This doctor has a system

Chapter 352 423. Do the elderly nowadays have such a good time?

Gao Feng understands the anxious mood of the family members. Anyone who sees that the blood drawn from his body is black will be terrified.

"Don't be anxious, go get checked first, let's do some tests first," he comforted.

After the family members left, everyone began to discuss it. To be honest, this was the first time we had encountered this situation, and it felt a bit confusing.

Gao Feng was also holding his chin and thinking. The human body's blood is divided into venous blood and arterial blood. Arterial blood has high oxygen content and is usually bright red. Venous blood has low oxygen content and is usually dark red.

In a plateau environment, the outside world is hypoxic, resulting in a decrease in oxygen content in the blood, which may lead to blackening; after leaving the plateau environment, the situation will improve.

Patients with chronic obstructive pulmonary disease and congenital heart disease may also have black blood, but generally the color will change back in time after inhaling oxygen. The patient's situation is obviously not consistent.

Then this is weird.

Gao Feng continued to think about it. Could it be acute poisoning?

So what kind of poisoning can cause blood pressure to turn black?

correct! His spirit was shaken. This seemed to be the case with nitrite poisoning.

When poisoning occurs due to accidentally eating a large amount of pickled vegetables or industrial nitrites, methemoglobin is formed in the body, which reduces its ability to bind oxygen, leading to a state of hypoxia in the body and causing the blood to turn black.

Thinking of this, he quickly contacted the patient, who was queuing up for a chest CT scan.

"I didn't eat pickles." The patient replied, "I don't like to eat pickled things. They don't feel fresh."

Gao Feng was a little disappointed when he got the answer. Just as he was about to hang up the phone, the patient's husband's voice suddenly came over.

"Didn't our mother prepare a piece of beef? She seems to have marinated it herself."

It turned out that the patient liked to eat beef, so her mother brought her a large piece of beef that she had marinated herself. The patient tasted it and found it tasted good, so he sat there and ate a large plate of sesame seed cakes.

"Why didn't you eat?" Gao Feng asked the patient's husband. Under normal circumstances, most people can't resist the temptation of sesame seed cakes with beef.

"I have lost weight recently." The patient's husband replied, patting his belly. He had gained a little too much weight in the past two years and has been on a vegetarian diet recently.

Bu Zhengyang immediately performed a methemoglobin identification test on the patient and found that the amount of methemoglobin was significantly higher than the normal value. Qualitative urine nitrite testing was also positive.

The diagnosis was now clear: the patient suffered from nitrite poisoning.

"Give him the methylene blue."

The specific antidote for nitrite poisoning is methylene blue. If a patient is found to have suspicious symptoms of poisoning, timely measures should be taken to remove the nitrite that has not been absorbed into the blood, and emergency treatment, drug treatment, symptomatic support treatment, etc. should be given. The purpose of treatment is to reduce the risk of nitrite poisoning. The absorption of nitrite promotes the excretion of poisons.

The patient's treatment effect was quite good, and he was discharged from the hospital successfully after a few days.
-

Qi Nannan's younger brother came to Zhengzhou. A female classmate noticed a white spot on the child's back. Qi's mother was worried that it was vitiligo, so she brought her son here for a diagnosis.

As for why a female classmate discovered it, Qi Nannan's younger brother refused to say the reason, but it didn't matter. Qi's father had dealt with him as a puppy love.

The dermatologist checked it carefully and said there was nothing wrong with it, and asked him to apply some medicine and go back for observation.

Before leaving, Qi Nannan took her younger brother to buy clothes. The younger brother was still very picky, and she didn't like this thing and that thing. Qi Nannan thought he was a slut, so she tried it on herself.

"Look at you, you have a round waist and a big belly." The younger brother said in shock, but Qi Nannan disagreed.

"You can't be like this. You became like this after your mother gave birth to you." The shopping guide said from the side.

Qi Nannan: Thank you, stop talking.

Damn, you are really blind! She didn't feel sad at first!

"One word warmed her up all day, and it was another day of high emotional intelligence." The shopping guide secretly rejoiced.

"Director Gao, I have a relative whose child has been running a fever. Please take a look." Director Liu from the Vascular Surgery Department called Gao Feng.

"Ask him to come directly to the department." Gao Feng replied. He did not attend the outpatient clinic today.

Soon, the patient came to the general medicine department accompanied by his parents.

