Stopping cholera twice for Beijing
October 1, 1981, Beijing. Just as people were celebrating the National Day with great joy, an ominous cloud floated over Beijing. A mother with just over a year old child from Anhui to visit her husband in Beijing, the same night the child diarrhea and vomiting followed by coma, the mother took the child to several hospitals, the emergency room are thought to have toxic dysentery. Later, the transfer to the second ward of the 302 Hospital. 12 noon on October 2, then deputy director of the Department of Infectious Diseases, Professor Jiang Su-chun is ready to leave work. Dr. Lei of the second ward called to ask him to help look at this small patient in the department. He immediately put on an isolation gown and hurried to the second ward.
He carefully asked about the medical history and checked the vital signs of the child. Engaged in decades of infectious diseases, Jiang Su Chun is very familiar with toxic dysentery, toxic dysentery symptoms should be a high fever and the beginning of not too much diarrhea, cold extremities, and finally died due to cerebral edema, apoplexy, cerebral hypoxia, respiratory failure. And this patient in front of me neither fever, nor too much diarrhea, the symptoms are mainly diarrhea, vomiting, severe dehydration phenomenon, but also symptoms of acidosis. Jiang Su Chun think this child is not like toxic dysentery, but a little like cholera. The test confirmed Jiang Su-chun's diagnosis. Doctors quickly reported this Class A statutory infectious disease. Vibrio cholerae is mainly transmitted through water, can survive in river water for 7 days, the longest can live for 17 days, every big epidemic in history, are related to waterborne transmission. Food, everyday objects and flies are also important means of transmission. Vibrio cholerae, which is resistant to alkali and not acid, often accompanies seafood and hides deep in food, making it easy for people to become infected on an empty stomach, with heavy drinking or abnormal gastric juices.
The most critical thing now is to cut off the source of infection. Jiang Su-chun asked the mother of the sick child, "How many days have you been in Beijing, who have you been in contact with, and what have you eaten?" The patient said, "I just arrived in Beijing yesterday and brought some boiled eggs from my hometown. A few of my lover's hometowns came to see me yesterday, and I treated them to an egg each." Jiang Su Chun immediately asked about the unit and address of the hometown, informed the epidemic prevention department, and immediately received them to the 302 hospital. Once the patients arrived at the hospital for examination, the three old folks who ate the boiled eggs were all infected with cholera, and one had already developed the disease. They immediately isolated these patients and treated them symptomatically, so that the cholera did not spread, which was the first gate for Beijing. For this reason, the Beijing Municipal Government gave him a reward of 50 yuan. Jiang Su Chun did not take a penny. He said the doctor to block the potent infectious disease is part of the job, I am a military doctor, how can I ask for a bonus?
In 1994, another plague of the same kind hit Beijing. It was a weekend in July 1994 when Jiang Su Chun suddenly received a notice to immediately go to a major hospital in Beijing for a consultation. The patient was an old soldier whose wife had bought a chicken in sauce at the farmers' market a few days before and stored it in the refrigerator for several days. The old soldier took it out of the refrigerator yesterday without heating it and ate it with his son-in-law and young grandson, and the three of them vomited and had diarrhea after eating it. Jiang Su Chun carefully observed the condition, the patient diarrhea, vomiting, acidosis shock, accompanied by heart disease. With rich experience in epidemiology, he said, "I don't think this patient is like acute enteritis, but like cholera, please give him a stool test immediately." The test results came out, and it was really a new strain of cholera disease - "O-139", and the source of infection was cut off in time. If there is no Jiang Su Chun, cholera epidemic, Beijing is unimaginable. Jiang Su-chun has once again held a gate for Beijingers.
There is no face in front of life
In 1973, the PLA 302 Hospital asked Jiang to join the medical team to work in Qinyuan County, Shanxi Province. Considering the fact that rural areas are often subject to surgical operations, he went to the 301 Hospital for half a month to observe how surgeons do surgery. The company's newest product is a new product, which will be available for sale in the U.S. and other countries.
A young man in his 20s called Wang Gazi asked him to operate on a thyroid tumor. Jiang Su Chun said, I have no confidence in this kind of surgery, you'd better go to a big hospital to do it. The young man said, "I don't have the money to go to a big hospital, I just believe in the PLA, and I don't blame you if it's done badly. Jiang Su Chun heard that the director of surgery of the Changzhi Regional Hospital in Shanxi Province just happened to be in Qinyuan County, ran to find him, sincerely said to him, I want to give a patient to do thyroid surgery, in case I can not take down, you have to help me.
