This doctor has a system

Chapter 383 448. Xiao Li who likes to learn Russian
One day, Director Wang admitted a patient. According to the patient himself, a tilapia accidentally swam into his home while he was swimming.

"Then you are quite unlucky." Director Wang tried his best to look sympathetic.

"Damn Luo Feiyu!" he continued to condemn.

But Wang Tianci was young after all and had not received any professional training, so he couldn't hold it back and started laughing.

"Don't you believe what I say?" The patient's face turned red.

"No, I definitely trust you completely." Wang Tianci strained his smile.

"Then why are you laughing?"

"It has nothing to do with you, I just thought of some funny things." Wang Tianci said, "Hahaha."

But Wang Tianci soon stopped laughing, and Director Wang asked him to be his assistant.

First, an attempt was made to remove it endoscopically, but the fish was too big and the spines on the fins entered the intestinal wall, so the endoscopic removal failed.
In the end, the only option was to open the belly to get the fish. When the fish was taken out, Wang Tianci, who was the first assistant, vomited on the spot.

"By the way, doctor, I have something that I don't know whether to talk about or not?" Xiao Li suddenly said coquettishly.

But since everyone was here, it was hard for him to say anything.

The diagnosis and treatment plan given by the hospital below are very correct, but patients or family members may have doubts, or have higher expectations.

This weekend, Gao Feng and Li Youliang returned to Z state. Their son was growing well and his wife Li Xinyao looked good.

"What are you doing?" Li Xinyao wondered, as she was feeding her child.

"I don't cough much." Xiao Li said, taking out a few lists from his pocket. Zhang Zhengye took it and took a look at it. It was the results of blood routine and chest CT. It said there was no major problem.

Moreover, this girl's face is really too white.

"Are you still having a fever?" Gao Feng asked. He found that Xiao Li was wearing thick clothes, a mask and a hat. Since the air conditioner was on in the clinic, the temperature inside was relatively high.

Zhang Zhengye conducted auscultation of the patient's lungs and found no problems.

I have to say, it tasted quite good, but Gao Feng didn't dare to drink more for fear that his son wouldn't have enough to eat.

"Actually, there's not much to say." Xiao Li blushed a little, "I was on a business trip last month, and the person in charge of reception there was a little enthusiastic."

Several people ate their food and then toasted together.

Many patients have multiple medical records in the hospital below. They carry a thick pile of medical records, which can seem like a headache if you don’t have the patience.

At this time, they would choose to go to the top hospital in the country to confirm. Zhang Zhengye was already used to this.

Patient Xiao Li, male, is 26 years old and has just started working.

"nerve!"

However, Gao Feng found that in fact, more than half of the patients did not need to come.

Xiao Li actually doesn't like this very much. He is a rather mysophobic person and resists these things from the bottom of his heart.

At noon, a young man came. He was quite special. He didn't bring anything with him.

To be honest, Zhang Zhengye is not very good at treating patients like Xiao Li. He feels that such patients should continue to be treated in community hospitals, and coming here is a bit much.

"Stop talking!" Fan Yulong scolded, "We'll be eating soon! What are your intentions!"

"Let's talk about it." Zhang Zhengye said. When the patient said this, it meant that this matter was quite important.

He really had never seen the world, and he quickly developed a sense of superiority.

"I don't recommend it." Wang Tianci sighed, but he was quite content. At least he saved his life without leaving any sequelae.

Father's love is so great.
-
on Monday
Gao Feng followed Zhang Zhengye to the outpatient clinic.

But he still looked a little shivering.

"Yes, I must have a fever." Xiao Li said, "I just took ibuprofen when I went out, and my body temperature has not gone down yet."

When you are with anorectal doctors, you will never worry about finding interesting topics. Wang Tianci only made a slight move, and several people's eyes widened.

The poor Luofei fish that had lost its life and was slandered by others was already rotting, and the stench filled the operating room. Director Wang could hardly control his expression. The anesthesiologist ran outside and vomited with Wang Tianci.

"Do you have any symptoms of coughing or sputum?" Zhang Zhengye asked, "Have you been checked at the community hospital?"

Wang Tianci drank fruit juice, and he had no connection with alcohol in his life.

