Chapter 1419

People's aesthetics are really different. For example, Chinese girls wear necklaces with a thin platinum necklace, and then hang a small awl on their neck. Slender and white, it really has a decorative beauty.

When he arrived in desert country, Zhang Fan felt a foreign style in the hotel hall. Fat aunts wear a royal blue robe like skirt, and then some point a red dot between their eyebrows.

In the white hair and greasy complexion, the white meat scarf around the chin can give people an extra greasy feeling. Then, some of them hang a thick gold necklace on their neck.

Yes, the necklaces with all kinds of precious stones are all of the same color. At first glance, Zhang Fan really feels like a fat monk Sha. And it's not just one, but groups of people sitting around the leisure bar in the hall, holding bowls inlaid with gemstones. Bowl by bowl, they don't know whether to drink coffee or milk tea.

The race of desert country, how to say, is obviously like Europeans and Americans in shape and color. Both men and women are tiger backed, especially the elderly rich women. When they sit on the sofa, they feel that there is a lot of white meat on the sofa.

They look like European and American people, but their facial features don't have the strong three-dimensional feeling of European and American people. They have a flat nose, high cheekbones and thick lips. They obviously feel that a masked face hangs on the fat people in Europe and America.

The large troops of the hospital continue to stay in the hotel for rest. Desert country is special. At present, it is slightly like the policy of the Qing Dynasty, that is, to close the country. Therefore, when they came, the foreign leaders of China who came in advance also explained.

You have to apply when you go out. You don't go out without anything.

Sitting in someone else's government car, Zhang Fan feels as if he is driving in southern Xinjiang of China. The weather is extremely dry, and there is a burning slight pain in his nostrils.

Everyone on the bus didn't talk much, because the accompanying diplomatic leaders felt that an important event was coming, which virtually lost the atmosphere of conversation.

The car slowly drove into a place that didn't look like a hospital. The wall was an iron fence. The blue fence surrounded a large area of grape fields. It was said to be a hospital. It was more like a grape manor.

After entering the hospital, the government personnel of desert country also appeared and took Zhang Fan into the hospital. After entering the hospital, Zhang Fan looked, Ho! This hospital is well equipped. All kinds of large equipment are complete.

Unfortunately, there are no patients. The corridor is full of doctors and nurses shuttling around, and the patients or their families can't be seen directly.

Zhang Fan estimated that this hospital is the top hospital in the desert country. If it were placed in China, the patients would be buried here, but there are no patients here. Is it because there are no patients in this country?

Of course, Zhang Fan was invited to see a doctor, not to find problems in the medical industry.

After following the people of desert country into the hall, the people of desert country looked like leaders. They came warmly and shook hands with Zhang Fan. The diplomatic leaders of China could be translators. Zhang Fan looked at the man in surprise.

Nima is too versatile! Zhang Fan still admires people who are gifted in language. If he has a little talent, now it is estimated that the old man has given me a doctorate.

Through translation, Zhang Fan and others knew that this man was the health leader of the desert country and was now responsible for receiving medical experts from the two countries.

"President Zhang, I know. Last year, he performed quite a wonderful operation on Tu haoguo."

After praising the advanced level of the hospital, Zhang Fan was taken into the patient's ward. To tell the truth, in this case, the two sides have nothing to say. They both know that everyone is lying with their eyes open.

After entering the ward, Zhang Fan looked. NIMA, is this a nursery? There are a bunch of children with cooling stickers, ranging from small to dozens.

"These are the children of the same family!" the health leader of the desert country introduced. Zhang Fan thought, it's really rich in genetic expertise. What a big family NIMA has, so many children.

Across the protective ward, Zhang Fan began to change into protective clothes. Once they changed their work clothes, Zhang Fan didn't have so many ideas. Just like Saiya people, they changed from ordinary people to doctors.

Enter the ward and start physical examination. Because the patient is young, only three doctors can come in at a time. Zhang Fan, old man Jiang and Zhao Yanfang enter the ward. Others check the detailed medical records outside the ward.

Physical examination. Old man Jiang started physical examination at the age of two. After all, he is a professional pediatrician here. Zhang Fan and Zhao Yanfang are a little older.

The blue eyes have lost their energy, and the look in the doctor's eyes is also a sleepy feeling. Children don't pretend to be ill. If they are a little more comfortable, they will play. But now, these children lie quietly in the hospital bed, just like people in their 70s and 80s, without a little trouble.

The more he checked, the more he had no bottom in his heart. He had never seen this disease!

You have to say that Zhang Fan has seen many, many, almost more than 10000 diseases, but at present, there are more than 20000 diseases with diagnostic names, and a few have no diagnostic names.

