Chapter 307 Pregnancy-associated syndrome, just carry it
The prognosis of sepsis is not as optimistic as most people imagine, especially for the elderly and young children, where the mortality rate is as high as over 40%. In actual clinical treatment, the mortality rate has been as high as over 50%.
The earlier this disease is detected, the better.
The key is to thoroughly eliminate primary lesions and migratory lesions as soon as possible and eliminate the source of pathogens.
Then carry out regular antibacterial and anti-infection treatment.
If other complications occur, such as pneumonia, acute renal failure, etc., appropriate symptomatic treatment will be required.
If you are stabbed by rusty iron or nails, or scratched or bitten by animals, you need to get tetanus vaccine in time.
This is also the most effective and affordable way to prevent the occurrence of sepsis.
A shot of vaccine only costs a few dozen yuan. The little girl's condition is already quite serious, and it is good enough to save her life. The cost of treatment must be a staggering figure.
If the condition worsens or serious complications occur after hospitalization, the patient will definitely need to be admitted to the ICU, and the cost of treatment will be even more terrifying.
Spending money is secondary, saving her life is the most important thing.
Although the current medical level seems to be very advanced and many diseases can be cured, there are still many situations that doctors are helpless.
Dead bodies are transported to the funeral home from Tuya Hospital every day.
Just as the hospital admission form for the little girl was issued, a middle-aged couple came over.
The woman looked to be about thirty years old and dressed very fashionably.
The belly is bulging very high.
Zhou Can didn't dare to guess. Some women have obvious belly fat due to lack of exercise.
Even more exaggerated, some women's bellies are as big as pregnant women. If you dare to tell them that they are pregnant, they will definitely get angry with you.
Nowadays, beer belly is no longer exclusive to men. Older women can easily develop a pregnancy belly if they are not self-disciplined and do not pay enough attention to maintaining their body shape.
"Doctor, can you treat a man's pregnancy?"
The man was a little embarrassed, so the woman asked on his behalf.
"A man is pregnant?"
Zhou Can was completely confused. The patient who used a plastic tube to suck out the food in his stomach was already weird enough. Unexpectedly, there was another even weirder patient.
If men can get pregnant, roosters can lay eggs.
"It's like this, I've been pregnant for more than six months. I'm fine, but my husband has had morning sickness for some reason, his belly is getting bigger day by day, and he's got stretch marks on his thighs and belly. At first we thought it was a coincidence, but until he started to get stretch marks recently, we were sure that my husband might really be pregnant."
When the woman was saying these things, her husband sat opposite Zhou Can awkwardly, with his head down and not daring to look at anyone.
It is truly an eternal wonder that a man gets pregnant.
It is normal for the patient to feel ashamed.
"Have you had examinations in other hospitals?" Zhou Can tried his best to keep a serious expression so as to minimize the patient's embarrassment.
Ji You has been a nurse for so long, but this is the first time she has heard of such a rare thing.
She looked at the male patient curiously.
Even though the man was wearing a loose coat, it still couldn't hide his bulging belly.
"I did it once. I didn't feel comfortable telling the doctor the truth at the time, so I just said my stomach was uncomfortable and asked the doctor to take an ultrasound. After the examination, everything was normal."
The man mustered up his courage and looked up at Zhou Can.
"When did this condition begin?" Zhou Can asked again.
"When my wife was two or three months pregnant, I started to feel nauseous and tired after eating greasy food. Later I found out that all my symptoms were very similar to women's early pregnancy reactions. At that time I still couldn't believe that a grown man like me could get pregnant. But as the days passed, my belly grew bigger."
When the man talked about these absurd things, even he himself felt a little unbelievable.
It is full of distress.
"It's even more terrifying recently. My belly has gotten bigger, and I've got stretch marks on my abdomen and thighs. Also, I never ate sour food before, but now I love sour food."
The man lifted up his clothes, isn't it!
I saw purple-brown stripes all over his belly.
"The world is so big that there are all kinds of strange things. Let me give you a physical examination first."
Zhou Can examined the man and found that there was almost no difference between the man and a pregnant woman when pressing his abdomen.
After the examination, he prescribed an abdominal B-ultrasound, a routine blood test, and a routine urine test for the man.
These three tests can further determine whether a man is pregnant.
Whether a woman is pregnant can actually be determined by a urine test. Zhou Can believed that the man was definitely not pregnant, but was worried that he had a tumor in his abdomen.
So I ordered a B-ultrasound check.
Not long after, the man came back after the examination.
Zhou Can first checked the B-ultrasound images, which were consistent with the results of the previous hospital's examination. No fetus or tumor was found, and everything was normal.
The urine test results also showed no pregnancy.
Checking whether you are pregnant through a urine test is actually determining whether you are pregnant by detecting the level of human chorionic gonadotropin in the urine.
Looking at the blood test results, several hormones were abnormally elevated.
A disease that he had only seen in medical books flashed through Zhou Can's mind - pregnancy-associated syndrome.
At this moment, he was basically certain that the man had this disease.
