Seven Hundred and Ninety Eight

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The snowflakes fell silently outside the window, flakes of flying flakes fluttered and piled up in the corner of Cha Su Hospital. In half an hour, the quiet small courtyard of the Department of Infectious Diseases was covered with a big white cashmere blanket. Same as carpet. watermark ad test watermark ad test

Large flakes of snowflakes fluttered in the air, seeming to be very lively, but inside the small courtyard where thousands of people disappeared, it was so quiet and quiet. A group of sparrows with white caps on the tree branches occasionally flew up and down, making the quiet small courtyard more lively. A little angry.

The hospital heating is smoky hot from the boiler burning in the hospital. In the more beautiful departments, the clothes of the doctors and nurses are relatively thin, especially in the department of endocrinology. The nurses are better. The female doctors wear quite thin clothes, all kinds of lace Blooms rarely in winter.

But the Department of Infectious Diseases is different. The thick cotton mask is put on the face like cotton trousers, and it feels very difficult to breathe. Zhang Fan glanced at the department doctor behind him, feeling a little emotional, " No wonder the doctors in the Department of Infectious Diseases are so thin, breathing so hard, eating three eggs in the morning can't stop it."

Coupled with the power of the rear heating, the sweat mixed with the August 4th disinfectant in the breath, people wearing a mask suddenly felt that there was a piece of wet and warm urine mustard just pulled out from under the child's buttocks.

Entering the ward, the ward of the Department of Infectious Diseases is different from other departments. The area of ​​the wards of this department is relatively small, and the patients are almost all in one room. In this era when the tea hospital is already the leader in the tea area, if other departments can still have The treatment of a single room is definitely not small.

"Pulmonary tuberculosis, recurrent pulmonary tuberculosis, the patient admitted this time with painless hematuria!"

The doctor in charge of the bed began to report the patient's condition to Zhang Fan before entering the ward. The ward round of the infectious disease department was different from that of other departments. The ward round of other departments reported the condition to the superior doctor in front of the patient.

The Department of Infectious Diseases reports the disease at the door, which can reduce the contact time between doctors and patients. Zhang Fan nodded after listening to the case, and asked, "What does the pulmonary hospital say?"

Chasu Hospital has merged all the top three general hospitals in the Chasu area, but two hospitals have not been merged. It is not that the Chasu Hospital is not strong enough, but that the national policy does not allow it.

One is the Women's and Children's Hospital. In terms of the preferential medical policies in the past ten years, none of the hospitals have received the policies and funds that the Women's and Children's Hospital has received. Everyone may have such a feeling, it seems that the Little Transparent Women's and Children's Hospital, which was not well-known before, suddenly seems to have developed overnight and become famous. This is not only achieved by the efforts of doctors and nurses, but also by the country's vigorous use of money.

The second is the pulmonary hospital,

That is the so-called infectious diseases hospital. The income of this hospital is fully subsidized by the state. Even if there is no patient in a year, the state will still fully subsidize the hospital. The salary and bonus that should be given will not be less at all.

The name of this hospital is also quite strange. In the early years, it was called the Hospital of Infectious Diseases. Later, it was not known whether the surrounding people were unhappy or the staff in the hospital were dissatisfied, so it was renamed the Pulmonary Hospital.

In 2003, the whole country was trembling. This hospital was renamed the Infectious Diseases Hospital, and then, for some reason, it became the Pulmonary Hospital again.

Under normal circumstances, the initial treatment of tuberculosis patients is in the pulmonary hospital. Moreover, the country distributes free drugs for tuberculosis treatment.

"The pulmonary hospital recommends transferring to another hospital!" the doctor in charge of the bed said helplessly. It can be said that the treatment of tuberculosis has hardly changed since the 1950s. Used in the past and used in the past, there are several drugs such as isoniazid and rifampicin.

It's okay if you don't have drug resistance, but once drug resistance appears, this matter will be quite troublesome.

While listening to the bed doctor's report, Zhang Fan opened the medical records. When he saw the profession, Zhang Fan was a little dizzy. "Why do drug-resistant tuberculosis patients still work in the catering industry?"

"Ah!" Hearing the dean's quiet but stern inquiry, the doctor in charge fell silent. To be honest, Zhang Fan questioned others about this matter, it was purely unreasonable.

Zhang Fan paused for a moment, and realized that his inquiry was wrong, he shook his head and said helplessly, "Go in for rounds."

Entering the ward, there was a woman wearing a headscarf, perhaps because of hematuria, the woman's complexion was very fair, and she looked like a pretty young woman.

This woman was walking on the street. To be honest, who would know that she was a drug-resistant tuberculosis patient. Before Zhang Fan could speak, the woman began to cough. While coughing, the woman stood up covering her mouth. It was exhausting to lie on the bed and cough.

Wang Hong gently tugged Zhang Fan, then she took two steps ahead and stood in front of Zhang Fan. Zhang Fan shook his head lightly. In this coughing state, not to mention one Wang Hong standing in front of him, even ten Wang Hongs standing in front of him would not work.

Useless!

