Medical road

One morning, Zhang Fan looked at many medical records, and almost turned over the medical records of the past two years. The other doctors in the department, especially the transferred doctors, were very curious about what Zhang Fan was doing.

Several transferred doctors drooled enviously at Zhang Fan, who had no work to do, but they admired Zhang Fan's effort in sitting in front of the computer all morning without moving a step!And people kept coming to peep.

This is how people are. If you are a salted fish, no one will be curious about what you do, but once you have a little achievement or a bright future, others will worry about what you do. There are too many such things.Is Mu Qiang a trait shared by humans?

In the Department of Hematology of the Chasu City Hospital, most of the patients are anemia, and there are many types of anemia, and young women account for a large number.There are still a small number of purple epilepsy caused by various reasons, and eventually they were discharged from the hospital or even died, and the cause has not been identified.

This is the biggest feature of this department. Many diagnoses are unknown. The initial diagnosis is accompanied by a question mark, but the confirmation diagnosis is still accompanied by a question mark. This is not to avoid something, but a real question mark, because the patient’s physical signs and laboratory tests are not supported. Various current diagnoses.

But if there is no confirmed diagnosis in the medical record, then the medical record is unqualified. There is no way, the doctor can only guess!This is not because doctors are irresponsible, because many, many basic diseases of this kind cannot be diagnosed for unknown reasons.

Graduate student Zang Bin, a graduate student majoring in kidney disease, is also transferring to the Department of Hematology, but compared to other undergraduate transfer dogs, graduate students are slightly better. After the graduate students transfer to several related departments, it is over.

The young man was very energetic. He was writing medical records on the computer next to Zhang Fan. Seeing that Zhang Fan hadn't moved his nest all morning, he said with emotion, "Doctor Zhang, you can't do this, it puts us under a lot of pressure. You see when you did not come, the transfer doctor in the department was still talking and laughing. If you don't move the nest this morning, we dare not get up!"

"Um! It's not that exaggerated. I haven't been in contact with this department, and I am not a graduate student, so I am a little fascinated. The diseases in this department are really complicated."

"Hey! Don't take graduate students too much. To be honest, three years of graduate work, that is, three years of hard work in a big hospital, nothing is tall. There are diseases in this department, let alone graduate students. It is estimated that the doctor will also tell you something. One or two!" Zang Bin chatted with Zhang Fan while typing his medical records.

The postgraduates signed a contract before entering the hospital, and which department to go to were booked early, so compared to undergraduates, their pressure was not great.What's more, the most important thing is that the current graduate students are still very valuable, and the hospital provides them with settlement expenses, so the pressure is relatively small.

What do you say about diseases in the department of hematology? Zhang Fan looked at it all morning and roughly divided them into red blood cells, white blood cells, and platelets. These are related diseases of the blood vessels, because the most important cells in the blood are these cells. Of course, there are other ingredients, but compared with these three, the effect of other ingredients or the thoroughness of research are still not up to date!

Blood travels everywhere in the human body. It is a very complicated system. If you talk about it in detail, it will become a dissertation. Let alone ordinary people, even doctors who don't do blood will probably not understand it.Just make a simple metaphor.

Red blood cells are the transport workers of the human body, traveling to and from various tissues, bringing in oxygen and then taking carbon dioxide out.White blood cells are the soldiers of the environment in the human body. Wherever there are invading cells or viruses, it will kill the invading guy.

The platelet is the tinker, walking happily around the blood vessels, where there are defects, it happily repairs them.

A certain king in the United Kingdom has a noble disease, that is, there is a problem with the coagulation factor of the gene, and one carelessness is hemorrhage!This is not a joke. When kissing, if you accidentally bit your tongue by an excited lover, you might bleed and die!

It's probably such a concept. The anemia people often say is actually the cause of red blood cell reduction.If the red blood cells are not enough, there will be a lack of oxygen, which will cause dizziness, nausea and various physical discomforts.

There are many, many types of anemia, especially young women, who are not well-nourished. Coupled with a large amount of official holidays, anemia can't get rid of it.Replenishing this thing is definitely not the kind of medicine to cure the disease, but a very long process.

If young women have anemia due to this period, and there is no disease in gynecology, it is best to eat more animal liver and blood tofu plus appropriate exercise.

The next day, the morning meeting of the Department of Hematology began. After the handover of the department's work was completed, Li Qing clapped his hands and said to all the medical staff: "I'm talking about something, this is Zhang Fan, Dr. Zhang, I think everyone should know. He came to us but was transferred for a month. Doctor Zhang, can you say a few words?" Director Li Qing said a little jokingly.

Zhang Fan hurriedly smiled and waved his hand."Well, since Doctor Zhang doesn't say anything, let's start working. Ruan Yuan, you and Doctor Zhang will work together."

