The human nervous system is the most unpredictable, and sometimes even a small electrical discharge abnormality can have a great impact on the patient.

Epilepsy and abnormal discharge of the sinus node are the most common neurological abnormal discharge diseases.

The vagus nerve and sympathetic nerves in the human body sometimes even resemble naughty children, and when they have problems, they also develop neurological diseases.

The patient had been monitored for 24 hours at another hospital and did not find anything unusual.

Moreover, after checking the brain CT, the tumor can basically be ruled out.

"I've seen the patient's blood routine results, the white blood cells are normal, but the eosinophils are mildly elevated."

Zhou Can did not rush to say his diagnosis, but began to tell about some abnormalities he had discovered.

"There are so many causes of eosinophil elevation! For example, common allergic diseases, such as bronchial asthma, urticaria, drug allergies, and Henoch-Schonlein purpura, can cause eosinophil elevation. There are also skin diseases and cancers that can cause ...... Wait, you don't suspect that the patient is infected with a parasite, right? ”

Director Shang suddenly realized the direction of Zhou Can's suspicions.

Eosinophilia is mainly seen in allergic diseases or parasitic infections, including schistosomiasis, ascariasis, and hookworm disease.

However, the patient's eosinophils were only mildly elevated, and the patient had a stool test that had already detected parasites.

Therefore, not only Director Shang, but even other doctors ruled out the possibility of parasitic infection as soon as possible after seeing the results.

In addition, parasitic infections generally present with a variety of symptoms.

Rather than simple irregular vomiting.

"I think it's very likely that the patient has a parasitic infection, and it's a very scary and easily overlooked parasite. They often live in snakes and frogs. ”

Zhou Can said with a smile.

He is the only one who dares to talk and laugh with the chief physician.

Even sold a small pass.

"Dr. Zhou suspects that it is a schizocephalus infection?"

Xie Lin hurriedly asked.

"That's right, it's this worm. Of course, I'm only tentatively suspicious, not sure. The specifics will have to wait for further examination to be clear. ”

Zhou Can was not completely sure, he just suspected the disease.

After all, the patient has already checked the brain CT, and it is entirely possible that it will be found if there is a schizocephalus.

"Probably not!"

Director Shang's expression became more serious, and his eyebrows tightened.

He has seen all the medical records and brain CTs of the patients treated in the hospital. Although he is not very good at brain diseases, with his decades of experience in diagnosis and treatment, brain CT scans can definitely detect abnormalities.

"Have you noticed that the patient raises his right hand and scratches his head many times? Before the patient left, I took a closer look and found that there was a small slight bulge on his scalp, and then it fell back. Under normal circumstances, this movement of the scalp is not possible. Considering that his wife said that he had a habit of scratching his head before the accident, I especially suspected that it was a parasite operating under the scalp layer. ”

Zhou Can continued to explain the basis for his diagnosis.

Director Shang secretly admired this kid's meticulousness and meticulous observation.

After listening, he pondered for a moment and looked up at Zhou Can and said, "Even if the patient's brain really has a parasite, it is not necessarily a schizocephalus, how can you conclude that it is this kind of parasite?" ”

Each doctor looks at the problem from a different angle, the diagnosis idea is also different, and the final diagnosis result is also very different.

There are too many parasites that can infect the human body.

I can't even count them.

Zhou Can directly locked onto the schizocephalic larvae, which made Director Shang particularly curious.

"Uh...... Probably from several aspects of the dialectic! The infection site is in the brain, and although parasites such as cerebral schistosomiasis, cerebral roundworms, and cerebral cysts can also enter the head, the symptoms they cause do not match the size. It is only the Schizocephalus that has the most outstanding latent ability, and its existence is not detected until it causes obvious symptoms. Even if you have symptoms, it is easy to misdiagnose it as a disease such as glioma. ”

Schizocephalus is very different from roundworms.

They are quite demanding in terms of living environment. They don't like to stay in the dirty intestines, but find ways to enter the host's brain through channels such as blood.

Being in a 'high' position, not only is the living environment clean, but also not easy to find.

If you look at the roundworms, they are much lower-end, as long as there is a wind and grass, the patient can immediately find the eggs and larvae when they go to the hospital to check the feces. There are even times when there are more adult worms in the patient's body, and live worms can be pulled out directly when pulling poop.

This will undoubtedly greatly increase the risk of them being discovered.

The larvae hide in the brain, and if they do not pass through the digestive tract at all, the risk of being detected is much smaller.

