My medical skills add experience

Chapter 329 My mom, it might be a family that I saved

After successfully diagnosing the little girl's cause, he let out a long sigh of relief.

Whether it's out of a doctor's sense of responsibility or sympathy for that sensible little girl, Zhou Can is particularly eager to solve this difficult case.Now it can be considered that the hard work has paid off, and finally there is a clear diagnosis.

On the first day of his formal consultation, he will not leave any regrets.

After the treatment, he continued to see other patients.

Near the end of get off work, the blue-faced little boy came back from the echocardiogram.

"Doctor, please show me the result!"

Little did the ecstatically confident mother realize that her child might be seriously ill.

Zhou Can took the inspection report.

The right atrium, left atrium, and left ventricle were all enlarged, respectively 27mm, 29mm, and 37.5mm.

The right ventricle was significantly smaller than the normal value, only 8mm.

Moreover, the patient's right atrioventricular valve and right ventricular inflow tract were absent.

Here is an explanation of the lack of this medical term.Deficiency refers to a certain organ of the body that should be there, but in fact it is not.It can almost be understood as a congenital deficiency.

Deficiency is an organ that was originally present and is now gone.

The child had a 16mm echo interruption in the middle of the right atrial septum, a 10mm echo interruption in the upper segment of the ventricle septum, and narrowing of the pulmonary valve and right ventricular outflow tract.The minimum inner diameter is only 3mm, the inner diameter of the main pulmonary artery is only 5mm, and the inner diameter of the left and right pulmonary arteries are 7 and 8mm respectively.

No wonder the skin of this child's whole body is cyanotic like this!
Breathing is like pulling a bellows.

The poor mother of this child is still boasting that her son's natural lung capacity is amazing.

It's really rare to see sons cheating their fathers and mothers, and mothers cheating their sons.

In addition to the above problems, there is a tubular communication diameter between the patient's aortic arch and the left pulmonary artery, about 4mm.And detected continuous blood flow through.

"Doctor, what's wrong with my son?"

Seeing that Zhou Can's expression became more serious, the woman also felt that something was wrong.

No matter how confident she was, she was somewhat worried at the moment.

"After examination, your son has congenital heart disease!"

Zhou Can looked up at the mother.

"What is congenital heart disease?"

She looked blank.

"It's a congenital heart disease." Zhou Can's expression was serious and his tone was low.

"This, is this impossible? Doctor, could you be mistaken? My son has always been fine, and he is almost four years old now. He really has a congenital heart disease. Why did he find out now?"

The woman refused to accept the diagnosis.

"Then look at other people's normal four-year-old children, is it already jumping around on the ground? But your child needs to be hugged all the time. Also, your son's height and weight should be among the four-year-old children. Substandard."

Zhou Can didn't dare to say too harsh words, for fear that this woman would get mad.

"My child doesn't like to move, didn't I tell you? That's because he was born with precious life, and Ziwei Xing came down to earth. You doctor is too young to understand anything. Forget it, I don't want you to read it, I'll find it Another older doctor will treat my son!"

As soon as the woman heard someone say that her son was not good, she immediately turned her face.

Such a wonderful mother is relatively rare.

Zhou Can didn't quarrel with her, and watched her angrily leave with the test results.

If it is other intractable diseases, it may be misdiagnosed.This little boy's congenital heart disease is so obvious, there is no way to misread it.

No matter which specialist she brought her child to for diagnosis and treatment, the result was the same.

The guiding nurse pushed the door open and walked in, closing the door behind her backhand.

"Just now that family member seemed to be angrily shaking his sleeves and leaving. What happened?"

"Her son was diagnosed with congenital heart disease by me, but she said that her son was born with precious life, Ziwei Xing was reincarnated, and scolded me for being too young to see a doctor. Let her go, with such an obvious congenital heart disease, which doctor should I go to? Look the same."

Zhou Can said indifferently.

"Hehe, that's how it is! Just don't be as knowledgeable as her. There are all kinds of family members. If you sit in the clinic for a long time in the future, you will meet even more wonderful family members. If you have something to do during the consultation, you can Call me anytime. Just sit outside, I can hear you. By the way, let me introduce myself, my name is Zhou Yanqing."

The guiding nurse was worried that Zhou Can would be complained about conflicts with the patient, so she came in to inquire.

"Okay, thank you! I didn't expect that we still have the same surname!"

Zhou Can smiled and nodded.

"Hehe, we were a family 500 years ago. It is indeed fate! I will ask Dr. Zhou to take care of me and help me. I will go out first!" She waved her hand and walked out of the outpatient room.

……

In Ward 0, there are usually no patients here, and its current use is more like a temporary isolation ward.

Only the sick grandparent and grandson stayed inside.

"Grandma, do you think that Uncle Zhou has forgotten us?"

The little girl's condition is relatively serious, and it has been almost a day since she went to the hospital for medical treatment, but she still hasn't made much progress.She kept asking them to check this and that, and she gradually lost her patience.

