Excellent hand and heart doctor

Chapter 19 SMS Diagnosis
Lin Jie didn't take Li Ting's anger to leave. When they were at the same table before, they often quarreled.

When I got home, it was almost 09:30 in the evening.

As soon as Lin Jie entered the house, he found Zhang Xiaoxiao in pink pajamas, hugging a pillow, lying on the sofa watching TV in the way Ge You lay down.

Zhang Xiaoxiao rolled his eyelids to look at Lin Jie, and said, "You came back just in time, I'm thirsty, pour me a glass of water!"

Lin Jie poured a glass of water for the big slob, then walked into the kitchen and started making Lin Miao supper. Usually, he cooked noodles, wontons, and dumplings.

Tonight, he saw that there was still rice left in the rice cooker, so he planned to make fried rice!
While he was busy, Zhang Xiaoxiao came over, leaned against the door frame, and said, "Hey, let me tell you something!"

"Today, I was dragged by a best friend to a plastic surgery hospital for consultation. She wanted to get rid of a birthmark on my face!"

She habitually touched the scar on her forehead again, and said softly: "My colleague pointed to my forehead and asked the doctor, after the birthmark is removed, can the scars left be as big as mine?"

"The doctor told her that it mainly depends on the degree of postoperative recovery!"

Zhang Xiaoxiao laughed out loud, "My colleague immediately dragged me out of the hospital, and said angrily that the effect of a plastic surgery hospital is not as good as that of an amateur, and this is a hospital that cheats money. "

"Hey, this also shows that your skills are really not bad!"

Zhang Xiaoxiao became excited and shouted: "You might as well open a personal plastic surgery clinic, it's very profitable now!"

Lin Jie said helplessly: "A doctor's license is required to open a clinic. If I treat your injuries, that is first aid in an emergency. If you open a clinic to treat others, it is illegal to practice medicine, and you will be jailed."

Zhang Xiaoxiao let out a sigh of relief, and said regretfully: "It would have been fine before, you can still be a barefoot doctor, quack doctor, and now everything has to be verified."

"Hey, how was your class reunion? Was it fun?"

"That's it, we had a meal together, and they have other activities, so I'll take my leave first and come back!" Lin Jie said perfunctorily.

Zhang Xiaoxiao, as a salesperson, is an essential skill to read words and demeanor.

Seeing that Lin Jie didn't want to say more, and didn't continue to ask, many classmates' reunions were bound to compare and show off, she didn't want to add to Lin Jie's unhappiness.

After Lin Jie finished making a hodgepodge of fried rice with ham, eggs and vegetables, as well as seaweed and egg drop soup, Lin Miao also came back from get off work.

Seeing how Lin Miao was eating, Lin Jie felt very accomplished.

Zhang Xiaoxiao ate supper with Lin Miao for some time before, and was horrified to find that the meat had grown several catties.

In order to maintain her figure and resist the temptation of the smell of food, after that, every time Lin Miao ate supper, she would hide in the bedroom, either playing with her mobile phone or playing with the computer.

"Brother, is the party fun?" Lin Miao asked vaguely.

"Okay!"

Lin Jie didn't tell her about meeting Han Wenbin, he just said that he met Li Ting, who was at the same table for three years in junior high school, and they had a happy chat.

Lin Miao chuckled and asked softly, "Brother, is she still that fat?"

"Well, it's still so fat that even a typhoon of category [-] can't blow it away!"

Lin Jie reached out and squeezed the rice sticking to Lin Miao's mouth, and said dotingly, "Eat more, some are too thin!"

Lin Miao wrinkled her cute little nose, and said dissatisfiedly, "Still thin? I've weighed several catties compared to a month ago! My strength is still great. Customers say that my hand strength is no better than others. The masseuse is small!"

Looking at the rosy glow on Lin Miao's face that had only appeared in the past few days, Lin Jie was deeply moved.