"In addition, the symptoms caused by other parasites are more diverse. For example, schistosomiasis is the granuloma of eggs and their fibrosis caused by the deposition of eggs in the liver, intestine or bladder and reproductive organs. Adult worms can also cause weight loss, anemia, abdominal pain, liver enlargement, big belly disease, and so on. These symptoms are obvious and can be easily diagnosed. Only the schizocephalic larvae sneak in the human body and develop obscenely, which is very difficult to detect. ”

"Last but not least, patients often participate in various social gatherings, and it is indispensable to eat all kinds of delicacies from the mountains and seas. Frog and snake meat are very popular specialties, and if you eat too much, the chance of getting infected will increase. ”

I often walk by the river, how can I not get my shoes wet.

Frog and snake meat are often eaten, even if they are cooked, but as long as they boil for too short a time, or if they are not cooked thoroughly, they may survive. Once you've eaten it in your stomach, don't think stomach acid can kill it. Almost all parasites have excellent skills, high temperature resistance, acid and salt corrosion resistance, low oxygen resistance and so on.

Suffice it to say, if they don't have these skills, they don't qualify as parasites at all.

It is better not to have such illusions that someone wants to kill them with stomach acid, or that they eat it in their stomach and excrete it from their body with the help of peristalsis in the digestive tract.

Their survivability, their ability to adhesion, is superb.

"Based on the above information and comprehensive dialectic, I suspect that the larvae are making waves."

Zhou Can's analysis is meticulous, reasonable, and extremely realistic.

Hearing this, Director Shang and Huang Xinggui both nodded again and again, not to mention Xie Lin and Luo Jingyi, the two female graduate students. Even Qiu Chengyu, who was disturbed by Zhou Can's 'good thing', had to admire Zhou Can's diagnostic ability.

It's just too strong.

He, a graduate student, can't match that.

"The examination room shouldn't have closed yet, right?"

Director Shang turned his head and asked Huang Xinggui.

"It shouldn't be yet, the ordinary medical and technical department has to get off work at six o'clock." Huang Xinggui seemed to know Director Shang's intentions, and he was also full of anticipation and excitement. "Director Shang, are you going to do another head imaging examination for the patient now?"

"That's right! Many things can be delayed, but illness cannot be delayed. This patient's condition is so serious, early diagnosis and early treatment. ”

Director Shang is not only skilled in medicine, but also has a benevolent heart.

The thought of finding out the cause of the patient as soon as possible made him unable to wait for a moment.

"Immediately call the imaging department and ask the comrades in the CT room to work overtime. After I communicate with the family, I will immediately open an application for examination, and you can also go over to see the dynamic examination of brain imaging and increase your diagnosis and treatment experience. ”

All trainees are generally transferred to the medical technology department for one month of training.

In order to increase the clinical experience of ultrasound, CT, X-ray and other items, including examination principles, methods, skills, and the key points of watching films, etc.

Zhou Can has not been transferred to the medical technology department for the time being, he plans to complete the training in the internal medicine department, and then work in the medical technology department for a month.

It is estimated that the 36-month training period will also expire at that time.

It is just right to go directly back to the emergency department and officially take up the post.

Director Shang is a resolute person, and immediately went to communicate with the family.

Zhou Can and the three graduate students all went with him.

On the one hand, you can help find your family, but I don't know if the other party is in the inpatient department now. On the other hand, senior doctors communicate with family members, and many of these conversation skills are worth learning from novices.

I didn't expect the woman's speed to be quite fast.

may be because she has been taking her husband around for a long time to seek medical advice, and she is already familiar with the various procedures of the hospital. Even if you change hospitals, you can get the hospitalization procedures done quickly.

At this moment, under the arrangement of the nurse, her husband was settled in the temporary extra hospital bed.

This temporary extra bed is the kind of folding bed that is convenient for storage.

It is smaller than a regular hospital bed.

Just enough to fit one adult to lie on it.

However, for patients, as long as they can have a bed and be admitted to the hospital, they are already very happy.

I don't care if I sleep comfortably in a hospital bed.

Hospitals are not guesthouses or hotels, and patients come to the hospital for treatment.

If you go to the hotel to open a room with your girlfriend, you must pursue enjoyment and need a comfortable big bed.

"How is he doing?"

Director Shang walked to the hospital bed and asked the woman.

"Thank you for your special help, my husband's condition is quite good, not much different from usual. Thank you so much for being admitted to the hospital so quickly, and for the doctors and staff in the inpatient department. ”

The quality of the women is very high.

I would like to express my sincere gratitude to Director Shang.

Director Shang brought four young doctors to the bedside to check on her husband's condition, which flattered her even more.

"It's not easy for you to come from other provinces, and we, as doctors, can also help if we can."

Director Shang chatted with the family members for a few words, and the time was almost up, and the conversation changed.