Most women experience some morning sickness during the first two or three months of pregnancy, which is manifested by nausea, dizziness, fatigue, and loss of appetite.
This is a normal physiological reaction after pregnancy.
However, some husbands may also experience similar 'morning sickness' when their wives experience pregnancy reactions.
After the wife's pregnancy reaction passed, the husband's illness also recovered.
This strange phenomenon of the wife being pregnant and the husband being sick is medically called "pregnancy-associated syndrome."
To put it bluntly, these are neurological symptoms caused by a man's mental illness.
For example, excessive anxiety, worry, tension, etc.
"Mr. Mo, first of all, I want to congratulate you. After examination, no signs of pregnancy were found. Multiple medical tests can prove this."
Zhou Can told the patient the test results with a serious face.
"But why did my belly get bigger, I got stretch marks, I was prone to nausea and vomiting in the past few months, and I suddenly like to eat sour food? How do you explain this?"
The patient obviously did not believe the test results.
In addition, Zhou Can was too young, which further increased the patients' distrust.
"Your illness has two causes. The first is psychological factors. Many men experience great psychological changes after learning that their wives are pregnant. Especially new fathers, they will have a variety of emotions such as joy, helplessness, anxiety, etc. Especially when they see their wives are unwell, they will want to help her share the burden. The combination of multiple emotions will cause psychological changes."
"The second factor is physiological changes. I just drew your blood for testing and found that some of your hormone secretions are disordered. This will cause changes in hormones in the body, which will cause physiological changes and false pregnancy reactions. For example, the belly becomes bigger, vomiting, etc. I can prescribe some anxiety-relieving drugs for you to help you overcome psychological barriers."
Zhou Can analyzed the causes of his illness from two aspects.
"If you can let go of your psychological burden, this disease will heal itself without treatment. If you are still nervous and anxious because you love your wife too much, and you are excited about becoming a father and find it difficult to control yourself, it doesn't matter. After your wife gives birth, your disease will naturally heal."
This disease is mainly caused by psychological factors.
The person who tied the bell must be the one to untie it.
What doctors can do is to help patients relieve anxiety and untie their knots as much as possible.
Some patients are very stubborn and do not trust doctors, but only trust themselves, so they naturally do not listen to doctors' advice.
"What is my disease called?"
After listening to Zhou Can's explanation, the man seemed to believe it a little.
But judging by his expression, he definitely wants to check it out himself.
"Your condition is medically known as pregnancy-associated syndrome."
Zhou Can answered as he prescribed medicine for him.
The man was holding his phone and looking down, probably searching the Internet.
During this period, Zhou Can prescribed the medicine and wrote the doctor's instructions, and he did not rush the man.
He just waited patiently with a calm face for the man to do some research on the internet.
"Honey, I just checked online and it seems that this disease really exists! And the symptoms are highly similar to mine. It seems that what this doctor said is true."
After the man finished the check, he looked up and immediately reported the results to his wife.
Zhou Can felt speechless.
Look at what he said. If what the doctor said is not true, could it be false?
Patients question doctors and constantly verify the truth themselves, which sometimes makes doctors feel particularly helpless.
However, the doctor had no choice but to accept it because it was a common phenomenon.
"After returning home, try to focus on study and work. When you feel nervous and anxious, you can do something that interests you to divert your attention. For example, playing chess, fishing, painting, writing, etc."
Zhou Can took this opportunity to further comfort the patient.
Help patients overcome psychological barriers to the greatest extent possible.
Many adult men like to play mahjong, cards, indulge in online games, etc. As a doctor, it is impossible to persuade patients to do these things that are harmful to their family and physical and mental health.
"Okay, okay! Thank you, doctor!"
The man's attitude was quite sincere. It seemed that after doing some research on the Internet, he agreed with the diagnosis given by Zhou Can.
Take the prescription to pay and get the medicine.
After seeing off another patient, Zhou Can picked up the water cup, unscrewed the lid and took a few sips of water to moisten his throat.
Seeing patients is not as easy as imagined.
When there were no patients, he looked forward to seeing them. Now that more patients came to see him, he felt very tired.
I feel like I'm working on an assembly line and I can't stop at all.
As long as there are patients coming, they must be treated.
However, he feels that it is quite meaningful to be able to personally help these patients relieve their suffering.
…
A day passed by unknowingly.
Thanks to the news interview that Mu Ming did for Zhou Can, he finally no longer encountered the embarrassing situation of no patients coming to his clinic. After a busy day, Ji You helped him count and found that he had seen a total of 17 patients.
This is a historic breakthrough.
The patients he saw were diverse and of all kinds, and it was the first time that he truly experienced the difficulty of practicing medicine independently.
When I was seeing patients the past two days, I didn't notice these problems at all because there were not many patients.
After get off work, Zhou Can did not rush to the cafeteria to have dinner with other experts. Instead, he looked at the female reporter Mu Ming who was packing her notebooks and other items and preparing to retreat home.
"Ji You, go eat first! I'll go apologize to that female reporter!"
He didn't hide it from Ji You.
"Well, okay! Do you need me to prepare your meal?" she asked with concern.
