This doctor is not short of money

That scene before, that was pure disgust.

But what I saw now was a kind of chill from the bottom of my heart.

The split spleen is like a bun that has been split open, with dense red bean fillings wrapped under the tight and tender skin.

No. . .It's not red bean filling, it's white filling.

"Director Du, what is this?" The well-informed Li Chengzu, after slicing open his spleen, fixed the hand holding the knife in the air, and even his whole body became stiff.

Du Heng didn't speak, but felt a little itchy on his back, and unconsciously shook it slightly.

Inside the opened spleen, densely packed with white protrusions, these white protrusions covered all the space inside the spleen.

If someone with intensive phobia saw this scene, he would probably faint on the spot.

Fortunately, Du Heng just couldn't accept the bloody scene. Although this kind of scene made people uncomfortable, it was still within his acceptable range.

After making slight adjustments, Du Heng stretched out his fingers and touched the white bump lightly—it was very hard.

Calcification?
But isn't that a little too much?

What causes the formation of calcifications that occupy the entire spleen?

"No, you said it, what's the situation?" Li Chengzu was a little relieved, put down the scalpel and stared at Du Heng to ask.

"Calcification."

"Fuck, I've been full of roundworms since the last time I opened it, I just thought it was full of eggs."

When Li Chengzu complained, Du Heng lowered his head and observed these white calcifications intently, his fingers lightly brushed over each calcification, "I think you may be right, these things may really be insect eggs."

"Eggs?" Li Chengzu was startled by Du Heng's words, and turned his head in disbelief and said, "Are you kidding, how could there be so many eggs?
And I also know something about roundworms. Even if they want to lay eggs in the human body, it is in the intestines or bile ducts.

this. . .this. . .Now the whole spleen is, how is this possible? "

After Du Heng carefully observed these white protrusions again, his complexion finally relaxed, and while slowly straightening his waist, he also took a step back.

"I said what's going on with you today, why you always like to make judgments about things you don't understand."

"What do you mean?"

The corner of Du Heng's mouth twitched, and he took a slight step back, "I just said it was a worm egg, but did I say it was a roundworm egg?"

Li Chengzu was stunned for a moment, "Isn't this a roundworm egg?"

Hearing Li Chengzu's doubtful voice, Du Heng smiled lightly and shook his head, while taking off his gloves, he said, "If I'm not mistaken, this should be the calcification formed after the tapeworm eggs stop growing.

But it is not sure whether it is pork tapeworm or beef tapeworm. It is best to get it checked to find out. "

Li Chengzu lowered his head and swept the uncomfortable spleen, and then said very unhappy, "Are you kidding, do you think this place is capable of doing this kind of test? This place can't even do a stool test, okay?"

Du Heng shrugged slightly, "Then wait for the patient to wake up and ask her herself, her eating habits and hobbies, and I guess I can find out."

After all, Du Heng hesitated for a moment, "In addition, although I don't know why these eggs in the spleen lost nutrients and turned into calcified spots, but judging by the number of these white spots in the spleen, I reckon that there must be tapeworms in this patient's body.

So after the patient wakes up, it is best to give her a deworming as soon as possible. "

Deworming?

Li Chengzu was in a daze for a moment, but seeing that Du Heng was about to leave, he hurried out together, "You are good at repelling insects, so you can help us directly."

"Yes, as long as you communicate with the patient well." Du Heng agreed without hesitation.

Because he knew that Li Chengzu and the others were not familiar with deworming, and secondly, there was no deworming medicine in this hospital, so in the end, this matter had to fall on him.

But after walking out of the operating room, Du Heng suddenly laughed out loud.

You can say that this foreign aid medical treatment is not worth it, it is indeed a bit worthless, because judging from the current work intensity and the diseases you have been exposed to, it is completely incomparable with the time in China.

Not to mention, just by wasting the time, he can definitely achieve more results in the cooperation with Director Liao in brain surgery, so that his 'Du Shi's Eight Needles' can be better promoted and applied.

But now. . . .Hey, nothing compares.

But it would be wrong to say that this trip to foreign aid has yielded nothing.

At least in China, many diseases that are about to disappear, or diseases that can only be seen in books, are now constantly appearing before our eyes.

And this harvest not only broadened his horizons, but also gave him a deeper understanding of basic diseases.

