Path of Medicine With a System

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One morning, Zhang Fan read many, many medical records, and almost made an overview of the medical records of the past two years. The other doctors in the department, especially the transfer doctor, were very curious about what Zhang Fan was doing.

The doctors who transferred were drooling enviously at Zhang Fan who had no work to do, but they also admired Zhang Fan's ability to sit in front of the computer all morning without moving a step! And people kept coming to peep.

That's how people are. If you are a salty fish, no one will be curious about what you do, but once you have some grades or get ahead, others will worry about what you do. There are too many such things. Is muqiang a common characteristic of human beings?

In the Department of Hematology of Chasu City Hospital, most of the patients are anemic, all kinds of anemia, and most of them are young women. There are also a small number of purpura epilepsy caused by various reasons, and finally they were discharged from the hospital or even died of illness, and the cause has not been identified.

This is the biggest feature of this department. Many diagnoses are unclear. There are question marks in the preliminary diagnosis, and question marks in the confirmed diagnosis. This is not to avoid anything, but a real question mark, because the patient's physical signs and laboratory tests do not support it. Various diagnoses are currently available.

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 such basic diseases cannot be diagnosed for unknown reasons.

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

The young man was very energetic, so he wrote the medical records on the computer next to Zhang Fan, and seeing that Zhang Fan hadn't moved all morning, he said with emotion: "Doctor Zhang, you can't do this, you put a lot of pressure on us. You see, when you didn't come, the transfer doctors in the department were still talking and laughing, we didn't dare to get up if you didn't move this morning!"

"Ah! It's not that exaggerated. I have never 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 think too highly of graduate students. To be honest, a three-year graduate student means three years of hard work in a big hospital. There is nothing high about it. The diseases in this department, let alone graduate students, probably come from doctors. One or two!" Zang Bin chatted with Zhang Fan while typing the medical records.

Graduate students sign a contract before admission, and make reservations for which department to go to, so compared with undergraduate students, they are not under too much pressure. Moreover, the most important thing is that the current postgraduates are still very valuable, and the hospital pays for their settlement, so the pressure is relatively small.

How about the hematological diseases? Zhang Fan looked at them all morning and roughly divided them into red blood cells, white blood cells, and platelets. These three blood vessel diseases are related to the three brothers, because the most important cells in the blood are these cells. , of course, there are other ingredients, but compared with these three, the role of other ingredients or the thoroughness of the research is not up to it!

Blood travels everywhere in the human body. It is a very complicated system. If it is explained in detail, it will become a thesis. Let alone ordinary people, even doctors who do not deal with blood probably cannot understand it. Just make a simple metaphor.

Red blood cells are the transporters of the human body, traveling between various tissues, bringing in oxygen and then taking out carbon dioxide. White blood cells are the soldiers of the internal environment of the human body. Wherever there are invading cells or viruses, they will kill the invading guy.

Platelets are the tinkerers, they happily walk in the blood vessels everywhere, and they happily mend the defective places.

A certain king in England had a noble disease, low platelets, and one accident caused hemorrhage! This is not a joke. During a kiss, if an excited lover accidentally bites his tongue, he might bleed to death!

Probably such a concept,

What people often say is anemia is actually the reason for the reduction of red blood cells. When the red blood cells are not enough, there will be a lack of oxygen, which will lead to dizziness, nausea and various physical discomforts.

There are many kinds of anemia, especially for young women, whose nutrition is even worse. Coupled with heavy menstruation, anemia cannot go away. This thing is definitely not the kind of medicine that cures the disease, but a very long process.

If young women are anemic due to this period, and there are no gynecological diseases, it is best to eat more animal liver and blood tofu and exercise appropriately.

The next day, the morning meeting of the Hematology Department began. After the handover of the work of the department was completed, Li Qing clapped his hands and said to all the medical staff: "Let me tell you something. This is Zhang Fan, Dr. Zhang. I think everyone should know him. He came to us and transferred to another department for a month. Doctor Zhang, can you say something?" Li Qing, the director, said a little jokingly.

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

"Good director!" Dr. Ruan said crisply. Dr. Ruan, with a rare surname, has just turned 30 years old and has just passed the examination as an attending doctor. She has been married for two years and has no children yet. She is a very capable and delicate woman. My husband is a secretary of the government, but not the leader's full-time secretary.

"Doctor Zhang, let's start the rounds."

