In the infectious disease department, doctors and nurses are very cautious. How can I put it, there are not many patients, but each one is more dangerous than the last, and occupational exposure is always a dark cloud above their heads.
Ordinary people may only have a few AIDS patients in their lifetime, but they have seen too many. In the department wards, many patients are infected through blood.
When you are hospitalized, most treatments are administered intravenously. Needles are sharp tools, so be careful. But one bad day might happen and you might get pricked. Especially for nurses, the risk is too high. This has nothing to do with business proficiency.
Therefore, nurses in the Department of Infectious Diseases have the highest turnover rate. If this trend continues, they can only be replaced by robots. There is no other way but to treat these patients!
AIDS, which means AIDS in Chinese, is a fatal chronic infectious disease caused by HIV (Human Immunodeficiency Virus). This virus is a brother, which means it has two kinds. Both are not easy to mess with. Once the incubation period is passed, current treatments cannot stop it.
In layman's terms, it directly destroys the human body's immune system. For most diseases, hospital treatment is almost symptomatic, which is to alleviate the patient's discomfort, rather than actually treating the disease itself.
A simple analogy is a cold. As long as it is a common cold, the recovery time is the same whether you take medicine or not. Taking medicine only relieves the patient's uncomfortable symptoms such as headache and nasal congestion. The treatment of colds relies on some cells and factors inside the body.
These cells and factors are the body’s immune defense tissues. But HIV directly destroys these cells and factors, and then a simple cold can kill people. That's the scary thing about it. This virus not only destroys the body's immune tissue, but can also cause tumors, a type of skin tumor.
This AIDS patient in the Department of Infectious Diseases is very typical. Because the disease is so special, no doctor wants to take care of it. We are all human beings, and we are all afraid. We all have families and people we care about, and no one is willing to make meaningless sacrifices.
It's useless to rely on administrative orders for this kind of thing. You can't dress like an astronaut every time you enter the department. Besides, the city hospital doesn't have this condition. So the real situation is that people with this kind of disease are discharged from the hospital and go home on their own, and then they wait to die. Whose fault is this?
And this patient has nothing to do with the family members, and the family members just ignore it. The symptoms of AIDS have become so obvious that it is difficult to even move around and even eat. The doctors had no choice but to rotate the beds, that is, whoever was on duty would be the doctor in charge.
The situation was miserable, first of all, there was a cough, a chronic cough, and fever. His breathing was rapid, so rapid that he was cyanotic. His head had been chopped, and the white gauze and black blood stained his purple face. He sat on the bed, lowered his head and breathed hard. Especially at night, the sound of difficult breathing could directly scare other people. Feel the approach of death.
Every breath is like the footsteps of death.
I was already very skinny, but on the second day after I was hospitalized, I developed diarrhea again and lost a lot of weight. The bones in the body are as sharp as an African refugee. All that's left is a white eye, letting people know that he is in pain!
What makes people feel terrible is the skin, with large areas of purple-red or bluish patches and nodules, and the fleshless body with cloth edges. Ulcers, ulcers on the surface of the skin, rotten and ulcerated skin, continue to spread. What flowed out from the ulcerated skin was not blood, but muddy liquid, slowly seeping out drop by drop! The sheets are like dripping plum blossoms, either red or yellow!
An open mouth caused by difficulty breathing can make even a specially trained doctor feel horrified, and a large number of Candida infections can occur inside the mouth. Looking through the open mouth facing him.
There are white hairy white spots, a large number of white spots, and long flagella. With each breath, the white flagella dance slowly, like the body hair on a devil, dancing slowly, tempting to observe. By.
It’s not an exaggeration to say that it looks like a devil!
Zhang Fan was on duty today. After entering the ward, an unpleasant smell hit his face. Sour, smelly, a smell of death, really a smell of death. The human body's own genes are very repulsive to this smell, and it is born to want to escape from this place! But due to career limitations, I had to enter.
Even if you don't have close contact with this disease, the lungs are already rotten and contain a large number of germs. Due to the destruction of the immune tissue, it is not surprising that there are bacteria and viruses in the lungs at this time!
Zhang Fan wore a two-layer thick mask, so thick that it could suffocate people. At this point, Zhang Fan didn't dare to breathe hard, for fear that if he exerted too much force, bacteria would pass through the mask!
"How do you feel? Is there anything you want to eat?" Zhang Fan asked softly.
"Ho! Ho!" He shook his head with difficulty, his lungs were like a broken sieve that was leaking air!
"Then you should have a good rest!" There was nothing to say. At this time, all I can do is wait for death, a painful death. His whole body was in pain and twitching slightly. The virus had invaded the nerves throughout his body. At this time, he didn't have the ability to commit suicide even if he wanted to!
