After hearing what Ge Yerong said, Chen Nan couldn't help but look solemn.
"Already delivered?!"
Ge Yerong nodded: "That's right!"
"The patient has arrived in the ward now, but not for our assistance."
"It's about the National Health Commission making emergency plans in advance so that we can know what's happening in advance."
"Not only our hospital, but many hospitals also admit some patients for research."
After Chen Nan heard it, he immediately understood.
In fact, medical treatment is the same as any action, and relevant preparations must be made.
We cannot be negligent by saying that there is no such disease in China.
At this time, Ge Yerong said: "Let's talk when we meet."
"A lot of things can't be explained clearly on the phone."
"That's it for now."
After hanging up the phone, Chen Nan stood up and walked to the yard.
When Master Lu gave him this yard as a gift, it was still very empty, but now after several years of living there, and Shang Chaoyan's care last year, it now has a lot more life.
The chef, aunt, and driver all work for Annan Pharmaceutical Company.
Selected by Chen Wenyin personally.
Moreover, the courtyard with two entrances is very spacious. Chen Nan, Shang Chaoyan and Yu Shi are in the inner courtyard, and other personnel are in the outer courtyard if there is no special matter.
In this way, it will not affect daily life.
"Chaoyan, please settle the master first. I need to go to the hospital here."
"If anything happens later, ask Brother Wang to go with you."
Shang Chaoyan waved his hand: "Well, go and do your work!"
"Don't worry about us."
In addition to Chen Nan's car, there are two other cars at home, firstly because of the number restriction issue, and secondly just in case.
Chen Nan's Hongqi car has a special pass and registration, so it will not have any impact.
Yu Mei walked around the yard, looking here and there, following Shang Chaoyan to look at her house. She had been here many times, but it was still very fresh. After hearing Chen Nan's words, she also smiled and nodded.
Said: "Yes, you go and do your work and don't worry about us."
When Chen Nan saw this, he shook his head and drove away directly.
Master Yu was actually overjoyed that he could settle down.
However, at the moment, Chen Nan is still thinking about what Ge Yerong said just now.
Not long after, Chen Nan's car stopped in the hospital yard.
This is already Dean Chen’s exclusive parking space, saving a lot of unnecessary trouble.
Ge Yerong was already waiting for Chen Nan downstairs. After seeing him, he quickly walked over.
"What needs to be said in person?"
Chen Nan asked curiously.
Ge Yerong whispered: "There are big bosses above."
"A board member from the World Health Organization came, and the deputy director of the Ministry of Health from India also came."
"Mr. Qin is here too."
"I'll let you know in advance."
Chen Nan was completely stunned when he heard the sound: "Huh?"
"Is this... so grand? What do you mean?"
Ge Yerong pulled Chen Nan and said while walking:
"You know, when we undertook the construction of the China-Japan Friendship Hospital, we actually wanted to build an international hospital. After all, the money was also donated by Japan at the time, so building an international hospital is a better choice."
"The Ministry of Health at that time had relevant agreements on foreign exchanges and mutual medical assistance."
"So, our hospital is regarded as an important pilot project."
Chen Nan nodded: "Well, I know this."
Ge Yerong continued: "Last time, you ran for president of the World Association of Otolaryngologists, and we successfully undertook the construction and achieved some results."
"So, the domestic health commission hopes to increase our medical influence."
"The World Health Organization, with the help of Mr. Miró, has gradually increased the recognition of Chinese medicine."
"Last year, the number of deaths due to hepatitis E virus surged rapidly in countries such as India."
"In winter, it was actually not bad, but since spring this year, the World Health Organization's Center for Infectious Disease Research and the Institute of Virology in the United States found that the mutation rate of Type E virus has increased a lot this year."
"And there are no specific drugs or special treatments for hepatitis E virus itself."
"Therefore, the World Health Organization's Center for Infectious Disease Research believes that the situation of hepatitis E virus this time may be more serious."
"So, it gives all countries hope to jointly study this topic."
"Also, I am thinking that the World Health Organization may want to establish a special disease research team on hepatitis E virus."
"This group will attract members from all over the world."
"And our country is also on the invitation list."
"The patients sent this time can actually be said to be a precursor."
