I can hear the voice of Chinese medicine

Chapter 58 But, Doctor Xiao Lu really cured him! (One hundred and forty thousand words for subscription)
Not really cold-blooded.

It's just that some things are seen a lot, so it's not surprising.

"Did he transfer to another hospital or..." Wu Liguo asked.

Everyone else looked at Zhou Qihua.

Zhou Qihua shook his head and said: "There was no transfer, mainly because the patient was too serious. We tried our best to rescue him for four or five days, but he was still critically ill. After consultation with experts, it was agreed that his life would be in danger at any time. It is recommended that the family members of the patient be discharged from the hospital to prepare for the funeral. Depending on the situation, the patient may only need two or three days."

"Didn't make a return interview?"

Zhou Qihua subconsciously glanced at the doctor who was speaking, and said angrily: "How to ask? Is it possible to call him and ask him if he has passed away?"

The person who spoke smiled awkwardly.

"But it's been eight or nine days now. If there is no miracle, I'm afraid he'll just leave." Zhou Qihua sighed.

"Old Zhou, well, don't be sad, we don't want to see this kind of thing happen, who doesn't want the patient in charge to be alive and kicking."

Wu Liguo interrupted Zhou Qihua's emotion, "Let's talk about the situation first. After four or five days of rescue, he was finally discharged from the hospital to prepare for his funeral."

As a sub-provincial city in Yongcheng, the medical conditions are absolutely not bad. The First City Hospital is the core of the medical system in Yongcheng.

But even with such a medical team, they were still at a loss. In the end, they didn't even suggest that the other party be transferred to another hospital, and they were directly discharged from the hospital to prepare for their funeral.

This sort of thing rarely happens in hospitals.

If one is not good, it is easy to get into a lawsuit.

To put it bluntly, even when they feel that there is nothing they can do, they will suggest patients to transfer to another hospital for a try, to visit the province or the capital city, which is more or less a hope.

Even if there is little hope, it is not enough to let the other party be discharged from the hospital to prepare for the funeral.

For a moment, everyone including Wu Liguo showed curiosity.

Zhou Qihua took a breath, and after his complexion returned to normal, he continued: "It should be more complicated."

"The patient has been infected with Brucella for nearly more than a year due to his occupation. Because he has not paid much attention to it and delayed treatment, he has suffered substantial damage to his heart, liver, and kidneys.

It should be said that half a month ago, the patient had sudden heart failure and was admitted to our hospital in the emergency department. The diagnosis given at that time was general heart enlargement, premature ventricular contractions, grade IV heart failure, and grade III heart failure; fluid, aortic lesion, liver function injury, hypoalbuminemia, Nec vegetation with prolapse. "

Hearing this, several people immediately looked at each other in blank dismay.

Brucella is a Gram-negative non-motile bacterium, non-capsulated (smooth type with microcapsule), positive for catalase and oxidase, absolutely aerobic, can reduce nitrate, parasitizes in cells, can Lives in many species of livestock.

The most important thing is that it is a zoonotic chronic infectious disease with great harm.

"Sheep?" Xiao Bocheng asked subconsciously.

Zhou Qihua nodded.

"No wonder."

Several people suddenly realized that the main sources of infection of Brucella are cattle, sheep, and pigs. Among them, Brucella melis is the most transmissible to humans, has the highest pathogenicity rate, and is the most harmful.

After Brucella enters the human body through skin wounds or mucous membranes, as long as the immune function is normal, any unknown foreign organisms that invade the human body will be blocked by the immune army.

If the phagocytes fail to destroy all the germs, they will "drift" along with the "remnants" of Brucella along the lymph fluid to the lymph nodes, so that they can combine with the phagocytes stationed there to swallow these germs into the "abdominal" middle.

However, Brucella is an intracellular parasite and can adapt to the environment inside the cell.If the human body does not have antibodies against it, it can stay in cells more easily than non-intracellular parasitic bacteria, and because it is in normal cells, it can be protected from specific antibodies and other antibacterial substances in body fluids.

In this way, the phagocytosis of phagocytes has the effect of protecting Brucella.At this time, the lymph nodes become local primary lesions, and some strong bacteria will take local materials from the phagocytes, carry out metabolism and reproduction activities, and gradually disintegrate the phagocytes from the inside.

The phagocytosed Brucella concentrated in the liver, spleen, bone marrow and other places and began to multiply, becoming multiple lesions.

When the scale of Brucella becomes larger and larger and the phagocytes are overwhelmed, the Brucella metabolizes and reproduces in the extracellular blood, thus causing sepsis and causing intermittent fever for a long time, that is, "wave fever". The origin of the name "relaxant fever".

