Chapter 1460

Snowflakes fell silently outside the window, and flakes of flying catkins accumulated in the corner of the tea vegetable hospital. In half an hour, the quiet small yard of the infectious diseases department was like a big white cashmere carpet.

Large snowflakes fluttered in the air, as if they were bustling, but in the small yard where people disappeared, it was so idle and quiet. A group of sparrows with white hats on the tree branches occasionally flew up and down, which made the quiet yard more angry.

The hospital boiler is heated by the hospital heating. In the slightly beautiful departments, the clothes of doctors and nurses are relatively thin, especially in the endocrine. The nurses are better. The female doctors wear very thin, and all kinds of lace bloom rarely in winter.

The infectious diseases department is different. The thick cotton mask is covered on the face like cotton trousers. It's very difficult to breathe. Zhang Fan looks at the department doctors behind him and sighs in his heart, "no wonder the doctors in the infectious diseases department are so thin and can't stop eating three eggs in the morning."

Coupled with the power of logistics heating, sweat mixed with breath and the August 4th disinfectant, people with masks immediately felt that their faces were covered with a piece of wet and warm urine mustard just pulled out from under the child's buttocks.

When entering the ward, the ward of the infectious diseases department is different from other departments. The ward area of this department is relatively small, and the patients are almost one room per person. In this era when the tea element hospital has been the leader in the tea element area, if other departments can have the treatment of a single room, it is definitely energy.

"Pulmonary tuberculosis, recurrent pulmonary tuberculosis, the hospitalized patient is admitted with painless hematuria!"

The doctor in charge of the bed began to report the patient's condition to Zhang Fan before entering the ward. The ward round of the infectious diseases department is different from that of other departments. The ward round of other departments is to report the patient's condition to the superior doctor in front of the patient.

The infectious disease department reports the condition at the door, which can reduce the contact time between doctors and patients. Zhang Fan nods after listening. As a result, after the case, he asks, "what does the pulmonary hospital say?"

Chasu hospital has merged all the top three general hospitals in chasu area, but two hospitals have not been merged. It is not that the strength of chasu hospital is not enough, but that the national policy does not allow it.

One is the women's and children's hospital. In terms of the inclination of medical policies in recent ten years, all hospitals are not as strong as the policies and funds obtained by women's and children's hospitals. Everyone may have such a feeling that the small transparent maternity and children's Hospital, which was not very famous in the past, suddenly seemed to be developed and famous overnight. This is not only the efforts of doctors and nurses, but also by the state's vigorous use of money.

The second is the Pulmonary Hospital, the so-called infectious diseases hospital. The income of this hospital is wholly subsidized by the state. Even if there is no patient a year, the state still fully subsidizes. The salary and bonus that should be given will not be less.

The name of this hospital is also strange. In the early years, it was called the infectious diseases hospital. Later, I don't know whether the surrounding people were unhappy or the staff in the hospital were dissatisfied, so it was renamed the lung hospital.

In 2003, the whole country was shaking. The hospital was renamed infectious diseases hospital. Later, I don't know what happened. It became a lung hospital. Anyway, the past and these two names kept changing.

In general, the initial treatment of tuberculosis patients is in the pulmonary hospital. Moreover, the state has free distribution of drugs for tuberculosis treatment.

"The Pulmonary Hospital suggests transferring to another hospital!" the bed doctor said helplessly. It can be said that the treatment plan has hardly changed since the 1950s. The drugs used are isoniazid and rifampicin.

If there is no drug resistance, it is good to say that once there is drug resistance, it will be quite troublesome.

Zhang Fan opened the case while listening to the report of the tube bed doctor. When he saw the profession, Zhang Fan was a little dizzy. "Drug resistant tuberculosis patients, how or the catering industry?"

"Er!" heard the dean's voice is not big, but very strict inquiry, the bed doctor has no voice. To tell the truth, Zhang Fan's cross examination of others about this matter is purely unreasonable.

Zhang Fan paused slightly and realized that his inquiry was wrong. He shook his head and said helplessly, "go in and make rounds."

When I entered the ward, I was a woman with a headscarf. Maybe it was because of hematuria. The woman's skin color was very white, and she looked like a pretty young woman.

The woman walked in the street. To tell the truth, who knows she is a patient with tuberculosis drug resistance. Before Zhang Fan opened his mouth, the woman began to cough. The woman stood up with her mouth covered while coughing. She was thin and had no strength after getting sick. It was really hard to cough in bed.

Wang Hong gently pulled Zhang Fan, and then she took two steps ahead and stood in front of Zhang Fan. Zhang Fan gently shook his head. In this cough state, not to mention one Wang Hong standing in front of him, even ten Wang Hong standing in front of him can't.

useless!

