Sleepless Doctor

"Lao Lin, we just asked for a doctor, and there are two very important illnesses that we didn't ask. Do you know what they are?" Wu Mian asked.

"Little Master, don't test me, I don't know." Lin Taoshi said, "You just tell me and I listen."

"Sputum and stool." Wu Mian said.

"..."

"If I guess right, the patient's stool may be accompanied by a light green color, and I have occasionally experienced diarrhea recently."

"Don't be kidding." Lin Daoshi smiled, "Little Master, you are holding the snake gall and sticking it up, listening to it like a joke."

"Why do you think I just post it up?"

"The patient has been eating snake gall for more than 3 months, and it has been digested completely. Moreover, the snake gall is dark green, not necessarily the stool is dark green. Isn't it? You are what you need to eat, it's too straightforward." Lin Daoshi smiled.

"Lao Lin, do you feel that no matter what you say today, you are like a cat with its tail trampled on."

Just as Lin Daoshi wanted to refute, he was stunned.

The thought passed through his mind, and then he realized that if the little uncle Shi said in normal times, he would not have made so many opinions.

But today is different, I always intentionally or unconsciously want to refute the words of the little uncle. Strange, could it be because of Wei Dabao? !

Laoyashan is very close to Jianxie Hospital. The speed of the car is very slow in the middle of the night, but it also drove into the hospital compound within half an hour.

Li Zhong stood at the entrance of the inpatient department in the middle of the night, waiting for patients from Laoyashan. He had no anger and showed great docility.

"Ms. Wu, what patient?" Li Zhong went up for the first time and asked when he opened the car door.

"Patients suspected of spontaneous pneumothorax caused by pulmonary parasites, first go for CT, then go to the ward to lie down for oxygen inhalation, and take blood for testing. The cost...take my special fund for scientific research." Wu Mian said simply.

Li Zhong looked at Wu Mian in a daze, somewhat uncomprehending.

Pulmonary parasites refer to many parasites that spread to various parts of the human body through blood circulation, often stay in the lungs and cause disease.

The main parasite species is pneumocystis carinii, which is generally seen in...

It has nothing to do with spontaneous pneumothorax.

But Li Zhong didn't say anything else. The patient Wu brought in at midnight was diagnosed as soon as he got out of the car. Why did he make irresponsible remarks? If you discuss it with Teacher Wu here, you are sick.

After arriving at Jianxie Hospital, Li Zhong, who was nicknamed Black Bear, had already seen the situation clearly. There was only one department director in Jianxie Hospital—Mr. Wu.

No matter what department, it is Mr. Wu that has the final say. This is not an official document or a rigid rule, but the strength of Teacher Wu. Even the two deans are decorated, and they have to listen to Teacher Wu when they speak.

Li Zhong pushed the patient to do lung CT first, and soon the film came out. The patient had bilateral spontaneous pneumothorax, with 10% compression of the left lung tissue and 20% compression of the right lung tissue.

According to Wu Mian's doctor's order, Li Zhong took the patient to the ward, took a bed and placed the patient on his back and inhaled oxygen.

Sitting in Li Zhong's office, Wu Mian and Lin Daoshi were not busy.

Lin Daoshi also heard what Wu Mian said to Li Zhong after getting off the car. He wanted to recall information about lung parasitic diseases, but his mind was blank.

This is an uncommon disease. Even Li Zhong, who has worked in the chest department for decades, has not seen a few cases, so don't mention the two knives like Taoist Lin.

Wu Mian seemed to be thinking about something, without saying a word, the air in the office was slightly depressed.

Quietly, an hour passed like water.

There was a knock on the door, and then Li Zhong opened the door and came in.

"Professor Wu."

"Sit." Wu Mian searched with a smile, "How about the physical examination?"

"The patient has a few acne-like papules on the face and back; the breath sounds in both lungs are still stable, the left tactile tremor is obviously weakened, the left side of percussion is clear, the left breath sounds are significantly reduced, and no wet and dry rales, heart rhythm are heard All right, no pathological murmurs are heard in the valves."

"White blood cells 14.9×10^9L, neutrophils 0.55, eosinophils 0.118, and eosinophils directly counted 1.7×10^9L."

"The schistosomiasis antibody has not been reported yet, so wait."

"Yeah." Wu Mian looked at Li Zhong and asked, "Anything else?"

Li Zhong was contemplative, knowing that Mr. Wu's question was simple, but he was actually investigating himself.

"I think your diagnosis is correct." Li Zhong sat in a chair like an iron tower, but he didn't show any sense of oppression, but was rather meek and meek.

"First, the patient has a history of raw snake-eating gall, and the symptoms occurred after raw snake-eating gall."

"Second, the patient has intermittent sputum expectoration, and the sputum is heavy in color, which is rust-colored sputum. The amount is not large and the patient's description is unclear. I have asked the patient to retain the sputum and prepare for the test."

"Third, the patient has had abdominal pain and diarrhea symptoms recently, and the color of the stool is light green."

Lin Daoshi looked at Li Zhong in a daze. The key points he was talking about were exactly the symptoms of the patient who Xiao Shishu said in the car that he hadn't asked about the patient's symptoms.

Is it really spontaneous pneumothorax caused by snake gall bladder? ! Don't mention how awkward Lin Daoshi's heart is~www.wuxiaspot.com~ Whenever he thinks of Wei Dabao's wretched spirit, the injustice in Lin Taoshi's heart flourishes.

"Director Li, I will trouble you next." Wu Mian said.

"Mr. Wu, you are polite. I am going to observe the patient's status first and wait for the results of the parasite test to be reported. If the report is positive, give tinidazole, albendazole, mebendazole and other related treatments. Look...what else What do you need to do?" Li Zhong asked.

"Can give prednisone a few days."

"Okay." Li Zhong put his hands on his legs and replied earnestly.

"When will the parasite check be reported?" Wu Mian asked.

"Six hours." Li Zhong said.

Generally speaking, in several hospitals of the University of Medical Sciences, the return of parasites and other inspections in 3 days is considered to be fast, and most hospitals that can do this type of inspections require a week to return the results.

But Jianxie Hospital is different. Yishui’s latest inspection machine is extremely efficient.

"Then I will wait with Lao Lin." Wu Mian said.

Li Zhong didn’t understand why Mr. Wu insisted on pulling Lin Daoshi from Laoyashan. The patient’s diagnosis was clear. “Spontaneous pneumothorax” was caused by the damage of the bronchial wall when the worms invaded the small bronchus and involved the visceral pleura. Pneumothorax appears.

Now only symptomatic treatment is enough. After the parasites are resolved, the eroded bronchus will heal itself without surgical intervention.

In fact, this kind of patients is very reluctant to receive the thoracic surgery, but the composition of the department of Jianxie Hospital is not complete, and it cannot achieve the model of a large tertiary hospital.

But Li Zhong doesn't matter. Treat first, it's a lung parasitic disease, it's nothing difficult.

The most difficult part of this disease is to diagnose, because there are few occurrences, so the misdiagnosis rate is high. If it is in the University of Medicine, Li Zhong believes that there is a half chance of misdiagnosis.