This doctor has a system

Chapter 165 163. He was "poisoned" abroad!

"Gao Feng, come over and eat some shrimp." The mother-in-law was very happy when she saw her son-in-law entering.

Who would be happy to have such a wealthy son-in-law, Li Ma now feels that her family and work are very smooth.

Dad Li has been doing well recently, his pocket money has skyrocketed from 500 yuan to 1000 yuan, and he doesn't know how to manage his wealth anymore.

Gao Feng learned some skills in the system space just now, but now his mind is still a little confused, so he greeted his father-in-law and mother-in-law, and sat down at the dining table.

"I don't know why I feel a little uncomfortable these two days." Li Xinyao came back with a bag on her back, and complained as soon as she entered the door.

"What's wrong?" Gao Feng asked concerned, "Tired in the department?"

"No, there are still as many patients as before." Li Xinyao couldn't tell, "I just feel tired easily, and I feel a little nauseous when I wake up in the morning. The key is that I haven't eaten anything cold in the past two days."

Li's mother at the side heard her daughter's words, "Could it be that she's pregnant?"

"No way?" Gao Feng immediately lost his confusion, "I'm going to buy some pregnancy test sticks." He turned around and went downstairs quickly.

"Is your period delayed?" Li's mother pulled her daughter to sit down, "You should count the time, you should know the day when you will conceive."

I really don't know, Li Xinyao said in her heart, she has to learn a foreign language almost every day, how can she tell the difference.

"Menstruation has been delayed for 20 days." Li Xinyao realized later.

"You really are." Li's mother was very speechless to her daughter, and she didn't know what she was busy with all day.

Soon Gao Feng came back, "Quick, go and have a test!"

"Two bars!"

"Oh, I'm really pregnant!" Mama Li was overjoyed, "You guys go to the hospital tomorrow to check."

Gao Feng was also very excited. It was worthwhile for him to learn foreign languages ​​from Li Xinyao every day. No, the harvest has come!

The two came to the obstetrics and gynecology clinic early in the morning.

"Congratulations!" Director Qin of the Department of Obstetrics and Gynecology looked at the color ultrasound and said, "Go and set up a file. This is your first child, so you must come for the pregnancy test on time."

"You are Gao Feng, a celebrity in our hospital." Director Qin said to Gao Feng, "I know you, let's add a friend, and if you don't understand anything, you can ask me in time."

Gao Feng quickly took out his mobile phone to scan the QR code. Director Qin's WeChat name is very interesting, it's called: graduate student.
You can tell by the name that it is very professional!
Tomorrow is the weekend, Gao Feng decided to take Li Xinyao back to his hometown for 2 days, just in time to tell his parents the good news.

Li Youliang happened to come over at this time. He went to X Township for two days and reported the current situation to Gao Feng, "Generally speaking, it went smoothly. The school directly vacated a laboratory for us , the instruments inside should be newly configured in the past few years, and they are pretty good to use.”

"That's good." Gao Feng was very satisfied, "My wife is pregnant, and I plan to go back to my hometown for two days."

"Congratulations, congratulations!" Li Youliang was happy for him.

After Gao Feng got off work, Li Zheng called.

"It's not necessary." Gao Feng said, "It's so close, we can just take a taxi, why let you run back and forth."

"We bought the car for you, the boss, to use. Besides, my current job is to be a driver, and I've been so busy recently." Li Zheng took the luggage from Gao Feng without any explanation, and stuffed it into the trunk.

Don't say it, the Audi A6 is comfortable to sit on, and it is not bumpy at all.

Soon at the door of the house, Gao's mother kept smiling after hearing the news that her daughter-in-law was pregnant, "This is great!"

Dad Gao was also very happy. The expectations of the older generation for the inheritance of incense and blood are beyond the comprehension of today's young people.Gao Zhenzhen also ran back from the school when she learned that her eldest brother and sister-in-law were going home.

Since Gao Feng transferred her 1 yuan, the image of her brother has grown in her heart. The purpose of coming back this time is to see if she can get some autumn wind. Looking to the future is not.

"You're pregnant?" Gao Zhenzhen heard the news as soon as she got home. She was inexplicably excited and couldn't help touching her sister-in-law's belly, "Can you feel it now?"