"No, no, you can eat it yourself. Who knows, I have to bleed a little today, so I can treat her to a big meal."
Zhou Can's words made Ji You cover her mouth and laugh.
In fact, for Zhou Can, a billionaire, having a big meal is nothing.
He walked to a position two meters away from Mu Ming and stood there.
Mu Ming, who was packing her things, had actually sensed Zhou Can's arrival a long time ago. She just lowered her head, expressionless, and packed her things.
Obviously, he was very angry with Zhou Can in the morning.
I'm still angry.
Photographer Lao Qin glanced at Zhou Can and said with a little anger, "Boy, do you know how much effort our beautiful lady Mu has put in to help you and how much grievance she has suffered?"
"Old Qin, don't say that. They don't value our efforts."
Mu Ming stopped Lao Qin from continuing speaking with a cold voice.
"If you don't tell him, this kid won't know how much you've done for him. And I won't be able to continue scolding him."
Lao Qin stood up for Mu Ming.
He felt very angry when he saw his beautiful female colleague being wronged and bullied.
"Mu Ming, I'm sorry . I was not careful when I spoke this morning and hurt your feelings. But I didn't mean any harm. I just did it to stop you from staring at me during the interview."
Zhou Can sincerely apologized to her.
And from what the photographer just said, it seemed that she had suffered extra injustice in order to help Zhou Can with his publicity.
Zhou Can didn’t understand what was happening in the news.
Looking at the photographer's angry expression and tone, she must have suffered a lot of injustice.
"I don't need your apology! Also, I won't interview you again, and I won't stare at you alone anymore."
Mu Ming's tone was exceptionally cold.
That charming and beautiful face was stretched out so long and so cold that ice chips could fall off.
"Well... I really know I was wrong! How about that? It's time for dinner now, call your colleagues and go have a meal together! Didn't I make you angry? You can rip me off anyway. Just order whatever's expensive."
Zhou Can felt deeply guilty towards her.
After all, he is an emotional person and cannot be as indifferent to everything and indifferent to human nature as those old hands.
At this moment, I especially hope to make up for my mistake and gain the forgiveness of the female reporter Mu Ming.
"Not rare!"
She replied with three words coldly.
"No, give me a chance! You see, I know I was wrong now. I never owe favors to others, otherwise I won't be able to sleep at night."
Zhou Can said nice things to her with a smile.
An apology must be sincere.
The angrier she gets, the more likely things will turn around.
On the contrary, if her attitude is lukewarm, it means she really doesn't care.
Zhou Can would not pester her any more and insisted on apologizing to her.
And will think of other ways to make up for it.
For example, you can consult with Li Lao and place an advertisement in the TV station where she works. Then you can credit her with the advertising business.
Although TV stations are high and mighty, advertising is almost their main source of income.
TV stations don’t look down on small advertisers.
The TV station is absolutely enthusiastic about powerful advertisers. It is common for important leaders of the station to accompany them.
"Muling, I remember that the dishes at Xiya Hotel are quite good, and the most expensive ones cost more than 18,000 yuan per table. And the hotel's good wine costs 70,000 to 80,000 yuan per bottle. This Dr. Zhou is very sincere, so why don't we just accept his offer with reluctance? Otherwise, he won't be able to sleep at night, and he will scold you for not giving him a chance to apologize."
Lao Qin said seriously.
Mu Ming looked at Lao Qin, who winked at her.
"Doctor Zhou, do you think this is okay? If you want to apologize, you have to be sincere." Old Qin obviously wanted Zhou Can to back down.
Not to mention that Zhou Can was just a resident doctor, even if he was the top chief physician at Tuya Hospital with an astonishing annual income, he couldn't afford to be ripped off like this.
No one's money comes from the wind .
Who can afford to be charged nearly 100,000 yuan for apologizing for a small matter?
Zhou Can said without blinking, "It's settled! I'll help you move the stuff. It's time for dinner now, so let's go right away."
Lao Qin originally just wanted to scare Zhou Can so that he would give up.
Unexpectedly, Zhou Can, who seemed ordinary, agreed very readily. This made Lao Qin stunned.
He stared at Zhou Can's face carefully and found that the boy did not seem to be acting.
Old Qin was immediately shocked. Who was this guy? A meal costing 100,000 yuan was not something that ordinary people could afford.
"Hey, hey, give my bag back to me!"
Mu Ming was chasing him from behind.
The laptop is her bread and butter. All kinds of information and news drafts are stored in it.
Zhou Can, however, walked as fast as the wind, leading the way.
She had to jog after him.
"Damn, he's really going!" Lao Qin quickly packed up his camera, tripod and other items, and chased after him carrying his tool bag.
When he chased outside, he found that Mu Ming had already stopped Zhou Can.
"Give me back my bag!"
"Go eat this meal first, and then I'll give it back to you if you promise to forgive me."
Zhou Can carried the bag on his shoulders and refused to give it to her.
Her bag was not heavy.
In addition to laptops, it should also contain journalists' professional equipment, such as microphones and other items.
