Back in 2002 as a doctor

"Little doctor." The equipment nurse looked at Zhou Congwen, the face exposed outside the mask... was not handsome, but rather heroic.

Vibrant.

The little nurse felt her heart beating faster, and her face blushed unknowingly.

"Huh?" Zhou Congwen narrowed his eyes.

Squinting your eyes is really pretty, the eyebrows are curved yet tough, the little nurse thought to herself.

"Don't talk nonsense. Although I didn't graduate from a bachelor's degree, I have been in clinical practice for four or five years. How come I haven't heard of antibiotic encephalopathy. Antibiotics are allergies, so how can I have encephalopathy?"

The little nurse asked shyly.

Her voice is no longer as loud as before, but is similar to whispering in the ear.

The pungent style of the nurses in the operating room disappeared in an instant.

"Oh, although it's not common, we thoracic doctors basically know that there may be problems with oral isoniazid." Zhou Congwen replied indifferently.

we……

Thoracic...

He said this, as if Director Hao was not a thoracic surgeon, the anesthesiologist and the nurse remained silent.

"As for the specific principle..." Zhou Congwen pondered for a moment.

"Cut, I can't tell." The little nurse scolded softly.

The anesthetist almost bumped his head on the table in front of him.

Just by hearing the voice, he knew that the little doctor had already captured the little nurse's heart inadvertently.

It is estimated that it will be no problem for the equipment nurse to follow Dr. Zhou during the operation.

"That's not true, it's just that the theory is rather boring, and I'm afraid you'll get tired of listening to it." Zhou Congwen said.

"What are you talking about?"

The little nurse's last tone was melodious and tender.

"First of all, antibiotics may interfere with the function of central nervous system inhibitory transmitter γ-aminobutyric acid receptors, leading to antibiotic encephalopathy."

"Secondly, antibiotics inhibit other neurotransmitters, leading to decreased chloride conduction at the synaptic level and neurological symptoms."

"third……"

"fifth……"

"No.12, inhibiting central nervous cell Na+-K+-ATPase, reducing the resting membrane potential, increasing extracellular potassium concentration and other mechanisms, increasing the excitability of neurons, resulting in the symptoms of antibiotic encephalopathy."

"Basically, that's all. Based on what Director Hao said, I estimate that the patient is highly likely to have antibiotic encephalopathy."

Zhou Congwen finally made a conclusion.

Although his words are still possible, seemingly, and highly probable, and full of doctor's logic, twelve consecutive theories support what the anesthetist and the nurse said.

Believe it or not this time.

The little nurse looked at Zhou Congwen with peach blossoms in her eyes, full of spring.

The anesthesiologist was a little surprised, "Doctor Xiao Zhou, is your Baishui City's medical level so good? By the way, you are so good, does your director know? What are you here to study? Tease my nurse?"

"Hehe." Zhou Congwen smiled lightly.

While chatting, Director Hao walked in, and he asked, "Xiao Zhou, the director of neurology asked how he made the diagnosis."

Zhou Congwen thought for a while, "Director Hao, let me tell him."

As he spoke, Zhou Congwen poked his head out of the sterile area, and Director Hao put the phone to Zhou Congwen's ear.

"Hello."

"Oh, that's right." Zhou Congwen cleared his throat, "I haven't seen the patient, so I just offer an opinion for reference."

"Drowsiness, confusion, restlessness, aphasia, chorea, athetosis, epilepsy, myoclonus and coma and other encephalopathy symptoms occurred during the use of antibiotics.

At the time of onset, blood biochemical and cerebrospinal fluid examinations were normal, but brain MRI and EEG may be abnormal. Symptoms can be relieved or disappeared after stopping the corresponding antibiotics. "

"At the same time exclude other causes, such as encephalitis, cerebrovascular disease, infectious toxic encephalopathy, water-electrolyte and acid-base balance disorders, uremic encephalopathy, hypertensive encephalopathy, metabolic encephalopathy, dialysis imbalance syndrome and the use of other drugs. Neuropsychiatric symptoms can be considered antibiotic encephalopathy."

"Yes, we're doing surgery here, we'll talk about it later when we have something to do."

"Treatment." Zhou Congwen paused.

"There is no specific treatment. After stopping the drug, the patient's symptoms will be relieved, and the patient will basically recover. If there is abnormal renal function, dialysis can be given symptomatically."

"Yes, usually it will be relieved within 12-24 hours, so it's better to be sure. If you are not sure, you can suspend the use of antibiotics, and you can think of other ways. When the results of other tests come out, this side should know whether it is true or not."

"Okay, then I'll do the surgery on this side."

After speaking, Zhou Congwen raised his head and glanced at Director Hao.

Diagnosis and treatment, everything went smoothly. Director Hao had nothing to say and could only hang up the phone.

He silently looked at Zhou Congwen with a look of surprise.

"The complications I learned about when treating tuberculosis." Zhou Congwen explained casually, "It's very simple."

Very simple, Director Hao burst into tears.

I am the director of a department, so I can be said to have rich clinical experience.

But I have never heard of any damn antibiotic encephalopathy!Zhou Congwen, he... Director Hao looked at Zhou Congwen with complicated eyes.

Accidentally, he pretended to be there.

"Little doctor, do you still treat tuberculosis?" The little nurse looked at Zhou Congwen with peachy eyes.

"Basically, we also see some patients with tuberculous pleurisy. Although this disease will go to the infectious disease hospital, but...you know our clinical situation." Zhou Congwen smiled.

He felt that the little nurse was looking at him wrongly, so he changed the topic as quickly as possible.

