Chapter 357 Cats attract wealth, Lucky Cats
“No, you can tell by the accent, I am a tourist.” Luo Hao smiled, “But I know many experts in West China, you continue to talk, I Let’s take a look at the situation and I can contact an expert for you.”
The girl’s eyes lit up, but then dimmed.
Expert? Have you met too many experts?
“Well, the place where the pus was incised has been bad. Some time ago, I started to cough and develop pneumonia. I went to West China for hospitalization, and the pneumonia was cured. I also did a lot of tests, but still nothing. Know what the disease is.”
"Oh." Luo Hao nodded.
Chen Yong was already preparing to light a fire. He took out a big black pot from the warehouse, just like the one Feng Zixuan carried every day.
As for what Chen Yong wanted to do, Luo Hao didn't think about it and just watched quietly.
Chen Yong returned to his old place and was visibly happy. He smiled sincerely at those cats, more sincerely than he smiled at the girls, as if they were a group of Liu Yiyi.
"Ah! I remembered it!!" The girl suddenly exclaimed, "I just said why he looks so familiar!!"
"What do you remember? Titanic?" Luo Hao asked.
“It really looks like Little Plum when she was young.” The girl sighed, her eyes were shining, and then she clicked on her phone.
Mobile phone screen saver...
The girl's mobile phone screen saver is the scene of a bamboo holding a bamboo pole, leaning against the sky, and crucifying a bald eagle, which is the same as Shen Zizai's screen saver.
“Do you like this picture too?”
"Yes, less than half of the people around me use this picture as their screensaver." The girl said with a smile.
She turned on her phone and found the promotional photo taken by Chen Yong and Zhu Da together in the photo gallery.
After comparison, the girl was finally identified as Chen Yong.
"I'll just say, I'll just say..."
Luo Hao is not in a hurry. The patient has been sick for a long time, so there is no need to rush.
As for this patient, it can be used as a standard "sample" of difficult and complicated diseases for students to take a look at and gain clinical experience.
“You are from the Hadong Panda House!” The girl was a little excited, the blush on her face looming in the dark.
“We are doctors from the First Hospital of the Medical University, and the wild panda project is just a project that I have grown up with.” Luo Hao explained.
“Huh?”
“There is information on the Internet, you can check it out.” Luo Hao smiled.
"!!!"
The girl was silent for a long time, and saw Chen Yong skillfully starting to light a fire and boil water, break off the corn, wash it and throw it into the big pot.
A hundred or so cats sat obediently in the open space due south, waiting eagerly.
That scene was a bit weird. Luo Hao felt that if it were used in a horror movie, something terrible would happen in the next second.
But there is something different about it. The atmosphere is a bit warm, whether it is Chen Yong or those cats.
In the firelight, the kittens had smiles on their faces instead of fierce murderous looks. It turns out that was the case. Luo Hao also smiled, but he still didn’t know what Chen Yong was cooking corn for.
Do cats eat corn?
Luo Hao doesn’t know.
After a long time, the girl sighed, "Where were you talking about?"
"A lot of tests were done." Luo Hao reminded.
"Well, I did a lot of tests, including bone puncture, but in the end it still didn't work and the diagnosis was not confirmed." The girl was a little sad.
“What happened next?”
“When I was hospitalized, I met an old man from Qingcheng Mountain, and he was also hospitalized.”
“What?”
< br>"They are also sick and have to be hospitalized." The girl smiled and said, "He gave me a fortune and said that my disease can be cured."
Is it so magical?
Luo Hao heard the girl talk about the divination results with some excitement. After being discharged from the hospital, she visited Taoist temples in the famous Chuanshan Mountains in the province.
In the end, it didn't work out, so she came to a lower-level place like Zhao Gongzu Temple, which was relatively remote and not many people knew about it.
It actually fell on him. Luo Hao felt a little ridiculous in his heart, but the +5 blessing value on the system panel reminded him.
“I hope this time will have a good result.”
"Huaxi is doing very well. Have you sought a consultation? Have you seen the rheumatology and immunology department?"
"Rheumatism and immunity? I am not a rheumatologist. The doctor in the respiratory department recommended a bone puncture to see if it is normal. Blood disease. It turned out to be okay, alas."
