This Doctor is Great

Chapter 168: be surprised! A lot of parasites!

Administration Building, Personnel Section.

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Zhou Mo walked out of the Office of the Director of the Personnel Department with a look of excitement.

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Holding a labor contract for the position of "Propaganda Specialist".

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"The basic salary is 5,000, the bonus is about 4,000, and there are also festival fees and subsidies, which add up to more than 10,000..."

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"In addition to the new training reward system that started this month, there are more than 8,000 per month..."

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"In other words, the monthly salary is nearly 20,000!"

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"Huh... I finally have money!"

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Zhou Mo was excited!

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He has always been troubled by the lack of wages, and he even saves money on food and clothes.

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However, the subsidies for regulation training are very small.

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Unexpectedly, now the hospital actually gave him a trick and added a labor contract for the position of "Propaganda Specialist".

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No one can fault this labor contract, because Zhou Mo can now be said to be the traffic password of the Second Provincial People's Hospital.

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Soon, he told the good news to Director Niu.

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"Teacher, the hospital just gave me an employment contract..."

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Zhou Mo explained the matter again.

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Director Niu: "This is a good thing. You can improve your life in the future... But Douyin and Internet celebrities are just wrong ways. You are a doctor, and you should work hard in the field of doctors... You know?"

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Director Niu was afraid that Zhou Mo would be fascinated by this prosperous Internet celebrity status and go astray.

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Zhou Mo felt the deep concern of the teacher and was moved.

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"Teacher, don't worry, I know!"

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……

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Back in the department, Zhou Mo quietly put away the contract without telling anyone.

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Low-key.

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Not long after returning to the duty room, the nurse came over and shouted:

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"Dr. Zhou Mo... There is a patient, please pick it up, 79 beds."

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"OK."

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At present, there are 79 and 80 beds in Zhou Mo tube beds, of which 79 beds are vacant.

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Zhou Mo quickly got the new patient's diagnosis and treatment card number, and then retrieved her case.

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……

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Patient information:

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Wang Dan, female, 23 years old.

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I started to have abdominal pain and diarrhea 2 months ago. I have been diagnosed in three places, including clinics and community hospitals.

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Most doctors diagnose gastroenteritis.

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Then I took medicines, but the effect was not good. I still suffered from frequent abdominal pain and diarrhea.

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Wang Dan couldn't take it anymore, so he went to the Second Provincial Hospital and was admitted to the emergency room.

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first,

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Stroke it.

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Repeated abdominal pain, what should I consider?

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First of all, the patient is a girl, so Yuejing needs to be considered, but if the time is too long, Yuejing can be ruled out.

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There is another possibility: ectopic pregnancy.

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After the sperm and egg combine with the embryo implantation, the surrounding area will be stretched, and the pain sensor will be stimulated, and abdominal pain will begin.

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For this, a urine pregnancy test (urine test) is required to confirm that you are not pregnant.

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also,

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The more common form of appendicitis should also be considered.

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but,

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No matter what the diagnosis is, a routine blood test is the most common test.

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Routine blood, cheap, quick results, and many response values, is the most frequently prescribed test, no one.

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If the white blood cell count is high, bacterial infection should be considered, and if it is very high, blood diseases such as leukemia should be considered.

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If the hemoglobin is low, anemia should be considered.

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If the platelets are low, the most common cause is a blood disease or a serious infection.

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The patient Wang Dan had blood drawn immediately and had a blood routine done.

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result,

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Half an hour later, the blood routine results came out.

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A special performance that suddenly attracted the attention of emergency doctors!

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The proportion of eosinophils was significantly increased! !

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White blood cells are a collective term that includes neutrophils, eosinophils, basophils, lymphocytes, and monocytes.

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Among them, neutrophils are the most numerous, and eosinophils are relatively few, generally accounting for less than 10% of the total.

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And the blood routine results of patient Wang Dan,

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The proportion of eosinophils: as high as 48.2%!

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The emergency doctor's first reaction was: parasites!

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Zhou Mo's first reaction when he saw this blood routine: Parasites! !

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Eosinophils are very special cells: in addition to being related to immune responses and allergic reactions, they also have a peculiar function that can kill parasites!

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It can be "insecticide"! !

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Therefore, once there are parasites in the patient's body, the body's defense system will be turned on and a large number of eosinophils will be synthesized.

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and,

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The patient also has abdominal pain and diarrhea, which can correspond to parasites.

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Then,

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After the emergency doctor asked the patient Wang Dan, Wang Dan said that he likes to eat raw fish, so the probability of parasites is higher.

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The next step is to check, after all, the previous is just an inference. Everything is subject to inspection results.

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There are 3 ways to check for parasites:

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1: Immunological parasite antibodies (after being parasitized, the human body will produce antibodies)

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2: feces and vomit excrement, check the eggs

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3: Imaging department: colonoscopy (or simply b-ultrasound and CT in radiology department)

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Finally, the emergency doctor gave the patient an elisa test for "parasite antibodies"..."

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The spot ELISA test for parasitic infection has the advantages of high sensitivity, rapidity, simplicity and safety, and can be used for the diagnosis of protozoal and helminth infections.

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is a relatively reliable serological test for parasitic infection.

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Preferred to check this.

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At last,

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The inspection results come out,

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The emergency doctor was stunned.

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· Cysticercosis - positive!

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· Liver fluke - positive!

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· Hydatid - positive!

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·Sparganus - Positive!

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· Schistosoma japonicum - positive

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· Paragonimiasis - positive

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Good guy! !

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A string of positives! !

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"Hi..."

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In the duty room, Zhou Mo was shocked when he saw the results of the parasite examination.

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On a horse!

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This girl is too arrogant!

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So many parasite antibodies, none of them are negative.

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Are these all adult worms?

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……

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"Doctor Zhou, the patient is here..."

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"it is good."

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Zhou Mo walked out of the duty room and saw a couple standing at the nurse's station.

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Boyfriend babbled: "I said don't eat raw fish, look, how scary it is, there are so many parasites."

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Girlfriend: "But raw fish is delicious."

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Boyfriend: "Then are you afraid of parasites?"

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Girlfriend: "Then can you find a way for me to eat raw fish and prevent parasites?"

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Boyfriend is speechless: "What can I do? I'm not a doctor."

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Girlfriend: "Then have you checked Baidu and found a way?"

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Boyfriend: "Uh..."

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Girlfriend: "It seems that you don't love me anymore, you won't even check Baidu!"

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Boy friend:"?????"

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I want to refute, it seems that I am indeed wrong. But are you really wrong?

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"Humph!!"

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The girlfriend turned her head away angrily.

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It looks like I'm very angry.

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The boyfriend quickly coaxed: "Baby, I was wrong."

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The girlfriend started to cry: "woohoo, you just don't love me anymore. You don't even search for me on Baidu. You were not like this before..."

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Boyfriend felt that his whole body was cracked~www.readwn.com~ When Zhou Mo saw this, his scalp felt numb.

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"Hello……"

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Zhou Mo walked over.

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"You're Wang Dan, right? I'm your doctor in charge of the bed, just call me Doctor Zhou..."

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The patient Wang Dan's attention was immediately attracted.

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The boyfriend breathed a sigh of relief and looked at Zhou Mo gratefully.

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.

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