Gou is practicing medicine in the clinic

Chapter 247 Lyme disease, made up my mind

"No, no, his attitude has improved a lot after being told by you. Now he doesn't follow me when I go to the bathroom or do other things. And he has cooperated a lot in his daughter's diagnosis and treatment. "

When Dr. Shao Bing talked about this, he was full of admiration and gratitude to Li Jingsheng.

"Not long after you left, the patient's mother took the initiative to find me and agreed to do a cerebrospinal fluid test. Then I found an acquaintance at Qiaobang Hospital. Because I was off work, I waited for a long time before sending someone to do a lumbar puncture. Then It was sent to be tested overnight. The results just came out, and it turned out to be just as you imagined, with a major discovery."

Li Jingsheng also breathed a sigh of relief when he heard that his family members agreed to do a CSF test.

It seems that this difficult case can be found out without waiting for tomorrow.

"What's the result? Send it to me."

"Okay! I have already sent it. Eosinophils are greater than 5%, cryptococcus, acid-fast bacilli, and CSF bacterial smear cultures are all negative. The possibility of acute meningitis is very high."

Shao Bing said excitedly.

"I'll check the test results first, let's chat on WeChat."

"Okay! Thank you so much for today, I will remember it forever."

As Shao Bing spoke, his voice was a little choked up.

Estimated to be a little out of control.

He quickly hung up the phone.

In the past few days, the clinic was first violently smashed by the family members, and then forced to take the child around to seek medical treatment.

I ran to the Qiaobang Hospital where I used to work, and saw the cruelty of the world.

The child's diagnosis has also been no progress.

He contributed money and efforts, but his family members didn't appreciate it, and threatened him with various threats, and followed him around the clock.No one will understand the grievance and heartache in this.

When Dr. Shao Bing was most desperate, Li Jingsheng, a doctor he had never met before, took a taxi late at night to help with the consultation, and made major breakthroughs and progress.Even before leaving, he helped him change the attitude of his family members.

Shao Bing had long regarded Li Jingsheng as his benefactor.

At this moment, the test results came out, and there were new breakthroughs and discoveries. While he was happy and excited, it was inevitable that he would lose control of his emotions.

It can make a man who is nearly 60 years old choke and lose his voice. One can imagine how much wronged and frightened he has been these days.

The family is very excessive.

Li Jingsheng carefully checked the CSF test results.

The laboratory tests in large hospitals are really detailed, and some test results may even be obtained after more than two tests.

From the test results, the diagnosis of acute meningitis is supported.

Bacterial meningitis, he thought to himself.This can be ruled out directly.

Because bacterial smears are negative and bacterial meningitis has an acute onset, progression is often very rapid.Generally, severe meningeal irritation and lesions will appear within 24 hours, and the mind will immediately become abnormal.

In the past, when medicine was not very developed, some people went crazy in one day, and they thought it was bewitched.

It can only be said that the lives of people at that time were really worthless.

If you get these difficult diseases, as long as you can't find out, basically the more you treat them, the more serious they will be, and finally you will die.

Viral meningitis?The protein was slightly elevated, the sugar and chloride were normal, and the cerebrospinal fluid was negative for bacteria, which seemed to be consistent with the disease.Only increased eosinophils, coupled with erythema metastasis, and the patient had a history of being bitten a month ago.

Li Jingsheng thought it was impossible to have this disease.

Tuberculous meningitis has many similarities with this disease, but it can still be ruled out if the eosinophils are elevated.

Moreover, no suppurative changes were detected in the cerebrospinal fluid.

More tuberculous meningitis can be ruled out.

The remaining cryptococcal meningitis was not supported by laboratory tests.

That leaves only the last one, neurological Lyme disease.

This is a rare infectious disease that usually occurs after a tick bite.

The disease was once prevalent in some remote areas.

For example, in the area where Ou Qinglan's hometown is located, the frontier had this disease once in the 60s and [-]s.At that time, medical technology was still very backward, and it was impossible to find out.

