Since 1981 Health School

  Chapter 454 Gastroscopy for colonoscopy

  Chen Qi went out to play for two days and came back. When he came back, there was a big truck behind him.

  Under the curious gaze of many members of the Huaguo Medical Corps, Chen Qi was already shouting:

   "Don't be dumb, and if you want to eat meat, hurry up and carry it. There are 5 young bulls here, each of which weighs about 300 kilograms, and they are quite heavy. The older doctor stepped back and brought a few more young men."

  Head Qi walked out of the office and was stunned when he saw the live sheep all over the floor. Those who knew it was a hospital, but those who didn’t knew it thought it was a market.

   "Chen Qi, how did these cattle and sheep come from? Are they ours? You can't make mistakes, we can't take the stitches of the masses."

  Chen Qi was speechless, thinking that he was indeed the ideological and political leader, who supervised the members all the time.

"Qi Chu, don't worry, of course it belongs to us when we arrive at our hospital. Nao, I hunted those 5 bison myself, and these 20 sheep are the medical expenses paid in advance by other people's patients. You hurry up and arrange someone to raise them. If we want to eat, we will kill one."

   "Medical expenses?" Head Qi understood in seconds.

  With the precedent of fishermen like Vivian taking seafood as medicine expenses, it is not uncommon for someone to drive goats to treat diseases this time.

  Besides, most of Chen Qi's patients are surgical patients, and they don't need much medicine, at most they are personal labor expenses. This way, they won't cause too much of a deficit in cost accounting, and it's easy to explain when they return home. (This is why hospital leaders like surgery)

  So Head Qi also became laughing:

   "Back then you said at the airport that you wanted everyone to eat well, but it seems that something really happened. Hehe, Lao Wang, Lao Wang hurry up and take all these cattle and sheep away. We will have meat to eat later."

  Chef Master Wang has been instructing the young doctors to lift the bison for a long time, and he laughed when he heard this:

   "Don't worry, leader, there's so much beef. Today, let's take advantage of the news and have a beef hot pot first. Let's marinate the rest of the beef head and offal and eat it slowly. The beef bones are boiled in soup, so we don't waste a little meat."

   Hearing that deputy leader Chen had brought a lot of cattle and sheep, many members of the regiment who were not at work rushed over to have a look.

  Chen Li and Yang Xiuxiu were stepping on their feet to see what the African cow looks like, when they were stopped by Chen Qi:

   "Okay, okay, what are you doing for fun, isn't it just a few bison, I'll bring you a rhino back tomorrow, hurry up, there is a patient in the car, it's a little girl, arrange to go to the ward."

  The two little girls were also optimistic. As soon as they heard that there was work to be done, they immediately ran to the off-road vehicle.

  Chen Qi was thinking about what kind of seasoning should be mixed with the beef hot pot tonight?

  Luciana is like a country girl entering the city for the first time. When she sees a lot of aliens, her eyes are wide open.

  Based on her knowledge, she never dreamed that there are yellow people in the world? Shouldn't it be as black as everyone else in the world?

  When she saw that the two nurses who helped her into the hospital looked so clean and neatly dressed, they didn't even have any smell on their bodies, and they still had shoes.

  Looking at herself again, she has dirty braids rolled in mud, only a T-shirt on her body, and two spots are exposed. She probably doesn't even know that there is such a thing as a "mask" in this world.

   All of this made her novelty, and at the same time made her a little inferior.

  It turns out that the little princess in the village is nothing outside...

   After a while, Chen Qi came over in a white coat, and checked the little girl carefully with a stethoscope in his hand.

  In fact, Chen Qi suspected some kind of illness.

  Because when he saw that the primitive tribes drank raw water, ate raw meat, and worms were eaten after roasting, he suspected that these black people probably had parasites in addition to HIV.

  The symptoms of parasites are various, and abdominal pain and diarrhea are also one of them, so it makes sense.

   But still the same sentence, modern medicine treats diseases, it is all based on evidence, you say there are parasites? What if there are side effects after taking the insecticide?

  That would be another medical malpractice. Is there anyone who will be dispatched to Antarctica to feed penguins?

  Chen Qi issued a lot of inspection reports, and then left.

   I don’t know if the car is too bumpy? Still acclimatized? Or the germs on the body know that they have come to the hospital, and the end of the world has begun to toss.

  In the evening, just as Chen Qi sat down and picked up his chopsticks to eat beef hot pot, Zhang Xing, who was on duty, ran over.

