When Liang Luoying, deputy director of the Department of Endocrinology, received a consultation call from Lin Jing, the female patient had completed all necessary examinations and had a clear diagnosis.

When she went downstairs, the door of the general emergency room had returned to normal. The abortions that were shoulder to shoulder were basically cleared, and several people were sitting in a row of seats, completely missing the fullness they had just now.

The food poisoning students in the emergency hall were also moved to other places.

Fortunately, there were no severe patients in the accident. Some children with stable conditions but still had symptoms were arranged to enter the infusion room or observation room for further treatment and observation. Those with mild symptoms were taken back home early and taken care of by their parents.

It took only one afternoon to survive the crisis silently.

As for where the source of food poisoning is, who needs to be responsible and how much money it will be paid, it is not something that hospitals and doctors can do. They can only hope that this situation will not happen again in the future.

Liang Luoying has rich clinical experience. She just sat in the office of the general emergency department and just looked at the female patient and immediately discovered the incongruity. This should have been a commendable thing, but after being spoiled by a stinky brat who had just become a hospitalized, she completely lost the fun of diagnosis.

The doctor's work pleasure is nothing more than diagnosis and treatment. Endocrinology is a rare department with no treatment fun because the treatment is very slow. Therefore, some endocrinologists who want to find fun to maintain their enthusiasm do not like spoilers.

This made Liang Luoying feel a little unhappy.

Of course, she immediately changed her goal and focused on Qi Jing. There must be something wrong with things. Why can an emergency resident who has just graduated for one year of undergraduate studies make a judgment on Xihan syndrome within a few minutes by just a consultation?

Endocrinology is not that easy to learn, and there are high barriers to cross-disciplinary studies. The basis for entering the subject is a mess of hormones.

What glands secrete what hormones and what hormones will produce? When learning, you are doing a series of online questions.

The symptoms shown after hormone deficiency are advanced content after entry into endocrine. Generally, it is difficult for non-endocrine doctors to grasp this in a short period of time. They have to rely on strong memorization or encounter corresponding clinical cases.

But no matter which one does not last long, because every memory pattern is short-term memory and will be forgotten in a few days.

If you want the brain to form long-term memory, you need to rely on a large number of external audio-visual signals to continuously stimulate the brain's long-term memory cells. Therefore, the memory masters you usually meet are all short-term memory cells on the spot, which has little effect on the learning of knowledge absorption.

If you really want to turn knowledge into your own thing, there is no shortcut, you must take one step at a time.

It is very simple to do. Take time to take out the knowledge you want to learn from time to time. When this type of memory cell is really awakened, the memory time will be longer, and you will even follow yourself for the rest of your life.

......

Hormones are a type of regulator that maintains normal survival and responds to external stimuli.

The pituitary gland is the main steward of hormones, which controls the secretion of hormones in the body. Once the pituitary gland has a deterioration of function, it will cause a large amount of hormone secretion to be blocked.

Just like a company that used to give employees a monthly salary of tens of thousands, CEO resigned, cut benefits, gradually reduced wages, and finally reached the point of being suspended. Even if these employees trusted the company before, they had to consider themselves. It was only a matter of time before that they said they were just a matter of time to leave.

Shihan Syndrome is such a disease, and almost every symptom can be traced to the corresponding hormone.

Low blood sugar is used to target growth hormone; menopause symptoms are used to target gonadotropins; mental depression, thin hair, aging face, dry and wrinkles are used to target thyroid hormones; loss of appetite, nausea and vomiting, low blood pressure and low heart rate are used to target corticotropins; light white skin is used to target melanocyte stimulating hormones.

Ordinary internal medicine resident must know these hormones and can also connect the corresponding symptoms, but the first thing you can think of is very rare in sweating.

Not only did Qi Jing easily do this, but he even dug out the past history that the patient had hidden for many years while chatting and laughing. This is already in the category of director-level strength and cannot be done without more than ten years of experience.

Strange... It's really strange.

Liang Luoying took a look at the several reports and B-extra orders he had.

In the test list opened by Qi Jing, hormone levels dropped across the board. B-ultrasound indicated that the uterus and attachments had been reduced, indicating that the sex hormone levels had also dropped to a certain level. The scarred uterus that appeared after cesarean section was not written above. It is estimated that the previous child was born naturally, and the placenta residues and uterine contractions were not strong, resulting in heavy bleeding.

