Chapter 2377 Money Allergy or Bird Allergy
What the hell!
"Look, I'll say it's underexposure. The conditions are not enough, and some lesions with small changes caused by interstitial pneumonia can't be seen." Sister Zhao made the film and uploaded it with a smile.
Director He stood behind stupidly, watching the dense and diffuse mosaic changes in the density of frosted glass that appeared on the video data, and he was stunned.
How is this going? !
Interstitial pneumonia? The patient does not have any past history and work history, so where can interstitial pneumonia appear! For such a young bank worker, the possibility of developing interstitial pneumonia is too low.
At 34 years old, age also does not support the diagnosis of interstitial pneumonia.
And the progress was too fast, within two or three months, the limbs were already weak to a certain extent.
This is impossible!
"Director He, the patient should not need to be referred." Sister Zhao looked at the video and began to upload, "It may be hypersensitivity pneumonitis, a rare condition. It is difficult to do allergen testing, and it is possible to send the patient Check everything you come into contact with.”
Hearing Director Zhao's diagnosis of hypersensitivity pneumonitis, Director He has no opinion. Just thinking about checking out countless possible allergens made her head turn into two big ones.
Director He was completely defeated by an enhanced CT image, she left the CT room a little disappointed, and walked back slowly by herself.
Director Zhou said that he asked her to call and tell the department, but Director He forgot. Her eyes are full of scattered frosted glass images.
What the hell! This interstitial inflammation is so small that it cannot be seen at all with the resolution of ordinary CT.
Hypersensitivity pneumonitis refers to a group of diffuse interstitial granulomatous lung diseases caused by repeated inhalation of various antigenic organic dusts and low molecular weight chemicals in susceptible people.
Farmer's lung caused by repeated inhalation of hay containing thermophilic actinomycetes is a major clinical source.
Director He has considered this disease, but what allergens can a bank employee be exposed to. Are you allergic to money?
If you are allergic to money, can it be diagnosed as a poor disease? Is there really someone who is poor? Director He also knew it was impossible. But as soon as he thought it was impossible, the enhanced CT image appeared in front of him.
Director He walked back to the department slowly while thinking aimlessly.
How did Mr. Zheng see it? Forget it, no matter how he sees it, it may be impossible to find the allergen in the end.
Director He sighed, this "troublesome" patient still couldn't be transferred away.
The next step is to check for allergens! Thinking of this, Director He became even more depressed. She felt that she had already begun to have a tendency to depression.
Back in the ward, Director He opened the door and went into the doctor's office. Seeing that the patient's family was also there, she remembered that she hadn't notified Director Zhou about the upload of the video data.
But it doesn't seem to be necessary now.
"Boss Zheng thought it might have something to do with it, so throw it away, or send it to your parents' house or other friends' house. In short, just don't let the patient touch it again." Mr. Wang said earnestly.
"Really...Really?" The patient's family members asked in a daze.
Director He didn't understand what happened.
According to Mr. Wang's words, he should have found the allergen. But why so fast? If you walk back by yourself, no matter how slow you are, you won't be able to find the allergen.
It takes time to pass the film over, let alone such trivial things as diagnosing and finding the source. Are you really allergic to money and want to throw it away?
"Mr. Wang, what is the patient's allergy?" Director He asked without thinking about anything else.
"Boss Zheng thought it was an allergy to the duvet. He just asked the patient's family members and said that the family did buy a duvet at a discount off-season a while ago." Mr. Wang replied with a smile.
With a clear diagnosis of the condition, everything is fine, and this is the happiest time for the doctor.
"Boss Zheng gave me a treatment plan. You can decide on the specifics. I'm still busy, so I'm leaving first." Mr. Wang handed a piece of A4 paper to Director He.
Director He saw what was written on it—first test the antigen-specific IgG antibody in duck or goose feathers, and if the diagnosis is confirmed, give prednisolone 40 mg orally once a day. Continue for 1 month, then reduce once every 2 weeks, gradually reduce.
There are still some checks to be done, such as bone density, in order to avoid long-term stimulation of glucocorticoids to reduce bone density and complications.
Another thing is to combine proton pump inhibitors such as omeprazole to avoid other complications.
These are routine, and it is reasonable to use glucocorticoids to control allergies.
It's just that the determination of this allergen is too bizarre...
...
...
"Boss, have you ever seen bird lovers' asthma or bird allergy?" Su Yun asked.
"No, but it's on the medical certificate. For this relatively complicated manifestation of lung allergy, the first thing to consider is the allergy to bird feathers." Zheng Ren said with a smile, "Mr. gone."
Zhou Litao looked at Boss Zheng stupidly, thinking that if he had changed himself and diagnosed a bird allergy, he would have started to show off a long time ago.
But look at Boss Zheng, he smiled slightly and didn't care.
It was like being diagnosed with appendicitis and not taking it seriously.
"Don't tell me, Boss Zheng." Zhou Litao said hastily, "Is the patient new to duvets? Isn't this a coincidence?"
"After exposure to new duvets or pillows, symptoms may appear for anywhere from three weeks to five years. As time goes by, breathing difficulties will intensify, and patients will experience night sweats, dry cough, weight loss and fever." Zheng Renxiao road.
"Have you stayed in a high-end hotel?" Su Yun asked.
"lived."
"Some people live in high-end hotels... Let me ask you, to judge whether a hotel is high-end or not, what will you look at first after entering the door?" Su Yun said, the topic shifted again.
"..." Zhou Litao was stunned for a moment. Didn't he still mention bird allergies in the last sentence? How did you mention the hotel?
He did know what Brother Yun meant, high-end hotels basically had down pillows. But whether the hotel is high-end or not, this kind of thing...
"Look at the trash can." Su Yun said, "Excluding other factors, look at the trash can at first glance. If there are no plastic bags, garbage bags, etc., the grade of this hotel should be good."
"..." Zhou Litao's thinking couldn't keep up with Su Yun's speed.
"Is it an explanation for the legend that luxury means trouble, and the more trouble, the more luxurious it is?" Zheng Ren asked with a smile.
"Of course!" Su Yun said.
"Uh... Brother Yun, what's the matter with bird allergies?"
"Huh? You haven't forgotten." Su Yun glanced at Zhou Litao, looking a little surprised, but actually full of contempt.