This doctor has a system

Chapter 245 234. Death cases
From his words, Gao Feng and Dong Qianqian finally knew the whole story.

The old lady lost her husband early and now has a son and a daughter. The son is an idler. In the past, people used to take loans to build buildings and collect rent.The daughter took the old lady to the bank. As soon as the loan came out, her son transferred it away. He wanted to learn how others do business.

"Mom, give me a chance and I will prove to you that I am not a waste!"

The old lady believed it, and six months later she could no longer contact her son.On the contrary, a group of creditors came to the door every day, but there was only an old lady at home, so there was nothing we could do.

Later, several floors were built with the help of my daughter and son-in-law. As soon as the rent was collected, my son, who had not been contacted for a long time, appeared again.

"I have a girlfriend and need money."

When the old lady thought about it, she had to give it to her. It was all thanks to her son to make things flourish.Besides, if someone is looking after him, he might change his ways.

But I didn't expect that my girlfriend was a little girl. The two of them ate, drank, and had sex every day, and the old lady took care of them. The little girl was like an old girl, and the neighbors couldn't stand it.

The monthly rent was wiped out by the two of them, and the old lady couldn't eat meat once a week.

The daughter really couldn't stand it anymore, so she came forward several times, and the village committee also sent people over, preparing to use some means to deal with the unfilial son, but she didn't expect the old lady to defend her son very well.

It made everyone very embarrassed. If you are like this, what are we trying to do? So no one will take care of it.

After the demolition, a large amount of money was distributed, and my daughter hurried over. She meant that the money should be divided into two, and the old lady's share would be kept by her, and the old lady could live with her.

Witnessed by the village committee, they all agreed that the son had given the old lady some ecstasy soup. In the blink of an eye, all the money was transferred to the son, and the latter took the money and disappeared.

"Do you think she deserves it?" The son-in-law said without hesitation in front of the old lady, "Originally I thought of letting her die, but my man insisted on letting me take her to see her."

"You, don't be so rude when speaking in front of others." Dong Qianqian was a little unhappy.

"I paid for her medical treatment, why can't I say a few harsh words?" The son-in-law was not happy either, and it was not easy for him to make money.

When the puncture needle was removed, all that was drawn out was mud-like liquid, which was very thick and very laborious to draw out.

"What's going on?" Dong Qianqian was a little surprised. This was the first time she had seen pleural effusion of this color.

"It should be hemothorax, but the blood has been in the chest for a long time, so it turned into this color." Gao Feng guessed.

Subsequent pathological results also confirmed his judgment.

It turned out that the old lady was pushed by her son some time ago and fell to the ground hard. It was at that time that she started to feel uncomfortable.

After three consecutive days of chest irrigation, the patient's symptoms improved significantly.

"Doctor, please arrange a discharge for us." The son-in-law came over.

"The conditions for discharge are not yet met," Dong Qianqian told him. "The fluid will accumulate for another two days, and anti-infective drugs will need to be used for a while."

"She's not that valuable. I think she's fine." The son-in-law said, "Hurry up, we're still waiting to leave."

"Why are you like this?" Dong Qianqian said. She didn't understand because the follow-up treatment didn't cost much.

"I'm going on a business trip tomorrow, and my wife is also studying abroad. No one will take care of her." The son-in-law explained that he was very irritable after staying in the hospital for a few days.

"My son is now living with a neighbor and I haven't seen him for a few days."

"Where are your parents?" Gao Feng asked.

"My father is outside looking after the gate, and my mother is looking after my brother's children. They are only half a year old," the man said.

He felt very sad when he mentioned this. His family was being dragged down by his wife's family. He didn't agree to give the old lady money to build a building at the beginning. But now it's fine. The money has been spent and nothing has happened.

No, it ended up with a sick old woman.

Seeing the old lady tremblingly following her son-in-law downstairs, Dong Qianqian felt very uncomfortable.

"How long do you think this old lady can live?"

"It's better not to live too long. It's not good for herself or her daughter and her family." Gao Feng said.

The elderly have reached this point and they have a very big responsibility. Such people are both pitiful and hateful.

After completing his rounds, Gao Feng asked the students a few questions, and two of them answered quite well, which made him feel a lot better.

"Teacher Gao is so serious in teaching." Dr. Ai Hongkai said with a smile, "It's rare to see someone explain medical knowledge in such a profound and simple way."

Dong Qianqian on the side is a little unhappy. It's none of your business. Is it your turn to lick it?

