Back in 2002 as a doctor

Although what Zhou Congwen said was not rigorous, it was easy for the patient's family to understand.

"However, because the toxicity of this bacillus is relatively weak, the survival ability is relatively strong.

The Mycobacterium avium complex has strong resistance to heavy metals, disinfectants and antibacterial drugs, and is also resistant to high temperatures. It can thrive at a temperature of 52°C and requires continuous disinfection at temperatures above 55°C to kill. "

"That's not right." Lin Jian said immediately, "If the bacteria are infected, there must be a way, whether it is a skin break or something else."

"Do you know why I told you about Mycobacterium tuberculosis?" Zhou Congwen asked.

But he obviously just asked casually, and didn't expect Lin Jian to answer such a professional question.

Not to mention Lin Jian, this matter is placed in the Third Hospital of Jianghai City, and no one knows about the Mycobacterium avium complex.

If it was placed in the Second Hospital of Medical University, no more than ten people would know about it.

If Lin Jian could understand, he would have seen a ghost.

"The cells of this type of mycobacteria are hydrophobic, and can be preferentially atomized from water, and form aerosols with a diameter of ≤1 μm with water droplets, which can easily enter the alveoli and cause allergic reactions."

"Cold viruses also have a route of infection through aerosols. You can understand after thinking about it. With breathing aerosols, they enter the respiratory tract, and then enter the alveoli to cause allergic reactions."

Lin Jian looked at Zhou Congwen in a daze.

When Zhou Congwen talked about aerosols, what he thought of was the infectious disease many years later.

"The boss had a physical examination just now, and several people had slight abnormal reactions. I guess the nanny is the biggest problem. She should be responsible for the sanitation of the swimming pool."

Lin Jian nodded.

"The more exposure, the more severe the symptoms of infection and allergies. But they are young, your grandpa is older, and the toxicity of this type of mycobacteria is relatively weak, so they are fine."

"Uh……"

"The replacement swimming pool disinfection system has greatly increased the possibility of the Mycobacterium avium complex being atomized to form aerosols. And..." Zhou Congwen looked at Lin Jian with a smile.

"The filter system of peroxide and mixed ozone is a device produced in Germany in 1994, which is not the latest. The new device weakens the possibility of aerosol formation by the atomization of Mycobacterium avium complex, so I suggest you change it .”

Lin Jian listened in a daze. He could understand every word Zhou Congwen said, but he didn't know what it meant when it was connected together.

"In 1997, there was a case in the medical journal "Chest", which said that a young man was swimming every day, which led to inexplicable illness. But unfortunately, the doctor who received the treatment at that time still used anti-tuberculosis methods under the prompt of negative Mycobacterium tuberculosis treat."

"Are foreign doctors so unreliable?" Lin Jian subconsciously asked.

"Unknown cases are all tentative, and doctors and researchers are not gods." Zhou Congwen didn't care much about Lin Jian's doubts, he said with a smile, "After examination, the doctor also found that she had decreased pulmonary diffusion function, CT also showed diffuse ground-glass lesions.

After receiving isoniazid, rifampicin, pyrazinamide combined with ethambutol and other drugs, the patient still did not improve. "

"Finally, the patient underwent an open chest biopsy."

"Open chest?!"

"Yes, that's the way the technology was at that time. It's a little better now, 912 has... Boss, our hospital has alveolar lavage equipment, right?"

"I entered last year." Huang Lao said lightly.

"Alveolar lavage can be done first, and if it doesn't work, let's talk about it." Zhou Congwen continued to explain to Lin Jian, "In the case of "Chest", after the thoracotomy, the doctors found that there were many small non-necrotizing granulations irregularly distributed in the lungs of the patient. From the granuloma, doctors identified six acid-fast bacilli, including the Mycobacterium avium complex."

"Then check the swimming pool of the patient's home, and found this kind of bacteria, and finally confirmed the diagnosis."

"..." Lin Jian was speechless in a daze.

"That's pretty good." Huang Lao said, "I met a man from the old imperial capital. His hobby is taking a bath, and he pays attention to soaking his head in water."

"Going to take a bath with breakfast every morning has become a habit for many years. Later, when I got sick, I really searched for a long time to find the cause."

Listening to his boss's faint narration, Zhou Congwen felt emotional.

This is the clinical experience, the trace left by the years.

It is estimated that the boss also knows the cases on "Chest", but he can easily contact the patients he has treated before.

As a human being in two lifetimes, it is said that he is already at the level of an old monster, but he is still slightly worse than the boss in this respect.