"No. Uncle Zhou is very busy. In addition to seeing a doctor for us, he also has to see a doctor for other people. Didn't he give you a new examination after four o'clock? This shows that Uncle Zhou has been working hard Diagnose you. It’s just that your disease may be complicated and not easy to diagnose, so we’ll keep us waiting.”

The quality of the old lady is very high.

With parents like this who are persuasive and persuasive, no wonder the children can be so good!
Seeing that the nurses outside had already started to change shifts, Zhou Can's figure had not appeared for a long time.

The old lady comforted her granddaughter with her mouth, but she was secretly anxious in her heart.

The little girl has fallen asleep beside her grandmother.

The nurse told their grandparents not to let them out of this ward.Because they are worried that their disease will be transmitted to others.

The grandparents and grandsons have always followed suit.

It was already time for dinner, and the grandfather and grandson seemed to be forgotten in this corner.

Lights were already on in the aisle outside.

Just when the old lady was in a hurry, a tall figure appeared outside the door, then opened the door and walked in.

"Doctor Zhou..."

The old lady stood up excitedly, and her granddaughter was also awakened.

"Uncle Zhou is here, finally here! I thought you forgot about us!"

Children are innocent and say what they think of.

Zhou Can was wearing a mask, but the corners and tails of his eyes appeared, and his eyes were narrowed into a slit, which meant that he was smiling.

"Hehe, how could I forget about my patient! I've been waiting for the results of the examination. If I don't find out the specific cause, my uncle wouldn't dare to give you medicine!"

Zhou Can smiled and took out several test results and handed them to the old lady.

"After multiple rounds of biochemical tests, your granddaughter has now been diagnosed with a new type of bunyavirus infection, which is contagious to a certain extent. It is mainly caused by tick bites. Natural infection with bunyavirus is seen in many vertebrates and arthropods Animals, including mosquitoes, ticks, sandflies, etc., can infect some mammals, birds and mosquitoes."

"This disease is mainly infected through blood. However, it is also possible to be infected through the respiratory tract, but the probability is very low."

After get off work, the little girl's pathogenic test results finally came out.

In her blood sample, the serum was obtained first, and the new bunyavirus was isolated from the serum.was finally diagnosed.

It is not easy to diagnose this disease.

Zhou Can also received 100 pathological diagnosis rewards for this.He is working hard to advance towards the sixth level of pathological diagnosis and medical skills.

If he can often get this kind of high experience value reward, I believe that within a few years, his pathological diagnosis and medical skills will be promoted to the sixth level.Reach the level of chief physician.

At that time, you will truly have the level of an expert.

10 experience points seem to be an astronomical number. If one or two such extremely difficult cases can be diagnosed every day, it only takes 1000 times to be promoted to the director level.

Moreover, when diagnosing common cases, each case can add 1 experience point.

Occasionally, if you encounter a case diagnosis with a higher difficulty, you can also get a reward of 10 experience points.

Therefore, the actual promotion speed will be faster.

But after all, it is at the level of a director, and it is the most difficult pathological diagnosis and medical skill to improve. It is normal for a short period of two or three years, and a long period of four or five years.Compared with ordinary doctors, his speed can be regarded as the speed of riding a rocket.

After hearing Zhou Can's diagnosis, the old lady couldn't help but wondered, "Xiaoya only spends time between school and home every day. How could such a simple life of two points and one line be bitten by ticks? Such insects should be in the wild. Only in the mountains and forests!"

She didn't question Zhou Can's diagnosis, but just wondered, where did the ticks come from?

You know, this is the capital city of the province.

Sanitary environment is quite good.

"That's exactly what I need to ask you. Didn't you faint once before? Judging from some of your symptoms, I suspect that you may also be infected with the disease. I would like to ask, do you have any small pets at home? Such as cats, dogs, pigeons and so on."

All Zhou Can could think of was that the pets raised at home had infected people.

Ticks are most common on cats and dogs.

Rural people call it a grass crawler or a mountain tick. Its body is flat and its shape is a bit like a spider.

It moves much slower than a spider, but is more terrifying.

Because it can secrete a neurotoxin to paralyze the bitten person, bite through the skin without you knowing it, and bury your head deeply in the meat to suck blood.After its stomach has sucked enough blood, it will swell high and swell like a drum.

If it is not detected in time, it will bite deeper and deeper.

When its body is forcibly pulled out, its body and head are very easy to break.The head is also deeply embedded in the flesh.

Therefore, after finding out that you have been bitten by it for a period of time, try to pull it out. If you can't pull it out, you must not force it.Seeking a doctor is the safest way.

Otherwise, its head is broken in the human body, which can easily cause viral infection.

"Uncle Zhou, my grandmother has a white puppy. He died of illness a few days ago. My grandmother is very sad."

The little girl provided an important clue.

Zhou Can's eyes lit up slightly, and it seemed that he was right, it was probably transmitted from dogs to humans.

Pet dogs are often held in their arms or live with them.

If you do not pay attention to the insecticide, the dog will have ticks on its body, and it will reproduce in large numbers and lay eggs.Couches and even beds in the home are very prone to ticks.Ultimately, the owner is bitten by a tick.

No wonder the old lady's eyes were red and swollen from crying.