"Quick, drink a glass of water to moisten your throat." She diligently handed over the disposable water cup.

Huh, did you see that?Isn't my licking better than yours?She glanced at Ai Hongkai as if demonstrating.

As soon as Gao Feng took the water glass, Li Youliang appeared.

"The weather is dry. I'll make you some chrysanthemum tea. It won't make you angry easily." He came over with a black thermos cup, which was the cup Gao Feng kept in the department.

You are a bitch. If you are not doing your job all day long, you will just come here to show your courtesy. Dong Qianqian cursed in her heart, this girl is just a bitch. She used to follow Director Zhao, but now she hangs around Gao Feng all day long.

House slaves with two surnames!Pooh!

"What are you doing here?" Gao Feng took the thermos cup and took a sip. It was okay. The chrysanthemum tea just tasted like that.

"The experiment over at Jiaran is not going well. Let me come over and see if you are busy here. I want you to come over and give me some guidance." Li Youliang said.

"He can't tell me by himself? And he makes you run back and forth?" Gao Feng said with a smile.

"I guess it's not a big problem." Li Youliang also smiled, "There's no need to go if you're busy, they can figure out a solution themselves."

I'm afraid not necessarily. Future experiments will become more and more difficult. If he doesn't take action, it will probably be enough for Hu Jiaran and the others.

I still have to make time to go there, Gao Feng thought.

The late autumn sun is still so dazzling in the afternoon, but it is very warm. The dry autumn wind blowing gently makes people feel refreshed.This is a good time to stop and enjoy the surrounding scenery, but this is a hospital and it is always busy. "Gao Feng, please come and take a look at the multidisciplinary consultation in the Department of Neurology." Director Wang from the Medical Education Department called him, "This patient's situation is very special."

Gao Feng became excited when he heard about multidisciplinary consultation, and he hurried over.

The patient's situation is indeed very, very special, and the directors present here all look puzzled.

Patient Qin, male, 51 years old, a farmer, visited the Department of Neurology of our hospital 3 days ago with the main complaint of "priapism and frequent ejaculation for 3 days".

The patient had an involuntary erection and ejaculation without obvious triggers when he was working abroad 3 days ago. He was unconscious, had no limb movement or sensory impairment, no fever, and no other accompanying symptoms.

Then when I returned home from other places, the above symptoms were not relieved, and they occurred every 20-30 minutes, and the amount of ejaculation gradually decreased.

In the evening of the next day, he developed weakness in both lower limbs and difficulty walking. He came to our hospital for diagnosis and treatment.

He reported a history of lumbar disc herniation, no history of trauma, and no history of animal bites.He has no special bad habits, no recent history of medication, and no history of exposure to harmful substances.

Marry at an appropriate age, have children, and have no history of familial infectious diseases or hereditary diseases.

No positive physical signs were found during admission physical examination.The electrolytes were checked and showed no abnormality.It is recommended that superior hospitals provide diagnosis and treatment, and the family members escort the patient to the local city hospital. The city hospital recommends that the patient be transferred to the provincial capital hospital for diagnosis and treatment.

"After checking the spinal magnetic resonance and other related examinations, no obvious abnormalities were found." The doctor in charge reported.

Many diseases will be encountered in medical career, and frequent erections and ejaculation are not uncommon, but there must always be a reason.

Gao Feng once read the literature. An expert summarized the cases of priapism he encountered, including 5 cases of yinjing cavernosum injection of papaverine, 1 cases of prostaglandin E2, 1 case of taking clozapine, and 1 case of chlorpromazine. , 1 case used tetracaine and lidocaine for epidural anesthesia; 4 cases had blood diseases, 2 cases had diabetes with DIC, 1 case each had liver cancer and intestinal cancer metastasis, 1 case had unknown cause, 2 cases had a history of perineal trauma .

However, this patient does not meet the above conditions. He has no inducement at all, which is very puzzling.

"Have you done second-generation sequencing of peripheral blood?" Gao Feng asked.

"I did it, and no problem was found." The doctor in charge replied.

"Where are the patients? Go and see the patients." A director suggested.

Everyone swarmed out of the demonstration classroom. At this time, the nurse rushed over, "Quick, bed 16 for rescue!"

The doctor in charge ran out like a monkey. Gao Feng raised his head and looked at the big screen. The bed number on the courseware PPT was exactly 16.
Judging from the situation, the patient's condition has changed now.

