This doctor has a system

Chapter 529 592. Pure Idiot!
General Medicine Clinic

"What's wrong with the child?"

"Fever and cough, it should be pneumonia." The patient's father said, "I took Xikeluo at home for three days, but it didn't work."

"There are also some Chinese herbal medicines," the patient's mother added.

"What's the specific situation?" Gao Feng asked.

"The patient developed fever after being caught in the rain 4 days ago, with the highest temperature being 39.5℃, coughing, and a little white sputum."

"Stop!" Gao Feng interrupted the patient's father's narration, "Are you also a medical staff?"

"I'm from the community hospital in front." The child's father was a little embarrassed.

"My wife is a Chinese medicine practitioner," he continued, "and the child has been drinking Chinese herbal medicine for three days, but the condition is getting worse."

The patient, Xiao Xu, 16 years old, developed fever after being caught in the rain 4 days ago. His temperature was measured at 38.1℃, accompanied by dry throat and mild cough.

But the family is not worried. First, the child is in good physical condition, and second, there are two doctors in the family.

Xiao Xu's father works in a community hospital. He usually treats minor illnesses such as colds and fevers, and his expertise is very relevant to him.

My mother is also a medical worker, a doctor in the internal medicine department of the Municipal Hospital of Traditional Chinese Medicine.

"Hurry up and fix the child!" Xiao Xu's grandmother called the child's father.

"It should be a common viral infection. Just bear with it." Xiao Xu's father said and hung up the phone.

"It's no use!" Grandma Xiao Xu started calling her daughter-in-law.

"Just bear with it, it's a viral infection." Xiao Xu's mother said.

"There's something wrong with them!" Xiao Xu's grandmother muttered, "These two people got sick and had to take medicine and get injections, and now it's the child's turn, so let them carry him!"

"Then you carry it." She said to Xiao Xu.

Xiao Xu endured it for a whole day, but couldn't make it. His temperature rose even higher, to 39.5℃.

The grandmother was very worried about her eldest grandson's condition, so she quickly called Xiao Xu's parents.

"Don't worry, I'll go back later and get some medicine for the child." Xiao Xu's father said in a relaxed tone.

"I'll bring him some medicine after get off work." Xiao Xu's mother also expressed her concern over the phone.

"It will be fine once you eat it." Xiao Xu's father came back with a box of Xikelao.

"It will be fine after you drink it." Xiao Xu's mother came back with a bag of Chinese herbal medicine, "I made it especially for you."

This is both Chinese and Western medicine. The child's grandmother is completely relieved. She knows that whatever disease the child has in his stomach will be cured after taking it.

As the saying goes: Western medicine treats symptoms, Chinese medicine treats the root cause, and the combination of Chinese and Western medicine treats both symptoms and root causes.

After three days of combined Chinese and Western medicine, Xiao Xu's body was completely broken.

He had recurring fever, severe cough, stomach problems, nausea, and vomited as soon as he ate. His face was pale and he looked listless.

"Quack!" Xiao Xu's grandmother cursed. She knew why the doctor-patient relationship was so tense. "You must have ruined a lot of people by treating them like this!"

"Nonsense!" Xiao Xu's father retorted, "It's Jiakang's own problem as the patient. If it were someone else, it would have been solved long ago!"

"I'll take him to our hospital for a checkup," said Xiao Xu's mother.

"Don't go to small hospitals. The doctors there are not good enough." Xu Jiakang's grandmother ignored her daughter-in-law's ugly face and said, "Go to the provincial hospital. It's closer to home!"

As there are few patients in the general practice, the outpatient department will maintain Gao Feng's information in the respiratory department column when he is in the outpatient clinic. This has been approved by Director Shen.

Xu Jiakang was still running a fever and his temperature was measured at the reception desk: 39℃.

Gao Feng performed a careful heart and lung auscultation on him and found that the breath sounds in the right lung were low and the heart rate was 124 beats/minute with a regular rhythm.

"The skin looks a little yellow, and the sclera is also a little yellow." He gestured for the patient to sit up, "I think it's due to liver damage."

"Go check it out."

Gao Feng asked Li Youliang to prescribe chest CT, electrocardiogram, blood routine + CRP + liver function and kidney function for the patient.

The patient probably developed pneumonia after being caught in the rain, and then suffered liver damage.

In young men like this, the vast majority of liver damage is caused by drugs.

What is the largest digestive organ in the human body?
Some people may think it is the stomach, or intestines.

But the answer is the liver. The liver is the largest digestive organ in the human body, and it plays a full role in deoxidation, storage of glycogen, synthesis of secretory proteins, etc. The liver also produces most of the bile.

