This doctor has a system

Chapter 539 602. Anthrax
"What do you want to eat? How many people?"

"Here's the one." A middle-aged man ordered a set meal on the menu.

Gao Feng accidentally looked up and found that there were some papules or red spots on the man's hands and upper limbs, which looked like mosquito bites, and there were several ulcerative black eschars.

It's quite disturbing to watch.

By this time, Hu Jiaran had already paid the bill and came back with a fruit plate in his hand.

"The boss gave it to me."

"What's wrong with Lao Ma?" someone at the next table asked.

"He said he had a cold a few days ago and had some fluids at the clinic downstairs." Another said, "But he probably hasn't recovered."

"I heard he went to the new hospital in the port area. It seems to be quite serious."

"No way? He has always been in good health, how come he is no longer healthy just because he caught a cold?"

Several people started talking at once.

"Maybe it's because of my age," said the middle-aged man who was taking the order. "I've been feeling a bit unwell lately, too. I've got rashes all over my body, and some of these look pretty serious!"

"I have it a little too. It must be eczema." The person sitting opposite him stretched out his arm, which also had a few scattered ulcerative papules.

"Let's go to the hospital later. It's not a good idea to delay it." Someone suggested.

Gao Feng, who had been paying attention to their conversation, frowned. This didn't look like eczema, but since the other party suggested going to the hospital for treatment, he withdrew his attention.

But I don't know why, there is always a slight sense of uneasiness in my heart.

At the edge of the city, a wide road stretched to the horizon, like a forgotten dragon, lying alone in the gray dust. The sun shone directly on the asphalt road, and the heat wave distorted the air, making the distant scene seem to tremble.

There were few vehicles on the road, with a few occasionally passing by in a hurry, their taillights flashing like meteors on the empty road.

On both sides of the road, the lonely trees looked particularly desolate, their leaves drooping helplessly under the scorching sun.

The shadows under the trees were mottled, like fragments of time, cutting out uncertain journeys on the road. No footsteps broke the silence, only the occasional sound of wheels rolling in the open space.

"It will take at least another 10 years," Li Youliang said, "otherwise this area won't be able to develop."

Gao Feng felt that 10 years would be too long, and this place was even more remote.

"Still going forward?"

"Let's go back." Gao Feng said.

On the way back, for some reason, he thought of the people he met at dinner, and his mind was full of ulcerative black eschars.

"wrong!"

"What's wrong?" asked Li Youliang who was driving.

"It should be skin anthrax!" Gao Feng finally understood why he had been feeling uneasy. "Turn back immediately! Go to where we had dinner!"

Although Li Youliang didn't know what was going on, when he heard his boss say that, he quickly turned around and stepped on the accelerator.

"Do you have a mask?"

"Yes!" Li Youliang quickly ran to the trunk, where there was a first aid kit.

The two walked into the store wearing NP5 masks, and coincidentally, the table of guests was about to pay and leave.

"Wait a minute!" Gao Feng stopped the other party.

"Is there anything wrong?" The people on the opposite side were stunned when they saw the two of them wearing masks.

"I see you have a lot of papules on your arms. Can I take a look?" Gao Feng said, "Let me introduce myself. I'm a doctor at the Provincial People's Hospital."

Several people looked at each other, but no one said anything.

"I feel like this is a very serious problem." Gao Feng continued, "I just heard from you that another colleague has been treated in the hospital, right?"

"Yes, he also has this rash on his arm." someone said.

"Lao Ma just has a cold, and his hospitalization has nothing to do with this." another person retorted.

However, several people did not refuse Gao Feng's request to check.

Gao Feng took a close look at the ulcerative papules on the other person's arm and was convinced of his diagnosis: it was cutaneous anthrax.

"What do you do for a living?" He smelled the scent of sheep.

"We work at the slaughterhouse in front." One person answered. They were all employees of the cattle and sheep slaughterhouse in the town in front.

That's right, Gao Feng thought, anthrax is a Gram-positive bacillus that mainly occurs in herbivorous animals, especially cattle, sheep and horses.

Humans are mainly infected through contact with sick animals and their products or eating the meat of sick animals. These people are employees of cattle and sheep slaughterhouses and are a high-risk group.

