Chapter 49 Chapter 47 Index Cases

mark.Kelan is a full-time professor in the medical school and is used to fixed working hours.Usually very few people would come to see him when it was almost nine o'clock in the evening, but he was a doctor and had to be there whenever he was called.On this Monday night, it took him twenty minutes to drive to his dedicated parking spot.After getting out of the car, he nodded with the guard, walked in, then changed into a surgical gown, and came to the emergency room from the back.He asked the nurse on duty where Dr. Quinn was. In isolation room two, doctor. Twenty seconds later, he came to the isolation room.Seeing the warning sign on the door, he stopped.All right, he thought, and put on his mask and gloves and went inside.

hello joe. Professor, I want to wait until you come to make this call.Quinn said calmly, handing over the form at the same time. After taking it, Kelan suddenly stopped when he saw half of it, read it again, and raised his head to compare the patient with the information.Female, Caucasian, yes; age about forty-one; divorced, that's her business; residence about two miles away, fine; temperature 104.4 degrees upon admission, high enough; blood pressure very low.And bruises? Let me look at the patient.Crane said.The patient has gradually woken up, his head is moving slightly, and he doesn't know what to say in his mouth.What is her temperature now?

One hundred and two point two, down.The resident doctor replied immediately.Kelan pulled back the green quilt, and the patient was completely naked. On her originally fair skin, the scattered spots were very obvious.Crane turned his gaze to the other doctors. Where has she been? we do not know.Quinn said, we have seen her purse, she seems to be the manager of Sears, the office is in the tall building over there. Have you checked her out? done.Quinn and the young resident doctor replied in unison. Are there animal bite marks?Crane asked. No, no pinholes, not even a hint of anything unusual.She is very clean.

I think it may be hemorrhagic fever, the route of infection is not yet known.Send her upstairs for complete isolation and comprehensive prevention.This room will be disinfected including everything she has touched. I think these viruses just pass through No one knows, doctor, and the unexplainable always scares me.I've been to Africa, seen Lhasa and Queens fever, but not Ebola, and her symptoms looked like one of them.Crane said.He mentioned these dreaded terms for the first time in his clinical diagnosis. but how When you don't know, you just don't know.Professor Kelan told the resident doctor that for infectious diseases, if you don't know the route of infection, you have to think about the worst.The worst case is airborne transmission, so we have to treat this patient as an airborne disease.Move her to my ward.Everyone who comes into contact with her must be strictly disinfected, just like AIDS or hepatitis, comprehensive prevention.He emphasized again, where are the blood samples you took?

right there.The resident pointed to a red plastic container. What next?asked Quinn. We're sending a sample to Atlanta, but I'd like to see it for myself.Crane has a great lab where he works every day, mostly on AIDS, which is his hobby. can i go tooQuinn asked, and I got off work in a few minutes.For emergency rooms, Mondays are usually not as busy, and the busiest times tend to be on weekends. sure. I knew Holtzman would come for me.Van Damme said.He congratulated with a sip of wine as the Boeing 747 lowered into Sacramento. What's up?the president asked. Holtzman is a fucking tough guy, but he's honest.In other words, if he thinks you caused things to happen, he will deal with you bit by bit with open fire and stick.Keep this in mind.The chief of staff offered advice.

Downer and Plumbow lie.Wren yelled, fuck it! Everyone is lying, Ryan, even you, but for different reasons.Some lies are meant to protect the truth, some are meant to hide the truth, and some are meant to deny the truth.Some lies happen because no one comes to debunk it. So what's going on now? Confused, Mr. President.Ed.Kirti wanted to use them against you, he tricked them, but I got the treacherous guy for you.I'm sure tomorrow's Washington Post will have a front-page article exposing Kiltie's bribery of two senior journalists, and the press will be on fire.Reporters in the back of the plane were already chattering about it, as Van Damme played the NBC news tape in the cabin.

because he damaged their image You are right, boss.Van Damme said affirmatively, and then drank the wine in the glass.He couldn't have said it without Katie.All of this would not have happened if Rennes' attack happened. Adler's biological clock is now completely out of order.He finds it useful to take a short nap, and also keeps his message simple and hopeful.The car stopped, and a low-ranking official opened the door for him and bowed slightly.Adler held back his yawn and walked into the foreign ministry building. Very nice to see you again.The foreign minister of the People's Republic of China said through an interpreter.Zhang Hansan was also present, and he also greeted Adler.

