Surgical heat, also known as surgical heat or absorbent heat.

It is a reaction caused by surgical destruction, tissue decomposition products, local exudate, and hemofusion absorption.

The body temperature of the patient can be slightly increased after surgery, with a change range of 0.5~1C, generally not more than 38.5C, if it is a high fever or ultra-high fever, there must be a problem here.

This is not a good thing, and the most feared fever after surgery is wound infection or inflammation of the internal organs.

Piette's phone call attracted Chen Qi's attention, there is no way, people give too much, this after-sales service must always be done.

Chen Qi looked around the Friendship Hospital and found that there were no critical patients to deal with, so he got into an off-road vehicle owned by the Adem family and went to the Freetown State Hospital.

Sitting in the car, Chen Qi curiously looked out the window at the city's street scenery and the lively crowd.

The roads are narrow and dirty, and it's hard to imagine that in a country's capital, many roads are muddy, and cars drive through them and bring up a cloud of dust.

In this kind of dust, you can see a large group of black uncles sitting or standing on the side of the road.

The unemployment rate in this country is quite high, young people do not earn money and have no place to work, which is a big reason for social instability and fighting wars all day long.

However, in the capital, you can still see many stalls selling snacks on the roadside.

But this kind of clean and hygienic food, the people in the rivers and lakes called it "sparse package" Chen Qi did not dare to try.

For example, when he was in a traffic jam just now, he saw a black aunt stirring directly in a bucket of porridge-like food with her two hands, scratching her butt a few times from time to time, and Chen Qi almost felt sick to his stomach.

So I quickly turned my head and didn't dare to look at it, good guy, it's okay if I don't turn my head, but I really vomit when I tilt my head.

Because on the other side of the road, an African uncle was holding a few bats and barbecuing, the bat's mouth was open, and its eyes were bulging out, exactly like ugly mice.

Uncle Hei stroked his hair and beckoned to Chen Qi, motioning for him to buy some food to try?

Chen Qi could only knock on the glass and signal the driver to leave quickly, if he didn't leave, he would leave a psychological shadow.

The driver laughed when he saw it, and the interpreter said in the back seat:

"The driver said it would be nice to fill their stomachs, they didn't have a choice, the food was actually delicious, and many people ate it directly from a kind of clay."

"Guanyin soil? Damn, this thing is unhealthy, you will die of intestinal obstruction if you eat it? ”

"People are going to starve to death, and they still care if they are healthy?"

Well, Chen Qi was speechless, silently looking out the window, thinking that the villagers by the sea should be happier and able to eat seafood.

But this Huaguo doctor, who came from afar, didn't know that in the seaside fishing village, only the poor would eat lobster and abalone, and the rich would eat meat.

The car drove quickly into the Freetown National Hospital, and Piette was already waiting at the door.

"Dr. Chen, please make another trip."

"It's okay, let's go, go see your brother-in-law, what is your temperature now?"

"Just before going downstairs, I measured it to be 39.8C, and the whole person was in a bad spirit."

“39.8c？” Chen Qi stopped.

"That's not right, if it's a surgical fever, how can there be such a high body temperature? Let's go, I'll check it myself. ”

In the ward, Adem had woken up from anesthesia, and he was moaning because of the high fever.

It was surrounded by people, and in addition to family members, the most numerous were the specialists from the Freetown State Hospital, who were all asked to come for consultations.

When Chen Qi first entered the door, Mrs. Adem's face was a little unsightly.

I thought that the old lady gave you 20,000 US dollars, how much gold did she have to sell, and as a result, she got a high fever that did not go away? What bullshit doctor?

Change source app, view the latest chapters of the book on multiple sites at the same time. 】

So his tone was a little cold: "Dr. Chen, you are here, you see that my husband is like this now, could it be caused by the expansion of the surgical incision last night?" ”

Chen Qi saw that the other party's family members were not in a good tone, and he was not happy, but he didn't show it:

"Hello Mrs. Adem, it's hard to say what the specific situation is, I have to check it first, generally speaking, such a possibility is rare, I am still confident in my operation."

"Okay, you can check." Mrs. Adem was visibly anxious because of her anxiety.

The political situation in African countries is characterized by serious nepotism, state power and economy are basically controlled by a few families, and wealth is also in the hands of a very small number of people.

