One morning, Zhang Fan read a lot of medical records, almost a rough look at the medical records of the past two years, and the other doctors in the department, especially the transfer doctor, were very curious about what Zhang Fan was doing.

A few transfer doctors drooled enviously when they looked at Zhang Fan, who had no work to do, but they were also amazed at Zhang Fan's efforts to sit in front of the computer all morning without moving a single step!

People are like this, if you are a salted fish, no one is curious about what you do, but once you have some achievements or come out, what you do, others will worry about it, there are too many such things. Could it be that Muqiang is a common trait of human beings?

In the hematology department of Chasu City Hospital, most of the patients are anemia, various types of anemia, and many are young women. There are also a small number of purpurse caused by various reasons, and finally they are discharged from the hospital or even die, and the cause has not been identified.

This is the biggest feature of this department, many diagnoses are unknown, the initial diagnosis has a question mark, and the confirmed diagnosis still has a question mark, this is not to avoid anything, but the real question mark, because the patient's physical signs and laboratory tests do not support the current diagnosis.

However, if there is no definite diagnosis in the medical record, then the medical record is unqualified, and there is no way, the doctor can only guess! This is not because the doctor is irresponsible, because there are many, many such basic diseases, which cannot be diagnosed, and the cause is unknown.

Graduate student Zang Bin, a graduate student majoring in nephrology, also transferred to the Department of Hematology, but compared with other undergraduate transfer dogs, the graduate student is slightly better, and the graduate student will transfer to a few related departments, and it will be over.

The young man was very energetic, he wrote the medical records on the computer next to Zhang Fan, and seeing that Zhang Fan didn't move his nest all morning, he said with emotion: "Doctor Zhang, you can't do this, it's a lot of pressure on us." You see when you didn't come, the transfer doctors in the department were still talking and laughing, if you don't move this morning, we won't dare to get up!"

"Uh! not so exaggerated. I had never been in contact with this department, and I was not a graduate student, so I was a little fascinated, and the diseases in this department are really complicated. ”

"Hey, don't think of graduate students as high, to be honest, three-year graduate students, that is, three years of hard work in a big hospital, nothing tall, the diseases of this department, not to mention graduate students, it is estimated that the doctor will also say one or two!" Zang Bin chatted with Zhang Fan while typing the medical records.

Graduate students sign a contract before they enter the college, and which department they go to is booked in advance, so they are not under much pressure compared to undergraduates. Moreover, the most important thing is that the current graduate students are still very valuable, and the hospital gives them a settling-in fee, so the pressure is relatively small.

What to say about the diseases of the hematology department, Zhang Fan looked at it for a morning, and roughly divided it, it can be divided into red blood cells, white blood cells, platelets, and related diseases of the three brothers of blood vessels, because the most important cells in the blood are these cells, of course, there are other components, but compared to these three, the role of other components or the thoroughness of research is not yet reached!

Blood travels all over the human body, it is a very complex system, if you talk about it in detail, it will become a paper, let alone ordinary people, even doctors who do not engage in blood are estimated to be unable to understand. Let's just make a simple analogy.

Red blood cells, the body's transporters, travel to and from various tissues, bringing oxygen in and out of carbon dioxide. White blood cells are the warriors of the human body's internal environment, and where there is an invading cell or virus, it will kill the invading guy.

Platelets are tinkers, happily walking in the blood vessels everywhere, and where there are defects, it happily repairs.

A certain king of England has a noble disease, low platelets, and a careless is a massive hemorrhage! This is no joke, when kissing, accidentally bitten the tongue by an excited lover, maybe it can be bled to death!

Probably this is the concept that anemia is actually the cause of decreased red blood cells. If there are not enough red blood cells, then there is a lack of oxygen, which then leads to dizziness, nausea and all kinds of physical discomfort.

There are many kinds of anemia, especially in young women, and the nutrition is not enough, coupled with the large amount of menstruation, anemia cannot escape. Supplementing this thing is definitely not the kind of medicine that cures the disease, but a very long process.

If a young woman has anemia due to this period and has no gynecological diseases, it is best to eat more animal liver and blood tofu and exercise moderately.

The next day, the morning meeting of the hematology department began, and after the handover of the department was completed, Li Qing clapped his hands and said to all the medical staff: "Let me tell you something, this is Zhang Fan, Doctor Zhang, I think everyone should know him, he came to us for a month to transfer to the department." Doctor Zhang, what do you say?" said Director Li Qing a little teasingly.

Zhang Fan hurriedly smiled and waved his hand. "Well, since Dr. Zhang doesn't say it, let's get to work. Ruan Yuan, you and Dr. Zhang are in a team. ”

"Okay Director!" Dr. Ruan said crisply, Dr. Ruan, a rare surname, has just turned 30 years old, and he has just been admitted to the main treatment. I have been married for two years, I have no children, and I am a very capable and delicate woman. My husband is a secretary of the government, but he is not a full-time secretary of the leader.

