This doctor is not short of money

Chapter 940
Just when Du Heng was about to take a closer look, the girl suddenly interjected and asked, "Dean Du, the situation is like this. I have seen the dermatology department of Western medicine and used the medicine prescribed by them, but the effect is not very good."

Du Heng frowned and moved a little closer, and replied softly after hearing the sound, "I see that your condition does not seem to be an ordinary skin disease...

Forget it, you can't see anything if you look at it this way, so you turn around and sit down, and I'll take your pulse for you. "

After taking a closer look, Du Heng felt that those small bumps were very similar to herpes zoster. Thinking about the girl's treatment of loss of appetite, Du Heng realized that the girl's current condition is most likely due to immunity caused by low.

But whether it is herpes zoster or not, there is no way to be sure just by looking at it like this.

Because there is another possibility, that is, because of itchy skin, the girl has allergies when taking medicine for treatment, and the resulting drug eruption is also very similar to this.

Du Heng took a step back, thinking about what he saw in his mind, and asked softly, "Girl, what kind of medicine did you use before, did you take an allergy test?"

At the same time as the question was finished, Du Heng looked at the girl's back, followed by the girl's movement of lifting her clothes up.

But the moment the girl raised her arm, Du Heng seemed to see a bulge from the corner of the girl's armpit from the corner of his eye.

Du Heng's gaze was obviously taken aback for a moment, and when he immediately wanted to take a closer look, her armpits were covered by the clothes because of the girl's movements of putting on clothes.

At this time, I heard the girl say, "I don't know about this, I haven't done that allergy test."

But now Du Heng's attention is no longer here, "Girl, do you have a lump in your armpit?"

The girl's movements of getting dressed just now were sluggish again, then she stared at Du Heng and asked, "Does this have something to do with my itching?"

Du Heng nodded seriously, "Also, is there a lump in the groin?"

If it's just something similar to herpes zoster, Du Heng has nothing to worry about, but if herpes zoster appears, accompanied by skin lesions, and the axillary lymph nodes are swollen, you can't help but be careful.

Seeing that Du Heng's expression became serious, the girl hesitated a little, then stood up, turned around and left, "Forget it, I won't watch it."

Du Heng and Xiao Peifa were stunned by the girl's sudden move.

But seeing the girl leave without hesitation, Du Heng hurriedly asked again, "Girl, have you had a blood test before?"

"I did, I'm fine, thank you, Dean Du." The girl said without looking back, and then disappeared directly at the door of the consulting room.

Xiao Peifa blinked quickly a few times, stared at Du Heng full of doubts and asked, "Du Yuan, what's going on?"

But at this time, Du Heng turned his gaze to the place where Xiao Peifa was punctured just now, and when his eyes flickered slightly, a thoughtful expression appeared on his face.

Hearing Xiao Peifa's question, Du Heng didn't answer him, but asked softly, "This patient often comes to see you?"

Xiao Peifa nodded blankly, "Not often, but in the last month, every time I come because I can't eat."

"She didn't say anything else?"

"No." Xiao Peifa shook his head, "It's just the itchy back, which I just mentioned."

Du Heng exhaled lightly, "Like this girl?"

When Xiao Peifa was told by Du Heng, he suddenly became a little embarrassed, and said coyly, "Every time I come here, we have a good chat, so..."

Du Heng's eyelids twitched vigorously, "Forget it, you pack up, go to Director Xing quickly, and apply for HIV and syphilis blocking drugs to take immediately.

Don't come to work these few days, stay at home well, pay attention to observe your own situation at any time, what checks should be done, do you know what to do? "

As soon as Du Heng said this, Xiao Peifa was shocked.

HIV?

syphilis?

blocker?
an examination?
"Duyuan...I...she..."

Xiao Peifa is not an idiot, he knew what happened when he heard the key words.When he stared blankly at the stabbed hand, he could no longer speak a complete sentence.

Du Heng sighed helplessly.

If the woman hadn't left and it was confirmed that she was a patient carrying an infectious virus, then Xiao Pei could be very sure that she had been exposed professionally in her current situation, and the corresponding process was actually very simple.

