Chapter 299: County-level hospitals are not necessarily weak because they have no more experts to recruit.

Author: Jiangbian Yuweng

Chapter 299: County-level hospitals are not necessarily weak because they have no more experts to recruit.

Eating raw meat, consuming hair and drinking blood, this is the way of life of primitive humans.

After millions of years of evolution, human beings have already adapted to eating cooked food and drinking boiled water. Don't look at foreigners eating steaks and barbecues, they often only eat medium rare, and even eat some fish raw. In fact, their food is similar to

Compared with wild animal meat, there are essential differences.

For example, the beef they eat undergoes a series of tests before being sold on the market.

It is necessary to ensure that multiple tests for hormones, bacteria, viruses, parasites, etc. meet the standards before it is allowed to be put on the market.

Just like mice used for medical experiments, they are expensive because the quality requirements in all aspects are very strict.

This eight-year-old boy was too naughty to eat a small fish alive.

"Kid, what kind of fish were you eating at that time?"

"It was a goldfish I bought from the market! I made a bet with my good friends at that time, and I lost. As a man, you must keep your word! So I ate a live little goldfish as promised."

The boy seemed weak when he spoke.

But it also amused Zhou Can and others.

It's amazing that such a young child knows how to keep one's word.

"Little man, where did you get that goldfish?"

Zhou Can asked, holding back a smile.

"We caught them with a fishing net when we were visiting the park! We caught six in total. I ate one, and my good friend and I took the rest home to raise. But they all died within two days."

The boy said that all the goldfish were dead and showed a very pity expression.

"Oh! When you eat goldfish, do you crush it and then swallow it, or do you swallow it alive?" Zhou Can continued to ask.

In fact, no matter which way, the goldfish will not survive.

The purpose of the inquiry is to further determine the problem of parasitic infection.

The oral environment and the gastric environment are completely different things.

The mouth is a breeding ground for bacteria, but the stomach is a crematorium for killing all kinds of bacteria. It is almost impossible for viruses and bacteria to escape the destruction of gastric juice. Most parasites cannot survive in the stomach.

There are exceptions, however.

Such as sparganas, tapeworms, roundworms, etc.

If he chews the goldfish first and then swallows it, the parasites may take the opportunity to hide in the gaps between the teeth, and then quietly invade the head along the nasal cavity, or invade the lungs along the bronchial tubes.

Parasites have extremely strong survivability and are very cunning. As long as there is a slight chance of survival, they can quickly seize it.

"I... was afraid that it would jump around in my stomach, so I bit it into pieces before closing my eyes and swallowing it. It felt fishy and bitter at the time." He recalled the scene of eating the fish and still felt uncomfortable.

Feel good.

The bitter taste he tasted was probably from the fish gall being bitten.

Bile is bitter.

Fish feces may also be bitter.

Zhou Can finished asking the questions and continued to look down at the information.

The patient reported that after eating the goldfish alive, he suffered from repeated nausea and vomiting, which often occurred within seven or eight hours after eating. Diarrhea also occurred at the same time. He had diarrhea four or five times a day.

The first hospital he visited was the local county maternal and child hospital.

The hospital tested the patient's vomitus and confirmed it was stomach contents. The diarrhea was yellow and watery stool.

The results of the first blood routine showed that WBC (white blood cells) was 2.2*10 to the 9th power/L, and EOS% (eosinophils) was 12.3%.

These two indicators of blood tests are important references for doctors.

If the white blood cells are abnormally elevated, it indicates an increased possibility of viral or bacterial infection. Eosinophils are an important indicator of parasitic infection.

The county maternal and child hospital performed a gastroscopy on the patient, which showed mild reflux esophagitis.

It seems that this county maternal and child hospital is not bad.

Hospitals that can perform gastroscopy and colonoscopy are all relatively capable.

At least for a county-level hospital, it's pretty good.

Doppler ultrasound of the abdomen revealed a small amount of fluid in the abdominal cavity.

Zhou Can looked at the B-ultrasound examination report and found that there was indeed a small amount of abdominal effusion.

It can also be seen that the patient's spleen is enlarged.

Generally, the spleen is enlarged, either due to enlargement or a tumor in the spleen.

However, if there is a tumor, it can be judged by low- and high-density images.

