Chen Qi went out to play for two days and came back, and when he came back, he was followed by a big truck.

Under the curious gaze of many members of the Huaguo Medical Corps, Chen Qi was already shouting:

"Don't be stupid, if you want to eat meat, hurry up and carry it, there are 5 little bulls here, each of them is about 300 pounds, it's quite heavy, the older doctor stepped back, and there were a few more young men."

Head Qi walked out of the office, and was stunned when he saw the live sheep all over the ground, knowing that this was a hospital, and thinking it was a market if he didn't know.

"Chen Qi, where did these cattle and sheep come from? Is it ours? You can't make mistakes, we can't take a stitch from the masses. ”

Chen Qi was speechless, thinking that he was indeed an ideological and political leader, supervising the members of the league all the time.

"Qi, don't worry, of course it's ours when we get to our hospital, trouble, those 5 bison are hunted by me personally, these 20 sheep are the medical expenses paid in advance by other patients, you quickly arrange for people to raise them, and we will slaughter one if we want to eat it in the future."

"Medical expenses?" Captain Qi understands in seconds.

With the precedent of Vivian, a fisherman taking seafood as a medicine expense, it is not uncommon for someone to drive a goat to treat a disease this time.

Moreover, most of Chen Qi's patients are surgical patients, and they don't need much medicine, at most they are personal labor expenses, so that there will not be too much deficit in cost accounting, and it is easy to return to China. (This is also the reason why hospital leaders love surgery)

So Head Qi also became smiling:

"At the beginning, you said at the airport that you wanted everyone to eat well, it seems that there are really two times, hehe, Lao Wang, Lao Wang hurry up, take these cattle and sheep away, and we will have meat to eat when we turn back."

Chef Wang, who had already been directing the young doctors to carry the bison, smiled when he heard this:

"Don't worry, the head of the regiment, there is so much beef, let's take advantage of the news today to eat a beef hot pot first, and let's eat the remaining beef cow head beef offal slowly after marinating it, this beef bone is cooked in soup to ensure that no meat is wasted."

I heard that Deputy Head Chen called a lot of cattle and sheep, and many members of the regiment who didn't go to work rushed over to see the surprise.

Chen Li and Yang Xiuxiu were stepping on their feet to see what the African cow looked like, but they were pulled by Chen Qi:

"Okay, okay, what are you making a fuss about, isn't it just a few bison, I'll give you a rhinoceros back, hurry up, there is still a patient in the car, it's a little girl, arrange to go to the ward."

The two little girls were also optimistic, and as soon as they heard that there was work to do, they immediately ran to the side of the off-road vehicle.

Chen Qi is thinking about it, what kind of seasoning should he mix when eating beef hot pot this night?

Luciana, like a country girl entering the city for the first time, her eyes widened when she saw a large crowd of strangers.

With her knowledge, she never dreamed that there were still yellow people in the world? Shouldn't it be as dark as the crowd in the world?

When she saw that the two nurses who helped her into the hospital looked so clean, dressed so neatly, there was not even a smell on their bodies, and they still had shoes.

Look at herself again, with dirty braids rolled up in mud, only a T-shirt on her body, and two spots exposed, it is estimated that she doesn't know that there is such a thing as a "mask" in this world.

All of this made her feel new and at the same time made her feel a little inferior.

It turns out that the little princess in the village is nothing outside......

After a while, Chen Qi came over in a white coat, holding a stethoscope in his hand and carefully examining the little girl.

In fact, Chen Qi had some suspicions about something.

Because when he saw that the primitive tribes drank raw water, ate raw meat, and roasted insects, he suspected that in addition to HIV, these black people were estimated to have parasites.

The symptoms of parasites are varied, and abdominal pain and diarrhea are one of them, so it makes sense.

But again, modern medicine treats diseases, it is all about evidence, you say that there are parasites? What should I do if I have side effects from taking insecticides?

That's another medical accident, will you be sent to Antarctica to feed the penguins?

Chen Qi opened a lot of inspection reports and came out, and then left.

I don't know if it's because the car is too bumpy? Or is it not adaptable? Or the germs on the body know that they have come to the hospital, and the end of the world has come and they have begun to toss.

In the evening, when Chen Qi had just sat down and picked up Kuaizi to prepare to eat beef hot pot, Zhang Xing, who was on duty, came running.

"Dean Chen, come on, the patient you sent today suddenly had severe abdominal pain."