Your reasonable approach of allowing direct flights has made it easier for me.Thanks.The Secretary of State sat down and said. So you can understand these exceptions.said the foreign minister. certainly. Is there any news from the rebel province? They are fully willing to take reciprocal action with you in order to reduce tension. What about their baseless accusations? Minister, never had this problem.I believe they share your desire to restore peace. Then I really want to thank them!Zhang Hansan commented that they took hostile actions first, destroying two of our planes and destroying one of their own passenger planes, resulting in the death of more than 100 people. This was either a deliberate action or a result of incompetence.And then say they act reciprocally with us in reducing provocative actions.I hope your government can see our tolerance towards this.

Mr. Minister, peace is in the best interest of both parties, isn't it?The United States appreciates the actions taken by both parties during these informal events.More than once, the People's Republic of China has shown reasonableness, and Taiwan has been willing to act accordingly.So, what more do you want? Just a little.The foreign minister replied, compensation for the death of our four pilots, each of whom had a family. It was indeed their fighter that fired first.Zhang Hansan pointed out. That may be true, but the problem with the airliner remains uncertain. Of course we have nothing to do with this matter.said the foreign minister.

Few things are more tedious than negotiating between two countries, and there's a reason for that.Sudden or unexpected events can force a country to make hasty decisions.Unexpected pressure leads to anger, but it cannot be brought into high-level discussions and decisions. Therefore, most important talks are not finalized, but gradually developed, which provides opportunities for all parties to carefully consider their own and the other side's position time to reach a satisfactory end result for both parties.Then, it is against the principle to ask for compensation, which should have been brought up in the first meeting, so that Adler can bring this proposal to Taipei and treat it as Make your own suggestions.But they had already negotiated, and now the People's Republic of China wanted him to bring the conditions of the claim back to Taipei in exchange for a partial detente.This is not only an insult to the Taiwan government, but also a deliberate insult to the US government, using the US as a cover for Taiwan. (Editor's note: a masking horse is a real or fake horse that hunters use to cover themselves and sneak up on their prey)

