This doctor has a system

Chapter 535 598. Classic Scene
That experience still makes him feel a little scared when he thinks about it now.

"The doctor took a big thick black tube and just stuffed it into my nostrils!" Uncle Wang was choked and almost vomited. He coughed violently for a long time and felt like his life was in danger.

"It's okay. We'll use general anesthesia this time." Gao Feng said to him, "You just need to take a nap then."

"So simple?" Uncle Wang didn't quite believe it. "There must be risks, right?"

The last time he did it, the doctor said it was a very serious condition, with the possibility of bleeding, shock, pneumothorax, etc., which scared him to death.

"There are definitely risks," Bu Zhengyang added, "Anesthesia is no small matter."

"Then what is the biggest risk?" Uncle Wang asked.

That must be it, Bu Zhengyang thought, but he felt that he couldn't say it so directly.

"Invite the whole village to a feast."

"Eat a feast?" Uncle Wang was stunned for a moment, "Eat a feast!!!"

"Correct."

"I don't think coughing is a big deal," said Uncle Wang. "Why don't we just stop doing it? I can handle it."

"How can that be possible?" His son was not afraid of feasting. "Since we are here, how can we not do it?"

He signed his name neatly.

But the bronchoscopy could not be performed the next day.

"Didn't I tell you not to eat or drink?" The nurse was a little angry. "I told you repeatedly."

"I didn't eat." Uncle Wang felt aggrieved, "I only ate half an apple."

Apples are not rice! You didn't make it clear.

His son was a little embarrassed, "I'm sorry, nurse, I just went downstairs to eat and didn't keep an eye on you."

The next day, with the strict supervision of family members and nurses, Mr. Wang's bronchoscopy was finally carried out smoothly.

"Do you drink alcohol regularly?" asked the anesthesiologist.

"Of course I drink it." Uncle Wang said, "It's because I'm in the hospital, otherwise I would drink two taels every day."

"Don't you have coronary heart disease?" the anesthesiologist wondered, "How can you drink alcohol?"

"I take the medicine on time every day." Uncle Wang said, and of course he also drinks the wine on time.

"How much can you drink at most?"

"One and a half pounds."

After listening to Mr. Wang's narration, the anesthesiologist hesitated for a moment and drew half an extra tube of anesthetic.

Generally speaking, people who can drink more alcohol are more resistant to anesthetics.

"Come on, relax. It may be a little painful when you push the medicine." The anesthesiologist said softly, "Start counting."

“1…”

"Keep counting." The anesthesiologist patted Uncle Wang on the shoulder and found that he had fallen asleep.

That's it?

After the laryngeal mask was inserted and fixed, Gao Feng picked up the bronchoscope and inserted it. Uncle Wang's main airway mucosa was a little pale, with a lot of white purulent secretions on it.

The opening of the bronchus at the basal segment of the left lower lung was half blocked by a large amount of sputum. Gao Feng convulsed and ended up blocking the channel of the mirror.

"What a thick sputum." said the nurse. Uncle Wang's sputum was like thick jelly.

After the airway was cleared, Gao Feng found that the bronchial opening at the basal segment of the left lower lung was somewhat congested and contracted, but no foreign objects or bad things were seen.

"Just an infection?"

After thinking about it, he decided to send a few bottles of irrigation fluid for testing.

"Doctor, is everything okay?" Uncle Wang's son hurried over when he saw the doctor coming out.

"It went smoothly. He is now in the recovery room." Gao Feng said to him, "It will probably take another half an hour."

Soon, the pathology results of the alveolar lavage fluid showed no signs of cancer or other serious diseases, but a large number of lipid-containing macrophages were found, which is a manifestation of lipoid pneumonia.

Lipoid pneumonia is a relatively rare non-infectious pneumonia.

The so-called non-infectious pneumonia refers to lung inflammation caused by non-infectious factors, including physical and chemical factors, immune damage, allergies and drugs.

The symptoms of non-infectious pneumonia are related to the cause, and common symptoms include cough, sputum, fever, shortness of breath, chest pain, etc. Symptoms may vary depending on the severity of the disease and individual differences.

As a non-infectious pneumonia, in lipoid pneumonia, the lungs produce a strong inflammatory response to certain lipid substances, which in turn causes potentially irreversible alveolar destruction and various respiratory symptoms.

