Back in 2002 as a doctor

Page 516

"There are many small wounds, especially ulcers, which I don't necessarily care about. For example, if you bite your cheek after eating, there may be a small wound, a few centimeters, and it will heal within a few hours or a day at most."

"But just in time to brush your teeth, the remaining bacteria in the toothbrush will enter the wound. Of course, this is only a small probability event, and it is mainly Staphylococcus aureus. If two people share a toothbrush, there is a 33.2% probability that the remaining bacteria will be more bacteria groups, resulting in a higher probability of infection."

After Zhou Congwen finished speaking, he laughed, "But the probability is too low, too low, use it as it should, it doesn't matter."

"..." Shen Lang glared at Zhou Congwen, "Congwen, you are so disgusting."

"Just say it."

"Professor Zhou, you guessed it was Staphylococcus aureus, then guess what it might be." Xiao Kai asked.

"Generally speaking, the oral route infection caused by toothbrush passes through the danger triangle, and the probability of causing meningitis is relatively high."

Xiao Kai held out his thumb.

Although the logic is relatively clear, I didn't guess it when I heard the director of the hospital next door talk about it.

After the fact, Zhuge Liang and being able to guess the end after hearing the beginning are two different concepts.

"The various headlines that are generally alarmist cannot be believed. What they have in common is that many intermediate steps have been omitted, and they have not penetrated into the intermediate links of the occurrence of these diseases."

"For example, Dean Xiao said that if you share a toothbrush, you will get meningitis. For example, I just said that you will get lung disease from hot water baths. If you take a hot bath, you will get lung disease; for example, Manager Wang, you will go into shock if you pet a cat. It is the same reason."

Shen Lang pondered carefully.

"Actually, Mr. Wang's scrub typhus is just a matter of the probability of infection. It's similar to the probability of getting scrub typhus when we enjoy the cool under the trees or by the lake in summer." Zhou Congwen said.

"Then what's the point of living?"

"Look, that's not what you said." Zhou Congwen said with a smile, "Why worry about small probability events?"

Zhou Congwen smiled and continued to explain, "I've heard similar sayings. You say it's wrong, but it's actually right. But if you say it's right, it always feels weird."

"For example, fried chicken and beer, some people like this."

Zhou Congwen cautiously didn't mention you from the stars. He has forgotten when the show was made, and it won't be 2003 anyway.

At that time, fried chicken with beer was all the rage, and some people ate it all the way, and got pancreatitis.

"Fried chicken rack? My Fengtian classmates like it very much." Li Ran said.

"That's another story." Zhou Congwen said, "Pair fried chicken with beer, and you end up with pancreatitis. Those who said that ignored many key elements in the middle."

"What element?"

"For example, the patient has gallstones for many years; the patient is obese, and the body mass index has been <35 for a long time; the patient has no alcohol or meat, and the triglycerides in the physical examination have exceeded 10mmol/L, etc."

Chapter 0888 of various poisoning

This world is really full of dangers everywhere, Shen Lang felt that what Zhou Congwen said made sense, if he thought too much, he really couldn't live.

"Everyone likes to hear these things, but no one cares about the ones that are really useful." Xiao Kai said, "So I guess there will be more similar things in the future, and there may be newspapers."

Zhou Congwen took a serious look at Xiao Kai.

This ability to foresight is indeed very strong. Some... It took less than a few years. Before the heyday of the Internet media, the traditional media had already fallen.

The person who used tea instead of urine to do urine routine seems to have happened this year, and all kinds of things that seem to be common sense, but are actually nonsense will come one after another in the not-too-distant future.

"I have a friend, not really a friend, but an acquaintance." Xiao Kai sighed and said, "He has psoriasis, and there is no cure for this disease, so I believed those commercials on TV."

"Psoriasis, vitiligo, treatment package is good, many small hospitals and small clinics are the first bucket of gold. Then gonorrhea, syphilis and so on." Zhou Congwen said.

"Yes." Xiao Kai said, "It's useless to say all the good things. I told him that other places are all lies. This disease is incurable. If you can barely relieve the symptoms, it will be very good."

"The result? Did you use something else? You didn't use Tripterygium vine." Zhou Congwen asked.

Xiao Kai admires Zhou Congwen very much, he can tell the end of almost everything by mentioning the beginning.

This means that Zhou Congwen's clinical experience has been enriched to an outrageous level.

"You guessed it right, using Tripterygium wilfordii, the process is very complicated." Xiao Kai said, "He went to see an old Chinese doctor first, and said that it was an ancestral folk remedy for psoriasis and vitiligo, and said that it was effective with just one patch."

"Chinese medicine has been ruined by this group of people." Zhou Congwen said, "I didn't ask about it. It's an ancestral secret recipe. I don't know what weird things are in it. There is no reason for this."

"Is it effective, Dean Xiao." Shen Lang asked curiously.

"Of course it works." Zhou Congwen said, "For diseases like psoriasis and vitiligo, the main cause is the abnormality of autoimmunity. All the ways to quickly relieve symptoms are the same in essence: destroy the patient's immune system."

