Back in 2002 as a doctor

Page 515

Although she has never seen an eschar caused by a real disease, as the name suggests, she can always imagine it.

Zhou Congwen turned around and left, Peng Yiming hurriedly called him, "Professor Zhou, what disease do you suspect?"

"Scrub typhus." Zhou Congwen said, "For women, there should be eschars in the armpits and rf, you can take a look. If not, take off your pants and look at the lower body. I will push the flat car and take her for examination if there is any. Then go straight to the hospital."

Peng Yiming was stunned for a moment, seeing Zhou Congwen strode out, and Shen Lang trotted in to meet him, almost bumping into him.

Zhou Congwen pushed his shoulders, startling Shen Lang, and hurriedly dodged.

"Congwen, why did you come out?" Shen Lang poked his head inside and took a look.

"Examination, it's inconvenient for us." Zhou Congwen said in a deep voice, "Go push the flat cart."

"What happened to Manager Wang?"

"Looking at her condition, I highly suspect scrub typhus." Zhou Congwen said.

"What disease?" Shen Lang hadn't heard of it, and the knowledge learned in books had been forgotten for too long.

"Don't rush to explain, wait for the diagnosis." Zhou Congwen hurriedly strode to push the flat cart.

It was rare for Shen Lang to see Zhou Congwen in such a hurry, so he hurriedly followed behind Zhou Congwen to help.

When the two pushed the flat car back, Peng Yiming had already opened the door.

"Professor Zhou, there are two eschars near the left breast, about 2 x 2 cm in size." When Peng Yiming and Zhou Congwen reported, they were in shock. She didn't expect Zhou Congwen to predict it in advance as if he had clairvoyance. Manager Wang rf There was eschar nearby.

"Pick it into the car and go for an inspection," Zhou Congwen said.

"Professor Zhou, I'm fine, really fine." Wang Xueteng still wanted to struggle.

"It's not that you're fine, it's a big deal." Zhou Congwen said coldly, "No matter how you got here, do a checkup first. Do you have a medical insurance card?"

Wang Xueteng shook his head blankly.

"It's fine." Zhou Congwen took Wang Xueteng to do B-ultrasound and CT with a flat cart.

Shen Lang and Peng Yiming were taken aback by the objective inspection results.

Diffuse enlargement of liver and spleen; myocarditis; pneumonia with pulmonary edema; acute nephritis, suspected acute renal failure...

Zhou Congwen even added the diagnosis of shock when going through the hospitalization procedures.

Holding Zhou Congwen's bank card, Shen Lang went to go through the hospitalization procedures.

Before leaving, Zhou Congwen specifically told him to pay 20 yuan directly. This disease requires money to be used for fishing, and if there is little money, people will lose it.

20... Shen Lang thought of what he said to Zhou Congwen before that money was not of much use, and felt emotional in his heart.

Chapter 0886

After being hospitalized, he was directly admitted to the intensive care unit, where Zhou Congwen watched the various examination results and treatment.

It wasn't until around 20 o'clock that Wang Xueteng's kidney function improved significantly after hemofiltration, and Zhou Congwen felt relieved.

He also told the general manager of the ICU to call himself immediately no matter what the situation was, and Zhou Congwen left.

After leaving the ICU, Zhou Congwen shook his head.

"Congwen, wasn't Manager Wang well before he came here?" Shen Lang asked.

"At that time she was infected with chiggers." Zhou Congwen said, "Go eat something, I'm hungry."

After 7 or 8 hours of tossing all the way, even Zhou Congwen, who was not very interested in eating, began to make a fuss about eating.

"Dean Xiao and the others are still here, why don't we go together?"

"Together."

A group of people from the medical team came to a nearby restaurant. After sitting down, Xiao Kai saw Zhou Congwen's tired face, so he tentatively asked, "Professor Zhou, I heard that Manager Wang was ill this afternoon. What's the matter?"

"I didn't expect it." Zhou Congwen didn't answer Xiao Kai's question directly, but said something unexpected.

Xiao Kai didn't speak, just looked at Zhou Congwen, waiting for the next one.

"It is said that scrub typhus is rarely seen in winter. I asked carefully. Manager Wang recalled that there were several stray cats downstairs in her house. It is difficult for stray cats to survive the winter. Manager Wang is also kind and feeds cats every day when he is in the provincial capital. Feed the cat."

"Uh...feed the cat?" Shen Lang was surprised.

"Cats always want to stroke after they are familiar with it."

Shen Lang's face tightened, and he winked at Zhou Congwen again and again, indicating that Peng Yiming was still here.

Zhou Congwen was taken aback.

When did the word "cat" come into existence?Zhou Congwen tried his best to remember, but couldn't remember anything.