A sigh, long and gentle in the dark, full of helplessness.
"It's okay. I'll show it to you when they finish their work." Luo Hao said with a smile.
“You?”
"Xiehe, Luo Hao, is very famous." Luo Hao said seriously.
It was the first time that a girl heard someone say that she was famous. The key point was that she had never heard of him. She just thought that he looked familiar and made the conversation cordial.
That’s it?
Although she felt a little slanderous in her heart, the girl was very polite and did not refute Luo Hao.
After a while, the cooked corn was fragrant, and some kittens had already bent down, ready to grab food.
"Wait a moment, don't worry." Chen Yong reassured.
“Did he raise cats in Zhao Gongzu Temple before?” The girl asked strangely, “Cats and pandas are the same kind of creatures? Pandas should be bears, right?”
“Bear It doesn’t matter if it’s a cat, or why it’s called a panda?” Luo Hao watched Chen Yong start to dry the cooked corn, and felt that this scene was indeed very warm.
After a while, Chen Yong found a branch.
The branches were coiled and coated with starch, and they were as bright as the top of Keli Erhei's head. Chen Yong didn't know how many times he had coiled them.
Chen Yong used a branch to pierce a few corns, "嘬嬬嬬~~~"
The sound of feeding the dog rang out.
The cats suddenly became excited. Cats of all sizes pounced on them and began to eat the corn.
"..."
Looking at the scene in front of him, Luo Hao fell silent. He didn't want to say a word, feeling so tired.
He has been guessing what adventure Chen Yong will have in Qingcheng Mountain.
I didn’t expect that this guy was not from Qingcheng Mountain, but a handyman who fed cats in the Zhaogong Ancestral Temple.
No wonder Chen Yong usually says that he is a casual cultivator and refuses to talk about the process of learning Taoism.
But strange as it is, the scene in front of me is very pyrotechnic, especially loving.
The corns were eaten by the cats. No cats fought over the food. All the cats were well-behaved and their only target was the corns.
Half an hour later, the cats in front of Chen Yong dispersed. This guy was holding a stick of corn and Liu Yiyi, eating them one bite at a time.
"Teach you something."
"Ah? You said."
"For diseases that you cannot understand, you must go to the rheumatology and immunology department." Luo Hao He said seriously, "For example, regarding your disease, the respiratory doctor was a little careless. If you had directly consulted the rheumatology and immunology department, he should have made a correct diagnosis."
"???" The girl didn't listen. Got it, a question mark on my forehead.
"Actually, if you don't leave the hospital and push the respiratory doctor into a panic, he will also consult with an expert in the rheumatology and immunology department for you."
"???"
The girl won't listen at all. I understand what Luo Hao is talking about.
"Zhuang Yan!" Luo Hao shouted.
The sound echoed and hummed in the mountains where the cats had dispersed.
"Brother, what's wrong?"
Luo Hao briefly talked about the patient's medical history, "Ask Chen Yong for a secluded room for a physical examination. I'll give you five minutes to see if you have confirmed the diagnosis."< br>
"Okay!" Zhuang Yan was very interested in her senior brother's test and took the patient to find Chen Yong with excitement.
"What are you doing?" Chen Yong came to Luo Hao while gnawing corn.
“You just feed the cats in Zhao Gongzu Temple? Don’t you learn Taoism?”
"What do you know? Cats attract wealth. If I don't feed the cat, why should I feed it? Those stupid monkeys in the back mountain."
"Lucky cat?"
"..." Chen Yong Silent, hesitating again and again, but nodded.
“Is this a variant of the homophonic meme?” Luo Hao asked.
"What I'm asking is, what did you do when you asked Zhuang Yan to examine that girl?"
"I saw a patient and gave her a diagnosis. It's still early and West China Rheumatology Immunization is not open yet. By the way, Zhuang Yan can gain experience." Luo Hao replied casually.
"You are too hasty."
"Then let me ask you, do you know what the patient's disease is?" Luo Hao asked.
“I don’t know.” Chen Yong told the truth, “It sounds like various side effects caused by oral ulcers, nothing else.”
“Oral ulcers are also diseases, especially those that have been absent all year round. The kind that heals must be taken seriously," Luo Hao said softly.
"Give me the answer directly."
"I think it's Behcet's disease."
