This Doctor is Great

Boyfriend: "Doctor Zhou, I cook all the meals. I know best. I like to be clean. I usually pay attention to eating and drinking. I don't eat indiscriminately. If there is a problem with the food, then I will There should also be problems..."

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

Boyfriend: "I've done it, there is no problem with blood sugar."

"What about arterial blood gas? The blood drawn from the arteries."

"It doesn't seem to be there."

Zhou Mo nodded, and said to the patient Chen Ting: "Later, I will give you an arterial blood gas, then give you a painkiller injection, and when you have stool, do a stool test... Maybe the stool can find out the cause. "

Chen Ting was so painful that she couldn't breathe: "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 injection, which finally relieved the pain a little and made me feel a lot better.

Next, is to wait for the feces.

...

afternoon,

Zhou Mo checked the ward again, and the patient Chen Ting didn't mean to poop, so she could only continue to wait.

And Li Bingmei, a patient with ketoacidosis in bed 79, has recovered. Zhou Mo and teacher Zhang Luojia discussed it and planned to discharge the patient Li Bingmei tomorrow.

Just as Zhou Mo finished his final 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 stewing pot, and walked in from the outside, obviously bringing food from home.

Zhou Mo nodded. This Chen Ting's boyfriend is really good. Instead of ordering takeaway, he went home to cook and bring food for his girlfriend.

"Doctor Zhou, I'm off work."

"right."

Say hello.

Zhou Mo was about to leave the Department of Gastroenterology when suddenly Li Bingmei's mother, who was in bed 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 in the hospital and I want to go home."

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

Zhou Mo shook his head: "No, it's off work now, and all the staff who handle the discharge are off work, so there's no way to go through the formalities."

Li Bingmei's mother begged: "Then we can go home without going through the formalities, and come back tomorrow to go through the formalities?"

Zhou Mo flatly refused: "No, your daughter is still a patient in the hospital. If something happens to her after she is discharged from the hospital, I'm afraid I won't be able to bear it. At that time, I may not even be able to be a doctor."

Here are the rules.

Zhou Mo naturally had to obey.

Complying with the rules of the hospital, even if you are cast aside and bullied by the Internet, is better than disobeying the rules and then being disqualified from being a doctor.

After hearing this, Li Bingmei's mother felt embarrassed to embarrass Zhou Mo.

"I'm sorry, Doctor Zhou."

"fine."

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

"Um?!!!"

Zhou Mo's eyes suddenly stopped when the patient Chen Ting's boyfriend prepared a loving dinner for her.

Love dinner is exquisite.

Quite a petty bourgeois dinner, broccoli, heart-shaped poached eggs, steak...

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

Soft-boiled poached eggs!

The so-called soft-boiled poached eggs are those poached eggs that have been fried on the outside, but the yolk inside is still undercooked and in a liquid state.

Zhou Mo walked over with a serious face.

"Doctor Zhou!" The boyfriend quickly stood up.

"Doctor Zhou!" The patient Chen Ting greeted Zhou Mo weakly.

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

Boyfriend: "Huh?"

Chen Ting: "Yes...I usually like to eat it, what's the matter?"

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-boiled poached egg the same batch as the one yesterday and the day before yesterday?"

At this time, the boyfriend also realized that there might be something wrong with his poached eggs, and his face became serious.

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

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

Zhou Mo has already thought of a possibility!

--salmonella!!

Salmonella is a common foodborne 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 in my country's inland areas.

It is usually transmitted through feces.

After the hen lays eggs, it will stick to the chicken manure, and then salmonella will adhere.

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

In addition, Salmonella has another characteristic - it is very heat-resistant, even if it is heated to 70°C, it takes 5 minutes to destroy it.

The soft-boiled poached eggs, which are not cooked inside, will naturally become a good hiding place for salmonella.

Therefore, it can be deduced that-

The patient Chen Ting ate soft-boiled poached eggs containing salmonella, and the salmonella began to multiply in the intestinal tract, causing gastroenteritis and fever...

But at present, it is not serious. What is really serious is intestinal perforation, which then spreads to the peritoneum, and finally leads to acute peritonitis...

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

It's serious just thinking about it.

Zhou Mo told the couple his guess.

"It turned out to be our soft-boiled poached egg?"

Both lovers were surprised.

Zhou Mo: "Immediately send it to the laboratory for cultivation, as soon as possible..."

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

And it is very harmful, in case of intestinal perforation, it will be a lot of fun.

With this in mind, Zhou Mo returned to the duty room and empirically prescribed drugs against Salmonella.

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

flash,

5 hours passed.

At around 22 o'clock in the evening,

Chen Ting's condition has shown a very obvious improvement.

Fever, vomiting, and pain were all greatly relieved, and the whole person seemed to be relieved, and felt 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! !

——Soaked poached eggs, something went wrong! !

Now, the patient Chen Ting and her boyfriend were afraid. They probably would never dare to eat soft-boiled poached eggs again.

...

the next day,

Zhou Mo continued to work.

Holding soy milk, fried dough sticks, and red bean paste buns in his hand.

As soon as I entered the duty room of the Department of Gastroenterology, I heard a group of residents and medical students discussing something enthusiastically, and they seemed very angry.

"The Sixth Academy is awesome. How dare you write this kind of article?"

"Tsk tsk, it's Master Dongyang's dog leg!"

"Look at this passage...requirements for epidemic prevention and control. Secretary **, President ** and Vice President ** attach great importance to this, and they went to the scene to organize multidisciplinary consultations for the whole hospital, and made sufficient preoperative preparations and plans ..."

. . .