454 An unidentified disease

(Thanks to my friend Country Guardian and post-80s uncle for encouragement)

"Comrade, here are the results of the examination. If you still don't agree, we can draw a third time. But will that change the result? It's already been drawn twice, what good can you do if you continue to make trouble?"

"You're just bullying, do you want to take my top bag?" the patient was anxious.

"What are you doing? What the hell are you doing?"

At this time, the patient's wife rushed to the patient, and grabbed his arm.

"You're a family member, right? We did two tests, and you can smell the alcohol on him. But even now, he still denies it. The traffic police comrade looked at the patient's wife.

The patient's wife suddenly panicked and patted the patient's arm, "Why are you still secretly drinking?

"I didn't drink, they blamed me. When did you see when I drank it at home? That is, when I was off for the New Year. I'm not good at this, what kind of alcohol do I drink?" the patient was also anxious.

"Then what do you eat? Isn't it always shown on TV that you eat something and then you have alcohol when you blow it? Comrade policeman, he doesn't drink at home, he must have eaten poorly, let's wait and test again. The patient's wife said.

"It's been a long time now, and we're not doing a blow test, we're doing a blood test and a urine test. The traffic police said with a wry smile.

The alcohol is all in the blood, and the concentration is still so high, where can it become like this after eating?

"Wait a minute. ”

At this time, Liu Banxia squeezed in.

"Teacher Liu, I've done it twice, and this time I have a urine test. Huang Bo said.

Liu Banxia nodded, "Our hospital has not been negligent in the inspection, but I think this big brother may have something else." ”

After finishing speaking, Liu Banxia pulled up the patient's sleeve and pointed to the bruises on his arm, "How long has this been knocking?"

The patient shook his head, "I can't remember, it's been a few days, I don't even know what happened." ”

Liu Banxia pulled up his pants again and pointed to his legs, "Can't you remember these?"

The patient nodded, "It's just that I occasionally see a piece, it should have been knocked when the car was loading and unloading." ”

"Usually he doesn't drink at home?" asked Liu Banxia again, asking the patient's wife.

"I used to drink it, but then the old Xia who was with him drank and died, and he hasn't drunk it for more than ten years. Doctor, he doesn't drink at home, and the wine his daughter buys is only drunk during the Chinese New Year, is it a mistake?" asked the patient's wife.

Liu Banxia smiled and nodded, "This is the contradiction, so we have to study it slowly." Comrade traffic policeman, can I talk to them for a while?"

The traffic policeman glanced at it and nodded.

"Have you had any other diseases recently?" Liu Banxia looked at the patient again.

"I had a cold some time ago, and I just lay at home for a few days and took some cold medicine and anti-inflammatory medicine. The patient said.

"How many days have you been lying down, how many days have you taken for more than ten days? The patient's wife added.

"Do you remember what medicine you took?" Liu Banxia then asked.

"After eating Contec, it seems that there is no use for it. Still taking azithromycin, and what's that cephalosporin? It's cephalosporin anyway. The patient said.

"Huang Bo, do a stool test for the patient, mainly to detect whether there is Saccharomyces cerevisiae. If so, look at what you're sensitive to. Liu Banxia said.

"Saccharomyces cerevisiae?huh...... , Mr. Liu, is it brewing syndrome? Is there really such a disease?" Huang Bo was a little unsettled.

"It's not clear yet, so check it out first. The disease has not yet been officially documented, but it is found all over the world. Liu Banxia said.

"Did you eat more pasta or sweets during this time?" did you eat today?" Liu Banxia looked at the patient again.

"I don't eat much at home, but the goods are a little loose today, and it's easy to lose time if I eat. I bought bread and drinks and nibbled on the car. The patient said.

Liu Banxia nodded, "Let's check it first." And this disease is only one of my suspicions at the moment, and we need time to verify. ”

"Doctor, is this a disease?" asked the traffic policeman on the side, curiously.

"I still have to check it, there have been some such patients abroad, but it is rare in China. Liu Banxia said.