Many drug metabolisms need to pass through the liver. The drugs themselves or their metabolites destroy liver cells through different pathways, thereby causing liver damage.

So will taking medicine cause liver damage?
Of course not.

Only when the amount of drugs or their metabolites is too great and the liver's clearance capacity is unable to completely eliminate them, will toxic substances accumulate in the liver and cause damage to the liver.

Drugs that cause drug-induced liver injury mainly include non-steroidal anti-inflammatory drugs, anti-infective drugs, anti-tumor drugs, central nervous system drugs, cardiovascular system drugs, metabolic disease drugs, hormone drugs, traditional Chinese medicine and nutritional health products.

This is also the reason why you cannot take several cold medicines or antipyretic drugs at the same time.

Many people claim that traditional Chinese medicine is safe and has no side effects. In fact, this view is also wrong. As long as it is a medicine, it is not absolutely safe. After all, even food now has so much technology and hard work.

When Gao Feng was studying for his master's degree, he saw many patients who suffered liver damage from taking Chinese medicine.

The next patient was a 45-year-old middle-aged man, holding a chest CT scan done at another hospital.

"Doctor, can you take a look at this and see if it's serious?" the patient said, "The doctor over there told me to be hospitalized, but I don't feel any discomfort."

Gao Feng took the CT scan and looked at it carefully, his brows immediately furrowed. The mass in the lower lobe of the left lung was about 1.5 cm in diameter. The mass was lobed and had spicules, and the adjacent pleura was stretched, which was a typical malignant manifestation.

"He really needs to be hospitalized."

"Is the problem serious?" the patient asked.

"It's hard to say now." Gao Feng said tactfully, "We need to clarify the nature first."

"I saw in the report that the possibility of lung malignancy is high," the patient said, "What does this mean?"

"What is your educational background?" Li Youliang asked as he was typing on the keyboard.

"Undergraduate."

Gao Feng frowned. It would be fine if he was illiterate, but it was inappropriate for someone with a bachelor's degree to ask such a question.

Didn’t it mention that lung malignancy is a possibility?

Maybe I'm unwilling to accept it in my heart, he thought.

"The probability of lung cancer is very high. You need to be hospitalized to confirm it." He told the patient, "Or have a full body assessment to see if it can be removed directly by surgery."

"Is it possible that this is a mistake?" the patient asked, "Should I try taking some antibiotics first?"

"The possibility is very small. We can also do an enhanced CT scan first, which can be of great help in judging whether it is benign or malignant." The patient was very stubborn and still asked to have some antibiotics first. Perhaps he couldn't understand why he would get lung cancer if he didn't smoke or drink.

But there are not so many whys in this world. Sometimes even doctors can’t figure it out.

"You can go to the inpatient department and communicate with the attending physician." Gao Feng asked Li Youliang to issue a hospitalization certificate to the patient.

"It seems like this person is hard to communicate with and won't listen to others." After the patient left, Li Youliang expressed his opinion, "The doctors in the ward are probably going to have a headache."

Gao Feng has also seen many patients like this. They are quite opinionated and like to use their spare time to challenge the professions that others have been engaged in for many years.

Most of them ended in failure and had to accept the treatment plan arranged by the doctor in charge. However, there are a few patients who succeeded in the challenge, which is an extremely lucky special case.

"Okay." Mao Wen said.

"I want to receive a cephalexin infusion. I find this works well," said the patient.

"Okay." Mao Wen readily agreed.

"I want to do another CT scan in seven days to see if this area has shrunk," said the patient.

"No problem." Mao Wen said, "We will discuss the next step based on the specific situation at that time."

In all likelihood, the patient has a malignant lung tumor. According to normal diagnosis and treatment ideas, the nature of the tumor should be actively identified now.

You can do a CT-guided puncture. If you want to be more radical, you can go directly to the thoracic surgery department to remove it.

But the patient's attitude is very important. The doctor can only tell the patient the specific condition but cannot make choices for the latter.

Moreover, Mao Wen felt that the patient was in a rather anxious mood and might feel better if he waited a few more days.

Gao Feng saw a few more patients, most of them were elderly people whose problems were not serious. It was almost noon when the first patient, Xiao Xu, came back.

Just as Gao Feng judged, Xiao Xu's chest CT clearly showed consolidation of the right lung, his blood count was very high, his liver function was seriously damaged, his liver enzymes were 10 times higher, and his total bilirubin had more than tripled.

It is indeed true as the saying goes: Combining Chinese and Western medicine can only cure the symptoms and the root cause.

If Xiao Xu had come a few days later, he might have become a specimen.

"This is too much!" Xiao Xu's father broke out in a cold sweat, "Chinese medicine can kill people!"