Xiao Bocheng obviously knew about Brucella, and after thinking for a while, he asked: "Generally speaking, the disease caused by Brucella will not suddenly become serious. Did he get infected with other diseases before that, causing Decreased body resistance?"

Zhou Qihua nodded again: "Well, according to the patient's self-report, he was infected with influenza before the attack, and then Brucella completely broke out in the body."

"What do you mean?" A few people obviously didn't understand, and they didn't know much about Brucella, so they were a little confused for a while.

Xiao Bocheng explained: “The cell wall of Brucella contains endotoxin, a lipid substance that is harmful to the host. When the bacteria are destroyed, the endotoxin will dissolve with the broken corpse and enter the body fluids, just like death. Like self-explosion, it brings the final one-time poison to the human body.

Endotoxins can cause pathological damage. If the body's immune function is normal, it can basically be cured by clearing the germs through cellular immunity and humoral immunity.

However, if the immune function is not perfect, or the amount of infected bacteria is large and virulent, some bacteria escape immunity and can be phagocytized by phagocytes and brought into various tissues and organs to form new infection foci.

After a certain period of time, the bacterial growth and reproduction of the infection focus enters the blood again, leading to recurrence of the disease.Extensive histopathological damage.Clinical manifestations also vary.So repeated chronic infection, once it breaks out, it is not a small problem. "

Everyone is an expert in various fields, but they are proficient in different directions. Guess that they don't know much about Brucella, but after the two explained it in this way, they suddenly realized it.

If the patient is not infected with the flu, he will be fine in a short period of time. If treated in time, the body may have some sequelae, but it will not mean that there is no chance of treatment.

But the bad thing is that patients usually don't pay attention to some changes in their body, which leads to the outbreak of Brucella in the body and triggers a series of clinical symptoms.

Just a few of these symptoms are enough to be fatal, not to mention the fact that the same person can walk off the operating table and go home to prepare for the funeral, which shows that the expert consultation at the First City Hospital has really done its best.

Anyway, Wu Liguo had to admit that if this person came directly to the emergency department of the Ninth Hospital, he was not sure whether he would be able to leave the operating table.

Most likely not.

It's not that he doesn't have confidence in his skills, but that the Ninth Hospital has a certain gap compared with the City's First Hospital in any aspect, and even in some departments, the gap is not small.

Such an emergency patient, coming to the Ninth Hospital, is very likely to die in the emergency room.

Even if you go to the province or the capital, you may not be able to rescue him.

In the end, he might not be able to escape death.

Their skills may not be as good as those of doctors from famous hospitals, and their resources may not be as good, but this judgment is still there.

Wu Liguo looked regretful: "It's a pity, if the disease here can be cured, the reputation of the city's first hospital may skyrocket, and the ranking of hospitals in the province will rise a lot."

Zhou Qihua smiled wryly: "It's not that easy, it's not bad to let the other party walk out of the emergency room alive, to put it bluntly, let alone us, even if we go to the capital, even if we can be rescued, I'm afraid they won't survive For too long, the damage to the heart, liver, and kidneys will be too serious."

"I still don't pay much attention to it, otherwise I wouldn't have reached this point. If I have some symptoms, go to the hospital for a checkup, and it won't be..." At this point, Xiao Bocheng swallowed the words that were on his lips again. .

Are people really not paying attention?
Not so much.

If you have symptoms and feel uncomfortable, you definitely want to see a doctor, but the hospital's hundreds of thousands of examination fees can really discourage many families without much financial resources.

Most people think that it will be a day to delay, and even fantasize that maybe it will be fine in a few days.

But most of the time, it may be a small illness that turns into a big problem, and in the end there is no cure.

It's cruel, but this is the helplessness of reality.

Xiao Bocheng has seen too many of these things.

Many patients, because they have no money, directly choose to give up the treatment. They think that it is better to save some money for their family members than to cure it in the end.

To avoid the loss of people, money, and even debts.

The hemp rope is cut at the delicate point, and bad luck only finds the poor.

Although this sentence is not absolute, it is almost [-]% like this.

Life is often so helpless.

Several people chatted without saying a word, Wang Youqing sat there sipping his wine with a strange expression.

When Zhou Qihua first mentioned Brucella, he felt it sounded familiar.

However, there are so many people who raise pigs, cattle and sheep, and there are not only two people who suffer from heart failure caused by Brucella, there are quite a few people every year.

But the more he heard the back, the more familiar Wang Youqing felt.

"Why is this so similar to the patient named Zhang Song that Xiao Lu saved before?"

Wang Youqing murmured.

