(Thanks to my friend Changheyuan and 90843301 monthly pass encouragement)

The results of the new blood test came out, just like Liu Banxia just said, the eosinophils increased significantly.

"There is no need to do a biopsy, all the symptoms are consistent, just take thibendazole, it is an anthelmintic drug. There will be some adverse reactions, nausea, vomiting, abdominal pain, but it is better to observe with us for a day. Liu Banxia said with a smile.

Ding!Daily Mission Complete (1/20)

Complete the task and gain 100 XP points and 50 diagnostic skill proficiency points

"Mr. Liu, is it really Trichinella? But we didn't find any parasite eggs when we went to the stool. Xu Yinuo asked.

"Didn't I be fooled by the trichinella at first, because the trichinella is a little different from other parasites, it is ovoviviparous, and the adults and larvae live in different areas. Liu Banxia said.

"Adult worms live in the intestines, so patients have abdominal pain. What about the larvae, which flow through the body with the flow of blood, and may be stationed in various organs of the body. ”

"But they prefer to live in muscle fibers, so they have symptoms such as chest pain, muscle aches, and edema. And the incubation period of this disease is also relatively long, one or two weeks, two or three weeks, which are all there. ”

"Now the patient is in the acute phase, which is the movement of the larvae. So when we had the first blood test, we didn't have any abnormalities except for leukocytosis. ”

"Over time, the disease progresses, more and more larvae are in the blood, and the body gives its own reaction. Eosinophils are significantly elevated, and there are also allergic reactions such as rashes. ”

"Doctor, am I not going to die? There are so many worms in my body?" Hearing his words, the patient's face turned pale with fright, and he didn't even care about the pain on his body.

Can you not be afraid? It's all in the body, it's all in the body, it's going to follow the blood, and it's still alive?

"Don't worry, just take the anthelmintic medicine I just mentioned. Our human bodies are still very strong, and these little bugs are not a problem. Liu Banxia said.

"But you still have to eat it when it's cooked in the future, and I only reacted when I heard you say that you rushed to eat roast pork. I guess it wasn't completely roasted at that time, and then I ate the eggs. ”

"After such a long time of hatching and growing in the intestines, although it is said that there will be diarrhea, but you don't pay attention to it, you just think that you have eaten cold. ”

"Hey...... , so trichinosis is really uncommon in life, because we rarely have the habit of eating raw food in our country, especially in our country. Even if the seafood is eaten raw, there are no trichinella parasites. ”

"At present, it seems that only some ethnic minority areas still retain the habit of eating raw meat, and in their side, the incidence rate will be higher than ours. ”

"Don't really worry, just deworming medicine. And your medical treatment is considered timely, and it will not cause too many problems. Put your heart in your stomach and it will not affect your eating and drinking in the future. ”

The patient's mouth opened open, revealing a smile and a crying expression. I also know that Liu Banxia said this to make me feel more relaxed, but when I think of a lot of insects in my body, who can relax.

"Don't need to do another biopsy to confirm the diagnosis?" asked Wang Huan after Liu Banxia came back.

"It's okay, I still have to suffer more to do a biopsy, and I'm already scared. Liu Banxia said.

"I really responded to that sentence, live to be old and learn, who would have thought that it was a trichinella. Not to mention Trichinella, I've been here for three years, and I've been in contact with patients with parasitic disease syndrome for the first time. ”

Wang Huan nodded, "It's really rare, I'm negligent." I really thought about it and wondered if it was a parasite that caused the abdominal pain. However, the stool test result was normal, so I ruled it out. ”

"I have to continue reading when I go back, there are so many people staring at the emergency department, I can't be ashamed anymore. Otherwise, it's not easy to deal with it, and it will be rectified in the future. ”

"It's okay, I don't believe that anyone in this case can tell that it is trichinosis at a glance. Normal symptoms include nausea and vomiting, and diarrhea does not resolve so quickly. Liu Banxia said.

"There are too many factors that can induce our thinking, and the later high fever and edema can be regarded as really entering the moving period. We haven't had a few cases of trichinosis in our hospital in the past two years, right?"

The king was rejoicing, "If you are so comforted, it will be fine, I will accept it." It's time for dinner, Wang Chao and I are staring here, you guys are going to eat first?"

"That's fine, you can rest for a while at noon when you're done. Liu Banxia nodded.

During this time, it was the big guys who helped him prop up the emergency department, and now it's time to pay the bill. You have to give them more time to rest and adjust, and you can't let everyone help for nothing.

Xu Yi promised that these interns were also very happy today, even if this patient was "tortured" to them at the beginning, but if they encountered such cases in the future, they would be able to quickly give a diagnosis.