"Zhou Congwen, do you know what inspections are required?" Elder Huang asked.

"Yes, boss." Zhou Congwen quickly replied, "Don't worry, there is a problem with alveolar lavage..."

"I'll do this. The equipment has just been installed, and not many people know how to use it." Mr. Huang interrupted Zhou Congwen.

"Hey." Zhou Congwen didn't explain to his boss.

Alveolar lavage is the most basic operation for me, but it is a new thing for my boss.

Chapter 0881

I contacted the environmental sanitation experts of 912 to do relevant inspections. With Mr. Huang present, the inspection results came out very quickly.

Mycobacterium intracellulare, Mycobacterium avium and Mycobacterium marinum were detected in the swimming pool water.

All of these mycobacteria belong to the Mycobacterium avium complex.

Seeing the results reported one after another, Director Lu of the Department of Respiratory Medicine once again verified an irrefutable fact—seek Mr. Huang for difficult and miscellaneous diseases.

After Zhou Congwen finished his work, Director Lu Zhang Luo sent Mr. Huang home to rest.

The old man was forced to come to the hospital as soon as he returned to China, and he was still waiting for the report of the test results before leaving. Director Lu felt very sorry.

But there is no other way if you don't look for it. The diagnosis has never been confirmed, and the patient's condition is getting worse day by day. Director Lu has no idea.

She originally thought that after Mr. Huang came, he would be able to leave after a diagnosis, and the patient was familiar with Mr. Huang and was an old friend.

But I didn't expect that in the end even the environmental sanitation experts who were rarely used by 912 were dispatched to solve the problem.

After sending Mr. Huang home, Director Lu apologized repeatedly, and then he let out a sigh of relief.

"Xiao Zhou, where are you going?" Director Lu asked.

"Check the air ticket, I'll go directly to the provincial capital." Zhou Congwen said.

"Don't rest?" Director Lu was a little bit trying to persuade him to stay and make friends.

"There's a lot going on at home."

"It's too urgent."

"It's okay." Zhou Congwen smiled, "Director Lu, don't feel too guilty, the boss is probably very happy now."

"happy?"

"Hot water bath lung disease is not common, the boss is probably smiling secretly now."

"What are you talking about? Hot water bath lung disease?" Director Lu repeated Zhou Congwen's awkward diagnosis.

It wasn't a previously diagnosed bacterial infection or allergy, hot tub lung disease... that sounded a little sleazy.

But the name of the disease is really simple to the extreme. As the name suggests, it is a disease caused by soaking in a hot bath.

"Yes." Zhou Congwen said, "Actually, similar situations happen in swimming pools are rare, and most of them are in our own bathtubs."

"And then there's the humidifier."

"What is a humidifier?" Director Lu asked.

"..." Zhou Congwen was speechless.

Was there no humidifier in China at the beginning of the 21st century?Countless question marks appeared in Zhou Congwen's mind.

However, this problem is incomparable with the clear memory of hot water bath lung disease that first appeared in an international journal in 1997. Zhou Congwen's memory of medical records far exceeds his memory of life.

"Hehe." Zhou Congwen smiled awkwardly, "Director Lu, the boss is getting old, you need to take care of him more."

Hearing what Zhou Congwen said, Director Lu didn't bother about what a humidifier is.

Now the young people say a lot and are weird. Once she heard a call from a family member of a patient in the corridor of the ward, saying that eight billion yuan should be transferred to the bank.

At that time, Director Lu took a careful look at the family members of the patient, and didn't think he was bragging, but said it casually.The most important thing is that when he mentioned 80 billion, he seemed to say [-] cents, and Director Lu immediately looked at him with admiration.

But when it came time to pay the hospitalization fee, the patient's family members were in a bit of a bind. Director Lu had been thinking about this matter for a long time.

Finally, I found out that the family members of the patient were talking about money from online games.

It is estimated that Zhou Congwen is also the kind who can't tell the difference between virtual and reality, and what humidifier is a strange new term.

"Xiao Zhou, when did Mr. Huang know you?" Director Lu asked.

"Time is not important, the white head is as new as before, that's probably what it means." Zhou Congwen said.

Director Lu knew that Zhou Congwen was fooling himself, but he didn't say much. Instead, he said with a smile, "I asked Lao Deng, and he has always praised you very much. Looking at it now, the way of diagnosis can keep up with Huang Lao. , Lao Deng's vision is indeed good."

After chatting again, Director Lu made a phone call and bought a ticket from a ticket dealer.

Zhou Congwen said he was very unfamiliar with this.

