This doctor is not short of money

Du Heng sneezed without warning, and almost sprayed his saliva on the case book in his hand.

"Suck~~~ suck~~~"

Quickly sniffed his nose twice, then rubbed his nose vigorously, and then murmured, "I thought about it, scolded me for a cold, and then I sneezed. Someone must be missing me."

After muttering, Du Heng once again focused on the medical records in front of him.

Slowly reading line by line, slowly turning page by page, Du Heng read it extremely seriously, even after reading a case book, he would read it word by word from the beginning again.

It's just that as the reading time increased, the doubt in his eyes did not decrease, but became heavier and heavier, and even the vertical lines between his eyebrows deepened a little.

can not read it?
There are indeed reasons for this.

But this is not the main reason, at most it is the meaning of some words in it, which makes him a little confused or puzzled.Even if you search on your mobile phone, sometimes you can't find an explanation that is very fluent with the context.

But this does not prevent him from understanding the whole passage.

The reason why he frowned was because from the few existing cases, he didn't find much in common, and there was still convincing evidence.

Are you wrong?

Du Heng put down the case in his hand helplessly, pinched the bridge of his nose and slowly rubbed it up and down.

For the time being, no useful clues were found in the case, but this made the suspicion in his heart even more aggravated.

But suspicion also needs evidence, so after a short thought, Du Heng put away the medical records in his hand and prepared to go to bed, intending to look for more cases tomorrow.

In the next few days, Du Heng looked for the medical records left by Dr. Mba, and at the same time he also asked Odong for help, hoping that his personal doctor could also provide some records of similar cases.

With Ao Dong coming forward, a large number of case records appeared in front of Du Heng. He thought that with so many case records, his guess would be confirmed as soon as possible.

But with the increase of case records, Du Heng became more and more painful.

Because these cases, in addition to a small number of records in English, more are recorded in French as the main language, and there are even individual cases recorded in German or even local languages.

The cases in English have already made Du Heng drink a pot. As for the cases in French and other languages, Du Heng's head is directly confused.

Because he can't understand it at all.

What should I do if I don't understand?
Of course I had to find an interpreter, and Dede was able to handle this job.

But in this way, the slow work efficiency drove Du Heng crazy.In four days, he read less than ten cases in total.

TMD, give up, love someone.

Du Heng pushed the cases on the table hard, leaned back on the chair and began to relax.

"Are you busy?" Suddenly, the door of the consulting room was pushed open, and Li Chengzu walked in with a smile.

Du Heng sighed and sat up, "I'm just looking at the medical records, nothing to worry about."

Li Chengzu gave a soft oh, and walked up to fiddle with the scattered medical records casually, "You have been looking at this for four days, have you found anything useful?"

This is really which pot is not opened and which pot is lifted, Du Heng glanced at Li Chengzu lazily, "No."

"No way?" Li Chengzu lifted his buttocks and sat down on Du Heng's table, "I see that you have been looking at the medical records day and night these days, and you really didn't find anything?"

"I found out that there is, but it's useless." Du Heng looked at Li Chengzu's buttocks on the desk, and closed his eyes speechlessly.

"Tell me, it might be useful."

"There are more than 3000 cases of pneumonia recorded in the past three months. From the beginning to the present, there is an increasing trend. However, there are only a few hundred cases of pneumonia turning into pulmonary hemorrhage. Of course, this also occurs in an increasing manner, and most of them are concentrated in the last month and this month."

After hearing Du Heng's words, Li Chengzu immediately followed up and said, "I'll go, this will be very useful, okay?"

Du Heng smiled wryly, "It's useless, it's useless at all.

First of all, is there an inevitable connection between this pneumonia and pulmonary hemorrhage?

Not sure.

Second, if there is a necessary connection between them, how does pneumonia turn into pulmonary hemorrhage?Also, why do most people not develop pulmonary hemorrhage due to pneumonia?

