Chapter 291 tick paralysis
In Chen Qun's eyes, a dark red insect the size of a grain of rice appeared in Chen Qun's field of vision. Detailed instructions were immediately given on the large screen.
Tick!
There are also such insects in my hometown, but they are all called bedbugs or blood sucking insects. Everyone knows that if they are bitten, they will get a big lump on their body, which will hurt for several days.
But now there is a row of information on the big screen to let Chen Qun know that this bug is the culprit of the two girls' illness.
"Tick paralysis, also known as tick paralysis, is caused by neurotoxins in the saliva of hard shelled ticks. Children and adults are prone to acute ascending paralysis after being bitten, and even lead to death due to respiratory failure."
"Ticks are distributed all over the world. They are carriers of a variety of viruses and bacteria, and are also carriers of Lyme disease."
Chen Qun just read two lines of instructions and immediately quit the system space.
Although tick paralysis rarely occurs, especially in adults, it still has a certain probability.
Now go on with the old routine, shoot arrows first and then draw targets. Try to trick a group of novice doctors in front of you! Anyway, they have cheated many times. If they continue to cheat and let them form a conditioned reflex, they will not continue to ask why.
Chen Qun picked up the CT photos from his mobile phone and carefully observed them for a long time before he found a target that could barely be called an excuse.
"Do you see a raised black spot on the coronal seam of the head in this picture? I suspect that the root cause of the accident is a tick, which bit the scalp of the two girls and developed tick paralysis, which led to their paralysis. At the same time, after the tick leaves, the neurotoxin secreted by the tick is excreted by the system, so a girl suddenly gets better again! "
Chen Qun said, and immediately throw the pot to Qi Hong.
"Your inference yesterday is reasonable. Let them go back to check their skin for mosquito bites. However, ticks are hidden in their hair, so did not find! Now let the two girls go to their companion's hair, and they will find a tick and a bite mark. "
Qi Hong was a little silent for a moment, knowing that the little black spot in the picture was not necessarily a tick. But Chen Qun's theory can perfectly explain the three girls' situation and all their symptoms.
Ouyang Yang, who hasn't had a fight with Chen Qun for several days, immediately raised his doubts.
"Insects don't bite people all the time. They don't bite when they're full. Why do two people get sick at the same time, one is better somehow, and the other is still seriously ill? "
"You forget it's a neurotoxin. After the worm is removed, the patient's symptoms will continue to worsen for several hours. Now the girl who continues to get sick is that because the insect has not been removed, she may have bitten her again. Maybe there are two or three of them
Chen qunqiang explains the past in a reasonable way. Of course, there is some truth here. At this time, he summoned a simulated patient in the simulated operating room, which means that the worm is still on the patient at this time. He can verify it immediately and reply immediately.
"Qi Hong, if you ask Jennie to have a look on her companion's body and bedside, you will find something. It's not very difficult. We'll get the result soon. "
Qi Hong knows that this is also the best way to solve the problem. She asks Jennie to do it and tells her the specific method.
"Jennie, when you see the insect attached to the scalp, don't grab it by force. Instead, apply alcohol to the insect for five minutes. When the insect is anesthetized by alcohol, clamp the tick's head with tweezers. Remember, it must be clamped on the head. There is a barb on its needle, which penetrates into the skin. If you clamp the body, it is easy to leave the needle in the skin. "
Jennie, who was staying in a private clinic, was stunned. I didn't expect that the two young Asian doctors they just met would make such an unreliable judgment. But it seems that they talked about insect bites yesterday. She forgot to check her hair.
Besides, if two easterners are right, it's better to solve a friend's problem soon than to find no specific reason in the clinic.
Jennie walked to Betty's hospital bed in a twinkling of an eye, and looked carefully. In a twinkling of an eye, she found two chickpea sized, dark brown worms, tightly attached to her companion's scalp.
She couldn't help but take out the phone and yelled, "Dear Qi, I found the bugs you said. Would it be OK to take them off?"
Qi Hong intentionally or unintentionally glanced at Chen Qun and Ouyang Yang, then calmly arranged.
"You find a small bottle, grab two worms in it, don't let them run away, and then send them to the laboratory for serum test to see what infectious diseases they still have, just in case. As for the worm removed, it will take your friend several hours to excrete the neurotoxin through the system. It will take about seven or eight hours to recover. ""I don't need any potion or drip?"
Qi Hong is about to think of two medicines, Chen Qun said in a hurry beside.
"Yes, you'd better not use any medicine, just drink some normal saline and glucose to promote the circulation of the system."
"No problem. This is the clinic set up by Jessica's grandfather. It's very convenient. I'll be right there. I'll call you later and tell you what's going on here. "
Chen Qun Cai understood the reason why the three girls refused the ambulance yesterday and shrugged back at Li Bing.
"Is the medical expenses abroad very high? Ordinary people, including those with medical insurance, can not go to the hospital without going to the hospital? "
"Yes, that's what I've heard. Most of the overseas Chinese who go abroad prefer to fly home to see a doctor for surgery. For public hospitals, the appointment time is generally half a month to three months. For private hospitals, the cost is very expensive. I have experienced it myself. A few years ago, at Christmas, I drank a little too much. When I was admitted to the hospital, I got an injection of sobering water, which cost 16000 US dollars. "
Chen Qun shook his fingers twice. "Why don't you come here to open a clinic?"
Li Bing showed a look of recollection and began to smile bitterly. "It's been open for half a year, but because the business is so good, it's been kicked out. So I went back to being a plastic surgeon. At least you don't have to deal with both local and foreign people! "
Zhao Xue looked at him curiously, "director Li also opened a clinic in the United States. I thought you were a cosmetic surgeon all the time? Why not continue to be a doctor and see a clinic? "
Li Bing did not care to give the answer, "because the money for plastic surgery is fast, I can't cultivate my reputation with Xiangjiang and several places in Southeast Asia, then I can only make a surprise. Ordinary diagnosis requires too much equipment, but cosmetic surgery is relatively single, and I can do my best. "
Then, looking at Chen Qun, he sighed, "but as the saying goes, the back wave of the Yangtze River pushes the front wave, and the front wave dies on the beach. Cosmetic surgery is too good to help, so this time, I'll ask Xiao Chen and you to help me finish a face change operation! "