"It's early, I just have a fetal bud now, and it will take some time before the fetal heart develops." Li Xinyao's face was full of smiles. At the beginning, her mood was rather complicated, and she was a little at a loss in the face of the sudden little life. Now I feel very happy.

It was past 9 pm when Li Zheng returned to the urban area. He was blocked on Zhongzhou Avenue for more than an hour. This place usually has a lot of traffic, let alone Friday night.A taxi that changed lanes at will created a big surprise for passing drivers, and the three lanes suddenly became a single lane.

He will soon arrive at his place of residence, and Li Zheng finally heaves a sigh of relief. He is turning a corner when a figure suddenly rushes out.He hurriedly slammed on the brakes, but the figure on the side was still pushed out.

"Pengci?" Li Zheng immediately thought of it.

He quickly got out of the car, and lying on the ground was a girl in a white dress, "Why did you run a red light?" He said in a deep voice.

The girl was hugging her leg, a lot of blood oozing from the white skirt, "I'm sorry, I didn't pay attention." She frowned in pain.

It seems that it was not Pengci, Li Zheng relaxed, "Would you like to call an ambulance for you?"

"Forget it, I don't think it's a big problem." The girl struggled to stand up, "Just go back and disinfect."

Seeing her in pain, Li Zheng couldn't bear it, "Come on, get in the car, I'll take you to the hospital for bandages, the Provincial People's Hospital is not far ahead." The girl wanted to refuse at first, but she felt the pain in the wound sharp.

Huang Xin felt that she was really unlucky. After graduating from college, she joined an education and training center. She was doing a good job, but the boss suddenly ran away. The company's profits were obviously good, which made everyone feel baffled.

It was only later that I found out that the boss had also opened several different types of companies outside, and the stalls were too big, and the underpants I had lost in the past few years were all gone.

"Your boss is ambitious, and he has learned from others in diversification." The policeman handling the case said to her.

Finally changed another company, and encountered fraud again when renting a house.

The intermediary took the money and ran away. The landlord who did not receive the money was unhappy and threatened to drive her out.Fortunately, more people were involved this time, and more than 30 people in one building were placed together by the intermediary.

After the police arrived, mediation was carried out, and the tenant and the landlord were each responsible for half of the damage, and then the matter fell through.

Huang Xin came here for a blind date today. Thinking of this, she felt the wound on her leg hurt even more, and her heart also hurt.

"Very stable, with a good family background, and a successful career." That's what a colleague told her.

After going there, I found that the other party was 10 years older than her and had two children. Just like that, people thought she had low education, "You are only a junior college student, so you won't know how to educate children in the future!"

Huang Xin didn't know what she was thinking at the time, and she was a little confused, "Brother, what education do you have? Where do you work?" She asked weakly.

"Oh, I graduated from junior high school, and now I'm working as a car repairman on Tongyuan Road." The other party said, "You are too tall, standing next to me makes me look short." He was a little dissatisfied.

"Forget it, I'll give you a chance. Let's try to live together for 3 months first."

Huang Xin didn't dare to take this opportunity, mainly because he was afraid of delaying his elder brother.She was frightened and ran away. She was so uncomfortable along the way that she didn't pay attention to the red street lights, and then she collided with the car.

Li Zheng helped her get a medical card and charged 500 yuan into it. The nurse helped Huang Xin into the consulting room.

"Brother, shall I transfer the money to you first?"

"Wait until you bandage the wound." Li Zheng replied. He waited outside for 20 minutes, but no one came out. He went to the door of the consulting room to check. Huang Xin was still waiting there. He shook his head, and Li Zheng left directly. up.

"Hello, may I ask, who was the person who sent me here just now?" Huang Xin asked the nurse at the guidance desk.

"Who is it? There are too many people, and I didn't pay attention." The nurse was so busy that she didn't even raise her head, "Do you still have money in this card? Is it refundable?"
-
After living in my hometown for 2 days, Gao Feng feels that his condition has been adjusted well. The air here is as fresh as if it has been washed, without any turbidity, and there is no trace of dust in the sun.

Li Xinyao also likes this place very much. She always wakes up in the morning and goes for a walk, feeling very refreshed physically and mentally.

"Come back when you're not busy." Gao Ma was very reluctant. After getting along with her for the past two days, she felt that she could get along well with her daughter-in-law.

