"Dabaozi, what are you busy with?" Yang Lei asked.
"On duty, chat with old man fan on laogua mountain."
Yang Lei was envious. A few days ago, he secretly went to the special needs ward where Wei Dabao worked. From a distance, the decoration there was the same as that of the resort.
I''m not busy on duty. I just chat with others. The environment is good, he earns a lot and is not busy. Yang Lei is jealous of all kinds of envy in his heart.
"Dabaozi, aunt Feng of the neighborhood committee brought someone to see a doctor with the diagnosis of the Medical University." Yang Lei said directly "business".
"Oh, do you want a drip of pneumonia? So does aunt Feng. How can I go to medical university with such a little disease."
"No, there''s nothing wrong with blood routine, white blood cells and neutrophils are normal, but Medical University says it''s an infection and needs antibiotics." Yang Lei said, "take a look? Now you dabaozi is an expert, do you want expert consultation fee?"
"Don''t be bullshit, send me the information via wechat." Wei Dabao ignored Yang Lei''s sour words and said directly.
"OK, I''ll send you the test sheet now."
After hanging up, Yang Lei took a picture of the blood routine and sent it to Wei Dabao.
Soon, Weibo''s wechat will be back.
[is there any other inspection?]
Yang Lei turned down and saw a mess of inspections, which he couldn''t understand.
In bajingzi Hospital of traditional Chinese medicine, these tests are not done at all. If you can see blood routine, you can be a doctor. The vast majority of patients will see them.
He really regarded himself as an expert. Yang Lei despised Wei Dabao in his heart, but he still photographed other inspections and sent them to wechat.
A few minutes later, Weber replied.
[high C-reactive protein, abnormal ESR, no problem considering infection.]
What do you mean
Yang Lei didn''t know his reply.
Trinket should be too lazy to type and call back.
"Lao Yang, C-reactive protein is some proteins that rise sharply in plasma when the body is infected or damaged, activating complement and..."
"Don''t talk about this. It''s useless." Yang Lei''s brain soared after listening to two sentences, and directly interrupted Wei Dabao''s "nonsense", "simply say, what''s this thing for."
"In short, it is a substance that removes pathogenic microorganisms and damaged, necrotic and apoptotic tissue cells that invade the body, and plays an important protective role in the process of the body''s natural immunity." the voice of Wei Dabao can be heard proudly through the mobile phone.
"So it''s an immune protein?"
"It''s not accurate, but now large hospitals have combined blood routine examination with C-reactive protein. As for bajingzi, it''s also checked separately. Generally, C-reactive protein is not checked," said Wei Dabao. "It''s a very important index to judge inflammation."
"And then?"
"The patient''s ESR is also abnormal," continued Wei Dabao, "so..."
"Wait, dabaozi, don''t bully me." Yang Lei said immediately, "I remember seeing tuberculosis patients with rapid ESR. Don''t talk nonsense and think I don''t understand anything."
"That''s pathological ESR. Not only pulmonary tuberculosis, but also all kinds of inflammation. In addition to pulmonary tuberculosis, subacute infective endocarditis, Kala Azar, systemic lupus erythematosus, there are many other diseases. ESR is also fast." Wei Dabao said, "C-reactive protein is high and ESR is fast. It''s ok to diagnose infection. First use antibiotics."
"But the patient has no trauma and has not had pneumonia recently," Yang Lei stressed.
"That''s not necessarily true. It may be that the symptoms are mild and the patient is too old to respond," said Wei Dabao. "Order it. That''s it. I''ll hang up."
Listening to the beeping voice from his mobile phone, Yang Lei was anxious and angry.
The tone and content of Wei Dabao''s speech are more and more like an old doctor. Yang Lei can clearly perceive the meaning of being condescending and explaining his illness to the little doctor.
Md！ Didn''t he go to jianxie hospital? Yang Lei scolded in his heart.
He picked up his mobile phone and looked up the relevant definitions. Yang Lei found that Wei Dabao was right. It was true.
Although Yang Lei didn''t find anything wrong, he still scolded Wei Dabao in his heart.
Lao Tzu doesn''t believe it. White blood cells and neutrophils are not high. The patient is infected. Feel the dyeing of wool. When there is infection, the white blood cells are not high.
Yang Lei wrote it down and was ready to see if the patient''s symptoms eased after quiet antibiotics.
If it''s relieved, it''s gone; If not, hey!
Once he saw David, he would tell him about it, see if he was good, and then speak in that tone.
A bottle of liquid finished quickly. Aunt Feng took grandma Huang home with the help of two young staff. It is estimated that it is difficult to go upstairs.
Yang Lei was on duty the next day. He said hello to Aunt Feng in advance. When she brought the patient for a drip, he was ready to pinch it tomorrow to ask about the situation.
Almost 48 hours. If it''s an infection, antibiotics have to work anyway.
After a while, Yang Lei came to the traditional Chinese medicine hospital with nothing to do. Instead of going to the consulting room, he went straight into the observation room.
Grandma Huang is dribbling. Aunt Feng is sitting in the chair next to her and talking to grandma Huang.
"Aunt Feng, are you busy?" Yang Lei said.
"Busy, every day is a bad thing." aunt Feng nagged.
"What are you doing?"
"Isn''t this what I''ve been saying recently about making more data run and less people run errands? I''m thinking about how to implement it." aunt Feng said, "how can I think? How can it be impossible."
"Yo, aunt Feng, your consciousness is high enough."
"It''s no use just having consciousness." aunt Feng glanced at Yang Lei and said angrily, "what are you doing here?"
"Let me see the patient''s situation. Who makes me easy to learn." Yang Lei said with a smile, "how are you thinking?"
"It''s impossible to run once at most." aunt Feng said sadly. "This formulation is good, especially good, and I think so. But if it is implemented, there will be problems immediately."
"Hmm? Isn''t your neighborhood committee and functional departments lazy?"
"Roll the calf, little boy, who are you talking about?" aunt Feng had a hot temper and was ready to touch the fire. Yang Lei ate the chops directly.
"Aunt Feng, I just nag casually. Don''t take it seriously."
"Cut, I''m too lazy to tell you." aunt Feng said, "you know a fart."
"..." Yang Lei was unconvinced and asked, "as long as you don''t card people, one time is enough."
"What do you know, the Kung Fu of your mouth." aunt Feng said contemptuously, "give you an example. The first time you come, make sure it''s done by me, and then take the tip card to prepare the information and prepare the information. The second time, handle it with the prepared information. This can''t be simpler. Do you come twice?"
"Er..."