(Thanks to my friend Shitou for his mood, and encouragement of the monthly ticket for the Three Kingdoms and Seventh Generations)

Wang Huan's expression was not as relaxed as Liu Banxia, ​​so she carefully observed the guy.

Liu Banxia was stunned. This should have been confirmed almost, right? Why didn’t Wang Huan say anything?

"You mean that people often grazing sheep by the river in your hometown?" Wang Huan spoke.

The young man nodded, "But it's too immoral. Sheep really eats everything. But the sheep keeper doesn't care. Eat more outside and don't you have to feed them when you go home."

"Doctor Wang, it's not brucellosis, right?" Liu Banxia asked in surprise.

Wang Huan glanced at him, "I'm a little suspicious now. I haven't seen it for many years in our Second Hospital, and I'll have to do the corresponding examination later."

"Doctor, what's the disease?" The young man was a little confused.

"Don't worry, let's wait for a while and the blood test results come out and then take a look." Wang Huan comforted him.

"You don't have to worry. Even if you are really diagnosed, it is much easier to cure than the cold you think. It is a bacterial infection, and the treatment method is very simple."

The patient was half-believing and half-doubted because he looked very serious when Liu Banxia and Wang Huan's expressions seemed to be very serious. Only a serious illness would the doctor do this. Now tell yourself not to worry? Is it just a comfort?

Liu Banxia admires Wang Huan very much now. Sure enough, the surgeon still has a long way to go to play in internal medicine.

What you need to see a doctor is real skills.

I just heard the patient's words, but I took it for granted and ignored it. If Wang Huan hadn't asked an extra question, I wouldn't have thought of it.

Brucellosis is a short term, which is Brucellosis infection, which is a zoonotic disease. It is often carried by sheep, cattle, and pigs, and it is caused by the disease during contact.

However, this disease mostly occurs in pastoral areas or among some breeders.

Not to mention the city, even in towns, there are few people who can see sheep raising people. Otherwise, Wang Huan would not have said that this disease has not been seen for several years. The probability of the disease in cities is too low and there is very little source of contact.

After waiting for a while, the blood test results came out. The number of white blood cells was normal and the number of lymphocytes increased significantly, which was also a blood sign of patients with Brucella infection.

Ding! Get 30 experience points, 50 proficiency in diagnostic skills

Although the rewards were not given many, it also means that Liu Banxia, ​​who was watching the fun, learned new knowledge from this case.

He felt that he was also very careful, but that carefulness was the carefulness of the patient's physical representation, and he would only think more when he saw it.

The cause of this patient was hidden very deeply just now. Maybe the sheep often went to the river to drink water and let the fish carry bacteria. The patient ate the fish again, and then it started to attack on him.

This infection chain is very hidden, but Wang Huan picked it up easily, which is ability.

Because next, special testing, blood culture, and delivery to the disease control department for identification, saving patients from detours and spending more money.

Otherwise, normally, at least a chest radiograph or CT scan is required. When the diagnosis is not clear, many other examinations will be performed.

Then? Still, it’s not found out, and maybe they will get spinal fluid. Or they will throw it directly to the doctor in the gods to treat neurological diseases. At that time, I was embarrassed and it was not easy for those in the second hospital to get through.

Misdiagnosis may sound like two words that are very relaxed, but when it really happens to the patient, the price it needs to be paid may be a life.

The next step is very simple. First, hospitalize the patient, pay attention to water, electrolytes and nutritional supplements. Then use some antipyretic and analgesic drugs and rifampin for antibacterial treatment. Perhaps the blood culture results have not yet come out, and the patient will get much better.

"I've gained knowledge today, and Brother Wang's actions are indeed extraordinary." Liu Banxia said after coming out of the reception room.

"I'm just lucky. I met an example during my internship. Otherwise, I would have to be confused today." Wang Huan said with a wry smile.

"Haha, let's not care about the process, we will see the result. Anyway, it's better than anything else." Liu Banxia said.

"You have to be more careful in the future. Otherwise, who would have thought that fish fell in love with sheep and infected the patient. Anyway, I think it's gone, all the symptoms are correct, and there is a chain of infection."

"Today, Brother Wang taught me a lesson and sounded a wake-up call for my career as a doctor. Otherwise, I would have always thought that I was quite awesome and diagnosed several diseases one after another, and I thought there were only so many things in internal medicine."

"Actually, it's not. I was so swollen that I was relieved by Brother Wang taking a pin. It's so good. What do you want to eat for a midnight snack? I've invited you. I really don't fool you."

"Doctor Liu, what's the standard?" Shen Lin asked with a smile.

"As long as I don't be too ruthless, I can handle it. After all, I haven't made two small money, so I don't have to pay so much monthly rent." Liu Banxia said proudly.

"Oh, Dr. Liu, then we are so embarrassed. Actually, you just need to order some for us, we won't choose one." Another nurse also said with a smile.

The ball hit Liu Banxia's own arms, and he really wanted to be a rich man. However, it was also a very down-to-earth thing, so he ordered some skewers directly.

Although it was not too hot when it was delivered, it was still okay for everyone to eat as soon as possible.

It cost less than 500 yuan in total, and more than ten people, and these are not much. After all, the prices are quite high now, and a single grilled squid costs twenty yuan.

He was really happy today, and there were some things you really couldn't learn in books. Only by slowly discovering and mastering them in the process of practice can this be the real knowledge.

Even if someone reminds you, if you don’t experience it personally, you may not care. You will take it as a warning to you.

"Mr. Liu, it seems that your flying knife is really profitable." Wang Chao came over with his squid.

"I'm really nothing, especially now that I've taken on this job again, it's even more difficult in the future. Brother Chen, a person of your level should be OK, right?" Liu Banxia looked at Chen Jianxin.

Chen Jianxin looked at him helplessly, "Do you think everyone has such good luck and good resources. There are so many people who can do small operations, but major operations are not as good as our skills."

"I just go to the plastic surgery hospital occasionally to help with it. One is about two or three thousand yuan. But it's better to be worry-free, free, and time-based."

Liu Banxia looked at him in surprise. It should be easy for surgeons to fly their knives when he came to a famous hospital like the Second Hospital. Especially these attendees who have been in the past have strong practical experience.

It seems that there is some error with what I think, because Chen Jianxin mentioned "resources". He is lucky and has enjoyed this resource with the boss Shi Lei.

You really can't take anything too naturally, there are tricks to do whatever you do.
Chapter completed!