788 black sesame paste
"Qingyao, Brother Chen has a good relationship with respiratory medicine." Zhou Congwen seemed to be asking, and also to state a fact.
"Yes." Yuan Qingyao said, "Teacher Chen has a gentle temper and has a good relationship with other doctors in the hospital. Unlike Director Zhang who likes to say something that is not."
"Director Zhang doesn't care about the consultation?"
"Teacher Chen and Director Zhang have fought with him, but Director Han is still more inclined to Teacher Chen. However, the outpatient clinic is not so lucky, so we can only go out on Friday." Yuan Qingyao said and sighed.
There is also a saying about the day you go out of the clinic. Generally speaking, the most patients are admitted on Monday. If there is no special situation, Monday is the "statutory" outpatient day for the director of the department.
Zhou Congwen also knew that Chen Houkun only went out of the clinic on Friday, but with the daily work of the academician's workstation, the leaders of the two medical teams had a good relationship. They had not merged on the surface, but in fact they had become one group.
While chatting, I came to the respiratory department.
Along the way, Yuan Qingyao asked Zhou Congwen about his purple urine several times, but Zhou Congwen did not answer at all before seeing the patient, and always distracted the topic and said some gossip.
Yuan Qingyao was also helpless about this. Zhou Congwen was cautious and serious enough to the core, just pretending to be a chat, and he refused to say it.
When I arrived at the respiratory department, Chen Houkun was looking at the medical record in the doctor's office.
"Brother Chen, I'm busy." Zhou Congwen asked with a smile.
"Xiao Zhou is here, look at this patient." Chen Houkun frowned, as if he had encountered a difficult problem.
"Professor Zhou, you are here." Director Tang of the Department of Respiratory Medicine stood up enthusiastically to welcome Zhou Congwen.
Zhou Congwen's status does not need to be increased. The academician workstation itself is a golden signboard. As long as the academician is concerned, no one will ignore it.
Mr. Huang only set up an academician workstation, which was blooming across the country with some academicians in later generations. Hundreds of workstations were established at once, and it was two concepts to do one or two surgeries, which were symbolically two.
"I'll look at the patient." Zhou Congwen said very directly.
"I've seen the patient, there's no problem." Chen Houkun and Director Tang said in unison.
"Haha." Zhou Congwen smiled, "Has the patient's bacteria culture been done?"
"I did it, and the time was almost up. I'll probably be able to go out soon, so I'll urge you." Director Tang said, "Professor Zhou, you are talking about urine bacteria cultivation."
"No, just blood culture or sputum culture. Please ask Director Tang if Klebsiella pneumoniae has been cultivated."
Zhou Congwen's words are extremely directed, which is different from when he spoke to Yuan Qingyao before, and he directly mentioned Klebsiella pneumoniae.
By the way, does Klebsiella pneumonia have to do with the purple urine? The doctors in the office stared at him in a daze when they heard Zhou Congwen say this.
"Director Tang urges me to see the patient."
"Xiao Zhou, I'll accompany you." Chen Houkun closed the medical record clip and stopped looking at various test forms.
I couldn't see anything after seeing it, and Zhou Congwen kept saying that he wanted to see the patient, as if he had missed something important.
Chen Houkun and Zhou Congwen are already very familiar with him and understand his way of doing things.
But I just don’t understand what important tests can be missed by a patient with pneumonia with purple urine.
Director Tang did not call the laboratory department, but sent the hospitalization officer to urge him directly.
She followed Zhou Congwen and wondered what she had missed.
When he arrived at the ward, Zhou Congwen began to ask about the medical history and check the physical examination. Everything was very dull, completely different from what he imagined.
Chen Houkun looked at Zhou Congwen's actions carefully. Without any special actions, his brows became tighter and tighter.
However, after the examination of the body, Zhou Congwen did not leave, but talked about family matters with the patient and the patient's family.
From daily life to what you are willing to eat, and when it comes to the cost of the hospital, Zhou Congwen was even more Shen Lang than Shen Lang at this time, and he was so gossipy.
After chatting for ten minutes, Zhou Congwen said gently, "It's okay for urine. Don't eat black sesame seeds from today. It's okay in about a week."
The patient and the patient's family were confused.
When they saw Zhou Congwen walking in, they were a little distracted, but Director Tang followed him like a little doctor, and always felt that there was something to say.
After waiting, I didn't expect to wait for this sentence.
Patients and the family members do not understand medical treatment, but they know that black sesame seeds are black. If the urine changes color, it will turn black. What does it have to do with purple urine?
Is the black sesame paste in this little doctor's consciousness purple?
What exactly is his mind filling up! Is there a pile of paste?
Not only the patients, but also the families, Director Tang and Chen Houkun, and Yuan Qingyao were also stunned when they heard Zhou Congwen's strange statement.
Shen Lang pulled Zhou Congwen's white clothes and clothes from behind, "Congwen..."
"If it's okay, I'll leave. Remember not to eat black sesame seeds." Zhou Congwen smiled faintly.
"Professor Zhou, do you have any reason?" Director Tang did not laugh at Zhou Congwen, but asked cautiously.
"Let's come together." Zhou Congwen glanced at Director Tang, hesitated for a moment, turned around to greet the patient's family, "I'll talk to you in the office."
“…”
Everyone looked at each other.
Purple urine, black sesame seeds... The melodious black sesame paste hawking sound from the advertisement came to Shen Lang's ears.
Does this thing have anything to do?
Although he was full of doubts, Shen Lang must be very confident in judging from the beginning when he heard about the expression and movements of purple urine in cardiothoracic surgery.
But Zhou Congwen's advice was so strange. If you don't do further examinations, take medicine, or get injections, you will quit black sesame paste and your urine will change color. This is like a joke.
Back at the doctor's office, Zhou Congwen asked, "Director Tang, ask about the results first."
Director Tang nodded, picked up his cell phone and called to inquire about the return of the hospitalization general examination.
Soon Director Tang said a few words and hung up the phone, "Professor Zhou, he did cultivate Klebsiella pneumoniae."
"Same as I guess." Zhou Congwen smiled and asked everyone to sit down. He said with a smile, "The patient's purple urine was initially determined to be caused by eating habits, which is the black sesame I just mentioned."
"Black sesame is rich in tryptophan, which will be decomposed into indodol sulfates in the liver and then excreted through the urine."
“…”
Everyone was filled with stars.
What exactly does Zhou Congwen want to say?
"Indodyl sulfate is decomposed by Klebsiella pneumoniae to form blue and red compounds, which become purple after being mixed."
"This rare condition, also known as purple urine bag syndrome, is a strange chemical result."
"Of course it's rare. Not all patients who eat foods rich in tryptophan and have pneumonia will have purple urine."
Chapter completed!