Back in 2002 as a doctor

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The Department of Respiratory Medicine of 912 is very strong. Apart from the Imperial Hospital, the Department of Respiratory Medicine of 912 can even be said to be the number one.

This matter is a bit tricky, Zhou Congwen glanced at the boss.

"I'll go to the hospital to have a look." Huang Lao said.

"I'm sorry, I'm sorry."

"It's okay, I'm in the Department of Respiratory Medicine." Huang Lao said, "I'll be there in half an hour, don't worry."

After finishing speaking, Mr. Huang hung up the phone.

Zhou Congwen asked, "Boss, it's weird, what do you think?"

"I don't know." Huang Lao shook his head, "Director Lu of the Department of Respiratory Medicine has not given a definite diagnosis, and he probably encountered difficult cases. Many diseases are difficult, and I am not a fairy. "

"Boss, it sounds like the patient should know you very well."

"The patient is three years younger than me. He has a wide network of contacts and a big business. They are over 70. They should retire when it's time to retire, and they still refuse to leave." Mr. Huang said lightly, "It's doing well now. I don't think even the board of directors will be able to hold a meeting this time. myself."

"A listed company on the Xiangjiang side?"

"Ah."

Zhou Congwen seemed to have guessed something, but the status of the patient had nothing to do with him, so he returned to the illness in a second.

"Boss, I didn't hear a few words clearly." Zhou Congwen looked at the boss after explaining what he heard.

"The patient's current state is very poor. When he walked to the bathroom, his blood oxygen saturation had to drop to about 80%. The oxygen inhalation flow rate is 3L/min, which can barely maintain blood oxygen at about 90%."

"So heavy? I think there should be a problem with the alveoli." Zhou Congwen said.

"I don't know, Director Lu should have done a lot of inspections." Huang Lao said with his eyes closed, "Zhou Congwen, tell me your opinion."

"..."

Zhou Congwen was speechless.

One thing I asked each other with my boss, but no one was sure about the diagnosis.

"I'm not a god either, boss." Zhou Congwen said helplessly, "Go and see what tests Director Lu has done, and then we two will go for a physical examination."

"I have met several similar patients, and one of them is very interesting." Mr. Huang closed his eyes to recuperate, and chatted casually with Zhou Congwen, "The situation is similar, but the patient is very young, and chronic diseases are not considered. Without a diagnosis, there was no way to check the allergens in the blood in the end, so the blood sample was sent to the Imperial Hospital for examination."

Chapter 0877 The Stupidest Way

"Allergen?" Zhou Congwen smiled, "I guess it's the down jacket I'm wearing, and I'm allergic to the duck and goose feathers inside."

"Yes." Huang Lao said, "You have encountered it too?"

"I saw in the literature that a Canadian patient was ill, and the doctors did not diagnose it after a long period of investigation. This disease was later called 'duvet lung disease', so I remember it."

"The patient's blood contained high levels of antibodies to the bird allergen, a severe lung inflammation caused by the immune system's response to feathers."

"Zhou Congwen, how to treat this disease?" Mr. Huang said casually.

After questioning and answering, Mr. Huang and Zhou Congwen were familiar with each other to the core. There was no jerky feeling at all, and no one thought it was abnormal.

It seems that the two of them have been doing this for countless years.

"Taking steroids and switching bedding, carry-on clothes to hypoallergenic synthetics.

But the recovery is slow. The symptoms can get better within a month, basically recover after six months, and take about a year to fully recover. "

"Illnesses come and go like a mountain, and go away like silk." Huang Laodao, "Especially this kind of disease involving allergens, it is difficult to cure completely."

"Boss, I think the patient should be very similar to duvet lung disease." Zhou Congwen said, "It should also be induced by allergens, or there is no explanation."

"It should be difficult for patients to come into contact with allergens." Huang Lao said, "These rich people value their own lives more than anything else. Recently, there are always sandstorms in autumn and winter in the imperial capital, especially last autumn, when the sky was full of yellow sand. There was a lot of lung disease back then."

Speaking of this, Zhou Congwen thought of some things that will happen in the future.

When he came to 912, Zhou Congwen looked at the familiar building and felt joy in his heart.

In another year, I will be able to come to 912 by myself, and Zhou Congwen is looking forward to it.

But this matter will have to wait until next year to take Zhang You to participate in a world competition, Zhou Congwen knows not to be in a hurry.