"Li Zheng, I heard from Youliang that you are planning to go home soon." Gao Feng casually chatted with Li Zheng.

"Yes, he wants to rebuild the house in his hometown." Li Zheng replied, "Actually, he can still live there. My dad doesn't want to waste the money."

Gao Feng didn't know much about Li Youliang's family conditions, but he could tell that it wasn't very good, "Come on, I'll give you more money at the end of the year."

"That's not what I meant." Li Zheng blushed suddenly, "No need, really no need."

"You've given enough," he thought to himself.

The ward is still the same, always busy, that is, the two days of Chinese New Year will be better.

"Doctor, please save my husband! He has been "poisoned" abroad!!" A woman in red hurried into the doctor's office.

Gao Feng froze for a moment, "This is?"

"The patient contacted by Director Zhao was transferred from the county hospital below." Dong Qianqian said, she turned to the woman and said, "Sister, don't worry, we will go see the patient now."

The male patient, 45 years old, was transferred from another hospital with "fever for 4 days and disturbance of consciousness for 1 day".According to the description of the patient’s wife: the patient visited Thailand two weeks ago, and one day before returning to China, the patient went to a local bar to party all night and drank some fragments. Cash and mobile phones were missing, and a strange card was added to the wallet.

The patient's wife showed the card to everyone. It was a human face with strange lines painted on it.

The patient didn't pay attention at the time, and later searched the Internet accidentally, and found that it was a kind of Thai "gu poison". If you stare at his eyes for a long time, you will feel that your soul is gradually sucked into his eyes or appear supernatural. Phenomena, auditory hallucinations, sound barriers, etc. It is said that some people have committed suicide because of it.

This frightened the patient to death, and he quickly threw the card away, but he couldn't sleep that night. He accidentally thought of the poisonous poison in Thailand. , my mind was full of the face with strange lines, and I couldn't make a sound, I could only make a few strange noises, struggled hard, and it took several minutes for the above feeling to disappear.

After returning to China, patients often dream of similar scenes, always waking up from sleep.

4 days ago, the patient developed chills and high fever without obvious triggers at night. At that time, the body temperature was 40°C, accompanied by headache, muscle aches all over the body, without cough, sputum, palpitations, chest pain, shortness of breath, abdominal pain, abdominal distension, and diarrhea. , Without frequent urination, urgency, painful urination, without skin rash and other discomforts.Then he went to the local community, and routine blood tests showed no obvious abnormalities.

The community hospital considered upper respiratory tract infection and administered "oseltamivir capsules, ibuprofen tablets, and Pudilan anti-inflammatory oral liquid" for treatment.

The patient's body temperature can drop to normal, but there are still relapses. One day before, the patient developed chills and a high fever of 1°C, accompanied by sudden unconsciousness and twitching of limbs for 41-2 minutes.Then I called 3 and got out of the car. I had a head MRI at the county hospital. No abnormalities were found. After giving rehydration and physical cooling, I was transferred to the Provincial People's Hospital.

"Did you take a chest CT?" Gao Feng asked.

"No." The patient replied weakly, "I'm afraid I'll be delayed, so I came here directly. Please check it out for me, I'm not afraid of spending money!"

Zhang Tianci hurriedly ran to write an examination list for the patient, "Add the abdominal CT too." Gao Feng shouted at him.

Soon the results of chest CT came out, and the lower lobe of the left lung was exuded and consolidated.

"It turned out to be lobar pneumonia." Dong Qianqian breathed a sigh of relief, "I heard what the family members said was so bizarre, I almost believed it just now." Gao Feng just wanted to echo a few words, when the system prompt jumped out.

"Confused: Is it a supernatural factor or an undiscovered cause? Zhao Huaizhi, who returned from a trip to Thailand, seems to be in serious trouble. Please help him make a clear diagnosis as soon as possible. After completing the task, you can get 20 skill points."

"Is the diagnosis of lobar pneumonia unclear?" Gao Feng was taken aback for a moment. Could there be other factors?He hurriedly asked about the medical history again, but found nothing valuable.

"What's the matter?" Dong Qianqian asked looking at him thoughtfully.

"It just doesn't seem that simple." Gao Feng replied, "I think you can check it carefully for him when drawing blood."

"I understand this!" Zhang Tianci skillfully opened the doctor's order kit for blood test, cracking!He clicked three times.

