Chapter 914: Pink Eye

Not long after returning to work in the hospital in the afternoon, the doctor from the ophthalmology department came to Guo Xiang and said that there was a patient with a special eye disease and asked Guo Xiang to take a look.

In fact, Guo Xiang is not very good at ophthalmology, but she is the favorite of incurable diseases, so she went over to see what was going on.

Guo Xiang looked at the man's eyes, and the entire white of his right eye was red, which looked a little scary.

"Is this pink eye?" Guo Xiang asked.

Pink eye should be noted, it will be contagious, and those who have been in contact with the patient must be disinfected, otherwise it is easy to be infected.

"I thought it was keratitis at first." Dr. Jin from the ophthalmology department nodded, "This patient has been seen in other hospitals before, I looked at the medical records, and I was also diagnosed with keratitis, and I was prescribed tothromycin dexamethasone eye drops and ofloxacin eye ointment, which should be correct." ”

Guo Xiang nodded, this is a combination of antibiotics and hormones, which should be effective for keratitis.

"As a result, the patient said that the drip was completely useless for two days, so he came to our hospital, and I prescribed him levofloxacin." Dr. Kim said.

Guo Xiang nodded, ofloxacin is also divided into left-handed and right-handed, d-ofloxacin has little effect, and left-handed is purified, almost twice as effective, so the effect is obvious.

"But after he took the medicine, it still didn't work." Dr. Jin looked at the patient's eyes, "Look, it seems to be serious, it turned out that the corner of the right eye was red, and now the whole white of the eye is red, and the black eyes are almost surrounded." ”

Guo Xiang put on gloves and checked the patient again, it didn't seem to be a typical pink eye, pink eye generally has inflammatory discharge, and it was obvious that this person did not.

"Is there anything else that makes your eyes uncomfortable?" Guo Xiang asked the patient.

The patient thought for a while, "Sometimes I have a headache, and when the pain is uncomfortable, I take a painkiller. ”

"Headache?" Guo Xiang frowned, "Anything else?" ”

"The others don't seem to ......," the patient scratched the side of his eye, "It's just a little itchy here, does that count?" ”

"Itchy?" Guo Xiang looked at the patient's face, and there was a little red rash on the corner of the right eye and near the nose, which was not particularly obvious.

"Is this a drug allergy?" Dr. Jin leaned over and looked at it, "Ofloxacin shouldn't be allergic, it's an ordinary medicine." ”

"This allergy is not very likely, and dexamethasone has an anti-allergic effect, so it should not be." Guo Xiang shook his head.

"Maybe it has nothing to do with the eyes, but I just touched it somewhere." Dr. Kim said.

"Why don't you call Dr. Cheng from the dermatology department for a consultation?" Guo Xiang said that she is good at surgery, and it is better to let the dermatologist take a look.

Dr. Jin walked out and quickly called Dr. Cheng from the Department of Dermatology.

Dr. Cheng took a closer look at the patient's face and said, "This is shingles." ”

"Doesn't shingles grow on the waist?" Dr. Kim asked.

"Yes, I used to have shingles, right there in my waist, it hurts and its, but I can't bear it." The patient also said.

"There are many kinds of shingles, and you say that it is the most common one, which is generally the armpit, flank, chest, back, waist and head and face on one side of the body, arranged along a certain peripheral nerve distribution area, generally not exceeding the midline."

"It is most common in the thoracic segment, followed by the lumbar segment, cervical segment and trigeminal nerve distribution, and can also occur in other parts of the limbs, but it is relatively rare. Generally, the attack is unbearable, accompanied by irritability and fever and other symptoms, do you have a fever? Dr. Cheng asked the patient.

"It's a little, but the burn is not high, so I didn't say it, but my head hurts, I don't know if it's the reason?" The patient said.

Dr. Cheng nodded, "Because your shingles is ocular shingles, when the virus invades the trigeminal nerve, the eye is affected, accompanied by congestion, swelling and severe pain. If the cornea is affected, ulcerative keratitis is formed when the blisters burst, which can lead to blindness due to scarring. ”

"So serious?" The patient was startled.

"So your diagnosis of keratitis is not completely misdiagnosed, but the cause of keratitis has not been identified, so the use of eye drops is ineffective."

"Have you ever had chickenpox before?" "This is caused by the varicella-zoster virus, which is neurotropic and can move along the nerves to the ganglia of the posterior root of the spinal cord after invading the nerve endings in the skin, where it lurks. ”

"Once there is a cold, fever, tumor, etc., the virus will be excited again, and then move along the peripheral nerve fibers to the skin, and then the symptoms of these shingles will appear." Dr. Cheng said.

"How do you cure that?" The patient hurriedly asked.

"Let's go to dermatology." Guo Xiang said that Dr. Cheng is still professional.

"Okay." Dr. Cheng nodded, "Do a blood routine first, and then do a herpes scraping to confirm the diagnosis." After the diagnosis, I will prescribe the right medicine for you......"

"Then you can transfer to the dermatology department, and the registration fee from the ophthalmology department will be refunded to you." Guo Xiang said.

"Thank you, doctor." The patient nodded and followed Dr. Cheng to the dermatology department.

"I didn't expect keratitis to be caused by shingles, and I really don't see it very often." Dr. Kim said.

"When you see more in the future, you will have experience." Guo Xiang said that he had never been in ophthalmology before, so he was inexperienced. In terms of medical care, it is to live and learn.

……

Gu Zhennan went to Saudi Arabia and brought some domestic specialties to the oil field. The workers were very happy to see the boss coming, and when they saw that he brought hometown specialties, everyone praised the boss for his intimacy.

Gu Zhennan took a look at the production situation, and all the work in the oil field was in order, and the workers were also conscientious.

Just after the first quarter, Gu Zhennan announced that he would pay a quarterly bonus, and he would raise their salaries after one year.

The workers were suddenly elated, didn't they come all the way to foreign countries just to get a high salary, Mr. Gu took care of them so much, he really felt that he didn't work with him in vain.

With more wages, the life of their relatives at home will be better, and their hard work will be worth it.

Gu Zhennan stayed for three days, saw that everything was fine, bought some things in Saudi Arabia and set off to return to China.

It's still a transfer from Port City.

I took the plane back to the capital in the port city, and when I got on the plane, I found that there was a woman in my seat.

The woman wore a beige trench coat, black pants, high heels, and sunglasses, and was dressed up stylishly.

Gu Zhennan glanced at his registration card, and he was not mistaken.

"Comrade, I'm sorry, are you sitting in the wrong place, this is my seat." Gu Zhennan said politely.

The woman moved her sunglasses down, looked up at Gu Zhennan, and was stunned for a moment, this man is so handsome.

Gu Zhennan was wearing a black jacket, tall, looking at her condescendingly, with deep facial features and a handsome face.

The woman took off her sunglasses and stood up, "I'm sorry, my seat is on the side, but I want to sit in the aisle, can you switch with me?" ”

Gu Zhennan glanced at the woman, and saw that she was quite polite, so he nodded, it doesn't matter, he didn't change to a far position when he was sitting on the side, it's better to be by the window, just change it.

"Thank you!" The woman was very happy and moved her body to let Gu Zhennan pass.