He was at the scene when Zhang Song's family took him to the health center for medical treatment. Zhang Song's condition, which was also listened to by Zhou Qihua, was almost exactly the same as what Zhou Qihua described.

Moreover, they were all rescued in the city's first hospital for several days, and they were sent home to prepare for the funeral.

If it was just heart failure caused by brucella, Wang Youqing would not doubt it, but he remembered that Zhang Song was rescued in the first hospital of the city, and finally there was no hope, and the dead horse was regarded as a living horse, so he came to their hospital of.

"It can't be such a coincidence?"

Wang Youqing murmured, in fact, there were no accidents here, the patient Zhou Qihua mentioned should be Zhang Song.

"what happened?"

Wu Liguo was sitting next to Wang Youqing, and he could basically hear some of his mutterings, but it wasn't so real.

"I've been hearing you muttering since just now, and I don't know what you're talking about."

After finishing speaking, Wu Liguo patted Wang Youqing's shoulder: "Old Wang, tell me, what are you talking about?"

Everyone who heard this subconsciously looked at Wang Youqing.

Wang Youqing thought for a while, then looked at Zhou Qihua: "Old Zhou, I want to ask you something, is the patient with heart failure caused by Brucella that you just mentioned called Zhang Song?"

"how do you know?"

Zhou Qihua was surprised.

For other patients, he might have forgotten it, but Zhang Song's situation was relatively special among the patients rescued by the First City Hospital over the years, and he remembered Zhang Song's name relatively firmly.

However, only the doctors from the First City Hospital knew about this.

And not everyone knows.

It is unlikely that it spread to the outside world, but it is also possible that other people in the expert group told outsiders before. After thinking about it, Zhou Qihua asked: "Does Lao Wang know any other doctors in our city's No. [-] Hospital? "

Wang Youqing shook his head lightly.

"Then how did you know the patient's name?" Zhou Qihua was really curious this time.

"how to say……"

As soon as Wang Youqing heard this, he knew that he had guessed correctly, but this matter is not so easy to say.

After all, the people who were not able to be revived by the city's first hospital were finally rescued by their health center. It would be shameful for the city's first hospital to spread the word, and Zhou Qihua had just met him not long ago, so he might offend people if he said it.

For a while, Wang Youqing hesitated.

He suddenly regretted it. He knew he shouldn't have asked this.

Now, not explaining clearly also offends people.

If it were people like Wu Liguo, he wouldn't care. After all, they are all old acquaintances who have known each other for more than ten years. They are all familiar with each other's temperament, and there is a high probability that the other party will not care.

But to be honest, he couldn't figure out Zhou Qihua's temperament not long after they first came into contact with him.

Seeing Wang Youqing's embarrassed face and hesitation, Zhou Qihua seemed to realize something and said with a smile: "Old Wang, tell me, we will all be friends from now on, what else can't be said?"

"Yes!"

"Lao Zhou has a good personality, otherwise we wouldn't be able to play together." Wu Liguo interjected from the side.

Birds of a feather flock together.

Different personalities, it's hard to play together.

Let alone bring it to this kind of party.

After hearing this, Wang Youqing gritted his teeth and said, "Okay, I'll tell you then. To be honest, when I first heard Lao Zhou mention Brucella, I had doubts. Now I'm really sure." , the patient Zhang Song mentioned by Lao Zhou should be the young man under 30 years old who went to our health center."

"He went to your hospital?" Zhou Qihua looked surprised.

"Ah."

"Why is he going to the health center?"

Zhou Qihua asked.

Wang Youqing explained: "Isn't there a Chinese medicine doctor in the Chinese medicine department of our hospital? The family members of the patient may have heard about Xiao Lu's rescue of a child who accidentally swallowed a screw, and thought that the dead horse would be treated as a living horse doctor. So he brought Zhang Song to our hospital to seek medical treatment."

"Go to your health center for medical treatment?"

Wu Liguo laughed and said: "Old Wang, you know my temper, I didn't say it, the city's first hospital rescued a person who couldn't be saved for four or five days, he can just go to your health center? It's just playing the piano randomly. He really wants to try, going to the province or the capital is better than going to your place!"

"Some patients seek medical treatment in a hurry because I didn't tell them they were ill."

Hearing this, although the others didn't say anything, they all nodded slightly, obviously agreeing with Wu Liguo's words.

They have seen many patients who seek medical treatment in a hurry due to their illness.

However, this is the first time I have heard of people running to the health center in that situation.

However, facing the obvious speechless expressions on the faces of several people, Wang Youqing spread his hands and said, "But, Doctor Xiao Lu really cured him!"

　PS: Four more chapters have been added to the lord, yes, you read that right, I want the lord (skin one.jpg)

　　
　
(End of this chapter)