"Lao Lin, just now we had a consultation, there are two very important illnesses that we haven't asked, do you know what they are?" asked Wu Mian.

"Uncle Junior, don't test me, I don't know. Lin Daoist said, "You just say I'll listen." ”

"Phlegm and stool. Wu Mian said.

“......”

"If I'm not mistaken, it's possible that the patient's stool is light green and has recently had occasional diarrhea. ”

"No kidding. Daoist Lin said with a smile, "Uncle Xiao, you are holding a snake gall and sticking it up, it sounds like a joke." ”

"Why do you think I'm sticking up?"

"The patient has been eating snake gall bladder for more than 3 months, and it has been digested completely. And the snake gallbladder is dark green, not necessarily the stool is also dark green. You belong to what you eat and what you make up, it's too direct. Daoist Lin smiled.

"Lao Lin, do you feel that no matter what you say today, you are like a cat with its tail stepped on. ”

Daoist Lin just wanted to refute, but he was stunned for a moment.

The thought went through his mind, and then he realized that if he usually said what Uncle Xiao said, he would not have put forward so many opinions.

But today is different, I always want to refute Uncle Xiao's words, intentionally or unintentionally. Strange, is it because of Wei Dabao?!

Laoyu Mountain is very close to Jianxie Hospital, and the speed of the car is very slow in the middle of the night, but it also drives into the hospital compound in half an hour.

Li Zhong stood at the entrance of the inpatient department in the middle of the night, waiting for the patient from Laoyu Mountain. He was not angry and showed great meekness.

"Teacher Wu, what kind of patient?" Li Zhong went up as soon as he could, opened the car door and asked.

"Patients with spontaneous pneumothorax who are suspected of being caused by lung parasites should first go for CT, then go to the ward to lie still for oxygen and have blood drawn for testing. Expenses...... Take my special fund for scientific research. Wu Mian said simply.

Li Zhong looked at Wu Mian in a daze, a little incomprehensible.

Pulmonary parasites are many parasites that circulate through the blood and spread to various parts of the body, often stay in the lungs, and cause lesions.

The main parasite species is pneumocysticercosis, which is generally found in ......

It has nothing to do with spontaneous pneumothorax.

But Li Zhong didn't say anything else, and the patient that Mr. Wu brought in in the middle of the night got out of the car and gave a diagnosis.

After coming to the Jianxie Hospital, Li Zhong, nicknamed Black Bear, had already seen the situation clearly, and there was only one department director in the entire Jianxie Hospital, Mr. Wu.

No matter what the department, it is Mr. Wu who has the final say. This is not an official document or a hard and fast rule, but the strength of Mr. Wu. Even the two deans are decorations, and they have to listen to Mr. Wu when they speak.

Li Zhong pushed the patient to do a lung CT first, and the film came out soon. The patient had bilateral spontaneous pneumothorax with 10% compression of left lung tissue and 20% compression of right lung tissue.

According to Wu Mian's doctor's instructions, Li Zhong took the patient to the ward and took a bed for the patient to lie flat and receive oxygen.

Wu Mian and Lin Daoshi sat in Li Zhong's office and did not follow suit.

Daoist Lin also heard what Wu Mian said to Li Zhong after getting out of the car, and he wanted to recall the relevant information about pulmonary parasitic disease, but his mind was blank.

This is an uncommon disease, even Li Zhong, who has been working in the chest department for decades, has never seen a few cases, let alone a second knife like Daoist Lin.

Wu Mian seemed to be thinking about something, and didn't say a word, and the air in the office was slightly depressed.

Quietly, an hour passed like water.

There was a knock on the door, and then Li Zhong pushed the door open and came in.

"Teacher Wu. ”

"Sit. Wu Mian smiled and searched, "How is the physical examination?"

"The patient has a few acne-like papules on the face and back; The breath sounds in both lungs were still stable, the tactile tremor on the left side was significantly weakened, the left side was hyperclear on percussion, the left breath sounds were significantly reduced, no dry and wet rales were heard, the heart rhythm was uniform, and no pathological murmur was heard in the valves. ”

"White blood cell 14. 9×10^9/L, neutrophils 0.55, eosinophils 0. 118, direct eosinophil count 1.7 ×10^9/L. ”

"Schistosoma antibodies haven't paid off yet, so wait. ”

"Hmm. Wu Mian looked at Li Zhong and asked, "Are there anything else?"

Li Zhong condensed his mind and knew that what Mr. Wu asked was simple, but he was actually examining himself.

"I think your diagnosis is correct. Li Zhong sat on the chair, like an iron tower, but he did not show a trace of oppression, but was very humble and meek.

"First, the patient has a history of eating raw snake gall bladder, and the symptoms occur after eating raw snake gall bladder. ”

"Second, the patient has intermittent sputum production, and the sputum is heavy in color, rust-colored sputum. The amount is not large, the patient's description is not clear, and I have asked the patient to leave sputum and prepare for the laboratory test. ”

"Thirdly, the patient has had abdominal pain and diarrhea recently, and loose stools during diarrhea are pale green in color. ”

Daoist Lin looked at Li Zhong in a daze, and the points he said were exactly what Uncle Xiao said in the car that he had not asked about the patient's symptoms.

Is it really spontaneous pneumothorax caused by snake gall bladder?!Lin Daoist didn't mention how awkward it was in his heart.

As soon as he thought of Wei Dabao's obscenity, the grievances in Daoist Lin's heart flourished.

"Director Li, I'm sorry for you next. Wu Mian said.

"Teacher Wu, you're polite. I'm going to observe the patient's condition first and wait for the results of the parasite test to come back. If the return is positive, give tinidazole, albendazole, mebendazole and other related treatments. You see...... Is there anything else to do?" asked Li Zhong.

"Can give a few days of prednisone. ”

"Good. Li Zhong put his hands on his lap and replied seriously.

"When will the parasite test pay off?" Wu Mian asked.

"6 hours. Li Zhong said.

Generally speaking, the return of parasite and other examinations in several hospitals of the Medical University is considered to be fast in 3 days, and the results of most hospitals that can do such examinations can be reported within a week.

But the Sword Association Hospital is different, Yishui's latest inspection machine is outrageously efficient.

"Then I'll wait with Lao Lin. Wu Mian said.

Li Zhong didn't understand why Mr. Wu had to pull the Lin Taoist of Lao Ou Mountain, etc., the patient's diagnosis was very clear, "spontaneous pneumothorax" is because the worm invades the small bronchial tube, causing the destruction of the bronchial wall, involving the visceral pleura, resulting in the appearance of pneumothorax.

Now only symptomatic treatment is sufficient, and after the parasite is resolved, the eroded bronchi will heal on its own without the need for surgical intervention.

In fact, it is very reluctant for this kind of patient to be admitted to thoracic surgery, but the department composition of Jianxie Hospital is not complete, and it cannot achieve the model of a large-scale tertiary hospital.

But Li Zhong doesn't care, treat it first, it's a pulmonary parasitic disease, it's not difficult.

The most difficult thing about this disease is to diagnose it, because it occurs rarely, so the misdiagnosis rate is high. If it is at the Medical University, Li Zhong believes that there is a half chance of misdiagnosis.