"Okay, Dr. Ruan."

Because it is not Monday, there is no need for a large round of ward rounds, and there are not many patients. Dr. Ruan does not have many patients in charge of the bed, only three. Two patients with allergic purple epilepsy and one patient with iron deficiency anemia.

The two cases of allergic purpura epilepsy are very typical, with bleeding spots all over the body, on the back, thighs, and calves, as obvious as gentian violet smeared on the body.

There are two patients, one big and one small, the adult is a foreigner, 27 or 28 years old, a small boss, engaged in decoration. Take care of yourself, do it yourself. After the Chinese New Year, after the heating stopped, the peak period of decoration in Chasu City came.

He was a little too hard-working, and took several decoration businesses at once, and ended up with health problems.

"Dr. Ruan, what symptoms did this little boss admit to the hospital?"

"He!" Dr. Ruan and Zhang Fan walked towards the office in the corridor, recalling, "In the middle of last month, when I was on duty, he was brought by his family. At that time, the nosebleed could not stop, and the soaked toilet paper The blood was dripping non-stop. After being hospitalized, I started to have a fever. The platelets could hardly be detected. I was critically ill at that time."

"And then?" Zhang Fan asked.

"After being admitted to the hospital, he was given hemostatic drugs and then a blood transfusion. After various tests, the specific cause was found. It can only be treated symptomatically. Many units of platelets have been transfused, but there is still no improvement."

Dr. Ruan continued with lingering fear: "The family members quickly put their fingers on my face. But the condition still cannot be diagnosed clearly. At that time, there was no chance of being transferred to another hospital. He would definitely not be able to make it to Bird City by car. It might be hemorrhage. He was covered with purple ecchymosis on the plane, and the flight attendants would definitely not let him on the plane. In this way, the daily medical expenses went away like water, but the condition did not improve significantly. "

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

While walking, Zhang Fan asked: "What about the incentive, have you found it?"

"There is no definite inducement, but later, after the patient's condition improved, and the family's attitude towards me became much better, I asked about the medical history in detail."

Dr. Ruan looked around and said to Zhang Fan: "I think it's because of his work that he has unexplained bleeding. When he was decorating, he didn't have any special protection, and he used all kinds of paints and glues. All kinds of chemical products. That's why this bleeding without obvious cause was caused."

After speaking, he seemed to think that Zhang Fan didn't believe it, and then said: "Just last year, a colleague of my husband's work unit, because of his age, anxiously lived in a new house that had just been renovated. Then he got married and became pregnant. And guess what happened?"

"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 can also be regarded as an empirical discipline.

"A few months after she was pregnant, one day, my husband's colleague suddenly developed abdominal pain. After being rushed to the hospital by colleagues in the unit, after investigation, the fetus was deformed!"

"Hey!"

"The situation at that time was really sad. The husband and wife were not young, and the fetus was deformed. The two sat at the door of the gynecology department, crying so sad. So, the current decoration is really sad. Just tidy it up casually, if you really want to use it as a new house, you must put it away for half a year, preferably a year!" Dr. Ruan said in a rambling manner.

"Which kid. What's his condition?"

"You're talking about that little chubby guy. Hey, his parents are busy with business and can't take care of him. He's only in the second grade of primary school, and he's too fat to walk. His parents are really shameless, so they only care about making money. I give the children fifty yuan a day. They eat and drink outside, what do the little dolls know? When they are thirsty, they drink, and when they are hungry, they eat all kinds of food sold by vendors around the school."

"In the end, it was because he ate what seemed to be deep-fried spicy strips or dried tofu. He couldn't tell. He ate it at noon, but when he was in class in the afternoon, the baby started to have a fever and became confused, followed by purple epilepsy. , a large area of ​​purple epilepsy."

"When it was delivered, it looked like a small meat ball covered with purple syrup. His class teacher is a little girl, and she won't say anything scary."

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

"What is this? He has recovered. You didn't see the first day he came, so it's scary."

The two entered the office while talking, only to see Wang Yanan and Jia Suyue. The two were also very surprised when they saw Zhang Fan. Jia Suyue pulled 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?"

"Why do you think I'm in this department! I'm transferring to another department. Who are you?" Zhang Fan asked in bewilderment.

"I won't talk to you yet, I'll go and bring Jia Suyue back!" Wang Yanan ran out after finishing speaking!

"Forehead!"