But now that the woman is gone like this, you have no way to confirm whether she is a patient with an infectious virus, nor can you tell what kind of virus it is.

If the situation of this woman cannot be determined, then Xiao Peifa's behavior can only be suspected. Without evidence, there is no way to proceed with the normal process.

Moreover, this woman's behavior is very irresponsible. If she is really the carrier, then she will just walk away now, and Xiao Peifa didn't take what happened just now seriously at all. . .

Fortunately, Du Heng had sharp eyes just now and found some hidden symptoms, so now he would rather kill the wrong than let it go, and treat it as a professional exposure.

Du Heng patted Xiao Peifa on the shoulder, "Don't be too nervous, I just think something is wrong with this woman, maybe I'm overthinking.

But this kind of thing, we can't take any chances, it's always right to be careful.

Now, pack up these tools in your hands, and deal with them as confirmed, and then it's time to drink medicine and check. "

With that said, Du Heng gave Xiao Pei a relaxed smile, "Relax, your luck won't be that bad.

Even if he was recruited, as long as he took the blocking agent within 12 hours, there would be no problem at all. "

Du Heng said it was relaxed, but Xiao Peifa didn't feel relaxed at all.

As the saying goes, if the fire doesn't burn you, you will never know how much it hurts!
Even if you, a bystander, have a strong ability to empathize and know the seriousness of the matter, but a bystander is a bystander, and you will never be able to experience the feelings of the person who experienced it.

So after Du Heng finished speaking, the hand he put on Xiao Peifa's shoulder could already clearly feel a slight tremor, and looking at Xiao Peifa's face, it also turned blue and black amidst sluggishness.

Looking at the situation, Du Heng knew that Xiao Peifa was frightened, and he could not be expected to do other things by himself, so he patted him on the shoulder again, and then called Director Xing in the office and the director of the Infection Department of the hospital. a phone call.

After the two arrived, Du Heng handed over the person to them, and told them that because it was not confirmed whether it was professional exposure, they must keep it secret, and don't make the city full of storms, and let everyone look at Xiao Peifa with strange eyes.

But having said that, Du Heng is very clear in his heart that this matter cannot be hidden at all. If there is no accident, the aunt who will be in charge of sanitation in the hospital tomorrow morning must know that Xiao Peifa is infected with HIV and has already been diagnosed. kind of.

Hey, what is this called!
Originally, Du Heng was not very happy because of the foreign aid, but now that this happened, he was even more unhappy.

After returning home, Wu Shengnan, who was happily tidying up the bedroom, also felt Du Heng's displeasure, thinking that he just became depressed because he was leaving his daughter, and even teased him a few words.

Regarding Du Heng's imminent departure, Wu Shengnan was also in a bad mood at first, but since talking on the phone with his sister-in-law Zhang Sumei, she became inexplicably happy again. Personally clean up the bedroom where Zhang Sumei is going to live.

After teasing Du Heng, she couldn't help laughing out loud.

Seeing Wu Shengnan who was extremely happy, Du Heng felt depressed.

He couldn't figure out what was going on in this woman's mind every day.

Because of the matter of his daughter, there was a big gap between Wu Shengnan and his sister-in-law, so much so that after they came back for more than half a month, the two sisters-in-law did not talk to each other at all, and he was helpless.

But after the phone call the day before yesterday, Wu Shengnan seemed to be a different person. He kept laughing happily all day long, and he really didn't know what she was thinking.

But this is also very good, at least the family is harmonious, and he doesn't have to be caught between his wife and sister-in-law.

So after hearing Wu Shengnan's ridicule and seeing his wife's happy smile, he relaxed his depressed mood, and then he laughed and helped Wu Shengnan with his work.

It is a very pleasant thing for the couple to work together, and the time for talking, laughing and fighting quickly passed.

It's just that when it was time for dinner, the two of them were just about to sit down and finish their meal when Du Heng was called away by a phone call from the hospital.

Rushing to the hospital in a hurry, Du Heng went straight to the maternity ward.

"Director Du, I'm sorry, please come here at night." As soon as we met, Director Tao greeted me and apologized.