After Adler and the government of the Republic of China knew who shot down the airliner and who showed contempt for life, the motive for claiming compensation became even more obvious!Adler wondered again how much the People's Republic of China really knew about what he knew.If they know much, then this is undoubtedly another game whose rules are yet to be clarified. I think it would be more realistic if both parties could bear their own losses and needs.Secretary Adler suggested. We're afraid we can't accept that.You know, this is a matter of principle.Whoever acts improperly must pay compensation. But what if I have no evidence to prove this? What if the People's Republic of China accidentally destroyed the airliner?In this case, your claim for compensation will appear very unreasonable. That's impossible.We asked our pilots who survived, and what they said was solid.It was Zhang Hansan again. How much do you specifically ask for?Adler asked. The four pilots will receive $200,000 each, which will go to their families.Zhang Hansan promised. I can bring this request to Sorry, this is not a request, but a requirement.The foreign minister told Adler. I know, I can tell them where you stand, but I have to tell you, don't make this a condition of your commitment to de-escalation. That's exactly where we stand.The foreign minister's eyes were very serene. God bless America.Wren finished his speech.People stood up and cheered loudly, and the band started to play, there was a band wherever he went, Ryan thought, and then he left the podium behind which was a wall of tense-looking Secret Service operatives.Well, the President thought, no one fired in the blinding lights this time either.He wanted to yawn again, but held back.For more than twelve hours he had been in constant motion.Four speeches don't seem to consume much energy, but Lane has deeply felt how tiring it is to give a public speech.You have to shake hands every time you go to the stage, and although you can complete this process in a few minutes, the invisible pressure is really exhausting.Dinner didn't seem to help much in recovering his physical strength. Although the food was carefully selected, it didn't arouse his appetite at all. Instead, it made him feel a stomach ache. good.They were also surrounded by the president's entourage, Van Dam told him, heading for the back door.For someone who was ready to give up trying yesterday, you are doing very well. Mr President!shouted a reporter. Talk to him.Van Damme whispered. Um?Wren replied and approached the reporter, much to the displeasure of the guards. you know johnIs there something about Plumbow's talk on NBC tonight?This is an ABC reporter who doesn't want to miss an opportunity to bash his competing peers. Yes, I heard that.The President replied seriously. What's your comment? Of course, I don't like to hear such things, but as far as Mr. Plumbow is concerned, I think that's a sign of moral courage.I think he is good. you know who Please let Mr. Plumber handle it himself, that's his business, and he knows how to express it.Sorry, I have to catch a flight. Thank you, Mr. President.The ABC reporter said to Ryan's back. Not bad, Van Damme said with a smile. We had a long day, but a good one. Ren breathed a sigh of relief.you're right. oh my gosh.Professor Kelan said in a low voice.It's right there on the display: the shepherd's staff that was mentioned in a medical article is there.How the hell did it end up in Chicago? That's Ebola.Dr. Quinn said that was impossible. How thorough was your physical exam?Kelan asked again. Could have been better, but no bite marks, no pinholes.Mark, this is Chicago and I had frost on my car windshield just a few days ago. Crane clasped his hands together and touched his nose upward with a gloved finger.When he realized he was still wearing a surgical mask, he stopped.Is there a key in her purse? have. First of all, there are police officers near the emergency room, go find one, tell him that we need a police officer to accompany her to her apartment, and allow us to take a look inside.Tell him the woman is dying and maybe she has pets or tropical plants or something in the house.We also have the name of her personal physician and have him called as well, we need to know what he knows. What about treatment? We brought her down the fever, hydrated her, and put her on pain medication, but nothing really helped.Rousseau in Paris has been trying to do a research treatment with interferon and several other things, but so far without success.He frowned again at the screen.How did she get it?How on earth did she get infected with this stuff? What about the Centers for Disease Control? You call the police over.I'll fax it to Gus.Lorenz's.Crane looked at his watch.Oh shit! The Predator drone has returned to Saudi Arabia safely and undetected.Flying such an aircraft over a fixed target like a division camp seemed dangerous, but now satellites have taken over the job, sending pictures to the National Reconnaissance Service. Check this out.A night shift worker said to a colleague next to him, what are these? The tanks belonging to the Immortal Division of the United Islamic Republic are basically parked in a large field, and all the tanks are neatly arranged in a regular array to facilitate the calculation of the number. Theft is a very dangerous