Chapter 459: Physical examination for the whole village(1/2)
Guinea worm is the only nematode that is mainly transmitted by drinking water. It belongs to the phylum Nematoda and is only found in countries in the central belt of sub-Saharan Africa.
The adult insect is shaped like a thick white thread, with a blunt front end, a smooth body surface, and densely distributed fine ring patterns visible under the microscope.
The most obvious difference from tapeworms is that tapeworms generally have a flat body, like a belt, and are longer, very exaggeratedly long. Are you afraid of parasites that are more than 20 meters long?
Nematodes, on the other hand, are thinner, rounder, and shorter, generally within 1 meter.
Chen Qi originally thought it was a tapeworm, but now it turned into Guinea worm?
Is it so unpopular?
It's completely out of line, okay? It's not even included in domestic textbooks. No wonder the hundreds of doctors and nurses don't know each other.
Even Hu Shixing, the most experienced director of the Department of Internal Medicine, fell out of favor. It’s no wonder that Chen Qi, a rough surgical gentleman.
Fortunately, Piet, a local, knows this local parasite. Otherwise, if this was published, wouldn't it be laughed at by foreign colleagues?
In medicine, not to mention the separate fields, even if we are separated by a department, it is like being separated by several mountains.
If you don’t believe it, look at how many chief experts in brain surgery, hepatobiliary surgery, and gastroenterology are holding small notebooks and listening to the respiratory doctors explaining how to use ventilators.
Chen Qi washed his hands and looked around, feeling disgusted.
"This thing is even more disgusting than roundworms. Grandma's, it's so long, there's more than one, right? Mao Mingming, have you measured other bugs?"
Mao Mingming slapped his forehead:
"Ah, I was too busy choosing the longest one and forgot to measure it collectively. Come on, comrades, work harder. Let's measure it while we are still alive."
Chen Qi then thought of something, "Wait a minute, I'm going to get the camera. It really broke the world record. We can plan this carefully."
When Chen Qi got the camera and video camera, all the lengths of the insects were measured.
There are a total of 26 Guinea worms, the longest is 2.6 meters, the shortest is 0.5 meters, and 18 of them exceed 2 meters. In other words, these 18 parasites have broken the world record.
If one is an accident, but now most Guinea worms are longer than the 1.2 meters written in the textbook, then there is definitely a problem.
Even those that have not reached this length may still be teenagers now and have not reached the adult standard? Will they also be this long when they become adults?
Chen Qi handed the camera to Yi Zexing. The young man was so enthusiastic about playing with the camera that he completely forgot about the people who were still meditating aside.
Chen Qi waved to Director Hu Shixing again:
"I have a hunch that we may have discovered a new species. This is definitely not the ordinary Guinea worm written in textbooks. It is at least a giant Guinea worm, right?"
Director Hu’s eyes both shone brightly.
"If we discover a new variety, then the naming rights will be in our hands. What a glorious thing it is."
Chen Qi locked his eyes on several indigenous people in the distance who were anxiously waiting for the results of the surgery, and suddenly thought of an idea:
"Director Hu, now we only have one patient and one specimen, which is not convincing yet. But do you think, if Luciana has this kind of giant Guinea worm, will her family members and her villagers also have it?
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Director Hu immediately understood the meaning:
"Dean Chen, you mean that we should conduct a comprehensive screening on a village basis?"
"Yes, what do you think?"
Director Hu chuckled: "Isn't it just a stab in the intestines? What's the effort? One stab is a stab, two stabs are a stab, I did it."
Chen Qi joked: "Why, don't you feel sorry for your gastroscopy now?"
"I don't feel bad anymore. This is a major discovery once it's done. Maybe it will be published in an international medical journal. Then I will be the vice president. Let's see who dares to fool around! Besides, we are not busy now.
, there are just a few patients every day."
Working at the China-Africa Friendship Hospital is definitely not considered busy, it is even quite idle.
Because they need to charge a certain amount of medical fees, the vast majority of black people in Sierra Leone are blocked from the door.
Moreover, due to the inconvenience of logistics and transportation, Friendship Hospital does not have much medicine inventory, and there is no pharmaceutical factory in Serbia, so it is impossible to purchase.
Therefore, if there are really long queues of patients and the outpatient and inpatient departments are full every day, these stocks are far from enough, which will also cause trouble for domestic supply.
In order to control the use of drugs and also want to give Chinese doctors in foreign countries a good rest time, the "China-Serbia Friendship Hospital" has only 200 outpatient clinics arranged every day.
That’s it, you may not be able to use it all every day.
The group members have a lot of rest time. Some people are growing vegetables in the camp, some like to play mahjong, and the young people gather together in twos and threes to chat. Maybe they can get together a few couples when they go back.
Now I heard that the Medical Aid Group to Africa is planning to work on a parasite project, and the bored members are becoming more active than the other. They finally found something to do.
