Taking advantage of the time when Sarah was asking Lin Zhixing to draw blood again, Qi Jing roughly introduced the general situation of the Silkworms to the chief professors below the stage.

In fact, these contents are introduced in parasite textbooks, but due to the geopolitical distribution factors of parasites and the increasingly progressive domestic social factors, even the directors of infectious diseases, including Cai Ping, only two types of filaria that are widely spread in Asia.

I can't use other contents normally, and I will forget them over time.

Firworms are actually a small branch of the huge nematode classification, referring specifically to eight types of nematodes that are transmitted by arthropods and parasitize the human body. In academic or professional fields, the full name is generally used to call them, and the first one is added at the end.

Because Chinese characters are varied, switching between traditional Chinese and simple language is much more free than other languages, domestic doctors also prefer to use abbreviation. Especially in terms of words, they are basically abbreviation. For example, the Ban's Wuce nematode, which is transmitted in Asia and Africa, is abbreviated as Ban's filaria. The Malay Bruce nematode, which is only transmitted in East Asia, is abbreviated as Malay Firworm.

Basically, it’s easy to read, just understand, not that much attention.

But once you need to do differential diagnosis, you have to pay attention to it, and you cannot be ambiguous in the rigorous areas.

In the absence of parasite antibody detection, the purpose of distinguishing these filaria is to rely on morphological identification of microfilaria under a microscope. Unlike detection of antibodies, this morphological identification method not only requires certain smear production skills, more than 90% of the test methods rely on the human eyes of the inspector.

Experienced infectious agents and testers can identify the general types by looking at two glasses. Then, the patient's symptoms and the habits of microfilariae can be clearly diagnosed.

If you don’t have relevant clinical experience, you will be helpless.

The identification content is a familiar part of the undergraduate parasite textbook, and it is also considered a test point for the subject test. Even undergraduates who are studying have poor academic performance, can still speak this passage vividly with this textbook.

But reading and endorsement is one thing, and diagnosis is another.

When the boring text does not have a large number of insect body photos accumulated for a long time, it is a pile of dry text that cannot become one's own knowledge at all. Even if you memorize the entire parasitology, it will not affect the fact that they cannot become doctors in the short term.

Qi Jing knew this very well. The introduction he made was actually a formality. The directors also knew this very well, so naturally they would not listen too seriously.

At most, it is to regard it as a clinical experience, and automatically deposit it in your mind while listening, becoming the so-called clinical experience.

Studying medicine is really troublesome. It’s like playing an unsaved RPG game. Apart from all kinds of talent bonuses that look like plug-ins, everyone’s energy is actually only this. After clicking a certain professional skill, if you want to change your major, you will be one step worse than just focusing on one skill tree.

As long as both sides do not slacke in slacking off, this gap will be difficult to make up.

Perhaps for young doctors, there is still a chance to change their majors, and they can catch up with others with their own talent and diligence. But the audience is full of older generation directors and professors, who usually have their own work to do and have to complete a lot of projects, and their masters and doctoral students also need to work hard.

Because a consultation wastes time on other research, that is, throwing watermelon may not necessarily help you pick up sesame seeds, and it is not worth the effort.

Anyway, Qi Jing and their profession have no obvious intersection, and even if the younger wave pushes the older wave, they can't push them.

Since last night, the focus of the old professors gathered has been gradually withdrawn from Lin Zhixing's illness, and they all settled on the young doctor Qi Jing. The original consultation has gradually become a large chat room because of Sarah's offline. Some people even switched their state to the opera listening mode because of curiosity.

"Xiao Qi, I heard you are studying for a master's degree. Who is the teacher?"

"With this level, the teacher is definitely not easy."

"Since it's not Mr. Huang, it should be that person, Academician Qin Xuemei!"

"There are more than two famous people in the infectious sciences in China, such as Rong Qianzhu and He Jingfang from Minghai are also powerful, and they are both subject leaders and big bosses."

"If you really want to follow what you say, there will be more people..."

Qi Jing smiled and quickly extinguished the soon-explosive debate in his palms: "I was the director Wang Tingda of Danyang Hospital in the exam."