thing, so they have taken strict security measures for the parking place of the chariot, and parking the chariot together makes it easier for maintenance personnel to maintain the vehicle.Now those guys are back and they're climbing into tanks and other combat vehicles for normal maintenance after big maneuvers.In front of each chariot in the first row are two black lines, each one meter wide and ten meters long.The guy in charge of the screen was a retired Air Force man who was more proficient with aircraft than land vehicles. The man next to him just took one look and said: Tracks. What? Like changing the tires, they are changing the track, the track wears out and needs to be replaced with a new one, and then the pads and stuff.It was nothing, the ex-soldier explained. Further probing revealed the state of completion of this work.The retired veteran said: The new track was placed in front of the old one, then the old one was disassembled, and the new track was connected. in place.It's a hot, tiring job that requires several hands.A well-trained tank crew can do it in about an hour or so under ideal conditions.In this way, the chariot can use the new track to drive. I never knew how they did it. The chariot has to be lifted off the ground with a jack. What is the service life of the track? Not necessarily, if it is off-roading in the desert, oh, about a thousand miles, maybe a little less. Great, the two benches in the forward cabin of Air Force One have been folded into beds.When the staff left, Ryan hung up his clothes and lay down.The sheets and other items were all clean. He was so tired that he didn't mind that he was on a plane.The four-and-a-half-hour flight to Washington gave him some time to sleep in his bed at home; so he could work the next day. In the back of the cabin, the journalists, also asleep, decided to save Plumbo's shocking revelations for the next day; they had no choice, since something so important had to be dealt with at least by the deputy editor .Many newspaper reporters dream of editorials in their papers, and TV journalists try not to hold back from something that might affect their credibility. The president's staff are all in the middle cabin, talking and laughing. Hey, I'm finally getting his temper, Van Damme told Carly.Weston, that's great. He must have learned from you too. I have a bad temper, Van Damme took a sip of his wine, you know that.I think we have a very good president. He hates the job.Weston also took a sip of wine and said. Arnold.Van Damme said nonchalantly: What a speech, Carly. His speech was so charming.She thinks that at the beginning, he was a little bit reluctant to let go and was a little embarrassed, but slowly, he gradually revealed his inner self and really entered the situation.He didn't even know it himself. honest.Does show honesty, right?Van Damme paused and said that we will have a memorial service for the dead Operator. I've already started planning.What are you going to do with Kirty, Weston assured him? I'm thinking about this.We're going to blow that bastard down. Beidean went back to his computer and checked the correct website.Still not found.If there is still nothing in another day, he may start to worry.But even if nothing happened, it's not his problem, is it?Everything he has done has been accomplished. Patient Zero opened his eyes, which caught everyone's attention.She was wrapped in ice packs like fish in the market, so her body temperature had dropped to 101.6 degrees.With a mixture of pain and exhaustion on her face, she looked like a terminally ill AIDS patient. Hello, I'm Dr. Kelan.Wearing a mask, the professor said to her, you really worried us just now, but the situation is under control now. it hurts.she says. I know, we'll get you out of the pain right away, but I need to ask you a few questions.Can you help me a little bit?Crane asked. Can. Have you traveled recently? What do you mean?Every word she uttered nearly drained her remaining strength. Have you been abroad recently? No.Went to Kansas City ten days ago and came back the same day.she said. good.Not for this reason.Have you been in contact with someone who has recently traveled abroad? No.She shook her head laboriously. I beg your pardon, but I have to ask this.Do you have a regular sexual partner now? The question shocked her.Is it AIDS?Panting, she thought she might be in trouble. Kelan shook his head vigorously.No, absolutely not, please don't worry. I'm divorced, the patient said, just a few months ago.Haven't met a new man yet. Well, as pretty as you are, someone will chase you soon.Crane said, trying to make her smile.What do you do at Sears? Household goods, responsible for purchasing.Just had a big show at the McCormick Center. Lots of paperwork, order forms and stuff. Things are going nowhere.Kelan asked a few more questions, but still got nothing.He turned and pointed at the nurse. OK, we're going to take pain relief now.he told her.The nurse began to inject the patient with morphine, and Kelan left the bedside in order not to disturb the nurse's work.It will work right away.I'll be right back. Quinn was already waiting in the lobby with a uniformed officer with a checkered sash on his hat. Doctor, what's the matter?the officer asked. This patient is in a very serious condition and may be very contagious, I need to check her