Chen Qi put down the fast child and ran towards the ward, and Yi Zewen, He Fule, Chen Lili, and Yang Xiuxiu also put down the fast child at the same time and ran out of the cafeteria.

They have had the experience of receiving red envelopes together, and they have firmly remembered that they are a team and everything should advance and retreat together.

Chen Qi was still very nervous, thinking that his luck was really damn bad, everyone had abdominal pain and diarrhea for 2 months, but there was an accident on the first day in his hands, which was really fatal.

Even if he hadn't used any medicine, and when the time came, he would be dead or disabled, and he would not be able to tell if he was really covered with mouth.

At this time, Luchana was already rolling on the ground in pain, crying out for pain and vomiting from time to time.

The elder Nguema was at a loss with a garbage can, not knowing what to do.

As soon as Chen Qi ran into the ward, he grabbed the doctor's hand: "Doctor, save my daughter, she is dying, she must not be alive." ”

If Chen Qi hadn't appeared, the little girl would definitely not have survived, otherwise why would the average life expectancy of people be 32 years old? It's because there are too many people who die young.

But since Chen Qi is here, let her die again, that is, he, the international double director, has no ability.

"Nguema, don't be in a hurry, you are now in the China-Cyprus Friendship Hospital, you are in front of the best doctors in the world, we will definitely do our best to cure little Luciana's illness, now I need to check it."

Saying that Chen Qi didn't care about the black uncle next to him with a handful of snot and tears, he quickly pulled away the patient's clothes.

"What does it hurt? Is it over here? What about this? ”

Suddenly, Chen Qi felt a lump in his left abdomen, and the pain was the most obvious, and with a little force, Luchana cried and shouted directly.

Yi Zewen swallowed his saliva: "Dean Chen, this, what's the situation?" ”

Chen Qi's face was gloomy: "Severe abdominal pain, vomiting, I also felt a lump, it is estimated that it is more likely to be intestinal obstruction, Chen Li, is the examination list I ordered at noon out?" ”

"It's out, here."

Chen Qi took it and saw that the problem was coming, and said to the two assistants: "Come, you two take a look." ”

Zhang Xing was a little confused when he got the report sheet and looked at it: "Dean, there doesn't seem to be any inflammation on this report sheet." ”

Yi Zewen was also a little strange after taking it over: "I don't see the problem, the white blood cells are normal." ”

Everyone who has been to the hospital basically knows that blood routine is the simplest blood test item.

Usually, when we look at the blood routine, we basically look at the white blood cell count, hemoglobin, platelet count, etc., which can provide doctors with several dimensions to consider.

If the white blood cell count is high, bacterial infection should be considered, and if it is very high, then blood diseases such as leukemia should be considered.

If hemoglobin is low, then anemia should be considered and the cause should be found.

If the platelets are low, it is also problematic, most commonly caused by a hematologic disorder or a serious infection, and low platelets can lead to bleeding.

This is the most basic blood routine reading item.

In fact, there are dozens of items in the blood routine, and some of them are not welcomed by clinicians (but it does not mean that they are not important), because the probability of abnormality is generally small and easy to ignore.

Chen Qi scolded angrily:

"If you look carefully, the proportion of eosinophils in patients is 48.2%, and you can't see such a high index, so you really need to strengthen business learning."

Yi Zewen and Zhang Xing, look at me, I look at you, both of them have innocent eyes in their eyes.

"Dean Chen, we really don't see this, what does this high eosinophil mean?"

Don't expect the rough men of surgery to know too much about internal medicine, people eat tubes and perform surgery, and they usually don't care about anything else, so I really don't know how to find an internal medicine consultation.

"The proportion of eosinophils accounts for almost half, which means that there are parasites in this patient, and you don't know such a simple basic knowledge?"

What does it mean to see a significant increase in the proportion of eosinophils in the blood routine?

The simple explanation is this, white blood cells are a general term that includes neutrophils, eosinophils, basophils, lymphocytes, monocytes, and so on.

Among them, neutrophils are the most numerous, and eosinophils are relatively few, generally accounting for only about 0.4%-8% of the total.

Therefore, eosinophils are like some unattractive but unique masters of fist and foot kung fu on the rivers and lakes, especially similar to those who live in a corner and are unknown poison experts.

】

The reason why eosinophils are special is that in addition to being related to immune reactions and allergic reactions, they also have a peculiar function of killing parasites.