Therefore, things always have two sides. If you think more about the benefits you can get, you don't have to be so irritable and pessimistic all the time.

On the second day, Li Chengzu found Du Heng again, "Director Du, I have already communicated with the patient, and now I ask you to prescribe a prescription for deworming."

"I think the patient is a more fashionable girl, can she accept traditional Chinese medicine?"

"Tch, fashion is fashion, but she has no money, and she has already messed up enough to come to this hospital for surgery, do you think she has other choices?"

Du Heng shook his head lightly.

Indeed, let alone the rich people in this place come to this hospital to see a doctor, even the door of this hospital, they will not step in for non-essential work.

"It's okay to prescribe, and it doesn't cost a lot of money. They are all common medicinal materials. I just want to ask, do you know if she has pork tapeworm or beef tapeworm?"

Li Chengzu immediately said with certainty, "It must be beef tapeworm."

"So sure? How do you judge?"

"Because of faith, this girl's religious beliefs don't allow her to eat pork." Li Chengzu glanced at Du Heng proudly, and before Du Heng could continue to ask, he continued, "Besides, this patient likes to eat medium-rare steak very much, these are her original words.

So, she must have beef tapeworm. "

Du Heng nodded slowly.

In fact, whether it is pork taeniasis or beef taeniasis, it is caused by undercooked meat with cysticercosis, or mutual contamination caused by kitchen knives and chopping boards, which are then eaten by people.

Just like this girl's eating habits, medium-rare steaks in China, or other developed countries, actually have a probability of more than 90.00%, and they will not be infected with tapeworm.

Because these places are relatively rigid about food safety from the first step, it is almost impossible for problematic meat to flow into the market.

But in Muyila, the management is completely different from that in China. Let alone diseased meat with cysticercosis, even cattle and sheep that have died of illness for a long time, they are still sold in the market.

Therefore, if you often eat medium-rare steaks in this place, the chances of getting tapeworm infection will greatly increase.

The prescription is very simple, in fact, it is not a prescription. It is to let the patient eat pumpkin seeds first, and then boil water with betel nuts to drink.

"Aren't you being too simple?" Li Chengzu looked at the two names on the prescription, and suddenly felt that Du Heng might be playing with him.

Unexpectedly, as soon as the words fell, Du Heng immediately glanced at him like an idiot, "Don't talk nonsense if you don't understand.

Pumpkin seeds belong to the large intestine meridian in traditional Chinese medicine and are used to treat roundworms and tapeworms.Eating such a large amount of pumpkin seeds can remove the tapeworms attached to the intestinal wall and enter the intestinal tract. "

As he said that, Du Heng stretched out his hand to snatch the prescription from Li Chengzu's hand, then pointed to the words on it and said, "Did you see, I specifically wrote on it that you can drink betel nut water four hours after eating pumpkin seeds.

why?
It is to allow sufficient time for the pumpkin seeds to exert their effects. "

"Then why are you using these betel nuts?" Li Chengzu continued to ask without giving up, "Your pumpkin seeds can repel insects, let alone betel nuts can also repel insects."

Du Heng sneered, "Hey, you're really right, betel nuts can really repel insects."

"Then you don't need to repeat it?"

"I don't know what to say to you. The tapeworms come down from the intestinal wall and fall into the intestinal tract. If they are not excreted in time, the tapeworms that have not been killed by the drug will re-adsorb to the intestinal wall.

In addition to killing insects, betel nut also has the functions of promoting water and promoting qi, so letting patients drink betel nut water can cause diarrhea in patients, and then. . .Do you understand it? "

"Understood, I'll get it right away." Li Chengzu was not annoyed, he snatched the prescription from Du Heng with a smile and left.

And this move made Du Heng angry.

What can he do to snatch the prescription? In the end, he didn't want to ask himself to go to the pharmacy behind to get the medicine.

After all, pumpkin seeds can be found in Muira's market, but betel nuts can't be found.

But before Du Heng stood up, Sun Xin and Li Chengzu passed by and came to Du Heng's consulting room.

"The tapeworm patient yesterday?"

"Yes, I just prescribed a prescription to repel insects."

Du Heng smiled and stood up, "Director Sun, what do you want me to do?"

Sun Xin hummed lightly, "Are the patients of Dr. Jiang and Dr. Mba all right?"