"Good director!" Dr. Ruan said crisply. Dr. Ruan, a rare surname, has just turned 30 and just passed the examination.I have been married for two years and have no children yet. A very capable and delicate woman.Husband is a secretary of the government, but not a full-time secretary of the leadership.

"Doctor Zhang, then we will start the rounds."

"Okay, Doctor Ruan."

Because it is not Monday, and there is no need for a big round, there are not many patients, and Dr. Ruan has only three cases in charge.Two patients with allergic purpura and one with iron deficiency anemia.

The two symptoms of allergic purple epilepsy are very typical, with bleeding spots all over the body, on the back, thighs, and calves, as obvious as gentian violet applied to the body.

There are two sick people, one big and one small. The adult is a foreigner, 27 or 18 years old, and he is a small boss who does decoration.Take care of yourself, do it yourself.After the Lunar New Year, after the heating stopped, the peak of renovation in Chasu City came.

He was a bit too hard, and he took over several decoration business at once, but his body was in trouble.

"Dr. Ruan, this little boss was admitted to the hospital because of some symptoms."

"He!" Doctor Ruan and Zhang Fan walked to the office in the corridor, recalling: "In the middle of last month, when I was on duty, he was sent by his family. At that time, the nosebleeds couldn't stop the flow, soaked toilet paper. The blood dripped continuously. I started to have a fever after I was hospitalized. The platelets were almost undetectable. I was in critical condition at that time."

"What then?" Zhang Fan asked.

"After being admitted to the hospital, he was given hemostatic drugs and then blood transfusion. After various examinations, the specific reasons were found. Only symptomatic treatment was given. After a lot of platelets were transfused, there was still no improvement."

Dr. Ruan continued with lingering fears and said: "The family members quickly put their fingers on my face. But the condition still cannot be diagnosed clearly. The situation at that time did not even have the opportunity to transfer. The next one might be hemorrhage. The flight attendant would definitely not let him get on the plane with his purple ecchymosis. In this way, the daily treatment fees flowed away like water, but his condition did not improve significantly. "

"Our general medical staff have been guarding for more than half a month. The director has already contacted the experts of the higher-level hospital. Just when the experts came, his condition improved, and the platelets began to slowly rise. "

As he walked, Zhang Fan asked, "What about the incentive? Have you found it?"

"There is no definite inducement, but later, after the illness got better because of my illness, and my family's attitude towards me was much better, I followed up the medical history in detail."

Dr. Ruan looked around and said to Zhang Fan, “I think it’s because of his work that caused him unexplained bleeding. When he was decorating, he didn’t have any special protection, and it was all kinds of paint and glue. All kinds of chemical products. That's why this bleeding without obvious inducement is caused."

After finishing speaking, he seemed to feel that Zhang Fan didn't believe it and said: "Just last year, a colleague of my husband's unit, because he was old, lived in a new house that was just renovated in a hurry. Then he got married and got pregnant. And guess what?"

"What's the matter?" Zhang Fan asked. At this time, Zhang Fan was not inquiring about gossip, but a process of obtaining medical records and medical events. Medicine is also an empirical discipline.

"A few months after she was pregnant, one day, this colleague of my husband suddenly developed abdominal pain. After being rushed to the hospital by a colleague from the unit, the fetus was found to be deformed!"

"Hey!"

"The situation at the time was really sad. Both husband and wife were not too young, and the fetus was deformed. They were sitting at the door of the gynecology department and crying was sad. So, the current decoration is really Just clean it up, if you really want to be a new house, you must put it in for half a year or something, preferably for a year!" Dr. Ruan babbled.

"Which kid? What is his situation."

"You said that little fat guy. Hey, his parents are busy doing business and they don't care about him. They are only in the second grade of elementary school, and they are too fat to walk. His parents are really outrageous, so they just care about making money. I give a child fifty yuan a day. I eat and drink outside, the little doll knows what to do. When I am thirsty, I drink a drink, and when I am hungry, I eat all kinds of food sold by the vendors around the school."

"As a result, he didn't know what it was like fried spicy noodles or dried tofu. He didn't know what it was. I ate it at noon. As a result, when I went to class in the afternoon, the doll started to have a fever and became confused, followed by Zidian. , A large area of ​​purple epilepsy."

"When it came, it was directly like a little meat ball coated with purple potion. His head teacher is a little girl, and I won't say anything scared."

"Oh, I think there are still some stains now."

"What's this? He has recovered. You didn't see him on the first day. It was scary."

They talked and entered the office, only to see Wang Yanan and Jia Suyue.The two were also particularly surprised when they saw Zhang Fan.Jia Suyue took Wang Yanan to leave!Suddenly, her face turned super red!

Wang Yanan is also a little embarrassed!He asked Zhang Fan, "Why are you in the hematology department?"

"You said why I am in this department! I transferred to another department. What are you guys?" Zhang Fan asked in confusion.

"I won't tell you yet, I'll get Jia Suyue back!" Wang Yanan ran out after speaking!

"amount!"