"From now on, you can only sit in the children's seat when eating." Li Youliang sympathized. "Are you not allowed to play basketball anymore?"

Gao Feng was really a little impatient after not having a kiss for so long. As soon as 9 o'clock arrived, he impatiently turned off the lights in the bedroom.

"Come, let us celebrate the God-given new life together!"

It has to be said that the Xiehe Respiratory Clinic has more patients, and their conditions are more complex.

"I'm hungry, let me have a bite too." Gao Feng made his request.

"I've been having a fever these past few days," the patient said to Zhang Zhengye. "I took a lot of medicine at the community hospital, but it had no effect."

An expression: It's okay to be like this.

More than just being a little enthusiastic, Party B treated him to food and drinks, and before leaving, he even gave him a big girl to learn Russian.

"If it's not possible, do a joint fever test." He suggested. "If you have a fever for several days, you still need to find the cause. Treatment is more appropriate."

But how to put it, now that China and Russia are friendly, he really can't bear to ruin the relationship with his Russian friends.

Is he just so pale because he is really curious? Where else? Is the appearance the same as the inside?
Speaking of Russian, he seemed a little interested. It would definitely be good to learn another foreign language when you are away from home. You might be able to use it one day.

So he did it half-heartedly.
"Is it white?" Li Youliang asked.

"It's very white." Xiao Li inspected it very carefully, "But some places are black, like the big black forest."

The combination of the keywords "one month ago", "high-risk sexual behavior" and "continuous fever" makes people think a lot.

"Have you taken protective measures?" Director Zhang asked solemnly.

High-risk sexual behavior coupled with persistent fever, which is an early symptom of AIDS, and the interval is about one month, which is exactly the window period of AIDS, everything points to a bad outcome.

"I did it." Xiao Li quickly replied. He didn't think of it at the time, but the girl put it on for him very thoughtfully.

A girl came all the way to China to teach Russian, and she was always careful to protect herself.

"Doctor, can this be me?" Xiao Li asked nervously, "I heard that HIV can also keep a fever."

"Generally speaking, the probability of infection is very small when protective measures are taken." Zhang Zhengye analyzed, "But if you are worried, you can check for an infectious disease." The patient was okay, he held the checklist When they were about to go out, the door of the consulting room opened and a gust of wind blew by the window. Gao Feng and the three of them were enjoying the breeze from nature.

Xiao Li on the other side looked anxious, his expression full of panic.

Gao Feng was stunned for a moment, but Xiao Li quickly walked out of the consulting room.

"What's wrong?" Li Youliang noticed the boss's question.

"Did you notice what the patient's expression looked like just now?" Gao Feng asked, "When the wind blew, I felt like he was a little panicked."

"I must be running a fever, and I'm shivering when the wind blows." Zhang Zhengye said.

At this time, another patient came in accompanied by his family members. The patient is a 59-year-old middle-aged and elderly woman with a worried expression.

She is a sanitation worker. She developed cough, chest tightness, and wheezing for unknown reasons a year ago. She was diagnosed with bronchial asthma at the local county hospital.

Since then, I have been receiving regular treatment for bronchial asthma.

However, the symptoms of chest tightness and wheezing still recurred, and he was hospitalized many times.

"It's been bad all the time. I have more chest tightness at night and in the early morning." The patient said, and she took out a thick stack of examination reports.

Li Youliang took it and the others looked at it carefully.

Judging from the patient's description, she does fit the situation of a bronchial asthma attack. Asthma usually attacks at night and early in the morning, and she had a bronchodilation test, and the result was positive.

However, I have already received regular treatment for asthma, and it is not appropriate to have frequent attacks at this time.

"Are you still working now?" Zhang Zhengye asked.

"No, I stopped going to work a long time ago." The patient said. When she started to breathe, not only did she feel uncomfortable, but her co-workers were also a little scared.

Gao Feng looked at the patient's chest CT carefully and felt something was wrong.

"Director Zhang, watch this film."

Zhang Zhengye took it and looked at it and frowned.

"Why are there so many mucus plugs in the bronchial tubes?" Simple bronchial asthma should not be like this.

"Could it be a fungal infection?" Gao Feng said, "It should be Aspergillus."

