Chapter 1554 A False Alarm

The Volvo XC60 stopped in front of the emergency building of Haicheng First Hospital, Zheng Ren got off the car, and a familiar smell came over him.

Mr. Wang stood at the gate, with bloodstains on the corners of his white clothes. It seemed that he had just undergone a major emergency rescue not long ago.

He opened his arms and smiled.

Zheng Ren didn't have time to recall the memories brought to him by the emergency building, so he hugged Mr. Wang and asked, "Where's the director?"

"It's dripping." President Wang was very cautious and asked, "Boss Zheng, are you all right?"

"Well, watching the movie is like this." Zheng Ren said hurriedly.

"..." President Wang was speechless.

Is the movie you watched and the movie Boss Zheng watched the same movie?

With such an obvious lung space-occupying lesion and a film with a high possibility of malignant tumor, Boss Zheng thought it was all right?

"What did you order?" Zheng Ren asked.

"Antibiotics, now the director has a fever and a high blood count." President Wang said.

Zheng Ren nodded, and walked straight to the director's office of the emergency department.

"Are you still used to this side?" Su Yun put his arms around President Wang's shoulder and asked with a smile.

"Fortunately, Brother Yun, have you watched the movie?" President Wang asked Su Yun in a low voice.

"Look, it's a typical malignant lesion. But the boss insisted that it was Talaromyces marneffei infection. He also confirmed that the director came back from the earthquake relief and ate the infection from wild bamboo rats when passing Qinling Mountains." Su Yun did not hide it. ,be honest.

"Uh..." A very strange voice came out of Mr. Wang's throat.

"What?" Su Yun's arms tightened slightly.

"I heard from Director Pan that the 120 ambulance from Tiannan Province went out of Qinling Mountains. He really ate wild bamboo rats, and he caught it himself." Mr. Wang was a little surprised.

But what the hell is T. marneffei? President Wang was stunned.

Never heard of it at all.

Su Yun smiled, it was estimated that it was true, not just made up out of thin air. Although there is about Talaromyces marneffei, I have found it on my mobile phone. But when I heard President Wang say that Director Pan had the experience that Zheng Ren had mentioned, I felt relieved all of a sudden.

"Brother Yun, you are outside your chest, it feels like..."

"Two days ago, the boss stopped your gastrointestinal surgery." Su Yun took the topic to another direction.

But Mr. Wang immediately knew what Su Yun meant.

For yourself, don't deny Boss Zheng's diagnosis. For his own surgery, Boss Zheng stopped when he said it would stop. Who can stop the operation? Not only the diagnosis must be prepared, but also the status of the rivers and lakes.

MD! That was an emergency surgery, and President Wang suddenly became interested.

"What's wrong?" President Wang asked curiously.

"Intestinal obstruction." Su Yun said with a smile.

President Wang fell silent for a while.

intestinal obstruction? ! It's hard, but it's really hard.

"Who did it? Is it the kind of intestinal obstruction that sticks into a lump?" Mr. Wang asked.

In his opinion, a lump of intestinal obstruction is already an intestinal obstruction of heavenly difficulty.

"I was diagnosed with intestinal obstruction, and was finally stopped by the boss. The boss said that the consideration was myasthenia gravis, which first acts on smooth muscle, not skeletal muscle. Later, a neostigmine test was performed, which confirmed this.

The operation was done by me. I cut off the thymus in 23 minutes. I'll ask you if you accept it. "Su Yun said with a smile.

Myasthenia gravis... President Wang suddenly became stupid.

It is estimated that the film is very typical. Otherwise, there will be no misdiagnosis problem if the film is read layer by layer in the department.

Looking at President Wang's expression, Su Yun guessed what he was thinking, and said, "Do you dare to stop Lao Feng's surgery?"

"..."

Mr. Wang felt that the moment he met, he suffered a series of critical attacks.

Boss Zheng stopped Professor Feng's operation directly. It seems that he has only been in Haicheng for a few months. How can he not imagine that it is his own hospital?

"Don't be depressed." Su Yun smiled and said, "I don't have any impression of T. marneffei at all. I only found out after asking someone from epidemiology. Later, a few case reports were passed on to me, and I went to the cloud. I checked it again to find out. So what do you say, what the boss said, I can question it, just put your ears up and listen. "

President Wang immediately abandoned the damn myasthenia gravis and intestinal obstruction, stopped thinking about it, and concentrated on Director Pan's condition.

"Really?" He still couldn't believe it.

"Who knows, I don't care if you believe it or not, I believe it anyway." Su Yun followed Zheng Ren into the director's office.

Zheng Ren sat on the head of the bed, looked at Director Pan, and said, "Director."

Director Lao Pan opened his eyes in a daze. Seeing that it was Zheng Ren, he asked weakly, "Why are you back?"

"Really, don't tell me if you have any questions, you are suffering here." Zheng Ren didn't answer Director Pan's question, but complained when he opened his mouth.

It's like a son who works in a field, complaining about his parents' expressions exactly the same.

"It's okay, it's just a cold." Director Pan said after coughing twice.

"What kind of cold, don't talk nonsense." Zheng Ren said unhappily: "Necrotic maculopapular rash on the forehead and chest, I don't know it, and I'm still holding on here. President Wang, go and open a box of voriconazole."

Having said that, Zheng Ren paused for a while, then stopped Mr. Wang, and said, "Let's just calm down Dafukang."

"Go straight to be quiet?" Su Yun asked, for fear that Zheng Ren would be in a hurry and make mistakes in the rush.

"It has been delayed for a long time, let's take medicine to suppress the fungal infection."

"It's been less than 2 days since I ordered antibiotics, why do I need anti-fungal?" Director Pan asked.

"Director, it's not a cold or inflammation, it's Talaromyces marneffei." Zheng Ren smiled, not as anxious as when he came in before, "I'll check you up as soon as I'm sure. it is good."

"What else do you need to check, just a little antibiotics." Director Pan muttered, but the high fever persisted and he felt very uncomfortable, and he had no time or energy to toss.

Zheng Ren ignored Lao Director Pan. How to diagnose and treat, he said it doesn't matter.

Now at home, make your own decisions.

Asking Su Yun to contact the bronchoscope, Zheng Ren began to enter the operating room of the system for training.

Because Director Pan's infection was not in the center, it was difficult to perform bronchoscopy. However, it was difficult for Zheng Ren. After 10 training sessions, Zheng Ren was already very handy.

Bronchoscopy to take tissue, biopsy, and do etiological examination.

Tossed for 4 hours.

Zheng Ren saw with his own eyes typical broom-shaped branches under the microscope, bi-whorls, scattered, with 2 to 7 stem bases, on which there are 2 to 6 bottle stems, short and straight; the bottle body is larger, the stem neck is short and straight , a single phialide can be seen, which grows directly from the air hyphae with single-chain conidia at the top.

It was confirmed several times that the typical Talaromyces marneffei was not lung cancer, definitely not lung cancer, and Zheng Ren was relieved.