Later generations could not have imagined that the president of the Republic of Zayin, one of the world's least developed countries announced by the United Nations, alone owns 50% of the country's wealth and personal assets of more than 30 billion US dollars.

Keep in mind that this figure is more than $30 billion in the seventies.

At this time, the wages of domestic workers in our country were only a dozen or twenty dollars a month, and Africans estimated that they were only a few dozen cents a month.

And the African lion KZF, who was later dragged out of the sewer and shot to death by the people, had a personal deposit of more than $80 billion and hundreds of tons of gold.

This shows how big the gap between the rich and the poor is among Africans, and how rich a very small number of Africans are.

But the premise of all this is that you have to be on the stage, and when you step down, you are finished, your wealth may not be kept, and even your small life will be lost, specifically referring to a certain male lion.

In the same way, when Adem is on stage, he can use his power to seek huge wealth for himself and his family, which is equivalent to a large part of the people working for them for free, so it is strange not to get rich.

But society is also very realistic, and if Adem dies or is crippled, the power void he leaves behind will soon be filled by someone else.

At that time, the interests will be someone else's, and whether the Adem family can keep their wealth is a question, unless they run away as soon as possible and take refuge in European and American countries.

So Mrs. Adem has to be anxious now, her husband can't be in danger at all, otherwise the whole family will receive a boxed lunch.

Why is the average life expectancy of Sierra Lean only 32 years old? It's not that if you have a minor illness, this mortality rate will rise sharply, and the locals are really afraid.

At this time, Piette immediately took a dressing change bag, and Chen Qi quickly put on his gloves and opened the wrapped dressing.

Incisional infection is also a cause of fever and is easy to distinguish by increased discharge, moist dressings, pus, or a peculiar odor.

However, Adem's wound did not show redness and swelling, and the gauze was clean except for a small amount of bloody discharge.

Piette, a surgeon herself, knew that this meant that there was no problem with the incision, and her sister had wronged Dr. Chen.

"Pierte, you should immediately arrange for bacterial culture, abdominal drainage fluid culture, and blood routine, urine routine, and chest X-ray, which are the most likely to cause infection."

Chen Qi is also wondering if the fever is caused by an infection, not necessarily an incision, and perhaps somewhere else.

Only then did Piette come to his senses and hastened to reply:

"I've done all of these tests, and except for the bacterial culture, all other reports are normal, and the inflammation indicators are not high."

"Not tall, huh?" Chen Qishou held his chin and began to ponder.

The brain is spinning fast, because according to the fever section of "Diagnostics", there are too many causes of fever.

This includes infectious fever, such as fever caused by the invasion of various pathogens such as bacteria, viruses, Mycoplasma pneumoniae, rickettsia, fungi, spirochetes, and parasites.

There are also non-infectious fevers, such as aseptic necrotic tissue resorption, hyperthyroidism, poisoning, rheumatic fever, serum sickness, drug fever, connective tissue diseases and some malignant tumors.

It's a bit difficult to find out the reasons like a needle in a haystack among so many reasons.

"Piette, let's treat it according to the infection for now, use the best antibiotics in your hospital, and you can make a biochemical set."

Piette touched his nose, "This and this, we haven't introduced the biochemical instrument yet." ”

What money does a poor, backward and war-torn public hospital have to buy a medical device worth hundreds of thousands of dollars?

Chen Qi was stunned for a moment, and immediately understood, fortunately, this time the Chinese medical team came to Africa to assist almost all the most advanced equipment, showing the bearing of our great country.

"In this way, ask the nurse to draw a can of blood, and I will bring it back now, and contact me anytime if I have something."

Piette didn't think it was Chen Qi's surgery that went wrong, so he treated him very respectfully. Instead, Mrs. Adem sat beside her husband, and did not even get up to say goodbye, pretending not to see it.

Chen Qi really has the urge to throw $20,000 in people's faces, but for the sake of Sino-Serbian friendship, bear with it.

The flying knife fee is not so easy to get, Chen Qi encountered it when he followed his mentor in his previous life.

The common people, that is, there are 100 hearts, and not everyone respects the spirit of the contract so much.

Even his mentor has encountered a case where someone just gave you a red envelope on the front foot after the operation, and immediately went to the health department to complain on the back foot.

