Chapter 175 How can you survive in this society without accepting gifts?
Hearing this, the other doctors also showed puzzled expressions.
Xu Qiu explained: "The reduction of lymph nodes is the most important factor that makes me consider cat's claw disease."
"Huh?"
"Why!"
The doctors pricked up their ears.
Xu Qiu said: "It is rare for cat's claw disease to cause bone damage.
But there is another unpopular knowledge.
This disease has a certain self-limitation.
The skin lesions will heal.
High fever will also have intermittent remission periods.
And lymph nodes - after swelling to a certain extent, they may also self-limitingly reduce!"
Everyone opened their eyes wide, with a look of surprise.
No wonder the condition did not improve, but the lymph nodes became smaller - it was actually related to self-limitation!
At this moment, everyone completely figured it out.
"Awesome, Dr. Xu, I didn't expect that such a small lymph node would become a clue to diagnose the culprit!"
"I have learned a lesson. When I encounter such patients in the future, I will have another way of diagnosing!"
"Dr. Xu's clinical thinking is too meticulous, I worship him!"
"..."
That afternoon, Luo Qiao was diagnosed with acute disseminated cat's claw disease.
The treatment of this disease does not require the use of any antibiotics.
However, for patients with high fever and encephalitis, combined antibiotic treatment is required.
Therefore, Xu Qiu specially adjusted the medication and selected macrolides that are highly sensitive to Bartonella for treatment.
Moreover, due to the patient's serious systemic condition, an additional case of doxycycline was added.
Although Luo's mother had seen the diagnosis, she was still uneasy.
In the past month, various hospitals have changed diagnoses many times.
However, each time there was no effect!
She waited anxiously.
On the first day, Luo Qiao's temperature finally dropped and was controlled at around 37.4 degrees, a low fever.
What surprised Luo's mother was that Luo Qiao's temperature did not continue to rise!
Moreover, Luo Qiao also had an appetite!
On the second day, the temperature continued to drop.
On the third day, it completely returned to normal, and there was no repeated high fever!
This time, Xu Qiu arranged for the patient to have a whole-body MRI.
The imaging report showed that the patient's visceral lesions and bone abnormalities had been significantly improved.
This result completely confirmed the diagnosis of "cat's claw disease".
On the fifth day, when the patient was discharged from the hospital, he came to the office to thank Xu Qiu.
In a few days, Luo Qiao's complexion improved visibly. On the day of discharge, he was healthy and rosy, his conjunctivitis was under control, and his eyes were bright and energetic.
"Hurry up, thank you, doctor uncle!" Luo's mother pinched Luo Qiao's ears.
Luo Qiao raised his head, "Thank you, doctor brother!"
The doctors in the office couldn't help laughing.
It can be said that children are still sensible!
...
After Luo Qiao and her daughter were discharged from the hospital, Xu Qiu welcomed several more discharged patients.
Zhang Ju's mother, who was unfortunately examined by Fan Lei before, was infected with gas gangrene. After Xu Qiu's "precision strike antibiotic therapy", she was out of the ICU and transferred to the general ward, which was considered to have survived the crisis.
Zhang Ju specially brought a box of Maotai, with a market value of more than 50,000.
"Take it, Doctor Xu, if you don't take it, you won't give me face!" Zhang Ju said with his arms folded.
If it were an ordinary doctor, he would not be able to withstand the oppression brought up in the officialdom.
However, Xu Qiu just glanced at it, shook his head lightly, and said, "I appreciate the kindness, take it back."
A box of apples, a box of milk, this is a token of affection, and it can be accepted occasionally when it cannot be refused.
However, the price is over a hundred yuan, especially when it reaches tens of thousands of yuan, no matter how much you defend it, it is a perverted trend.
Director Zhang was a little surprised.
He stared and looked at Xu Qiu again and again.
But he did not see any strange expression on the other's face.
This means that Xu Qiu is not being polite, nor does he think it is inconvenient to be here because of the crowds. He is unwilling to accept gifts from the bottom of his heart!
