Snowflakes fell silently outside the window, and flakes of flying catkins accumulated in the corner of Chasu Hospital. Within half an hour, the quiet small courtyard of the Department of Infectious Diseases had been covered with a big white cashmere sheet. Same as carpet.
Large tracts of snowflakes were dancing in the air, as if there was a lot of excitement, but in the small courtyard where there were no traces of people, it was so quiet. A group of sparrows with white hats on the branches of the trees occasionally flew up and down, making the quiet courtyard full of joy. A little angry.
The hospital's boiler is heated by hospital heating. In departments that are more interested in beauty, the clothes of doctors and nurses are relatively thin, especially in endocrinology. The nurses are a little better. The female doctors wear quite thin clothes, all kinds of lace. A rare bloom in winter.
But the Department of Infectious Diseases was different. The thick cotton mask was put on the face like cotton pants, and it felt very difficult to breathe. Zhang Fan looked at the doctor in the department who was following behind him and sighed in his heart, " No wonder the doctors in the Department of Infectious Diseases are so thin and struggling to breathe, even if they eat three eggs in the morning."
Coupled with the power of the logistics heater, the sweat mixed with the August 4th disinfectant emanating from the breath, making people wearing a mask suddenly feel like there is a wet and warm piece of urine on their face, like the urine mustard that has just been pulled out from under the child's buttocks.
Entering the ward, the wards of the Department of Infectious Diseases are different from other departments. The wards in this department are relatively small, and almost every patient is in a room. In this era, the Tea Hospital is already the leader in the Tea Region. If other departments can still have The treatment of a single room is definitely a lot of energy.
"Tuberculosis, recurrent tuberculosis, the patient was admitted this time with painless hematuria!"
The doctor in charge of the bed starts reporting the patient's condition to Zhang Fan before entering the ward. The ward rounds in the infectious disease department are different from the ward rounds in other departments. The ward rounds in other departments report the condition to the superior doctor in front of the patient.
The infectious disease department reports the disease at the door, which can reduce the contact time between doctors and patients. Zhang Fan nodded after listening. After the results, he asked: "What did the pulmonary hospital say?"
Chasu Hospital has merged all the tertiary general hospitals in the Chasu area, but two hospitals have not been merged. This is not because Chasu Hospital is not strong enough, but because national policies do not allow it.
One is the Maternity and Children's Hospital. Regarding the medical policy tilt in the past decade or so, all hospitals do not have as strong a policy and funding as the Maternity and Children's Hospital. Everyone may have a feeling that the maternal and child hospital, which was not well-known and transparent in the past, suddenly seems to have become prosperous and famous overnight. This is not only the result of the efforts of doctors and nurses, but also the country's vigorous use of money.
The second one is the pulmonary hospital, also known as the infectious disease hospital. The income of this hospital is fully subsidized by the state. Even if there is not a single patient a year, the state will still fully subsidize it, and the salary and bonuses it should give will not be less at all.
The name of this hospital is also quite strange. In the early years, it was called the Infectious Disease Hospital. Later, I don’t know whether the people around it were unhappy or the hospital staff were dissatisfied, so it was renamed the Pulmonary Hospital.
In 2003, the whole country was trembling. This hospital was renamed the Infectious Diseases Hospital. Later, I don’t know what happened, and it became a Pulmonary Hospital. Anyway, the two names kept changing in the past.
Under normal circumstances, tuberculosis patients are initially treated in pulmonary hospitals. Moreover, the state distributes free tuberculosis treatment drugs.
"The Pulmonary Hospital recommends transferring to another hospital!" the doctor in charge said helplessly. It can be said that the treatment regimen for tuberculosis has hardly changed since its inception in the 1950s. Used over and over again, these are drugs such as isoniazid and rifampicin.
It's okay if you don't have drug resistance, but once drug resistance appears, it will be quite troublesome.
Zhang Fan opened the case list while listening to the report of the doctor in charge of the bedside. When he saw the profession, Zhang Fan felt a little dizzy. “Why are drug-resistant tuberculosis patients still working in the catering industry?”
"Uh!" Hearing the dean's quiet but stern inquiry, the doctor in charge fell silent. To be honest, Zhang Fan was simply unreasonable when he questioned others about this matter.
Zhang Fan paused for a moment and realized that his inquiry was wrong. He shook his head and said helplessly: "Let's go in for ward rounds."
Entering the ward, there was a woman wearing a headscarf. Perhaps because of the hematuria, the woman's complexion was very fair, and she looked like a pretty young woman.
This woman was walking on the street. To be honest, who would have known that she was a tuberculosis drug-resistant patient? Before Zhang Fan opened his mouth, the woman started coughing. While coughing, the woman covered her mouth and stood up. She was already thin, but she became even thinner after getting sick. I have no energy, lying in bed and coughing is really hard.
Wang Hong gently pulled Zhang Fan, then she took two steps forward and stood in front of Zhang Fan. Zhang Fan shook his head slightly. In this coughing state, not even one Wang Hong stood in front of him, not even ten Wang Hong stood in front of him.
Useless!
The woman's cough was far away, and her thin body was shaking during the cough. It felt like she was coughing out a whole lung. The blood vessels and veins on her already fair face were exposed during the cough.
