Xiao Rong's father didn't know what to say, and stood there looking at Jiang Yu leisurely. \ Jiang Yu looked at Xiao Rong and found that her steps were also a little weak, and she coughed a few times from time to time, and the smile on her face also looked a little tired.
Turning his head, he said to Hu Pengfei: "Look at what is wrong with this little girl?"
Hu Pengfei came over and looked at the little girl, and felt that there was nothing abnormal, but her eyelids were a little drooping and her face was slightly pale, probably because of poor sleep.
He really didn't understand what Jiang Yu meant.
"Maybe I haven't rested, my eyes are a little wandering, and my nutrition is usually insufficient, so I should be anemic," Hu Pengfei tried to say.
"Look at her hand again."
Jiang Yu said lightly.
Hu Pengfei gently grabbed Xiao Rong's hand and looked at it carefully, looked at Jiang Yu suspiciously, and said, "The fingers are a little white, this is a condition caused by anemia." ” Jiang Yu sighed and said, "It seems that you still have a lot to learn."
This is not to blame him, after all, some of the students who have just graduated from their studies have never formally met real patients at all, and they have learned all the theoretical things in school, and all kinds of problems are the way, but they may not be able to start with even a simple illness when they come to the patient.
Hu Pengfei is good, after all, he has a respected doctor father, who has many opportunities to see, but after all, he has little experience.
"You see, her eyes are blank, and there are bloodshot spots at the corners of her eyes, which means that she is not in good spirits, and her eyelids are sometimes drooping, which may be dizzy or dizzy, which is a symptom of anemia, which can lead to unstable internal circulation, and thus chapped lips.
Her hands are slightly swollen, her fingertips are white and bloodless, and I just touched her pulse, and her heartbeat is a little fast, and there may be palpitations.
When breathing, sometimes I am a little short of breath, and my liver and lungs are a little confused.
They came from the countryside, and I think the little girl is still in the incubation period because she has hookworm disease.
Jiang Yu continued to explain.
"Hookworm disease" Hu Pengfei looked at him with a questioning face, and he couldn't believe it, in his cognition, this latent disease can only be completely determined through a series of scientific examinations and laboratory tests, and Jiang Yu knew from the appearance whether it was too arbitrary for a doctor "If you don't believe me, take her for a check-up and you'll know."
Jiang Yu looked at the question on his face and said helplessly.
Hearing Jiang Yu's words, Xiao Rong's family didn't understand what was going on, and Xiao Rong's father asked a little anxiously: "Dean Jiang, what's wrong with Xiao Rong, is it serious to take her to check what kind of illness is it?"
This sudden blow made him a little confused, didn't Xiao Rong look good, how could there be any hookworm disease, and his heart was full of doubts and horrors.
"Oh, nothing, I'm just speculating, maybe it's a parasitic disease like roundworms, nothing serious.
It may also be that I have been tired for the past two days, I haven't rested well, and my spirit is a little sluggish.
Jiang Yu comforted, not wanting them to worry too much.
"Yes, yes, yes, it's okay to look at it, it's okay to look at that" Xiao Rong's father admitted, he still trusted Jiang Yu very much, so he didn't think much about it, but he was still a little uneasy in his heart.
In fact, Jiang Yu did not tell the truth, this disease is not so simple, hookworm disease is divided into hook larvae causing symptoms and adult worms causing symptoms, Xiao Rong should belong to adult worms causing symptoms, it is relatively serious, and it has reached the level of imminent attack.
Once the disease occurs, the mild manifestations are dizziness, tinnitus, palpitations, shortness of breath, etc., and then slowly severe anemia, anemia heart disease occurs, manifested as heart enlargement, heart rate increase, etc., severe anemia is often accompanied by hypoproteinemia, lower limbs or generalized edema.
Finally, cardiac insufficiency, hepatomegaly, tenderness, pulmonary rales, ascites, etc., threatening life.
The reason why Jiang Yu concealed it was because he didn't want this stormy family to bear more pressure, and he was afraid that Xiao Rong's father, the pillar, would be crushed, and the family would collapse.
Anyway, now in the hospital, it's good to treat them together by the way, and the current situation is fine, and the condition can be controlled quickly, so there is no need to give them more trouble and worry.
Liu Lao once told him more than once: "Doctors are not only to treat physical diseases, but more importantly, to save the heart, the heart of the patient's relatives and lovers." ” Even now, Jiang Yu has remembered it in his heart.
After the matter here was dealt with, Jiang Yu didn't stay long, and there were still many things in the office that he needed to deal with.
Two hours later, Hu Pengfei came to him with the diagnosis results, and there was more admiration in his eyes.
"Dean Jiang, you judged correctly, it's hookworm disease."
Jiang Yu put the report on the table, didn't even look at it, and then asked, "This ordinary latent disease should be known, can you tell me how to treat it?"
