Sleepless Doctor - v2 Chapter 1122
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“The patient has conjunctival hyperemia, ulcers, and skin rashes on his body. I think I can check it carefully from this side.”
“Director Liu, what kind of disease do you think it is?”
“Please take a look at the dermatologist. The patient has burnt-like scars on the epidermis. I look very strange.” Director Liu did not answer directly, but habitually seek consultation.
Although he was sure in his heart, he still has to go through the process. Who knows what kind of diagnosis the experts of the expert group will give.
It is enough to express your attitude clearly, if you really insist… Director Liu still feels a little guilty in his heart.
…
“Girl, ask Pengcheng for a picture of the pimples on the patient. I want to see if there are eschars on the pimples.” Wu Mian said intently.
“Do you suspect tsutsugamushi?”
“Well, the patient’s medical history is basically similar to that of tsutsugamushi, and the mutated virus is not considered for the time being.” Although Wu Mian gave a diagnosis, she was still worried, and the expression on her face was extremely cautious, “I hope it’s not a virus mutation…”
Chu Zhixi knew that it was a matter of great concern, so he picked up the phone and called Pengcheng.
…
Director Icu Zhao received the call, he said a few words, his face changed slightly.
“Okay, I will implement it right away. Professor Chu, is your WeChat phone number?”
“I add your WeChat and upload the picture to you.”
After hanging up the phone, Director Icu looked at Director Liu, “Dr. Liu, what you said seems to be correct.”
“Oh?”
“Professor Chu from the expert group asked me for a photo of the patient’s skin eschar.”
“Which expert?”
“Professor Chu’s call should be Wu… Teacher Wu is in a remote consultation.”
Teacher Wu, this familiar and unfamiliar name makes the atmosphere in the office a bit weird.
“Director Liu, see a dermatologist for consultation, what kind of disease do you suspect?” Director Icu asked.
“Since Mr. Wu thinks so, the possibility is very high.” Director Liu was relieved, “I suspect that it is tsutsugamushi, but in recent years, not many patients with tsutsugamushi have been treated, and most of them have returned from abroad, especially It’s patients who went to Thailand, Myanmar, and Vietnam. Now ICU patients with severe illness have no history of going abroad, so if you want to be diagnosed…I’m a little bit confused.”
Director Liu said, pondering slightly, and sighed, “It’s mainly the patient’s large white lungs. Now I see this film, my heart is trembling, and the atrial fibrillation follows the duality law. If the epidemic is not over, I guess I will be killed. Rescued.”
“Director Liu, you see what you said.” Director Zhao was in a good mood. After a few words with Director Liu, he immediately contacted the doctor in the ICU isolation ward, asking for photos of the patient’s scabs and some details of the pictures that Chu Zhixi asked just now. .
It’s already fifteen minutes to get everything right.
The atmosphere in the office relaxed a bit, and everyone took a sigh of relief.
The idea that Director Liu and Teacher Wu coincided has almost ruled out the possibility of mutation of the new type of pneumonia, and this is the most important thing.
If the virus evolves to asymptomatic incubation and spreading for 2 weeks, various organ failures, including coagulation disorders, will quickly appear within 48 hours after the onset of disease…
Fortunately, fortunately.
Everyone let out a sigh of relief.
“Director Liu, if it is tsutsugamushi, what will you do next?”
“I guess Mr. Wu will do a needle biopsy for epidermal papules and a series of other examinations. These examinations are familiar with the dermatology department, so you can see what they say when the time comes.” Director Liu said with a smile.
Director Zhao understands all the doctors in the clinic, including himself.
Soon, the dermatologists arrived, established a video link with Wu Mian, conducted remote consultations, and made an in-depth analysis of the patient’s condition.
Finally, it is determined that the skin rash should be checked by needle biopsy, Waifei’s reaction serum, complement fixation test, indirect immunofluorescence test, double serum titer test, and so on.
You can see Wu Mian’s caution in the video. He has said almost all the examinations about tsutsugamushi, even if everyone thinks it is tsutsugamushi.
It is not considered important. At this critical period, the possibility of the mutation of the new pneumonia virus must be ruled out.
It’s a matter of great importance and should not be sloppy.
Blood tests were performed, and the laboratory department performed a biopsy overnight to confirm that it was the pathogen of Rickettsia tsutsugamushi.
After learning the news, all the talents let go of their hanging hearts.
Asked the patient’s family, the patient had a history of fishing 10 days ago.
Pengcheng, fishing, it is difficult to connect this activity with tsutsugamushi. If it were not for a clear diagnosis, it would inevitably be uneasy when prescribing the right medicine.
It is good to be diagnosed, and there are specific medicines for the treatment of tsutsugamushi.
While protecting the various organs and giving symptomatic treatment to organ failure, chloramphenicol is given intravenously. It is estimated that the patient’s condition will get better soon.
…
Wu Mian reported the “Oolong” incident in Pengcheng to the principal.
In the video, the principal looked more haggard, and it is estimated that his hard work these days is almost exhausted. Only after reporting on the situation of the Pengcheng patient, the principal’s expression remained solemn, without the joy that Wu Mian had imagined.
What’s wrong? Wu Mian frowned and looked at the principal’s face, and asked, “Principal, do you think there is still a problem with the diagnosis?”
“You are good at diagnosing, and if you say it is not, then it is not.”
“…”
Wu Mian was speechless.
The principal said this too hard, and based on Wu Mian’s understanding of the principal, something bigger must have happened.
In an instant, Wu Mian stroked the principal’s temperament in his heart, and his face became gloomy unconsciously.
“Principal, is there anything important?” Wu Mian asked.
Because of being too nervous, Wu Mian’s voice changed. Chu Zhixi was taken aback, she was dazed and completely unaware of what was going on.
“A few days ago, Dean Zhang of Jinyintan called on recovered patients to donate blood, do you remember?” the principal asked with a sullen face.
Wu Mian was taken aback, donating blood?
He remembered it.
Because the blood of newly recovered patients contains antibodies, which are of great help to severely ill patients, Dean Zhang called for blood donation for the severely ill patients.
Is it because the recovered patient refused to donate blood and the principal was unhappy?
will not.
Just after another thought, Wu Mian denied this idea.
The principal has experienced a lot of battles, and clinically this bit of trouble will not produce a wave of trouble at all.
“You go on.” Wu Mian thought, while staring at the principal in the video. He didn’t notice that his hand was shaking slightly ~www.mtlnovel.com~ It didn’t look like a surgeon’s hand at all.
“After the new pneumonia virus infection is cured, the level of antibodies in the body will drop rapidly. Although the time is short and it looks atypical, it is just my guess.” The principal said in a deep voice.
Wu Mian’s hands were cold, and he could vaguely hear his heartbeat.
This… is this virus really perfect? !
If the antibody concentration drops rapidly, it means that there are endless waves of infections.
Influenza virus antibodies will also attenuate, but at least after 6-8 months in the human body will they begin to slowly decrease.
They are all coronaviruses, and Wu Mian has long known this.
But it has only been a few days, so has the decay been observed? !
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