Chapter 329: My Mom, You Might Be Saving a Family
After successfully diagnosing the cause of the little girl's illness, he let out a long sigh of relief.
Whether out of a doctor's sense of responsibility or sympathy for the sensible little girl, Zhou Can was eager to solve this difficult case. Now his hard work has paid off, and he finally has a clear diagnosis result.
He will have no regrets on his first day of official consultation.
After finishing the treatment, he continued to see other patients.
Near the end of the shift, the little boy with a cyanotic face came back after having an echocardiogram.
"Doctor, please show me the results!"
This mysteriously confident mother had no idea that her child might be seriously ill.
Zhou Can took the inspection report.
The right atrium, left atrium, and left ventricle were all enlarged, reaching 27mm, 29mm, and 37.5mm respectively.
The right ventricle is significantly smaller than normal, only 8mm.
Moreover, the patient's right atrioventricular valve and right ventricular inflow tract were absent.
Here is an explanation of the medical term "absence". Absence refers to an organ that should be present in the body, but is not. It can be roughly understood as a congenital deficiency.
A missing organ is one that originally existed but is now gone.
The child had an echo interruption of 16mm in the middle of the right atrial septum, an echo interruption of 10mm in the upper segment of the ventricular septum, and stenosis of the pulmonary valve and right ventricular outflow tract. The minimum inner diameter was only 3mm, the inner diameter of the main pulmonary artery was only 5mm, and the inner diameters of the left and right pulmonary arteries were 7 and 8mm respectively.
No wonder the child’s skin is so cyanotic!
When breathing, it feels like pulling a bellows.
Poor child, the mother is still boasting about her son's amazing natural lung capacity.
I've seen sons betraying their parents, but it's rare to see a mother betraying her son.
In addition to the above problems, there was a tubular communication between the patient's aortic arch and the left pulmonary artery, with a diameter of , and continuous blood flow was detected.
"Doctor, what's wrong with my son?"
Perhaps because she saw Zhou Can's expression becoming increasingly serious, the woman also felt that something was wrong with the atmosphere.
No matter how confident she was, she was still a little worried at the moment.
"After examination, your son has congenital heart disease!"
Zhou Can looked up at the mother.
“What is congenital heart disease?”
She looked confused.
"It's a congenital heart disease." Zhou Can's expression was serious and his tone was heavy.
"This, this is impossible, right? Doctor, could you be mistaken? My son has always been fine. He is almost four years old now. If he really has a congenital heart disease, how come it was only discovered now?"
The woman refused to accept the diagnosis.
"Look at other normal four-year-olds. Aren't they already jumping around on the ground? But your child needs to be held all the time. Also, your son's height and weight are probably not up to standard for a four-year-old."
Zhou Can didn't dare to say anything too harsh, for fear that the woman would get angry.
"My child doesn't like to move. Didn't I tell you? That's because he was born with a noble destiny. You are too young as a doctor and you don't know anything. Forget it. I don't want you to see me anymore. I'll find another older doctor to treat my son!"
This woman would immediately turn hostile if she heard anyone say anything bad about her son.
This kind of weird mother is quite rare.
Zhou Can didn't argue with her. He just watched her leave angrily with the test results.
If it was another difficult disease, there might be a misdiagnosis. But the congenital heart disease of this little boy was so obvious that it was impossible to make a mistake.
No matter which specialist she took her child to, the result was the same.
The nurse who was guiding us walked in through the door and closed it behind us.
"Just now, the family member seemed to be walking away angrily, shaking his sleeves. What happened?"
"I diagnosed her son with congenital heart disease, but she said her son was born with a noble destiny and was the reincarnation of the Purple Star. She scolded me for being too young and not knowing how to treat a disease. Let her be. It doesn't matter which doctor she sees for such an obvious congenital heart disease."
Zhou Can said indifferently.
"Haha, so that's how it is! Just don't bother with her. There are all kinds of family members. As you see patients for a longer time, you will meet more bizarre family members. If you have any questions during the consultation, you can call me at any time. I'll sit outside and I can hear you. By the way, let me introduce myself. My name is Zhou Yanqing."
The nurse who guided the patient came in to ask because she was worried that Zhou Can would have a conflict with a patient and be complained about.
"Okay, thank you! I didn't expect we have the same last name!"
Zhou Can smiled and nodded.
"Haha, we were a family five hundred years ago. It is indeed fate! Dr. Zhou, please take care of me and support me in the future. I'll go out first!" She waved her hand and walked out of the outpatient clinic.
…
There are usually no patients staying in Ward 0, and it is currently used more like a temporary isolation ward.
Only the sick grandparents and grandchildren stayed inside.
"Grandma, do you think Uncle Zhou has forgotten us?"
The girl's condition was quite serious. She had been in the hospital for almost a day, but there was still no significant progress. She kept asking them to check this and that, and she gradually lost her patience.