"At the same time, it is also an assessment!"
"You should understand what I mean, right?"
At this time, Chen Nan suddenly discovered that Ge Yerong had been staring at him, which was meaningful.
He couldn't help but laugh: "Yes, I know!"
"If the assessment is successful, we can also join this group, is that what you mean?"
Ge Yerong frowned and scratched his head anxiously: "You don't even need to talk about this!"
"I mean……"
"How about you stop getting involved in this matter?!"
When Chen Nan heard Ge Yerong's words, he suddenly became confused: "Why?"
"Isn't this a good thing?"
"Why can't I get involved?"
"Isn't this a clear opportunity to win honor for the country?"
“You must participate!”
Chen Nan didn't understand what Ge Yerong was thinking.
At this time, the two of them were in a corner on the first floor, and there was no one around. What was Ge Yerong doing so mysteriously?
"etc……"
"Boss Ge, what are you... doing?"
"Bring me here..."
Ge Yerong took a deep breath, looked at Chen Nan thoughtfully, and then asked seriously:
"How old are you?"
Chen Nan: “It’s the New Year, I’m 28!”
Ge Yerong nodded: "Yes!"
"Do you still remember that when you called me during the Chinese New Year, you told me that you planned to get married in May?"
Chen Nan nodded: "Yes, remember."
Ge Yerong sighed: "It's March now!"
"And, in May...can you come back?"
"Do you think this matter can be resolved in a few weeks?"
"I can tell you clearly!"
"If you go, you won't be able to come back in May."
"Moreover, not only will it not come, but... in May, the disease will develop to an unprecedented peak!"
"Even if you have time, you won't be able to come back. Do you understand?"
When Chen Nan heard this, he realized why Ge Yerong had called him here.
When he heard the other party's words, he also fell silent.
There is no doubt that Boss Ge is really thinking about himself.
Ge Yerong continued: "You know, right?"
"It is not that our country has no precedent of going out to support medical treatment, but...this time it seems that this matter is more serious than before."
"If you were really infected, what do you think... would be like?"
"You are only 28 years old!"
"Do you lack honor?"
"Or, do you lack this opportunity?"
"Your future is limitless."
"Don't tell me that opportunities are rare. I only know that opportunities exist when people are safe!"
"Also, do you know how many people in this world hate you?"
"Is it safe for you to go?"
"That's another question!"
"Chen Nan, I'm not kidding you."
"I was serious."
"You should think about it carefully."
Chen Nan was silent for a moment, thinking for a long time.
He knows that there is nothing wrong with being selfish.
But……
Is this just a problem for neighboring countries like India?
He looked at Ge Yerong and asked: "Do you think the virus can't get through it?"
"Or……"
"Can we get away with it?"
As soon as these words came out, Ge Yerong couldn't help but panic.
yes……
Can you escape?
Chen Nan continued: "Moreover, if it really comes, do we have the ability to resist it?"
"Boss Ge!"
"I know you are thinking about me."
While talking, Chen Nan put on the white coat directly on his body, put on the mask, and said with a smile:
"However, you should know that when you put on this outfit, you are destined to have few choices. Likewise...it is also destined that your life is destined to be more than just for yourself."
"Okay, this is not a respiratory infectious disease."
“Is fecal-oral transmission okay?”
"Be careful, it doesn't matter."
"Let's go, let's go up first and then talk."
Ge Yerong saw that Chen Nan had already made a decision and simply stopped trying to persuade him.
As Chen Nan said, it is a good thing to be wise and protect yourself, but the prerequisite is that the matter has nothing to do with you.
But if you are watching the fire from across the bank, do you need to consider whether the fire will spread?
This question is actually very critical.
While talking, the two of them walked up.
In Chen Nan's mind, he was thinking crazily about hepatitis E virus.
Viral hepatitis E refers to an intestinally transmitted disease caused by the hepatitis E virus and is mainly transmitted through the fecal-oral route.
This disease is generally not serious and is classified as a Class B infectious disease in my country.
The main hazard is acute liver function damage, and the main clinical manifestations are fatigue, loss of appetite, anorexia, jaundice, etc.
The cause of viral hepatitis E is infection with the hepatitis E virus, and the main treatment method is supportive symptomatic treatment.