Putting it in someone else's house, at the age of 19, it is the age to go to college, to be well-loved, and to be carefree.

However, Lin Miao took on the responsibility of a small family early on. It is estimated that it was only half a month before she got used to the habit of not having to wake up in the middle of the night, and only after getting up and checking her room, could she fall asleep peacefully.

After the meal, as usual, Lin Miao happily described some interesting things at work to Lin Jie, as well as all kinds of customers.

After that, the two washed up separately, and then went back to the room to rest.

Lin Jie, who was about to lie down, found several missed text messages on his phone, all from Luo Shanshan.

"I took over a case the day before yesterday. I haven't found a specific cause of the disease until now. Lin Jie, please help!"

"Female, 39 years old, due to fever and general malaise, physical examination: T38.5°C, P120 beats/min, BP80/50mmHg, clear mind."

"She suffers from ischemia caused by vitamin B12 deficiency, and daily supplementation of B12 has no obvious effect. At the same time, according to his family, this person often falls for no reason."

"After examination, she has no lesions in her cerebellum, and there is no inflammation or tumor in her spine!"

"The doctor in charge threw this patient to me directly, and let me take full responsibility! I have done blood routine and various routine examinations, but I still have no clue! Please! Please!!"

At the end of the text message, there was a series of pleading emoticons.

After reading it, Lin Jie just smiled.

I don't know if it was intentional embarrassment or intentional exercise. After Qian Guanglin's operation, Luo Shanshan was sent to the outpatient and emergency department. Not to mention the busy work, she was often assigned to treat some difficult-to-diagnose patients.

Luo Shanshan is just an intern doctor, and it is difficult for the attending doctor to make a diagnosis, and she is even more helpless.

She also had a stubborn temper. While she was studying hard, she was not ashamed to ask, and Lin Jie became the object of her harassment from time to time.

Lin Jie also took this as an opportunity to test, familiarize himself with, and flexibly use the medical memories he had received. He always gave detailed answers to Luo Shanshan's inquiries.

Once they come and go, the two of them have more contact.

And Luo Shanshan admired Lin Jie even more, unknowingly, treated Lin Jie as the most respected teacher.

Lin Jie subconsciously shook his phone, thinking about the patient's symptoms!
On the surface, the most likely causes of this patient were cerebellar lesions and spinal lesions, but the examination ruled out these two items.

It would be great if he could personally examine this patient, Lin Jie thought with some extravagance.

Due to the complexity of individual differences, even the same disease can even manifest completely different symptoms. For example, one person may feel a fever while another may feel a chill.

Only by conducting a comprehensive examination on a patient and synthesizing various symptom manifestations can we trace the source and find the fundamental cause.

But now, Lin Jie can only rely on the information in the text message to make a judgment. The difficulty has increased, and it is not as simple as doubling and doubling.

Lin Jie read the short message description again, and said to himself: "The low fever is mainly caused by body inflammation or its own rejection. She suffers from ischemia caused by B12 deficiency, and the effect of supplementing B12 is not obvious... "

"Is it because the body does not absorb B12, or is something eating B12?
"Eating B12..."

Lin Jie suddenly remembered a disease, Taenia lataesis, a parasite that can grow up to ten meters in length.

There is a very small chance that a patient with Schizocephalon lattesum will be complicated by tapeworm anemia, which is due to the large amount of vitamin B12 related to hematopoietic function being absorbed by the tapeworm.

In addition to the performance of general anemia, patients may also experience neurological disorders such as paresthesia, movement disorders, and deep sensory loss.

Lin Jie checked again and found that this kind of tapeworm disease was very consistent with the symptoms of this patient.

In the past 20 years, with the improvement of living standards and medical and health conditions, this parasitic disease has almost disappeared in China. It is understandable that doctors did not think of it for a while.

Thinking of this, Lin Jie sent back a text message: "Do a fecal egg test!"

(End of this chapter)