Chapter 183: Clue
Sun Lien returned to his dormitory. Dr. Cao was caught halfway - his sister-in-law had dinner with his girlfriend at night, and his girlfriend drank a little too much. Dr. Cao was summoned by his girlfriend to help move people.
Sun Lien hid in the dormitory alone and looked at the literature, Wu Wei's case was a little strange, which made Sun Lien feel a little unstable in his heart. Judging by the symptoms and the hints in the status bar, there is no doubt that this should be an infection. In particular, the low number of CD4 cells indicates that the level of immunity in his body is low. But here's the trouble โ low immunity levels mean that many opportunistic pathogens are at risk of "making trouble". But opportunistic pathogens are usually harmless to humans and animals, but once they lose the suppression of their immune system, their rampant appearance is simply strange.
There are several factors that can cause bone destruction, and the most common causes of bone damage in clinical practice include Mycobacterium tuberculosis infection, osteomyelitis or tumors. Wu Wei has been hospitalized for such a long time, and the regular reasons have been thoroughly investigated several times. After all this consideration, Sun Lien decided to look at the recent case report for inspiration, and he vaguely felt as if he had heard something similar somewhere.
"What's the matter?" Sun Lien was looking at the case report, and the mouse had just clicked on the next page, but the content that appeared on the screen became an error. "The server is pumping again?"
The CNKI query ports and accounts provided by the four hospitals can only be accessed through the network of the four hospitals. Usually, the most common complaint of the doctors in the four hospitals is that the speed is too slow. I didn't expect that today's server, which is always criticized by doctors as potatoes, actually went down directly when it was in use.
Sooner or later, one day I'll cut you into thin slices and fry you! Sun Lien turned off the computer with a snort. It was eight o'clock in the evening, which was not early or late, and it was a little embarrassing.
"Hey, Doctor Yuan?" Sun Lien thought for a moment and chose to call Yuan Ping'an, "Can the network system in the hospital be used now?"
"I'm using it. Yuan Ping'an replied, "Why do you suddenly ask this?"
"I have a case here to investigate...... Sun Lien thought about it, and felt that it was probably not clear just by phone, "Forget it, I'll go directly to the hospital to check, are you in the conference room?"
"Yes. Yuan Ping'an's voice sounded a little hesitant, he didn't seem to expect Sun Lien to decide to come to the hospital now, "Then come here, it just so happens that I also have something I want to discuss with you." โ
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Yuan Ping'an frowned and felt worried. He had a document in front of him.
"That's what I'm going to talk to you about. He said to Sun Lien on the side, "The question of the location of the support to go to the countryside...... This table was sent out today. โ
Yuan Ping'an has been the chief resident physician for a year โ in fact, he has been in the association for a year. According to the regulations, it was his turn to be promoted to deputy chief physician.
The position of general inpatient has different arrangements in different hospitals and different departments. In internal medicine and critical care medicine, inpatient admission is always an important channel for residents to develop their capabilities, but in departments such as surgery and emergency medicine, the opposite is true โ it is an important position to keep the department running, and the average resident lacks the experience and skills to keep them in the office.
That's why there is a difference between the resident in some departments and the resident in some departments.
The attending doctor is actually a hard job in every sense. For doctors to be willing to make hospitals their homes, subsidies alone are certainly not enough. Therefore, the experience of the general manager has become the only way for the deputy senior professional title.
However, things are not so simple, after serving for one year, if you want to take the deputy senior professional title examination, there is still a hard condition that needs to be met - go to the countryside for one year. Although as long as you have experience in the countryside, it is not required to be time-sensitive, but you must have a one-year medical station in the countryside.
"Is your deputy high school thesis enough?" Sun Lien glanced at Yuan Ping'an with some surprise. He thought that Yuan Ping'an was still early away from the deputy high school exam.
"Enough. Yuan Ping'an nodded honestly, and then said a little embarrassed, "The hospital stipulates that there is a subsidy for the purchase of houses with deputy senior professional titles......
Sun Lien nodded half-incomprehensibly, and then he looked at the list, the four hospitals are provincial-level hospitals, so the counterparts are all county-level hospitals. On the list given by the Personnel Department, there are more than a dozen county-level hospitals for Yuan Ping'an to choose from.
"What do these red ones mean?" Sun Lien asked curiously, looking at the red letters on them.
"National poverty-stricken county. Yuan Ping'an clicked on the three lines of red letters on the list, "According to the regulations, if you go to a poor county, the time to support farmers will be halved, that is to say, it will only take half a year." โ
"Are there any national-level poverty-stricken counties in our province?" Sun Lien was taken aback, and after a closer look, those poverty-stricken counties were actually from Bac Giang Province next door.
Yuan Ping'an smiled bitterly, "After all, it's a national policy." Support rural and lower-level medical institutions to update medical knowledge. He pointed to the back pages, "There are also aid to Xinjiang and Tibet." โ
Sun Lien raised his eyebrows, "Where are you going?"
"No idea. Yuan Ping'an spread his hands, "To put it mildly, I thought that I would go to the countryside to support when I came to the Fourth Hospital." โ
Sun Lien rolled his eyes. Although Ningyuan is not a particularly developed city, it can be a bit famous among second-tier cities. From the capital to Ningyuan, you can be regarded as going to the countryside? I'm afraid you, Yuan Ping'an, are you thinking about fart.
Although there is some muttering in his heart, his face still has to be calm - Yuan Ping'an is such a person, and his mind is normal when he talks occasionally.
"If you're not in a hurry, I suggest you wait. Sun Lien said, "I'll go back and ask Director Zhou about them, they have also been to the countryside, maybe they can give some advice-you can also talk to Dr. Xu, didn't she just be promoted to deputy high school?"
Yuan Ping'an nodded. He is really not in a hurry, "Then what are you doing in the hospital at night?
"Almost. Sun Lien's face instantly turned bitter, "It just so happens that I still have to consult you." He gave Yuan Ping'an a general description of Wu Wei's condition. "On the urology side, because of this patient, several multi-department consultations have been organized, but I still haven't figured out what is wrong with him. โ
Yuan Ping'an frowned very freshly, "Have you been to Guangdong, HIV-negative, lung inflammation and cavities, and bone destruction?"
Sun Lien nodded inexplicably, "Do you have any clue?"
Yuan Ping'an raised his head and said seriously to Sun Lien, "I'...... Probably do. โ
"Have you ever heard of Marnefi cyanomycosis?"