The density of most tumors is different from that of normal organs.

Continuing to look down, the urine routine results showed urine protein (+++).

This means that the patient's urine protein is strongly positive, that is, there is a large amount of protein in the urine, indicating severe damage to the patient's kidneys.

The county maternal and child hospital conducted only these examinations. The patient was given treatments such as protecting the gastric mucosa and antivomiting. The patient's condition improved and he was discharged.

However, less than a month later, the patient relapsed again, with vomiting, low-grade fever, and diarrhea.

The family may be worried about the limited medical skills of the County Maternity and Children's Hospital, and they dare not take their child to see a doctor. Instead, they decisively take their child to the Provincial Children's Hospital for treatment.

In fact, judging from the examination, treatment methods and other information of this county-level maternal and child hospital, its strength is not bad.

Many people think that county-level hospitals must be worse than provincial and municipal-level hospitals. This is actually a wrong perception.

Every hospital has its own characteristics.

If a county-level hospital has a doctor with good medical skills, and then leads a team to specialize in a certain medical field, the hospital may not be worse than the provincial hospital in this medical field.

The phenomenon of upside down is also common.

Zhou Can has seen a township-level orthopedic specialty hospital, which is better than provincial hospitals. Patients from all over the country go to seek treatment. Its treatment costs are low, and its treatment level in the field of orthopedics is very good.

Many bone injuries that cannot be treated in large hospitals, or that require conservative treatment, can be treated here.

Although there are not many township hospitals and county-level hospitals of this kind, there are still a few across the country. They have become famous due to their practical skills.

Zhou Can then looked at the examination report and treatment plan from the second hospital.

After receiving the diagnosis at the Provincial Children's Hospital, the patient's urine routine was first checked, which showed that the urine protein was still 3 plus.

Such severe proteinuria is usually caused by diseases such as lupus nephritis, glomerulonephritis, nephrotic syndrome, etc. This actually requires a high degree of vigilance. However, the doctor at the first maternal and child hospital did not know whether it was a misjudgment or what was going on, and he was not sure about the test results.

It doesn't seem to be taken very seriously.

The second provincial children's hospital has significantly more experience in diagnosis and treatment.

After discovering 3 plus levels of urinary protein, the patient was directly tested for ANA, and the result was negative.

ANA is antinuclear antibody, a collective name for a complex mixture of autoantibodies.

In medicine, it is mainly used to screen for rheumatic diseases.

Such as systemic lupus erythematosus, scleroderma, Sjogren's syndrome, and rheumatoid arthritis.

The test result is negative, which can basically rule out the possibility of wind-heat disease.

The experts at the Provincial Children's Hospital are quite capable. After ruling out this problem, they immediately checked the patient's kidney B-ultrasound again. It is estimated that he has begun to suspect that there is a disease in the kidney.

It's a pity that after the B-ultrasound, no obvious abnormalities were found in the kidneys.

Experts from the Provincial Children's Hospital checked one by one and gave the patient a gastroscopy.

I guess I somewhat look down on that county-level maternal and child hospital. I don’t trust the county-level hospital’s gastroscopy technology.

During this gastroscopy, a gastric mucosal biopsy was taken directly, and the result was mild gastritis with occasional eosinophil infiltration.

As expected of a provincial hospital, it also performs gastroscopy, and its examination direction is more in-depth and more targeted.

Zhou Can found it quite interesting to check the treatment process of patients in other hospitals, as well as the diagnostic ideas of experts from other hospitals. He could have an in-depth understanding of the diagnosis ideas of other experts and use their diagnostic experience to help Zhou Can improve his diagnostic skills.

The doctor at the Provincial Children's Hospital is definitely a very high-level expert.

You can see this by looking at his diagnostic thinking.

Each inspection has a strong purpose.

It’s not like you have to check all the inspections first and then talk about it. But every inspection has profound meaning.

Without a thorough understanding of pathology and rich diagnostic experience, it would never be possible to achieve this step.

Only when Zhou Can's diagnostic skills have improved, can he tell the level of other doctors through the examinations they do. In the past, whenever he saw other doctors repeatedly doing various examinations, he would first curse in his heart, this black doctor,

Making money here again.

It is clear that the patient has just had the examination a few days ago and it still has medical reference significance. Why does he have to do it again?
To be continued...