This is a 20-year-old boy who is currently studying in college in Z state. He is quite handsome, but he does not seem to be in good spirits.

According to his own description, it has been more than 20 days since the first day he had a fever. In the meantime, he took medicine and received infusions in the school hospital, but the effect was not very good.

"I haven't had a fever for three days, but yesterday my fever reached 3℃ again." The boy said weakly.

Gao Feng looked at the patient's blood routine results, which showed that the number of neutrophils was slightly elevated.

There are many diseases that can cause long-term fever, and Gao Feng did not dare to be careless. He found that the patient had cough symptoms, and a small amount of white sticky sputum would be brought out when coughing.

After picking up the stethoscope and listening, he found a small amount of fine crackles in the patient's right lower lung.

"Have you had a chest X-ray or chest CT done recently?" he asked.

"No, I came here just to check it out." said the boy's father.

"Then let's take a chest CT scan first." Li Youliang had already handed the examination form to the patient's father's hand, "Come back here after the scan."

Soon the imaging results came out, and Gao Feng frowned immediately when he saw them.

Patches, interstitial changes, multiple nodules, hilar and mediastinal lymph node enlargement, and a small amount of pleural effusion on both sides can be seen on CT.

Seeing him frowning and not speaking, the boy's parents were a little nervous.

"Director Gao, is there any problem?"

"Well, he still needs another blood test." Gao Feng thought about it and said, "I'll make an order and you go to the laboratory now."

"Is there any serious problem?" Li Youliang asked after the patient walked away. He was the best at observing words and expressions, and he sensitively noticed that the boss's face was not very good-looking.

He also took the mouse and swiped it a few times, but he was ashamed and couldn't understand it at all. It's actually quite funny. Master's students in respiratory medicine can't watch movies. I'm afraid most people won't believe this, but that's the fact.

"It looks like his lungs are stuck," Gao Feng said.

"Ah?" Li Youliang was stunned.

Coffee, also known as Pneumocystis pneumonia, is caused by latent Pneumocystis jiroveci, which multiply when the body's immune system is suppressed or damaged, destroying alveolar cells, causing interstitial pneumonia, namely Pneumocystis pneumonia.

You may not think it's anything when you see this, but what if I tell you that this disease is more common in AIDS patients, organ transplant patients, and patients who take immunosuppressive drugs for a long time.

The patient is a young man who has never had an organ transplant and has no history of long-term oral immunosuppressive drugs. The presence of stuck lungs is a bit worrying.

"No way?" Li Youliang was quite shocked. This boy is quite handsome. Could he really be suffering from AIDS?

"Let's wait for the results of the infectious disease to come out."

Many times, things always develop step by step, and special circumstances rarely occur.

The laboratory department called at noon, saying that the patient's infectious disease results were abnormal. "We need to draw blood again to treat AIDS." A doctor in the laboratory said, "Let the patient come again."

When the boy's parents learned of the situation, they felt that the sky was about to fall. Gao Feng could only call Director Liu and ask him to come forward and enlighten him.

How could one suffer from AIDS at such a young age? Li Youliang was also full of confusion. This boy seemed quite well-behaved.

"Do you have a girlfriend?" he asked.

"No," the boy replied.

How can I get this disease if I don’t even have a girlfriend? Li Youliang was a little puzzled.

"Do you have a boyfriend?" Gao Feng asked.

"Yes, there are two." The boy hesitated and replied.

Li Youliang

There was no luck later, and both of his boyfriends were eventually diagnosed with AIDS.

Li Youliang really doesn't understand what fun there is between boys! Find a sweet-smelling girl, won’t she? Then you can play whatever you want, why do you have to have two grown men go straight to each other?

Just thinking about it a bit challenges my view of love.

"Actually, that's not necessarily the case." Bu Zhengyang said, "If it's not for having children, most boys still like to play with boys."

As we all know, a woman is a complex animal, but a man is much simpler. He only has two heads. As long as he can handle these two heads, he will be happy every day.

Hu Jiaran has been free recently. He has been spending more time with his girlfriend recently, and the relationship between the two has heated up quickly.

"Would you like to come up and sit down?" Zhang Yumeng summoned up the courage to say. She was complaining a little in her heart. Her boyfriend didn't take the initiative at all, which made her very passive.

The relationship is established, you should hold hands and kiss! I don't know how to hide, and we are not that conservative.

She sometimes doubts Hu Jiaran's sexual orientation.