Third, if it is really an infectious disease, what is the route of transmission? "

Du Heng sighed helplessly, "What can be confirmed now is that for the patients whose pneumonia has turned into pulmonary hemorrhage, up to now, according to the statistics of all Muira's medical institutions, none of the patients has survived.

According to Dede's inquiry, among the patients who died of pulmonary hemorrhage, among their relatives or people who worked with them, there were people who developed pneumonia, but there were no patients who died of the same pulmonary hemorrhage.

Therefore, the route of transmission cannot be determined, and it is not even possible to determine whether it is an infectious disease. "

Li Chengzu frowned and said slowly, "Pulmonary hemorrhage is caused by the rupture of capillaries in the lungs, but this needs an inducement, and even if it happens, it is impossible to directly develop into a severe case of mouth and nose vomiting, and so far, no case has survived, which itself is problematic."

"Where's the evidence?" Du Heng spread his hands helplessly, "Now the competent authority here doesn't pay much attention to it, and the inspection equipment is too outdated, so it's impossible to get a rigorous and detailed inspection result.

And I don't have such a patient in my hand, so I can't do a detailed examination and judgment at all.

Dede and I are the only ones investigating this matter. We simply don't have the time and ability to do the traceability work without delaying our normal work. "

Du Heng smiled wryly, "Okay, let's not talk about this matter anymore, the more we talk, the more annoying it gets. By the way, what do you need from me?"

"I almost forgot the business." Li Chengzu suddenly lifted his butt, got down from Du Heng's table, looked at Du Heng seriously and said, "I have a patient, I'm a little uncertain, I want you to help me see it."

Du Heng leaned back a little speechlessly, "No, you're the one doing the surgery, come and have a look at me, isn't this purely funny, and I don't know how to do surgery."

"Oh, I didn't ask you to have an operation, nor did I ask you to dictate the operation. It's this patient. We are a little uncertain whether to have an operation or not."

Point fingers?

Using it this time made Du Heng immediately want to throw Li Chengzu out.

"If you want to say it, say it, don't say it."

"Look at you, why are you so impatient." Li Chengzu didn't care at all why Du Heng was upset, but he didn't talk nonsense, but simply said, "A few days ago, a patient with abdominal pain came, and after examination, it was found that the patient's spleen was whitish.

The doctor at the hospital here judged that it might be a tumor and said that he would operate on the patient.

But after I checked the film repeatedly, I didn't think it was a tumor, but rather an infection. "

Du Heng glanced at Li Chengzu up and down, and said with a hint of doubt, "Director Li, although you are an expert in orthopedics, I believe you have the ability to remove a gallbladder or cut a simple tumor.

But you said that you can understand the internal medicine films and judge whether it is a tumor. Why do I not believe it? "

"Fuck off, it's not like you haven't seen it before, and you still don't believe it. There's so much bullshit." Now Li Chengzu was upset, "I'm just here to ask you to take a look and help judge."

Regardless of whether Du Heng agrees or not, he just turned his head and left, and at the same time muttered, "I still need you to admit my skills? Funny!"

Du Heng smiled lightly, but didn't speak, just went out with Li Chengzu.

"Director Du, don't just look at it. Is it a tumor?" In Li Chengzu's office, seeing Du Heng staring at the film without speaking, Li Chengzu began to urge him, "If it's not a tumor, but an infection, then it will be considered an accident if it's not a tumor or an infection."

Du Heng took a deep breath, his eyes were a little hesitant, "I don't think it looks like a tumor, nor does it look like an infection."

Li Chengzu also looked at the film, and subconsciously continued, "But this place is so white now, if it's not a tumor or an infection, it's necrosis."

Du Heng stared at the film and nodded, "I think it looks a bit like it, and it's the kind with severe necrosis."

"What do you mean a bit like?" Li Chengzu looked at Du Heng and asked, "Say it directly."

Du Heng slowly put down the film in his hand, and after looking back at the other doctors in the hospital, he turned to ask Li Chengzu, "What do they say, it's a tumor?"

Li Chengzu immediately glanced at the people Du Heng mentioned, and then said with a smile, but in a helpless tone, "Let me just say this, the people in front of you are not as good as the doctors in our domestic health centers.