Chen Yong didn't say anything, but sat next to Luo Hao with his corn in his mouth, took out his mobile phone and started Baidu Behcet's disease. sick.
Soon, Chen Yong frowned, "A rare disease like Behcet's disease does have symptoms of long-term oral ulcers and corneal problems, but isn't that a bit too arbitrary?"
"What are you two talking about?" Liu Yiyi came over with a few corns and handed one to Luo Hao.
Luo Hao took it and took a bite.
“Huh? It smells pretty good.”
“I just collected the northeastern corn that I mailed over some time ago. The cats here like to eat it, it’s so sweet.” Chen Yong explained.
"What are you two talking about?" Liu Yiyi did not let the topic change and asked the same question again.
"That girl has Behcet's disease. Luo Hao can tell at a glance. She must be powerful." Chen Yong said firmly.
"Huh? Is Professor Luo so good? I guess there is relevant information in the Xiehe Medical Records." Liu Yiyi gnawed on the corn and did not question Luo Hao's diagnosis.
“It’s almost the same. Behcet’s disease should be suspected if oral ulcers last for a long time and repeatedly. It’s just that not many people get sick from this disease, and most primary hospitals cannot give a correct diagnosis, so you have to come to our Xiehe home "
"You are from 912, don't always talk about my Xiehe," Chen Yong corrected.
As he spoke, he continued to check, and then suddenly realized, "No wonder you asked Zhuang Yan to have a physical examination to see if there are ulcers near the reproductive system?"
"Yes, but The clinical physical examination will basically not check this area. I guess Zhuang Yan will miss it. In addition, the patient has undergone bone puncture, and the location of the bone puncture should also have changed.”
"What changes?"
"It's the legendary acupuncture reaction. There is some redness and swelling around the pinhole, which looks like an acne. With these things, it can basically be judged to be Behcet's disease."< br>
Luo Hao said and looked at Meng Liangren.
Lao Meng kept gnawing the corn in his mouth, honestly and without any sense of existence.
"Lao Meng, you and Zhuang Yan talk more. Can you tell me how good Zhuang Yan's physical examination level is."
"The level is above average, but Behcet's disease is a rare disease, so I guess Xiaozhuang can't do it." Meng Liangren answered vaguely. A few minutes later, Zhuang Yan came out mysteriously.
She didn’t say anything to Luo Hao immediately, but asked Chen Yong to help her find something to wash her hands.
After washing for more than ten minutes, Luo Hao felt that Zhuang Yan had washed away all her own epidermis, and then came back.
Several people have entered Zhao Gongzu Temple and sat down in a wing room.
"Brother, is it AIDS? I feel like the patient has ulcers all over his body."
"Oh? Tell me."
"There are ulcers in the mouth, corners of the eyes, and vagina, and bone penetration The location is also red, why does it feel like the incision is not healing?" Zhuang Yan raised her hands, cautiously, three steps away from Luo Hao and others.
Seeing Zhuang Yan's careful look and her answers, Luo Hao smiled with satisfaction.
"Yes, Lao Meng's leadership is good, a bit like our Xiehe family." Luo Hao gave a positive evaluation.
But this comment made Zhuang Yan have mixed feelings.
“I saw the main points, but your final conclusion is wrong.”
“What should it be?”
“The physical examination is very detailed, how did you do it? "?" Luo Hao asked.
He did not answer Zhuang Yan's question, but asked.
Zhuang Yan replied directly without thinking, "I asked about the medical history again."
"!!!"
The smile on Luo Hao's face faded and became serious.
"Teacher Meng told me that the conclusions reached by male and female doctors when asking about medical history may be different."
Zhuang Yan's name for Meng Liangren also changed to Teacher Meng.
"Continue."
"When I asked, the patient said she had an ulcer on the outside of her vagina. It appeared recently. She also went to the gynecologist and dermatologist. She said it was fine and prescribed Fuyanjie. "
"No wonder." Luo Hao murmured.
"No wonder?" Chen Yong asked.
"She has a faint scent of mint. I was surprised. I thought about it for a long time." Luo Hao didn't hide his awkwardness and answered directly.
"That's Fu Yanjie..." Before Chen Yong could finish his sentence, Luo Hao's foot stepped on his, "I remember people in the group said that some men now also use Fu Yanjie."
