This doctor is not short of money

Du Heng is no stranger to giving lectures.It's just that he hasn't organized the content of obstetrics systematically before, so the knowledge points that come to his mind now are all scattered and out of order.

Therefore, in order to fulfill Dr. Mina's request in a quality and efficient manner, he must first sort out the knowledge in his mind and summarize it into a table of contents.

And the summary of this catalog and its knowledge points should not be too esoteric, there must be less clichés, and it must have strong practicability.

In other words, it is most correct to go directly to dry goods.

Therefore, writing a 'teaching plan' tailored to local conditions became Du Heng's next job.

But before writing the lesson plan, Du Heng still has another important thing to do, "Dede, I need your help with something."

Dede was very happy that Du Heng agreed to train obstetric doctors and nurses, especially when he saw how easily Du Heng yesterday turned a woman who needed a cesarean section into a normal delivery with extremely little risk. It is an added class.

She's also a woman, and she's a nurse, and she knows better than anyone the dangers of fertility faced by local women.

And Du Heng's agreement is tantamount to giving more expectant women an extra layer of protection in terms of life safety.

So after hearing Du Heng's request, Dede said with a smile, "Dr. Du, you are too polite. I am your assistant. If you have something to do, just give it to me."

Du Heng also laughed, but then he said seriously, "That's right, I need you to help me find out whether those patients who died of pulmonary hemorrhage before coughing up blood, Hematemesis, or blood in the stool.

If so, what does it look like roughly? I hope you can ask me clearly. "

As Du Heng said, he picked up the materials on the table, "In these materials, except for a very few patients who recorded blood in the sputum, there is no similar record in other medical records, so I need more more detailed information."

Dede nodded slightly while listening, and the smile on his face gradually subsided, becoming serious like Du Heng.

After Du Heng finished speaking, Dede thought for a while and said, "Dr. Du, do you suspect that those patients with pulmonary hemorrhage before did not burst out suddenly, but had bleeding points before?"

Du Heng slowly sat back on the chair, "I have a guess in this regard, otherwise the sudden large-scale bleeding in the lungs is a bit difficult to explain."

Regarding the pulmonary hemorrhage, Dede knew that Du Heng took it very seriously, so he nodded immediately and said, "Good doctor Du, I will do this right away.

night. . .I'll call you back tomorrow morning at the latest. "

"Don't be so anxious." Du Heng said with a slight smile, "I'm just skeptical.

By the way, you go tell that guy, starting today, keep a sample every time you defecate. "

Dede nodded, smiled and said nothing, turned and left the office.

After everyone left, Du Heng sat alone for a while, then bowed his head and started his work.

It's just that he didn't realize that as he immersed himself in his work for a longer period of time, his groaning gradually turned into a coughing sound, and the coughing frequency became faster and faster.

"Hey~~~cough...cough cough cough..."

The sudden continuous coughing finally interrupted Du Heng's movements, and he felt the pain in his throat, so he couldn't help but cough twice more forcefully.

And with the force of the cough, some sputum was eventually spit out, but the spit out sputum was less phlegm but more mucus, and there was a streak of blood.

Du Heng frowned suddenly, and after taking another look at the phlegm on the toilet paper in his hand, he wrapped it up and threw it into the trash can beside him.

My situation doesn't seem to be caused by the dry climate!

Could it be that he was tricked?

Could it be that the diagnosis I gave myself before was wrong?

Should not be!

As the suspicion in his heart deepened, Du Heng couldn't help seeing himself sick again.

First, I found my mobile phone, turned on the camera function, and looked at my mouth. My throat was still the same as before, but slightly red, and there was no swelling. It was just that the tongue was a little red, and the tongue coating was slightly yellow and greasy.

Burned?
Take a pulse for yourself and get a very definite number of pulses.

Du Heng exhaled slowly, he couldn't help but feel more doubts in his heart, and there was also a hint of urge to curse.

My throat is fine, not swollen or inflamed, so where does the streak of blood in the sputum come from?
Resisting the urge to curse, Du Heng stretched out his hand to make a hollow shape, from left to right, and then from top to bottom, and lightly tapped his chest one by one. After he had a rough judgment in his mind, he picked up the stethoscope and listened to himself again. Lung sounds.

