Chapter 914

Not long after returning to the hospital in the afternoon, the ophthalmologist came to Guo Xiang and said that a patient's eye disease was a little special. Let Guo Xiang have a look.

In fact, Guo Xiang is not very good at Ophthalmology, but she likes difficult and miscellaneous diseases best, so she went to see what happened.

Guo Xiang looked at the man's eyes. The whole white part of his right eye was red. It looked a little scary.

"Is this red eye disease?" Asked Guo Xiang.

Red eye disease should be paid attention to. It will be infectious. Patients who have been in contact must be disinfected, otherwise they will be easily infected.

"I thought it was keratitis at first." Dr. Jin of Ophthalmology nodded, "this patient has seen it in other hospitals before. I read the medical records and was also diagnosed with keratitis. I opened tomycin dexamethasone eye drops and ofloxacin eye ointment. It should be right."

Guo Xiang nodded. This is the combination of antibiotics and hormones. It should be effective for keratitis.

"As a result, the patient said it was useless for two days. He came to our hospital and I prescribed levofloxacin for him." Dr. King said.

Guo Xiang nodded. Ofloxacin is also divided into left-handed and right-handed. Right-handed ofloxacin has little effect. Left-handed ofloxacin is purified and has almost twice the efficacy, so the effect is obvious.

"But he still didn't use the medicine." Dr. Jin looked at the patient's eyes. "You see, it seems to be serious. It turned out that the corner of the right eye is red. Now the whole white eye is red. It's almost enveloping the black eye."

Guo Xiang put on his gloves and checked the patient again. It doesn't seem to be a typical red eye disease. Red eye disease usually has inflammatory secretions. Obviously, this person doesn't.

"What's wrong with your eyes?" Guo Xiang asked the patient.

The patient thought, "sometimes I have a headache and take a painkiller if it hurts badly."

"Headache?" Guo Xiang frowned, "is there anything else?"

"Others don't seem to have..." the patient scratched his eyes. "It's just that there's a little itching here. Does that count?"

"Itch?" Guo Xiang looked at the patient's face. There was a little rash near the corner of his right eye and his nose, which was not particularly obvious.

"Is this a drug allergy?" Dr. Jin looked up and said, "ofloxacin should not be allergic. This is a common drug."

"The possibility of this allergy is unlikely, and dexamethasone has an anti allergic effect, it should not be." Guo Xiang shook his head.

"It may have nothing to do with your eyes, but where did you touch it by mistake." Dr. King said.

"Why don't you call Dr. Cheng from the dermatology department for consultation?" Guo Xiang said that what she is good at is surgery, or it's better to let dermatologists take a look.

Dr. Jin went out and soon called Dr. Cheng from the dermatology department.

Dr. Cheng looked at the patient's face carefully and said, "this is herpes zoster."

"Isn't shingles growing on the waist?" Asked Dr. Kim.

"Yes, I've had herpes zoster before. It's in my waist. It's painful and itchy, but I can suffer." The patient also said.

"There are many kinds of banded blister diagnosis. You say that it is the most common one. It is generally arranged along a certain peripheral nerve distribution area on one side of the body, including armpit, flank rib, chest, back, waist and head and face, and generally does not exceed the midline."

"It is most common in the thoracic segment, followed by the lumbar segment, cervical segment and trigeminal nerve distribution area. It can also occur in other parts such as limbs, but it is relatively rare. The general attack is extremely painful, accompanied by symptoms such as irritability and fever. Do you have a fever? " Dr. Cheng asked the patient.

"It's a little, but the fever is not high, so I didn't say, but my head hurts. I don't know if this is the reason?" Said the patient.

Dr. Cheng nodded, "because your herpes zoster is eye herpes zoster. When the virus invades the trigeminal nerve, your eyes are affected, accompanied by congestion, swelling and severe pain. If the cornea is involved, ulcerative keratitis is formed after the blister breaks, which can lead to blindness due to scar formation. "

"So serious?" The patient was startled.

"So your diagnosis of keratitis is not completely misdiagnosed, but you haven't found out the cause of keratitis, so eye drops are invalid."

"Have you ever had chickenpox before?" Dr. Cheng asked, "this is caused by varicella zoster virus. Varicella virus is neurophilic. After invading the nerve endings of the skin, it can move along the nerve to the ganglion of the posterior root of the spinal cord and lurk there."

"Once a cold, fever, tumor and other reasons, the virus will be excited again, and then move along the peripheral nerve fibers to the skin, and then these symptoms of herpes zoster will appear." Dr. Cheng said.

"How to treat it?" The patient asked.

"Go to dermatology." Guo Xiang said, doctor Cheng is still a professional.

"OK." Doctor Cheng nodded, "first do a blood routine, and then make a herpes scraper for diagnosis. After the diagnosis, I'll prescribe medicine for your symptoms... "

"Then you'll go to the dermatology department. The registration fee on the ophthalmology side will be refunded to you." Guo Xiang said.

"Thank you, doctor." The patient nodded and followed Dr. Cheng to the dermatology department.

"Unexpectedly, keratitis is caused by herpes zoster. I really seldom see it." Dr. King said.

"When you see more in the future, you will have experience." Guo Xiang said that he had never been in ophthalmology before, so he was inexperienced. In medical treatment, it is never too old to learn.

……

Gu Zhennan went to Saudi Arabia and brought some domestic specialties to the oil field. The workers were very happy to see the boss coming. When they saw that he had brought home specialties, everyone praised the boss for his kindness.

Gu Zhennan looked at the production situation. All the work in the oilfield was orderly and the workers were conscientious.

Just as the first quarter passed, Gu Zhennan announced that he would give quarterly awards and give them a raise after a year.

The workers are in high fashion. They come all the way abroad for high wages. President Gu takes care of them in this way. I really don't think it's worth working with him.

Their wages are higher, the life of their relatives at home can be better, and their hard work is worth it.

Gu Zhennan stayed for three days. Seeing that everything was ok, he bought some things in Saudi Arabia and set off for home.

It is still a transfer from the port city.

I took a plane back to the capital in Hong Kong City. When I got on the plane, I found a woman sitting in my seat.

Women wear a one-year Beige windbreaker, black pants, high heels and sunglasses. They dress up very fashionable.

Gu Zhennan took a look at his registration card. He didn't remember wrong.

"Comrade, I'm sorry. Are you in the wrong seat? This is my seat." Gu Zhennan said politely.

The woman moved her sunglasses down and looked up at Gu Zhennan. She was stunned. The man was so handsome.

Gu Zhennan was wearing a black jacket. He was tall and looked down at her. His facial features were deep and his face was handsome.

The woman took off her sunglasses and stood up. "I'm sorry, my seat is this one next to me, but I want to sit in the aisle. Can you change it with me?"

Gu Zhennan looked at the woman and saw that she was polite, so he nodded. It doesn't matter. He didn't change to a far position when he was sitting on the side. It's better by the window. Just change it.

"Thank you!" The woman was very happy and moved away to let Gu Zhennan pass.