< br>“Huh?”
Everyone was stunned.
"It's true, but the efficacy is unknown. Xiaozhuang, please continue, I'm just gossiping."
"I suspected that she was lying, so I didn't touch her much and did a simple physical examination. And I saw the bones The needle hole is red and swollen, which may be caused by low immunity.”
Zhuang Yan briefly described her physical examination process, and Luo Hao nodded frequently.
Lao Meng wants it, Xiaozhuang wants it.
This is not a graduate student who has just been in clinical practice for a few months. He is simply the kind of veteran attending physician who has experienced many battles.
It seems like they can do nothing, but they can avoid most of the clinical pitfalls.
Although Zhuang Yan did not arrive at a correct diagnosis, it was because she had little clinical experience, but she looked at everything she needed to see and missed nothing.
Even directors and experts from municipal-level tertiary hospitals may not be able to achieve what Zhuang Yan did.
"You have done a good job, and what Lao Meng taught you is good." Luo Hao affirmed again, and then changed the subject, "But the immunity is low. First, while protecting yourself, you must also consider some common diseases. , not AIDS."
"Brother!" Zhuang Yan retorted in a rare way, "300 men were randomly tested in Shancheng, and the AIDS rate was extremely high." (Note)
"???" Luo Hao was startled, and then said, "Triad of mouth, eyes, and reproductive system, what can you think of?"
"Behçet's disease!" Zhuang Yan replied instinctively .
After finishing speaking, she was stunned.
This is the difference between books and clinical practice.
You may have memorized many knowledge points when you were in school, but when it comes to complicated clinical situations, you rarely think of them.
After all, clinical practice focuses on common diseases, and rare diseases are rarely considered.
“It turns out to be Behcet’s disease!” Zhuang Yan jumped up suddenly.
"Well, you've basically come across the correct answer. Even if you don't get the correct answer, it doesn't matter. If you follow the procedure to write the medical record, an experienced doctor will be able to give a definite diagnosis after just one look at your medical record."
"This is indeed beyond the vast majority of doctors in clinical practice."
"Not bad."
Luo Hao did not hesitate to praise, making Zhuang Yan's little face turn red.
Meng Liangren lowered his head and gnawed corn, his expression unclear.
Chen Yong wanted to say something, but he stopped talking when he saw Liu Yiyi from the corner of his eye.
“Especially some details, such as the re-interview and extravaginal physical examination Xiaozhuang did, which is very good.”
“Similar details are actually very important. I I encountered a dangerous incident once. At that time, I accompanied my boss to the hospital next door for consultation. The patient was undergoing hyperbaric oxygen, and we waited for a while."
"I saw someone in the hyperbaric oxygen chamber. After sitting for 20 minutes, he couldn't stand it anymore and started to touch his pocket. I rushed in and pushed him to the ground. "Want to smoke? In the hyperbaric oxygen chamber?" Zhuang Yan was stunned.
Meng Liangren raised his head, with corn kernels in the corners of his mouth.
“Holy shit, didn’t that make the whole building bang?” Chen Yong was also surprised.
“Well, I searched the patient directly and found cigarettes and lighters. It is said that when entering the hyperbaric oxygen chamber, you should touch your pockets and take away the source of fire.
But that time it didn’t happen I know what happened, but I ignored this. Maybe the boss is going, and that hospital is more manpower-intensive to entertain the boss."
Luo Hao sighed as he spoke, "There are many more. All details need to be paid attention to, Xiaozhuang has made obvious progress, praise him.”
Zhuang Yan didn't understand Luo Hao's praise and was a little at a loss.
"Brother, you said that the aunt sweeping the floor at Xiehe can see a doctor. I really saw it."
Zhuang Yan wanted to be humble, but she didn't know where to start, so she could only Changing the topic, it was so jerky that it felt a little awkward.
"Well, it's normal." Luo Hao became interested, ignored Zhuang Yan's diverted topic, and asked, "Suppose you meet a patient and the patient's family who have extremely poor medical ethics. No examination is done, and he doesn’t listen to anything you say, what should I do?”
Luo Hao was talking to Zhuang Yan, but looking at Meng Liangren.