I have to say that the words of the ancestors are correct, the doctor does not heal himself.

Du Heng felt that he already had a sufficient psychological tolerance for diseases and the ability to identify them, but when he did these examinations for himself, no matter what he saw, touched or heard, he always It's an unclear feeling.

What's more, when doing the final dialectics, I will always subconsciously judge in the light and good direction.

The ancients did not deceive me!
Du Heng smiled wryly, then took a deep breath to calm his mind, and after throwing away all the wild thoughts in his mind, he began to argue his own situation with his heart.

Heat and evil disturb the lungs!

Although the illness of the young man I treated is different, it is not much different. It also needs to 'clear away heat and relieve lung'.

At the same time, the thread of blood in the sputum also showed that he also had lung bleeding.

If there is no accident, I really got tricked.

This is really fucking. . . . .

Du Heng resisted the urge to swear, put on a mask, sprayed the room with disinfectant, and then opened the windows for ventilation.

After waiting for two or three minutes, Du Heng picked up the phone and called Sun Xin.

"Director Du, is what you said true?" Sun Xin came soon, along with Li Chengzu and Jiang Jinghong.

Du Heng nodded lightly, and then stopped the three of them from moving forward, "Don't come here, I'm still not sure how I got infected, but I can say with certainty that I've been tricked .”

After slightly taking a breath, he said, "I called everyone here to talk about my own symptoms and judgment, and I want you to be more vigilant."

Immediately, Du Heng confessed all his findings, "...my current situation is basically the same as that of the young man I treated, and between me and him, ten days ago, he spat on me. Saliva splashed on my hands and face.

So it can basically be concluded that I should have been infected by him. "

Sun Xin and Li Chengzu looked at each other, and felt in their hearts that Du Heng's idea was really wrong. Being robbed was not counted, and he was also given an infectious disease. What's annoying is that now he still has to treat this guy.

As a physician, Jiang Jinghong immediately expressed her doubts, "Director Du, according to your judgment, at least one thing can be confirmed now, that is, this disease is really an infectious disease, and it may be transmitted through saliva. disease, and the saliva in direct contact is the most contagious.

But you have also been in contact with several other patients with pulmonary hemorrhage before. Is it possible that other people infected you through different channels? "

After finishing speaking, Jiang Jinghong paused slightly, and continued after pondering for a while, "You must know that most infectious diseases have a long or short incubation period, and you have been in contact with several patients with pulmonary hemorrhage before, so... Is it possible that the airborne droplets caused by others through breathing, talking, etc. can cause infection?"

This question brought back to their senses the two who were still lamenting Du Heng's bad luck, and echoed Jiang Jinghong's opinion one after another.

And Du Heng immediately shook his head, "I have doubts about this, but I think it's too impossible."

"What's the reason?" Jiang Jinghong asked.

Du Heng stretched out his hand to press the mask, and then moved to the window, "First of all, besides me, there are other doctors and nurses who have had close contact with those patients with pulmonary hemorrhage, and even their family members and friends.

But before I asked Dede to help me with the investigation, I found that none of the colleagues or friends of these patients had been infected.

And there are only a few cases where the family members have contagious intentions before, but they are not too serious.

And in our hospital, apart from me, it seems that no other doctors and nurses who have been in contact with patients have symptoms like mine. "

After expressing their own judgment, Sun Xin and the others nodded slowly, as if they recognized Du Heng's judgment.

But Du Heng continued, "Second, the last time I came into contact with a patient with pulmonary hemorrhage, it has been almost two weeks now.

If they really infected me, isn't the incubation period a bit too long? "

The three nodded again.

"But this patient is different. We had contact with saliva, and the interval was only eight days. And on the same day of contact with this patient, I just caught a cold and my body was relatively weak.

Therefore, I judged that it was infected that day. "

Jiang Jinghong groaned a few times before continuing, "If you say that, then the pulmonary hemorrhage has these few characteristics.

