This Doctor is Great

Boyfriend: "Doctor Zhou, I cook all the meals. I know best. I love cleanliness. I usually pay attention to what I eat and drink. There should also be problems..."

Zhou Mo nodded: "Have you done blood sugar? It's the kind that **** your fingers."

Boyfriend: "I did, and my blood sugar is fine."

"What about arterial blood gas? Blood drawn from arteries."

"This one doesn't seem to exist."

Zhou Mo nodded and said to the patient Chen Ting: "I'll give you an arterial blood gas test later, and then give you a painkiller, and when you have feces, do a **** examination... Maybe feces can find out the cause. "

Chen Ting was so weak in pain: "Please hurry up, it hurts..."

Zhou Mo nodded.

Soon, the arterial blood gas analysis was done, and there was no big problem.

I also took a painkiller, which finally relieved the pain a little, and felt a lot more comfortable.

Next, wait for the feces.

...

afternoon,

Zhou Mo made another round of wards. The patient, Chen Ting, didn't mean to pull feces, and could only continue to wait.

The 79-bed ketoacidosis patient Li Bingmei has already recovered. Zhou Mo and Teacher Zhang Luojia discussed it and plan to discharge the patient Li Bingmei from the hospital tomorrow.

Just as Zhou Mo finished his last doctor's order and was about to leave work,

in the hallway,

Zhou Mo saw the boyfriend of the patient Chen Ting, who was carrying a simmering pot, and walked in from outside, apparently bringing meals from home.

Zhou Mo nodded, this Chen Ting's boyfriend is really nice. He didn't order takeout, but went home to cook and bring food to his girlfriend.

"Doctor Zhou, it's off work."

"right."

Say hello.

Zhou Mo was about to leave the gastroenterology department when suddenly Li Bingmei's mother, who was in bed at 80, stopped Zhou Mo.

"Doctor Zhou, can you come here?"

"What's wrong?"

Zhou Mo walked into the ward and came to the 80th bed.

Li Bingmei's mother: "Doctor Zhou, I think, can I be discharged tonight? It's very inconvenient to be in the hospital, and I want to go home."

Living in a ward is not a good experience. The bed is not soft, not big, and there is a patient next door (Chen Ting) who screams in pain from time to time, and her blood pressure is a little high.

Zhou Mo shook his head: "No, it's already off work now. The staff who handled the discharge have all gone off work, so there is no way to go through the formalities."

Li Bingmei's mother begged: "Then we can skip the formalities, then go home first, and come back tomorrow to go through the formalities?"

Zhou Mo categorically refused: "No, your daughter is still a patient in the hospital. If she is discharged from the hospital, if something happens, I'm afraid I won't be able to bear it. I may not even be able to do a doctor by then."

This is the rule.

Zhou Mo naturally had to abide by it.

Complying with the rules of the hospital, even if you are cast aside and harassed by the Internet, is better than not following the rules and then being disqualified from practicing as a doctor.

After Li Bingmei's mother heard this, she was embarrassed to embarrass Zhou Mo.

"I'm sorry, Doctor Zhou."

"fine."

Zhou Mo turned and left, just as he passed the 80th bed...

"Ok?!!!"

Zhou Mo's eyes suddenly stopped at the love dinner that patient Chen Ting's boyfriend prepared for her.

Love Dinner is exquisite.

Quite the kind of petty bourgeois dinner, broccoli, heart-shaped poached eggs, steak...

Zhou Mo's eyes fell on the 'heart-shaped egg' poached egg.

Soft-hearted poached eggs!

The so-called poached egg is the kind of poached egg that has been fried on the outside, but the yolk inside is still undercooked, in a liquid state.

Zhou Mo walked over with a serious face.

"Doctor Zhou!" The boyfriend quickly stood up.

"Doctor Zhou!" Patient Chen Ting greeted Zhou Mo weakly.

Zhou Mo nodded in greeting, then pointed to the poached egg and asked, "Have you eaten this, the day before yesterday, yesterday?"

Boyfriend: "Huh?"

Chen Ting: "I have it... I usually like to eat it, what's wrong?"

Zhou Mo: "Has your boyfriend eaten?"

Chen Ting: "He doesn't like to eat."

Boyfriend: "I don't like to eat."

Zhou Mo glanced at the patient's boyfriend: "Is this soft-hearted poached egg the same batch as the soft-hearted poached egg yesterday and the day before yesterday?"

At this time, the boyfriend also realized that there might be a problem with his poached egg, and his face became serious.

He thought about it carefully, and finally nodded: "Yes, the eggs were bought 3 days ago and haven't been used up yet, the same batch."

Zhou Mo sighed: "Don't eat this poached egg, send it for bacterial culture."

Zhou Mo has already thought of a possibility!

--salmonella!!

Salmonella is a common food-borne pathogen.

According to statistics, among the types of bacterial food poisoning in various countries in the world, food poisoning caused by Salmonella often ranks first. Salmonella is also the first place in my country's inland areas.

It is usually transmitted through feces.

After the hen lays the eggs, it sticks to the chicken manure, and then the Salmonella bacteria attach to it.

Then if the cleaning is not clean, when the eggs are beaten, Salmonella will enter the egg liquid.

In addition, Salmonella has another feature - it is very heat-resistant, even if it is heated to 70 ℃, it will take 5 minutes to destroy it.

The soft poached egg, which is undercooked, will naturally become a good hiding place for salmonella.

Therefore, it can be deduced that -

The patient Chen Ting ate a poached egg containing Salmonella, and Salmonella began to multiply in the intestines, causing gastroenteritis, causing fever and other symptoms...

At present, it is not serious, the real serious is intestinal perforation, which then spreads to the peritoneum, and finally leads to acute peritonitis...

Intestinal perforation, the best way is to do surgery, laparotomy, do perforation closure, or cut off a section of the intestine in severe cases.

It's serious to think about.

Zhou Mo told the couple about his guess.

"It turned out to be our poached egg?"

The couple were both surprised.

Zhou Mo: "Send it to the laboratory for training immediately, as soon as possible..."

However, there is a problem, the colony culture detection of Salmonella takes one to two days, which is relatively slow.

And it is very harmful, and it will be a lot of fun if you have an intestinal perforation.

Thinking of this, Zhou Mo returned to the duty room and empirically prescribed a drug against Salmonella.

Zhou Mo prescribed **** medicine and gave it to the patient Chen Ting.

flicker,

5 hours have passed.

At 22:00 in the evening,

Chen Ting's condition has improved significantly.

Fever, vomiting, and pain have all been greatly relieved, and the whole person seems to be relieved, and feels much, much more comfortable.

This reversal is much more effective than the previous use of antibiotics for acute gastroenteritis.

Obviously, Zhou Mo's guess was right!

--salmonella! !

——The poached egg with a soft heart, something went wrong! !

Now, the patient Chen Ting and her boyfriend are afraid, and it is estimated that they will never dare to eat poached eggs in the future. They must be fried before they dare to eat.

...

the next day,

Zhou Mo continued to work~www.readwn.com~ with soy milk, fried dough sticks, and bean paste in his hands.

As soon as I entered the duty room of the gastroenterology department, I heard a group of resident doctors and medical students discussing something enthusiastically, and they seemed to be quite angry.

"These six academies are awesome, you are too embarrassed to write this kind of article?"

"Tsk tsk, it's just the dog's leg of Toyo-sama!"

"Look at this sentence... The epidemic prevention and control requirements. The secretary, the president and the vice president of the ** attach great importance to this, and they visited the site to organize a multidisciplinary consultation of the whole hospital, and made full preoperative preparations and plans. …”

. . .