bookpower Chapter 366
Chapter 366
【366】
"So, don't panic, just indigestion, I'll prescribe some medicine, and then drink plenty of water... If you are afraid that there is really a problem, you can wait for a few hours in the infusion hall to see if there is a problem..."
Lin Feng didn't say another thing:
If you eat too many cherries, you will be poisoned by iron! 【Chapter 91】
However, four or five pounds for two people to eat, less than this amount ...
The blood routine of the two people just now did not show that there was a problem...
The two young men were scaring themselves.
......
Next patient,
Just as Lin Feng was about to continue to shout,
"Dr. Lin... The director is looking for you..."
A nurse walked in and said to Lin Feng.
"Huh? Good...... I'll go over now, you talk to the nurse's station, stop and arrange patients for me first..."
"Well..."
Lin Feng left the consultation room and went to find the director Zhou Guofeng, who was his teacher.
......
Office of the Director.
Lin Feng knocked on the door and entered.
"Director, you look for me."
"That's right, in a few months, you will complete 3 years of regular training, but I checked the information you submitted, and you haven't been to the 2 departments of gynecology and pediatrics..."
"Yes..."
"You still need to go for a round... I'll contact those two departments, you take time to go for a few weeks, of course, the emergency department needs you, you come back from time to time..."
"Okay..."
Lin Feng nodded.
......
......
At this point,
A pair of parents, holding their 2-year-old daughter,
Walked into the pediatric specialist clinic of Harmony Hospital.
They came from the next province, because their daughter's condition was too difficult, and the hospital in the provincial capital could not diagnose and treat it, so they specially came to Harmony Hospital.
Here's what happened.
A month ago...
She came back from nursery, as if she had contracted some cold virus there, fever, runny nose.
First, I took my daughter to a city hospital, and after some basic examinations, the doctor did a blood test.
Did blood routine and inflammatory indicators...
After the results came in,
C-reactive protein (CRP) is a bit high.
C-reactive protein rises rapidly several hours after the onset of various acute inflammation, tissue damage, myocardial infarction, surgical trauma, radiation injury and other diseases, and has a tendency to multiply. When the lesion improves, it rapidly declines to normal, and the magnitude of the increase is positively correlated with the degree of infection.
The general response is inflammation.
So, the patient prescribed antibiotics and fever-reducing drugs to her daughter.
But
The effect does not work!
After taking the medicine, my daughter's fever became worse, the temperature was higher to nearly 40 degrees, and the interval was shortened!
thereupon
This time, the parents took their daughter and went to the city hospital again.
As a result, the doctor said: CRP is elevated, but antibiotics are not working, and the two are contradictory.
This problem can only be solved by going to the provincial city hospital, and their strength is not enough.
So, the parents took their daughter to the hospital in the provincial capital.
Provincial City Hospital.
The doctor tried to prescribe broad-spectrum antibiotics to her daughter, but to no avail.
A series of reasons were then examined.
All tests did not reveal any abnormalities and found no cause.
In the end, it even took a few days to do a blood bacterial culture, and the result: no bacteria.
Derivation: no bacteria + antibiotics are useless - probably a viral infection!
Paradox: C-reactive protein is elevated, but no bacteria.
Stumped the provincial city hospital!
However, the test is still followed by "virus infection"
Outcome:
All viral infection tests, all negative!!
Provincial doctor, these are all Muggles.
thereupon
Another full body examination.
Check the results:
No lymph, hepatosplenomegaly,
No joint redness and swelling,
・Heart, lungs and other organs are normal...
Not bacteria...
Not a virus...
Heck!!
The provincial city doctor was completely out of turn.
At this point,
The patient has been having a fever for half a month, and every time it is 40 degrees!
"I'm sorry, Mr. Lin, your daughter's disease, we can't help it, or will you go to the imperial capital to take a look?"
The provincial city doctor suggested that he go to the imperial capital.
......
A week ago,
The couple took their daughter to the most well-known hospital in the country - Harmony Hospital!
soon
I was admitted to the pediatric ward.
Then the pediatrics met to discuss what the disease was.
"This child's illness is indeed very rare..."
"Bacteria don't support, viruses don't support ..."
"I thought of a possibility - Kawasaki disease?"
Chief physician Zhang Boyu said.
Another doctor questioned: "Kawasaki? Although it will have a fever, it does not match the patient's symptoms? "
Zhang Boyu: "It doesn't matter if it doesn't fit, anyway, Kawasaki disease is very dangerous and fatal, and the treatment of Kawasaki disease is to inject immunoglobulin, if this diagnosis is correct, serious heart complications can be avoided, if wrong, the treatment method is not harmful to the body..."
At this time, another doctor said: "Could it be 'juvenile idiopathic arthritis'?" This disease is inflammation produced by antibodies of the immune system attacking its own tissues, neither bacteria nor viruses, which correspond to the characteristics of the patient..."
"Huh..."
"Makes sense!!"
"It's really possible!"
After some discussion,
In the end, no other possibilities were found.
However, it is also a gain, "Kawasaki disease" and "juvenile idiopathic arthritis" are possible.
Director of Pediatrics Chen Qing finally hammered the final word:
"Then "Kawasaki disease" and "juvenile idiopathic arthritis" are treated together..."
"Kawasaki disease", just use "immunoglobulin shock"..."
If it is "Kawasaki disease", as long as you inject immunoglobulin, the fever will definitely decrease!
"And "juvenile idiopathic arthritis" is tested with "cortisone"..."
Cortisone is a hormone that can suppress the function of the immune system, if there is a foreign source of infection, because cortisone can not eliminate the source of infection, the fever-reducing effect will be very temporary; However, if there is no foreign source of infection, it is the immune system that attacks itself, and the fever-reducing effect of cortisone is very obvious.
Over the next few days,
Two treatments, go hand in hand...
Outcome......
Passable!!
"Kawasaki disease": basically no effect...
"Juvenile idiopathic arthritis": After 3 days of continuous use of cortisone, although it has a little effect, but does not finally reduce the fever, which proves that it is not "juvenile idiopathic arthritis"!
Flash
Seven days have passed.
The patient is a little girl, still has intermittent fever.
In other words, until now, the little girl has had a fever for a whole 1 month!!
......
pediatrics
The whole department has a headache about this little girl's illness!
"How about finding another department and having a consultation?"
A doctor suggested.
"I agree..."
"Consultation can..."
At this time,
Lin Feng, came to work in the Department of Pediatrics.
Time for a week.
"Dr. Lin... Are you on duty in our department? "
Lin Feng nodded: "In the next week, please..."
"Wow, that's great!"
"Doctor Lin, I heard that you are coming, I specially made some snacks!"
"Doctor Lin, this is the chicken soup I stewed myself!"
"Doctor Lin, this is the lean meat skin egg continent that I stayed up for 3 hours..."
The nurse girls have poured in.
One by one, I don't know where to come from, they took out a bunch of delicacies and offered them to Lin Feng.
Lin Feng was used to it, and thanked him again and again: "Thank you..."
Other male doctors: "....................."
Lift table (╯‵□)╯(┻━┻ah~~~
Why have we never encountered such treatment!
At this point,
Director Chen heard the movement and walked out of the office.
When I saw Lin Feng, my eyes lit up.
"Lin Feng!"
"Director Chen..."
"Lin Feng, there is a patient here, we didn't understand, you help take a look..."
Director Chen knows that Lin Feng is very famous in other departments, basically looking at any disease and doing any surgery, and they are all very powerful.
maybe
Pediatric Lin Feng is also very good!
。