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901 The most stupid way (seeking month 2)

"Allergen?" Zhou Congwen Zhan smiled, "I guess he should be wearing a down jacket. The duck feathers and goose feathers inside are allergic to it."

"Yes." Huang Lao said, "Have you encountered it too?"

"I have seen in the literature that a Canadian patient fell ill and doctors checked it for a long time but were not diagnosed. The disease was later called 'Down Duvet Lung Disease', so I remember."

"The patient's blood contains a lot of antibodies to bird allergens, a severe lung inflammation caused by the immune system's response to feathers."

"Zhou Congwen, how to treat this disease?" Huang Lao took the exam casually.

As soon as he asked questions and answers, both Huang Lao and Zhou Congwen were familiar with each other, without any awkwardness, and no one felt abnormal.

It seems that this is what the two of them have done for countless years.

"Take steroids and have to change bedding and clothing into hypoallergenic synthetic materials.

However, the good is slower, and the symptoms can only improve within one month, and basically recover after six months, and it will take about a year to fully recover."

"The disease comes like a mountain of falls, and the disease goes like a thread." Huang Lao said, "Especially for this disease involving allergens, it is difficult to completely cure it."

"Boss, I feel that the patient should be very similar to down quilt lung disease." Zhou Congwen said, "It should also be caused by allergens, otherwise there would be no explanation."

"Patients should have difficulty getting in contact with allergens." Huang Lao said, "These rich people think more about their lives than anything else. Recently, there are always sandstorms in the autumn and winter of the imperial capital, especially last autumn, when the yellow sand was everywhere, there were many lung diseases at that time."

Speaking of this, Zhou Congwen thought of some things that will happen in the future.

When he arrived in 912, Zhou Congwen looked at the familiar building and felt a sense of joy.

There is another year when I can come to 912 by myself, and Zhou Congwen is looking forward to this.

However, this matter will only be done when you take Zhang You to participate in a World Championship next year. Zhou Congwen knows that he can't be in a hurry.

The Second Hospital of Medical University is a country that has been built by itself, so you cannot just leave if you think it’s okay.

At least the chest pain center must be built, and Zhang You will be taken to perform hybrid surgery, and they will be helped on the horse and sent them to another trip.

Director Lu, who was much younger than Zhou Congwen's memory, had been waiting at the entrance of the hospital department early in the morning. When Mr. Huang got out of the car, Director Lu ran up in a row.

"Old Huang, I'm really sorry, you didn't even have the time difference reversed, so I'll ask you for consultation."

"Haha, just call me next time, don't ask the patient's family to come to me." Mr. Huang knew what was happening behind the scenes and Director Lu's little thoughts, and said with a smile, "I'll take a look, what disease makes you embarrassed by Xiaolu."

"There is really no good idea this time. Mr. Huang, please help me with your palm." Director Lu said with a embarrassed look, "I have done all the tests I should do, and all the diseases I suspect are negative."

"Oh? Take a look at the test first."

Listening to the patient's family narrative and listening to the director Lu's narrative are completely different concepts for Mr. Huang.

Director Lu looked embarrassed. It was obvious that the patient's condition was very harsh, which made Mr. Huang's waist slightly straight.

Zhou Congwen was with his boss and was very happy to watch.

He knew very well that the boss was not trying to perform better than Director Lu, and this had no meaning to the boss.

Pulling the board means seeing a powerful opponent, and the desire to fight is ignited.

Zhou Congwen is very convinced that he is so old and has such a strong desire to win or lose.

When he arrived at the respiratory department, Mr. Huang did not go to the director's office, but went straight to the doctor's office, greeted the young doctors in a familiar way, and found a chair to sit down.

Director Lu began to report his medical history.

The patient's family's narration is quite reliable, and it is basically the course of the disease.

Previously, the patient had no signs of chronic respiratory disease, and had not traveled or contacted suspicious patients recently.

Laboratory examinations showed that there were mild neutrophilia and eosinophilia, and the C-reactive protein did not increase significantly.

There were no abnormalities in the blood culture.

Director Lu had a complete inspection and even did some rare inspections.

Respiratory virus polymerase chain reaction, Legionella urinary and Streptococcus pneumonia antigens, Mycoplasma IgM, Chlamydia psittisca and Chlamydia pneumonia IgG are all negative.

Autoimmune antibody screening is also negative.

Examinations like parotitis, let alone the Third Hospital of Jianghai City, cannot even do it in the provincial capital, but in 912 it is a routine examination.

Zhou Congwen climbed up from a local small hospital again, and his feelings were particularly obvious.

It’s better to have 912. If you meet this patient in Jianghai City, you may have no choice but to let the patient go to the superior hospital. After all, many examinations cannot be seen with your eyes and require laboratory machines.

Director Lu's examination ruled out a series of rare diseases such as "down duvet lung disease". After reading all the reports, both Huang Lao and Zhou Congwen were cautious and solemn.

Mr. Huang pondered for a long time and said lightly, "I'll go and take a look at the patient."

"Old Huang, this side." Director Lu bowed and led Mr Huang to the ward.

The respiratory department has 4 single rooms, and the patient lives in the innermost room.

When I entered the door, I heard a cough and asthma sound.

"Xiaolin, I'm back." Mr. Huang seemed to have not heard it, and walked into the ward with a smile to say hello to the patient.

"Brother Huang, you are back." The patient held back his cough and said.

"Let's see what's going on with you." Mr. Huang auscultated with a stethoscope.

Zhou Congwen also walked a stethoscope from the hands of the young doctor of the respiratory department and stood opposite the boss and listened together.

The patient has extensive damp rales in both lungs, but there are no other signs of heart failure.

After continuing to have physical examination, Zhou Congwen neither saw symptoms of viral infection in the patient nor had any rashes, erythema, joint pain or hematuria caused by other systemic diseases.

Weird, all previous speculations were overturned, Zhou Congwen frowned and looked at the patient, eliminating possible speculations one by one.

Although he had two lifetimes of clinical experience and was extremely rich, Zhou Congwen still did not think about what disease the patient was.

"You guys go and do it first. I'll chat with Xiaolin for a while." Mr. Huang, like Zhou Congwen, did not diagnose it, but he waved his hand in a hurry and drove away Director Lu and the doctors in the respiratory department who accompanied him in for examination.

Zhou Congwen brought a chair behind the boss, sat down for the boss, stood up straight and listened to the boss chatting with the patient.

The devil is in the details. Zhou Congwen knows that the boss wants to ask about the patient's diet and daily life and find clues from it.
Chapter completed!
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