The next morning, the patient was lying on the operating table, cut the knife, Jiang Su Chun secretly screamed: bad, originally touched the tumor is not so big, how to open so big? The blood vessels next to the thyroid gland are very rich, thick and short, and when you touch the blood, it pours out. He was worried that he might have accidentally damaged the blood vessels and was at a loss. His counterpart from the medical team recited a quotation from Chairman Mao: "Make up your mind, fear no sacrifice. Remove all difficulties and go for victory." Others brought him rice: "Dr. Jiang, don't be afraid, drink some porridge, continue to do, our PLA medical team just came, the impact of changing people to do surgery is not good, we can't lose face!" Originally, before the operation, the young man signed the operation list, and the patient was responsible for all accidents. Jiang Su Chun is not responsible for the surgery. There are also people who say that the face of our PLA is at stake, you must hold on to your head. But Jiang Su Chun thought: If you do hard to go on, but do not dare to ensure that the patient is foolproof. I am facing the living life, life in front of no face to talk about, only superior medical skills to save lives.
He put down his scalpel and made his position clear: please instructor Lao Mu immediately sent someone to bring that surgical director to the operating room. That surgical expert got on the operating table, chattering only 20 minutes to do the operation. Jiang Su Chun inhaled a breath of cold air: so dangerous ah, thanks to this surgical expert, otherwise Wang Gazi may die on the operating table.
The more the medicine develops, the more fine-grained the division of labor becomes. Infectious disease doctors will not do surgery is a very normal thing, but Jiang Su Chun can not forgive himself. Many years after the incident, he still often dreamed of that scene in his sleep. He was glad that he was able to be realistic at that moment and didn't act blindly with the patient's life, and he always encouraged himself to learn from that surgical expert.
Quelling the hemorrhagic fever in Tuxian
In the fall and winter of 1974, an outbreak of hemorrhagic fever occurred in Songcun and other places in Tuxian County, Shaanxi Province. In just a few months 284 people became ill, and 20 strong laborers died in Song Village alone. In the face of the sudden epidemic, people panicked, and the epidemic was quickly reported to the central government, causing the Party Central Committee and the State Council to attach great importance to it. The Central Committee instructed the People's Liberation Army 302 Hospital to organize a medical team rushed to Tuxian County. Tuxian Song village resounded with the joyful sound of gongs and drums, hemorrhagic fever scared for months dare not go out of the common people out of their homes, Jiang Su Chun one meter eighty man walked in the forefront of the team, his green cap on the shining red star is particularly eye-catching. Since then, the townspeople have affectionately called him Captain Jiang. Epidemic hemorrhagic fever is primarily an infection caused by feces and urine from rodent excretions. The fall harvest season is the peak breeding season for the black-lined gyrfalcon, and there are many opportunities to contaminate crops. When rats come into the village with rice and other crops during the fall harvest, the chances of infection caused by contact with rodent feces increase, and the black-lined guinea pig and the brown house mouse are the main sources of infection for hemorrhagic fever.
As an expert in infectious diseases, Jiang Su-chun clearly realized that in order to eradicate epidemic hemorrhagic fever, it was necessary to eliminate the source of infection - rats. He became the leader of the rat team, pulled out the weeds and dug deep rat holes put a lot of rodenticide, regularly put 100 rat traps in the rat's must pass through the place, began to put a night there are always about 30 clips accomplished. The rats were eliminated and the source of infection was blocked. Jiang Su-chun also gave full play to the role of each member of the medical team, the pharmacist and the local doctor developed a set of balanced saline basic therapy, in the hemorrhagic fever patients in the shock period of intravenous injection of this drug is very effective, saving many patients on the verge of death. The medical team stayed in Song village for a year, never having a Sunday or a holiday, and the local hemorrhagic fever mortality rate dropped from 25 percent in 1994 to zero in 1995.
In 1977, when another small outbreak of hemorrhagic fever began in Touxian, the people of Touxian asked Jiang Su-chun by name to return to the field. By this time he had accumulated a wealth of experience in treating hemorrhagic fever, and had successfully retrieved countless lives from the hands of the Grim Reaper. In order to raise the public's awareness of self-prevention and health care, Prof. Jiang and the county's medical staff compiled the early symptoms of hemorrhagic fever into a jingle - chills, fever, drunkenness, headache, backache, like a cold, skin and mucous membrane hemorrhagic spots, nausea, vomiting and proteinuria. Good read easy to remember, they printed it into a flyer, and then posted from village to village, to the little dolls to recite, the result is a household name. After several years of hard work, especially with the vaccine, the local epidemic has never recurred. After the epidemic subsided, the people of Tuxian County sent off Jiang Suqun with tears in their eyes. They looked at Jiang Su Chun's back and shouted, "Captain Jiang, this is your home, come back often when you have time!"
After the battle against SARS, people in Tuxian County saw Prof. Jiang on TV. Wang Chengshun said with tears in his eyes, "He has been in Tuxian for 28 years. He was 46 years old, a middle-aged man; now he is 74 years old, an old man! That year, my children have prepared for my afterlife, if not for Captain Jiang saved me for three days and three nights, I can not dream of living today."