Of the five people in front of you, there are only two who can see where the film was shot. You really count on them. "

Du Heng smiled and glanced at the people around him, "No, if you say that about them, you're not afraid of being beaten to death by them?"

"Don't worry, they don't understand what we're saying." Li Chengzu smiled at the crowd as he said, and then said to Du Heng, "Stop talking nonsense, and quickly tell what you saw."

Du Heng stroked his chin and said slowly, "This film is really blurry, and as far as my level of watching films is concerned, the difference between watching and not watching is really not that big.

But if you ask me to say it, I think this position is very much like a bone.

Look, isn't the white appearance here the same as the white appearance on the side rib? "

Li Chengzu was stunned for a moment, and then said a little annoyed, "No, you are also a special needs expert in China anyway, and you don't know how to speak, so you just talk nonsense.

Although this. . .This color is very similar, but this location is the spleen, how can there be bones in this place?Where is your anatomy?
The spleen grows bones, what do you think? "

Du Heng immediately made a very speechless expression to Li Chengzu, "I mean like a bone, I didn't say it must be a bone.

Is there a possibility that there is calcification at this location, so it will show the same result as the bone? "

After hearing what Du Heng said, Li Chengzu frowned immediately, "Calcification? Can the spleen be calcified? Have you seen it before or heard of it?"

Du Heng shook his head bluntly, "I've never seen it, but I've learned that calcification of the spleen is caused by calcium deposits. Chronic inflammation, splenic tuberculosis, splenic infarction, splenic trauma, or tumors may all cause splenic calcification."

"It's really okay." Li Chengzu's eyes moved between the film and Du Heng hesitantly, "You can see this clearly, if it is calcification or tumor, according to the current situation, it must be surgically removed.

But in case of infection, no surgery is needed, the difference is too big. "

Du Heng shrugged, "I just said that the quality of this movie is not good, and I really can't give you a definite answer based on my level of watching movies.

However, can you let me see the patient and let me check it first, maybe I can give you a positive answer. "

"Say it earlier, why waste so much talking."

After all, he took Du Heng directly to find the patient.

The patient, female, looks very young, and even in the hospital bed, she is dressed very fashionable and exquisite.

Hmm~~~~ You can tell at first glance that she is an elite girl.

But why does a girl who takes the elite route come to this hospital for treatment?
But it's none of Du Heng's business, so after a little distraction, he turned his attention to the girl.

After the inspection, Du Heng stood up with a hint of doubt.

The girl is very thin and suffers from anemia.

The spleen felt stiff when lightly touched, and the pulse and tongue were judged comprehensively, and the girl's qi and blood were scattered and weak.

"How about it?"

"You can be sure it's not an infection. Let's have an operation. You'll know when you open it."

After waiting for a long time, just waiting for such a nonsense, Li Chengzu drove Du Heng away angrily.

But on the day of the operation, Du Heng came uninvited, and once again stood by Li Chengzu's side, and began to observe the operation.

After the operation, the spleen was completely exposed to everyone's sight.

If you just look at it, there seems to be nothing wrong with the spleen, but when you touch it with your hand, you will find that the feedback from the spleen is nothing but hardness.

Up and down, front and back, left and right, there is no place that is not hard.

Li Chengzu turned his head and glanced at Du Heng who was next to him. He didn't expect that this kid was really fooled, his spleen was really calcified.

Then there is no other option now, just remove it and finish the job.

After the removal, the operation is considered over, but for the doctors, this is not over. They have to figure out why the patient's spleen is calcified and give the patient an explanation.

You can't tell the patient that your spleen is calcified, and we'll just cut it off for you, right?
As the knife in Li Chengzu's hand slowly sliced ​​open the spleen that had been taken off, the onlookers, including Li Chengzu and Du Heng, all shivered in unison.

If you look carefully, you can find that the cold hairs on their bodies are all standing up.

This was completely different from the reaction of seeing the stomach full of roundworms before.