This doctor has a system

Chapter 449 514. Mainly because she gave too much

"I don't understand." Professor Joel Toth said, "We have obviously tried so hard, but..."

"Professor Toth, the Chinese are very good at working overtime." An assistant said, "This is a despicable and very inhumane behavior."

"From every achievement they achieve, I can hear the wails of the scientific researchers at the bottom."

"Overtime?" Professor Joel Toth was stunned for a moment, "Can such results be achieved by working overtime?" He thought thoughtfully, and then said: "Let me tell you about the rest in the next three months. Time to cancel.”

assistant
"But... wouldn't this be... bad?"

"Just hurry up and make progress. Everyone will understand." Professor Joel Toth said, "We have to learn from the Chinese."

As for the wailing of the people below, he couldn't hear it, so it didn't exist.

The article on the mechanism of immune checkpoint inhibitors blocking PD-1 was soon published, attracting the attention of many experts in the field of oncology.

Cancer-related research is always hot.

Gao Feng conducted a careful physical examination of the patient, but found no valuable findings.

Therefore, some patients will refuse treatment, saying why go through all the trouble. The best is to extend their lives by 0.5-5 years, and it is not cost-effective to spend so much money and energy.

As a few people were preparing to leave, a man in his 50s walked in.

Everyone is very interested in defeating this demon, but so far, few people have been able to get enough results from it.

"Eat something," the man advised. "Eat something sweet, it won't hurt so much."

"If you don't want to eat it, then we won't eat it." The man put down the plate in his hand, "Let me massage your head."

Complete the electrocardiogram and myocardial infarction (myoglobin is slightly elevated) as above. He had a history of hypertension, which he reported to be under stable control.

Perhaps one day, people can truly defeat tumors, or even if they suffer from malignant tumors, they can live a long-term quality of life.

Some drugs, such as targeted drugs, can inhibit tumor cells very well in the early stage, but as time goes by, drug resistance will always appear, and the tumor will always have the last laugh.

"What are you doing here?!" the patient asked warily.

"Yes." The patient's husband said, "Didn't you catch a cold a few days ago?"

"I'm such a good boy!" The patient was very irritable, "You're not in pain, that's so easy to say!"

The patient had a history of upper respiratory tract infection, which was a finding, but it could not explain her chest pain. Gao Feng had no idea for a while.

"It's not about age, otherwise the hospital would be full of old men and women." Fan Yulong said with a smile.

"Is this her son?" Li Youliang asked, "Very filial."

But how to put it, in the eyes of some family members and patients, treatment is meaningful even if it only prolongs life for half a year.

"This is Professor Gao, the expert I specially hired." Fan Yulong turned sideways to reveal Gao Feng from behind, "Let him take a good look at you."

The patient was half lying on the hospital bed with a painful face. Next to him was a middle-aged man in his 30s, holding a plate with sliced ​​apples in his hand.

"Were there any abnormalities in the first half month before the onset of the disease?"

Seeing the doctor coming, the impatient expression on the patient's face suddenly disappeared.

"Chest pain? Transferred from the cardiology department?" Gao Feng was stunned for a moment, which was very strange, "Is there a problem with the lungs?"

"This is all a minor problem. It will be over by now!" the patient said angrily, "Shut up while I'm communicating with the doctor!"

"There seems to be no problem." Fan Yulong replied, "The patient strongly requested to be transferred to another department." He said helplessly, "The main reason is that the cardiology department has done everything and there are no valuable findings."

"Doctor Fan!" she said loudly, "I'm still in severe pain. Please give me some painkillers!"

"Don't worry yet." Fan Yulong said, "Let's find the cause first."

The patient is a 54-year-old middle-aged woman who has just been transferred from the cardiology department.

"Pulmonary artery CTA and emergency coronary angiography were performed, but nothing was found." Fan Yulong called up the imaging on the computer. "She firmly believed that her heart was fine, and said that there was something wrong with her lungs and she had to stay in hospital. Go to our respiratory department.”

"No," the patient replied.

The scene was a little quiet for a while. Li Youliang thought the man would be embarrassed, but he didn't expect his expression to be natural and his emotions not to fluctuate.

Blind use of analgesics may mask the condition. If the pain is tolerable, it is generally not used before a clear diagnosis is made in the early stages.

"Let's go see the patient."