I thought she was crying because she was worried about her granddaughter's condition.Now it seems that she may be crying because of the death of her pet dog.

"But my white puppy has been dead for several days! How can it still infect people?"

The old lady was still very sad when she mentioned her puppy.

"The infection probably happened long ago, and it's just that obvious symptoms appeared in the past two days. I even suspect that your puppy may have died of the disease."

Zhou Can explained.

"Oh...it's all because of my confusion! At that time, I saw that the puppy didn't eat much dog food and was not in good spirits. I thought it was just a common cold or something. Two days later, it died suddenly. If At that time, I took it to the pet hospital to see a doctor, maybe it would not die."

The old lady didn't care about her body, but was full of self-blame, and didn't take the puppy to the pet hospital to see a doctor in time.

There are many people who keep pets, because they like pets very much and treat them like children.

Although Zhou Can is difficult to understand this point, he does not object.

Animals are friends of human beings. What the earth's ecosystem needs is the harmonious coexistence of human beings and nature, and other creatures.Dogs are the most loyal friends of human beings. They guard the house, protect the owner, and are loyal to the owner. These qualities are deeply loved by humans.

Seeing that the old lady's eye circles started to turn red again, if no one enlightened and comforted her, she might still shed tears.

Zhou Can quickly comforted him and said, "It is very difficult to detect the new type of bunya virus. Even if you sent your pet dog to the hospital, it would be difficult to find out the cause. You see, even a provincial-level third-level hospital like our Tuya Hospital It took a lot of effort to find out the cause of the disease, and pet hospitals don't have this condition at all!"

After hearing this, the old lady seemed to feel better.

Still kind of sad though.

"You may also be infected with this disease now. It is best to register and get a blood test. If this disease is not treated in time, it will be life-threatening. Take your granddaughter as an example, there has been a warning sign of kidney failure. Urinary protein 4+, it’s already very serious.”

Zhou Can distracted the old lady's attention.

Human life is definitely worth more than the life of a pet.

That puppy is dead, and the most important thing now is to ensure people's life and health.

"Chengchengcheng, I listen to you, and I listen to you. Fortunately, I found you to see a doctor this time, otherwise my granddaughter and I would be in danger!"

The old lady also reacted at this time.

Realizing that the lives of himself and his granddaughter were seriously threatened, he quickly asked Zhou Can to help them diagnose and treat them.

Zhou Can registered for her, but he didn't mention the blood test.

Her granddaughter was directly admitted to the infection department.

The new bunyavirus infection is far more dangerous than imagined.Occasionally there will be news reports that in some rural areas, even the dead old people are scrubbed and changed into shrouds, leading to infection.

In the end, not only someone in the family of the deceased showed symptoms of infection, but even the person who changed the shroud, as well as his family members, were also infected.Because the symptoms of this disease are very similar to those of a cold, the health awareness of rural people is relatively weak.

A little illness will not go to the hospital.

After dragging on for a few days, his condition deteriorated rapidly, and it was already too late when he was sent to the hospital.

Because of this disease, there are occasional reports about the strange deaths of many people.

Zhou Can successfully diagnosed the cause of this little girl, which is of great significance.At least two lives were saved.If it cannot be diagnosed in time, the old lady's children and relatives come to take care of the grandparents and grandchildren, and they may also be infected.

For this family, it is definitely a huge harm.

By the time he finished handling the old lady's consultation work, it was already past seven o'clock in the evening.

Being a doctor is really busy.

He hasn't had dinner yet.

He has one more thing to do.All the way to the doctor's office, most doctors have already left work at this moment.Only the two doctors on the night shift were busy.

It seems that Director Tang Fei has already left work.

He decided to call and report the matter anyway.Because there are many doctors and nurses in contact with the old lady today.The main reason is that after the old lady fainted, when everyone worked together to lift the old lady onto the flat bed and transported it away, there was a lot of physical contact.

After the call was made, it was connected quickly.

Before Zhou Can could speak, Director Tang Fei spoke with a smile.

"Is Dr. Zhou off work? I saw your performance today, it's very good!"

It was a compliment from the very beginning, and Zhou Can really couldn't stand it.

But it can also be seen that Director Tang is very satisfied with his work.

Winning the first battle is also Zhou Can's pursuit.

"Hehe, you're overwhelmed! I'm still bothering you now, but I have something to report to you!" Zhou Can responded with a smile.

"There is no interruption. You can call me at any time if you have anything to do in the future. Don't feel embarrassed, you know?" Her attitude towards Zhou Can has changed from being dismissive before to being extremely warm and friendly.

"With your words, I can really worry about bothering you in the future! Today I received a patient whose symptoms were highly similar to those of a cold..."

He reported what had happened.

"I know about this matter. Director Yan mentioned it to me. I just didn't expect that the patient was infected with a virus, and it was a terrible new type of bunya virus. I will immediately notify all the medical staff who have been in contact with the patient and do it Good prevention work. Thank you very much for your kindness for their sake, as well as your high sense of responsibility and vigilance."

When Director Tang heard that it was this disease, he also attached great importance to it.

(End of this chapter)