Director Zhang was silent.
He gave few gifts, but he did not expect that he would be rejected by a small doctor...
"Forget it, if you don't want it, then don't."
Director Zhang sighed and left again with the gift.
He smiled bitterly and shook his head.
The brains of frontline clinical doctors are really blocky.
In this society, can you survive without giving gifts and making friends?
No wonder the Health Commission and the administrative posts of the medical system look down on frontline doctors.
With this pedantic idea and tough attitude, you can only be a doctor for life!
…
A few days later, a large number of patients were discharged.
Xie Qinran who underwent a master-level orchiectomy.
She has completely cut off the last trace of her physical connection with men, and only the XY gene in her body still declares that she was once a man.
However, Xie Qinran has a very good mentality.
After learning that her XY gene is not fully developed, she is relieved about her "flat chest".
After experiencing this incident, Xie Qinran's family has become more open-minded about the fact that their "daughter" likes the same sex. Although they did not support it openly, they would not say anything.
After experiencing death, they suddenly realized that their daughter's survival is the greatest luck.
In addition, there are several patients who have regained their lives after Xu Qiu's surgery, and they also came to the office to express their gratitude on the day of discharge.
Dinglingling——
That afternoon, the ICU called.
Looking for Xu Qiu.
"Doctor Xu, Ma Pingchuan's recovery is beyond expectations. He can be transferred out of the ICU. Can you come over to confirm?"
Xu Qiu flipped through Ma Pingchuan's medical records.
This patient had severe acute pancreatitis, and he was deeply impressed.
This disease is very expensive, and one careless mistake can lead to loss of both life and money.
The hospital has seen too many tragedies of people who were abandoned by their families and asked for divorce by their lovers after suffering from severe acute pancreatitis.
However, Ma Pingchuan's wife did not hesitate at all and said that "I will sell everything I have to treat him."
This sincerity moved the doctors in the emergency department for a long time.
"It's only 25 days, and it's faster than expected." Xu Qiu was not surprised.
However, the ICU was really shocked.
For severe acute pancreatitis, very few patients can be discharged from the hospital according to one month of intensive care.
Most of them were delayed for one and a half months, or even two or three months, and they were still repeatedly infected and tortured.
Being able to leave the ICU in 25 days must be related to nursing.
But,
It's like the same teacher teaching, students' grades are high and low.
The monitoring measures taken by the ICU are exactly the same. The most important point for Ma Pingchuan's excellent recovery is that Xu Qiu's surgery was done so well!
This point also made Director Jiang and other ICU doctors give Xu Qiu a higher evaluation.
Xu Qiu is really unfathomable for being able to handle even this kind of disease!
...
When Xu Qiu rushed to the ICU, Ma's wife was sitting on the waiting chair outside the ICU, eating steamed buns with pickles.
The other family members around were also similar.
Many people looked pale. In order to save accommodation fees, they slept directly on the stairs of the hospital; in order to save a few dollars for food, they would rather eat steamed buns.
Everything is for the family members in the intensive care unit, so that they can use one more medicine and breathe one more breath of oxygen...
Money is the most worthless thing in the ICU. Any project can spend an ordinary person's annual salary.
It is precisely because of this that this place also witnesses the purest family affection and love, and demonstrates the highest glory of human nature.
Of course, there is also ugliness.
"Doctor Xu, you're here!"
Ma's wife recognized Xu Qiu at a glance.
Ma's wife was full of gratitude for this lifesaver.
Xu Qiu nodded, "Let's go in and take a look."
The door of the ICU ward opened, and several family members followed in to visit.
One of them was holding a notebook and recording something everywhere.
Xu Qiu didn't pay attention at first.
After evaluating Ma Pingchuan and confirming that he could be discharged from the hospital, Xu Qiu saw the man with a notebook outside Ma Pingchuan's bed.
Xu Qiu walked towards him, but the latter immediately put away the notebook, and his face suddenly tightened, with a vigilant look.
Xu Qiu frowned: What is this family member up to?
