Back in 2002 as a doctor

Chapter 1377

Zhou Congwen was quite helpless, but he didn't reprimand Shen Lang.

"What's going on?" Zhou Congwen asked.

Shen Lang is definitely the best one to use at this time, he seems to focus all his talents on gossip, and his ability to inquire about news is quite strong, almost not inferior to Xiao Kai who has trainee doctors everywhere as his eyes and ears.

Zhou Congwen even suspected that 100 years earlier, Shen Lang would be able to catch up with the troubled times better than himself.

"The patient is in his 50s and has high blood pressure." Shen Lang began to "report", "It is said that he was hospitalized at Director Teng's, and after he was discharged from the hospital, blisters appeared inexplicably on his arms and hands. She thought it was caused by the medicine prescribed by Director Teng."

"and after?"

"I went to the medical office to complain, but the medical office refused to accept it, saying that it had nothing to do with the medicine, and I fainted when I got emotional." Shen Lang lowered his voice, looked around with "thug eyebrows and mouse eyes", "After I came, I found that the patient had hypoglycemia."

"Oh." Zhou Congwen nodded.

"I heard from a family member of another patient that he must have been possessed by an evil spirit." Shen Lang's expression became more mysterious, as if he was talking about some great secret, "Congwen, do you know that this kind of inexplicable blisters and fainting... "

"Don't talk nonsense." Zhou Congwen glared at Shen Lang, "Respect ghosts and gods and stay away, what are you talking about?"

"Ha, you actually believe it!" Shen Lang said happily, "I'll just say it! I drank Wangzai when I was on duty in the third hospital, and you gave me a hard time."

"I believe you are a big-headed ghost!" Zhou Congwen reprimanded, "The patient's condition is quite special, and I will go and see the blisters later."

"It appeared out of nowhere. The family member of the patient said that his little grandson did the same thing a few years ago. Later, he went to the side of the road and burned paper..."

"Shen Lang." Zhou Congwen said earnestly, "The energetics of the human body is an unknown science. Mr. Qian thought in the 80s that our country should climb this technological tree in the future."

Shen Lang was taken aback, he didn't expect Zhou Congwen to mention such a serious topic.

Mr. Qian, is that Qian Xuesen?

"The qigong craze in the 80s started because of Mr. Qian's suggestion. There were a lot of liars, so in the end it disappeared. I don't know if there are any scientists doing research, but let me tell you, it's not everyone or everything. It's all related to the unknown metaphysics of ghosts and gods."

"Uh... Congwen, don't take it seriously." Shen Lang said shyly, "I also know there is nothing wrong, isn't it talking about ghosts and gods, there is atmosphere."

Xiao Kai stood aside smiling and listening.

"Of course what Mr. Qian said makes sense. Don't think that the old man is an idiot. He is a strategic scientist. The country's strategic direction is planned by Mr. Qian." Zhou Congwen said, "It's a pity... let's not talk about this. You probably know what's going on, so let's take a look."

"You know?" Shen Lang was surprised.

"Here, I told you that gossip is not what you do." Zhou Congwen said contemptuously, "Just like a gossip woman in the countryside, every day, the father and the west have trouble with each other, ghosts and gods, so you can't lose face."

Shen Lang wasn't embarrassed at all, he looked at Zhou Congwen with flames burning in his eyes.

"Congwen, what's going on?"

"Go and take a look. As a doctor, I'm ashamed to ask what's going on without seeing the patient."

"I'm not ashamed." Shen Lang said directly, "Hurry up and go see it, and tell me what's going on."

Zhou Congwen smiled slightly, separated from the crowd and walked into the emergency room.

The patient has woken up, and she is angrily reprimanding Director Han.

Director Han was full of apologetic smiles, pretending to be a grandson, and said countless good things to calm down the patient's mood, and prevent the sudden hypertensive cerebral hemorrhage from causing the situation to become uncontrollable.

Seeing Zhou Congwen walk in, Director Han didn't respond at all.

This kind of thing in front of me is a coincidence, what can Zhou Congwen do.Director Han continued to comfort the patient, using the sequelae of hypertensive cerebral hemorrhage to keep the patient as quiet as possible.

Zhou Congwen took a deep breath, and his nostrils moved slightly.

Then he bent down and moved closer to the patient.

"What are you doing!" The patient glared at Zhou Congwen angrily.