"It's okay, you can leave the hospital." Du Heng pursed his lips and asked, "Director Sun, it's been seven days, and Dr. Jiang and Dr. Mba haven't come back yet?"

A trace of anger flashed across Sun Xin's face, and then he said angrily, "I just made a phone call last night, saying that I was going to see migrating wildebeest in Kenya."

"It's only March, and there are wildebeests migrating?"

"Who knows?" Sun Xin's face was filled with disgust. "By the way, I've made a deal with Dean Solage. As long as the hospital here receives a patient with pneumonia, we will tell you as soon as possible. You will participate in the whole process of treatment and observation."

This news shocked Du Heng, and immediately nodded and said, "Okay, I will follow up seriously."

Sun Xin nodded his head lightly, that's all he can do.

Just before going out, Sun Xin hesitated for a moment, then turned his head and said softly to Du Heng, "When I came back with Dean Sorag just now, I saw a man on the street, who looked a bit like Translator Yao."

"Yao Youshi?"

"Yeah." Sun Xin said in a low voice, "It's a little far away, so I can't see it very clearly, but I think it's him."

Du Heng looked at Sun Xin fixedly, not knowing what he was talking about.

But Sun Xin hesitated for a while and then continued in a low voice, "If... I mean if, if it is really Yao Translator, he came to you, remember to notify me."

"Director Sun, you are..." Du Heng was still a little puzzled.

"When the two of us are present, some things will be clear, do you understand?"

"I understand."

Du Heng agreed.

To be honest, he really wanted to see Yao Youshi, and wanted to ask him how he was doing recently and whether his wish had been fulfilled.

But after another two days like this, he didn't even see a shadow of Yao Youshi's fart, which made him a little disappointed.

But what's wrong with disappointment, I still have to go to work honestly.

"Dr. Du, Dr. Wallon, please go over here." Du Heng, who was a little disappointed and bored, was sitting idle in the office, and Dede suddenly pushed the door open and walked in.

"Is something wrong?"

"A patient with pneumonia came and asked you to give me some advice."

Du Heng snorted, packed his clothes immediately, and followed Dede to find Dr. Wallon.

But after passing, Du Heng was only able to check first, then record the patient's symptoms, and listen to Dede's translation of the patient's description of the disease process.

As for the treatment, sorry, this patient does not agree to accept the treatment of traditional Chinese medicine.

This is not surprising to Du Heng, and it doesn't matter either.

However, this patient was the first pneumonia patient who was exposed to it without receiving treatment, and Du Heng still got something different.

The patient had chest tightness, sore throat, and cough, but it was not severe. There was phlegm in the throat, but he could not cough it out. He managed to cough up a little, which was also some white mucus.

The tongue is yellow, and the pulse is like a pulse from left to right.

This is almost the same as the previous pneumonia patients, it is a sign of lung heat.

And this right hand moistening the pulse is an unexpected harvest this time.

When the pulse is moistened, the pulse condition is floating and soft, which can be obtained by pressing lightly, but it is not obvious when pressing heavily.

It is said in "Multiple Classics": Wetness is a disease of blood and yin deficiency, the marrow sea and dantian are dark, the sweat and rain come and steam into the bones at night, and the blood landslides and dampness invades the spleen.Cun Ru Yang has a lot of spontaneous sweating, Guan Zhong Qi Nai is deficient, Chi hurts the essence and blood and is very cold, warming and tonifying the true Yin can cause illness.

That is to say, moistening the pulse is mostly seen in the syndrome of blood loss and yin damage or retention of damp evil, and the main symptoms are deficiency syndrome and dampness syndrome.

But the current patient's condition is obviously just a pneumonia patient with lung heat and phlegm dampness.

It's just that this patient does not accept the treatment of traditional Chinese medicine, so Du Heng has no way to advise Dr. Wallon, and can only observe quietly.

After a round of treatment, when Du Heng checked the patient's pulse again, he was surprised to find that the patient's moist pulse had disappeared, and even the previous count pulse had become Hong pulse.

Hongmai: strong like a flood, coming and going, full of fingers, often seen in the syndrome of exuberant pathogenic heat.

And Hong Shumai is a manifestation of heat.

However, in terms of the patient's physical signs, it was calm, and there was no sign of heat syndrome.

Strange!