It is estimated that Shen Lang is thinking wrong, and must want to go to some ulterior place.

Zhou Congwen forced himself to calm down, forgetting the word licking the cat, and continued to explain, "Scrub typhus is divided into regions and time. In the area south of the Yangtze River, it belongs to the 'summer type', with the epidemic peak from June to August; in the area north of the Yangtze River, it belongs to the 'autumn type. 'October to November is the peak of popularity."

"It's late winter and early spring."

"Yeah, that's why I said I didn't expect it. If it was normal...forget it, fortunately, I found it early. Fortunately, Manager Wang took care and came to me directly after returning. If I take some medicine at home and delay the night, what will happen tomorrow?" The situation is really bad.”

Speaking of this, Zhou Congwen also sincerely lamented that a good man has a good life.

Wang Xueteng went out of her way to please herself, and immediately arranged, executed, and reported all tasks, and it turned out that she saved her life.

"Professor Zhou, is it contagious from wild cats?" Xiao Kai's expression was obviously ugly.

"Dean Xiao, do you have a cat?" Zhou Congwen asked.

"Yeah, so to speak... I feel flustered." Xiao Kai said.

Scrub typhus is quite rare in the Northeast, and even if it occurs occasionally, it will be treated as an unknown high fever.There are not many scrub typhus that can be diagnosed clearly.

But even if the diagnosis is clear, it is meaningless, and it is all symptomatic treatment.

"It's okay, don't worry." Zhou Congwen smiled, and took the menu to order.

"It's almost Professor Zhou." Xiao Kai laughed.

"When I'm hungry, my eyes are big and my stomach is small."

"Professor Zhou, please explain what's going on. When you talk about playing with cats...you get sick when you touch cats. I always feel that my kidney function is not good." Xiao Kai asked anxiously.

He learned very quickly, and his ears were also easy to use, so he directly said the word licking the cat.

Zhou Congwen smiled, "Scrub typhus, also known as scrub typhus, is an acute infectious disease caused by Rickettsia tsutsugamushi. It is rare in Northeast China. It is usually transmitted by rodents, mainly rats, but the probability is small It can also be transmitted by animals such as cats."

"I think Manager Wang is very dangerous. Many organs have failed. If it is later, the consequences will be disastrous."

"Yes, fortunately, I found it early." Zhou Congwen was still terrified, "I'm not joking, she can't feel the change in body temperature, and she's backed up all by herself. I guess I'll report to me, and I'm going to go home, take medicine and sleep. "

"It's also fortunate that I came here first, if I go home, her multi-organ failure has already begun to progress, and she may not be able to wake up early tomorrow morning.

She still rented a house by herself, and no one in her family knew about her death.I figured the body would have to rot to be discovered, and that would be a long time later. "

Saying that, Zhou Congwen glanced at Shen Lang, "It's better to get married, otherwise no one will find out if you die."

"..." Shen Lang was speechless.

Why did Zhou Congwen push himself to get married?

"Professor Zhou, how did you find out?"

"I can tell at a glance that Manager Wang is in a state of high fever, her conjunctiva is conjunctival hyperemia, and her skin is flushed. I suspected her before... After asking a few words, she said that she had a boil on her stomach. If it's not convenient for me, I'll ask Dr. Peng to take a look. "

Xiao Kai laughed, "Professor Zhou, you are so cautious, it's too much, too much."

Zhou Congwen smiled, this is what people who have never experienced the era of small composition would think so.

As for yourself, if a gentleman does not stand under a dangerous wall, but under the melon fields and plums, he still belongs to Party A's father, so he should be more cautious.

If someone manipulated him because of this, Zhou Congwen would not dare to think about what would happen after the boss knew about it.

If the boss is angry and has a brain hemorrhage... Then he should be reborn again, and I don't know if the little guy has replenished his energy.

"Be careful, some things can't be explained clearly." Zhou Congwen said seriously with an upright look on his face, "I didn't know the diagnosis at the time. When I saw the boils on my stomach, it was Manager Wang who made a mistake. There were many red spots and papules. In this way, the scope of diagnosis will be greatly narrowed."

The next thing Xiao Kai knew, Zhou Congwen went out by himself and asked Peng Yiming to untie Manager Wang's bra and check his underarms and rf.

In fact, if the breast surgery doctors are as cautious as Zhou Congwen, Xiao Kai still feels that it is too much to do the job.

But he thought so in his heart, but he couldn't say it out of his mouth. Xiao Kai asked, "Professor Zhou, I heard Yiming said that you directly judged that there is an eschar. This is..."

"Don't you know the characteristics of scrub typhus?" Zhou Congwen knew what Xiao Kai was thinking, and asked while looking at him.

"..." Xiao Kai was speechless and shook his head.