"Let's be hospitalized, prescribe some medicine for you to condition." Liang Luoying said it very easily, and took the hospitalization form and started writing it.

The female patient knew where her problem was, so she nodded without any objection.

Her husband just heard Qi Jing explain it, and was dizzy when he was hit by a special noun. After listening carefully, he found that he could understand every word, but it was a book of heaven. He had no idea what was wrong with his wife: "What happened to my wife."

"Oh, it's an endocrine disorder."

Liang Luoying has already found an excuse, which is also a common cause of endocrinology: "Prepare some medicine first and try the effect, let's take it slowly and find the drug combination that best suits your wife. However, you must be mentally prepared and may need to take the medicine for a long time."

Internal medical diseases related to hormones are considered endocrine disorders, so there is nothing wrong with saying that.

But when an expert heard this, he knew that this was a very vague statement. The endocrine system was so big that there was a disorder, and he didn't say anything about it.

But in the eyes of ordinary people, endocrine disorders are a minor problem, just condition them: "It will not affect future childbirth?"

Liang Luoying looked at the female patient and nodded: "I have no problem here. As for the obstetrics and gynecology department, the doctor there will only have to check it out."

He spoke without missing a word, and just listening to a few words made the interns learn a lot.

But it was time to stay aside and listen to her conversation, help copy the hospitalization form, and the intern who was in charge of calling 666 did not sit here. Instead, he nestled by the glass window and actually studied a dead mosquito with Qi Jing that was slapped into blood mud.

I'm not as good as a dead mosquito?

Guo Yan carefully checked the mouthparts of the dead mosquito and asked curiously: "Senior Qi, do you mean that the mouthparts of the mosquito are composed of six needles? So many?"

"1 upper lip, 2 upper palate, 2 lower jaw, and 1 tongue. These are just needles that suck blood. In addition, there is a saliva tube in the center of their tongue. After the needle enters the skin, saliva will be secreted at the same time." Qi Jing held a toothpick and flicked the mouth of the dead mosquito and said with a smile, "It makes us feel allergic to its saliva."

Guo Yan nodded: "I understand the allergic reaction of saliva, but this blood..."

The problem is the spread of HV, and the key is the direction of the blood after the mosquito sucks blood.

"Xiao Guo, what do mosquitoes eat?" Qi Jing looked up at a little mosquito spinning around the ceiling and asked casually.

"What to eat...suck blood."

Qi Jing nodded: "Then will you spit out what you eat after dinner?"

"Of course not."

This question is not only simple but also stupid. Guo Yan gave the answer without thinking about it. But after he finished speaking, he realized the profound meaning: "Uh..."

"Mosquitoes have always been one-way in sucking blood, and the carrier of the virus has always been its saliva." Qi Jing glanced at him, "Ordinary people don't know that mosquitoes are produced by saliva, so they have the saying that they suck and vomit. Since you know that you still think so, it shouldn't be."

Guo Yan sighed, his mouth pursed into an arc, and he nodded.

Those viruses that are transmitted through mosquitoes must have a complex way. Through the mosquito’s inner digestive system, they successfully enter the mosquito’s saliva from the blood. Finally, when biting, they enter the body of the next victim through the saliva.

Hepatitis B, hepatitis C and HV viruses do not have this method.

Everything makes sense.

Guo Yan's head, which was still in a mess just now, suddenly became much clearer, as if he was shaking the clouds and seeing the sun.

"Wait, I have another problem." Lin Jing solved the last patient at hand, and breathed a sigh of relief at the empty emergency room entrance. She packed up the two medical records she left behind and asked: "Contaminated medical needles can spread those viruses, so why can't the mouthpiece of the mosquito after sucking blood? They are also syringes."

Guo Yan didn't expect to continue digging deeper on the mosquito issue, and Lin Jing's perspective is very tricky.

Qi Jing raised his eyebrows, but unexpectedly, a girl who looked quite quiet in her heart was very serious: "Teacher Lin, the remaining blood on the mosquito's mouth is only 0.00004 ml, and there are 4 0s after the decimal point. According to the hiv infection standard, mosquitoes have to bite back and forth between the two of them for at least 2,800 times to cause the hiv infection."