A woman's cough is very far away. Her thin body trembles in the cough. It gives people the feeling that she wants to cough out a cavity of lung leaves. On her white face, blood vessels and green tendons are exposed in the cough.

It's like a woman wearing a mesh like Turquoise mask. White and sick skin has also become a kind of sick scarlet.

The cough finally subsided. After the cough, the female patient breathed in and snored, just like an old cat getting angry and threatening other creatures nearby. The others who listened had an impulse to cough for him and cough out the things in his throat.

It's too depressing. It's like being infected.

Zhang Fan and others waited for the patient's cough to subside before they said, "how do you feel now?"

"It takes a lot of trouble to breathe in, but nothing else. When can I go home, doctor? The child is young!" the woman took a sip of tea and the local dialect.

"Treat first. When you are cured, you can see the child at any time. What can you do to see the child when you are sick? And you must not touch other people until you are cured. Can you lie down now?"

Even the introduction of relief was cancelled, because no one knows when a woman will cough again.

The woman sat by the bed sadly, "can't lie down, lie down and hold your breath."

"OK, you can sit. I'll check it for you and untie your coat."

Zhang Fan said as he daubed the disinfectant in the corner on his hand. The woman silently turned her back to the crowd and slowly untied her clothes.

When you take off your clothes, you feel extremely uncoordinated. Originally, a thin woman should be as thin as firewood, but the whole chest is like an aerated bucket, and there are no ribs at all.

According to normal people, according to a woman's height of about 165, no 80kg to 90kg can't even see the ribs. But the woman in front of her, Zhang Fan, looked at it with his naked eyes and knew that she didn't even have 50kg.

When the patient turned around, his chest was thin and almost no excess fat could be seen. Only two brown flesh pimples like grapes hung alone in front of his chest.

"I've pumped chest water twice, but I still can't control it. I was going to pump it once today."

The bedside doctor whispered. Zhang Fan nodded and began to check his body.

When she clasped her hands on the woman's back, it was like hitting a leather drum. In the fluffy sound, the woman began to cough again. Covering the palm of her mouth, Zhang Fan saw the bright red blood.

The breathless woman stood up again, regardless of the exposure of her upper body, holding Zhang Fan's white coat with both hands, like a drowning man holding a life-saving rope, dragging it desperately. This is breathless.

The sense of suffocation makes women's eyes stare as if they are about to pop out.

"Pump!"

Tuberculosis is a consumptive disease. In short, it is a disease that bullies people. Pumping puncture, lidocaine local anesthesia, neutral refill, thick needle sniffing into the patient's cleft space.

The green yellow liquid starts to expend in large quantities. With the liquid flowing out, the liquid white foam begins to roll with the liquid flowing out, just like the liquid that is washed out of washing machine is washed out of the clothes.

"That won't work. The protein has been pumped out. This is to raise the soup and stop the boiling." Zhang Fan frowned and said to Director Huang and director Zheng.

"There's no way. The effusion in the chest seeps out again in three days. The more patients smoke, the weaker they become. If they don't smoke, they will suffocate. The state of patients will only get worse and worse."

"Strengthen nutrition, have you lost albumin?"

"Lost, the effect is not good, can not control Mycobacterium tuberculosis, everything is in vain." director Huang frowned together.

After six or seven hundred milliliters of liquid was pumped out, the woman was like smoking a big white face and becoming addicted. She lay in bed with her eyes closed. If it wasn't for the ups and downs of her chest, she thought she was dead.

With so many people at the window, women soon fell asleep. These days, she can only sleep within one or two days after pumping water. On the third day, she can't. when she lies down, she chokes and coughs.

Most of the tuberculosis patients in the Department are in general, and the mild ones are often in the Pulmonary Hospital, while almost all the patients in the tea plant hospital are severe patients.

After a ward round, Zhang Fan said to a group of doctors and nurses with sweat beads on their eyelashes in the Department: "you've worked hard. You must protect yourself."

Sometimes, in fact, what people need is attention. Zhang Fan's hard work made many grateful lesbians red eyed.

"Director Huang, I think so. I have some ideas about this tuberculosis recently. I want to take some doctors to do some research!"

After everyone's absorption and disinfection, Zhang Fan said to Director Huang with a smile.

Director Huang's face was dull when she heard this. She felt that it was more shocking than the shock brought to her by Zhang Fan's ward round in the infectious diseases department.

Looking at director Huang's disbelief, Zhang Fan smiled awkwardly. Wang Hong was unhappy and said to Director Huang, "director Huang, director Huang, the leader asked you!"

Director Huang glanced at Wang Hong, who ignored director Huang directly. Zhang Fan is helpless, this Wang Hong!

"You say you have an idea? Hehe!" director Huang not only hehe to Zhang Fan, but also to Wang Hong.

She said in her heart, "don't pull the calf for me!"