It was not until close to the 80s, about 75, that a foreign superpower was the first to discover this disease.

Later, the technology slowly spread, and everyone knew that this disease, which was highly similar to meningitis, was called Lyme disease.

With the current level of medical technology, it is very easy to diagnose this disease, and the diagnosis can be confirmed by checking serum and cerebrospinal fluid.

"I think it might be Lyme disease!"

Li Jingsheng sent a message.

"what……"

Shao Bing looked very surprised, he should be trying to make a diagnosis, wanting to see what kind of meningitis it is.

Unexpectedly, Li Jingsheng had a diagnosis so soon.

And it is a very rare infectious disease.

"Let me talk about my thinking and basis for diagnosis. The patient has migratory erythema. He was bitten by a mosquito-like creature a month ago and got a red envelope. Then he felt nausea, vomiting, stiff neck, facial paralysis, delirium, and swollen lymph nodes. , moderate fever, these symptoms are highly consistent with this disease. The slow onset time is also consistent with this disease."

Li Jingsheng explained the basis of his diagnosis one by one.

In fact, it is very sufficient.

"It seems to be the disease you diagnosed, but this disease can be treated with ceftriaxone. Why didn't I see any effect after using it?"

Shao Bing's reaction was quick.

It can also be seen that his medical knowledge is very solid.

As soon as I heard about this disease, I immediately thought about the relevant medication plan in my mind.

"There are three possibilities. First, you are using fake or expired medicine."

Li Jingsheng began to analyze the reasons for him.

If you are not familiar with this, you generally don’t dare to say this.Afraid of being scolded.

We all run clinics, so we naturally understand that when we get medicines, the pharmaceutical companies we go to are not reliable, and we may get fake medicines.

For example, Litong Medicine, which Li Jingsheng worked with in the past, sells many drugs that are imitated by small factories.

There are also medicines that are about to expire.

Litong Pharmaceutical is still a regular pharmaceutical company, and it has never happened to sell fake medicines blatantly.

It is not clear whether the medicine given by Dr. Shao Bing is counterfeit or not.

"Second, the medication time is short. Just use it once, and change the dressing immediately the next day. In theory, the treatment of this disease, with ceftriaxone, can see a certain effect the next day. But you may have been messed up at that time. Fang Cun, did not notice the patient's changes at all."

Li Jingsheng analyzed the second reason for him.

This is indeed possible.

"Third, the patient's constitution is special, and the absorption of this drug is poor."

This happens, but very rarely.

When a large hospital encounters this kind of patient, it will usually change the drug or use a combination of drugs.

When a small clinic meets a small hospital, it is really unlucky for whoever meets.

Doctors can easily confuse themselves.

After Li Jingsheng analyzed the three reasons for him, Dr. Shao Bing did not reply, probably already thinking about it.

After about 20 minutes, he had already fallen asleep.

A message came from the other end. Dr. Shao fainted suddenly while chatting with you.I am a student that Dr. Shao took before, and I have already told the superior doctor about your diagnosis.

In a daze, Li Jingsheng received such a reply.

The whole person is a little confused.

"Okay, I'll go see Dr. Shao tomorrow, thank you! If you really want to help Dr. Shao, please promote the diagnosis and treatment of the little girl's cause as soon as possible!"

After Li Jingsheng replied to the message, he didn't care anymore.

Must go to bed quickly.

I have to go to the hospital for a consultation tomorrow, which will be an extremely busy day.

At noon, I also agreed to do the osteoblastoma removal operation with Professor Wu.

At that time, he will be the chief surgeon.

Definitely keep your spirits up.

……

The next day, Li Jingsheng went to work at the Second Hospital as usual, not mentioning it.

Monday was coming soon, and he had to go over to the People's Hospital to sort out the operating room equipment.

I've been really busy lately.

But this kind of fulfilling life is what he likes.

He is making rapid progress every day, and his strength is improving extremely fast.

