"Well, have you looked carefully ahead?" Asked Guo Xiang.

"Yes, we also asked the patient himself, but he said he didn't pay attention when taking a bath, as if he didn't..."

It didn't work out in a day.

The next day, the nurse came and said that the patient was breathing a little fast. Guo Xiang was cluttering in his heart. Could it be that the pneumonia was aggravated again?

The medicine still doesn't work?

Guo xiangrang added another medicine.

In the afternoon, the nurse hurried again, saying that the patient had sudden difficulty breathing and severe stomachache.

Guo Xiang ran to the ward with Xing Ming and Xu Wei.

The patient was still conscious. He was sweating, covering his stomach and breathing very fast. ECG monitoring showed that the blood oxygen saturation was reduced to 90%. Guo Xiang hurriedly asked the nurse to take the oxygen mask to suck oxygen for the patient.

"What's the matter? What's the matter!" The man's wife was at a loss.

Guo Xiang pressed the patient's abdomen, and the tenderness was obvious.

"It's strange. I'm fine in the morning. Why do I suddenly have a stomachache?" Xu Wei said.

Guo Xiang continued to palpate. It seems that the tenderness of the right upper abdomen is more obvious. Is it cholecystitis?

Because the gallbladder is close to the abdominal wall, it feels like stomachache when pressed down.

But there are other reasons for stomachache. Can't it be stomach perforation?

"Do an abdominal CT?" Xu Wei said.

Therefore, abdominal CT was arranged. There was no problem with gallbladder and stomach.

By the way, I also looked at the chest. The pneumonia did not worsen and there was no pneumothorax, but there was some pulmonary edema.

How can pulmonary edema?

If the patient has a bad heart and the blood cannot be pumped out, it will accumulate in the lungs and pulmonary edema will occur.

The lungs should have been filled with air, but now they are filled with water. Of course, the patient will lack oxygen, so he has shortness of breath.

That is the pulmonary edema caused by the patient's heart failure, but it was clearly checked before. The heart is all right!

How can you suddenly have heart failure again?

The patient has been sent to ICU with dyspnea. It's better to have ICU in Jing'an hospital, otherwise it's not necessarily what will happen.

"How did it happen? How did it happen?" The patient's wife burst into tears. Unexpectedly, a fever would become more and more serious and close to death.

Watching her husband isolated in the ICU with a tube inserted in his body, the woman was distressed to death.

Guo xiangrang checked the blood again. As a result, the platelet is very low. Isn't it a blood disease?

Leukemia can also cause fever.

And at this time, the patient's inguinal lymph nodes are enlarged. If there is an infection or blood disease, it may lead to lymph node enlargement.

"Do you want to have a bone puncture?" Xing Ming said, "maybe leukemia?"

Guo Xiang had to tell the patient's wife that there was no way but to eliminate them one by one. What can we do at this time? The patient's wife can only agree and listen to the doctor.

Results the result of bone puncture was not leukemia.

Guo Xiang's head hurts. What's the disease?

The next day, the ICU nurse came and said that she found ulcers on the patient's Tintin.

Ah? Isn't it an STD? Guo Xiang was stunned.

Did the man go to a bad place in the South and get infected?

Fester? Could it be

Guo Xiang couldn't care so much when he entered the ICU. He took off the patient's pants and looked at it.

Isn't this the eschar bitten by tsutsugamushi?

How did you bite this part?

But I had a relevant examination before, and it was negative.

No, do it again. Maybe it didn't show up before?

Guo Xiang took the patient's blood again for examination, but this time it was positive!

Tsutsugamushi!

Tsutsugamushi disease is mainly caused by the invasion of Rickettsia tsutsugamushi into the human body. There are a series of vascular inflammation and blood vessels all over the body, so there are problems in all organs. This is the culprit!

Guo Xiang immediately asked someone to replace doxycycline, and the patient's fever slowly subsided.

This shows that it is symptomatic!

Guo Xiang finally breathed a sigh of relief. It's really hard to find this disease. Most people don't think of it, especially in the north.

Guo Xiang has been to many places in his previous life and has seen a lot, otherwise he may not be able to think of it.

It is mainly this disease. It may not be positive one week after the onset, but the positive rate is very high two weeks later, so most people think it is not. And after a test is negative, most people will not think of checking again.

But the disease develops very fast, and all organs will fail, which is impossible to prevent.

As for the eschar, Xu Wei checked it once before. At that time, the eschar may not have formed, or the part may be special and didn't look carefully.

Alas, for various reasons.

Fortunately, I finally found it, otherwise I'm afraid the patient can't be saved.

Later, the patient got better slowly. Only after asking did he know that he went out for a walk because of the muggy weather when he was on a business trip and stayed in those grass. He may have been bitten accidentally and didn't care at all.

Who would have thought that a small bug would cause so much trouble?

After so many tests and drugs, thousands of dollars are gone. Fortunately, it is cured, life is saved, and money can be earned again.

When the patient was discharged from the hospital, his wife repeatedly thanked Guo Xiang. If it weren't for their hospital, maybe his man couldn't be saved.

The hospital is expensive, but the equipment is good, the doctor is good, what is money, life is the most important.

After curing the patient, all three have gained an experience.

"I can really learn a lot from President Guo." Xu Wei lamented that there was only midwifery in Hangzhou hospital before. Now the knowledge of various subjects has been picked up again. It is not necessarily that he can be a general practitioner in the future.

In this way, they won't be despised by those women. When they think about it, they feel that their decision to come to Jing'an hospital is right.

Xing Ming also nodded. He also benefited a lot.

I used to think Guo Xiang was the president only because she had money to build this hospital. Now I know that her medical skills are really brilliant and much better than herself. I used to think she was too young. I'm really a little ashamed.

"How's your father?" Guo Xiang asked Xu Wei.

Xu's father had interventional therapy, put two cardiovascular stents, lived in the hospital for a month and returned to Hangzhou.

"It's very good now. Everyone praises our hospital. Some people laughed at him and said that I had no vision. If I didn't stay in a good hospital and wanted to go to a private hospital, I was pushed back by my father. " Xu Wei said with a smile, "I'll retire in a few months. I said I'd like to live here after retirement."

"Well, our hospital environment is quite good. Everything is convenient in the capital. It's OK to settle here in the future. When you find someone here and the whole family stays, don't go back. " Guo Xiang smiled.

"Well, are you interested in Dr. Zeng?" Guo Xiang Dynasty Xu Wei raised her eyebrows. She also saw that Xu Wei was different from Zeng Jing.

Xu Wei blushed and smiled silently.

Guo Xiang laughed and seemed to be right. "Shall I help you? I've managed to get people together more than once. "

"Dean Guo, are you still addicted to this hobby?" Xu Wei smiles.

"This is a good thing. Why not?" Guo Xiang said, "but if you're bold, you don't need me. You're classmates. There's nothing to be ashamed of. Now the hospital is not busy. Please ask Dr. Zeng to see a movie sometime?"

"Yes!" Xu Wei nodded. It's time to confess.