First, it can definitely be transmitted through saliva. There is a possibility of air transmission, but it should be very small. After all, it is a respiratory disease, so this possibility cannot be ruled out. "

Du Heng agreed with Jiang Jinghong's judgment and hummed softly to express his support.

"Secondly, this disease has an incubation period. According to Dr. Du's personal experience, it should be about five to ten days after the forward or backward shift."

Du Heng thought for a while, and reaffirmed Jiang Jinghong's judgment, "Almost."

"Third, the contagiousness of this disease is not strong." Jiang Jinghong looked at the three people in front of her and said, "Take Dr. Du as an example. When he was not sick, he was not infected, but when he was weak, he came into contact with it again." The source of infection is immediately infected."

But this reason could not convince Sun Xin, so he immediately raised a question, "What about the people who were infected before? Could it be that they are also weak?"

Jiang Jinghong frowned and shook her head slowly, "I'm not sure about this, but Director Du said just now that only a few of the patients' colleagues, friends, and family members had some different symptoms. There's not even an iota of saliva exchange happening.

So this also proves my point from the side. "

Sun Xin stopped talking, and asked after a slight silence, "Is there any more?"

"Third, after the second infection or multiple infections, the destructive power of this patient will be weakened. As for the reason, as I have just said, it is the condition of those infected family members.

But this needs more information verification. It may have weakened after the second round of transmission, or it began to weaken after the fourth or fifth round, so it is not very sure. "

Seeing that the three of Du Heng did not object, Jiang Jinghong continued, "Fourth, it has been confirmed that the destructive power of this disease will be very large, directly threatening life."

After all, Jiang Jinghong looked at Du Heng with a serious face.

And after Jiang Jinghong finished speaking the last sentence, Sun Xin and Li Chengzu also woke up suddenly, and the tragic situation of the patients with bleeding from the mouth and nose immediately appeared in their minds.

At the same time, they looked at Du Heng with deep worry immediately.

After a brief silence, Sun Xin stared at Du Heng and said seriously, "Don't worry, Director Du, I'll contact Libreville now to see if I should transfer you there, or ask them to send an expert in infectious diseases or cardiopulmonary come over."

Du Heng glanced at Sun Xin gratefully, but still waved his hand lightly and said, "Don't bother everyone, I still have some ideas about this disease.

It's just that there are a lot of medicines out of stock in the pharmacy now. I'm afraid that if I have what I need but don't have it, then it will be troublesome.

So I still hope that, Director Sun, you can tell Libreville to supplement the medicinal materials for me. "

And when Du Heng finished speaking, Jiang Jinghong immediately continued, "I agree with Director Du's idea.

I also participated in the whole process of the treatment of those patients. I really didn't find any omissions or mistakes in our treatment process.

So I think judging from the information we have now, looking for those people in Libreville may not be more useful than Dr. Du himself. "

Sun Xin hesitated for a while, but finally said, "It's okay to follow your ideas, but I still have to talk to Libreville about this matter."

"This is what it should be." Du Heng had no objection to the notification, and it was a necessary procedure.

After finishing speaking, Du Heng turned directly to Jiang Jinghong, "Dr. Jiang, the reason why Director Sun called you here is not only your professionalism, but also the fact that you have been coughing since you came back, so I want you See if you have the same symptoms, and be more vigilant."

Du Heng smiled wryly and said, "If I really can't stand it anymore, at least you are here, so we won't just wait for death.

But if you fall down with me, we can't count on Director Li, he can saw bones in addition to cutting flesh. "

After Du Heng said this, Li Chengzu immediately rolled his eyes.

But what Du Heng said was right, if Jiang Jinghong really fell down after being tricked, then he would really be like a waste.

At this time, Jiang Jinghong shook her head and said, "Don't worry, I checked, it's just pollen allergy, and it will be fine in a few days."

Seeing what Jiang Jinghong said, Du Heng couldn't go any further.

But thinking that Dr. Mba was also coughing before, Du Heng still couldn't help feeling a little worried.

It can't be that both of them are allergic to hay fever, right? (end of this chapter)