blenderwars Chapter 368
Chapter 368
Chapter 368
【366】
“So, don’t panic, it’s just indigestion. I will prescribe some medicine and drink plenty of water… If you are afraid that there is a real problem, you can wait a few hours in the infusion hall to see if there are any problems…”
Lin Feng also didn’t say:
Too many cherries can cause iron poisoning! 【Chapter 91】
However, four or five catties can be eaten for two people, which is less than this amount…
The blood routine of the two people just now did not show that there was a problem…
The two young men scared themselves.
…
The next patient,
Just as Lin Feng was about to continue calling,
“Dr. Lin… the director is looking for you…”
A nurse walked in and said to Lin Feng.
“Ah? Ok… I’ll go over now, you talk to the nurse’s station, first stop and arrange patients for me…”
“good……”
Lin Feng left the clinic and went to the director Zhou Guofeng, who was his teacher.
…
Office of the Director.
Lin Feng knocked on the door and went in.
“Director, you are looking for me.”
“That’s it. There are still a few months of “0, 5 and 3″, and you will have completed the 3 years of training, but I checked the information you submitted, and you have not been to the two departments of gynecology and pediatrics… …”
“Yes……”
“You still need to go for a round… I will contact those two departments. You will take time to go for a few weeks. Of course, the emergency department also needs you, so you will come back from time to time…”
“OK……”
Lin Feng nodded.
…
…
at this time,
A pair of parents, hugging their 2-year-old daughter,
Walked into the Pediatric Specialist Clinic of Harmony Hospital.
They came from the neighboring province. Because their daughter’s condition was too difficult, the hospital in the provincial capital could not diagnose and treat them, so they came to Harmony Hospital specially.
The specific process is like this,
A month ago…
When she came back from the nursery school, she seemed to be infected with some cold virus, fever and runny nose.
First, I took my daughter to a city hospital. After some basic examinations, the doctor did a blood test.
Do blood routine and inflammation index…
After the results came out,
C-reactive protein (CRP) is a bit high.
C-reactive protein increases rapidly within a few hours after the onset of various diseases such as acute inflammation, tissue damage, myocardial infarction, surgical trauma, and radiation injury, and has a tendency to increase exponentially. When the disease improves, it quickly drops to normal again, and the increase is positively correlated with the degree of infection.
The general reaction is inflammation.
As a result, the patient prescribed antibiotics and antipyretics to his daughter.
but,
The effect is not good!
After taking the medicine, my daughter’s fever became more serious, the temperature reached nearly 40 degrees, and the interval was shortened!
then,
This time the parents took their daughter and went to the city hospital again.
As a result, the doctor said: CRP increased, but antibiotics did not work. The two contradicted each other.
This problem can only be solved by going to the provincial hospital, and their strength is not enough.
So the parents took their daughter to the hospital in the provincial capital.
Provincial City Hospital.
The doctor tried to prescribe broad-spectrum antibiotics to her daughter, but the effect was useless.
Then checked a series of reasons.
None of the inspections found any abnormalities and no cause was found.
In the end, it even took a few days to do a blood bacterial culture, and the result: no bacteria.
Derivation: No bacteria + antibiotics are useless-it may be a viral infection!
Paradox: C-reactive protein is elevated, but no bacteria.
Stumped the provincial hospital!
However, follow the “virus infection” check
result:
·All virus infection tests are all negative! !
Provincial City Doctor, it’s all Muggles now.
then,
Check the whole body again.
test result:
·No lymphatic, hepatosplenomegaly,
· No joint swelling,
·The heart, lungs and other organs are normal…
·Not bacteria…
·Not a virus…
Damn it! !
The provincial doctor is completely gone.
at this time,
The patient has had a fever for half a month, every time it is 40 degrees!
“Excuse me, Mr. Lin, we can’t do anything about your daughter’s illness. Why don’t you go to the Imperial Capital to take a look?”