In his habit and memory, he can buy tickets by picking up his mobile phone, but now it is 2003, and he still needs to contact ticket dealers.

"Director Lu, you are really good at it." Zhou Congwen said with a smile.

"I don't know a few scalpers, and I can't even get out." Director Lu said, "For example, on trains 39 and 40 to your northeast, if you want to buy a sleeper berth, you must go to them. It's okay to increase the price, after all, I know Director of 912."

Zhou Congwen had a thought, and asked with a smile, "Where are our 912 registered tickets?"

"There are already people queuing up now." Director Lu said, "There are organized queuing and registration. It seems that there are two groups of people who fought twice for this. I don't know the final result, and I don't pay much attention to it."

"You have a ticket seller."

"Of course there is." Director Lu didn't shy away from it, "I see a doctor in the hospital, the registration fee is 15 yuan, they bring people to see the doctor, come to me after work, and see a 1200, you can see it for you."

"Hey." Zhou Congwen smiled. This is a contradiction between supply and demand, which must always be resolved.

After many years, Zhou Congwen saw that some hospitals were carrying out the activity of "seeing a doctor without asking for help".He thinks it is ridiculous, but similar activities are actually deceiving the common people.

It is definitely possible to see a doctor without asking for help, but it is not necessarily the case with whoever sees it.

Don't talk about your own boss, just talk about Director Lu's level, how many nails can you drive with a whole body of iron?

Without eating, drinking or sleeping, the number of patients who can see is less than one-thousandth of the number of patients flocking to the imperial capital in the whole country.

Everyone wants the best treatment, but there are only so many people at the top. If we really want to see a doctor without asking for help, we can only wait for the maturity of AI technology.

But before Zhou Congwen was reborn, he hadn't seen AI technology reach such a high level.

"912 is countless times stronger than the Second Hospital of Medical University in our provincial capital." Zhou Congwen said, "It can be seen from the registration."

"A lot of people sleep outside with their bedrolls, and they have to fight several times every day because of registration. Outsiders are bullied, but this is beyond our doctor's control." Director Lu sighed.

"The boat will be straight when it reaches the bridge, so that's it." Zhou Congwen said, "The boss, on the other hand, can't be used as a donkey for the production team."

"Hahaha, why do I feel that you love your boss more than Deng Ming?" Director Lu said, "Some time ago, I consulted Director Deng in the middle of the night, and the two of them pondered for a long time, but there was no result. I want to find Mr. Huang, Director Deng He just said that the patient's condition is not in a hurry, let's talk about it during the day."

"In the end, he was scolded by the boss, right?" Zhou Congwen asked.

"Well, I don't want to either. I know Mr. Huang is getting old. But the patient's situation is indeed a bit special... A family with an elder is like a treasure. Now Mr. Huang is in our 912, which belongs to the treasure of the town hospital."

While chatting, Director Lu went to a shop with a small door on the corner of Dashilan to pick up the tickets from a ticket dealer, and then sent Zhou Congwen to the airport.

At that time, the big fence was still very dilapidated, Zhou Congwen looked east and west, full of memories.

Lao Guo said that the place of cross talk is still singing operas. In a few years, before Lao Guo becomes famous, he must come to a small theater and listen to that tempered cross talk.

Chapter 0882 don't ask me so much

Zhou Congwen returned to the provincial capital, running around for days, and his body was a little tired.

I thought about going to the hospital to see the postoperative patient, and then go back to take a good bath and sleep.

Thinking of taking a bath, Zhou Congwen thought of hot water bath for lung disease.

But Zhou Congwen has already passed the stage of hypochondriac.

As a doctor, if you keep all these illnesses in your heart and want to get sick no matter what you do, your life will never happen.

Many people have asked Zhou Congwen, do all your doctors have cleanliness?

In fact, there are countless times fewer people with cleanliness in the medical circle than ordinary people. People with similar psychological problems are screened out early on, and they will definitely not be able to work in the clinic for more than five years.

On the contrary, the number of nurses with cleanliness is a bit more, but many of them are wandering around mental illnesses, which can be diagnosed or not.

The doctor also had a similar situation. Zhou Congwen once met a young man who was extremely intelligent, almost the type who could be recognized at first glance, and he was very interested in taking him.

But this young man is not suitable for medical treatment. Almost every time he takes the stage, he feels sick and vomits.

Zhou Congwen couldn't figure it out, it's just a lung, and he hasn't let him open his stomach to dig out shit, so what?

People are different, and this is something that can't be helped.