Sunday's morning shift is usually a little later than usual, at least not as urgent. However, Tian Lu still arrived at the ward before half past seven. I talked with Zhang Qianqian for two hours last night, and it was already past one o'clock when I went back to take a shower and sleep, but I couldn't see a trace of fatigue on Tian Lu's face, and he still looked radiant.

After finishing his shift at the bedside with Li Qiang, the deputy chief physician on duty yesterday, Li Qiang took a shower and went home, while Tian Lu was going to take charge of all the affairs in the ward in the next 24 hours with the nurse on duty.

The first independent outpatient clinic just came out last Friday, and today is the first time to be on duty independently, which makes Tian Lu feel high-spirited.

According to the habit, even though Li Qiang had already made it clear when he handed over the shift, Tian Lu still carefully checked the treatment records of the patients on the side, and learned what happened to each patient yesterday, what happened last night, what kind of treatment was carried out, and so on. The difficulty of the neurosurgeon's job lies in the operation, and the management of the ward is relatively simple, but for Tian Lu, as long as he is in the hospital, he is in a working state, and he must concentrate all his attention.

After the shift, the morning ward was quiet.

There was nothing to do for the time being, and after dealing with some routine affairs, with a stack of materials, Tian Lu wandered to the ward and found Ling Feifei, the little girl who was hospitalized the day before yesterday. Although Ling Feifei's physician in charge was not Tian Lu, he still wanted to come over to find out about the situation, so he could take special care of his first patient admitted to the hospital.

"Doctor Tian!"

Seeing Tian Lu walking into the ward, the patients and their families greeted each other, and Tian Lu also responded one by one with a smile and came to Ling Feifei's bedside.

"How's it going, are you used to eating food in the hospital?"

At this time, Ling Feifei and Yue Hua were eating breakfast, simple steamed porridge, seeing that Tian Lu stopped beside his daughter's bed, Yue Hua swallowed the last bite of porridge and quickly stood up: "I'm used to eating, I'm used to eating, it's delicious." ”

Although she also stopped what she was doing, Ling Feifei sat on the bed and didn't speak, just bit her lip and looked at Tian Lu quietly.

Seeing that his arrival had affected other people's meals, Tian Lu hurriedly smiled and said, "Don't stop, you continue to eat." ”

"It's okay, I'm done, hehe. ”

Yue Hua had indeed eaten almost, and his eyes immediately turned to his daughter, and after Ling Feifei glanced at the remaining buns, she also shook her head, indicating that she didn't want to eat it.

Yue Hua quickly packed up his things and gave the stool to Tian Lu: "Doctor Tian, come, you sit!"

"No, I'll just stand. ”

Tian Luqian gave in for a while, but he still didn't sit down after all, and of course Yue Hua didn't sit either, and stood with Tian Lu all the time.

"Doctor Tian, what's going on with Fei Fei's illness?"

After being polite, Yue Hua immediately got to the point, and asked eagerly: "I did a lot of tests after I was hospitalized the day before yesterday, and basically I did them when I was hospitalized last time, is it useful? Are the results of the examination in our local hospital unreliable?"

"Of course not!"

Seeing that Yue Hua was a little suspicious, Tian Lu hurriedly denied it: "However, many times, the condition is changing, and Fei Fei has also been treated, and the current situation may be different from that time, so it needs to be checked again." ”

After speaking, taking out Ling Feifei's examination results, Tian Lu took a serious look at it, and his brows couldn't help frowning.

In addition to stool, blood routine, biochemistry and other examinations, Tian Lu focused on the results of cystic antibody test, CT and MRI.

Because according to the previous medical records, Tian Lu judged that Ling Feifei was likely to have hydrocephalus this time, high intracranial pressure, and lumbar puncture may cause complications such as brain herniation, so when he first considered the examination methods, Tian Lu did not let him do cerebrospinal fluid examination, but the serum cyst antibody test, IHA and ELISA were all positive.

Although serum cysticercosis antibody tests are less sensitive and specific than cerebrospinal fluid (CSF) tests, a positive result may be considered an effect of cysticercosis.

CT and MRI findings also support this diagnosis.

However, the results of these tests still do not explain the recurrent headaches and the fact that the deworming effect is not good.

Two months ago, the results of the examination were mixed neurocysticercosis, cyst survival, obstructive hydrocephalus, and now the diagnosis is neurocysticercosis, obstructive hydrocephalus and upper respiratory tract infection, the degree of hydrocephalus has been reduced, and the drugs given are also anthelmintic, dehydration, and anti-infective treatment.

But......

Tian Lu couldn't help but shake his head, the treatment plan is not fundamentally different from last time, but according to the repeated conditions of the little girl, I am afraid there are still some problems that have not been detected.

"Doctor Tian, how is it?"

Seeing the doctor shaking his head, Yue Hua was a little anxious, and couldn't help asking.

Tian Lu was suddenly shocked, and then he realized that his performance probably seemed to affect the other party's mood, and hurriedly said with a smile: "Hehe, it's nothing, I just thought of a possibility, but I'm afraid I need to think about it again." ”

"Oh, that's right. ”

Yue Hua relieved himself a little, and didn't ask any more about the possibility. My daughter has been hospitalized several times, and Yue Hua had everything at the beginning, but as an ordinary person, he basically couldn't understand the terms in the doctors' mouths, so he simply didn't ask now, and it was not too late to talk about it when others thought about it.