"After you left just now, I discussed and analyzed your husband's condition with several doctors. Eventually, based on the elevated eosinophils and the fact that he was constantly scratching his head, we suspected that he might be infected with the parasite. If you agree, I'll immediately apply for a brain CT scan to see if I can find out the real culprit. ”

After hearing this, the woman was stunned for a moment, and then showed a happy expression.

"Agreed, of course I agreed! I chose to take my husband here to seek medical treatment, just because I believe in you and this hospital. Thank you for being so attentive to my husband's condition, thank you! ”

The woman bowed to Director Shang and Zhou Can and the others.

Especially when he looked at Zhou Can, his eyes were full of gratitude.

With her intelligence and rich social experience, it is not difficult to guess that Zhou Can's great contribution to her husband's etiological diagnosis can progress so quickly.

Because when she was leaving with her husband, Zhou Can specially asked her husband about scratching his head.

At that time, she was staring at her husband's right side of the head for a long time.

At this moment, one of the diagnostic bases proposed by Director Shang is because the patient is always scratching his head.

After the inspection application was opened, the woman paid directly on her mobile phone.

Zhou Can and others helped transfer the patient to the CT room.

The woman was waiting for the results outside, and Director Shang took Zhou Can and others into the CT room to watch the dynamic images of the patient's brain together.

The attending physician Huang Xinggui also had a strong learning attitude and rushed to watch it together.

This is a very rare accumulation of diagnostic experience.

At first, there was no abnormality in the brain images. The clock ticks by.

So many people follow the radiation and stir up the crowd, if they can't find out, I'm afraid it will make doctors in other departments laugh.

Outside the CT scan, the patient's wife waits anxiously.

She was praying for a miracle.

In the more than a year after her husband fell ill, more than 400 days and nights, she supported the family with her weak shoulders, and life was very difficult. She fantasizes about miracles happening all the time.

"It's moving, it's moving, look at this part, there's a thing moving!"

Luo Jingyi's eyes were very sharp, and she immediately noticed that the patient's brain moving image was abnormal.

The strip's head moved twice, then it was calm again.

"Good fellow, it's a parasite. It's just that this guy is too cunning. It takes a long time to move, and if you take a CT scan of your brain, it's still motant, and if you take a CT of your brain, it's really hard to spot it. This time, we can finally give a very good explanation to the family. I watched the woman in her thirties and take her husband around to seek medical treatment, and I really felt uncomfortable. ”

Director Shang said something heart-wrenching.

Don't say it's him, Zhou Can and Xie Lin and others, who feels better?

It's just that everyone's ability is limited, they are all mortals, and no matter how uncomfortable they are, they can only be stuffy in their hearts. No one can diagnose the cause of the patient, let alone cure the patient.

The thick door of the CT room was opened, and Zhou Can and others pushed the patients out of the CT room, with victorious smiles on their faces.

The cause of the patient was finally diagnosed.

This time there is salvation.

"Doctor, how's it going? Did you find out? ”

The woman was full of anticipation and stepped forward with a nervous face.

"Hard-working people, the sky does not pay. Congratulations, just by observing the moving images of the patient's brain, you can basically determine that there is a high probability that you are infected by parasites. But there is no way to diagnose it yet. He can be arranged for surgery to remove the abnormal organisms in the brain, and then do a biopsy to confirm what kind of bug it is. ”

Director Shang said to her.

Often, with Schizocephalus infections, it is difficult for drugs to kill them.

Surgery to remove the worms, followed by local injections to consolidate the effect and prevent recurrence, is a common treatment.

From here, it can also be seen that the old doctor's words are not leaky, and he has already found out what kind of parasite it is.

However, because he could not be diagnosed, Director Shang only said that it was possible to have a parasitic infection.

Don't say anything about what kind of bug it is.

There is no affirmative statement from beginning to end. At the same time, it can also take into account the emotions of the family members, so that they will not be disgusted by it.

It's a great thing to learn from newcomers.

"Great! I knew that a miracle would happen to Tuya, and it seemed that my sixth sense was very accurate. Professor Shang, can you arrange surgery for my husband now? ”

She wanted to be cured of her husband's illness right away.

"Hmm...... Not now. We are in the Department of Gastroenterology, and we are not able to do this operation, so we can only invite experts from outside the gods or general surgery to come for joint diagnosis and treatment. In addition, it is necessary to do anesthesia interviews, risk assessments, etc. before surgery. It's already very fast to be able to schedule the surgery tomorrow. ”

Director Shang patiently explained to her.

I can understand the urgency of the family.

It's just that the hospital has hospital regulations, and this kind of joint diagnosis and treatment involving multiple departments, Director Shang can only do his best to coordinate and request.

The masters of the Department of Divine Surgery are all very proud, but they are not so easy to coordinate.

(End of chapter)