Meng Liangren just lowered his head to gnaw the corn without wiping the corn kernels hanging from the corners of his mouth.
“Immediately activate the doctor-patient plan, call two or three security guards and male doctors, and notify the police office to prepare for attendance.
Don’t leave the consulting room, and don’t say or do anything outside the consulting room. Because there are cameras in the clinic, you can record and record the patient.
Next, the patient will be pushed to the inpatient department. The inpatient department will push it to other hospitals. If the public hospital cannot accept it, you can go to a private hospital.
Medical records must be written and archived as soon as possible, and only a self-report of the condition should be written. It should be clearly stated that the patient and the patient's family firmly disagree with any examination and cannot make a diagnosis, and it is recommended to be transferred to the hospital.
At the same time, report to the department director, leading professor and medical office as soon as possible. ”
Zhuang Yan recited a long list of contents as if reciting.
Her eyes flickered a little, as if Zhuang Yan herself had a certain psychological burden.
So Is it good?
Zhuang Yan is not sure.
Chen Yong held the corn cob in his hand and looked at Meng Liangren blankly. Liu Yiyi also frowned slightly, thoughtfully.
Luo Hao breathed a sigh of relief, "Okay, if you can implement all this, you will be a mature doctor."
"Senior brother, is this really good? "Zhuang Yan asked if she didn't understand.
“There are several key points in clinical practice. The first is to be bold and careful, and to see the doctor accurately. The patient with Behçet’s disease just proved that you are basically qualified. The rest is hard-earned clinical experience.”
"Second, you must protect yourself. When you encounter unreasonable patients or patients' family members, just do what you said above and don't hesitate."
Luo Hao warned.
"Oh." Zhuang Yan responded vaguely.
"Old Meng, you're awesome!" Chen Yong approached Meng Liangren and patted him hard on the shoulder.
“It’s all small tricks, small tricks.”
Meng Liangren said vaguely.
"Xiaozhuang, I sent you the information about the rheumatism and immunology specialist in West China. You go and see the patient and tell her. Although this disease is incurable and there is no good treatment method yet, you can use glucocorticoids to shock , it’s good to suffer less.”
“Okay.”
“Go.”
Meng Liangren stood up and wiped his mouth. Let’s go and have a look.”
Luo Hao waved his hand.
"Luo Hao, Lao Meng can do it!" Chen Yong admired as he looked at Meng Liang and Zhuang Yan going out.
“How did you learn it?”
“My master taught me by words and deeds. We encountered a similar thing once. The patient’s family insisted that they had done a CT scan yesterday and would not do it again today. The doctor did it for commission."
"What happened next?"
"It was probably the same as what Lao Meng taught. By the way, you were the one who came to the medical office that time."
Luo Hao had forgotten whether this happened. Luo Hao never paid attention to such trivial matters and just followed the procedure step by step.
"Luo Hao, this is the legendary clinical experience, a secret recipe for scapegoating?"
"Hai, you can put it another way, it's called collective decision-making, which is a type of democratic centralism. Manifestation in the medical industry. "
"Exactly."
"By the way, Chen Yong, who did you learn Taoism from?" Luo Hao asked in a rare gossip.
Chen Yong hesitated for a moment, then smiled, "Master has already rested. He works at sunrise and rests at sunset. This is the habit of the elderly. I will take you to the back mountain and take a look from a distance. The rest will wait for tomorrow. ”
“! ”
Chen Yong actually has a teacher?
Luo Hao looked Chen Yong up and down and saw that he was very serious about what he said this time. It was probably not a joke.
“I thought you were just raising lucky cats in Zhao Gongzu Temple.”
"Damn, little brother of the Chen family, the provincial capital is so prestigious, it's no joke." Chen Yong curled his lips and teased the cat.
The cats here are all fat and lazy. After eating enough corn, they become even lazier and ignore Chen Yong's greetings.
Chen Yong seems to have long been accustomed to the rebelliousness of these cats. He just teased them without expecting any good feedback.
This is different from bamboo, which will lie in front of you with its belly exposed, or force its head into your hands.
……
...
Note: I don’t know if what was mentioned in the author group is true or not. I have no contact with the mountain city. If there is a mistake, apologize to Shancheng first, and be careful before you are too careful.
(End of this chapter)