"Ah?" Zhang Zhengye was stunned for a moment. This was too full of words. How can one directly tell the diagnosis by looking at the film? Imaging studies are auxiliary examinations and cannot be used to make a conclusion directly.

"Well, we need to do a bronchoscopy." He said to the patient and his family. "If it is Aspergillus infection, it may indeed cause wheezing symptoms."

The patient came to Union Medical College Hospital just to get a clear diagnosis. He was very positive about the examination, and his family members quickly went to the hospital for hospitalization.

Zhang Zhengye called Fan Yulong and asked her to do an urgent blood test on the patient and make an appointment for the bronchoscopy tomorrow.

The next patient was strange. Gao Feng felt that he was not here to see a doctor.

The patient went to a local hospital six months ago because of chest pain, chest tightness, and fever. Chest CT revealed a large amount of pleural effusion on the right side.

A closed chest drainage was done at Local Infectious Diseases and was later diagnosed as tuberculous pleurisy.

After treatment, his symptoms improved significantly and he soon met the conditions for discharge.

"But I feel that my activity tolerance has dropped significantly." He said to Zhang Zhengye, "Look, the re-examination CT showed that my right pleura is thickened and adhesions, which was not present before."

"Is this because they didn't treat me well?"

"I asked other people, and they didn't have such a situation."

"Is this a medical malpractice?"

"Medical malpractice is out of the question," Zhang Zhengye said. "It is not uncommon for pleural thickening and adhesion to occur after treatment of tuberculous pleurisy."

"Pleural adhesion may indeed cause a decline in lung function."

"I think there is nothing wrong with your treatment. It may be related to your personal constitution."

The patient's face looked very ugly, he stood up and left.

"I bet you, he must have a tape recorder in his pocket." Zhang Zhengye said, "This patient is just here to try."

Over the years in Xiehe, he had seen many such patients and believed that the treatment of doctors in other hospitals was problematic and had caused great harm to him.

After the path of medical identification fails, they will think of many other ways.

The most common one is to go to a higher-level hospital and guide the doctors from the higher-level hospital to evaluate their previous medical experience. If Zhang Zhengye followed what he said just now, the patient would take the recording back as evidence and make some inappropriate comments. Common sense blackmail.

"So I rarely comment on the treatment behavior of doctors in other hospitals." Zhang Zhengye said, "Unless I find obvious mistakes."

Gao Feng thinks what he said makes sense. Sometimes a doctor's treatment is related to the hospital where he works and his personal level.

Compared with a young doctor who is working and an old doctor who has been immersed in this profession for decades, the former's treatment experience is obviously insufficient.

The treatment plan he gives may also have shortcomings of one kind or another, but as long as the plan is in line with his current level, his colleagues should not question and criticize him too much.

After all, everyone gradually grows from Xiaobai to Laobai.

But if you do evil intentionally, that's a different matter. Just like Liu Xianfeng before, he maliciously tampered with the patient's pathology report, removed the patient's normal pancreas, and then changed the report to indicate a tumor!
This is a complete evil act. No matter who sees it, the right thing to do is to expose it as soon as possible.

Xiao Li, who was studying Russian, came over in the afternoon. There was nothing wrong with his test results, and all infectious diseases were negative.

"Then your fever is rather strange."

There are so many diseases that can cause fever, and only some common causes can be investigated in the outpatient clinic.

"If it doesn't work, continue to take some medicine and check. If you still have a fever, it's best to be hospitalized and have a detailed check." Zhang Zhengye had just seen several patients. At this time, he felt a little thirsty, so he picked up the tea on the table and drank it. stand up.

At this moment, Xiao Li's body suddenly stiffened and he stepped back repeatedly.

This situation shocked Zhang Zhengye.

"What's wrong with you?" He quickly stood up and asked.

Xiao Li said nothing.

Gao Feng keenly noticed that he was staring at the teacup in Zhang Zhengye's hand, and he was nervous and uneasy, as if the teacup was the murder weapon and someone was going to hunt him down with this murder weapon.

"Director Zhang." Gao Feng called softly, "The patient seems to be afraid of water and wind."

After hearing his words, Zhang Zhengye was stunned for a moment, and then felt a chill down his back.

(End of this chapter)