Du Heng said with a light smile, "That's too polite, if I can help you, it's my honor."

Director Tao also smiled, but quickly put away his smile, and said to Du Heng seriously, "Director Du, I'm looking for you now, and it's the same pregnant woman from before."

As soon as he heard about the business, Du Heng also became serious, "Director Tao, tell me."

"In the early hours of this morning, the patient's condition suddenly worsened, with palpitations and dyspnea, and the lower limb edema of the pregnant woman worsened.

After inspection, the condition of the pregnant woman can no longer be delayed, and the pregnancy must be terminated, otherwise both adults and children will lose their lives.

Therefore, at 7 o'clock in the morning, the operation was performed on the pregnant woman. "

Director Tao finished the previous matter in one breath, and after a slight pause to take a breath, he immediately continued, "After the termination of the pregnancy, the condition of the pregnant woman has eased a little. Although the baby is not developing very well as we expected, but survived too."

Du Heng listened to Director Tao quietly, and was very happy when he heard that the mother and child were safe.

It's just that after Director Tao finished speaking, his expression became serious, "After the mother gave birth, the situation is indeed not so critical.

But this situation is only temporary, and there is a danger of dying again at any time.

So we immediately got in touch with Director Yue, the cardiovascular director, to discuss the next surgery.

However, the blood pressure of the pregnant woman is still a bit high, and there is no way to take surgery for the time being.

In addition, in the afternoon, the patient was critically ill again due to blood pressure problems, but was rescued in time. "

Du Heng's expression froze, and he immediately interjected and asked, "What's the specific question?"

Director Tao was silent for a while, pursed his lips slightly and said, "After discussion, we decided to take a risk and gave the mother antihypertensive drugs so that the mother could undergo surgery as soon as possible, but...but...after taking the medicine, The mother immediately developed symptoms of low heart rate and difficulty breathing."

The answer to this question, Du Heng is not surprised, this is one of the deadlocks.

At this time, Director Tao said again helplessly, "And in the afternoon, the parturient was still bleeding, and it had exceeded 400ML."

Du Heng frowned and asked, "Hasn't it stopped yet?"

Director Tao shook his head slowly, "We took immediate measures. So far, although the amount of bleeding has decreased, it still hasn't stopped."

"how many?"

"There are more than 500 and less than 600 in total."

"Has it been twelve hours?"

"Exactly twelve hours."

It stands to reason that excessive blood loss can lead to low blood pressure, which is a normal phenomenon, but now that the blood loss continues, the blood pressure remains high, which becomes very troublesome.

This time is a little longer, and atherosclerosis is very likely to occur.

And once atherosclerosis really occurs, plus the ventricular myxoma that the parturient itself has, you don't need to think too much, you can just say goodbye to the patient.

Du Heng stared at Director Tao and asked, "Director Tao, is there anything I can do?"

Director Tao took a deep breath, stared at Du Heng seriously and said, "Director Du, can you see if there is any way for you to stop the bleeding first, and then lower the blood pressure of the parturient.

Then Director Yue and the others will see whether to perform surgery to remove the myxoma according to the condition of the parturient.

As long as the myxoma can be removed, there is a high probability that the mother's life will be saved. "

Du Heng didn't speak, just nodded slightly, and asked Director Tao to take him to see the parturient before making a decision.

But in his heart, he was very unfavorable to Director Tao's plan.

After the ventricular myxoma deteriorates, it will block the atrioventricular valve opening and cause sudden death, or the tumor debris will fall off and embolize. This is also a fatal problem, so surgery is the fastest and most effective way.

But the risks of this surgery are very high.

To remove the myxoma, an external circulation must be established on the patient's body, and after removal, the heart chamber must be repeatedly flushed with saline.

It is not discussed here whether the person performing the operation will make mistakes, but the mother's current physical condition, can she persist?

What if the blood pressure suddenly rises during the operation and the heart chambers are all open at that time?
What if the bleeding cannot be stopped during the operation?
But having said that, there are many problems now, and the risk is very high, but if you don't take the risk, with the current situation of the parturient, it is impossible for her to wait until her body is fully qualified for the operation before performing the operation.

(End of this chapter)