medical road high rise

Chapter 359 Not Rabies

Chapter 361 It's Not Rabies

When the patient's husband heard that it was rabies, he trembled a little.

"Doctor Qin, you said my wife has rabies?"

"Of course, this is just my preliminary inference. It doesn't mean that the patient must be rabies. That's why I asked you if your wife has been bitten recently." Qin Feng asked.

The patient's husband thought about it for a while, and said with a pale face: "Yes, a few months ago, my wife was bitten by a neighbor's dog."

At this time, a murderous intent appeared in the eyes of the patient's husband. As long as his wife was really diagnosed with rabies, he would definitely kill the neighbor's dog.

The breathing of the whole person became rapid, and Qin Feng comforted him from the side: "Don't be in a hurry, the specific situation still has to wait for the test results to come out."

Back in the rescue room, Qin Feng looked up at the energy-saving lamp and frowned.

Another characteristic of rabies is the fear of light, but the lights in the rescue room are all turned on, and you don't know day and night in the rescue room.

Looking at the patient's condition again, the patient looked at Qin Feng with some fear.

"Doctor Qin."

"Do you think this light is dazzling? Do you feel scared?" Qin Feng asked.

"Hungry, it's a little bright, but not afraid." The patient shook his head.

Qin Feng breathed a sigh of relief. If he is not afraid of light, then there is a high probability that he is not rabies.

"I heard from your husband that you were bitten by a dog a few months ago. Where did you get bitten?"

"The left calf, but it just bites on the pants, and the skin is not broken." The patient said.

When Qin Feng heard it, it was done.

"Are you sure you didn't bite the broken skin?"

"No."

Qin Feng heaved a sigh of relief, fortunately it was a false alarm, as long as it is not rabies, there is still treatment.

But now there is another problem in front of Qin Feng, that is, the patient is not rabies, so what causes the patient to be afraid of water?

Seeing that the patient was sleepy, Qin Feng turned his head and glanced at the patient's ECG monitor. There was no problem with the blood oxygen saturation. How could he suddenly become sleepy?

"Are you sleepy?"

The patient shook his head.

Not sleepy?That is lack of strength.

A case flashed through Qin Feng's mind.

Muscle weakness!
Qin Feng's eyes widened, and the more he thought about it, the more he felt that the patient's condition was very similar to muscle weakness.

Myasthenia gravis is an autoimmune disease caused by dysfunction of transmission at the neuromuscular junction.

In normal times, our muscles are innervated by nerves. Where the two meet, some transmitters will be secreted by the nerve endings, and then act on the muscles to form an instruction to the muscles.

When the command does not take effect, it means that there is an obstacle in the handover process, the muscles will not listen to the nerves, and muscle weakness will occur.

The patient's condition should not be ordinary muscle weakness, it is very likely to be myasthenia gravis, which may affect the muscles of the whole body.

Therefore, the patient will have difficulty breathing and feel weak all over.

As for the spout of drinking water, it is not because of fear of water, but because of weakness of the throat muscles and weakness of breathing. The patient will choke when drinking water at this time.

Once people are choked and coughed, they will have a short-term sense of fear, and they will have a sense of fear when drinking water. In our opinion, it will cause fear of water.

"Arrange to do a fiber electromyography for the patient." Qin Feng said.

The examination was expedited, and it came out very quickly. The patient was diagnosed with myasthenia gravis.

The husband of the patient was relieved when he learned that it was not rabies but myasthenia gravis, as long as it was not incurable rabies.

Qin Feng prescribed pyridostigmine bromide to the patient, which is suitable for myasthenia gravis and postoperative functional flatulence or urinary retention.

This drug can reawaken the handover work of the neuromuscular junction and restore muscle strength. In addition, some glucocorticoids and immunoglobulins are also prescribed.

Because the onset of many myasthenia gravis patients is related to immune abnormalities, and hormones are the strongest immunosuppressants, hormone shock therapy is also the most effective.

After explaining all the medicines, Qin Feng asked Zhang Yao to prepare for the injection. As for the observation, it will have to wait until tomorrow.

Early the next morning, Qin Feng flew to Pengcheng to perform flying knife surgery on a wealthy businessman.

It was said that there was a car accident while driving, and three fingers were pinched off. Because the rich businessman's requirements were extremely harsh, Pengcheng recommended Qin Feng to the rich businessman.

Naturally, the wealthy businessman was not short of money, so he let Qin Feng fly his knife over without saying a word, and the knife cost [-] yuan.

Ruijin Hospital also hopes that Qin Feng will go there. It is good for Qin Feng to go out more to expand his reputation, and it is also a good thing for Ruijin Hospital.

After arriving in Pengcheng, the director of Pengcheng hand surgery personally received Qin Feng and arranged a five-star hotel for Qin Feng. Qin Feng also refused, but asked them to book a plane ticket for the night and fly back directly magic capital.

Originally, he planned to have a dinner, but was declined by Qin Feng. Qin Feng thought it would be better to have surgery first.

Without rest, Qin Feng performed an operation on the patient, and it took three hours because of the excessive number of fingers.

The doctors of hand surgery watched the stage all the time, and they all felt that what Qin Feng did was perfect.

"Doctor Qin, enjoy your face and have dinner together tonight."

"I'm afraid I won't be able to go to the plane at night." Qin Feng declined again.

The director of hand surgery also showed regret, and took Qin Feng around for a while, and Qin Feng received a text message on his mobile phone.

"Due to strong winds, flights are temporarily canceled today..."

Qin Feng frowned, that's what's wrong with the plane, if there's something wrong with the weather, it won't be able to take off.

"Doctor Qin, is there any dissatisfaction?"

"No, my flight was cancelled. The weather here in Pengcheng is really changeable." Qin Feng said with a bitter smile.

"Hahaha, Doctor Qin, you have a taste of our living conditions. Since we can't leave, let's go have a meal together, and then help you open a room nearby for a few days. After the strong wind passes, it's not too late to go back " said the director of hand surgery politely.

"Then excuse me." Qin Feng knew that he had no reason to refuse the director of hand surgery, so he could only agree.

For the dinner at the doctor's level, Baijiu is in charge, but they are all respectable people, and Qin Feng also represents the face of Ruijin Hospital.

There was really no way, Qin Feng could only drink a glass of white wine, and then he became dizzy, and finally arranged for someone to send Qin Feng back to the hotel.

When he woke up at three o'clock in the morning, Qin Feng got up and poured a glass of water, opened the curtains and looked outside, and found that there was already lightning and thunder outside, and he could vaguely see the big trees on the street swaying, and even saw a car The car was shifting, yes, it was shifting under the action of the wind.

"This seems to be a natural disaster, right?"

(End of this chapter)