One morning, Zhang Fan read many medical records, almost going through the medical records of the past two years. Other doctors in the department, especially the transfer doctors, were particularly curious about what Zhang Fan was doing.
Several transfer doctors drooled with envy when they saw Zhang Fan who had no work to do, but they also admired Zhang Fan for sitting in front of the computer all morning without moving a step! And people kept coming over to peek.
That's how people are. If you are just a loser, no one will be interested in what you do. But once you have some achievements or become prominent, others will worry about what you do. There are too many such things. Could it be that being strong is a common trait among human beings?
In the hematology department of Chasu City Hospital, most of the patients are anemic, various types of anemia, and most of them are young women. There are also a small number of patients with purpura caused by various reasons. In the end, they were discharged from the hospital or even died of the disease, and the cause was not identified.
This is the biggest feature of this department. Many diagnoses are unclear. The preliminary diagnosis has a question mark, and the confirmed diagnosis still has a question mark. 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. The doctor can only guess! This is not because doctors are irresponsible, because there are many basic diseases that cannot be diagnosed and the reasons are unknown.
Zang Bin, a graduate student majoring in nephrology, also transferred to the hematology department, but compared to other undergraduate transfer dogs, the graduate student was slightly better. The graduate student transferred to a few related departments and then it was over.
The young man was very energetic. He was writing medical records on the computer next to Zhang Fan. Seeing that Zhang Fan didn't move all morning, he said with emotion: "Dr. Zhang, you can't do this. It puts a lot of pressure on us. You see, when you weren't here, the transfer doctors in the department were still chatting and laughing. If you don't move this morning, we won't even dare to get up!"
"Uh! 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 fancy about it. The diseases in this department, not to mention graduate students, I guess even a doctor can tell you about them. One or two!" Zang Bin was typing up medical records while chatting with Zhang Fan.
Graduate students sign a contract before admission and make reservations for which department they will go to in advance, so they are less stressed than undergraduate students. Moreover, the most important thing is that today's graduate students are still very valuable. The hospital provides them with housing expenses, so the pressure is relatively small.
How to talk about diseases in the hematology department? Zhang Fan looked at them all morning and roughly divided them into red blood cells, white blood cells, and platelets. These diseases are related to the three brothers of blood vessels, because the most important cells in the blood are these cells. , of course there are other ingredients, but compared to these three, the effects of other ingredients or the thoroughness of research are not yet up to par!
Blood travels throughout the human body. It is a very complex system. If it were explained in detail, it would be a thesis. Let alone ordinary people, even doctors who do not deal with blood would probably not be able to understand it. Just make a simple metaphor.
Red blood cells are the transporters of the human body, traveling to and from various tissues, bringing oxygen in and then taking carbon dioxide out. White blood cells are the soldiers of the human body's environment. Wherever there are invading cells or viruses, they will kill the intruders.
Platelets are like tinkerers, happily walking around the blood vessels everywhere, happily repairing any defects.
A certain king of England had a noble disease, low platelets, and hemorrhage if he was not careful! This is no joke. When kissing, if your tongue is accidentally bitten by your excited lover, you may bleed to death!
This is probably the concept. What people often call anemia is actually the cause of a decrease in red blood cells. If there are not enough red blood cells, there will be a lack of oxygen, which will lead to dizziness, nausea and various physical discomforts.
There are many types of anemia, especially in young women, who are not well nourished, and who have heavy periods, so anemia cannot go away. This supplement is definitely not the kind of medicine that can cure the disease, but a very long process.
If a young woman is anemic due to this period and does not have any gynecological diseases, it is best to eat more animal liver and blood tofu and exercise moderately.
The next day, the morning meeting of the hematology department began. After the handover of department work was completed, Li Qing clapped his hands and said to all the medical staff: "Let me tell you something. This is Zhang Fan, Doctor Zhang. I think everyone should know him. He has been with us for a month since he transferred to another department. 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 Dr. Zhang won't say anything, let's start working. Ruan Yuan, you and Dr. Zhang work together."
"Okay, director!" Dr. Ruan said crisply. Dr. Ruan, a rare surname, has just turned thirty years old and has just passed the examination as an attending physician. She has been married for two years and has no children yet. She is a very capable and comely woman. My husband is a secretary in the government, but not a full-time secretary to the leader.