"If you don't want to eat, get out!" The patient looked very angry.

There was no confusion, syncope, profuse sweating, or nausea, vomiting and other discomforts. The patient did not pay attention to it. The chest pain recurred 6 hours ago, with the same nature and location as above, and continued without relief.

"Professor Gao, there is a patient who needs you to take a look at." Fan Yulong walked over and "kept complaining of chest pain."

Physical examination: blood pressure on the left side is 140/92mmhg, blood pressure on the right side is 145/96mmhg, clear consciousness, clear breath sounds in both lungs, no dry and wet rales, heart rate 78 beats/min, regular, no sound in each valve area No murmur, no edema in both lower limbs.

"Isn't this appropriate?" Gao Feng looked at the imaging and said, "There is nothing wrong with the chest CT."

"This doesn't look older than my husband." The patient seemed unwilling to cooperate.

"Eat some, it's all cut." The man was not angry at all, "You have to be good."

"It's her husband." Fan Yulong said, "He is a very tolerant person."

D-2mer was also not elevated.

The patient developed chest pain and tingling pain without obvious triggers 1 day ago, which radiated to the chest and back. It worsened after activity and was relieved after rest.

"Let's see if you're dead." The new man said with a smile.

"Money is always good." The patient's current husband stood up and said hello.

"Don't call me Mr. Qian, just call me Xiaoqian." Mr. Qian said angrily, "You are my brother!"

"I'll just let you come to my house a few times to deliver things, and you can seduce my wife away!"

"You're really good! I'm convinced!"

The patient's current husband is his ex-husband's secretary, and the patient got married to him after the divorce.

"Qian, stop talking about these things!" The patient couldn't help but ask, "If you hadn't gone out to fool around, could I have divorced you?"

"How many men don't fool around outside!" Mr. Qian immediately retorted, "My friends are much more outrageous than me!"

"At least I get to go home every day!"

"Besides, am I starving you? When have I avoided paying the public rations?"

"Try your conscience, are you worthy of me?"

Mr. Qian was about to be laughed to death by his old friends, who said that he was mentally ill for finding a male secretary. It's not enough to find a male secretary, but it's enough to find someone so handsome, and it's enough to find a handsome one, and she keeps instructing him to run to her home.

If you don't cuckold me, who will?

However, some people asked him if he did this on purpose?
"Old Qian, you are very capable! Who gave you the idea?"

Mr. Qian was almost angry to death, but he had never planned to divorce. The red flag does not fall down at home and the colorful flags flutter outside. This is his original intention.

"If I wasn't afraid that my son would say I'm heartless, I wouldn't have come to this miserable place! Bad luck!"

Fan Yulong felt offended.

"Who did you hear that all men are fooling around outside?" He said to Mr. Qian dissatisfied, "This family member, I beg you not to talk nonsense!"

"We just keep ourselves clean!"

"That's because you don't have money." Mr. Qian said this and walked away. Doctor Fan was so angry that his chest started to hurt.

"To be honest, I even want to cuckold him." Fan Yulong couldn't help but said after walking out of the ward.

"Calm down, there are all kinds of family members." Li Youliang persuaded with a smile.

"Her situation is quite strange. Logically speaking, heart problems would not cause such symptoms." Gao Feng said, "But..."

However, some patients have serious symptoms even if they have minor problems. This is related to personal constitution and tolerance.

"Then continue with medication and observation?" Fan Yulong.

"Well, heparin and glycerin can be given." Gao Feng replied.

After returning, Gao Feng carefully reviewed the patient's condition, but still had no clue.

"Intercostal neuritis? Gastroesophageal reflux? Peptic ulcer?"

It's possible, but neither seems like it.
Later I simply stopped thinking about it.

"Brothers, there is a genius in my family!" Wang Liang said loudly, "My niece's test results are out."

语文22分、英语20、数学15、地理8、生物10、政治21、历史14。

"Our niece is a bit partial to science." Someone said, "Why is Geography only scored 8 points? How can the geography teacher hold his head high in the class?"

"My family asked me to take some time to tutor her." Wang Liang said, "Isn't this difficult for me?"

This is not easy to teach, and even if the belt is dipped in iodophor, it probably won't work.

"I think we still need Chinese tutoring first." Ma Hui said while drinking Chinese medicine.