In most cases, lipoid pneumonia is caused by exogenous substances that accidentally enter the patient's alveoli, such as various mineral oils used for laxatives, fats in food, or inhaled gasoline, which is a rare occurrence.

Previously, the general medicine department had treated a patient with lipoid pneumonia. The patient was a 35-year-old male who was a juggler and was responsible for spraying fire at the Qingming Riverside Park at night.

Once he accidentally inhaled kerosene in his mouth into his lungs. He didn't take it seriously at first, but later he developed symptoms of coughing and chest tightness, so he went to the hospital for treatment.

But Uncle Wang's question left the doctor a little puzzled. No matter how he asked, he did not remember any experience of inhaling oil, and he had never even had some hidden causes of lipoid pneumonia: gastroesophageal reflux disease.

"I don't eat greasy food very much." Uncle Wang said, let alone inhaling grease, no normal person would do this.

For lipoid pneumonia, the most important treatment is to stop the further intake of lipid substances.

But if the source of the fatty substance cannot be found, the doctor will be helpless.

The results of the bronchoalveolar lavage fluid culture reported a week later made the situation even worse: Mycobacterium chelonae was cultured in the bronchoalveolar lavage fluid, a bacterium that can grow rapidly, gradually destroy lung tissue, and is difficult to treat.

Furthermore, there is data indicating that infection with Mycobacterium chelonae is a complication of lipoid pneumonia. If lipoid pneumonia cannot be successfully treated, antibiotic treatment is likely to be ineffective.

"How strange." Mao Wen frowned and said, "Where does this grease come from?"

"Who knows?" Bu Zhengyang stretched lazily. "I've asked many times, but the family members can't remember anything special."

"Do you think there could be something wrong with the pathology results? Cross contamination?"

"Impossible!" The director of the pathology department's final report denied this speculation. On that day, only Uncle Wang's specimen had lipid macrophages, but no one else had them.

"Let me tell you, you can eat whatever you want, but you can't say whatever you want."

"If there is any contamination, it must have occurred in your bronchoscopy room!"

The Pathology Department refused the blame thrown by Mao Wen and punched him twice.

"Let's just say a few words. Look how excited he is." Bu Zhengyang couldn't help laughing.

It was late one night again, and Mao Wen was scheduling shifts when a figure suddenly poked his head in from the office door, startling him.

"Uncle Wang, can't you sleep again?"

Uncle Wang had a look on his face as if he had been seen through by you kid, "Xiao Mao, my old rhinitis is still causing me trouble and I can't sleep. I'm almost done with my previous medicines. Can you prescribe some more for me?" Uncle Wang said.

"That'll have to wait until tomorrow. The nurse won't take the medicine at night unless there's something special going on." Mao Wen took the medicine box from Grandpa Wang. It was the familiar anti-allergic drug loratadine, with a green man on the package. He gave the doctor's orders while chatting with Grandpa Wang: "You can also ask your son to buy some budesonide spray, the kind that you spray into your nose. It's quite effective and is very useful for allergic rhinitis."

Unexpectedly, Mr. Wang took out a can of paste from his pocket and said, "I've used that spray before, but it didn't work well. Now I use this thing, apply it in my nose, and it makes it a little less uncomfortable."

Mao Wen took a closer look and found that it was actually a can of Vaseline, most of which had been used up. It should have been brought from home by the old man when he was hospitalized.

"You...Fuck!" Mao Wen couldn't help but shout.

A cold case was suddenly solved.

The main components of Vaseline are a variety of long-chain alkanes. After Mr. Wang applies it in his nasal cavity before going to bed every day, some of the Vaseline in the nasal cavity will flow into the lungs. Over time, a large amount of Vaseline will accumulate in the lungs, causing lipoid pneumonia.

Although Vaseline does relieve symptoms for many rhinitis patients, it also has the risk of side effects.

"Next time, we must conduct a comprehensive body search on the patient." Bu Zhengyang said.

Gao Feng felt that what he said made sense. When he inquired a few days ago, Uncle Wang took out all the medicines except the tube of Vaseline.

In his mind, this was not medicine.

Fortunately, the source of the lipids in Mr. Wang's lungs was finally understood. After stopping the use of vaseline and starting treatment with clarithromycin combined with ertapenem, Mr. Wang's symptoms improved significantly and the lung images were basically absorbed.

"You threw away two of the three sets of clothes, but you and that young man named Gao still have one set." Uncle Wang praised Mao Wen.