The Second Hospital of the Medical University belongs to the country that he has built up by himself, so he can't just leave without thinking that there is nothing wrong.

At the very least, the Chest Pain Center should be built, and Zhang You will be taken to do hybrid surgery, and they will be put on horses and sent off for another ride.

Director Lu, who was much younger than Zhou Congwen remembered, stood at the entrance of the inpatient department and waited early in the morning. When Mr. Huang got off the car, Director Lu ran up in small steps.

"Old Huang, I'm really sorry, I'll see you for consultation if you're still jet-lagged."

"Hehe, just call me next time, and you don't need to ask the patient's family to find me." Mr. Huang knew what happened behind the scenes, as well as Director Lu's little thoughts, and said with a smile, "Let me take a look, what is it?" Illness is embarrassing you, Xiaolu."

"There is really no good way this time, Mr. Huang, you can help me take a look." Director Lu said with a look of embarrassment, "I have done all the tests that should be done, and all the diseases I suspect are negative."

"Oh? Take a look at the laboratory test first."

Listening to the patient's family members and listening to Director Lu's narration are completely different concepts for Mr. Huang.

Director Lu looked embarrassed, it was obvious that the patient's condition was very painful, which made Huang Lao's waist straighten a little.

Zhou Congwen was amused to be with his boss.

He knew very well that the boss didn't want to be better than Director Lu, which didn't mean anything to the boss.

The boss saw a strong opponent and was ignited to fight.

Zhou Congwen is also very convinced that he is so old and has such a strong will to win.

When he came to the Department of Respiratory Medicine, Mr. Huang didn't go to the director's office, but went straight to the doctor's office, greeted the little doctors familiarly, and found a chair to sit down.

Director Lu began to report the medical history.

What the patient's family members described is still reliable, basically the course of the disease.

The patient did not have any signs of chronic respiratory diseases before, and he has not traveled or come into contact with suspicious patients recently.

Laboratory tests showed mild neutrophilia, eosinophilia, and no significant increase in C-reactive protein.

Blood cultures were unremarkable.

Director Lu did a complete inspection, even some rare inspections.

Polymerase chain reaction for respiratory viruses, Legionella urinary and Streptococcus pneumoniae antigens, Mycoplasma IgM, Chlamydia psittaci, and Chlamydia pneumoniae IgG were all negative.

Screening for autoimmune antibodies was also negative.

Inspections such as parrot fever, not to mention the Third Hospital of Jianghai City, can't even be done in the provincial capital, but they are routine inspections in 912.

Zhou Congwen once again climbed up from a small local hospital, and his feelings about this are particularly obvious.

It's better to use 912. If you encounter this patient in Jianghai City, you may have no choice but to send the patient to a higher-level hospital.After all, many inspections cannot be seen with eyes and require laboratory machines.

Director Lu's examination ruled out a series of rare diseases such as 'down quilt lung disease'. After reading all the reports, both Huang Lao and Zhou Congwen looked cautious and dignified.

Huang Lao pondered for a long time, then said lightly, "I'll go and see the patient."

"Old Huang, this way." Director Lu bowed and led Elder Huang to the ward.

There are 4 single rooms in the Department of Respiratory Medicine, and patients live in the innermost room.

Entering the door, there was a coughing and wheezing sound first.

"Xiao Lin, I'm back." Huang Lao walked into the ward with a smile and greeted the patient as if he didn't hear it.

"Brother Huang, you are back." The patient said, holding back his cough.

"Let me see what's going on with you." Huang Lao auscultated with a stethoscope.

Zhou Congwen also took a stethoscope from the hands of the little respiratory medicine doctor and stood opposite the boss to listen together.

The patient had extensive crackles in both lungs, but no other signs of heart failure.

Afterwards, the physical examination continued, and Zhou Congwen did not see symptoms of viral infection on the patient, nor did he have rashes, erythema, arthralgia, or hematuria that would occur in other systemic diseases.

Strange, all previous guesses were overturned, Zhou Congwen looked at the patient with a frown, and ruled out possible guesses one after another.

Although he has two lifetimes of clinical experience, which can be called extremely rich, Zhou Congwen still hasn't figured out what the patient's disease is.