"Why? I have the highest score in Chinese." Others didn't quite understand.

"I suspect she doesn't know the words on the paper." Ma Hui analyzed, "otherwise it wouldn't be so outrageous."

Wang Liang felt that what he said made sense, so he quickly called his family.

"Liang, when are you coming back?" Wang Liang's cousin asked, "Where are you college students? I'll give you some tutoring and make a study plan."

"My sister-in-law doesn't have high requirements. I just need to be able to go to Z University in the future."

What she said was immediately dismissed by Wang Liang.

"Sister-in-law, Xiaoya is only in her first year of junior high school. You are thinking too far ahead about her situation," he said calmly, "Our goal should be to successfully finish junior high school."

"What do you mean? From what you said, it seems like you just gave up on your niece?" Wang Liang's sister-in-law was a little unhappy, "The child still knows how to learn, there is light in her eyes!"

Is it possible that it is astigmatism? Wang Liang thought to himself, but he didn't dare to say this.

"It's good to have light in my eyes, it's good to have light in my eyes, I will definitely look back."

But deep down, he felt that his niece had no chance. My cousin was too stupid to tell the difference between east, west and north when he was a child. He was beaten eight times every day for going to school. My sister-in-law didn't look very smart either. Both of them barely graduated from high school.

But now the expectations for children are quite high.

He is the kind of person who is a native chicken and has already accepted his fate. But after laying an egg, I came up with the idea to let the next generation directly turn into a phoenix, and the phoenix dances for nine days.

But obviously, the niece did not have a genetic mutation. On the contrary, she perfectly inherited the characteristics of both. She could not fly at all, which was very embarrassing.

"Professor Gao, there's a situation!" Fan Yulong ran over, "The female patient's skin on the right side of her chest and back has begun to appear red rash!"

"What?" Gao Feng was stunned for a moment. He followed Fan Yulong to see the patient again, "This should be herpes zoster."

"I'm not sure yet, but the clinical symptoms are still consistent." The dermatologist took a look and said, "Let's see if clusters of blisters appear later."

If clusters of blisters gradually appear, the diagnosis is confirmed.

Shingles is an infectious disease that affects the nerves and skin. It is caused by the varicella-zoster virus. Because the rash is distributed in a band, it is called shingles.
The rash usually occurs on one side of the body and appears as painful, clustered blisters along peripheral nerves. It usually does not cross the midline of the body (an imaginary line from the middle of the eye down to the belly button). It can occur on the head and face. , neck, chest, abdomen and limbs.

Because herpes mostly occurs on the waist, it is commonly known as the waist-wrapped fire pill, the waist-wrapped fire dragon, the waist-wrapped dragon, the snake sore, the snake sore, and the spider sore.

This disease is not uncommon, but it is still difficult to diagnose before the rash appears.

After more than half a day, clusters of blisters appeared on the patient's body, exactly as written in the book.

"Ouch! It hurts me so much!" The patient burst into tears. Fan Yulong quickly asked the nurse to get painkillers.

"It's contagious, so please pay attention." He said to the patient's husband.

"It's okay, I'm not afraid," the man said, "I'm willing to bear the pain with her."

"Is there something wrong with your brain?" the patient yelled, "Who will take care of me if you are sick?"

"Brother, wait a minute." Fan Yulong met the man in the corridor, who was about to buy food for the patient.

"I think she's quite emotionally unstable."

"It wasn't like this before. The main reason is that there are problems in the family now." The man said, "Her child is very opposed to the two of us being together."

Can you object? The patient's son is about the same age as him, and he would beat him when they first met.
"Are you feeling aggrieved?"

"It's okay." The man replied.

"You have such a good temper." Fan Yulong admired him very much.

"Not really." The man hesitated, mainly because she gave him too much.

You don't have to go to work every day, you live in a mansion, eat full banquets, and have a nanny to take care of you. The key is that you can't spend all your pocket money. What's wrong with being a little angry?
If he didn't even have to bear the anger, then he would still be worried about the other party wanting his waist.

"By the way, yesterday you told me that you were going to transfer part of the company's shares to my name." The man struggled, "But Mr. Qian has a bad heart and is still taking Suxiao Jiuxin Pills. I'm really worried."

I shouldn't have asked! Fan Yulong felt that he was really cheap and idle!
(End of this chapter)