Scrub typhus does not belong to the treatment of thoracic surgery, and Xiao Kai does not know about it.

But Zhou Congwen just said something casually, and then explained, "Scrub typhus is not only divided into places and seasons, but also divided into men and women. Men often have eschar in the lower body near the groin, and women's eschar is mostly in the armpits and rf. This is very typical. The physical signs, the kind that can be known at a glance."

"Can we live through this day?" Shen Lang grumbled, "Hey, the wild cat almost died, this man, how fragile he wants to be."

"It's wrong for you to say that." Zhou Congwen said seriously.

Chapter 0887 Small Probability Events

"My boss and I returned to the Imperial Capital from Wellington Hospital, and met a patient." Zhou Congwen told Shen Lang about the patient with lung disease who was bathed in hot water in the Imperial Capital.

Shen Lang was dumbfounded.

Just swimming, can you get such a serious disease?

"That's it." Zhou Congwen said, "These are all low-probability events. Usually we hear a lot of gossip...emmm, mainly the gossip you like, you will cut the beginning and the end, and it will come out as frightening as it is."

"Yes!" Xiao Kai echoed, "Just like a storyteller, he always has to leave a button to attract people. This is also a kind of professional accomplishment."

"..." Shen Lang glanced innocently at Zhou Congwen, then at Xiao Kai.

In terms of terminology, this is called broken chapters, isn't it normal?A while ago, Shen Lang wanted to go to the starting point training class to learn this skill.

"For example, during the Chinese New Year, the vice presidents in charge of clinics of several hospitals in our Baishui City got together. Everyone chatted first, and they asked me about my further studies."

"Dean Xiao, do they care about your coming to study?" Zhou Congwen asked.

"Didn't I tell every hospital to help screen patients who can undergo small incisions and one-stop bypass surgery?" Xiao Kai said, "This kind of surgery is so high-end in our Baishui City, they all Never heard of it. Not to mention small incisions, one-stop, bypass surgery under extracorporeal circulation, only we in Baishui City can complete it.”

"Ha ha."

"In our case, those who can perform bypass surgery are awesome people, regardless of the postoperative effect. What about you, it doesn't count if you do it, the heartbeat doesn't count, and the single-lung and double-lung breathing during the operation doesn't count. You have to consider The long-term curative effect of patients 10-20 years after surgery is a myth for us.”

"Everyone is getting older, especially when they were young, some people drank a lot of wine and ate meat. Their bodies were badly damaged, their coronary arteries were somewhat blocked, and they were always thinking about having surgery sooner or later, so as to leave a kind heart. "

Zhou Congwen nodded, if Xiao Kai let this kind of thing go casually, then he would not be Dean Xiao.

"Ha, it's too far away, it's too far away." Xiao Kai laughed, "After talking about serious things, the few of them started chatting about some gossip."

Said, Xiao Kai glanced at Shen Lang.

Once you talk about gossip, you will definitely think of Shen Lang who likes such things the most.

"Someone said that in our Baishui City Vocational and Technical College, there is a student living a more casual life in the dormitory, and brushes his teeth with other students' toothbrushes every day."

"..." Shen Lang's eyes widened.

Peng Yiming just took a bite of the dish when he suddenly felt sick.

Li Ran raised his hand and pulled the corner of his mouth, showing a crying face.

"It's disgusting." Zhou Congwen said calmly, "When I was in school, some people in our dormitory were willing to use other people's toothbrushes."

"Psychopathic?" Peng Yiming couldn't take it anymore, and asked with a frown.

"Who knows, is he infected with Staphylococcus aureus?" Zhou Congwen asked.

"Ah?" Xiao Kai was taken aback, "Professor Zhou, how do you know?"

"it's common."

"Is there Staphylococcus aureus on the toothbrush? Or does it mean that two or more people sharing a toothbrush is prone to Staphylococcus aureus?" Shen Lang's fire of gossip was instantly ignited.

I've been very busy recently, so busy that Shen Lang has no time to gossip. Hearing such a sensational story, Shen Lang immediately cheered up.

"Whether a toothbrush is used by healthy or sick people, if it is used for more than 3 months, the toothbrush fluff will be filled with a large number of bacteria, including non-pathogenic bacteria and pathogenic bacteria."

"I know that." Shen Lang looked at Zhou Congwen, very dissatisfied with his answer.

Pen and paper are out, you tell me this kind of thing?Shen Lang looked at Zhou Congwen very unhappy.

"Toothbrush, I won't talk about how to use it. Sharing toothbrushes will cause the bacteria contaminated by the bristles to be infected through the oral cavity, especially when the user's gums or oral cavity are injured, the bristles are easily contaminated with blood, which increases the risk of infection."