But appearance is justice, Zhou Congwen is tall and handsome, and the attitude of the patient is obviously countless times better than Director Han.

"Auntie, don't be angry." Zhou Congwen's mouth was also sweet, opening his mouth was Auntie, "Speak slowly, what's going on."

"It's not your hospital!" The patient said angrily, "I just treated high blood pressure, and ended up with all kinds of problems."

As she said that, she stretched out her arm, and there were blisters on the socket of her elbow and the back of her hand.

"Look, I don't know what medicine I ordered. It's not good all the time, and I have blisters."

Immediately, Shen Lang was astonished to see Zhou Congwen put his nose close to the patient's arm and sniffed it a few times, like a pervert...

Does he still have this hobby?Shen Lang looked at Zhou Congwen in astonishment.

"what are you doing?"

The patient was also taken aback and withdrew his arm abruptly.But she didn't reprimand Zhou Congwen, but Xia Fei's cheeks.

"Auntie, did you apply garlic externally?" Zhou Congwen said.

"That's right, the needle hole started to swell after the IV drip, and then there were blisters." The patient kept emphasizing the blisters.

Zhou Congwen nodded, but didn't say much. After hearing a few words of comfort, he winked at Director Han, turned around and left the door.

Director Han understood. Although he didn't know what Zhou Congwen had discovered, he still found a reason to leave.

"Professor Zhou, what's going on?" Director Han asked anxiously after he left the house.

"Ask Director Teng to come with us for a meeting," Zhou Congwen said.

"..." Director Han and Xiao Kai were both stunned.

And the flames in Shen Lang's eyes were already crackling and burning, and the fire of gossip was about to ignite him.

Zhou Congwen's perverted behavior just now completely attracted Shen Lang.

He knew very well that Zhou Congwen didn't have such a habit. When he was in the Third Hospital, those little girls and pink pennants, Zhou Congwen seemed to have no desires, let alone an aunt in her 50s.

But what is going on?Shen Lang's mind began to run rapidly.

But in the end, Shen Lang still couldn't figure it out.

Director Han didn't ask much, and called Teng Fei directly to organize a meeting of the Department of Circulatory Medicine.

Several people came all the way to the small demonstration classroom of the Circulatory Internal Medicine Department, and there were already more than a dozen doctors sitting in it.

Teng Fei complained to Director Han a little unhappy, but was interrupted by Zhou Congwen.

After closing the door, Zhou Congwen stood in front of the blackboard in Xiaoshi's classroom, cleared his throat and said, "Mr. Teng and everyone here should know about the patient's condition."

"Psychopathy looking for trouble." Teng Fei also had a bad temper, wondering if it was a matter of menopause, so she directly cursed in a low voice.

"Director Teng, you can't say that, let me explain." Zhou Congwen said with a smile, "The blisters on the patient's body surface are burns."

Chapter 1378 Side effects not in the instructions

"I know." Teng Fei said angrily, "If we talk about the doctor-patient relationship, it is the relationship between a farmer and a snake. We treat diseases with good intentions, but the patients bite back."

"Director Teng, listen to me." Zhou Congwen's expression became serious, which startled Teng Fei.

She quickly began to recall whether there was any omission in the process of her diagnosis and treatment, and why Zhou Congwen's expression was so serious.

Zhou Congwen's expression told Teng Fei that she was also responsible for this matter.After being in contact with Zhou Congwen for a long time, Teng Fei became more and more convinced of Zhou Congwen's diagnosis level.

But no matter how I thought about it, there was no result.

After Teng Fei calmed down, Zhou Congwen said, "The matter is actually relatively simple. These are two things, and I will talk about them separately."

"First."

Zhou Congwen wrote "one" on the blackboard with a black pen.

"The patient's burn was caused by the seepage of medicine."

"!!!"

"!!!"

The doctors in the Department of Circulatory Medicine were all at a loss. If it hadn't been for Zhou Congwen who was speaking on top, they might have started to run away at this moment.

"Although the patient is young, her blood vessel condition is not good. How to solve it after infiltration of medicine?" Zhou Congwen asked.

"Apply medicine."

The effect of conventional wet compresses in the hospital is actually mediocre, and Zhou Congwen didn't say much.

"Patients often use raw potato chips or cactus slices for external application, and egg whites are more effective. I haven't studied the details, but it is said that egg whites have the effect of detoxification."