At present, it seems that although there is no specific drug for hepatitis E virus, there is no good vaccine effect.
However, with only symptomatic treatment, the prognosis is very good.
The vast majority of patients can be completely cured after systemic and scientific treatment, without leaving any liver damage.
But……
Obviously the situation this time is different.
Because viruses are actually evolving.
This is an uncertain and safe factor.
Therefore, it is still necessary to see the patient before speaking.
…
…
It didn't take long for the two of them to arrive at the infectious disease department.
The layout of this department is slightly different from other departments, and the control is stricter in order to prevent the occurrence of hospital infection and cross-infection.
When Chen Nan arrived at the hospital, there were already many people in the hall.
After Qin Shiming saw Chen Nan, he nodded: "Here he comes."
Chen Nan nodded and smiled: "Yeah."
Qin Shiming began to introduce: "Let me introduce to you, Mr. Jarawa from the Ministry of Health of India."
"This is Mr. Dior from the World Health Organization."
"Boy, this is Professor Chen Nan."
After the two saw Chen Nan, they quickly took the initiative to say hello.
Dior was accompanied by two staff members from the World Health Organization's Center for Infectious Disease Research.
Pan Yanhong, director of the Department of Infectious Diseases, is also a female director.
"Dean Chen, leaders, please come to my office and have a detailed chat."
While talking, Pan Yanhong took everyone to the office.
There wasn’t too much nonsense, everyone got right to the point.
Dior took the lead and said: "Professor Chen, we respect you very much, and we have also admired Chinese medicine for a long time."
"This time I came to the China-Japan Friendship Hospital specifically because I also want to meet you in person."
"I hope you can enlighten me."
Chen Nan nodded: "Mr. Dior is too polite, we will naturally do our best."
"It's just that I don't know much about the patient's condition this time, and I've only heard about this hepatitis E virus."
Dior said quickly: "My staff here brought relevant information."
"I'll let you make an introduction."
While talking, the staff came over with a laptop in hand. After opening it, the detailed information had been sorted out.
"Professor Chen, this time there are changes in hepatitis E virus compared to last year!"
"Generally, hepatitis E virus can be divided into acute icteric hepatitis, acute anicteric hepatitis, cholestatic hepatitis and liver failure based on clinical manifestations."
"But this time, the patient's jaundice is not the most serious, but the most serious, and it is liver failure with a relatively high morbidity and mortality rate!"
"Our team conducted a detailed statistical analysis on an area in India with a higher incidence rate in February."
"The number of patients with acute liver failure has reached 1.9%."
"Acute liver failure, extreme fatigue within 14 days of onset, obvious gastrointestinal symptoms, sharp deepening of jaundice (daily increase >171umol/L), progressive reduction of liver dullness, and... hepatic encephalopathy quickly appeared.
"
"So far, the pathogenesis of liver failure is also very complicated, and no specific cause has been found."
"So, we have no way to give you better advice."
“At present, the main treatment plan is still based on symptomatic treatment.”
“According to data from our institute, hepatitis B is still the most common cause among infectious factors, but liver failure caused by hepatitis B has been on a downward trend in recent years;
Severe hepatitis and liver failure caused by hepatitis E virus infection have been on the rise in recent years."
"But this year, the number of patients with hepatitis E virus causing acute liver failure has seriously exceeded the limit."
"..."
Chen Nan listened on the sidelines, but his face couldn't help but become solemn.
He did not expect that this time the hepatitis E virus was so powerful that it would directly lead to acute liver failure.
In the past, AHF caused by viral hepatitis was mainly caused by hepatotropic viruses, and occasionally caused by other viruses.
Hepatitis B is the most common cause of AHF.
However, the proportion of abnormal liver failure is only about 1%.
But this time, type E virus accounted for nearly 2%!
This is not a seemingly simple number...
Liver failure is not a simple disease.
As one of the important organs of the human body, the liver is also called a "processing plant" because of its functions such as synthesis, detoxification, metabolism, secretion, biotransformation, and immune defense.
As one of the largest processing plants for the human body, what will happen if a strike suddenly occurs?
If we say that common hepatitis only damages some stem cells.