The woman's cough was far away, and her thin body trembled during the cough. It felt as if she was about to cough up a lung lobe. The blood vessels and veins on her already fair face were exposed during the cough.

It's as if the woman is wearing a mesh-like turquoise mask. The fair and sickly skin had also turned a sickly scarlet.

The cough finally subsided. After the cough was over, the female patient inhaled and purred, as if an old cat was angry and threatened other creatures that approached. Others listening had the urge to cough for him, to cough up the stuff in their throats.

It's so depressing, it's as if it's been infected.

Zhang Fan and the others waited for the patient's cough to subside before saying, "How do you feel now?"

"It's troublesome to inhale, but the rest is fine, doctor, when can I go home, the child is young!" The woman took a sip of tea in the local dialect.

"Treat first, and you can see the child when you are cured. What can you do when you are sick and see the child, and you must not touch other people until your disease is cured. Can you lie down now?"

Even the relief introduced was cancelled, because no one knew when the woman would cough again.

The woman sat on the edge of the bed dejectedly, "I can't lie down, I'm suffocated when I lie down."

"Okay, you can sit down, I'll check it for you, and you unbutton your shirt."

As Zhang Fan said, he took the disinfectant from the corner of the wall and applied it on his hands. The woman silently turned her back to the crowd and slowly unbuttoned her clothes.

When the clothes are taken off, it feels extremely uncoordinated. The originally thin woman should be as thin as a stick, but the entire chest is like an inflated bucket, and the ribs are not visible at all.

In this situation, according to normal people, according to a woman's height of about 165, no 80kg to 90kg can't reach the level where even the ribs can't be seen. But the woman in front of him, Zhang Fan could tell with his naked eyes that she didn't even weigh 50kg.

When the patient turned around, the chest was thin and there was almost no excess fat visible, only two grape-like brown fleshy bumps hung on the chest alone.

"The pleural effusion has been pumped twice, but I still can't control it. I was supposed to pump once today."

The bed doctor said softly. Zhang Fan nodded and began to check his body.

When clasping the hands on the woman's back, it was like hitting a leather drum. Amidst the puffing sound, the woman began to cough again. In the palms covering her mouth, Zhang Fan saw bright red bloodshot eyes.

The breathless woman stood up again, ignoring the nakedness of her upper body, grabbing Zhang Fan's white coat with both hands, like a drowning person grabbing a life-saving string, and pulling desperately, this is breathlessness.

The suffocation made the woman's eyes widen, as if she was about to pop out.

"Pump the water!"

Tuberculosis is a wasting disease. To put it bluntly, it is a disease that bullies people. Aspiration and puncture, local anesthesia with lidocaine, and a thick needle with a neutral pen core pierced the patient's fissure gap with a puff.

Grass-green and yellowish liquid began to discharge in large quantities, and as the liquid flowed out of the container, the liquid white flour foam began to roll along with the flowing liquid, as if the punctured liquid was the waste water discharged from the washing machine after washing the clothes.

"This won't work. The egg whites have been pumped out. This is to stop the boiling water." Zhang Fan frowned and said to Director Huang and Director Zheng.

"There is no way. The effusion in the chest cavity leaked out again in three days. The more you smoke, the weaker you become. If you don't smoke, the patient will suffocate. The state of the patient will only get worse and worse."

"Strengthen nutrition, did you lose the albumin?"

"I lost, the effect is not good, I can't control the tuberculosis bacillus, everything is in vain." Director Huang frowned.

After six to seven hundred milliliters of liquid was drawn out, the woman seemed to be addicted to taking a big mouthful of white (a) noodles. She lay on the bed with her eyes closed, and if it wasn't for the ups and downs of her chest, she would have thought she was dead.

With so many people at the window, it didn't take long for the woman to fall asleep. In the past few days, she can only fall asleep within one or two days after pumping water. On the third day, she can't do it anymore, and she will be short of breath and cough when she lies down.

Most of the tuberculosis patients in the department are in normal condition, the mild ones are often in the pulmonary hospital, and almost all the patients in the tea hospital are severe patients.

After a round of ward rounds, Zhang Fan said to a group of doctors and nurses in the department who were sweating on their eyelashes: "You have worked hard, you must protect yourself."

Sometimes, in fact, what people need is attention. Zhang Fan's hard work made the eyes of many thankful lesbians red.

"Director Huang, that's what I think. I have some thoughts about tuberculosis recently. I want to bring some doctors to do some research!"

After everyone absorbed and disinfected, Zhang Fan smiled and said to Director Huang.

When Director Huang heard it, his expression was dull, and he felt that this was more shocking than Zhang Fan's ward rounds from the Infectious Diseases Department.

Seeing Director Huang's expression of disbelief, Zhang Fan smiled awkwardly. Seeing that Wang Hong was unhappy, she said to Director Huang: "Director Huang, Director Huang, the leader is asking you something!"

Director Huang glanced at Wang Hong, but Wang Hong ignored Director Huang directly. Zhang Fan was also helpless, this Wang Hong!

"You said you have an idea? Ha ha!" Director Huang not only ha ha to Zhang Fan, but also to Wang Hong.

There was only one word in her heart: "Don't give me a calf!"