"No. Uncle Zhou is very busy. In addition to treating us, he also has to treat other people. Didn't he do a new test on you at around four o'clock? This shows that Uncle Zhou has been diagnosing you carefully. It's just that your disease may be very complicated and difficult to diagnose, so he kept us waiting."
The old lady has very high quality.
With such parents guiding and guiding them, it’s no wonder that their children are so outstanding!
The nurses outside had already started to take over their shifts, but Zhou Can had yet to show up.
The old lady comforted her granddaughter, but she was secretly worried.
The little girl had fallen asleep next to her grandmother.
The nurse told the two grandparents not to leave the ward because they were worried that their illness would be transmitted to others.
The grandparents and grandchildren have always abided by it.
It was already time for dinner, and the grandparents and grandchildren seemed to have been forgotten in this corner.
The lights in the corridor outside had already been turned on.
Just when the old lady was getting a little anxious, a tall figure appeared outside the door, then pushed the door open and walked in.
"Doctor Zhou..."
The old lady stood up excitedly, and her granddaughter was also awakened.
"Uncle Zhou is here, finally here! I thought you had forgotten about us!"
Children are innocent and say whatever they think.
Zhou Can was wearing a mask, but the crow's feet at the corners of his eyes were visible and his eyes were narrowed into slits, which meant he was smiling.
"Haha, how could I forget my patient? I've been waiting for the test results. If I don't find out the specific cause of the disease, I won't dare to give you medicine rashly!"
Zhou Can smiled and took out several test results and handed them to the old lady.
"After several rounds of biochemical tests, your granddaughter has now been diagnosed with a new type of Bunyavirus infection, which is contagious. It is mainly caused by tick bites. Natural infection with Bunyavirus is found in many vertebrates and arthropods, including mosquitoes, ticks, sand flies, etc., and can infect some mammals, birds and mosquitoes."
"This disease is mainly transmitted through the blood. However, it is also possible to be infected through the respiratory tract, but the probability is very low."
When I got off work, the results of the girl's pathogen test finally came out.
From her blood sample, serum was first obtained, and then a new type of Bunyavirus was isolated from the serum, which was eventually confirmed.
It is not easy to diagnose this disease.
Zhou Can also received 100 points of pathology diagnosis reward. He is working hard to advance to the sixth level of pathology diagnosis skills.
If he could get this kind of high experience value reward frequently, I believe that within a few years, his pathological diagnosis skills would be promoted to level six, reaching the level of chief physician.
By that time, you will have truly reached the level of an expert.
100,000 experience points may seem like an astronomical figure, but if one could diagnose one or two such extremely difficult cases every day, he would be promoted to director level after only 1,000 times.
Moreover, each diagnosis of a common case will add 1 experience point.
Occasionally, if you encounter a case diagnosis of higher difficulty, you can also receive a reward of 10 experience points.
Therefore, the actual promotion speed will be faster.
But after all, he was at the director level, and his pathological diagnosis skills were the most difficult to improve, so it was normal to take two to three years at the shortest and four to five years at the longest. Compared with ordinary doctors, his speed was like a rocket.
After hearing Zhou Can's diagnosis, the old lady couldn't help but wonder, "Xiaoya only goes between school and home every day. How could she be bitten by a tick in such a simple life? This kind of insect should only be found in the wild forests!"
She didn't question Zhou Can's diagnosis, but just wondered where the tick came from.
You know, this is the provincial capital.
The sanitary environment is quite good.
"That's exactly what I need to ask you. Didn't you faint once before? Judging from some of the symptoms you've shown, I suspect you may have been infected with the disease. I want to ask, do you have any small pets at home? For example, cats, dogs, pigeons, etc."
All Zhou Can could think of was that the infection was transmitted to humans by the pets kept at home.
Ticks are most likely to appear on cats and dogs.
Rural people call it grass crawler or mountain tick. Its body is flat and its shape is a bit like a spider.
It moves much slower than a spider, but is more terrifying.
Because it can secrete a neurotoxin to paralyze the bitten person, bite through the skin without your knowledge, bury its head deep into the flesh to suck blood. When its belly is full of blood, it will swell up like a drum.
If it is not discovered in time, it will bite deeper and deeper.
When its body is forcibly pulled out, its body and head are easily broken, and the head will be deeply embedded in the flesh.
So, if you find that you have been bitten by it for a while, try to pull it off. If you can't pull it out, don't force it. It is safer to see a doctor.
Otherwise, if its head is broken off inside the human body, it can easily cause viral infection.
"Uncle Zhou, my grandma had a white puppy. It died a few days ago due to illness. My grandma is very sad."
The little girl provided an important clue.
Zhou Can's eyes lit up slightly. It seemed that this was correct. It was most likely transmitted from dogs to humans.
Pet dogs are often held in the arms or lived with.
If you don't pay attention to insecticide, the dog will have ticks on its body, which will multiply and lay eggs in large numbers. Ticks are very likely to appear on the sofa and even the bed at home, which will eventually cause the owner to be bitten by ticks.
