Liu's Pharmacist Hall

Chapter 20 Obstacle 4

4,

Liu Xiyan was not interested in watching the next thing, he wanted to sleep.The big brother of the nightclub can't escape this business anymore. As for whether his place is really haunted or fake, it doesn't matter. Liu Xiyan believes that Liu Xisheng is indeed cheating money most of the time.

Liu Xiyan, who went upstairs to catch up on sleep, encountered the tragedy of being woken up right after falling asleep. The caller was still his leader, Comrade Ye Wenxuan.

"Poop quickly, and fart quickly." The respect for the leader disappeared in the deep sleepiness.

"Speaking of business, did you see a doctor for Sister Ling's son yesterday?"

Liu Xiyan woke up: "What's wrong? Taking Tamiflu didn't work?"

"The fever reached 41 degrees today. I came to have a chest X-ray and it was pneumonia."

"I didn't hear anything abnormal in my lungs yesterday." Liu Xiyan was very puzzled.

"I heard a slightly lower breath sound today, and I didn't hear crackles. I don't know if it's interstitial pneumonia." Ye Wenxuan said, "I admitted him to the hospital."

"Thank you." Liu Xiyan said, "I'll go back and have a look."

"I think it's a bit strange. Could it be bird flu? The blood gas analysis just came out, and the blood oxygen dropped." Ye Wenxuan said, "The lymphocytes in the blood test are too low, and I don't feel very good. I asked him to continue taking Tamiflu and used For cephalosporin, three generations were used directly."

Yes, clinically, sometimes it is just a feeling, and I can’t tell what’s wrong, but I don’t feel very good. The guidelines don’t mention that the degree of lymphocyte decline is related to the disease, but the clinically seen influenza A, lymphoma The lower the cells, the more severe the disease is usually.As for bird flu, he has not received a single case so far.

"Boss," Liu Xiyan thought for a while, and said, "I also think it's a bit strange. How about you search everything you can quickly, and then open a quick search for the first two items before surgery."

"You mean?" Marven Ye snorted.

"Anyway, it can't be ruled out. I'm sorry to ask Ye Youshi. The lymphocytes are unusually low. Also, please help me prescribe a CMV antibody."

"How do you tell Sister Ling?" Ye Wenxuan was in trouble.

"What's so difficult about it, just don't talk about it. When the result comes out, if you have any questions, just ask yourself."

The two items before the operation of the emergency check are specially prepared by the obstetrics department for the imminent delivery or emergency surgery, including an urgent check of hepatitis B surface antigen and HIV antibody, and the results can be obtained within one hour.

When Liu Xiyan rushed back to the hospital, Ye Wenxuan had just put down the phone from the department. He said to Liu Xiyan, "You feel right. The Laboratory Department just called to report. Now draw blood and send it to disease control."

"Transfer?" There are designated hospitals in the city to accept this type of patients, and their hospitals do not have antiviral drugs.

"Say hello to me first, and let him decide for himself," Ye Wenxuan said.

Ye Wenxuan notified the Hospital Infection Office, and told the nurses on duty to be careful when operating and to keep quiet.A nurse who had just drawn blood from a patient turned pale, and she did not wear gloves when she operated.Liu Xiyan went to the patient's ward at the same time.

Hu Ling and the patient's wife are both in the ward.Liu Xiyan said to Hu Ling and the patient's wife, "Director Ye let you two go."

After dismissing the two family members, Liu Xiyan went straight to the patient and asked Zhang Fang: "Do you know what's wrong with you?"

Zhang Fang, who was inhaling oxygen, shook his head, weak and burnt.

Liu Xiyan said: "Our hospital can only do screening. The result may not be correct, but it may be the disease, and we have to send it to the CDC for further diagnosis."

"What disease?"

"HIV infection, it is estimated that the disease has already occurred, and it is complicated by lung infection."

When talking with patients, Liu Xiyan usually appears to have a low EQ and is unreasonable.He doesn't like to use such words as "You must be mentally prepared", "This disease is not terminally ill", "There is still hope for good treatment", it should be said that most doctors are afraid to say such words, and the current doctors only dare to state the facts. Liu Xiyan is no exception when putting the patient's emotions in the second place.Although this statement is sometimes difficult to accept, or lead to complaints by patients.

Zhang Fang showed an expression of disbelief.