"Dr. Zhang, let's start the ward rounds."
"Okay, Dr. Ruan."
Because it was not Monday, there was no need for ward rounds, and there were not many patients. Dr. Ruan only had three patients in charge of the bed. Two sufferers of allergic purpura and one sufferer of iron deficiency anemia.
The two cases of allergic purpura 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 older and one younger. The adult is a foreigner, in his twenties or seventies, and he is a small business owner who does decoration. Take the work yourself and do it yourself. After the Chinese New Year is over and the heating stops, the decoration peak period in Chasu City is here.
He worked too hard and took over several renovation projects at once, but he ended up suffering from health problems.
"Dr. Ruan, what symptoms did this little boss have to be admitted to the hospital?"
"He!" Dr. 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 to the hospital by his family. At that time, his nosebleeds could not be stopped, and the toilet paper was soaked. The blood kept dripping. I started to have a fever after being hospitalized. The platelets could hardly be detected. I was critically ill at that time."
"Then what?" Zhang Fan asked.
"After being admitted to the hospital, I was given hemostatic drugs and then a blood transfusion. After various examinations, I could only find the specific cause. I could only treat the symptoms and transfuse many units of platelets, but there was still no improvement."
Dr. Ruan continued with lingering fear: "My family members quickly put their fingers on my face. But the condition still could not be diagnosed clearly. In the situation at that time, there was no chance of being transferred to another hospital. He would never be able to survive the ride in the car, which was bumpy and bumpy. It might be a massive hemorrhage. When flying, he had purple bruises all over his body, and the flight attendants would definitely not let him get on the plane. In this way, the day-to-day treatment fees were drained away like water, but his condition did not improve significantly. "
"Our general medical staff have been guarding him for more than half a month. 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 inducement? Have you found it?"
"There was no definite cause, but later, after the patient's condition improved and my family's attitude towards me became much better, I asked about the medical history in detail."
Doctor Ruan looked around and said to Zhang Fan: "I think it was because of his job that he had unexplained bleeding. When he was decorating, he didn't have any special protection, and he used various paints and glues. All kinds of chemical products. That’s why this bleeding happened without obvious cause.”
After finishing speaking, as if Zhang Fan didn't believe it, he added: "Just last year, a colleague of my husband's workplace anxiously moved into a new house that had just been renovated because he was old. Then he got married and became pregnant. Guess what happened?"
"What's wrong?" 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 at work, a check revealed that the fetus was malformed!"
"Why!"
"The situation at that time was really sad. The couple were already very old, and the fetus was malformed. The two of them were sitting at the door of the gynecology department, crying so sad. So, the current decoration is really ! Just clean it up. If it really wants to be a new house, it must be left for half a year or something, preferably a year!" Dr. Ruan said nonchalantly.
"Which kid is it? What's going on with him?"
"You're talking about that little chubby guy. Hey, his parents are busy doing business and can't take care of him. He's only in the second grade of elementary school and he's so fat that he can't walk on the street. His parents are really shameless and they only care about making money. We give the children fifty yuan a day. They eat and drink outside, what do little kids know? When they are thirsty, they drink, and when they are hungry, they eat all kinds of food sold by the vendors around the school."
"It turned out that it was because he ate some kind of fried spicy strips or dried tofu, he couldn't tell clearly. He ate it for lunch. As a result, during 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 little meat ball covered in purple liquid. His class teacher was a little girl, and she couldn't even say anything when she was scared."
"Oh, I see there are still some spots on my skin now."
"What does this mean? He has recovered. It's scary if you didn't see him on the first day."
The two of them talked and entered the office, only to see Wang Yanan and Jia Suyue. The two of them were also very surprised when they saw Zhang Fan. The more Jia Su pulled Wang Yanan, the more he wanted to leave! Suddenly, her face turned super red!
Wang Yanan was also a little embarrassed! He asked Zhang Fan, "Why are you in the hematology department?"
"Why am I in this department! I'm transferring to another department. What are you doing?" Zhang Fan asked in confusion.
"I won't tell you anymore, I'll go get Jia Suyue back!" Wang Yanan ran out after saying that!
"Forehead!"