This busy, one day really passed by in the blink of an eye.He didn't have much time for a date with Ou Qinglan at noon, but he brought her into the operating room and made progress together.

She has shown great talent in such delicate operations as suturing and knotting.

Li Jingsheng felt that if she could master the basic skills well, she would be able to develop in the direction of minimally invasive surgery and endoscopic surgery in the future.

Microsurgery has gradually become the mainstream trend in the future direction of surgery.

The couple both work in orthopedic surgery, which is fine.

On the contrary, it's pretty good.

able to take care of each other.

When it was almost time to get off work, Ruan Xiaoqin waited for him in the outpatient room with a big smile on his face.

"Dr. Li, the patient with the swollen thumb no longer shouted to hit me, and even apologized to me."

"Isn't that good! You have fulfilled your responsibilities yourself."

Li Jingsheng responded with a smile.

"Can you please have a light meal? At work, I always ask you for help, and I feel really sorry. I have wanted to treat you to a light meal a long time ago, and I will toast you a few glasses."

Ruan Xiaoqin invited him sincerely.

"It's not that I refuse you. I'm very happy when someone treats me to dinner for free. It's just that I really have something to do today. Let's do it another day! I'll accept your wish."

Li Jingsheng is going to Qiaobang Hospital to see Dr. Shaobing after get off work today.

This doctor Shao is very pitiful, and indeed a bit unlucky.

The clinic was smashed by someone, you can ask him about his future plans.

Li Jingsheng's clinic is very eager to recruit talents, but he doesn't like ordinary doctors.

He has already recruited two very satisfied nurses. They are good-looking, professional and skilled, and each has their own strengths.

What is missing now is a smart doctor who can help him in the clinic.

The requirements of this brilliant doctor are quite high, and he needs to be in the direction of internal medicine.

Because any operation in the clinic has a high risk, the surgery field is not even considered a start.

So he must be in charge personally.

Impossible to fake hands on people.

In the field of internal medicine, if Shao Bing can be absorbed, it will be very beneficial to the development of the clinic.He can do more with his hands free.

If you want to make more and greater breakthroughs in medical skills, you must not be squeezed by a large number of ordinary patients.

Also, he now has to go to the Second Hospital to work three days a week.

In the past three days when he was away, the clinic's diagnosis and treatment business was obviously downgraded, which is actually not very good.

It's best to keep it balanced.

And the sickness of the patient cannot afford to wait.

Another consideration was that he wanted to continue to observe Dr. Wang's performance.

If there is a problem with moral character, it is likely that Dr. Wang will be dismissed.

The incident last time left a bad impression on Li Jingsheng.

As long as Dr. Wang can sincerely correct him, Li Jingsheng can forgive him tolerantly.But if you can't change it, you can only dismiss it.

He knew very well in his heart that Sunshine Clinic was able to achieve today because of its superb medical skills, good luck, and good popularity, all of which were fake.The real core thing is just one word, and that is the word benevolence.

As the boss, he has always maintained the benevolence and kindness of a doctor, and he was able to rise rapidly after being reported by the news.

And get the support and recognition of more and more people.

Those who gain the way help more, those who lose the way help few.

This is the law of heaven, the most profound rule in the world.

After declining Ruan Xiaoqin's invitation, Li Jingsheng took the time to treat the remaining patients.

Then the phone rang.

I saw that it was Director Hua who called.

Director Hua is the head of the department, so there must be something to do with him.

"Hello, Director Hua, please tell me if you have any instructions!"

Li Jingsheng said respectfully.

"After work, come to my office and talk to you about something."

Director Hua hung up the phone after speaking.

Listening to the voice, there should be someone else with Director Hua.

After Li Jingsheng treated the last patient, Dr. Chen left the rest of the finishing work, and he hurried to Director Hua's office.

Once inside, my good fellow, the chief physicians of the orthopedic surgery department are all there.

The sense of oppression is also very strong.

(End of this chapter)