369. Tampons
There are obvious differences in culture at home and abroad. If we subdivided it down to gender concepts, it will only become more exaggerated. Tampons have been used abroad for decades, and they have been smooth sailing from research and development to market, but there is no market in China.
As early as the late 1980s, foreign tampons entered the domestic market with hope. However, facing the conservative Chinese, they were hit hard by the local environment and ended in a bleak situation. After ten years, the largest brand Danbisi made a comeback again, but it still failed to hold on for a year and withdrew again. In the end, only some small brands were still struggling to support and became rare items on the shelves.
By the third time this controversial thing entered the public eye on a large scale, it was already 20 years later.
In 2004, among young women in China, the proportion of people who know about tampons is not high. They usually learn about this by introducing friends abroad, or through other special channels through surfing the Internet. However, it is not enough to understand it. The long-term shortage of stock in China has made people who want to try it have to give up.
In fact, even if it is available, tampons are much more expensive than sanitary napkins. In addition, it is frequently replaced, which can be discouraged.
In comparison, it is questionable how many of these older experts really understand tampons.
"A tampon, I've heard of it."
"Isn't it just something women use during menstruation? It's from abroad. But I heard that if you want to stuff it in, no one should use it in China."
"I heard it is much more convenient to use than sanitary napkins."
"It's not clear. I don't have time to work. Who would study this thing..."
Compared to others who are slightly more at the show, Xu Sheng really regarded himself as a doctor who was on-site to receive the doctor. His nervous face was filled with substitution: "Don't worry about whether it is good or not. Now the problem is that the patient has long lost his uterus, where does the menstrual period come from?"
"Yes, Lao Xu is right. Why do he use tampons when he has not had menstruation?"
The tampon problem raised by Qi Jing quietly left the small speaker of the mobile phone speaker, walked around the venue in a big circle, and finally changed his appearance and returned to Qi Jing. Why do a man who will never have menstrual period?
"Teachers, do you have to use tampons before you have menstruation?" Qi Jing said with a smile, "Everyone relax your mind, don't be so restrictive, and think boldly."
This reminder made many people react. However, the so-called reaction is just based on the correct idea. To truly get to that point, it still requires a process of argument.
"If you leave menstruation aside, the function of tampons is nothing more than absorbing liquid. If you start from this aspect, then there will be either blood or fluid in the y-channel."
"It's still the same problem. Where does the blood come from without menstruation?"
"That's the flow."
"Where does the liquid come from the uterus?" Xu Sheng's brain did not give up thinking. After several discussions, he seemed to be a little enlightened. "If I remember correctly, it should be like this, right?"
"Not all," said a female doctor around. "There is no uterus and there are also large vestibular glands. The large vestibular glands can also secrete a lot of fluid."
"Vestibular glands? That can't secrete much." Xu Sheng finally found the key to the problem, "I think it's still blood!"
"Blood?"
"We just discussed it. He left behind. It must be a purpose, and it must not be taken to see it." At this time, Xu Sheng began to slowly understand Qi Jing's meaning and couldn't help laughing. "It will inevitably be damaged when used, not to mention that he has undergone sex change surgery, so the damage rate will be only higher. You should have seen it in the emergency department, that is..."
"It's the back dome laceration."
At this time, the female doctor just said the answer: "I'm afraid I was a little injured. When the patient found bleeding, he used a tampon as he used to."
"So that's what it means..."
Since it has been pointed out, Qi Jing does not need to elaborate on the principle afterwards. After all, it is a very basic issue of normal bacterial flora balance. Even if some doctors forget it, it is not difficult to find the answer after discussion.
"I guess the tampon is too absorbent, which causes the inside of the y-channel to be too dry, causing the growth of Staphylococcus epidermis, which was not strong in a humid environment."
"The wound is inside the y channel, and these Staphylococcus epidermis can enter the blood very smoothly, causing systemic infection."
"If this is the case, the course of the disease will be understood in just three days. The bacteria that are parasitic in the epidermal proliferate wildly and pour into the blood. No matter how strong the immune system is, there is no time to react."
"Huh, this is really a case of playing cards that are not normal."
"Yes, it's too tumbling."
It was not until the final answer was obtained and everyone was relieved when they saw Yan Hong nodding, and they also realized the central idea of the entire case.
I thought that perversion was just a fork on the entire diagnosis road of the case, and seeing transgender people was a big eye, and finally I had to turn back to the right path. But I didn’t expect that this case would not turn back after the fork on this fork. I even stepped on the accelerator and drove the sheep intestine path as an inter-provincial highway, and sang steadily all the way and led everyone forward.
