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Chapter 20 alarm

I am a forensic doctor 张志浩 2150Words 2018-03-14
Dozens of family members surrounded me, and I was sitting on the sofa in the lounge of the funeral home. The solid wood sofa made me a little uncomfortable. I moved my body and continued to lower my head. I'm trying to identify what the people around me are saying, but it's in vain: there are too many of them talking, some seem to be talking aggressively, some are crying, It's really hard to tell everyone's voice apart. What's more, I don't understand their dialect at all. My thoughts can't help but go back to 3 hours ago. The health bureau of a nearby mountainous county suddenly called, saying that a 3-month-old boy died suddenly after being vaccinated the day before yesterday, and we needed our help to identify the cause of death.

In fact, I was a little surprised: because the health bureau of this county has never asked us to identify the cause of death: they always calm things down. This time the sun came out from the west? Along the way, I was discussing the case with the officer of the Health Bureau. From him, I learned the general story: the little boy's father settled in Europe, and his mother usually takes care of him in his hometown. The day before yesterday, the mother brought the little boy to the epidemic prevention station to be injected with the DPT vaccine in accordance with national regulations. Unexpectedly, the next morning, she found that the child was not breathing. The mother of the child had no idea, and immediately called her husband who was far away , and as soon as my father heard about it, he ignored everything in his hand and flew back to China that night.

I know this is no small matter: this is much more troublesome than a medical dispute: the child died after the planned immunization, and the planned immunization vaccines in our country are often purchased by the provincial disease control center, and then passed through the "cold chain" Sent to disease control centers and epidemic prevention stations at all levels (most of the vaccines need to be stored at low temperature, the so-called cold chain includes the low temperature environment during delivery and to the destination). This will shake the whole province. I'm thinking.

If the vaccines at the epidemic prevention station are purchased through regular channels. Several netizens raised the question of whether unplanned vaccines should be injected. I think this question is more common. Therefore, I will make a special post to answer it, but I am not engaged in immunization work. If there are friends who know the industry, please feel free to enlighten me, especially if I have made any mistakes. In fact, there are many kinds of vaccines. For example, the hepatitis A vaccine mentioned by moma. Some hepatitis A vaccines are called "attenuated vaccines". to make a vaccine.

Then, the manufacturer's virus screening, quality control, and the physical condition of the injector must be considered. It’s best not to buy those from some brand-name manufacturers. Wouldn’t it be troublesome if the viruses they selected for virus culture were not so pure?Even, this is completely possible scientifically: the originally pure weakly pathogenic vaccine suddenly mutates, and its pathogenicity is strengthened. Therefore, the quality inspection after production is also very important; in addition, the body of the injector must also be considered. It is weakly pathogenic to normal people, but it does not mean that it has no pathogenicity at all.

(This should be the case if you get the disease after being vaccinated). The second is called "inactivated vaccine", which is the most classic vaccine. Simply put, it kills the pathogen and then injects it. Of course, there is a premise that experiments have proved that this can still stimulate the body's immune function against this pathogen. There is also this kind of hepatitis A vaccine, which I personally think is safer. In fact, the Japanese encephalitis vaccine commonly used in my country and the SARS vaccine under research are also of this type, but they are not completely without side effects: foreign proteins may cause allergies.

In the incident I encountered this time, the vaccine used was called "acellular pertussis vaccine", which is a mixture of acellular pertussis vaccine stock solution, refined diphtheria and tetanus toxoid. Simply put, it is made by extracting an immune-stimulating protein from diphtheria and tetanus. Cellular diphtheria vaccine has long been out of supply. Of course, they are also foreign proteins, and they are also likely to be allergic. There is no vaccine that has no side effects at all. Now you understand that it is not easy to be a doctor, right?The so-called medicine is three-point poison.

However, there is absolutely no need to worry too much, just as it is impossible for us to stop eating because we hear that someone choked to death while eating. For some serious diseases, especially when facing the possibility of infection, the vaccines that should be vaccinated still need to be vaccinated. Yes, what do you say? Sure enough, the Municipal Center for Disease Control and Prevention rushed to the scene on the night of the incident and immediately reported to the Provincial Center for Disease Control and Prevention. The experts sent by the Provincial Center for Disease Control and Prevention were investigating the case with the staff of the epidemic prevention station!I had no choice but to ask the family members about the situation first: so the opening scene happened.

I know why: we were entrusted by the Health Bureau, and the family members were full of distrust from the beginning. But this is definitely not the way. Before I do it, I have to understand the whole incident and know it well. I waited until the voices of the family members were obviously quieter, stood up calmly, and made a gesture to pause the basketball game: "Does any of you speak Mandarin?" The family members definitely didn't expect that I didn't understand what they said so much. I was stunned for a while, and several voices shouted aggressively: "We want to see your ID!" "Yes, look at the ID!" should be said.

At least, everyone speaks Mandarin now. "No problem! The ID is here!" I took out the ID in my wallet. A few young and strong people ran to copy their documents, and the lounge suddenly seemed a lot empty, and I was secretly glad. "Everyone, please sit down!" My voice was a little higher. I sat down first, and seeing that the situation had eased, I continued: "I think everyone is very reasonable! At least, you are willing to conduct an autopsy to find out the real cause of death of the child! I should thank everyone! Finding out the cause of death is an explanation to the family and a boost to the work of the epidemic prevention station! We are here to find out the cause of death, so I need everyone's cooperation. Can anyone tell me what happened before the child died? "

I saw the mother who had been wiping her tears silently slipped from the chair, knelt on the ground, and said with a trembling voice: "My child is fine, they killed him by injection, you have to make decisions for us !" I have to admit that although I have encountered similar situations thousands of times, I am still moved by my mother. I went to her side and helped her up together with other family members, but I didn't dare to look into my mother's eyes, because at this moment, I must not lose my composure! I turned to another family member who was obviously in charge, and said to her: "The mother's condition is not suitable for investigation. Please help her go down to rest for a while. Can those who know the situation join us?" "I'm auntie, ask me, I know!" said a voice. I can finally get to work. I let out a sigh of relief.
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