The provincial doctor suggested to go to the imperial capital.
…
a week ago,
The couple took their daughter to the most famous hospital in the country-Harmony Hospital!
soon,
He entered the pediatric ward.
Then the pediatrician met to discuss what the disease was.
“This child’s disease is indeed very rare…”
“Bacteria does not support, viruses do not support…”
“I thought of a possibility-Kawasaki disease?”
Chief physician Zhang Boyu said so.
Another doctor questioned: “Kawasaki disease? Although it has a fever, it doesn’t match the patient’s symptoms?”
Zhang Boyu: “It’s okay if it doesn’t match, anyway, Kawasaki disease is dangerous and fatal, and the cure for Kawasaki disease is by injection of immunoglobulin. If the diagnosis is correct, serious cardiac complications can be avoided. If it is wrong, the treatment method is also harmful to the body No harm…”
At this time, another doctor said: “Could it be “juvenile idiopathic arthritis”? This disease is inflammation caused by the immune system’s antibodies attacking its own tissues. It is neither bacteria nor virus. It is in line with the patient’s feature……”
“what……”
“Makes sense!!”
“It’s really possible!”
After some discussion,
In the end, no other possibility could be found.
However, it can be regarded as a gain. Both “Kawasaki disease” and “juvenile idiopathic arthritis” may be 0 ……..
Chen Qing, director of pediatrics, made the final decision:
“Then “Kawasaki disease” and “Juvenile idiopathic arthritis” are treated together…”
“”Kawasaki disease”, just use “immunoglobulin shock”…”
If it is “Kawasaki disease”, as long as the immune globulin is injected, the fever will definitely go away!
“And “juvenile idiopathic arthritis” is tested with “cortisone”…”
Cortisone is a hormone that can suppress the immune system function. If there is a foreign source of infection, the anti-fever effect will be very temporary because cortisone cannot eliminate the source of infection; but if there is no foreign source of infection, the immune system attacks itself. The fever-reducing effect of pine is very obvious.
In the next few days,
Two treatments go hand in hand…
result……
Not satisfactory! !
“Kawasaki Disease”: Basically no effect…
“Juvenile idiopathic arthritis”: After using cortisone for 3 consecutive days, although it has a little effect, it did not eventually reduce the fever. This proves that it is not “juvenile idiopathic arthritis”!
In a flash,
Seven days passed.
The patient’s little girl still has intermittent fever.
In other words, until now, the little girl has had a fever for a whole month! !
…
Pediatrics,
The whole department is suffering from the little girl’s illness!
“Why don’t you find another department for a consultation?”
A doctor proposed.
“I agree……”
“Consultation can…”
At this moment,
Lin Feng, came to work in the pediatrics department.
One week.
“Dr. Lin… Are you on duty in our department?”
Lin Feng nodded: “The next week, please everyone…”
“Wow, that’s great!”
2.3
“Doctor Lin, I heard that you are coming, I made some snacks specially!”
“Doctor Lin, this is the chicken soup I personally stewed!”
“Doctor Lin, this is the Lean Pork Preserved Egg Island I have boiled for 3 hours…”
The nurse girls have already rushed up.
One by one, I don’t know where they came from, took out a bunch of delicious food and dedicated them to Lin Feng.
Lin Feng is accustomed to it and thanked him again and again: “Thank you all…”
Other male doctors: “………………”
Lift the table(╯‵□)╯︵┻━┻~~~
Why have we never encountered such treatment before?
at this time,
Director Chen heard the movement and walked out of the office.
When I saw Lin Feng, my eyes lit up.
“Lin Feng!”
“Director Chen…”
“Lin Feng, there is a patient here, we didn’t understand it, please help us to see…”
Director Chen knows that Lin Feng is well-known in other departments. He basically sees all diseases and performs all operations, and they are all very powerful.
perhaps,
Pediatrics Lin Feng is also very good at it!
. .