Back in 2002 as a doctor

Page 647

"Innervated by adrenergic nerves." Zhou Congwen said simply.

"And then?" Huang Lao was quite satisfied with Zhou Congwen's answer, and continued to ask.

"Except for red lips, RT and other parts, eccrine sweat glands are all over the body, with more palms, soles and forehead, and are innervated by acetylcholine sympathetic nerves."

"In general, chromatic hyperhidrosis is a response to adrenaline stimulation, which is caused by the stimulation of adrenaline to make the apocrine myoepithelial contract and secrete a large amount of lipofuscin, and may also be caused by bacteria that can produce pigment."

"President Fang's situation is a bit special. I guess it's because the total time spent in the hospital is a bit long. His body can't bear the blow of adrenaline, and the acetylcholine can affect the sympathetic nerve."

Zhou Congwen directly expressed all his thoughts.

"There hasn't been any major rescue in the ward recently, so it shouldn't have happened." Huang Lao murmured as he walked.

Zhou Congwen couldn't laugh or cry.

"Boss, it's not the same now as you were then."

"Why is it different."

"You were serving the people back then, right?" Zhou Congwen said, "Now some people are allowed to get rich first. Not to mention anything else, there are more and more rich people around us, and the economy is getting better and better. You are right about that."

"Yeah." Huang Lao nodded.

"I don't know the situation, so I'm just talking nonsense." Facing his boss, Zhou Congwen didn't dare to talk nonsense, and explained first, "It can be said that our medical treatment is more valuable as we get older, but before we grow old, we grow up. slow.

I guess Mr. Fang's classmates have already made a fortune, but he is working hard in the clinic, earning thousands of dollars a month. "

"..." Huang Lao was silent.

"I can rest for two days a month. With such a small amount of money, no one will be anxious, and no one will be able to secrete a lot of adrenaline." Zhou Congwen said bluntly, "But the situation in the hospital is like this. Go to a small hospital. Mr. Fang's education Enough, but the conditions there are not good and the future is limited.”

"Let's stay in 912. There are a bunch of professors on it, as well as deputy directors and senior directors. Although you can learn something, there is no hope of getting ahead. Mr. Fang is anxious about... supporting his family."

"What he fears the most is that he won't be able to be a group professor. But it's very difficult to say. There are people queuing up in front of him. Even if Director Deng becomes the deputy dean, the position of department director cannot be released."

"Whoever changes, everyone will be anxious, and the adrenaline can be secreted vigorously. What do you think, boss."

These are all problems that Huang Lao can't solve. Hearing what Zhou Congwen said, he wanted to say something, but when the words came to his lips, they turned into a sigh in the end.

what is this?Total sequelae of hospitalization?

Chapter 1104 Fading

Zhou Congwen knew that he had talked too much, so he shut up immediately.

Mr. Fang's incident was just an accident. I may have been worried about the coming doctor-patient conflict 1.0 era, so I said this inadvertently.

In fact, I am also very anxious, but I can't say it.

Can the boss solve it?

In the face of the torrent of history, everyone's strength is extremely limited. Even if they are as strong as the boss, they are only strong in curing and diagnosing diseases. He can't do anything like this.

"You always think about these things?" Elder Huang asked leisurely, bowing his hands behind his back.

"..." Zhou Congwen knew that he had said something wrong, he bent down involuntarily, and carefully accompanied his smiling face, "Boss, I just said it casually, of course what I usually think about is how to improve medical treatment and medical safety. "

"Tell the truth, don't look slick." Huang Lao said.

"Occasionally I think about it." Zhou Congwen said, "I'm lucky, and I won't be short of money all of a sudden. But what about ordinary doctors and nurses? But it has nothing to do with us, just go to see a doctor with peace of mind."

As Zhou Congwen spoke, he noticed that the boss's right hand, which was behind his back, tapped the back of his left hand lightly.

This is the rhythm of the boss's thinking, Zhou Congwen is very clear.

I have a lot of things to do, so I insisted on saying these things, but it caused the boss to think.As for whether there is an iron fist from the boss behind, that's hard to say.

Huang Lao was thinking, but he was silent all the way, and didn't say anything superfluous.

When he came to the laboratory, Mr. Huang found the director of the laboratory and began to observe Mr. Fang's "blood and sweat" under the microscope.