"It's a bit late. You have to go to work tomorrow." Hu Jiaran didn't want to go up. He had to drive back later. He had to go to the company for an interview tomorrow.

"I can't fall in love with you." Zhang Yumeng was a little unhappy, "Then you should leave quickly."

"Okay." Hu Jiaran stepped on the accelerator, and the Audi A6L jumped out.

"I feel like he doesn't like me very much." Zhang Yumeng complained to her mother. "We treat each other like brothers. He doesn't step out of the way at all, as if he is afraid that I will depend on him."

"No way?" Zhang's mother said speechlessly. Her daughter is obviously very beautiful. Her legs are so long that others would believe her if she said she could break a man's waist.

"Is it possible that Xiao Hu doesn't like the style of dressing up?" Zhang's mother guessed, "You can" she whispered in her daughter's ear.

The latter's face turned red all of a sudden. She looked at her mother in shock, "Oh!" Do the elderly today also have such a good time?

Thinking of how many times she heard screams in the bedroom next door when she woke up at night, Zhang Yumeng decided to give it a try next time.

I, Zhang Yumeng, don’t want this, but Jay Chou said: listen to your mother and don’t let her get hurt.

"Yu Yanlei, right? Why did you choose to come to our company for an interview?" Hu Jiaran asked, in front of him was a young man.

"Well, I have always admired Fengxin Technology." Yu Yanlei said, "When I was in college, I set a goal for myself, that is, I must join our company after graduation."

"How many years did you go to college?"

"Four years." Yu Yanlei replied.

"Our company has only been established for one year. Did you hear about it when you first went to college?" Hu Jiaran said with a smile.

"Haha." Yu Yanlei was very embarrassed, "Didn't I submit a lot of resumes? I'm casting a wide net."

However, his resume was very beautifully written. Hu Jiaran asked a few questions and the answers were quite satisfactory.

The next job applicant, Bu Qinggang, was older, 38 years old.

"You have a lot of experience in this industry." Hu Jiaran said in surprise, "Have you ever been in Beijing and Shanghai?"

"Yes." Bu Qinggang replied, "I am very adaptable and can adapt to various complex corporate environments."

The subtext is that the company treats me well, I can work hard, and the company treats me like a social animal, so I can rest. The main thing is a peaceful mind.

"Why would you resign if you are so adaptable?" Zhao Xingye asked.

"Bad luck." Bu Qinggang said.

"I was originally engaged in the research and development of monoclonal antibody drugs at a company in Beijing. Later, it seems that a domestic company produced a catalytic enzyme. The company said that if it could not buy this, it would be a dead end to develop monoclonal antibodies, so I decided to Research and development in this area has been stopped.”

Then he was dismissed.

"This company in Modu makes medical equipment. I was doing pretty well there, but then for some unknown reason, it was said that an ECMO research and development project had gone bankrupt."

Once again he was unemployed.

Hu Jiaran

Zhao Xingye and Hu Jiaran looked at each other. He was very hesitant about whether to keep Bu Qinggang. If the other party knew that the two job losses were related to Fengxin Technology, would he feel revenge on the company?

"You are not engaged in ECMO research and development, why were you laid off?" Hu Jiaran asked.

"Every department has to be laid off." Bu Qing was very angry when he mentioned this. "The boss said that the financial resources (layoffs) will increase so that all departments can eliminate the bad luck."

As Fengxin Technology becomes more and more famous in the industry, the academic qualifications of job seekers are getting higher and higher, including several PhDs, and graduate students have become the main force.

The old employees couldn't help but rejoice at their good luck. They had to come in one year earlier. Looking at the current situation, I'm afraid at least 1% of the undergraduate students will be dismissed.

Gao Feng also showed up, but he soon lost interest. Most of the interviewees were students who were about to graduate. Their performance during the interview was unsatisfactory at best, and some even stuttered.

"Director, the hospital informed us that there will be a multidisciplinary consultation at 10 o'clock tomorrow morning." As soon as Gao Feng arrived at the department, he received a notice from Bu Zhengyang, who also handed him a pamphlet.

When I opened it, it turned out to be a multidisciplinary consultation to discuss the patient's condition description and current examination and test results.

"It seems that the identity of the patient is very unusual." Li Youliang said from the side.

However, no matter how unusual your identity is, you only have one identity when you arrive at the hospital, and that is that of a patient.

(End of this chapter)