   "Dean Chen, hurry up, the patient you sent today suddenly has severe abdominal pain."

  Chen Qi put down his chopsticks and ran towards the ward. Yi Zewen, He Fule, Chen Lili, and Yang Xiuxiu also put down their chopsticks at the same time and ran out of the cafeteria.

   Having had the experience of receiving red envelopes together, they have firmly remembered that they are a team and should advance and retreat together in everything.

  Chen Qi was still very nervous, thinking that his luck was really **** bad. He had abdominal pain and diarrhea for 2 months, but he had an accident on the first day in his hands. It would be fatal.

  Even if he has never used any medicines, if the person is dead or disabled, then he will be so full of mouth that he will not be able to tell clearly.

  At this time, Luciana was already in pain, almost rolling on the ground, screaming for pain, and vomiting from time to time.

  Old Nguema was at a loss with a trash can, not knowing what to do.

  As soon as Chen Qi ran into the ward, he held the doctor's hand: "Doctor, save my daughter quickly, she is dying, she must not survive."

  If Chen Qi hadn’t appeared, the little girl would definitely not have survived. Otherwise, why would the average life expectancy be 32 years old? It is because too many people die prematurely.

   But since Chen Qi is here, if she is allowed to die, it means that he, the international double director, is incompetent.

"Nguema, don't be urgent. You are in the China-Serbia Friendship Hospital. The best doctors in the world are in front of you. We will do our best to cure the disease of little Luciana. Now I need to check. .”

  Shuo Yuan Chen Qi didn't care about the snot-nosed and tearful Uncle Hei, and quickly pulled the patient's clothes away.

   "Where does it hurt? This way? This?"

  Suddenly, Chen Qi felt a lump in his left abdomen, and the pain was the most obvious when he pressed it. Luciana started crying when he pressed a little harder.

  Yi Zewen swallowed his saliva: "Dean Chen, what's going on?"

  Chen Qi sullenly said: "Severe abdominal pain, vomiting, and I also felt a lump, which is probably more likely to be intestinal obstruction. Chen Li, has the checklist I ordered at noon come out?"

   "Come out, here."

  Chen Qi took it over and saw that there was a problem, and said to the two assistants: "Come on, you two have a look."

   Zhang Xing was a little confused when he got the report: "Dean, there doesn't seem to be any inflammation on the report."

  Yi Zewen was also a little strange after taking it over and looking at it: "I don't see any problem, the white blood cells are normal."

  Everyone who has been to the hospital basically knows that blood routine is the simplest blood test item.

  Usually we look at the blood routine, basically looking at the white blood cell count, hemoglobin, platelet count, etc. These indicators can provide doctors with several dimensions of consideration.

   If the white blood cell count is high, bacterial infection should be considered. If it is very high, blood disease such as leukemia should be considered?

  If the hemoglobin is low, then consider anemia and find out the reason.

  If the platelets are low, there is a problem. The most common cause is hematological diseases or severe infections. Low platelets can lead to bleeding.

  This is the most basic blood routine reading item.

  In fact, there are dozens of items in blood routine, and some of them are not favored by clinicians (but it does not mean that they are not important), because the probability of abnormalities is generally small and easy to ignore.

  Chen Qi scolded angrily:

   "Look carefully. The patient's eosinophils ratio is 48.2%. You can't see such a high index. You really need to strengthen your business learning."

  Yi Zewen and Zhang Xing look at me and I look at you, both of them have innocent eyes.

   "Dean Chen, this, this, we really didn't see what the high eosinophils mean?"

  Don’t expect the rough men in surgery to know too much about internal medicine. They don’t care about other things if they have tubes to perform surgery.

   "The proportion of eosinophils is almost half, which means that there are parasites in this patient. Don't you know such simple basic knowledge?"

   Blood routine shows a significant increase in the proportion of eosinophils, what does this mean?

  The simple explanation is this, white blood cells are a general term, including neutrophils, eosinophils, basophils, lymphocytes, monocytes and so on.

   Among them, neutrophils are the most, and eosinophils are relatively small, generally accounting for only about 0.4%-8% of the total.

  So eosinophils are like some unremarkable but unique masters in martial arts, especially those who live in a corner and are unknown poisoners.

  The reason why eosinophils are special is that in addition to being related to immune responses and allergic reactions, they also have a unique function, which can kill parasites.