"What we can do now is examine his feces to see if the Saccharomyces cerevisiae bacteria are too high. Saccharomyces cerevisiae is a general term for a group of yeasts that are divided into many species. ”

"We also have a lot of beneficial fungi in our gut that help us maintain gut health and break down food. However, in some specific cases, such as taking a large number of antibiotic drugs, it is easy to cause damage to the intestinal flora. ”

"We also have a patient in the upstairs ward who has been taking antibiotics for a long time, which has caused a flood of Clostridium difficile in the intestine. What can be done at present is to control it, but it cannot be treated, and it is difficult to say when it will recur. ”

"This is one of the considerations in terms of medical testing, and the other way to measure is to control the diet of this big brother, and we monitor it 24 hours a day. ”

"If the alcohol content in his body is still excessive when he is given only starchy foods, then we have to admit that there is such a special disease in his body, whether we want to or not. ”

Hearing his words, the traffic police comrade nodded, even if he didn't understand what Saccharomyces cerevisiae and Clostridium difficile were, but the later test can be easily achieved.

"Doctor, does that prove that I'm not drinking?" the patient asked happily.

"Don't be happy yet, if you really get this disease, your life is still in danger. Liu Banxia said.

"Alcohol in the human body needs the work of the liver to break down and excrete it from the body. If you do have this disease, it means that your body is soaked in wine all the time. ”

"Think about it, no matter how powerful a person is, can his liver work all the time to break down alcohol? I'm afraid it won't be long before you will have liver failure and threaten your life. ”

Hearing Liu Banxia's words, the expression on the patient's face stiffened suddenly.

yes, that's the case.

Not to mention him, even the people watching the excitement on the side couldn't help but nod their heads.

Liu Banxia's explanation is easy to understand, you don't need to listen to those details, you can grasp the general situation.

In fact, there are people on the side who are envious, even if you drink a little wine and drive in the future, it will be fine, and the police will say that they can make wine, and there is nothing wrong with it. It's a big deal, you'll be tested, you'll have dinner, and when the time comes, you'll have wine.

But when the disease can be life-threatening, no one feels beautiful. Is life the first place, or is it a small life?

"Go ahead and check it out. Liu Banxia said.

Hearing his words, the patient looked at Huang Bo with a blank eye, and his desire to examine was very strong.

"Teacher Liu, how did you come up with that?" After the patient left, Su Wenhao asked curiously.

"At first, I thought that the wound on his body was accidentally touched when he was drinking before, but he was still so strong in the face of the results, and he didn't speak incoherently like a drunk patient, so I paid more attention. Liu Banxia said.

"If it's diagnosed, it's another illness caused by taking antibiotics. You can buy it at the pharmacy, and if you have a headache and brain fever, you will eat some. Whether it's useful or not, at least I'm at peace after eating. ”

"Everyone, pay attention, it's not that the doctor fooled you into coming to the hospital for a check-up just to make your money. Sometimes medicine really can't be eaten indiscriminately, even if there are many antibiotics, it is not a broad-spectrum antibiotic, it only works for certain fungi. ”

"Basically, if the symptoms at home are more than five or seven days, and if you take the medicine yourself and it doesn't work, don't add it up, just come to the hospital immediately. ”

"Actually, five days is long enough, three days is about the same. It's just that our habit is that when we come to the hospital, we are afraid of being slaughtered, and all we want is to delay it for a day or two, what if it's okay? It's not realistic to let you come over in three days. ”

"Today's big brother matter, you can be a lively watch, but you also have to take it to heart. This time it happened to him, and next time it may happen to us. ”

"If you pay more attention, the medicines prescribed in the hospital are often very ordinary medicines. Because these medicines can already treat everyone's diseases, there is no need for higher standards. ”

"If you take antibiotics at home with a high standard on a regular basis, then a low standard basically has no effect. It's like getting used to a good life and throwing you into a refugee camp all of a sudden. Can you stand eating bran vegetables? It's not for the sake of bitter and sweet memories. ”

"Dr. Liu, is there anything else to pay attention to?" asked a family member of a patient.

"There are a lot to pay attention to, from the perspective of health, a regular and healthy diet and rest are actually better than taking any medicine. Liu Banxia said with a smile.

"But we doctors are also taking the lead in sabotage, and we are all looking for time to sleep every day. Eat, oops, I've got half a plate left in the cafeteria. Forget it, it's going to be dinner. ”

He had just remembered that he was worried about the child. No wonder I always feel that something is wrong, in fact, I haven't eaten enough.

"Alright, let's disperse the big guys. The patients in the hospital are relatively concentrated, which is easy to cause cross-infection, and they will all wear masks in the future. Liu Banxia said.

"Actually, I really didn't want to see you in the hospital, so many patients during the day are enough for us to earn. With fewer people, at least I can get a little more sleep and have a restful meal. ”

The big guy giggled and laughed, and what he said was true. Many of the patient's family members have been in bed here for several days, so they know what it would be like if they were busy.