residence. It's not very legal to do that, you know.You have to go to a judge and get Officer, it's too late.We have her key and could have gone by ourselves, but I want you to go too, so you can prove we have done nothing wrong.Plus, if she had a burglar alarm in her house, they wouldn't have been arrested for it.Time was running out and the woman was in a serious condition. Well, my car is just outside.The officer pointed out as he walked, followed by the two doctors. Faxed to Atlanta?asked Quinn.Kelan shook his head. Let's take a look at where she lives first.He decided not to wear a coat.It was cold outside, not ideal for the viruses that might get on his surgical gown.His reason told him there was no real danger in this.He had never encountered Ebola in his outpatient practice, but he had some knowledge of it.People sometimes develop illnesses that they cannot explain, but usually, through careful investigation, the source of exposure can be found, although there are exceptions.Take AIDS, for example. There are also some unexplained causes, although they are only a few, but you just can't find cases from them to start working.Professor Kelan walked outside, trembling.The north wind was blowing from Lake Michigan, and the temperature was only in the mid-thirties, but that wasn't the real reason for his shivering. Price opened the front cabin door of the plane, and all the lights in the cabin were turned off except for a few faint shadowless lights.The president lay on his back, and the sound was like thunder, even surpassing the roar of the aircraft engine.She was about to tiptoe over to cover him with a blanket, but finally just smiled and closed the door. Maybe that's fair, Jeff.She said to Operator Raman. Do you mean recent events? Yes. Don't be so sure.Another operator said. They looked around.Everyone is asleep, even the Chief of Staff.On top of the plane, all crew members and other Air Force personnel are doing their jobs.When Air Force One flew over central Illinois, it felt like a trip to the East Coast.The two operators returned to their seating area, the three members of the guard were quietly playing poker, and the others were either reading or dozing off. An Air Force sergeant came down the spiral staircase, folder in hand. Fax to boss.she reported. Is it important?We'll be at Andrews Air Force Base in ninety minutes. I just took it off the fax machine.said the sergeant. All right.Price took the fax to the class aft.Gudrey went.Gudre's duty is to follow the president and report to him the major events happening in the world, or as in the current situation, first measure the importance of the document.Price shook his shoulders, and the national intelligence officer opened one eye. Um? Do you need to wake up the boss? The intelligence expert shook his head after browsing.This can wait.Adler knew what he was doing, and the State Department had a task force on it.He returned to his seat without saying anything else. Don't touch anything.Crane told the policeman that you'd better stand by the door, and if you want to take a look with us, don't touch anything.Wait a moment.He reached into the plastic garbage bag he had brought with him and removed a surgical mask from a sterile container inside.wear this, will you? Take it at your convenience, doctor. Kelan handed over the key to the door, and the policeman opened the door.The house did have an alarm system, the control panel was on the inside of the door, but the power wasn't on.The two doctors put on masks and gloves, and first turned on all the lights. What are we looking for?asked Quinn. Crane was already looking, and neither cat nor dog noticed their coming.He didn't see any birdcages and he kind of hoped to find monkeys, but he thought that was unlikely.Besides, the Ebola virus doesn't seem to like monkeys very much, and it will kill monkeys like it kills humans.At this time, he thought of plants again.Seems weird if Ebola's host isn't an animal but something else?Most likely, though, it's the plants. Plants exist, but they are not imported.They stood in the middle of the living room, moving their bodies slowly to look around, not letting themselves bump into anything. I found nothing.Quinn said. me too.Look at the kitchen again. There are more plants there.The two plants in the small pot looked like herbs, but Ke Lan couldn't recognize what species they were, so he wanted to pick them up. Wait a minute, here.Quinn said and opened the drawer to find the freezer bags.Quinn put the two plants in a bag and sealed it carefully.Kelan opened the refrigerator, and there was nothing special in it; he thought there might be some imported food but, no.Everything the patient ate was authentic American food. There was nothing else in the bedroom. What about some clothes?Or leather?Quinn asked, can anthrax Ebola can't, it's too fragile.We understand that we are dealing with an organism that cannot survive in such an environment.Just can't.Crane stood his ground.They don't know much about this bastard virus, but they've done work at the Centers for Disease Control to establish the environmental parameters for how long these viruses can survive under various conditions.Chicago is a melting pot at this time of year for that kind of virus; somewhere in the South, like Orlando, it might be possible.But Chicago?We get nothing.he