No intact or broken red blood cells were seen in the sweat smear of the plantar, so the possibility of bleeding can be ruled out, and it was classified as colored sweat.

"Old Huang, I didn't see red blood cells." The director of the laboratory was also observing with another microscope, and he told Huang Lao after confirming.

"Well, I don't think so." Huang Lao said.

"Old Huang, I've only seen blood sweat syndrome twice." The director of the laboratory said with a smile, "But Xiao Fang's is quite strange."

As he spoke, he looked at Zhou Congwen.

Before Mr. Huang went to the front line, everyone knew that he was chasing and beating this closed disciple with a broom in the 912 compound, so he was very curious.

He looked really young, and he didn't know how to impress this Huang Lao, so he looked at him like a baby bump.

"Xiao Zhou, have you ever seen blood sweat syndrome?" asked the director of the laboratory department.

"I've seen it before." Zhou Congwen smiled, "When I was in college, I had a classmate who ran 1000 meters when he passed the physical education standard, and his face was covered with blood. He scared two female classmates to faint, and the physical education teacher almost passed out." No heart attack."

"Hahaha, that's really scary."

Hematidrosis is caused by blood or its pigment mixed in sweat and excreted by sweat, which mostly occurs on the eyelids, forehead, chest, lower body and other parts.

Patients with severe neurological diseases, purpura, sepsis, plague, hemophilia, and menstrual abnormalities may occasionally suffer from hemohidrosis.

Zhou Congwen knew the definition of blood sweat disease, and the rest was nonsense. Anyway, he didn't believe that the director of the laboratory department could go to the university he graduated from to investigate this matter.

"Boss, let's check the bacterial culture again." Zhou Congwen said to his boss immediately.

"Pigment produced by Corynebacterium and Phytophthora may also be possible. Check it out. If there is no problem, keep it safe for the time being. It will be better in about 2 weeks." Huang Lao stood up and explained with the director of the laboratory and Zhou Congwen.

"Huang Lao, thank you for your hard work." The director of the laboratory could joke with Zhou Congwen, but he didn't dare to joke with Huang Lao.

"It should be due to your hard work." Huang Lao said with a smile, "As soon as the results come out, we Xiaofang can rest assured."

"Don't worry about Mr. Huang, I will dye it myself." The director of the laboratory said, "Get the results as soon as possible."

Huang Lao nodded.

"Old Huang, what if the result is negative? How did this come about?"

"If it's negative, just observe it temporarily, and it will probably recover soon." Huang Lao said, "How it came about, there is no clinical conclusion yet."

Quite a lot of clinical things are inconclusive, also known as unknown reasons.

For example, unexplained fever and so on.

The shackles of existing science and technology can't be changed by anyone, even Huang Lao.

When returning to the department, Huang Lao suddenly asked, "Zhou Congwen, did you notice similar situations when reading foreign journals?"

"Boss, there is no similar conclusion." Zhou Congwen replied honestly.

"That would be a pity."

"It's also rare."

"Zhou Congwen, let me ask you." Huang Lao suddenly said seriously, "What's missing in the items we checked just now?"

Zhou Congwen was taken aback for a moment, then smiled after a few seconds, "Boss, you misled me."

Huang Lao smiled.

"The most important thing is to look at the color of the shoes and socks. Many patients are suspected of chromatic sweating caused by the color fading of the socks." Zhou Congwen said, "Boss, when you say that, I remember meeting a patient."

"how."

"I met in the emergency department of the Third Hospital of Jianghai City. When I came here, I was carried in, and no one could die." Zhou Congwen said, "It was a young man who suddenly noticed that the egg on the right side was black. He checked the Internet and thought it was Necrosis caused by malignant tumors, so the whole person is not well."

"The underpants will fade." Huang Lao said with a smile.

"Yeah." Zhou Congwen also laughed. This stalk didn't exist in 2003, so it's not considered an old scumbag, and talking to the boss now is also considered appropriate to the situation.

Because of Fang Zong's problems, the most common is the fading of shoes and socks.

As soon as Zhou Congwen entered the locker room, the first thing he did was subconsciously look at Mr. Fang's shoes and socks.

This is a subconscious behavior, not a check. Zhou Congwen thought for a few seconds before he thought about it when his boss misled him.