"Wang Ting from Danyang Hospital?" Old Zhang looked at Cai Ping on the side in confusion, "Director Cai, isn't it the old man who only knows how to drink tea all day long and likes to be terrified when encountering things? I remember it's only 1.6 meters away..."

"Yes, it's him." Cai Ping nodded, agreeing with Lao Zhang's generalization method, "It is also a person who can be ranked first across the country."

Lao Zhang has no doubt about Wang Ting's ability at all. The ability of the emergency director is positively correlated with the emergency treatment rate of the hospital where he is located. In this regard, Danyang Hospital is not only the leading local leader, but also an excellent hospital in the country that can enter the top 20.

"Isn't he doing critical first aid? Why did he teach parasites?"

"Lao Zhang, you misunderstood. How could he teach parasites?" Cai Ping said with a smile. "Parasites and infectious diseases are taught by Qi Jing himself, but Old Man Wang has never taught them."

The word "self-study" is like water dripping into boiling oil, and the oil pan instantly explodes.

"Self-study? Stop kidding. How can such high-level clinical experience be achieved through self-study? Who should I say?"

"No one will believe it if you say you are self-study!"

"Don't believe it!"

"I don't believe it either!"

"If I specialize in parasitology and have been studying with Mr. Huang for a year and a half, I still believe that I can have such strength. But if I say I am self-taught, I don't believe it! I definitely don't believe it!"

Qi Jing didn't care about their feelings, and it didn't matter whether he believed it or not. However, Cai Ping's unconscious words ignited the atmosphere in the conference room. Qi Jing had to make some effort to reduce the popularity: "Actually, I have actually met Mr. Huang Yuhuai twice."

"Have you met Mr. Huang?"

"I have seen it, once three years ago, and the second time was last year." Qi Jing said slowly, "Especially three years ago, Mr. Huang specially taught me some learning methods, and helped me get into a graduate student at Dan Medical University two years later. Unfortunately, my mother didn't let me study infectious diseases, so she followed Director Wang Ting from the same hospital."

Most of what Qi Jing said was true, but a small part of the illusion was hidden, which made Huang Xinghua feel a little strange: "My father met you three years ago? He had an old problem that he had been doing for half a year and could not even get out of the house."

"Oh? Is that right?" Qi Jing pretended to be surprised and continued to slowly build his "lie" puzzle. "I remember it was on the eve of the Spring Festival three years ago. He gave a lecture in a small city in the central and western regions. I forgot what the specific name is. I was also drawn to the school to listen to it. I was fascinated when I heard it, and my mind was full of infectious diseases."

"It turned out to be before the Spring Festival..." Huang Xinghua finally got into the phone number when he heard this time. "He did go to Yancheng during that time."

"Yancheng...oh, I remembered it." Old Zhang also responded quickly, followed Huang Xinghua and put on the last puzzle set by Qi Jing. "It was just that plague. Old Huang took his scientific research team there, but he was so tired that he fell ill when he came back."

"Oh, my dad's back pain is an old problem." Huang Xinghua said, "When it hurts, you can only sleep on the floor and you can't get into the bed at all."

The second time Qi Jing said was the dengue fever in Danyang last year. Huang Yuhuai and Qin Xuemei personally consulted the severely ill pregnant woman and stayed in Danyang for several days before leaving.

Huang Yuhuai was indeed in that place both times, but Qi Jing was not there both times.

During the first plague, Huang Yuhuai had already used it as his teaching material. As his student in his previous life, Qi Jing must have known the specific time. He even knew more about some of the details than Huang Xinghua.

Mr. Huang likes to teach students and often teaches his own learning methods. So the first time Qi Jing said, it is actually okay to change his name and change anyone to play. Anyway, the old man is old, how can he remember the name of an unknown medical student three years ago?

As for the second time, Qi Jing even lay on the hospital bed and slept in a daze for several days.

But because this dengue fever was a big storm in the infectious disease community, the direction of the chat was quickly turned off: "So that Qi Jing is you!"