At this time, clear numbers make sense than anything else. After pouring a bunch of numbers, Lin Jing was speechless. Guo Yan, who was standing beside him, was even more immersed in this cold knowledge and could not extricate himself.

However, none of them realized that the question-and-answer session about mosquitoes had just begun.

"What are you talking about?" Liang Luoying stood up and walked over.

"Mosquito." Lin Jing replied, "I just discussed that hepatitis B, hepatitis C and Hiv viruses can be transmitted through blood, so why can't it be transmitted through blood-sucking mosquitoes."

Liang Luoying couldn't help laughing and felt bored after hearing this. But after listening to the details, she realized that there were so many interesting things.

Lin Jing sighed, picked up the two medical records left at hand and looked through two pages, and had to praise him: "You know a lot."

"It's just my usual interest." Qi Jing didn't explain much and immediately asked Liang Luoying who was standing aside, "Teacher Liang, did the female patient just now take it?"

"Um."

Liang Luoying looked at him and asked with a try attitude: "You know very well about endocrine diseases, where do you think?"

"I was reviewing the professional exam recently. I saw it when I was doing the questions before." Qi Jing explained very smoothly. There are indeed some clinically rare biased questions in the professional exam.

The exam questions and clinical response to patients are completely different concepts, but since he said that, Liang Luoying couldn't ask anything anymore. In fact, even if he asked, he couldn't ask any questions. After all, there are too many geniuses in the medical department, and maybe one will pop up and scare the whole world.

Putting aside the patients just now, Liang Luoying is now interested in the mosquitoes they are discussing.

Although she knew that mosquitoes could not spread hiv, she still wanted to ask carefully: "When it comes to mosquitoes, I don't quite understand. If a mosquito that has been full of blood with the Hiv virus happens to bite someone, and with a slap, will the blood that explodes from its stomach enter the human body along the bite wound?"

Guo Yan:......

Qi Jing:......

A Lin Jing is already crazy enough. Unexpectedly, her superior doctor is going too far. Who are the endocrines people? How come there are so many strange problems?

"Don't look at me like this, this is a very reasonable question." Liang Luoying said with a smile, "If you can answer all this question, then..."

Qi Jing just thought the question was strange, but no matter how strange it was, it did not mean that he could not answer.

Before Liang Luoying finished speaking, his answer came: "It was the reason for the amount just now. The bite wound is very small and the blood can be contacted. After slapping the mosquitoes to death, the blood will be wiped out. The Hiv virus outside the body will die in a short time."

Liang Luoying nodded and was very satisfied with Qi Jing's explanation.

However, the directors and deputy directors all have common problems. When asking the young doctor, it is easy to be unable to control his strength and make a move for no reason. Especially after finding that his problems are not difficult, even more difficult problems will follow one by one.

The next dimension has completely exceeded Lin Jing and Guo Yan's imagination.

One dares to ask, the other dares to answer, and the time between the questions and answers is very short, and it almost blurts out. In the eyes of the two of them, the question and answer in front of them is completely a fight between gods and immortals, and there is no place to interrupt.

As soon as Qi Jing finished answering, Liang Luoying's next question came: "What if the pool of blood was not erased."

"The wound is so small, it heals immediately, so there is not much contact."

"If the bitten person coagulates blood, there will be problems." Liang Luoying began to make assumptions, "For example, people with a platelet count of almost 0 have been treated with anticoagulation by mosquito saliva, and the wound is not so easy to heal."

"The person who is bitten has low platelets and the wound is not easy to heal. However, the platelets in the blood with the Hiv virus are good. Not long after it is outside the body, the blood will coagulate and cannot enter the wound at all."

Qi Jing immediately made an explanation, not only just trying to explain, but also imagined a counterattack: "It is not necessarily the case that the platelets of the Hiv virus carriers are also very low."

However, Liang Luoying didn't care at all, nodded and said, "This possibility cannot be completely ruled out."

"Teacher Liang, this..."

Qi Jing wanted to refute, but at this time Ji Qing ran over: "Qi Jing, there is a serious patient here, come and help."

.
Chapter completed!