only the first step, and later disinfection and suture are troublesome. The most test of a doctor's skills Literacy.

Director Wang focused on watching and listening. Although he possessed medical common sense that ordinary people could not match, his dialectical thinking in Chinese and Western medicine was completely different, and he could not accurately know whether the current operation process was good or bad.

I can only make up my mind, there may be bleeding points...

That should be bad.

The old man was sweating, watching quietly, with a feeling of regret lingering in his heart...

If you don't come in, you shouldn't have to worry so much, right?
Why bother before?

Leaving now, I'm afraid it will disturb them again.

Director Wang is restless.

The operation time is 15 minutes.

"Debridement, ready to suture." Jack raised his hands, and the equipment nurse immediately handed over the equipment to his hands. Philip was the second assistant, cleaning and rinsing at the same time, with a small abdominal opening, and the three of them worked on their own.

Before he was about to sew up, Jack paused and looked at Slan: "Have you found the bleeding point yet?"

Faced with questioning, Silan was obviously a little impatient: "No, no, I will as soon as possible..."

"It's been 10 minutes, have you followed the order of abdominal cavity examination?"

"I, I... I didn't, I thought the bleeding point should be in the chyme accumulation channel, so I focused on checking..."

however.

Before Silan finished speaking, Jack was furious and cursed: "Fuck, damn it, what do you think, what do you think, are you kidding me? Are you betting your life by playing Russian roulette with me at this time? ?”

"You can't even do the simplest investigation, what are you doing!"

With an angry shout, the atmosphere in the operating room instantly dropped to freezing point, and the already serious air seemed to be completely frozen...

But even though Jack was angry, the movements of his hands still didn't stop.

Silan swallowed a mouthful of saliva, resisted his panic and said: "Give me another 5 minutes, soon."

The nurse saw the cold sweat on his forehead and quickly wiped it off for him.

Meanwhile, Zhou Sheng, who was in front of the operating table, couldn't bear it any longer, but he had no choice but to keep silent.

……

Perhaps because of Jack's anger, the crowd was already under pressure, and now they couldn't control the rhythm.

While Jack was suturing, Philip's pincers used to stabilize the intestinal tissue shook slightly, which directly caused the hook needle in Jack's hand to puncture out of place.

"Stable, stable, okay?"

Compared to the swearing just now, Jack obviously restrained himself a lot.

Because he also seems to realize that the combination in front of him doesn't seem to be able to adapt to his rhythm very well. The greater the pressure, the more mistakes will be made. He dare not destroy the opponent's self-confidence again, which will directly lead to the loss of everything.

Philip apologized nervously: "Sorry, I will pay attention."

But what about Sri Lanka?

Time was getting tighter and tighter, but he still couldn't find the bleeding point.

The position of the jejunum is very special. It is located at the front of the small intestine. It is the first passage for chyme to enter the small intestine. It is docked at the upper part of the abdominal cavity. Because of the particularity of the tissue, the surface of the jejunum is covered with many blood vessels and appears reddish.

The bleeding point caused by the perforation is bound to be small, and the blood in the ascites is also a long-term accumulation process, so it is easy to be ignored.

Even if Jack didn't ask, just seeing Slan getting more and more flustered, he knew there was no progress.

At this moment.

This is the situation.

Jack really has a kind of autistic impulse. He is usually very stable, so why does he have diarrhea at a critical moment?He had an impulse to let Zhou Sheng come on stage.

But he didn't dare to raise his eyes to meet Zhou's gaze, because he was still struggling in his heart, afraid of an impulse, so he spoke out.

Ancient.

The ancients divided career advancement into seven levels——

Slave, apprentice, craftsman, craftsman, teacher, family, saint.

The first is an involuntary or supervised person.

The second is the apprentice, someone who is not capable enough and willing to learn.

The third one is a neat and tidy person who acts according to the rules.

Needless to say, the craftsmen are highly skilled.

A teacher, a master, a master, has mastered the rules and can impart skills.

The home is the master, and the sage is naturally the sage, which is rare in the past and present. Taking the strange skills as an example, Lu Ban is the sage. In terms of Chinese medicine, Hua Tuo, Bian Que, and Sun Simao can also be the sage.

Jack belongs to the division, not to the family, but his ability must belong to the upper class.

Silan should be a 'worker', but in terms of the quality he presents now, he has a mentality that is not good enough for work, unable to follow the rules, and can only be reduced to a disciple with insufficient ability.

The status is fluctuating, and many factors will cause the level to drop.

As far as the current situation is concerned, it is already very bad.

Can Zhou Sheng bear it?

Can't!
He stepped forward and immediately attracted everyone's attention, but he had to remain calm, and he couldn't go on stage without Jack's approval——

"Jejunum!" Zhou Sheng whispered.

Everyone was stunned, and even Jack didn't react for a while...

"Bleeding point, look at the jejunum!"

The words fall.

Silan was stunned, but Jack came back to his senses first, handed the crochet needle to the nurse, picked up the pincers, and clamped the jejunum section. The jejunum was thick and wrinkled, and the numerous blood vessels attached to it were reddish.

But watch carefully...

Philip exclaimed: "There, the piercing oozes blood!"

hiss! !

Everyone gasped, the authorities were bewildered by the onlookers, and they were suddenly awakened in the midst of the confusion, precisely because they didn't know how the other party did it. The inexplicable shock made the pores of the whole body open and close.

Jack knew that he couldn't delay any longer, he raised his head, and met Zhou Sheng's eyes for the second time since entering the operating room——

"Slan go down..."

"Zhou, go!"

(End of this chapter)