(Thank you for the mood of my friend Stone, the encouragement of the Three Kingdoms Seven Generations Commuter Pass)

Wang Huan's expression was not as relaxed as Liu Banxia's, and he carefully observed the guy.

Liu Banxia was stunned, this should almost be diagnosed, right? Why didn't Wang Huan say anything?

"Are you saying that there are often people in your hometown who graze sheep by the river?" Wang Huan spoke.

The young man nodded, "But it's too lacking in morality, sheep really eat everything." But the sheep keepers don't care, eat more outside, and don't you have to feed them when you go home? ”

"Doctor Wang, it can't be a disease, right?" asked Liu Banxia with some surprise.

Wang Huan glanced at him, "Now I also have some doubts." I haven't seen it in our second hospital for several years, and I'll have to do a corresponding examination in a while. ”

"Doctor, what's wrong?" the young man was a little confused.

"Don't worry, let's wait for the results of the blood test to come out in a while. Wang Huan soothed.

"You don't have to worry, even if it's diagnosed, it's much easier to cure than you thought it would be cold. It is a bacterial infection, and the treatment is very simple. ”

The patient listened with disbelief, because he looked at Liu Banxia and Wang Huan's expressions as if they were very serious. Only serious illnesses will doctors do this. Now tell yourself not to worry, isn't it just comfort?

Liu Banxia admires Wang Huan so much in his heart, and sure enough, the surgeon still has a long way to go if he wants to play with internal medicine.

To see a doctor, you need real skills.

I had just heard the patient's words, but I ignored them as a matter of course. If it weren't for Wang Huan's extra question, he wouldn't have thought of it.

Brucella infection is a zoonotic disease. It is mostly carried in sheep, cattle and pigs, and it is because of the disease in the process of contact.

However, most of the disease occurs in pastoral areas or in some groups of farmers.

In Binhai City, not to mention in the city, even in the township, it is rare to see sheep breeders. Otherwise, Wang Huan would not have said that he had not seen this disease for several years, the incidence of disease in the city was too low, and there were few sources of contact.

After waiting a little longer, the blood test results came back. The number of white blood cells is normal and the number of lymphocytes is markedly increased, which is also a haematological manifestation in patients with Brucella infection.

Ding! Gain 30 XP and 50 Diagnostics Skill Mastery

Although the rewards given are not very many, it also means that Liu Banxia, who watched the excitement, learned new knowledge in this case.

He feels that he is also very careful, but that carefulness is the carefulness of the patient's physical representation, and the eyes will think more about it when they see it.

The cause of this patient is deeply hidden, and it may be that the sheep often go to the river to drink water, so that the fish carry the germs. The patient ate the fish again before he had a seizure.

This chain of infection is very hidden, but Wang Huan took it out lightly, this is ability.

Because then you can do special testing, do blood culture, and send it to the disease control department for identification. It saves patients from taking detours and spending more money.

Otherwise, normally, at least a chest X-ray and CT scan must be taken. When the diagnosis is not clear, many other tests are done.

And then what? I still haven't checked it out, and I might have to draw spinal fluid. Or just throw it to the doctor in God and treat it as a neurosis. At that time, it was a big shame, and it was not easy to mix in the second courtyard.

Misdiagnosis sounds like a very easy word, but when it really happens to a patient, the price to pay may be a life.

The next step is as simple as admitting the patient to the hospital first, taking care of water, electrolytes and nutrients. With some antipyretic analgesic drugs and rifampicin for antibacterial therapy, the patient may not have the blood culture results yet, and the patient will get much better.

"Today is a long day of knowledge, Brother Wang's shot is really extraordinary. After coming out of the reception room, Liu Banxia said.

"I was lucky enough to come across one when I was an intern. Otherwise, I'll have to be circled today. Wang Huan said with a wry smile.

"Haha, let's not care about the process, look at the result. Anyway, it's done, it's better than anything else. Liu Banxia said.

"In the future, you have to be careful, otherwise who would have thought that a fish would fall in love with a sheep and infect the patient. Anyway, I don't think it's running, all the symptoms are right, and there is still a chain of infection. ”

"Brother Wang taught me a lesson today, which sounded the alarm for my medical career. Otherwise, I always thought that I was a good guy, and I was diagnosed with several diseases one after another, and I thought that there were so many things in internal medicine. ”

"Actually, it's really not, I was inflated by Brother Wang taking a pin and deflated. It's so good, what do you want to eat for supper, I invited. Please, don't fool. ”

"Doctor Liu, what's the standard?" asked Shen Lin with a smile.

"As long as I don't get too ruthless, I can handle it. Anyway, I didn't make a little money, and I didn't have to pay so much monthly rent. Liu Banxia said very arrogantly.

"Oh, Dr. Liu, how embarrassed we are. Actually, you can just help us order some, we don't pick them. Another nurse smiled as well.

The ball was kicked into Liu Banxia's own arms, and he really wanted to be a local tyrant. But it's also a very down-to-earth thing, and I ordered some skewers directly.

Although it wasn't too hot when it was delivered, it was okay for everyone to eat it quickly.

It cost less than five hundred yuan in total, and more than ten people, which is not much. After all, the current price is still quite high, and a grilled squid costs 20 yuan.

He was really happy today, and there are some things you really can't learn in books. Only in the process of practice slowly discover and grasp slowly, this is true knowledge.

Even if you are reminded by others, if you don't experience it yourself, you may not care, and it is more of a deaf ear.

"Mr. Liu, it seems that your flying knives are really profitable. Wang Chao nibbled on the squid and came over.

"I'm really nothing, especially now that I've taken on this job, it's going to be even more difficult in the future. Brother Chen, at your level, it should be okay, right?" Liu Banxia looked at Chen Jianxin.

Chen Jianxin glanced at him helplessly, "Do you think everyone has such good luck and resources as you." There are a lot of people who can do minor surgery, and major surgery is not good at our craftsmanship. ”

"I just go to the plastic surgery hospital occasionally to help get it, and it's two or three thousand yuan a piece. However, it is better to be worry-free, free, and easy to control in time. ”

Liu Banxia glanced at him in some surprise, in his mind, in a famous hospital like the Second Hospital, it should be very easy for surgeons to fly knives. Especially these directors who have been in charge for many years, the actual combat experience is also very strong.

It seems to be a little wrong with what he thought, because Chen Jianxin mentioned "resources". I was lucky, with the boss Shi Lei, I enjoyed this resource.

You really can't take anything for granted, and there's a way to do anything.