Liu Banxia and Wang Huan both said that such trichinosis is not common, and they caught up with it soon after they came to the internship.

Coming to the cafeteria, even people are used to such large troop movements like them, and today they have paid extra attention.

Or is it because of the little video of Liu Banxia's pain, which is now really spread all over Binhai City. also knew that they were joking, but they felt that Liu Banxia was a little "steady" enough.

Liu Banxia doesn't care about these discussions, he is a doctor in the hospital, and when it's time to rest, he has to have his own life.

"Doctor Shi, here. While eating, seeing Shi Lei coming to the restaurant to eat, Liu Banxia greeted him.

Shi Lei glanced at him and nodded.

"Hey...... , Mr. Shi has been busy until now, how many days. Huang Bo said with emotion.

"This is our life, becoming a doctor, in fact, many times the family is not our own. Liu Banxia said with a smile.

"And I remind you that you don't drink when you can rest. Otherwise, when there is an emergency and there is a shortage of people, as long as you drink alcohol, you can't be allowed to help if you want to help, this is the red line. ”

Huang Bo and the others nodded, and their understanding of this point was still very clear. Let's just say that at dinner yesterday, so many people didn't drink much.

"There's nothing going on in the emergency department, right? I'll be done in a day or two. Shi Lei, who sat down with a plate, said.

"It's okay, it's still going to hold on. Boss, can you give me a new surgery or something? You said I've done so many of them, and my hands are a little itchy when I take a break from the cold. Liu Banxia said.

No, no, the surgeries in the emergency department are relatively random. Now Shi Lei is helping the general surgery, it would be best if he could get a second-level operation, otherwise he would never expect to be upgraded.

"Let me take a look, there are two laparoscopic appendectomys, can you do it?" Shi Lei asked casually.

Liu Banxia hurriedly shook his head, "It's better for your old man to come in person, the appendix and gallbladder have been in contact too much recently." In fact, I want to challenge more difficult surgeries, at least starting from the second level. ”

"You still pick the fat and thin, you tell Director Zhou to go, he will definitely be able to arrange one for you at any time. Shi Lei gave him a blank look.

"Do I have the guts? If I had, wouldn't I have said it a long time ago? Liu Banxia shrugged his eyebrows and responded.

Give Xu Yi a promise that these interns are so curious to see it, they never thought that Liu Banxia would get along with Shi Lei in such a way. Liang Xiaolin and Qingkova are not strange, they are both very relieved to eat.

"How is your internship during this time? You have to go to school for a few more days to continue classes and assessments?" asked Shi Lei.

Xu Yinuo nodded, "This is the school's arrangement, a combination of education and training." However, it will not be long, and we can also arrange our own time for some courses. ”

"Anyway, I thought about it, and I would try to go back to class during the break in the future. There are a lot of things that you can learn in the hospital that you can't learn in school, and there are many diseases that have very unclear indications in individual patients. ”

"I have masochistic tendencies, and the internship is very tiring, and I have to study. Tsk, it seems to be even harder than we were back then. But there are also benefits that can save you a lot of time. Liu Banxia said.

"You can also rest assured that when the new building of the emergency department is delivered, it will definitely give you more opportunities to practice. Of course, there will also be a lot of assessments and tests, which will be handed over to Dr. Shi when the time comes. ”

"Especially you shouldn't be staring at me, you should be staring at Doctor Shi. I was brought out by Dr. Shi at the beginning, although he is now my senior brother, and he is also half a master. ”

"Eh, I think of something, boss, where are our other brothers? ”

"We're busy, so there's so much time. Shi Lei shook his head.

"There are three of them in the city and the first subordination, and some are in other cities, but we are still far from them now, so let's talk about it when you graduate with a doctorate. ”

Liu Banxia stopped squeaking, this is his own hard injury, and it takes time to make up for it. However, this also proves the strength of Zhou Shuwen's disciple group, as if he is just a graduate student?

Looking at the tangled expression on Liu Banxia's face, he promised that they would want to be happy.

Only now did they remember that Liu Banxia was not much older than them. Although he has been practicing medicine for a long time, he originally graduated from a bachelor's degree.

However, I admire Liu Banxia even more in my heart, it is such a condition and such an age, and now he is very famous in the Second Academy. And this fame is not because he is a disciple of Zhou Shuwen, but because of his medical skills.

When Liu Banxia went to the operating room, Wang Chao helped him publicize a lot. Basically, in addition to some parents, the core content of the emergency department in those days was Liu Banxia.

I know a lot, so I admire it even more.