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ah.thefinaldiagnosis-第85章

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 meeting。〃 He glanced around and there was a nodding of heads。 〃Very well。 As soon as we are finished here Dr。 Coleman〃…Pearson glanced down at David Coleman beside him…〃will give you your assignment to a specific room。〃
 Gesturing toward the chief dietitian; Pearson said; 〃Mrs。 Straughan is arranging to assemble all the people concerned; and they will be reporting to Outpatients in batches of twelve。 That means ninety…five people to be examined within the time we have。
 〃When you make these examinations; by the way; remember that the typhoid carrier…and we are assuming there is a carrier…probably has none of the symptoms Dr。 Chandler described。 What you should look for particularly is any lack of personal cleanliness。 And anyone you have doubts about should be suspended from duty for the time being。〃
 Pearson stopped as if thinking。 So far he had consulted no notes。 Now he went on again。 〃Of course; we are all aware that physical checkups will not give us the whole story。 We may be lucky and find the individual we're looking for that way; but the chances are we won't。 Most likely the major work will e in the labs as soon as the medicals are pleted。 All the people you examine are to be told that stool cultures are required and stool samples must be in the hospital by tomorrow morning。〃 There was the ghost of a smile。 〃Constipation will not be taken as an excuse; and if anyone can e through with a sample today we will; of course; accept it gratefully。
 〃The labs are being set up now to cope with all the cultures we shall be doing。 Of course; it will take us a few days…two or three at least…to handle all those stool samples。〃
 A voice…O'Donnell thought it was Gil Bartlett's…said quietly; 〃Ninety…five people! That's a lot of shit。〃 A ripple of laughter ran around the table。
 Pearson turned。 〃Yes;〃 he said; 〃it is a lot。 But we shall do our best。〃
 With that he sat down。
 Lucy signaled with her hand; and O'Donnell nodded for her to speak。 She asked; 〃If the source of infection is not found immediately; will we continue to use the hospital kitchens…to serve food here?〃
 〃For the moment…yes;〃 O'Donnell answered。
 The administrator added; 〃My office is checking now to see if there's any outside caterer who could handle food supply if that were felt necessary。 I doubt; though; if there's anyone in town who has facilities…at short notice like this…to do it。〃
 Bill Rufus asked; 〃What's our policy to be on admissions?〃
 〃I'm sorry;〃 O'Donnell said。 〃I should have mentioned that。 As of this moment we've stopped admissions。 The admitting department has already been notified。 But; of course; we're hoping pathology can track down the source of infection quickly; and then we'll review our admissions policy again。 Anything else?〃
 There were no more questions。 Looking down the table; O'Donnell asked; 〃Dr。 Coleman; do you have anything to add?〃
 David Coleman shook his head。 〃No。〃
 O'Donnell closed the file which had been open in front of him。 〃Very well; ladies and gentlemen; I suggest we get started。〃 Then; as chairs scraped back and conversation began; he asked Pearson; 〃Joe; could I have a word with you?〃
 Together they crossed to a window; away from the others who were filing out through the door。 O'Donnell said quietly; making sure his voice did not carry; 〃Joe; naturally you'll remain in charge of Pathology during this outbreak。 But I think I must make clear to you that; concerning other things; nothing has changed。〃
 Pearson nodded slowly。 〃Yes;〃 he said; 〃I'd already figured that。〃
 
 Twenty…two
 
 Like a general appraising his forces ahead of battle; Dr。 Joseph Pearson surveyed the pathology lab。
 With him were David Coleman; the pathology resident Dr。 McNeil; Carl Bannister; and John Alexander。 Pearson; Coleman; and McNeil had e directly from the emergency staff meeting in the board room。 The other two; acting on earlier instructions; had cleared the lab of all but immediate; essential work。
 When Pearson had pleted his inspection he addressed the other four。 〃Our problem;〃 he announced; 〃is one of detection。 Out of a field of approximately ninety…five people…the food handlers…it is our business to track down a single individual whom we believe to be spreading typhoid germs within this hospital。 It is also a problem of speed; the longer we take; the worse the epidemic will be。 Our means of detection will be the stool specimens which will start ing in today; with the bulk of them arriving tomorrow。〃
 He addressed Roger McNeil。 〃Dr。 McNeil; your job for the next few days will be to keep the lab clear of non…essential work。 Check all routine requisitions ing in and decide how many of them should have priority and which can be postponed; at least for a day or two。 The lab items which in your opinion are urgent can be handled by Carl Bannister。 Work with him as much as you can; but don't load him with any more than is essential; the rest of the time we'll use him on our major project。〃 Pearson continued as McNeil nodded。 〃You yourself will have to take care of all surgical reports。 Process those which appear urgent and accumulate anything that can wait。 If there's any diagnosis about which you're not absolutely sure; call Dr。 Coleman or myself。〃
 〃Right。 I'll check with the office now。〃 McNeil went out。
 To the others Pearson said; 〃We shall use a separate plate for each single stool culture。 I don't want to take the risk of putting several cultures together; then having one overgrow the others; it would mean we'd lose time and have to start again。〃 He asked Alexander; 〃Do we have sufficient MacConkey's medium ready to handle close to a hundred cultures?〃
 John Alexander was pale and his eyes red…rimmed。 He had returned from Elizabeth only a half…hour before。 Nevertheless he responded promptly; 〃No;〃 he said; 〃I doubt if we've more than a couple of dozen。 Normally that's several days' supply。〃
 When he had spoken; realizing that his reaction to a question about the lab had sprung from habit; John Alexander wondered what his own feelings were toward Dr。 Pearson。 He found he could not define them。 He supposed he should hate this old man whose negligence had caused his own son's death; and perhaps later on he would。 But for now there was only a dull; deep aching and a sense of melancholy。 Maybe it was as well for the time being that a great deal of work appeared to be facing them all。 At least he could try to lose himself in some of it。
 〃I understand;〃 Pearson said。 〃Well; then; will you work in the media kitchen and stay with it until all the plates are ready for use? We must have them all by the end of today。〃
 〃I'll get started。〃 Alexander followed McNeil out。
 Now Pearson was thinking aloud。 〃We shall have ninety…five cultures; say a hundred。 Assume that 50 per cent will be lactose positive; leaving the other 50 per cent to be investigated further; it shouldn't be more than that。〃 He glanced at Coleman for confirmation。
 〃I'd agree。〃 Coleman nodded。
 〃All right then; we shall need ten sugar tubes to a culture。 Fifty cultures…that means five hundred subcultures。〃 Turning to Bannister; Pearson asked; 〃How many sugar tubes are ready…clean and sterilized?〃
 Bannister considered
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