"Why don't you say it's caused by the Western medicine?" Xiao Xu's mother was a little unhappy, "So many people over there drink it and nothing happens!"

"This must be the medicine you took that's not good!"

The two of them argued all the way to the ward with Xiao Xu, and finally reached a consensus: the medicine was fine, but the child was not.

"You should exercise more in the future!" Xiao Xu's father said to him.

When Gao Feng returned to the department, he unexpectedly saw Liang Congyue with a middle-aged man standing next to him.

"What are you doing in this ward?"

"Looking for you." Liang Congyue said with a smile, "Let me introduce you, this is Lan Weifeng, who is in charge of the Central China region of Olympus, Mr. Lan."

"Hello, Director Gao." The middle-aged man next to him hurried forward and Gao Feng shook hands with him.

"It's like this. In order to expand our influence and improve the operational level of medical personnel in regional diagnosis and treatment centers, the company is planning to hold an endoscopy competition starting this year. We would like to invite you to participate." President Lan stated his purpose.

"Does your company still need to expand its influence?" Gao Feng couldn't help but laugh. "You are the leader in the industry."

Olympus is a leading company in the field of medical optical imaging and is known as the world's "king of soft endoscopes." In the field of gastrointestinal and bronchial endoscopes, Olympus' global share has exceeded 70%.

"We must always be prepared for danger in times of peace." Mr. Lan said with a smile.

Not everyone is indifferent to Olympus' position in the medical field. In fact, it is not only domestic companies that want to overthrow this old optical company.

Emerging forces are already on the rise, especially the breakthrough innovation of Danish medical device manufacturer Ambu, which has rewritten the market's competitive rules to a certain extent.

The disposable endoscopes launched by Ambu, with their advantages in safety, cost-effectiveness and rapid technological iteration, have eroded some barriers in the traditional market and brought new choices and possibilities to the medical industry.

This change has also stimulated a new round of pursuit of medical innovation around the world, while also causing great vigilance among Olympus's parent company.

Faced with the rise of Ambu, Japanese companies such as Olympus did not choose to respond passively, but instead increased R&D investment and promoted their own technological innovation to maintain their competitiveness in the global market.

China's huge market is naturally not to be ignored. While increasing research and development, they also thought of consolidating their influence through other means.

This is also the reason why the endoscopy competition was initiated.

"I may not have time." Gao Feng declined.

"It won't take too long." President Lan said quickly, "As a judge from Central China, you just need to show up on the day of the finals."

Gao Feng was stunned for a moment. You want me to be a judge?

"Of course. If you become a contestant, why would others participate?" Liang Congyue said with a smile.

This time, Olympus has invested heavily to hold bronchoscopy and gastroenteroscopy skill operation competitions in seven major regions, namely East China, South China, Central China, North China, Northwest China, Southwest China, and Northeast China. The qualifiers will represent their respective regions to participate in the national finals.

"After this is over, we will hold a worldwide endoscopy competition." President Lan revealed to Gao Feng, "Maybe we will go to the island country together then."

After some consideration, Gao Feng finally agreed. He would inevitably have some kind of cooperation with Olympus in the future, and the fact that they came to his door in person was a sign of their sincerity.
-
Huang Lian was lying on the bed feeling a little bored. He has been quite free recently.

I used to have to work overtime, and when I wasn’t working overtime I would go out to be a bootlicker, but now that I’ve broken up, I find I have nothing to do during this break.

"Son, what are you doing?" Huang's mother called.

"It's okay. I'm taking a rest today. I'm lying in the dormitory."

"How are you?" Huang's mother asked. "I saw the news recently. Someone poisoned the water dispenser at the company and killed a capable colleague. Now the person has been shot."

"Mom, you should watch less news like this." Huang Lian yawned, "Also, I'm not that capable, so you can rest assured."

"You're wrong. I'm warning you not to poison your colleagues." Huang Ma said, "I know you're useless."

"You" Huang Lian was speechless, "Mom, you hurt me so much, don't call me anymore in the future!"

"Also, what kind of crap do you post on your Moments every day!" Huang Ma said, "What? I'm not King You of Zhou. I don't have a beacon tower, nor do I have princes and soldiers who obey my orders. But I really want to make you laugh."

"Isn't it disgusting?"

"Your father wants to block you and even said he'd better just call you King You of Zhou from now on."

"Mom, I'm heartbroken and I still can't get over it." Huang Li'an said, "Please understand."

"I don't understand shit. If you can't get out, just die in there." Huang Ma cursed, "The other party didn't even go in, so why are you still unable to get out?"

"Aren't you crazy?"

"Stupid!"

"Your dad has dated 5 girls before he even graduated from high school, and you're still a college student, you loser!"

"Pure idiot!"

(End of this chapter)