Hu Pengfei straightened his attitude, touched his chin with his hand and thought about it, and said very cautiously: "The treatment of hookworm is generally a pioneer worm and iron supplement. ” Jiang Yu looked at him and analyzed: "Well, what you said is very right, but do you know that there are two kinds of diseases, one is the symptoms caused by hook larvae, which is a mild symptom of the precursor worm, and then supplemented with iron."
The second is that the symptoms caused by hook adult worms, which are serious, should be corrected first and then dewormed. ” "At present, there are many types of drugs used by Western medicine to expel hookworm, but there is a lack of a single ideal drug.
Clinically, mebendazole can be used in combination with levamisole, or mebendazole and thiazine bisnaphthalate hydroxylate, and other decoxification drugs can be used in combination as appropriate. ” "In fact, there is also a treatment for this disease in traditional Chinese medicine, and the way is much simpler.
Hookworm disease is called futypiasis in traditional Chinese medicine, and it can be expelled in three to five days by taking Huangguan decoction and then adding drugs to replenish qi and blood. ” Hu Pengfei listened carefully, and was amazed in his heart, he had only heard his father say that he had high skills in traditional Chinese medicine, but he didn't expect Jiang Yu's Western medicine to be so powerful, and he unconsciously admired a little more.
Being able to integrate Chinese and Western medicine is not something that ordinary people can do.
It is difficult for countless medical masters to spend so much effort that it is difficult to do.
But Jiang Yu gave him a kind of thing that seemed to be going to do something that no one had done before.
"In your opinion, what is the current situation of the little girl," Jiang Yu asked.
"Judging from the current appearance, I have already experienced dizziness, palpitations and other sensations, paleness of the face and fingers, mild anemia symptoms, slight edema of hands and feet, and unstable internal circulation.
According to the laboratory samples, there are a small number of eggs in the excretion, which should be the incubation stage of the adult worm causing symptoms, and must be treated immediately, if it breaks out in the later stage, it will be troublesome, and the light will cause cardiometabolic insufficiency, hepatomegaly, brain degeneration, and atrophy of reproductive organs, etc.; Severe cases can cause shock and death.
In particular, she is still a teenager and is in the development period, and the further she drags on, the more serious the situation becomes. ” Hu Pengfei analyzed the condition with a serious expression, and there was a hint of pride in his eyes, as if he wanted to regain some confidence in front of Jiang Yu.
After all, the two are not much older than each other, and he is a top student who graduated from one of the best medical schools in the country, plus his father is also an old doctor with decades of experience, and he can be regarded as an arrogant son, but in front of Jiang Yu, he is not a point and a half shorter, this kind of gap is difficult to accept, and it is a great blow to his self-confidence.
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"Well, that's good, that's right."
Jiang Yu is also a little satisfied, it seems that the high-achieving students are indeed good, as long as they polish their minds more in the future, they should still be a good seedling.
"You go and help her arrange for hospitalization, by the way, don't tell his family the truth, just say it's a simple parasitic disease, just take a few medicines, so that they don't worry too much."
Jiang Yu commanded again.
"Dean Jiang, this can't be done, this is against the professional ethics of doctors, doctors can't hide the patient's condition."
When Hu Pengfei heard Jiang Yu say this, he felt that it was seriously contrary to the concept he had always accepted, and he was very shocked and excited.
Jiang Yu didn't expect him to come out suddenly, stood up, walked in front of Hu Pengfei, looked at him with a solemn expression and said: "What is the professional ethics of a doctor, what is the purpose of a doctor to treat diseases and save people, so that patients can recover their health and reduce or eliminate pain."
It's not just physical, it's mental.
In the hospital, we see life and death every day, and doctors are not gods, and sometimes they are helpless, but we must do our best to alleviate even the slightest pain for patients.
This pain is not only the pain of the patient alone, but also the pain of the patient's family.
A true healer not only picks up a cold scalpel, but also holds a heart-warming candy. ” Hu Pengfei was stunned and motionless, quietly thinking about Jiang Yu's words, he was originally a relatively cold and arrogant person, coupled with the perennial study of one mind, he did not have much perception of human feelings, and his thinking had been rigidized by theory.
Jiang Yu's words seemed to open another door for him, making him a little overwhelmed and unable to understand it for a while.
Hu Pengfei helped Xiao Rong go through the hospitalization procedures, but did not tell the truth to their family.
It's not that he doesn't want to say it, but he has been in contradictions and entanglements in his heart, Jiang Yu's words keep echoing in his ears, and whenever he can't help it, he will jump out to educate him.
Back in Jiang Yu's office, Jiang Yu didn't ask him anything, and let him sit on the chair opposite the desk.
"You want me to come here, you can, but you have to pass my assessment, it was just a simple observation before."
Jiang Yu looked at him indifferently and said.
"Okay, you say how to assess."
Hu Pengfei sat upright and said.
As a top student, my favorite thing is the exam, and I have never failed in the exam, but the exam can reflect the gap between others and him, and I can get a full sense of accomplishment from it.
"The assessment is very simple, I will give you a verbal simulation, and you will give the answer on the spot."
"Ahh