"Speaking of tuberculosis, this disease is quite interesting." Zhou Congwen said with a smile, "Sister Lin has tuberculosis. In fact, in terms of aesthetics, it is similar at home and abroad."

"Who said, their... aesthetics seem to be much worse. I see any international supermodels in foreign countries, from our Republic, they all look ugly."

"That's a stereotyped prejudice, they did it on purpose." Zhou Congwen said, "That group of people is just that virtuous, don't bother with them."

"..."

"Foreigners also think that the clinical symptoms of tuberculosis are beautiful. Pale and thin are beautiful, just like sister Lin."

Chapter 1320 Are You The One From The Hospital Next Door?

"Don't be kidding."

"Really." Zhou Congwen said, "In the 18th century, some Europeans were proud of having tuberculosis. In order to get tuberculosis, they didn't eat and wear less clothes in winter, just to starve and freeze, and got tuberculosis."

"!!!"

"However, the method mentioned above can only catch colds and pneumonia, which is far from tuberculosis. So they even deliberately contact tuberculosis patients in order to get sick."

"Really? Are they sick?" The little nurse looked adoring.

She has been dizzy by Zhou Congwen's few words.

"Of course it is true, you know Dickens." Zhou Congwen asked, "The one who wrote Oliver Twist and A Tale of Two Cities."

The little nurse was a little confused, but she was embarrassed to say that she didn't know, so she nodded as if she knew.

"Death from tuberculosis was even described by Dickens as admirably graceful."

"Uh……"

"White and thin, who knows when this kind of aesthetics emerged." Zhou Congwen shrugged.

"What kind of three views are these?" the anesthesiologist was puzzled.

"Syphilis became a popular infectious disease after tuberculosis." Zhou Congwen began to gossip, citing classics, "French writer Maupassant has long devoted himself to multiplayer sports, and when he finally found out that he had successfully contracted syphilis, he was ecstatic."

"!!!"

"!!!"

Director Hao smiled helplessly.

He probably knew a little about syphilis, but he couldn't do it clearly like Zhou Congwen.

"Maupassant wrote excitedly to a friend after he had syphilis himself - you'd never guess what my doctor had just discovered on me, pimples! pimples! big pimples! King Francis I dead That disease. Magnificent pox, pure and simple, exquisite syphilis! I am proud of it!"

"Are they sick!"

So the discussion about syphilis began again in the operating room.

Zhou Congwen began to describe the "artistic temperament" and "attractiveness" of syphilis, dragging the topic out of the blue.

Listening to Zhou Congwen's nonsense, Director Hao's heart fluttered.

His mind has been on the patient, uneasy, wondering what to do if it is not the so-called endometriosis.

Zhou Congwen, on the other hand, was extremely relaxed, driving fast but always felt that he was not full of dirty jokes.

No wonder the Second Hospital of the Medical University said that Professor Zhou was an old hooligan, and the rumors were sometimes quite accurate.

Fifteen minutes later, the phone rang and the roving nurse ran out to answer the landline.

Soon, the roving nurse's roar came from outside, "Director Hao, the frozen diagnosis is very likely to be endometrium!"

The voice was rough and echoed, and everyone in the corridor in the operating room heard it and were startled.Director Hao is the director of the chest department, why is he still dealing with the uterus?

After hearing the roar of the itinerant nurse, Director Hao's hands and feet went limp, and he almost didn't sit on the ground.

Zhou Congwen's diagnosis is correct!

It is indeed endometriosis.

Director Hao wanted to say something, but he didn't know how to say it.

After thinking for a while, Director Hao was about to open his mouth when he saw Zhou Congwen turn around and step down from the stage.

"If that's the case, I'll leave." Zhou Congwen said.

"..." Director Hao looked at the empty operating table and was dumbfounded.

Usually, this is the only way to do it yourself, which is the prerogative of the director.And the situation in front of me...

Director Hao was speechless.

But Zhou Cong, a scholar with tall legs and long legs, strode out of the operating room with no regrets at all.When Director Hao was in a daze, he saw Zhou Congwen's figure was about to disappear.

He quickly chased after him.

"Xiao Zhou!"

"Huh?" Zhou Congwen turned his head and looked at Director Hao suspiciously, "Can't the surgery... be done?"

Director Hao almost choked on Zhou Congwen's words.

Especially the inexplicable surprise in Zhou Congwen's eyes made Director Hao feel ashamed.

"Really?" Zhou Congwen was also stunned seeing Director Hao's astonished expression.

"Where there is anything, I can do it." Director Hao waved his hands again and again, he walked out of the operating room, saw no one around, and said in a low voice, "Professor Zhou, thank you."

"You're welcome, hurry up and close your chest." Zhou Congwen said with a smile, "I'm going back."

After speaking, he shook hands with Director Hao and walked away.

Director Hao was in an extremely complicated mood, and watched Zhou Congwen leave.

He returned to the operating room in a daze, and the itinerant nurse asked, "Director Hao, your trainee doctor has a temper. I have never seen a trainee like him. Why did he throw the director on the stage and leave by himself?"

Director Hao was speechless.

The anesthesiologist took a deep look at Director Hao and asked, "Director Hao, is that the one from the hospital next door?"

"!!!"

Director Hao scolded his mother in his heart, but he still didn't speak.

The equipment nurse was young, and her mind was full of hormones. She was already dazzled, and she didn't pay attention to the meaning of the anesthesiologist's words.

She wondered, "What hospital next door, isn't it our trainee doctor?"

Director Hao brushed his hands again, feeling a little depressed.