No wonder the old lady’s eyes were red and swollen from crying.
I originally thought she was crying because she was worried about her granddaughter's illness, but now it seems that she might be crying because her pet dog died.
"But my white puppy has been dead for several days! How can it still infect humans?"
The old lady was still sad when she mentioned her puppy.
"It is very likely that the infection had already occurred a long time ago, but the obvious symptoms only appeared in the past two days. I even suspect that your puppy may have died from this disease."
Zhou Can explained.
"Oh... it's all my fault! When I saw the puppy didn't eat much dog food and didn't look very energetic, I thought it just had a common cold. Two days later, it suddenly died. If I had taken it to the veterinary hospital, it might not have died."
The old lady didn't care about her own health. Instead, she was full of self-blame for not taking the puppy to the pet hospital to see a doctor in time.
Many people who keep pets love them so much that they treat them like their own children.
Although Zhou Can found this difficult to understand, he did not object.
Animals are originally friends of human beings. The earth's ecological system needs people to live in harmony with nature and other creatures. Dogs are the most loyal friends of human beings. They guard the house, protect their owners, and are loyal to their owners. These qualities are deeply loved by human beings.
The old lady's eyes began to turn red again. If no one comforted her, she would probably cry.
Zhou Can quickly consoled her, "It is very difficult to detect the new Bunyavirus. Even if you had sent your pet dog to the hospital, it would have been difficult to find out the cause. You see, even a provincial-level tertiary hospital like our Tuya Hospital took a lot of effort to find out the cause. Pet hospitals don't have the conditions to do that!"
After hearing this, the old lady seemed to feel better.
Still a little sad though.
"You may have been infected with the disease. It's best to make an appointment and have your blood drawn for a test. If this disease is not treated in time, it will be life-threatening. Take your granddaughter for example. She has already shown signs of kidney failure. Urine protein 4+ is actually very serious."
Zhou Can diverted the old lady's attention.
A human life is definitely more valuable than a pet's life.
The puppy is dead, and the most important thing now is to ensure human life and health.
"Come on, come on, come on, I'll listen to you. I'm lucky I found you this time, otherwise my granddaughter and I would be in danger!"
The old lady also reacted at this time.
Realizing that his life and that of his granddaughter were seriously threatened, he quickly asked Zhou Can to help them with treatment.
Zhou Can helped her make an appointment, but didn't mention the blood test.
Her granddaughter was admitted directly to the infectious disease department.
The new Bunyavirus infection is far more dangerous than imagined. Occasionally, there are news reports that in some rural areas, people are even infected by washing the bodies of deceased elderly people and changing their burial clothes.
In the end, not only did the deceased's family members show symptoms of infection, but even the person who changed the burial clothes and his family members were also infected. Because the symptoms of this disease are very similar to those of a cold, rural people have a weaker health awareness.
I won't go to the hospital for any minor illness.
After a few days, the condition deteriorated rapidly and it was too late when he was sent to the hospital.
Occasionally, there are news reports of many people dying mysteriously due to this disease.
Zhou Can successfully diagnosed the cause of the little girl's illness, which was of great significance. At least two lives were saved. If the diagnosis could not be made in time, the old lady's children and relatives who came to take care of the grandparents and grandchildren might also be infected.
It is definitely a huge harm to this family.
By the time he finished treating the old lady, it was already past seven in the evening.
Being a doctor is really busy.
He hasn't had dinner yet.
He still had one thing to do. He came to the doctor's office, but most of the doctors had already left work. Only two doctors on the night shift were still busy.
It seems that Director Tang Fei has also left work a long time ago.
He decided to call and report the incident, because there were many doctors and nurses who had contact with the old lady today. The main thing was that after the old lady fainted, everyone worked together to lift the old lady onto the flat bed and transported her away, and a lot of physical contact occurred.
The call was connected quickly.
Without waiting for Zhou Can to speak, Director Tang Fei spoke first with a smile.
"Dr. Zhou, have you finished get off work? I saw your performance in the consultation today, it was very good!"
Zhou Can was really overwhelmed by the praise right from the start.
However, it can also be seen that Director Tang is very satisfied with his work.
Winning the first battle is what Zhou Can pursues.
"Haha, you're too kind! I'm bothering you now because I have something to report to you!" Zhou Can responded with a smile.
"No need to bother you. If you have any problem in the future, you can always call me. Don't feel embarrassed, okay?" Her attitude towards Zhou Can changed from disdain to exceptionally warm and friendly.
"Since you said that, I can really rest assured to bother you in the future! Today I received a patient whose symptoms were highly similar to those of a cold..."
He reported what had happened.
"I know about this matter. Director Yan mentioned it to me. I didn't expect that the patient was infected with a virus, and it was a terrible new Bunyavirus. I will immediately notify all medical staff who have had contact with the patient and take precautions. Thank you very much for your kindness in considering them, as well as your high sense of responsibility and vigilance."
When Director Tang heard that it was this disease, he also took it very seriously.
