Chapter 019 SMS Diagnostics

Lin Jie didn't pay much attention to Li Ting's angry departure, and when they were at the same table before, the two often quarreled.

When I got home, it was nearly half past nine in the evening.

As soon as Lin Jie entered the house, he found Zhang Xiaoxiao in pink pajamas, holding a pillow, lying on the sofa and watching TV in the way Ge You was lying.

Zhang Xiaoxiao rolled her eyelids and glanced at Lin Jie, and said, "You came back just in time, I'm thirsty, pour me a glass of water!"

Lin Jie poured a glass of water for the big lazy worm, then walked into the kitchen and began to make supper for Lin Miao, usually cooking noodles, cooking wontons, dumplings and the like.

Tonight, he saw that there was still leftover rice from the rice cooker, so he planned to make fried rice!

When he was busy, Zhang Xiaoxiao walked over, leaned on the door frame, and said, "Hey, I'll tell you something!"

"Today I was dragged by a girlfriend to a plastic surgery hospital for a consultation, and she wanted to remove a birthmark on her face!"

She habitually touched the scar on her forehead again, and said softly: "My colleague pointed to my forehead and asked the doctor, after the birthmark is removed, can the scar left reach the same level as mine?"

"The doctor told her that it mainly depends on the degree of recovery after the surgery!"

Zhang Xiaoxiao laughed, "My colleague immediately pulled me out of the hospital, and said indignantly that a plastic surgery hospital is not as effective as an amateur, this is a hospital that cheats money." ”

"Hey, this also shows that your skills are really good!"

Zhang Xiaoxiao became enthusiastic and shouted: "You might as well open a personal plastic surgery clinic, it's very profitable now!"

Lin Jie said helplessly: "You need a doctor's license to open a clinic, and I will treat your injuries, which is first aid in an emergency." If you open a clinic to treat others, you are practicing medicine illegally, and you will be imprisoned. ”

Zhang Xiaoxiao suddenly sighed, and said regretfully: "If only it had been before, you could still be a barefoot doctor, Jianghu Langzhong, now everything has to be examined." ”

"Hey, how's your class reunion?

"That's it, we had a meal together, they had other activities, and I said goodbye and came back first!" Lin Jie said perfunctorily.

Zhang XiaoxiaoAs a salesperson, it is an indispensable skill to observe words and colors.

Seeing that Lin Jie didn't want to say more, and didn't continue to ask, many class reunions were indispensable to show off, she didn't want to increase the unhappiness in Lin Jie's heart.

When Lin Jie made a hodgepodge of ham, eggs, and green vegetable fried rice, as well as seaweed and egg drop soup, Lin Miao also came back from work.

Looking at the chewing of Lin Miao's food, Lin Jie felt a great sense of accomplishment.

Zhang Xiaoxiao had eaten supper with Lin Miao for some time before, and was horrified to find that the meat had grown several catties.

In order to maintain her figure and resist the temptation of the smell of food, after that, every time Lin Miao ate supper, she would hide in the bedroom, either playing with her mobile phone or playing with the computer.

"Brother, is the party fun?" Lin Miao asked vaguely.

"It's okay!"

Lin Jie didn't tell her about meeting Han Wenbin, but just said that she had met Li Ting, who had been at the same table for three years in junior high school, and they had a good chat.

Lin Miao smiled and asked softly, "Brother, is she still so fat?"

"Well, it's still so fat, a twelve-level typhoon can't blow it away!"

Lin Jie stretched out his hand and pinched off the rice grains that were stuck to Lin Miao's mouth, and said dotingly: "You eat a little more, it's a little too thin!"

Lin Miao wrinkled her cute little nose and said dissatisfiedly: "Still thin, I'm a few pounds heavier than a month ago! My strength is still very strong, and customers say that my hand strength is not smaller than other masseurs!"

Looking at the little ruddy luster on Lin Miao's face that had only appeared in the past few days, Lin Jie sighed with emotion.

Resting in someone else's house, the age of nineteen is the age of going to college, being pampered, and carefree.

However, Lin Miao took on the responsibility of a small family early, and it is estimated that it was only in this half a month that she got used to the habit of not waking up in the middle of the night, and only after getting up and going to her room to investigate, could she sleep peacefully.

After the meal, Lin Miao, as usual, happily described some interesting things at work to Lin Jie, as well as all kinds of customers.

After that, the two of them washed their own hands, and then went back to their rooms to rest.

Lin Jie, who was just about to lie down, found that there were several missed text messages on his mobile phone, all of which were from Luo Shanshan.

"I took over a case the day before yesterday, and I haven't found a specific cause until now, Lin Jie, help!"

"Female, 39 years old, due to fever and general malaise, physical examination: T38.5°C, P120 times/min, BP80/50mmHg, clear mind. ”

"She suffers from ischemia due to vitamin B12 deficiency, and daily B12 supplementation has no obvious effect. At the same time, according to his family, this person often falls for no reason. ”

"After examination, there are no lesions in her cerebellum, and there is no inflammation and tumor in her spine!"

"The attending doctor directly threw this patient to me and let me take full responsibility! I have done all kinds of routine blood tests and all kinds of routine examinations, but I still have no clue! Please! Please!!"

At the end of the text message, there is a series of pleading emojis.

After reading it, Lin Jie just smiled.

I don't know if it was deliberately embarrassing or intentionally exercising, after Qian Guanglin's operation, Luo Shanshan was arranged into the outpatient and emergency department, not to mention busy work, and was often arranged to treat some patients who were difficult to diagnose.

Luo Shanshan is just an intern doctor, and it is difficult for the attending doctor to diagnose it, and she is even more helpless.

She is also stubborn, and while she bothered to study, she was not ashamed to ask, and Lin Jie also became the target of her harassment from time to time.

Lin Jie also took this as an opportunity to test, familiarize, and flexibly use the medical memory he received, and always gave detailed answers to Luo Shanshan's questions.

After going back and forth, the two had more contact.

And Luo Shanshan admired Lin Jie even more, and unknowingly, treated Lin Jie as the most respected teacher.

Lin Jie subconsciously turned his hand on his mobile phone, thinking about the symptoms of this patient!

On the surface, the most likely causes of this patient are cerebellar lesions and spinal lesions, but the examination excludes these two diseases.

It would be nice if he could personally examine this patient, Lin Jie thought a little extravagantly.

Due to the complexity of individual human differences, even the same disease can even present with very different symptoms, such as one person may feel a fever and another person may feel chills.

Only by conducting a comprehensive examination of a patient and integrating various symptoms can we trace back to the root cause and find the root cause.

And now, Lin Jie can only rely on the information in this text message to judge, and the increase in difficulty is not as simple as one or two times.

Lin Jie read the short description again and said to himself: "Low-grade fever is mainly caused by body inflammation or one's own rejection. She suffers from ischemia caused by B12 deficiency, and B12 supplementation has no obvious effect......"

"Could it be that the B12 body is not absorbing, or is there something that has eaten the B12?

"Ate B12 ......"

Lin Jie suddenly remembered a disease, T. latum tapeworm, a parasite that can reach up to ten meters in length.

There is a small chance that patients with T. latum will develop tapeworm anemia due to the large absorption of vitamin B12 related to hematopoietic function by tapeworms.

In addition to the general anemia, patients will also have paresthesia, motor disorders, deep sensory loss and other neurological disorders.

Lin Jie checked it again and found that this taeniasis was very consistent with the symptoms of this patient.

In the past one or two decades, with the improvement of living standards and medical and health conditions, this parasitic disease has been almost extinct in China.

Thinking of this, Lin Jie replied with a text message: "Do a fecal egg test!"

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