"That's our director," Mao Wen said proudly. "He's really awesome!"

The awesome Director Gao is in trouble at the moment. He and Li Youliang are being verbally attacked by a group of people.

"Okay! You hit someone and you still don't admit it!"

"Look at how my mom hit you. Do you still have a conscience?!"

"Call the police! Arrest them!"

"I'm warning you two, don't leave!"

"Are we being blackmailed?" Gao Feng found this experience very novel.

"It should be." Li Youliang took out his cell phone and called Yaoyaoling.

"How dare you call the police!" A young man was very angry. He took out his cell phone and started dialing.

The cause of the incident was very simple. After lunch, Gao Feng and Li Youliang walked towards the staff quarters. When they reached the intersection of Jing Er Road and Huanghe Road, they found a kind-looking old lady lying on the side of the road and calling out.

As it was noon, the sun was very strong and there were not many pedestrians. Everyone just took a look and walked away.

If the situation continues like this, the old lady will probably die.

This can be attributed to the soul-searching question of a certain Supreme Court Justice: If you didn't hit him, why did you help him?

Now everyone pretended not to see and stopped helping.

"Are you okay?" Li Youliang asked.

The old lady was naturally in bad condition. She didn't stand firmly when she went up the stairs and fell on her buttocks. Gao Feng took a quick look and found that if nothing unexpected happened, it should be a fractured hip.

"Call the emergency department and ask them to come and carry the person."

But the old lady didn't want to go to the hospital alone, saying that her home was nearby and she wanted to wait for the children to come.

"Kind people, please help me call my son."

Of course there was nothing wrong with that. Li Youliang made a phone call and within a short while a group of people came.

"This old lady's family is quite prosperous," said Li Youliang.

"Mom!" The old lady's son ran over in a hurry, "What's wrong with you? Are you okay?"

"Ouch! It hurts so much!" The old lady screamed even louder when she saw her family members arriving.

"You guys should send her to the hospital right away. It's better to call 120." Gao Feng said, "The old lady should have a broken hip."

After he finished speaking, he was ready to take Li Youliang away, but what he didn't expect was that the old lady who had a kind face just now revealed a ferocious expression.

"They were the ones who hit me!"

Nani? !
Gao Feng was stunned for a moment, and the old lady's family members immediately surrounded him and Li Youliang.

"Don't even think about running away!"

"No, you are crazy!" Li Youliang was angry, "We came here to help out of kindness. Aren't you the farmer and the snake?"

"You were the ones who hit me from behind." The old lady said with certainty, "How else would I have fallen?"

"That's right! My mother is usually very agile!" The old lady's son echoed, and at the same time he uttered that classic words.

"If you didn't bump into him, why did you come over to help?"

"Can't we just do good things?" Gao Feng asked.

"Oh oh oh oh, do you think we are stupid?" Another family member was very disdainful of his words.

"Stop talking nonsense!"

"My mom has fallen like this, you must go to the hospital with us!"

"Yes! Pay our hospital bills first! If the problem is serious, we will have to pay other money!" The other person arranged it clearly.

Gao Feng was a little angry. It seemed that the other party was not going to reason with him. He looked around and found a camera not far away.

"There's surveillance over there. Let's take a look together when the police arrive."

As soon as these words came out, the old lady's face suddenly changed. When his son saw his mother's expression, he immediately stopped shouting.

Several family members fell into silence, like chickens with their throats pinched.

"What if the surveillance is broken?" someone suddenly said.

The old lady's son's eyes lit up and said, "Yes, if it breaks, who can prove that it wasn't the other person who hit it?"
He immediately made a decision in his mind: blackmail him first and then see how the situation develops.

Anyway, it's not illegal to blackmail people. At worst, you can just walk away. There's no loss.

"You can't go!"

Soon the police arrived and asked, "As her children, can you please take the old lady to the hospital first?"

It's such a hot day, and I don't know what an old man is thinking when he is left here under the scorching sun.

"We are just trying to protect the scene," said a family member.

What a bullshit scene, a policeman thought to himself, he felt that this group of people just wanted to blackmail people.

Everyone went to the hospital together. Just as Gao Feng thought, the old lady had a fractured left hip and needed to be hospitalized for surgery.

"Then you should pay the hospital fees." Her son said to Gao Feng.

(End of this chapter)