"!!!"

"Yes, Professor Zhou is right." Xiao Kai sighed, "Similar folk remedies contain a lot of heavy metal elements, such as lead and mercury. The person I mentioned was later diagnosed with mercury poisoning, and finally found me. He was hospitalized for treatment, so at least he saved his life.”

"It's still good, as long as you can live." Zhou Congwen said.

"Professor Zhou, it's not over yet." Xiao Kai sighed deeply again, "After the mercury poisoning was cured, he went to the seaside of Xingcheng every year to get better in the sun and soak in hot springs. But the itching was uncomfortable, after a few days Years are said to move the mind."

"They clearly say that it is a pure natural green and pollution-free tripterygium preparation."

"That's not right." Shen Lang was puzzled, "There seems to be a medicine called tripterygium glycosides in clinical practice."

"The dose should be strictly controlled. There was a patient with eczema before who went to the hospital to see a doctor. The dermatologist prescribed Tripterygium wilfordii polyglycoside tablets for him after seeing it, but when writing the prescription, he made a mistake, and wrote 2 tablets instead of 20 tablets." Zhou Congwen said.

"Uh……"

"I don't know if it's a typo or it's too sloppy. The pharmacy took the wrong medicine. In the end, Tripterygium wilfordii was poisoned." Zhou Congwen was also very helpless. "Triptolide is one of the Chinese herbal medicines with the most poisoning incidents, and one of them can even be removed."

"If it's poisonous, don't use it."

"Fighting poison with poison, haven't you heard of it. Tripterygium wilfordii is actually useful. There are many prescriptions in traditional Chinese medicine for treating rheumatism, rheumatoid arthritis, chronic nephritis, and nephrotic syndrome. Tripterygium wilfordii is also effective.

But what I'm talking about is serious Chinese medicine, not that kind of charlatan. "

As Zhou Congwen said, he glanced at Xiao Kai, "Dean Xiao, was your acquaintance Tripterygium poisoned later?"

"Yes." Xiao Kai said, "Progressive anemia with kidney failure, there is no cure."

"Congwen, what happened to the patient you mentioned who prescribed tripterygium glycosides tablets?"

"Chest tightness, shortness of breath, fatigue, and edema occurred after three days of oral administration. Fortunately, I went to the hospital early. The doctor was shocked when he saw it, and he was directly admitted to the ICU. He went into shock 5 times, but fortunately he was finally rescued." Zhou Congwen said.

Zhou Congwen said that Tripterygium wilfordii is one of the Chinese herbal medicines with the most reported poisoning incidents in the past half century, but he did not say that it had been removed from the 2015 edition of the "Chinese Pharmacopoeia".

This kind of Chinese herbal medicine has too many side effects, and it doesn't mean it's useless, it's just that the person who prescribes the medicine must be a genius.

Traditional Chinese medicine pays attention to the assistants of the monarch and ministers, and minimizes the toxicity of the medicine.

But how many Chinese medicine doctors of that level are there in the whole country?

If there are too many, there are no more than 100, so when compiling the "Chinese Pharmacopoeia", we took this into consideration and directly eliminated Tripterygium wilfordii.

"By the way, Dean Xiao, what do you think is the most clinically ridiculous thing?" Zhou Congwen asked.

There are too many answers to this kind of question, Xiao Kai shook his head.

"I think it's all kinds of sedatives." Zhou Congwen said, "But whatever works, it contains cinnabar."

"The cinnabar of the cinnabar mole?" Shen Lang asked with a smile.

"What are you thinking, have you read too many novels?" Zhou Congwen sneered, "The ingredient of cinnabar is mercury sulfide. To put it bluntly, taking cinnabar can cause mild mercury poisoning and lethargy, which is the main manifestation of calming the nerves."

"Don't talk nonsense, cinnabar is an ingredient in many traditional Chinese medicine prescriptions." Shen Lang said.

"Excessive heart-fire, syndrome of deficiency of yin and blood. Insomnia and dreaminess, palpitations and palpitations, disturbed mind: or worry in the chest, red tongue, thready pulse." Zhou Congwen said, "What is excessive heart-fire? What is the pulse condition? What is the lack of yin and blood? How does it manifest?"

"..." Shen Lang was speechless.

"It's best not to use such a highly toxic drug, so I feel that things like cinnabar cause mercury poisoning... Hahaha."

Saying that, Zhou Congwen laughed.

"Professor Zhou, what do you remember?"

"I think of moxibustion." Zhou Congwen said, "Good moxibustion, I mean serious, contains realgar. After being ignited, the realgar burns, and the smoke from burning arsenic tetrasulfide causes mild arsenic poisoning to the moxibustion person. .”

"..."

When it was over, Shen Lang began to regret listening to Zhou Congwen's bullying.

Moxibustion was caused by arsenic poisoning, and the tranquilizing medicine was caused by mercury poisoning. He felt that the whole world was getting worse, and he was full of malice.

"I don't understand the principle of moxibustion. I have seen several old Chinese doctors in Huaxi, and a big hole was sunken by moxibustion in Zusanli." Zhou Congwen said.