The most common form of anthrax is cutaneous anthrax, which is mainly manifested by symptoms such as local skin necrosis and characteristic eschar, while pulmonary anthrax and intestinal anthrax are often life-threatening.

Anthrax is found throughout the world and is still endemic in pastoral areas of South America, Asia, and Africa. Due to widespread vaccination and extensive animal medical work, anthrax in animals and humans has been almost eliminated in developed countries, with the focus on preventing and controlling the threat posed by anthrax as a biological weapon.

In developing countries, the disease is still prevalent to a certain extent, with an estimated annual incidence of 1 to 2 cases. In recent years, there have been only a few outbreaks in my country, mostly concentrated in western regions such as Guizhou, Xinjiang, Gansu, Sichuan, Guangxi, and Yunnan, with annual anthrax cases fluctuating between 40 and 1000.

It would be fine if these people had cutaneous anthrax, but it’s hard to say about their colleague.

"Don't leave. I'll notify the CDC." Gao Feng said. As soon as he said this, the faces of the people opposite him changed.

"No, what are you doing?"

"You guys need to be isolated." Gao Feng explained, "Not just you, but the people you came into contact with also need to be checked."

"Is it so serious?" One person was a little panicked. He went home every day, had sex every night, and had four children at home.

"Don't listen to his nonsense. I feel like we have eczema or an allergy." The man wanted to walk out after saying this. He hadn't realized the seriousness of the problem, or he wasn't willing to believe it.

Gao Feng had no intention of stopping him. Li Youliang, who was standing next to him, had already called the district's Center for Disease Control and Prevention.

"Are you kidding me?" A woman answered the phone. "Who are you? You can't just say that!"

Cutaneous anthrax is not so serious, as it is just a common Class II infectious disease. However, pulmonary anthrax is very serious and must be prevented and controlled directly as a Class A infectious disease.

My eldest sister has been working for almost 10 years, and this is the first time she has received a call from someone reporting anthrax.

"I'm a doctor at the Provincial People's Hospital." Li Youliang said, "Send someone here quickly. A patient has already gone to the hospital, and we don't know what the condition is."

Suddenly, the CDC was in chaos. The leader on duty took a lot of effort to gather everyone who usually slacked off, and they set off in two transport vehicles.

"Did you make the call?" The leader of the CDC stood far away, "No need to come over! Just stand there and talk!" "No, you are all standing so far away, who will come to see the patients?" Li Youliang said speechlessly.

Two medical staff from the CDC came up reluctantly. Gao Feng shook his head and said, "Don't worry so much. These people only have skin anthrax."

"Haha." The two laughed awkwardly, "I've never seen this before, so I'm a little scared when I hear this."

One person stepped forward, took a look, then turned back to look at the leader.

"What do you mean? Is it anthrax?" the leader asked loudly.

"It looks like it."

"Your words are a bit vague." The leader was a little dissatisfied, "Are you not sure?"

"That requires further testing," the medical staff member replied. "I have never come across a patient like this before."

"Then take him back for quarantine." The leader thought for a moment and gave the order.

"My fellow villagers, you are most likely suffering from cutaneous anthrax. You must cooperate with our isolation and treatment." The leader of the CDC was quite competent and knew how to comfort the patients at the first moment.

"The quarantine location is at the New District Hospital, and you don't have to worry about the cost of treatment."

"The medical insurance will pay part of the bill, and we will make up for the out-of-pocket expenses first, and then the government will negotiate with the factory."

When they heard that they didn't have to spend any money, they were no longer so nervous and got on the transfer vehicle under the guidance of the disease control personnel.

Gao Feng also followed them to the New District Hospital. He wanted to know the condition of the hospitalized patient.

Hong Kong New District Hospital
Director Hao of the Department of Respiratory and Critical Care Medicine is in his prime. He took the initiative to apply for a transfer from the main department to the new district because he wanted to do a big job and let everyone recognize his abilities.

Although it was difficult at the beginning, it took him more than half a year to finally get the department on the right track. The next step is to make great strides.

At this moment, Director Hao was leading the doctors in the department to examine a strange patient.

The patient just came today. According to his family, he developed fever, fatigue and cough after catching a cold three days ago. He did not take it seriously at first, but later his symptoms worsened, so he went to a nearby clinic for an IV.

But even so, the condition did not improve, but became more serious, even causing hemoptysis and difficulty breathing.