"Dr. Zhang, let's start the ward rounds. ”

"Okay, Dr. Nguyen. ”

Because it wasn't Monday, there was no need for a big round, there were not many patients, and Dr. Ruan didn't have many patient numbers in charge of the bed, only three. Two cases of Henoch-Scholastic purpura and one of iron deficiency anemia.

The two symptoms of Henoch-Scholastic purpura are very typical, with hemorrhagic spots all over the body, and the back, thighs, and calves are as obvious as gentian purple applied to the body.

There are two sick people, one big and one small, the adult is a foreigner, twenty-seven or eighteen years old, a small boss, engaged in decoration. Do your own work, do it yourself. After the New Year, after the heating stopped, the peak decoration period of Chasu City came.

He worked a little too hard, and took over several renovation businesses at one time, but he had physical problems.

"Dr. Ruan, what symptoms did this little boss admit to the hospital? ”

"He!" Dr. Ruan and Zhang Fan walked to the office in the corridor, recalling: "In the middle of last month, when I was on duty, he was brought in by his family, and his nosebleed could not be stopped, and the soaked toilet paper kept dripping blood. Fever began after hospitalization. Platelets are almost undetectable. I was critically ill. ”

"And then?" Zhang Fan asked.

"After being admitted to the hospital, I was given hemostatic drugs and then blood transfusions, and after various examinations, I found the specific reason. I can only treat the symptoms, and I have transfused many units of platelets, but there is still no improvement."

Dr. Nguyen went on to say, "The family members all put their fingers on my face. But the condition still could not be clearly diagnosed, and there was no chance of transferring to the hospital in that situation at that time, and he would never be able to hold on to the bird market by car, and a few bumps might be heavy bleeding. On the plane, he was covered in purple ecchymosis, and the flight attendants would definitely not let him get on the plane. In this way, the treatment fee flowed away like water day by day, but the condition did not improve significantly. ”

"Our general medical staff have been guarding for more than half a month, and the director has already contacted the experts of the superior hospital, and when the experts were about to come, his condition improved, and platelets began to slowly rise. ”

While walking, Zhang Fan asked, "What about the trigger, have you found it?"

"There was no definite trigger, but later, after the illness improved and the family's attitude towards me was much better, I asked for a detailed medical history. ”

Dr. Ruan looked around and said to Zhang Fan, "I think it's because of his work that caused him to bleed unexplained. When he was decorating, there was no special protection, and it was all kinds of paints, glues, and all kinds of chemical products. This is why this bleeding has no obvious cause. ”

After speaking, as if Zhang Fan didn't believe it, he said: "Just last year, a colleague from my husband's unit, because he was old, was in a hurry to live in a new house that had just been renovated for a short time. Then get married, get pregnant. And guess what?"

"What's wrong?" Zhang Fan asked, at this time, Zhang Fan was not asking about gossip, but a process of obtaining medical cases and medical events, and medicine can be regarded as an empirical discipline.

"A few months after she became pregnant, one day, this colleague of my husband suddenly had abdominal pain. After being hurriedly sent to the hospital by a colleague in the unit, a check showed that the fetus was malformed!"

"Hey!"

"At that time, it was really sad, the husband and wife were not young, and the fetus was malformed. The two of them sat at the door of the gynecology department, crying sadly. So, this current renovation, really, just clean it up, if you really want to be a new house, you must put it for half a year or something, preferably for a year!" Dr. Ruan said in a rambling voice.

"What a child. What is the situation with him. ”

"You said that little chubby dun. Hi, his parents are busy with business and can't take care of him. He was only in the second grade of primary school, and he was too fat to walk, and his parents really didn't like it, so they cared about making money, and gave their children fifty yuan a day. Eating and drinking are outside, what does the little doll know. When you are thirsty, you drink drinks, and when you are hungry, you eat all kinds of food sold by vendors around the school. ”

As a result, he couldn't tell whether it was because he ate what kind of fried spicy strips or dried tofu he liked. I ate it at noon, but when I went to class in the afternoon, the doll began to have a fever and became confused, followed by purple epilepsy, a large area of purple epilepsy. ”

"When it was delivered, it was like a small ball of flesh coated with purple potion. His homeroom teacher was a little girl, and she wouldn't say anything scared. ”

"Oh, I think it's still a little bit of a stain now. ”

"What's this, he's recovered, you didn't see the first day he came, it's scary. ”

The two talked and entered the office, only to see Wang Yanan and Jia Suyue. The two were also very surprised when they saw Zhang Fan. Jia Su pulled Wang Yanan and was about to leave! Suddenly, her face turned super red!

Wang Yanan was also a little embarrassed! He asked Zhang Fan, "Why are you in the hematology department?"

"Why do you think I'm in this department! Who are you?" asked Zhang Fan in confusion.

"I won't tell you yet, I'll go and pull Jia Suyue back!" Wang Yanan ran out after speaking!

"Huh!"