Yes, eosinophils kill parasites.

In some patients with parasitic diseases, the eosinophil count is often elevated, though not absolutely.

But even then, it is enough to make a great impression on the doctor: the eosinophil count is significantly elevated, and it is necessary to be alert to parasitic infections.

How can a normal person have such a high eosinophil count? What's more, the patient also has abdominal pain and diarrhea, and parasitic infection cannot be ruled out.

Chen Qi can be regarded as another lesson for the two assistants.

Yi Zewen and Zhang Xing both lowered their heads and were a little embarrassed, after all, they had been doctors for so many years, and they couldn't even look at a blood routine.

He Fule hurriedly came out to cross and ease the atmosphere:

"Dean Chen, if we suspect a parasitic infection, what should we do next? We all listen to you, and you have no words to say anything about what you are pointing at. ”

Chen Li and Yang Xiuxiu also nodded firmly: "Yes, we all listen to the dean." ”

Chen Qi's mood improved a lot, and sure enough, the beauty can cure all diseases, so his tone also eased:

"I was supposed to take a poop to check the eggs, but it's too late now, so what, you hurry up and call Director Hu of the Department of Internal Medicine and ask him to come over with a gastroscope."

When Yi Zewen and Zhang Xing heard this, they hurriedly ran out, it was too dangerous to stay, and they would be questioned if they couldn't answer.

After a while, Director Hu also arrived with a gastroscope:

"Deputy Head Chen, is there an emergency gastroscopy to check?"

Chen Qi shook his head and said a little embarrassedly: "This and this, I just want your gastroscope to help make a cameo appearance in a colonoscopy, and I want to check the situation in the patient's intestines." ”

In fact, there is a colonoscopy in Chen Qi's space hospital, but now it is in the hospital, not in the village, so it is better to take fewer risks.

Gastroscopy to colonoscopy?

Lao Hu was a little reluctant all of a sudden, this is going to be poked in the asshole, a piece of shit, can this gastroscope still work?

The doctors in these years have a strong sense of ownership, and they take great care of their tools and instruments, but they can't let others spoil them, otherwise they will be as uncomfortable as their wives being insulted.

"Deputy Head Chen, this and this, how can the gastroscope poke it into the intestines, if it is broken, it will be troublesome."

Director Hu couldn't say anything about it, so he could only politely refuse.

Gastroscopy uses a thin, flexible tube from the mouth into the stomach, so the diameter of the gastroscope is generally relatively small, and the esophagus, stomach, duodenal bulb and horizontal part can be examined to see if there are lesions in the upper digestive system.

Colonoscopy is inserted into the colonoscope from the anus, and the diameter of the instruments of the colonoscopy is generally relatively thick and the length is relatively long, which can examine the rectum, sigmoid colon, descending colon, transverse colon, ascending colon, terminal ileum, etc., to understand whether there are lesions in the intestine.

Therefore, gastroscopy and colonoscopy are not the same instrument, and Director Hu's excuse is still reasonable.

Chen Qicai doesn't care, it's a critical juncture now.

"Lao Hu, when is this, it's important to save your life, you see this girl is rolling on the ground in pain, we can't see death without help." Besides, the principle of gastroscopy and colonoscopy is the same, but it is a little thinner, just be careful when I do it, you can rest assured. ”

When Director Hu saw the patient like this, he could only grit his teeth and accept it, thinking that he must clean and disinfect it a hundred times when he goes back.

At the same time, he cursed Chen Qi two hundred times, two hundred times.

Colonoscopy has many purposes, one is to see if there are any parasites, and if you are lucky, you may be able to find live worms in the colon.

Of course, in case the parasites are mainly distributed in the small intestine, then the colonoscopy cannot be seen, because the length of the colonoscope is limited, entering about 1 meter, and the small intestine is about 5 meters long on average, and the colonoscope cannot reach, let alone the gastroscope.

Chen Qi also wanted to try his luck.

Another purpose of colonoscopy is to see if there are intestinal diseases such as Crohn's disease, ulcerative colitis, and intestinal tuberculosis.

These intestinal inflammatory diseases are also very common, and a patient with long-term abdominal pain and diarrhea must consider the above intestinal diseases, rather than necessarily intestinal parasitic diseases.

persuaded Director Hu to prepare a "colonoscopy", but when Chen Qi was about to examine Luciana, he was stopped by Nguema.

"Wait, can't do this colonoscopy!"