Then liver failure is massive necrosis of liver cells!
This leads to severe impairment or decompensation of the above-mentioned functions, leading to the emergence of a group of clinical syndromes with coagulation mechanism disorders, jaundice, hepatic encephalopathy, ascites, etc. as the main manifestations, which is called liver failure.
At this point, treatment options are actually very limited.
The most effective is specific treatment, which means using antiviral drugs according to the virus.
However, there is obviously no specific cure for hepatitis E.
Therefore, the first step of specific treatment no longer exists.
Second, immunotherapy, this plan... There are still different opinions on the application of adrenocortical hormones in the treatment of liver failure, so the effect is average.
The third is: treatment to promote the growth of stem cells, not to mention, first of all, it is expensive, secondly, it is slow, and thirdly, the efficacy is mediocre.
Finally... other treatments.
Okay, generally speaking, if the disease really reaches this point of remission, actually...it's hard to tell.
Everyone who understands understands.
At present, Western medicine treats diseases with these brushes.
If you run out of three axes, you can only look at the sky.
Such as supportive treatment and prevention of complications...
But, no matter how you put it, this is like finding out that a bucket is leaking, and you can't find where the leak is, so you can only add water desperately, or some other methods.
Medicine is not a panacea!
so……
This time, whether it is the arrival of Dior or the sincerity of the Indian Ministry of Health.
To put it bluntly, I hope Chinese medicine practitioners can help me once.
Chen Nan quickly listened to the other party's report.
Then he said:
"Director Pan, take me to see the patient first!"
"From what I hear, it's obvious that... we can't find any very effective clues."
Pan Yanhong nodded, led Chen Nan out, and then gave Chen Nan gloves, a hat, and a mask.
Although it is fecal-oral transmission, proper protection still needs to be in place.
Qin Shiming followed Chen Nan out and said to Chen Nan: "Thank you for your hard work!"
Chen Nan smiled: "It's okay!"
And then walked directly in.
Dai Yanhong introduced: "The patient is a 40-year-old female. Her current main condition is extreme fatigue, severe gastrointestinal symptoms such as obvious anorexia, abdominal distension, nausea, and vomiting. She has obvious gastrointestinal bleeding, shrunken liver, and rapid deepening of jaundice in a short period of time...
…”
After hearing this, Chen Nan had already walked in.
"You're not unconscious, are you?"
"Not yet, but... there may be signs of hepatic encephalopathy. We are currently mainly providing supportive treatment."
"The patient is Chinese. He traveled there and he just happened to be sent back."
When Dai Yanhong spoke, the other person blinked and woke up.
However, when the other party saw Chen Nan, he immediately sat up excitedly.
"Are you...Chen...Professor Chen Nan?!"
"Woooo..."
"Professor Chen, help me!"
"please……"
"No, please help my child. My child is only 11 years old. Please."
"I...you don't have to worry about me, just save my child."
At this moment, Chen Nan also noticed the little boy lying next door.
"Hepatic encephalopathy?!"
Chen Nan just glanced at it, and his expression suddenly changed.
Dai Yanhong heard the sound and sighed: "Yeah!"
"It's already hepatic encephalopathy."
"Why……"
"Before I came here, I was already in a coma...and had cerebral edema."
"We now suspect that the other party has fulminant liver failure."
"Why……"
"Now we can only give as much treatment as possible to prevent gastrointestinal bleeding, fight infection, and correct electrolyte imbalance."
"Originally I wanted sedatives, but... I didn't dare to use them."
"The situation is more dangerous now."
The so-called hepatic encephalopathy, also known as hepatic coma, is the most characteristic manifestation.
At the initial stage, there are changes in behavior and personality, the inability to answer questions correctly, a decrease in orientation and calculation abilities, and gradually develops into excitement or drowsiness, a beating-like tremor, abnormal electroencephalogram, and eventually coma.
After hearing what the other party said, Chen Nan also became a little silent.
Apparently...
What happened this time was even more serious than I expected!
…
ps: Well, I didn’t miss the wedding today, but... I didn’t win in the rankings last night.
Thanks to the boss "Oh I'll go go go" for the 5,000 reward, and "Lao Ren Yi Jie" for the 1,500 reward, thank you.