He has big, abrupt eyes, and there are patches of flocculent white spots hanging in the pale eyes. HIV has not even spared his eyes! difficult. He raised his right hand with great difficulty and looked at Zhang Fan. Tears, muddy tears fell. Even these tears are rich in viruses!
Zhang Fan looked at his slowly raised right hand, wondering what he wanted to express. As a result, he slowly made a smoking gesture! Then he nodded to Zhang Fan. Expectation, expectation before death!
If he were an old doctor today, he would never talk nonsense with him. It's not that the doctor is cruel, it's unnecessary. There is no difference between asking or not asking. Hospice care is a matter for family members or relatives. Doctors are strangers after all.
Zhang Fan looked at his pleading eyes and nodded slightly. pity? This is the same kind, a living person! At the end of life, let’s not talk about career, but talk about human nature. Zhang Fan decided to satisfy him with this simple task. Give him a little bit, the last bit of warmth in the world!
When Zhang Fan left the ward, he felt cruel rather than uncomfortable. Life is worse than death, really life is worse than death. His indiscretion caused today's consequences, but no matter how evil or indiscreet he was, he should not be punished like this!
He took off his white coat and hung it on the back of the door of the isolation room. After throwing his gloves, masks and shoe covers to the designated medical waste recycling place, he washed his hands with disinfectant and rubbed his hands vigorously. He could feel the whiteness in his mouth. The flagellum is on the back of your hand!
"Brother Cheng, give me a cigarette." Zhang Fan said to an older resident doctor. Because I have been taking the medical examination for several years, I am already in my thirties, and I am still a resident doctor. In the hospital, he is very low-key and very marginal.
He is so low-key that sometimes, when other doctors get married, they might even ignore him! This is the adult world, there are no fairy tales.
"Haha, does Teacher Zhang smoke too? I don't know yet. Come here and I will light it for you. Smoking is not good!"
"Brother Cheng, you're welcome, just give me one! I smoke one occasionally." Snow lotus, choking snow lotus. The Border Province is so unsatisfactory that it even managed to close down a cigarette factory! Then it was merged by a tobacco factory in a major tobacco province. How funny!
"I guess that patient only lasted a few days. How miserable!" He said to Zhang Fan while going to the cabinet to get cigarettes.
"Absolutely. I just went in and took a look. It's only been a few days and my whole body is rotten."
"You should be careful and don't grow old if you have nothing to do. Hey, this is the one who got into the fight, so next time the murderer will be in trouble!"
"Brother Cheng, how many have you met?"
"What? This disease?"
"Um."
"To say more is not too much, and to say less is not too much. Since I entered the department, there have been no less than a dozen."
"how many years."
"In almost five years, no fewer than fifteen people have been found to be HIV-positive. They left immediately after being found out. This is the first time I have seen this. People who were found to be HIV-positive are like water vapor. After they are exposed to the light, It just dissipated into the world.”
"No treatment either?"
"Ha! What can we treat! After the disease is discovered, antiviral treatment is carried out as early as possible. The drugs used are all biological agents. In a hospital like ours, even using cheap albumin requires the signature of the director. How can it be possible? What kind of medicine is it! It’s too high-end!”
"Oh, what kind of symptoms do patients like this usually come to see the doctor for?"
"Fever, long-term low-grade fever, generalized lymphadenopathy or recurring herpes zoster. One of the things I encountered was herpes zoster, which came back and forth. I couldn't treat it in a private clinic, so I came to see a doctor. The director of Shinuchi's eyes were too He was poisoned, and he knew something was wrong at a glance, so he just threw it over. He also called me in advance and asked me to pay attention. I was young at the time and didn't understand. I didn't know what to pay attention to." As he spoke, he lit a cigarette. , continued.
"That man was a boss. It was obvious that he was worth a lot of money. He was also very good at being a good person. He gave me cigarettes, shook my hand, and was very good at talking. At that time, I had just passed the examination for my practicing certificate and had no money. His cigarettes were also good. We just talked a little more about cigarettes.”
"Then you found out?" Zhang Fan said with admiration.
"Well, that person is not short of money. He said he wanted to do a full-body examination and open all the tests that can be performed. I guess he was aware of it. He was embarrassed to say it, so."
Brother Cheng, after he slowly exhaled the smoke, he said: "When the test results came back, I almost chopped off my hands. Although I knew that this method was not contagious, you don't know, my diaphragm at that time Ying, hey! I haven’t slept well for a week. I have dreams every night. It’s just one dream. I’ve been in the laboratory waiting for blood to be drawn! Do you think it’s scary or not?”
Zhang Fan took a cigarette, put on a mask, hat, shoe covers, gloves, and a special white coat, and entered the AIDS ward again.
As a result, it is no longer needed! Never need it again!
./91_
.. m.