Everyone looked at each other in confusion for a moment. It was definitely not appropriate for everyone to go to the ward together at this point. During the rescue, it was very taboo to have people watching from the inside and outside.

After waiting for a few minutes, someone couldn't sit still and said, "Let me go see what's going on." A director walked over and came back soon.

"Heartbeat and respiratory arrest." He shook his head, "There is a high probability that he cannot be rescued."

Gao Feng felt a little regretful in his heart. He felt that he should have gone there as soon as possible, but after all, the doctor in charge of the patient's condition knew best. He must be the main rescuer. It was not appropriate for him to go up rashly.

"Everyone, please disperse now. We will continue the discussion when the condition stabilizes." Director Wang said.

The patient's condition did not stabilize and he passed away that day.Gao Feng subsequently received another notification from the medical department, again about this patient, but this time it was about a death case.

"Many times, the cause of some diseases cannot be found." A gray-haired director lamented, "No one knows about it after working for a long time. Some patients die so suddenly and inexplicably."

"Ahem." Director Wang from the Department of Medical Education coughed twice, "There is always a reason for death. This is also the purpose of our discussion this time."

"I found in the literature that there was an old lady abroad suffering from neurosyphilis and hypersexuality. Could the patient be like this?" said Director Qu of the Department of Cardiology.

"Neurosyphilis is indeed possible, but patients generally do not die so quickly." A director of the Department of Neurology said, "I think it is still a problem with the nervous system. The patient's muscle strength was significantly weakened at that time, and It cannot be ruled out that it is a serious lesion in the muscles.”

Everyone was talking about it.

"Gao Feng, what do you think?" Director Wang asked. Asking Gao Feng for his opinion has become his habit.

"Could it be rabies?" Gao Feng hesitated.

His words caught everyone's attention.

"No way, the patient doesn't have the typical symptoms of rabies." someone said.

The initial symptoms of rabies are fever, often pain at the wound site or abnormal, unexplained throbbing, stinging or burning sensations.

As the virus spreads in the central nervous system, patients develop typical clinical symptoms of rabies, namely manic and paralytic types, and eventually die from pharyngeal muscle spasm, asphyxia or respiratory and circulatory failure.

Manic patients will have fever accompanied by obvious neurological signs, including hyperactivity, disorientation, hallucinations, convulsive attacks, strange behavior, and neck rigidity.Its prominent manifestations include extreme fear, fear of water, fear of wind, episodic pharyngeal muscle spasm, difficulty breathing, difficulty urinating and defecation, excessive sweating and salivation, etc.

Although patients with paralytic type do not have typical excitement period and hydrophobia, they will start with high fever, headache, vomiting, and pain at the bite site, and then develop limb weakness, abdominal distension, ataxia, muscle paralysis, and incontinence of urine and feces.

The patient obviously did not meet the above symptoms. His most obvious symptoms were frequent erections and ejaculation, as well as muscle weakness.

Thanks to his extraordinary mental strength, Gao Feng vaguely remembered that there had been cases of rabies abroad with priapism, frequent ejaculation, and hypersexuality as the first manifestations. However, he went back and searched the literature, but found no valuable findings.

"Why did you think of rabies?" Director Qu was curious.

"I seem to have seen an article somewhere before, saying that a 47-year-old male patient reported symptoms of hydrophobia and continuous ejaculation.

The patient was conscious when he was diagnosed, but his penis was so sensitive that even the gentlest touch could cause erection and ejaculation.

When the doctor learned about the situation, he discovered that the patient had been bitten by a dog 3 months ago but had not been vaccinated and had no antiserum.The patient later died of cardiac arrest, and endosomes were found in the brain during autopsy. "Gao Feng told the reason why he suspected rabies.

"I have repeatedly asked the patient, and he has no history of animal bites." The doctor in charge added that without a history of animal bites, the possibility of rabies is even lower.

"What the patient said may not be accurate. He works outside and comes into contact with a lot of things. Sometimes he may not even know what he is exposed to." The gray-haired director said, "Can this patient do an autopsy? ?”

"This needs to be discussed with the family. The body is still in the morgue," the doctor in charge said.

"Have you not taken them home yet?" someone asked. Once most patients die, their families will directly take them back to their hometowns. Some family members will immediately ask to be discharged when they see something is wrong.

A more superstitious saying is that if you die in the hospital, you will become a lonely ghost. This is why many people ask doctors to breathe.

(End of this chapter)