Just three times, a man willingly spent 2000 yuan.

Is this a bit too much to check?Dong Qianqian frowned, but seeing that Gao Feng was silent, she didn't say much.

In the afternoon, the patient's blood test results came out, and the kidney function and electrolytes were normal.Liver enzymes were high, alanine aminotransferase 140 U/L, aspartate aminotransferase 160 U/L, and myocardial enzymes were also partially abnormal, which was considered to be liver and myocardial damage caused by fever.

Gao Feng lost his direction for a while, "Let's fight the infection, protect the liver, protect the stomach, lower the temperature and treat the symptoms first." He discussed it with Dong Qianqian.

Before leaving get off work, Gao Feng went to see the patient again.

"Doctor, there is something I want to tell you." The patient said hurriedly when he saw him coming, "I want to check for HIV." HIV is the abbreviation of AIDS.

"There are a lot of ladyboys in Thailand." The patient was a little embarrassed, "Do as the Romans do, I touched a few times in the bar too."

The wife on the side gave him a hard look.

"Don't worry, ordinary physical contact will not cause HIV transmission." Gao Feng laughed.

The patient's expression was not at all relaxed, and he insisted: "Let's check one! My hehe"

Good guy!Gao Feng was shocked, brother, you are a real cow!
"Zhao Huaizhi!" The patient's wife was angry, "What the hell are you doing there?!!" She directly confronted the patient, which shocked Gao Feng.

"Don't do it, big sister." Gao Feng hurriedly stepped forward to hold the woman back, "He is HIV negative, we have already checked."

"You didn't say it earlier!" the patient said aggrievedly.

The diagnosis of lobar pneumonia is definitely incomplete, because Zhao Huaizhi still had recurrent fevers in the next few days, with the highest body temperature being 41°C.

Li Xinyao, the chief resident of the Department of Neurology, also came over for a consultation and said that intracranial infection is not considered too much for the time being.

Gao Feng conducted a respiratory etiology examination on the patient: Mycoplasma pneumoniae, Rickettsia Q fever, respiratory syncytial virus, influenza A virus, influenza B virus and parainfluenza virus, Legionella pneumophila, Chlamydia pneumoniae, adenovirus Virus, the results were all negative.

"It must be "gu poison"!" Zhao Huaizhi's wife found Gao Feng again, "I want to find a master to come to the ward to exorcise him."

high wind.

"I'm afraid it's not good to dance to the gods in the ward."

"Why don't you wait a little longer and let's think about what's going on." Dong Qianqian comforted her.

Gao Feng sat in front of the computer and frantically turned his brain.

1. The patient has a history of living in Thailand, and also developed fever after returning from the country.

2. Thailand is located in the south-central part of the Indochina Peninsula, facing the Gulf of Thailand in the southeast and the Andaman Sea in the Indian Ocean in the southwest.It borders Myanmar in the west and northwest, Laos in the northeast, Cambodia in the east, and Malaysia in the south.It has a tropical monsoon climate with dense jungles.

"The patient has a clear history of exposure to tropical jungles, and we need to focus on ruling out insect-borne diseases." Gao Feng said, "Godsend, give him a dengue fever antigen antibody test and a peripheral blood smear!"

Soon the results of the three items of dengue fever antigen and antibody came out. The Vita test, Waifield test, JE antibody, and epidemic hemorrhagic fever antibody were all negative.

"Could it be that the direction is wrong?" Gao Feng felt a little powerless. He also invited many directors to see it in the past two days, but he didn't gain much.

While he was thinking, the Laboratory Department called.

"Hello, is this Dr. Gao Feng? The peripheral blood picture we sent was checked for malaria parasites." The doctor in the laboratory department was a little uncertain, "Why don't you take the blood smear to the infectious disease hospital and ask an expert to have a look Bar."

"Plasmodium?" Gao Feng suddenly understood.

He hurriedly asked Zhang Tianci to go to the laboratory to borrow smears, then contacted Director Zhao, and drove to the Sixth Hospital, which is also a provincial hospital for infectious diseases.

"It's Plasmodium falciparum." An expert surnamed Hu said with certainty.

Now the cause of the patient was finally clarified, falciparum malaria infection.

"Complicated: A disease introduces you to the ancient and legendary Plasmodium. You get 18 skill points."

(End of this chapter)