It is estimated that the patient's family felt that they were bearing the burden of humiliation, and had to betray their principles to give the doctor a red envelope for the sake of the family's operation.

In fact, to put it bluntly, I feel sorry for the money and don't want to come out.

The consequences of this handling were the refund of the knife fee received by the doctor, and the internal criticism of the tutor's hospital (in fact, it was a good-natured ridicule among colleagues)

But there was another consequence of this incident, the doctors of the provincial hospital refused to go to the area to fly knives or go out for medical treatment, and the place was blacklisted.

So who loses in the end?

The loss was still the later patients, who could have had the best specialists to perform the operation at their doorstep, but later had to run to the provincial capital, and then endure the pain while waiting for the bed.

Many people often lose the best time because the rescue is not timely.

Chen Qi returned to the Friendship Hospital, brought back the patient's blood sample, and instructed the laboratory department to issue a report as soon as possible.

In this year, the biochemical instrument is not fully automatic, and some links need to be operated manually, and it is already the next day when the results come out.

When Chen Qi got the report, he couldn't help but snap his fingers, the reason was clear, and he really wronged him.

So I picked up the phone, shook it for a long time, and connected to the phone in Piette's office.

"Piette, has your brother-in-law's fever subsided today?"

Piette was also a little anxious at this time: "Doctor Chen, the best antibiotics have no effect, and the body temperature is still in a high fever, what should I do?" ”

Chen Qi had a bottom in his heart, and his tone was a lot more relaxed:

"We estimate that when we do the physical examination, our eyes are only on the groin, I think your brother-in-law should still have other diseases, you go and ask now, is there any pain in his body? Especially bone joints. ”

"Dr. Chen, are the results out? What is the reason? ”

"Uric acid is very high, blood uric acid is as high as 600μmol/l, how about it, now I know what disease probably causes the fever, right?"

Piette was so excited when he heard that he hung up the phone and ran to the hospital room.

"Brother-in-law, do you have any special pain on your hands and feet? If you tell me, it's important. ”

Adem felt like he was dying, with headaches, painful surgical incisions, and even a terrible pain in his big toe, and the experts came one after another, from national experts to foreign experts.

The medicine is being infused in bottles, and even the best imported antibiotics from Freetown Hospital show no signs of relief.

Because the high fever did not go away, he seemed to see the grandmother who had been dead for decades.

Before his grandmother could take him away, he heard his brother-in-law pushing his body and asking anxiously:

"Brother-in-law, brother-in-law, is there any pain in your body?"

Adem closed his eyes and muttered:

"It hurts, it hurts, my head hurts, my knife hurts, my toes hurt, Piette, tell me, am I going to die?"

He originally thought that this brother-in-law would cry bitterly, but who knew that this kid would still laugh, or laugh.

Adem struggled to open his eyes, with only one idea in his mind:

"This brother can't be kept, when he heard that I was going to die, he actually smiled so happily, did he want to steal my family's property after I died? Looks like I'm going to have to find someone to kill him before I die. ”

He looked at his wife again and found that his wife was beating his younger brother angrily, so he was relieved, otherwise he would kill this mother-in-law together.

The African uncle is so simple and rude to deal with family problems, and he doesn't even need to invite the old lady.

Mrs. Adem was really angry, and while beating her brother, she cursed:

"You have no conscience, your expenses for studying abroad are all paid by your brother-in-law, you bought a house and a car in China and married two daughters-in-law, which one is not your brother-in-law's money to help, you can still laugh now? Has your conscience been eaten by jackals? ”

"Hey, hey, sister, you listen to me, listen to me, I laugh because I'm happy."

Adem simply gritted his teeth, thinking that your kid was really exposed.

"I'm glad that the cause of my brother-in-law's high fever has been found, as long as the cause is found and the symptoms are treated, my brother-in-law will get better immediately."

Adem and his wife were stunned, and then they were all excited:

"Really? Do you really know why? ”

"Thanks to Dr. Chen from Huaguo, sister, your attitude was so cold last night, but when they went back, they helped my brother-in-law find out the cause of the disease."

"What cause?"

Adem pulled open the covers, pointed to his obviously red and swollen toe, and said, "Here's why." ”