This doctor has a system

Chapter 81 81. Lung Lavage

After work in the evening, Gao Feng waited for Li Xinyao in the department, and the two went to her house for dinner together.

"We're not married yet, isn't it good for me to go to your house every day for dinner?" Gao Feng was a little embarrassed.

"Then don't go." Li Xinyao let go of his arm.

"Why are you doing this?" Gao Feng lifted her up, "I'm just pretending to be polite, do you feel itchy when you say this?!"

Li Xinyao was lifted into the air by Gao Feng and tossed a few times, which made her scream in fright.

"Is it wrong?" Gao Feng asked.

"Wrong, wrong, let me go!" Li Xinyao softened.

When the two got home, Li's mother had finished cooking. After her daughter's life-long event was settled, she relaxed, and she was smiling all day long at work.Reminiscent of the valuable Ping An buckle, colleagues all said that she must have made a fortune recently.

During the meal, Li Xinyao asked about Aunt Gao Feng's grandmother, "Is the problem serious?" Now she is also very concerned about Gao Feng's family.

"Do lung lavage tomorrow to see if the symptoms can improve." Gao Feng replied, "We still need to find the cause."

"I'll go see her in two days." Li Xinyao thought for a while and said.

"Alright." Gao Feng didn't expect this.

Gao Feng got up early the next morning and went out to buy some food. At this time, Li Xinyao had just tidied up, and there were many steps for women to wash up.

The female patient who was diagnosed with brucellosis will be discharged from the hospital today. She has no fever in the past few days, and her general condition is very good, with signs of rapid weight gain.

Gao Feng prescribed some oral medicine for her, and told her to take it on time, and come back for a review during the course of treatment.

The patient's husband really sent a silk banner after 10 o'clock, and a plaque with 4 characters of superb medical skills, "This was written by Zhao Liyan."

It's a pity that he cast a wink at the blind man, and no one in the office knew who Zhao Liyan was.

"He is the vice president of our Provincial Calligraphy Association. The sign of Guanjiatun Subway Station was written by him." The patient's husband was very disappointed with the doctors. "You should improve your literary quality or something."

"Okay." Gao Feng followed the good advice, "Heavenly gift, hurry up and call the head nurse and the others to take a picture!"

A few people were holding plaques, others were holding pennants, Cheng Song and Qi Nannan also came to join in the fun.A Gui Peisheng took Zhang Tianci's mobile phone and snapped photos randomly.

"Are you ready?" Dong Qianqian asked, "This plaque is quite heavy."

"I'll hang this plaque on the wall of the office for you later." The head nurse just checked on the Internet, and it's not cheap to find President Zhao to write the adverb.

"Then hang it firmly." Dong Qianqian said, "This plaque is very heavy."

"Doctor Gao, take a step to talk." The patient's husband came over and pulled Gao Feng, "Let's go to the other side of the corridor and talk."

"It's really unnecessary, you're making me make a mistake." Gao Feng stood still, "I appreciate your kindness, this plaque has cost you a lot."

Seeing that Gao Feng was really unwilling to accept the red envelope, the patient's husband had no choice but to give up. On the way back to the ward, he even felt a little regretful. This exquisite red envelope cost him 20 yuan.

Shi Peiyuan, who came back from the inspection, looked at the pennant and the plaque, and felt uncomfortable. He had been working for so long, and he had received a pennant, which is still kept at home.

"What's the big deal, these are all empty-headed things." He quickly used Ah Q's spiritual victory method, and it has to be said that a high education still has an advantage.

One of the patients admitted yesterday was considered pulmonary mycosis, and he will also undergo bronchoscopy this morning.

This patient is a 64-year-old elderly man. Half a month ago, he began to develop symptoms of fever, cough, and sputum, with occasional blood in the sputum.

After 1 week of anti-infection treatment in the local county hospital, the symptoms did not improve, but he still had recurrent fever and chest tightness.A re-examination of chest CT found that the lesions on the lungs had increased a lot.

The doctor at the county hospital felt a little troublesome, so he asked him to come to the hospital in the city to have a look.

Gao Feng had seen his X-ray yesterday, and nine out of ten it was invasive pulmonary aspergillosis. It is not difficult to make a diagnosis by bronchoscopy, the key is treatment.

The mortality rate of this disease is as high as 60-80%. At present, voriconazole is the first-selected drug for treatment. The monthly fee is 1.

The treatment cycle for invasive pulmonary aspergillosis is also relatively long, and many patients need to continue taking medicine for several months.

In this case, the financial pressure will be very heavy, and the average family may not be able to bear it.Fortunately, the patent protection period of this drug will expire in two years, and many domestic pharmaceutical companies are closely watching this.

Dong Qianqian watched Gao Feng check the price of voriconazole on the computer, and immediately understood his concerns, "Don't worry, this patient's family is rich, and his son came to me yesterday, very proud."

"That's great." Gao Feng breathed a sigh of relief. He was really worried just now that the patient chose to give up the treatment.

At around 3:[-] in the afternoon, Gao Feng brought his aunt to the bronchoscopy room. Liang Congyue got everything ready, and an elderly doctor was in charge of anesthesia.

"Director Shi of our anesthesiology department was specially found for you. Before doing this, Director Shi was the one who performed anesthesia." Liang Congyue introduced to Gao Feng.

Gao Feng hurried up to greet him, and the two sides left contact information for each other.

Gao Feng's aunt was obviously a little nervous, and her blood pressure rose as soon as she lay down on the flat car, and her heart rate was also fast.

"Don't be afraid, you will fall asleep in a while." Gao Feng comforted her.

Director Shi worked very quickly. During the intubation, he specially asked someone to come over to watch the machine, and he was very cautious.

The principle of whole-lung large-volume lung lavage is to place a double-lumen bronchial catheter through the patient's mouth under intravenous compound anesthesia for bilateral lung separation.One-lung ventilation was assisted by a ventilator to maintain the alveolar ventilation required for metabolism, and large-volume lavage of the other lung was completed with normal saline.

Gao Feng even felt that Director Shi was the protagonist in this operation.He was only responsible for entering the bronchoscope into the patient's lungs, and then the assistant began to inject saline into it for lavage.

Soon Gao Feng took out the first lavage fluid with a bronchoscope, and the transparent saline turned into thick "milk".

The nurse specially prepared several transparent containers to store the withdrawn lavage fluid, lined up in a row, and you can see the lavage fluid slowly changing from milky white to transparent again, so that the other side can be lavaged Lung.

Liang Congyue even recorded the video with his mobile phone, "The last time I did it was a year ago, and that person's douche fluid is still stored in the back."

"Aren't you going to study in Germany? When are you leaving?" Gao Feng asked intermittently.

"The time has been changed to next month." Liang Congyue replied, "I'm still practicing German recently."

"How do you say I love you in German?" Director Shi asked curiously.

"Ich liebe dich", Liang Cong Yue said, sticking his tongue out.

"What's the point of parting overnight?" Director Shi repeated it twice, "Isn't German difficult to learn?"

"Easy to learn, simpler than English, its pronunciation is relatively fixed, and the grammar changes are not complicated." It seems that Dr. Liang Congyue has worked hard.

(End of this chapter)