Reborn Wife Strikes Back in the 80s

When he was diagnosed with pneumonia, he still refused to be hospitalized. He said he prescribed medicine to take home. The doctor refused, saying that he had to be hospitalized. Later, he was hospitalized. I asked him to take leave. What should I do when I go home? If something happens, I won't handle it, and I don't know what he's thinking.

The man's face was slightly red, but he didn't refute it, and his wife told him.

Later, he was hospitalized. He still had a fever, a cold, and a cough. He also said that he had no energy, and his hands and feet were sore. The doctor said that he still had pneumonia. It's burning... The man's wife pointed at the man.

Guo Xiang glanced at the man's face, and he took the thermometer on the table and shook it, Take another measurement.

The man sat down, put the thermometer under his arm, and took it out after a few minutes. It was 39 degrees, not too low.

Guo Xiang frowned and looked at the medical records. Antibiotics were used for pneumonia. Most pneumonias are caused by bacteria, mainly Streptococcus pneumoniae, Mycoplasma pneumoniae, Haemophilus influenzae, etc. Clinicians generally treat them with antibiotics.

It is true that the medical records have used related medicines, but how can it be ineffective?

If it is pneumonia, it will definitely be effective. A hospital can't even cure ordinary pneumonia. How is it possible?

After suffering so many crimes, the result is still not cured. What a broken hospital, it is not as good as a small clinic in our community. The man's wife complained.

Auntie, we don't know the reason just by looking at it like this. We may have to be hospitalized for a slow check, and we can't just take medicines, right? Guo Xiang said, In addition, we are not a public hospital, and seeing a doctor is more expensive. I don't want to lie. you……

The middle-aged man and his wife looked at each other, It's more expensive, as long as it can be cured, human life is more important than money. The man's wife said.

Guo Xiang nodded, but the woman could still handle it clearly.

Then hospitalize first. We may have to do a lot of tests to find out the cause. This disease may be a bit complicated. Guo Xiang said.

Okay, I'll go through the hospitalization procedures. The woman was decisive.

Xing Ming gave the patient an order, and then did some examinations first, and filming was indispensable. Although it was done in other hospitals, it was still necessary to confirm.

Then do a blood test and an electrocardiogram.

When the results came out, everyone looked at it together, and sure enough, there was still pneumonia, and the blood phase was high.

A high white blood cell count indicates inflammation.

From the electrocardiogram, there is no manifestation of arrhythmia, but the heart rate is a little faster.

However, the patient has a fever. Generally speaking, a fever increases the body temperature, and each degree of increase will increase the heart rate by about 15 times per minute, so the heart rate of the patient with a fever is too fast and normal.

However, transaminases, cardiac enzymes, and troponin are also a little higher. Will there be a problem with the heart? said Xing Ming, who is a cardiothoracic surgeon and has some experience in this area.

There may be myocarditis? There may also be inflammation in the liver. Xing Ming said.

Guo Xiang frowned, It stands to reason that the treatment of pneumonia in this way will definitely be effective. There are only two reasons for the ineffectiveness. First, the antibiotics he used were ineffective and did not cover the germs, so he might have to try another one. Second, maybe the patient There are other diseases that are not found, so the treatment is ineffective.

Xing Ming and Xu Wei both nodded. Although Xu Wei is an obstetrician, his medical principles are similar, so this time, although it is a man who sees a doctor, we will discuss it together.

Give him a different antibiotic first. Guo Xiang said, Xing Ming nodded and gave a doctor's order, because he was the first to receive a doctor, so the middle-aged man was his patient. to bill.

Give him a heart B-ultrasound to see if there is any problem with his heart function. Xing Ming said.

Guo Xiang nodded, now that the cause is unknown, it really can only be eliminated.

The patient said that he had chest tightness and shortness of breath, coupled with fever and pain in the limbs, it was like myocarditis. Xing Ming said, But myocarditis is usually caused by a virus...

Pneumonia is bacterial, myocarditis is viral, uh, a bit complicated.

Use antibiotics first, and then check the heart. Guo Xiang said, after all, it's just speculation now.

The man was hospitalized and changed to new antibiotics. During this period, he also had a heart B-ultrasound, and there seemed to be no problem. An electrocardiogram was done again, and there was no abnormality.

Everyone is a little worried, what is the reason?

Some people may say how could the doctor not know, don't they all have a fever?

However, there are hundreds of reasons for fever, and a book may not be able to record them all. It is impossible to test them one by one.

Although it is a private hospital, it can't be so pitiful, it will be scolded by others.

The tumor will also have a fever, but generally it will not burn so high, it is almost 40 degrees, so it can be ruled out.

Could it be an infectious disease? Xu Wei said, Could it be AIDS?

It's unlikely, there are still very few in China now, that person doesn't seem to have been abroad... Guo Xiang shook his head.

Think about the more common infectious diseases in future generations, dengue fever, scrub typhus, leptospirosis, etc.

Guo Xiang said his thoughts, Xing Ming shook his head, We are not in the south, it's not so hot...

It's hard to say. It's cooler in the morning and evening. It's still very hot during the day. It was very hot last month. He got the disease last month... Xu Wei said.

The south is usually humid and hot, and it is caused by many mosquitoes. Guo Xiang said, Ask him if he has been to the south last month.

I'll ask. Xing Ming said.

I asked about it, and I have been there. I went on a business trip last month.

Check the blood again. Guo Xiang said. She remembered that scrub typhus was very serious for a period of time in later generations, because it was only bitten by a small insect that did not attract people's attention, and it also caused death. It is possible for the patient to have traveled to the south.

Moreover, scrub typhus can also cause fever, chills, headache, and pneumonia and other symptoms, which is very likely.

Blood was drawn again, and the result was negative.

no? Guo Xiang frowned, how could it not be? Didn't find out or why?

Go and see if there is any eschar on him, Guo Xiang said.

One of the obvious features of scrub typhus is that after being bitten by a tsutsugamushi, the wound will fester, and then a black eschar will form, which is obvious but not painful or itchy, so some people may not pay attention at all.

Moreover, tsutsugamushi generally bite the tender skin and moist places, such as the perineum, groin, armpit and other places.

The two nodded. If there is eschar, it must be scrub typhus, and other tests are unnecessary.

The patient was called, and he took off his clothes and checked it carefully, making the patient a big red face, but he didn't see anything.

No? Guo Xiang frowned, Did you look carefully?

I saw it, I took it off, I saw it front and back, and the patient was lying on the bed and showing us... Xu Wei was a little embarrassed when he said it. It's the first time that a woman has watched a man so carefully. .

Guo Xiang chuckled, Doctor Xu would still be embarrassed?