Therefore, to do this business, we should not only have a wide range of knowledge, but also have a good memory, but also have the ability to draw inferences from one instance. Otherwise, we can only be a grass-roots doctor to see how to deal with common cold and conventional diseases.

Otherwise, if you encounter a disease you haven't seen before, you can only turn over the textbook in front of the patient. Of course, as many as a few doctors can only become ordinary doctors, because they have to enter the ranks of top doctors first.

We should not only work hard and self-discipline, but also have a certain talent and IQ.

No obvious swelling is found in lymph nodes, but there is swelling and pain in small joints. Moreover, Zhang Fan felt the child's skin on the electric blanket, and the abdominal tenderness was obvious.

"It's probably Mediterranean fever!" old man Jiang whispered to Zhang Fan after checking three or four children.

Zhang Fan was stunned. He had never heard of this disease. For the first time, Zhang Fan entered the system for the first time during diagnosis and treatment.

Looking for the data of Mediterranean fever directly, the secondary internal medicine was not opened, and the result was only a simple introduction.

Zhang Fan saw that NIMA was speechless. The diagnosis of Mediterranean fever is very simple. Paroxysmal recurrent fever and acute abdomen occurred repeatedly, but no obvious lesions were found after abdominal exploration. If the treatment effect of continuous colchicine is obvious, we can preliminarily diagnose Mediterranean fever.

Nima is too childish. If it is such a diagnosis, there are too many diseases that can be diagnosed as this disease.

In fact, this diagnosis is the result of extrapolation after having the answer. Serious diagnosis is quite troublesome. First, it is necessary to determine whether there is a family history, and then whether there is a mutation of immunomodulatory thermoprotein, and whether there is the formation of inflammatory complex of nucleotide tuberculosis oligo activation domain after the binding of thermoprotein encoded by MEFV gene.

After the above examination, the last one is that colchicine is effective!

After all, in fact, the diagnosis was also tested by doctors with various drugs.

If colchicine treatment is ineffective, all the above tests are useless. Because there are many diseases treated by colchicine, this disease has become a reverse push diagnosis. First determine the curative effect of colchicine. If it is effective, continue to check the above results. If it is positive, it can be diagnosed.

Therefore, this disease is very troublesome. It is very troublesome to see the diagnosis alone. The disease was first reported in 1947 and confirmed in 1995. Most of the patients are people around the Mediterranean.

For example, Armenia, Turkey, Arabia, China and East Asia also have them, but they are extremely rare.

How to say this disease? When it lurks in the human body, it needs incentives to cause it to attack, such as high-fat diet, vigorous exercise, cold, infection, emotional excitement and even menstruation.

Zhang Fan was stunned for about two minutes. Old man Jiang looked at Zhang Fan strangely. Why is this boy? Do you hear me.

Zhang Fan quickly understood the system, and then said to the old man, "well, I feel like it, too!"

The old man immediately looked at Zhang Fan with disdain and thought, "people really can't be leaders, otherwise their skin will be thicker and thicker. Your dog is old, and he said like, have you ever seen this disease!"

Zhang Fan ignored the old man and continued: "look for children over 15 years old without treatment and do amyloidosis test immediately. If the patient agrees, he can give adults a renal puncture."

Zhang Fan didn't know the diagnosis. He saw it in the system.

But this time, old man Jiang was shocked and looked at him with a new look. "You can, boy. I've seen one case a few years ago. Now I can't be sure. You already know the diagnosis and examination!"

Zhang Fan said without embarrassment: "academician Jiang, the preliminary diagnosis is OK, but the genetic diagnosis depends on you and our Dr. Zhao."

"Good!" when Zhang Fan blurted out the disease diagnosis and treatment methods, the old man was much better. Otherwise, his nose was not his nose and face was not his face. There was always a feeling that he wanted to be a teacher for Zhang Fan.

When they left the children's ward and asked the people of desert country to take them to the adult ward, Zhang Fan met a group of big noses.

Zhang Fan knew at a glance that these people were doctors in the bank country.

In fact, according to the region, the medical treatment in this circle of the banking country is very powerful. For example, Austria, a place with a large egg, was compared with Germany and Mao. Besides, Germany and Mao are still the top few countries in the world.

But the banking state is an exception in that circle. These guys don't know whether there is too much money or what. Anyway, medical treatment is not enough.

It is even said that the high-end medical treatment in their country will go abroad. It's hard to say whether it's true or not, but after the group goods were invited, they even looked at Zhang Fan with a disdainful look.

"Hey, NIMA, I haven't looked down on you yet. You look down on me first!"

The leaders of the desert country were embarrassed to one side. When introducing them, the doctors of the bank country didn't pay much attention to Zhang Fan.