"Really?" Shen Lang pricked up his ears, stared at Zhou Cong and asked.

"Really." Zhou Congwen said seriously, "A brother of mine encountered a similar situation. The patient received chemotherapy drugs intravenously, and the carboplatin leaked out, and his hands were swollen like steamed buns."

The room was quiet, and what Zhou Congwen said was extremely bad.

Carboplatin is very toxic, and it seeps out to the back of the hand, which is very likely to cause the back of the hand to rot, and it has not been good.This matter can be big or small, mainly depends on the patient's secondary injury.

"At that time, he made a lot of phone calls and asked other students for help to see if there was any way." Zhou Congwen smiled. "In the end, he applied egg whites for three days, and he recovered."

This is just a small clinical experience, Zhou Congwen said it casually.

"The patient's situation is similar, except that she uses garlic juice for external application."

"Purple garlic is mashed into a paste and applied on the affected area at night before going to bed. I have heard of similar usage, but I have never dared to use it." Zhou Congwen said, "Because garlic contains allicin, the concentration is too high. Sometimes it causes burns, so I never use it."

"..."

Garlic, burns, everyone in Xiaoshi's classroom was inexplicably surprised.

This is the first time I've heard of it.

Especially the flames in Shen Lang's eyes.

"This explains the source of the blisters at the needle holes on the patient's arm and back of the hand." Zhou Congwen said, "But what I want to talk about is not this, but the patient's fainting."

"Congwen, garlic burn...is it true or not?" Shen Lang asked subconsciously.

"Really." Zhou Congwen was not at all surprised that Shen Lang raised such a question, he said lightly, "I'll tell you something else."

"what?"

"Potatoes have a very specific water content and chemical composition, so they can absorb and reflect wireless signals."

"..."

"Hahaha." A doctor in the circulatory department couldn't help laughing out loud.

"It's true, Boeing researchers say that potatoes interact with electrical signals in a similar way to how humans interact with electrical signals.

So they once filled 9000 kilograms of potatoes with sacks and placed them on the seats of the plane, and used potatoes to simulate humans to test the signal strength on the plane. "

Everyone looked at Zhou Congwen's serious "nonsense" face and fell silent.

"Let's talk about the second thing." Zhou Congwen's expression was serious, "The patient was emotionally agitated in the medical office and fainted due to hypoglycemia. What does Director Teng think of this matter?"

Teng Fei was stunned, she looked at Zhou Congwen suspiciously.

How can you see this kind of thing?Why ask your own opinion?

The patient's hypoglycemia syncope must be due to a bad meal recently, or some other reason, I don't know.

"Let's just say it." Zhou Congwen said, "The patient's hypoglycemic syncope was caused by the captopril that he was discharged from the hospital. That is to say, although the blisters that the patient complained about had nothing to do with the medicine, the syncope did."

Captopril is an angiotensin-converting enzyme inhibitor used to treat high blood pressure and certain types of congestive heart failure.

It is a commonly used clinical drug, and circulatory physicians often prescribe it to patients.

How is it related to hypoglycemia?

"The patient fainted repeatedly. Yesterday... I heard from Chu Han that he had a temporary loss of consciousness at that time, but he recovered quickly after a short rest. Today is more serious, so he was sent to the emergency department."

"Yes." Director Han nodded.

"The patient's main complaint is recurrent hypoglycemia. Therefore, during the consultation, you should ask clearly about the condition of the first hypoglycemia attack, the time of the attack, what state the patient was in at that time, whether to see a doctor, how the symptoms were relieved, and whether the hypoglycemia occurred repeatedly. "

"If the patient's insulin level can be measured, especially the insulin secretion during hypoglycemia, whether it is insulin-dependent or non-insulin-dependent, it will be very helpful to find the cause."

As he spoke, Zhou Congwen tapped on the blackboard.

"Now let's get to the point."

"Hypoglycemia with elevated insulin levels is common in diabetic patients using insulin and insulin secretagogues, autoimmune hypoglycemia, and pancreatic beta-cell tumors."

"Hypoglycemia without elevated insulin levels is common in severe liver disease, chronic renal insufficiency, adrenal insufficiency, alcohol consumption, genetic abnormalities of glucose metabolism such as glycogen accumulation disease, gluconeogenesis enzyme deficiency, etc."

"The patient has repeatedly experienced similar symptoms recently, and I guess it should be organic hypoglycemia."