   Yes, eosinophils kill parasites.

  In some patients with parasitic diseases, eosinophil counts are often elevated, of course not absolute.

   But even so, it can leave a deep impression on the doctor: the eosinophil count is significantly increased, and we must be alert to parasitic infections.

  How can a normal family have such a high eosinophil count? What's more, the patient still has abdominal pain and diarrhea, so parasitic infection cannot be ruled out.

  Chen Qi taught the two assistants a good lesson.

  Both Yi Zewen and Zhang Xing lowered their heads a little embarrassed. After all, they have been doctors for so many years and they don’t even know how to do a routine blood test.

  He Fule hurriedly came out to cross out to ease the atmosphere:

   "Dean Chen, if we suspect a parasitic infection, what should we do next? We will all listen to you, and you will fight wherever you point, without any second words."

  Chen Li and Yang Xiuxiu also nodded firmly: "Yes, we all listen to the dean."

  Chen Qi's mood improved a lot now. As expected, beautiful women can cure all diseases, so his tone eased:

   "I should have taken a stool to check for worm eggs, but it's too late now, so why don't you hurry up and call Director Hu from the Department of Internal Medicine and ask him to come over with a gastroscope."

  When Yi Zewen and Zhang Xing heard this, they ran out quickly. It was too dangerous to stay here. Those who were going to be questioned would be scolded if they couldn’t answer.

   After a while, Director Hu also came with a gastroscope:

   "Deputy Head Chen, do you need an emergency gastroscopy?"

  Chen Qi shook his head, and said a little embarrassedly: "This, this, I just want your gastroscope to help you perform a colonoscopy. I want to check the situation in the patient's intestines."

   Actually, Chen Qi’s space hospital has a colonoscope, but now it’s in the hospital, not in the village, so it’s better to take less risks.

  Gastroscope into colonoscopy?

  Old Hu was a little reluctant all of a sudden, this is going to be stabbed in the ass, full of feces, can this gastroscope still work?

  Doctors these days have a strong sense of ownership, and they cherish their own tools and instruments very much, and they must not let others ruin them, otherwise they will feel as uncomfortable as their own wife being molested.

   "Deputy Head Chen, this, this, how can the gastroscope poke into the intestines, if it breaks, it will be troublesome."

   Director Hu couldn't object, so he could only politely refuse.

  Gastroscopy uses a slender and flexible tube to enter the stomach from the mouth, so the diameter of the gastroscope is generally relatively small. It can check the esophagus, stomach, duodenal bulb and horizontal part to find out whether there are lesions in the upper digestive system.

  Colonoscopy is to insert a colonoscope from the anus. The diameter of the colonoscope is generally thicker and the length is relatively long. It can check the rectum, sigmoid colon, descending colon, transverse colon, ascending colon, terminal ileum, etc. to find out whether there are lesions in the intestinal tract.

   Therefore, gastroscope and colonoscopy are not the same instrument, Director Hu's excuse is still reasonable.

  Chen Qi doesn't care, this is a critical moment.

"Old Hu, what time is it? It's important to save your life. Look at this girl rolling on the ground in pain. We can't just ignore death. Besides, the principle of gastroscopy and colonoscopy is the same, it's just a little thinner." , I just need to be careful when I do it, don't worry."

  When Director Hu saw the patient like this, he could only grit his teeth and agree, thinking that he must clean and disinfect a hundred times when he went back.

  At the same time, he cursed Chen Qi two hundred times in his heart two hundred times.

   Colonoscopy has many purposes. One is to check for parasites. If you are lucky, you may be able to find live worms in the colon.

Of course, if the parasites are mainly distributed in the small intestine, then the colonoscope cannot be seen, because the length of the colonoscope is limited, about 1 meter, and the average length of the small intestine is about 5 meters, and the colonoscope cannot reach it, let alone It is a gastroscope.

  Chen Qi also wanted to try his luck.

   Another purpose of colonoscopy is to see if there are intestinal diseases such as Crohn's disease, ulcerative colitis, intestinal tuberculosis, etc.

  These intestinal inflammatory diseases are also very common. A patient with long-term abdominal pain and diarrhea must consider the above-mentioned intestinal diseases, not necessarily intestinal parasitic diseases.

  Convinced Director Hu and prepared the "colonoscopy", but when Chen Qi was about to examine Luciana, Nguema stopped him.

   "Wait, can't do this colonoscopy!"

  (end of this chapter)