"It's still possible."

"Of course, people do moxibustion every day, and they do it for themselves." Zhou Congwen said, "You try it with those quack doctors and liars, how dare they?"

Chapter 0889 Party A's father's tenderness

While chatting and filling their stomachs, Zhou Congwen thought about Wang Xueteng after everyone returned home.

Scrub typhus was discovered early, as long as people have money, people can live in the ICU, and there is a high probability that there should be no sequelae after being cured.

It's just that this girl works so hard that Zhou Congwen is a little embarrassed.

With a high fever of [-] degrees, he checked the warehouse and took care of the things he told him.This kind of thing... Zhou Congwen sighed, this is a favor he owes, and he will have to pay it back sooner or later.

Early the next morning, Zhou Congwen went to the ICU to visit Wang Xueteng after getting up.

After one night of treatment, Wang Xueteng's symptoms have improved significantly.

Seeing Zhou Congwen looking at him, Wang Xueteng had a weird expression.There is a hint of embarrassment and shyness in the tweaking.

Zhou Congwen also knew that the girl was naked now, and although she was covered with a quilt, she must be worried that he would take off the quilt to give her a medical examination.

Thinking too much, thinking too much, Zhou Congwen looked at Wang Xueteng with a smile.

"Professor Zhou, I...I'm fine, I feel much better." Wang Xueteng and Zhou Congwen said, "When will I be transferred out of the ICU?"

"Stay here first, don't worry." Zhou Congwen sat on the bench next to Wang Xueteng's bed and looked at the hemofiltration machine and said, "Both the liver and kidney function are impaired. It's not that you're fine if you feel fine. Hospitalization must be cured, and you can't stay. The root cause of the disease, once repeated, will be more troublesome in the future.”

"But……"

"It's about money." Zhou Congwen smiled slightly, and did not mention the embarrassing thing for everyone, but shifted the topic to money, "Don't worry, if you do things for me, if the money for medical treatment is small, I will definitely not be with you." You're welcome. But it's a lot of money, and you can't afford it."

"Uh." Wang Xueteng was a little confused.

Facing his "Party A" father, Wang Xueteng has never heard of any sales manager receiving such treatment.

Being able to help contact a doctor and give the best diagnosis and treatment is considered a good relationship between the two, but Zhou Congwen actually took care of everything and had to bear the medical expenses.

After Wang Xueteng got better last night, he started to make plans.

After all, they are all ordinary people, who can live without money.

Cost-effectiveness is something that needs to be considered, and... this is the ICU, a pure gold mine.

Although his own income is not bad, Wang Xueteng really can't afford this kind of "high-end" consumption.

Even with medical insurance, every time she looked at the hemofiltration machine beside her, a fear that penetrated into the bone marrow emanated from her heart.

She is in this business, and she deeply knows that every part, every filter element, and every startup is money.

Although the machine can reduce the load on the kidneys and give his body organs a rare rest, but the little red bulls just disappeared, and Wang Xueteng felt that his heart must have failed earlier than his liver and kidneys.

"Don't worry." Seeing Wang Xueteng's strange expression, Zhou Congwen knew what she was thinking and worried about, and said with a smile, "There are actually not many things that can be done with money, so it's not a big deal.

Especially if your problem is not terminal cancer, a disease where no amount of money is going to help.You are still young, spending some money to get through it is like nothing, do you think I can let you out? "

"But I don't have a lot of money."

"I didn't ask you to spend money." Zhou Congwen said, "You know the speed at which I earn money. To put it bluntly, I perform demonstration operations, and the money given by the manufacturer is enough to cover your medical expenses."

"But that's your money." Wang Xueteng said in a low voice.

"Indeed, I also know that you can't get through this hurdle." Zhou Congwen said seriously, "You have helped me a lot during this time, and you know my personality, and I don't want to worry about many things. If you didn't help me take care of it, I must be very impatient."

"Don't say anything. If you have money to return to me in the future, the money will be regarded as last year's year-end bonus." Zhou Congwen said gently, "Work hard and help me do things that have nothing to do with clinical work but are still very important to me. Just do it."

It has nothing to do with clinical, but also very important...

Wang Xueteng suddenly lost her mind. Although she knew what Zhou Congwen meant, it would be great if it wasn't what she thought.

People, it is very contradictory.

The big pig's hoof didn't stretch out his salty pig's hand, and he felt that something was wrong.

"Take a good rest and recuperate well, don't think too much." Zhou Congwen took over the urgent examination and test this morning from the hospital chief and said to Wang Xueteng while reading, "I say hello to the company, no newcomers are needed."

The last problem was solved by Zhou Congwen, and Wang Xueteng had nothing else to worry about.

The rest is to recuperate. Although it is necessary to fast for a period of time, and recuperating is easy to say, it is actually very uncomfortable, but she knows that this is the best ending.

After Zhou Congwen comforted Wang Xueteng, he greeted the director, professor, and hospital director of the ICU before leaving to go back to work.