Liu Xiyan has not dealt with many HIV-infected patients, and most patients even conceal their medical history from doctors, but the patients themselves can tell whether they know it from their expressions.Just like Liu Xiyan diagnosed an HIV-infected person four months ago, when he heard the report result, his expression was "as expected" instead of being shocked.

Zhang Fang really didn't know.

"Do you have someone suspicious? Someone who infected you?" Liu Xiyan thought for a while, and asked a little more tactfully.

Zhang Fang shook his head firmly: "No, I never go out to mess around, and I also trust my wife, she is a good woman."

The feeling of sadness was not the patient, but Liu Xiyan. He asked again: "Have you ever shaved your beard outside? Or shared a toothbrush with others? Think about it, a few years ago."

He thought about it carefully, then shook his head: "I pay attention to personal hygiene."

Liu Xiyan couldn't ask where the source of infection came from for a while, but Zhang Fang calmed down after the initial surprise, and he said, "Doctor Liu, can you check for my wife and daughter, I'm afraid they may be infected by me." ."

"If you plan to tell your family about this matter, you can say it yourself, but you have to tell me who you want to tell and who you want to keep secret, so that I can explain the condition. In addition, our hospital does not have antiviral drugs, so we have to go to the infectious disease hospital on a designated basis." Hospitalized. The condition cannot be delayed, you should discuss it with your family."

Zhang Fang nodded and said, "I'll tell my mother and wife."

Liu Xiyan waited outside the door, and did not go in until Hu Ling opened the door.Hu Ling seemed to be ten years older all of a sudden, but she and her daughter-in-law were very calm, and neither of them asked any more questions. Hu Ling just said to Liu Xiyan: "Transfer to another hospital." Then she paused and said: " Koyanagi, can you not include this suspected diagnosis in the discharge summary and diagnosis certificate?"

Liu Xiyan nodded: "We haven't diagnosed yet, so we can't write."

Hu Ling looked at Liu Xiyan with pleading eyes: "Please keep your department secret, don't tell it."

Liu Xiyan nodded cautiously: "We will definitely not say it, but several departments in the hospital have already known about it. The laboratory department notified us that we reported it to the Hospital Infection Office. This cannot be concealed."

Hu Ling expressed understanding.

Liu Xiyan and the ambulance took Zhang Fang to the infectious disease hospital, returned to the hospital, and got on the elevator.When the elevator reached the second floor, the obstetric hospital director also boarded the elevator. When he saw Liu Xiyan, he obviously hesitated to speak.Liu Xiyan asked him where he was going, and he said he was going to the internal medicine department for consultation.

We got off the elevator together, and the obstetrics hospital finally couldn't bear it anymore, and asked in a low voice: "Sister Ling's son is in your hospital?" Liu Xiyan was stunned, and replied vaguely: "Oh, yes."

"What disease?"

"Influenza causes pneumonia."

The obstetric hospital always smiled knowingly: "I just came from the laboratory, and I know everything." Liu Xiyan greeted all the eighteen generations of ancestors in the laboratory from the bottom of his heart, but did not answer.

"You said that a policeman's behavior is not decent, the current policeman!"

Liu Xiyan said: "Don't talk nonsense, the first one is not diagnosed, and the second transmission route is not clear." The head of the obstetrics hospital grinned: "Why are you so serious? We won't talk about it in front of Sister Ling. You say Sister Ling lives and eats with him, will she be infected? His wife and children don’t know if something is wrong.” Liu Xiyan didn’t bother to talk to him, and said, “Eighteen-bed consultation! You’ve been delaying for a few days, and I’ll report it if you don’t come again.” The quality control has been done." Liu Xiyan told Ye Wenxuan that the people in the laboratory department had spread the news for fear that the world would not be chaotic, and Ye Wenxuan called the laboratory department and scolded him, then put down the phone and sighed: "I don't think I can handle it anymore. Bingbing just came to cry, blamed us for not reminding her early in the morning, she did not wear gloves when drawing blood." "Is there a wound on your hand? Did you touch blood?"

"nothing."

"Then why cry!"

"You put it lightly, how can it be so easy to pass the psychological test?" Ye Wenxuan said, "Don't talk about her, I just gave him a physical examination, and just washed his hands two or three times unconsciously." Liu Xiyan had nothing to say explain.

"Not everyone has as big a heart as you do."