Chapter 361 Lesson!(1/6)
Chen Nan's words made everyone around look at the woman with curiosity.
Everyone is also curious, why did Director Chen ask this question?
Selling blood?
Is there any impact?
The woman became a little embarrassed at this time: "I...I...I didn't understand at that time..."
"I didn't mean it either."
"At that time, there were a lot of people visiting the village, and I also went there for a while."
You must know that in our country, the buying and selling of blood is absolutely prohibited. Selling blood and receiving blood for sale are both illegal.
Because selling blood is definitely not as simple as imagined!
This blood must enter the blood bank.
Blood selling not only poses a threat to the health of blood sellers and blood recipients, but also affects social blood supply and supervision mechanisms, causing the uncontrolled spread of certain diseases.
The hygienic conditions of most black dens for buying and selling blood are not up to standard, and disposable blood collection tools are not used, which has greatly increased the infection rate of HIV, hepatitis B and other viruses.
After hearing the woman's words, everyone around them couldn't help but become nervous.
You know, there are many infectious diseases caused by selling blood.
The medical staff in the department are very wary of these patients or their families.
During medical treatment, there is inherent risk of exposure.
This kind of danger exists especially when nurses are performing intubation, catheterization, infusion, injection, etc.
Therefore, many infectious disease departments must conduct a systematic infectious disease examination for patients when they are hospitalized.
The purpose is to prevent this from happening.
This is not only to protect medical staff, but also to protect the majority of patients who come to the hospital.
After all... once hospital infection occurs, it is difficult to completely control the number of infected people and the infection situation.
The woman seemed to feel the instant change in the atmosphere around her. She looked a little embarrassed, even became nervous, and began to feel uneasy.
"This... this... it's been three or four years... this... shouldn't have any impact, right?"
"No way?"
At this time, Shi Ke looked at the woman and said seriously:
"In our country, selling blood is illegal, whether you are selling blood or receiving blood!"
"Why……"
"You are too..."
As Shi Ke talked, he shook his head helplessly when he saw the woman looking like this.
In fact, this kind of blood selling situation still exists in some backward villages even today.
Those criminals take advantage of the ignorance and ignorance of the people. There are even some organizations pretending to donate blood, going to some remote mountain villages to sell blood in the name of donating blood!
The price they gave was only a few dozen dollars for blood, but... this amount of money was a big temptation for those in remote and impoverished mountainous areas.
Before Shi Ke finished speaking, he fell silent first.
Because everyone knows it!
Isn't it possible that a woman's ignorance is not due to her failure to do her job properly?
In other words, the medical publicity is not adequate!
However, now is not the time to debate whether selling blood is right or wrong.
The most important thing at the moment is the boy's illness.
Lu Zhilin glanced at Chen Nan: "Director Chen, are you considering it?"
Chen Nan shook his head: "I'm not sure either, I just have doubts."
"After I just looked at all the patient's cases, I found that no infectious disease tests were performed, and the tests for some special fungal and bacterial infections were not done well."
"only……"
"I guess there is a possibility."
“Cryptococcosis!”
As soon as these words came out, everyone around him immediately frowned.
Cryptococcosis is an uncommon disease!
Moreover, the patient does seem to have some characteristics of cryptococcosis.
Cryptococcal infection is the most common fungal infection of the central nervous system. After infection, it directly leads to optic nerve damage, optic neuritis, optic atrophy, chorioretinitis and increased intracranial pressure.
Physical examination may reveal signs of meningeal irritation such as a staggering gait, stiff neck, and Brucella's or Klinefelter's signs.
This includes understanding the characteristics of the skull!
Moreover, after infants and young children are infected with this bacteria, it will damage the central nervous system, causing glandular hormone secretion disorders, thus affecting the child's growth and development!
And most importantly!
Cryptococcosis is a manifestation of AIDS.
In the ward, besides the patients and their families, there were also patients in other beds. Chen Nan didn't want to bluff this matter before finding out the truth.
The doctors at the China-Japan Friendship Hospital are quite good. Chen Nan’s case of cryptococcosis immediately caught the attention of many people.
Shi Ke even asked quickly: "Director Chen, should I modify the medical order now?"
"By the way, should I make one for the patient's family too?"
Chen Nan nodded: "Well, let's check each one."
"You can communicate with the other party in a while."
All of this is inference.
In fact, this also made Chen Nan a little helpless.
Because the patient's pulse condition was extremely weak, and the pulse diagnosis was inaccurate given that the child was relatively young, so... this somewhat limited Chen Nan's diagnosis of the patient.
At this time, the patient is still sleeping, or in a comatose state.
No matter how powerful Chinese medicine is, it still has to pay attention to looking, hearing, asking and feeling. There are too few things that can be diagnosed now.
Chen Nan could only wait for time.
However, as a mature doctor, he cannot be restricted. Although Chen Nan has been working hard in traditional Chinese medicine over the years,... he does not dare to slack off in modern medicine.
Medicine is all about understanding by analogy. As a mature doctor, you must have arduous skills.
Ward rounds continue.
Wait until after eleven o'clock.
Zhao Jianyong couldn't help but ask: "Professor Chen, do you suspect that the patient has AIDS?"
Chen Nan nodded: "Well, after all, cryptococcosis infects the central nervous system, which is very similar to the patient's condition!"
"But...it's just speculation."
"Look at the patient's current symptoms and disease development history."
"The mother of the child had the experience of selling blood three or four years ago. Although the number of times was not many, we cannot rule out this possibility."
"And breast milk transmission can realize the spread of HIV."
"At that time, the child was exactly two years old. Before the age of two, it was basically normal, but... after the age of two, these diseases began to appear. Don't you think it's a coincidence?"
"Sometimes, medical diagnosis requires this. When all the coincidences are explained clearly, the truth will be closer."
Zhao Jianyong couldn't help but smile: "Is it just close? Isn't it out?"
Chen Nan smiled and shook his head: "A slight difference can make a thousand miles."
"Wait for the results!"
Zhao Jianyong heard this and nodded: "Okay, then I'll go and wait inside. I'll report to you if anything happens."
…
…
Infectious disease examinations are slower, but results can be obtained on the same day.
Everyone in the department is waiting for the results.
After lunch, several doctors started chatting in the doctor's office.
"Hey, people are really incomparable. Director Chen is indeed an expert. So many hospitals couldn't find clues, but he found them in just a few words!"
"Yes, cryptococcal infection is a very rare disease. To be honest... I didn't dare to say anything during the ward rounds just now, for fear of being asked by Director Chen. I really don't know that cryptococcal disease has anything to do with the patient.
To be continued...