"The CT scan showed peribronchial infiltration, widened mediastinum, lymphadenopathy, and pleural effusion," said Director Hao. "The key point is to rule out tuberculosis."

"The patient is a slaughterhouse worker," the junior doctor added.

"Slaughterhouse? We need to rule out atypical infections."

While he was thinking, his cell phone rang. He picked it up and took a look. It was an internal number of the hospital.

"Director Hao! I'm Dong Haiqing from the Disease Control Department. Did you admit a patient named Ma Dashan?"

"Yes, I'm watching it." Director Hao replied.

"The CDC just called and said this person might have pulmonary anthrax!"

"What!" Director Hao screamed strangely, scaring everyone around him.

"Quick! Bring me a mask! No, bring me a few more!"

Gao Feng had also arrived at the hospital at this time and saw the patient's chest CT scan as soon as possible.

"The imaging manifestations are consistent with pulmonary anthrax," he said to the doctor at the CDC.

The next step is to collect the patient's blood, secretions, and blister fluid for testing. Cultivation of anthrax bacteria can provide a basis for diagnosis. If large Gram-positive rods are seen in a bamboo-like arrangement under smear staining, it can also help with clinical diagnosis.

After pulmonary anthrax is discovered, patients and suspected patients need to be strictly isolated, their contacts also need medical observation, and secretions and excretions as well as places visited by patients need to be thoroughly disinfected.

The respiratory department of the New District Hospital was wiped out in an instant.

Tian Xingwang, the person in charge of the Xingwang Slaughterhouse in Gangqu, was very angry at this time and he wanted to play poker.

"Take off your shirt, too."

"That's not necessary." The woman said, "It's only two minutes, there's no need to go through so much trouble."

"What do you mean by that?" Mr. Tian was furious. "I spend so much money to support you, and you still think it's troublesome? Do you have any professional qualities?"

Since he didn't even graduate from elementary school, it was naturally impossible for him to find a decent job when he was young, and Tian Xingwang lived in poverty for many years.

He was a street thug for several years, but was later ruthlessly punished by the state apparatus several times and became much more honest.

But this man was lucky, he had a beautiful sister. With this, he got close to someone in the district.

You should know that slaughterhouses are not something that ordinary people can run. They must have waiting rooms, slaughter rooms, emergency slaughter rooms, inspection rooms, transportation vehicles, inspection equipment, disinfection facilities, and pollution prevention facilities that meet national requirements.

Obtain a certificate of animal epidemic prevention conditions in accordance with the law; have facilities for the harmless disposal of diseased pigs and pig products, or a harmless disposal entrustment agreement, etc.

The people's government of a prefecture-level city shall, in accordance with the establishment plan, organize the animal husbandry and veterinary administrative departments, environmental protection departments and other relevant departments to conduct an examination in accordance with the conditions stipulated in these Regulations, and determine it after soliciting the opinions of the animal husbandry and veterinary administrative departments of the provincial, autonomous regional and municipal people's governments, and issue designated slaughter certificates and designated slaughter signs.

There are too many explanations for the process involved, and many people are unable to accomplish it, which shows how strong the support Tian Xingwang has is.

After 2 minutes, Mr. Tian felt a little bored, so he packed up and went home. As soon as he entered the door, he saw his wife's long face.

"Why are you making such a face?"

"You go out to find women, and when you come back I still have to greet you with a smile, right?!" the wife said angrily.

"Isn't she just a woman? Why do you care?" Tian Xingwang said indifferently, "I'm not divorcing you."

"Old women are always troublesome." He muttered and went upstairs, leaving his wife there in frustration and anger.

"Boss, please come to the factory quickly. There are so many people here!" The manager of the slaughterhouse called.

"What? Buying meat?"

"No!" the manager said speechlessly. If I were buying meat, why would I call you? "It's from the epidemic prevention department. They said they want to seal our factory!"

"What! Who the hell has the guts to do that?" Tian Xingwang was furious.

"It's time for dinner! Why are you going out?" his wife stopped him.

"Eat, eat, eat! All you do is eat! Look how fat you are!" Tian Xingwang said unhappily, "Can you manage your body better?"

“All I do every day is buy bags!”

"I'll kick you sooner or later!"

(End of this chapter)