It's as if the woman is wearing a mesh-like blue-green mask. The fair and sickly skin also turned into a sickly scarlet color.
The coughing finally subsided. After the coughing was over, the female patient's inhalation made a purring sound, as if an old cat was getting angry and threatening other creatures that came near. Everyone else listening had the urge to cough for him and cough out the contents of his throat.
It's so depressing, it's as if the depression is contagious.
Zhang Fan and the others waited for the patient's cough to subside before speaking: "How do you feel now?"
"It's troublesome to breathe, but the rest is fine. Doctor, when can I go home? The child is young!" The woman spoke in the local dialect.
"Treat first. You can see the child whenever you are cured. What can you do if you are sick and see the child? And you must not come into contact with other people until your illness is cured. Can you lie down now?"
Even the introduction of relief was cancelled, because no one knew when the woman would cough again.
The woman sat sadly on the edge of the bed, "I can't lie down, I lie down and hold my breath."
"Okay, you can sit down, I'll check it for you, and you can take off your shirt."
Zhang Fan said as he took the disinfectant in the corner and applied it on his hands. The woman silently turned her back to everyone while slowly unbuttoning her clothes.
When the clothes are taken off, it feels extremely uncoordinated. The thin woman should have been as skinny as a stick, but her entire chest was like an inflated bucket, with no ribs visible at all.
In this situation, according to normal people, according to a woman's height of about 165cm, no one between 80kg and 90kg can't even see the ribs. But Zhang Fan could tell by looking at the woman in front of him with his naked eyes that she didn't even weigh 50kg.
When the patient turned around, his chest was so thin that almost no excess fat could be seen. There were only two brown fleshy lumps like grapes hanging on his chest.
"I've had pleural effusion pumped twice, but I still can't control it. I originally had to pump it again today."
The bed doctor said softly. Zhang Fan nodded and began to examine his body.
When his hands were clasped on the woman's back, it was like beating a leather drum. Amidst the loud sound, the woman began to cough again. In the palms covering her mouth, Zhang Fan saw bright red blood streaks.
The suffocated woman stood up again. Regardless of her upper body being exposed, she grabbed Zhang Fan's white coat with both hands, like a drowning person grabbing a life-saving thread, and pulled on it desperately. This was suffocating.
The feeling of suffocation made the woman's eyes widen, as if she was about to explode.
"Pump it!"
Tuberculosis is a wasting disease. To put it bluntly, it is a disease that bullies people. Aspiration and puncture, local anesthesia with lidocaine, and a needle with a thick gel refill inserted into the patient's fissure space.
A large amount of grass-green and yellowish liquid began to be discharged. As the liquid flowed out of the container, the white foam of the liquid began to roll with the flowing out liquid, as if the punctured liquid was the waste water discharged from the washing machine after washing the clothes.
"This won't work. All the protein has been extracted. This is just letting the soup stop boiling." Zhang Fan frowned and said to Director Huang and Director Zheng.
"There is nothing we can do. The fluid in the chest has leaked out again in three days. The more the patient is pumped, the weaker he becomes. If the patient is not pumped, the patient will suffocate. If the patient is pumped, the patient's condition will only get worse."
"Strengthen nutrition, have you lost the albumin?"
"If you lose, the effect is not good. If you can't control the tuberculosis bacilli, everything will be in vain." Director Huang frowned.
After six to seven hundred milliliters of liquid was extracted, the woman felt as if she had taken a big mouthful of white (a) noodles. She lay on the bed with her eyes closed. If it weren't for the rise and fall of her chest, she would have thought she was dead.
With so many people at the window, it didn't take long for the woman to fall asleep. In the past few days, she could only sleep within one or two days after pumping. On the third day, she could no longer sleep. She would feel short of breath and cough when lying down.
Most of the tuberculosis patients in the department are in ordinary condition, and those with mild tuberculosis are often in the pulmonary hospital, while almost all the tuberculosis patients in the tea hospital are in severe condition.
After a ward round, Zhang Fan said to a group of doctors and nurses with beads of sweat on their eyelashes in the department: "You have worked hard, you must protect yourselves."
Sometimes, what people actually need is attention. Zhang Fan's words of hard work made many grateful lesbians blush.
"Director Huang, that's what I think. I've recently had some thoughts on tuberculosis. I'm going to bring a few doctors to do some research!"
After everyone had absorbed and disinfected, Zhang Fan said to Director Huang with a smile.
When Director Huang heard this, she had a dull look on her face. She felt that this was even more shocking than the shock that Zhang Fan had given her when he came to the Infectious Diseases Department for ward rounds.
Seeing Director Huang's disbelief, Zhang Fan smiled awkwardly. Wang Hong felt unhappy and said to Director Huang: "Director Huang, Director Huang, the leader is asking you something!"
Director Huang glanced at Wang Hong, but Wang Hong ignored Director Huang. Zhang Fan was helpless, this Wang Hong!
"You said you have an idea? Haha!" Director Huang was not only hehe to Zhang Fan, but also to Wang Hong.
The only thing in her mind was: "Don't give me a baby!"