"I remember Danyang's Center for Disease Control and Prevention praised you by name."

"It's just that I discovered it early, it's no big deal." Qi Jing said it over, and happened to be connected again at this time, and Sarah appeared in front of the screen, "Doctor Qi, I'm back!"

Qi Jing breathed a sigh of relief when she saw her.

Scam is really a job with extremely high technical content, especially if you have to cover dozens of directors and professors in front of you at the same time, which is even more difficult. Now that the chat has been interrupted, the conference room has finally picked up its original function again and consulted.

I have to say that Sarah moves very fast, and she plays a triangle by herself.

She was a doctor when she was treating the doctor. When she was drawing blood, she became a nurse. After the blood was drawn, she turned into a laboratory examiner.

During the entire thick and thin blood diaphragm examination, she took a lot of time. After searching for the fourth floor of the Department of Internal Medicine for a long time, she finally found him in a waiting area outside the gate. The patient was inconvenient in legs and feet and had no wheelchair, so he treated the patient directly by the corridor.

Sarah's blood draw and thick blood diaphragm were completed in one go, and her hands and feet were even more quicker than some nurses.

Of course, this time she learned her lesson. Not only did she draw three sketches for the mirror's field of examination, she also specially asked Lin Zhixing to see the inspection results together. The inspection results also surprised Lin Zhixing secretly and had to come to the camera with her.

Lin Zhixing is a slightly thin middle-aged man, in his 50s, with a pair of old-fashioned glasses on his turtle's collapsed nose.

In front of the camera, his face looked a little dark yellow, his forehead and eyes were covered with wrinkles, giving people a feeling of mild malnutrition. The temples with glasses in his ears were broken and wrapped in dirty tape. Perhaps it was a bit hasty, and the temples looked a little crooked, which added a bit of a sour temperament to him.

Lin Zhixing cleared his throat as he saw the camera: "Dear directors, thank you for your hard work, this is the second time we meet."

"Director Lin is polite."

"All of them are colleagues, it should be ~"

Since he had changed his own person, Qi Jing silently put down the microphone and returned the right to speak to Huang Xinghua. Huang Xinghua also understood it and quickly asked, "Director Lin, how do you feel now?"

"Fortunately, it's just that lump that was swelling."

Lin Zhixing didn't say much about his body, and quickly entered the topic: "Let me talk about the thick and thin blood diaphragm I just made. It's a pity you can think of. I have stabbed me several times, but my arms still hurt."

"To confirm the diagnosis, bear it." Huang Xinghua asked quickly, "What's the result?"

"Director Huang does have a trick. After learning that the centrifugal concentration method could not see the microfilariae clearly, he decisively used a thick and thin blood diaphragm, which was really high."

Lin Zhixing took the sketch from Sara's hand, placed it in front of the camera, and then tapped a bug in the central area with a pen: "Just just now, Sara used a thick and thin blood diaphragm to find microfilariae again in the thin blood area, and there was no interference from white blood cells, and she was a complete individual."

"Can you determine which kind of filaria it is?"

Lin Zhixing paused for a moment, looked at each other with a somewhat disappointed Sarah, and said calmly: "The image is clear, but the staining of the insect body is a failure."

“Dyeing failed again?”

Huang Xinghua frowned and asked back while asking, his instinctive reaction made him look at Qi Jing who was standing aside naturally. But Qi Jing did not notice his gaze, but stared at the picture on the screen with his eyes squinted.

"And there was something wrong with our microscope's high-power lens. Even if the staining is normal, it is difficult to see the structure of the insect."

The special situation in Africa has once again increased the difficulty of differential diagnosis, and even high-power microscopes are not allowed to be used. Lin Zhixing also seemed helpless and said, "Forget it, I'm going to use the medicine directly."

"Union? How to combine?" Huang Xinghua said, "There are some slight differences in several types of filariasis drugs, and the effects are different. Moreover, the drugs that deal with parasites have strong side effects and need to be treated for a long time. How can your body take the combined medicine?"

"Albendazole, ethamazine and doxycycline..."

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