Old Nguema was pulled into the consultation room by Chen Qi for no reason, and he suddenly felt panicked:
"Dr. Chen, Dr. Chen, what are you doing? I'm not sick. I don't need treatment."
Chen Qi: "No, you are sick. You have a very serious disease. If you don't treat it, it will be too late. It may be the same as your daughter. You see she is in so much pain that she can only take a knife in the stomach. Are you afraid?"
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Nguema: "But, but am I really not sick? Listen to me, stop it, ouch."
Chen Qi: "Your daughter's stomach is full of parasites. You all eat and drink the same. If she has it, you must have it too. Just say whether you want to die or not? It will be painful to die like this!"
Nguema: "I, I don't want to die..."
The old chief who didn't want to die was dragged to the treatment bed, then lay on his side, exposing his vagina in humiliation.
He never dreamed that one day he would be let through the back door, which made him panic and afraid. Was he afraid that he would die when he returned? Did he insult his ancestors?
I couldn't help but lament in my heart: "Oh my God, who is the barbarian here? Oops, please be gentle..."
Chen Qi was not a lighthearted person. He inserted the colonoscope into it while closely monitoring the imaging screen.
Suddenly, Zhang Xing next to him shouted excitedly: "Here, here, I have seen it."
Director Hu slapped his thigh:
"Okay, this little old man really has it. It seems that this Guinea worm is definitely not an accident. I just don't know if it is the same species and is it long enough?"
After confirming that Nguema also had parasites in his intestines, Chen Qi quickly replaced him with another black man.
In this way, the five black men walked all the way through the valley, and all five found traces of Guinea worm.
The next day, after taking deworming medicine, the remaining four "normal" black people all pulled out dead bugs. Yi Zewen and others carefully picked them out from the feces, and then held their noses to clean them.<
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The worm was so long that it couldn't be pulled out at once. The black men had to pull it out by hand.
Several black uncles were defecating, pulling bugs out of their anuses, and moaning in pain. This scene was so beautiful that even Chen Qi didn’t dare to think about it.
When the lengths of these dead insects were measured, as expected, most of them were over 2 meters, and 5 were even over 3 meters.
While this discovery excited everyone, it also gave Chen Qi a sudden sense of ambition.
Yes, so many medical personnel come to Africa. Although most of them come voluntarily, some are forced to come.
Regardless of whether you are voluntarily or forced to come to a strange environment like Africa, once the excitement is over, everyone will feel homesick, bored, and acclimated.
In short, after these two months, everyone's energy has been exhausted, and everyone is lacking energy.
Why does Chen Qi go around making delicious food? Seafood, beef, lobster and swordfish. Isn’t it just to make everyone happy?
But good food can satisfy you for two days a day, one meal and two meals. After a long time, no matter how delicious the food is, it will become boring, so at this time, there is an urgent need for new events to boost everyone's confidence.
Then there is a good opportunity right in front of you.
Is there anything more meaningful than everyone moving towards a goal and finding some work for everyone?
Therefore, after collusion between the Chinese Medical Corps and the Serbian Ministry of Health, the Serbian side agreed to the Chinese Medical Corps going to a tribe in the northern province to conduct "free clinics" and at the same time dispatching armed personnel to protect them throughout the process.
It’s impossible without protection. There is not much normal legal order left in this country.
A few days later, a convoy quickly left Freetown and headed for the Northern Province.
There are two flags in front of each car, one is the red cross flag with a white background and the symbol of the International Red Cross, and the other is the five-star flag.
The purpose is to tell the heroes along the road that this convoy is for the medical team, so don’t bomb the wrong person.
In fact, no matter which region or war-torn country you go to, you will generally avoid vehicles, people, and camps with the International Red Cross logo.
After all, anyone can get injured and anyone can get sick. If you beat all the doctors to death today, who will treat you tomorrow?
It's not what everyone thinks. Today I am going to lose the battle and retreat. I will implement a three-guang policy and kill all your doctors without leaving them to others.
What if you win again tomorrow and reoccupy the city, and there is no doctor left?
This is also an important reason why countries from various countries often choose medical teams when they go to provide support. They are relatively safer.
Of course, there are also those who do not follow the rules. Some small armed organizations are not prepared to gain territory and often kill everyone they see. Whether you are a medical team or an army, these people are the most terrifying.
In addition, guns have no eyesight. Maybe you want to pee, but after taking a few steps, you step on a landmine.
If you have a miserable life, you can't blame the government. You can only admit that you are unlucky and try to be reincarnated in the next life, which will be better.
Chen Qi was driving an off-road vehicle, and sitting in the vehicle were Captain Qi, Director Hu and several other senior doctors. Everyone was in high spirits.
After all, this is the first time everyone has left the camp after coming to Africa. Before, they were kept like chickens and were suffocated to death.
To be continued...