"Go ahead, I'll chat with Xiao Lin." Like Zhou Congwen, Mr. Huang didn't have a diagnosis, but he waved his hand calmly and told Director Lu who accompanied him in for a physical examination and a doctor from the Department of Respiratory Medicine. They all drove away.

Zhou Congwen moved a chair and put it behind the boss, and waited for the boss to sit down, while he stood upright and listened to the chat between the boss and the patient.

The devil is in the details. Zhou Congwen knew that the boss had to ask the patient's diet and daily life to find clues.

Even the boss can't tell what kind of disease this weird disease is at a glance, so he has to choose a "stupid" way to solve it.

Chapter 0878 to the patient's home to see

"Xiao Lin, how are you doing recently? If I say it's time to retire, just retire. How old can you be?"

"I'm not worried." The patient sat on the hospital bed and sighed, "Young people do things irritably. When the board of directors was held half a year ago, a small retail shareholder of Xiangjiang asked everything. quarrel."

Zhou Congwen took a look at "something that doesn't live up to expectations". He is nearly fifty years old, and he is shrewd and strong with a sense of stability.

Hearing what the patient said, the patient's son moved his lips, but did not speak.

"My initial diagnosis of your disease is allergic lung disease." Huang Lao brought the topic back, "Tell me, have you met any strange people or strange things recently?"

"No." The patient shook his head resolutely, "You still don't know my daily routine, Lao Huang."

"I started my business at the age of 53, and I have actually missed the golden age."

"You have connections, and it's nothing difficult. Let alone starting a business, it's a matter of course for you." Huang Lao smiled, "Speak seriously."

"There are people who have more connections than me, but most of them die in Wenrou Township, and they die in the wine pool and meat forest every day."

"I have been swimming 77 meters every day since 3000, rain or shine."

Speaking of this, the patient coughed, and when he got better, Huang Lao said, "That's true. At that time, you had knee joint problems, and you ran half a marathon every day, but I stopped you. If you hadn't changed the way of exercise, I’m afraid you’ve already had a joint replacement by now.”

"I insist on it, and my self-discipline is super strong." The patient was a little proud.

"Okay." Huang Lao said, "Do you still insist on taking a cold bath every day?"

"Of course, I don't dare to swim in winter because I'm afraid I'll die from cramps all of a sudden. In fact, I'm quite used to the temperature. Lao Huang, you don't even have this kind of self-discipline."

"It's good that a gentleman doesn't stand under a dangerous wall." Mr. Huang didn't seem to hear the latter sentence.

"Eat breakfast every day..."

The patient started nagging about his routine and diet.

Zhou Congwen was surprised to find that this old man was too strict with himself, and his work and rest schedule was extremely strict. When to swim, when to have breakfast, when to have lunch, when to have a meeting, where to hold the meeting, until dinner, entertainment, and sleep are all clear. Chu.

The patient made it clear that he hadn't seen a stranger in the past six months except for a few important people in the business field.

Zhou Congwen also understood.

People like the old man in front of him are not something ordinary people can meet casually.

But the more regular his movements became, the harder it was to diagnose the disease.

Hypersensitivity pneumonitis always has allergens, isn’t it? The patient has not been out of the imperial capital in the past six months, and there are no newly renovated places, and he rarely contacts people.

Zhou Congwen now has only one guess—diet.

Huang Lao did not rush to draw conclusions, but continued to chat with the patient.

From the perspective of others, his every sentence is aimless, but Zhou Congwen knows that his boss's problems all have one thing in common - allergens.

When it comes to allergens, this is the biggest headache.

Zhou Congwen has encountered patients who are allergic to antihypertensive drugs taken orally for more than 10 years. It is almost impossible to accurately find the allergen in similar situations.

But the patient in front of him has a rigid life and routine, and he is rushing to live a hundred years old. Even Zhou Congwen knows that he wants to live another 500 years.

Who knows which allergies, dewy.

Mr. Huang chatted with the patient for an hour before leaving.

After leaving the ward, Zhou Congwen asked, "Boss, did you find anything wrong?"

"No." Huang Lao shook his head, "It may be caused by diet, but it feels like the probability is relatively small."

Zhou Congwen thought it was caused by diet at first, but after the boss asked about the medical history a little bit, he also felt that the possibility of this problem was unlikely.

Diagnosis stalled.

Director Lu and a group of doctors stood obediently at the door of the ward. They were also a little disappointed when they heard what Huang Lao said.