Seeing that Zhou Congwen knew the answer, Mr. Huang smiled like a child who had done something bad.

"Boss, I have encountered a lot of color fading in the emergency department. The most outrageous one is a hair dyer who insists that the color is uneven and he has cancer."

Naturally, Zhou Congwen would not argue with his boss over such a small matter, he began to talk about some small clinical cases to make his boss happy.

……

……

In Shanghai, Academician Chu finally left the endoscopy room after a busy day.

Shutting the door and thinking about ERCP every day, Academician Chu is close to a state of madness.

Recently, he feels that the operation is okay, and he plans to find some patients with mild symptoms to start the operation step by step.Fumble a little bit and grow in practice.

After all, it is an old clinic, and Academician Chu is very clear about the benefits of ERCP.

Walking to the entrance of the hospital, Academician Chu sighed, how great it would be if Zhou Congwen could come a little later than this last year.

At that time, I didn't pay enough attention to Zhou Congwen. If I made the cake bigger, would he just follow me?

Just as he was thinking, Academician Chu suddenly smelled a strange smell.

Not far away, an elderly female patient was supported and walked into the hospital staggeringly.

Her exposed skin was covered in pustules.

Chapter 1105

Academician Chu has not seen such a serious patient for a long time. The patient is like a person covered with abscesses in the old society, but has no conditions to seek medical advice.

This is the magic city, and if you can come to the magic city, you shouldn't be short of money to such an extent.At least the most basic medical conditions should be there, otherwise they wouldn't come here directly.

Academician Chu turned slightly to get out of the way, and looked the patient up and down.

The patient is about 60 years old, and his eyes are blood red, as if he has pink eye disease.Pustules were unevenly distributed on the face, neck, and hands, and many pustules were ruptured, dripping grayish-yellow thick juice.

Looking at the clothes, the family conditions should not be bad.

It's a bit weird, but this matter has nothing to do with me. It should be diagnosed and treated by the Department of Dermatology or Rheumatology and Immunology.

Academician Chu didn't even have troublesome thoughts. The patient walked past him, and he immediately looked away and drove to pick up Chu Yuntian.

Arriving at the airport, seeing Chu Yuntian's figure walking out of the airport, Academician Chu found it very interesting.

In the past, my son didn't come back once in two or three years, and every time I saw him, tears filled my eyes.

But in the past year, my son came back many times, and I gradually got used to it, and my emotions are not as excited as before.

Hey.

"Yuntian, it's hard work to bring you back for surgery this time." Academician Chu joked with Chu Yuntian like a stranger.

When Chu Yuntian came back this time, Academician Chu chatted with the chief of the cardiothoracic department once, talking about the procedure that Chu Yuntian will participate in the World Cardiothoracic Surgery Competition next year, the valve replacement surgery under the thoracoscope, which shocked the chief of the chest department.

At that time, the director of the chest department tentatively asked if he could ask Chu Yuntian to come back for two surgeries, so that he could learn by himself.

Academician Chu contacted him, and Chu Yuntian agreed, and he didn't mind such "small things" as Zhou Congwen knew about the technique in advance.

"Dad, after the operation, I want to go to 912 and ask Mr. Huang some questions." Chu Yuntian said bluntly.

"..." Academician Chu was taken aback.

Ask questions, or go to 912?

At that time, Chu Yuntian rejected Huang Lao's invitation without hesitation, and did not give any face to the domestic Taishan Beidou, Academician Chu also felt a little invisible pressure.

But fortunately, I have a high status in the world, and I am still an academician of internal medicine. I don't have much contact with Huang Lao, so I helped my son resist part of the pressure.

Chu Yuntian's future is the sea of ​​stars and the vast universe. Academician Chu is very happy to see his son spread his wings for ninety thousand miles.

Can……

While walking away, Academician Chu asked about the situation.

When he heard Chu Yuntian talk about what happened a few days ago, he was stunned.

Don't talk about the identity and status of the patient, just talk about the condition.

The sewing needle was sent into the blood vessel along the indwelling needle by an old man who was dying, and then began a wonderful drift.

This disease is full of weirdness, and the process of curing it is even more so.

Huacai is not here, and after the treatment, the world's top doctors want to repeat the operation of Huang Lao and Zhou Congwen.