said disappointedly. Maybe a plant? Do you know how difficult it is to bring plants through customs? I haven't tried it. I have.I once wanted to bring some wild orchids in from Venezuela He looked around again, there's nothing here, Joe. Is her diagnosis bad? yes.He wiped the antiseptic pants with gloved hands.Inside the glove, his hands began to sweat.If we can't figure out where the virus came from if we can't explain it He looked at Quinn who was younger and taller than him, I gotta go back, I want to take another look at the structure of the virus. Hello.Gus.said Lorenz, looking at the clock.What is it? Is it Gus?asked over the phone. yes, who are you? I'm Mark from Chicago.gram blue. Is there a problem?Lorenz asked feebly, but the other party's answer made him widen his eyes. I don't think so, Gus, I have a case of Ebola here. How are you sure? is hooked.I did an electron micrograph, it's a shepherd's staff, it's accurate, I hope I'm wrong. Where has the patient been? She is a female patient who has not been to any particular place.Kelan briefly described what he knew in less than a minute.I can't give a clear explanation for this at the moment. Lorenz could raise objections, but the medical group had a high level of skill; he knew Mark.Kelan is a full-time professor at one of the best medical schools in the world.Only one case? Everything starts with one, Gus.Kelan reminded him.At this moment Lorenz got up and got out of bed. OK, I need a blood sample. I've sent someone to deliver it.I can email the micrographs to you now first. Give me about forty minutes to prepare. Gus? Um? Can you give me some advice on treatment?Our patient's condition is quite serious.Crane said.He hoped this time it was because his medical skills were not good enough. I'm afraid not, Mark, not as far as I know. Damn it!Well, we just do our best.Call me when you get here, I'm in the office. Lorenz went into the bathroom and splashed water on his face to prove that he was not dreaming.Not a dream.What a nightmare. Ryan walked down the gangway first, saluted the air force sergeant on the ground, and then walked to the helicopter fifty yards away.Immediately after boarding the helicopter, he put on his seat belt and went back to sleep.Fifteen minutes later, he was woken again, walked down another gangway, this time saluted the Marines, and walked into the White House.Ten minutes later, he returned to the bedroom, and this time he would not change places. Did the trip go well?Kathy asked with one eye half-opened. What a long journey.Her husband fell asleep after speaking. The first flight from Chicago to Atlanta leaves at 6:15 a.m. Central.Prior to this, Lorenz had already arrived at the office.He turned on the computer, connected to the Internet, and dialed the phone at the same time. I am downloading images. Lorenz stared at the computer, and the micrographs appeared row by row from top to bottom.It's faster than receiving a fax, and it's much clearer. Tell me I'm wrong, Gus.Crane said there was no hope in his voice. I think you know better than I do, Mark.He paused when the picture was finished.This is our friend. What is the recent development of this disease? Well, there have been a few cases in Saye, and supposedly two cases in Sudan; that's all I know.your patient, she has been No, I haven't been able to find any identifiable risk factors so far.Even including the incubation period, it is certain that she got the disease in Chicago.It can't be, right? What about sex?asked Lorenz.He could almost hear the shaking of his head over the microphone. I asked, and she said she hadn't had a sexual partner recently.Are there other reports of such cases found elsewhere? No, not anywhere else.Mark, are you sure about everything you say?He knew the question was rude, but he had to. I hope I'm wrong.The micrograph I sent over was the third one I took, and I tried to isolate it properly, but she had virus in her blood, Gus.Wait a moment.He heard the low-pitched conversation on the other side.She just woke up and said she had a tooth pulled about a week ago.We have noted the dentist's name and will investigate shortly.That's all we know. Well, let me prepare a little bit for the blood samples you guys are sending.Just one case, don't get too excited. It was nearly dawn when Rahman returned home.At this time of day, there are almost no pedestrians and vehicles on the street, so he does not need to drive as carefully as at other times.As soon as he got home, he still turned on the answering machine habitually.It was the wrong number again, it was Mr. Allahad's voice. The pain was so severe that it woke him from his exhausted sleep.With all his strength, he staggered into the bathroom.It was only twenty feet from the bed to the bathroom, but it felt like running a marathon.The cramps were severe, which surprised him because he hadn't eaten much chicken soup and toast for the past few days, despite his wife's insistence.He felt that he couldn't hold it anymore, so he quickly loosened his shorts and sat down immediately, the timing was just right.At the same time, his upper abdomen felt like it was about to explode.The former golf pro's discomfort worsened and he threw up on the tile floor.It was too unmanly to do so, and he was momentarily embarrassed.Then he saw what was on his feet. Honey?He yelled feebly, help