Tian Lu walked to the head of the bed, leaned over, and asked very gently, "How are you feeling today?"

Ling Feifei nodded, and replied a little nervously: "The sore throat is much better, and the cough is not so bad, but the head still hurts badly!"

"Don't worry. ”

Tian Lu smiled and comforted: "The problem of infection is easy to handle, but hydrocephalus should come slowly, it is estimated that a week should be about the same, bear with it for the time being, okay?"

Perhaps it was Tian Lu's gentle voice and faint smile that gave Ling Feifei some confidence, the little girl nodded lightly, and her emotions quickly calmed down, but after hesitating for a moment, she suddenly asked, "Doctor Tian, you say, why did I get this disease?"

Tian Lu was slightly stunned when he heard this. Since she has been hospitalized, someone should explain to her the reason for her illness, why do you still ask this question?

But after being stunned for a while, Tian Lu still explained in a low voice: "Neurocysticercosis is caused by the larvae of the pig tapeworm parasitic in the brain, and there are generally two reasons for this disease, one is that the eggs themselves suffer from tapeworm disease, and the eggs go to the stomach through various ways, hatch into hexagocyte larvae in the duodenum, and then burrow into the intestinal wall, and finally transport to the brain through blood and lymphatic circulation. According to your medical records, it should not be your own reason, then it can only be eating something unclean. ”

"But I basically haven't eaten outside, especially rice pork!"

The little girl said a little stubbornly: "My mother doesn't go to work, and she is very strict with me, in my memory, except for going out to eat with them, I have never eaten out by myself, how can I get this disease? Even if the meat is not clean, then why can't they?"

Ling Feifei's series of inquiries made Tian Lu's brows furrow again. From the little girl's more and more excited tone, Tian Lu found that the other party was extremely stubborn about this!

Out of the corner of his eye, he caught a glimpse of Yue Hua's ugly face, and Tian Lu suddenly seemed to understand a little.

"Eggs are not necessarily in pork, they may be found in raw water and lettuce, and sometimes your hands touch them and you forget to wash them before eating, and they may also enter your body. This kind of thing is very small, and many times the cause of illness is inexplicable. After thinking about it, Tian Lu patiently explained.

Tian Lu's patient explanation received Yue Hua's slightly grateful gaze, but Ling Feifei still said stubbornly: "Anyway, I usually pay special attention to hygiene, it is impossible to eat indiscriminately, and it is impossible not to wash my hands!"

After speaking, the little girl lay down angrily, put the quilt on her head, and simply disappeared!

At this moment, not only Yue Huaqi's body trembled slightly, but Tian Lu was also a little embarrassed, so he had to explain a few words to Yue Hua and left the ward.

"Doctor Tian, please wait. ”

was walking towards the duty room, and Yue Hua chased after him, and said with an apologetic face: "I'm sorry, Doctor Tian, this kid is too stubborn!"

"It's okay, it's still a child!"

Of course, Tian Lu wouldn't worry too much about a fifteen-year-old girl, so he waved his hand and smiled.

"Alas, I knew that she would have a headache sometimes, but because it could be relieved by a rest, I thought she was studying hard, or she really had a headache, but she was tired. So in order to be admitted to the key high school in the city, I still insisted on waiting for the high school entrance examination to finish before going to the hospital, and the result was 。。。。。。 ”

Sighing, Yue Hua's face was full of annoyance and said: "Who knew it would be so serious, I would have to be hospitalized several times! Although the key high school was finally admitted, I had to take a year off from school for treatment, and after all, I didn't succeed, and finally let this kid hate me!"

"Ugh。。。。。。 ”

Tian Lu didn't know much about the thoughts of a fifteen-year-old girl, so he could only be stunned for Yue Hua's annoyance, his mouth moved, but he didn't know where to comfort him.

"Forget it, don't talk about it!"

Seeing that Tian Lu's expression was a little embarrassed, Yue Hua immediately recovered from his chagrin, and smiled apologetically again: "Doctor Tian, don't be like Fei Fei, she is still young, you can bear with me!"

"It's okay, it's still a child!"

Tian Lu had to smile and repeat what he had just said again.

"Then you're busy, I'll go back first. ”

After Yue Hua nodded at Tian Lu, he turned around and went back to the ward, while Tian Lu pondered for a moment and returned to the doctor's duty room.

Sitting at the table, opening Ling Feifei's medical records and examination results, Tian Lu examined it carefully.

As far as the current medical technology is concerned, there seems to be no problem with the diagnosis and treatment at the previous local hospital or the results after this admission, and slowly, Tian Lu's attention is focused on the results of the CT examination.

The lateral ventricles, third ventricle, and midbrain aqueducts are markedly dilated, and the fourth ventricle is cysticly dilated。。。。。。

Seeing the CT diagnosis results, Tian Lu's heart suddenly moved!

Hurriedly flipped through the MRI film, Tian Lu's eyes gradually fell on a small area in the film.

Moments later。。。。。。

"Clinical Diagnostic Support System, Activated!"