Yan Hong had to applaud this young man. He was able to think of the patient's cause in such a short time, and his strength was beyond doubt.
Although the entire case only involves obstetrics and gynecology, plastic surgery, infectious disease, immunity and dermatology, critical first aid requires the rule of removal of a bunch of common diseases. Just by locking in Staphylococcus epidermis and following this idea, it can already give him a place in the emergency department.
She has seen too many young doctors, and those who can catch her eyes have their own strengths, but because of their youth, they have various shortcomings. It is rare for Qi Jing to have solid basic skills and sharp thinking.
Of course, with Yan Hong's conceited personality, it is very difficult to get her praise.
"I didn't expect that the case carefully selected by Director Lu would be seen through by a young man. I also thought that after the meeting, I would talk to you about this patient."
Yan Hong was a little helpless and turned the ppt back two pages, listing the diagnosis and operational treatment process prepared by Lu Wenlie: "The entire diagnosis process is the same as Dr. Qi said, but the treatment content I prepared may not be used."
Although it was not stated clearly, everyone knows that this is the highest evaluation Yan Hong can give.
At this time, if Qi Jing does not owe emotional intelligence, he should speak a few humble words, then introduce himself, and also play with Yan Hong Commercial, and finally end the call happily. The questioner has face and can also increase his popularity and achieve the best of both worlds.
However, Ji Qing's cell phone did not have any sound.
Yan Hong was a little embarrassed, but she still smiled: "I don't know where Dr. Qi is..."
"That, that Director Yan." Ji Qing picked up her phone and looked at the screen that had already been restored to the main interface. She had to interrupt her words, "He hung up the phone."
Gao Jian shook his head helplessly, Xu Jiakang sat on the side and held his cheeks and didn't know what to say. Hu Dongsheng was even more direct, and he laughed unconsciously: "I knew it would be like this..."
"Hang?" Yan Hong was a little surprised.
"Yes." Ji Qing nodded and put away his phone. "I guess he felt that since the case has been resolved, there is no need to continue talking."
The development of things was beyond Yan Hong's expectations. A young man not only had such good professional qualities, but also chose to be low-key when he finally got applause.
Low-key...
Although Yan Hong dug out a word to describe him, she always felt something was wrong.
She had a little doubt about her judgment, but there were many people around her who had the same opinion as her: "This child is quite low-key. She solved the case problems jointly raised by the two senior directors and did not show off. Where is the doctor he is?"
"With us, Danyang Hospital." Ji Qing replied.
"I remember that Wang Ting, the person in charge of the emergency department of Danyang Hospital."
"Well, Director Wang is our mentor."
"That's right. It's a blessing to have a student like you. By the way, is Wang Ting coming?"
"I didn't come this time."
"That's a pity. It's been a few years since we left last time. I really want to meet him again before retirement and have a good chat..."
The seminar changed the previous tense atmosphere and continued in such a harmonious atmosphere.
The case explanation delayed a lot, and the content of the main lecture had to be compressed later. Yan Hong stood in front of the stage and thought about the speech, so she temporarily put Qi Jing aside. But after the meeting, she relaxed and recalled the whole thing, and then found out what the problem was.
This child seems low-key, but from his previous tone, there is no such meaning at all.
In fact, in Qi Jing's eyes, this case itself is not difficult, but the privately customized sex change surgery is more interesting. This is not his arrogant. In 2004, the public did not recognize tampons and had no idea in his mind.
But if more than ten years later, due to the rapid development of the Internet, such similar cases will be emerging online one after another.
How online news is usually written, and while ensuring the minimum authenticity, it connects various serious symptoms with ordinary living habits, which can easily achieve explosive effects and greatly deepen the memory of ordinary people.
They don’t know the pathogenesis, but when it comes to tampons, many people will think of the text information they saw at the beginning, such as severe infection, iicu, sudden death, etc.
Yan Hong naturally didn't know Qi Jing's secret.
Looking back on the explanation just now, I couldn't find any mistakes. In addition, his slightly disdainful tone, it aroused Yan Hong's self-esteem.
There was still some time before supper. She sat quietly on the sofa in the lounge, watching the ppt on the computer while thinking about the whole case. When Lu Wenlie gave the case, she also personally made a deduction. If she was a local doctor, would the patient's development trajectory change because of herself? Will it develop in a good direction or even recover?
Her idea was very good, but the result was negative. Several times of wrong judgments also made her lose confidence.
It only takes three hours to get a diagnosis to the patient's death. Including the refractory nature of the late shock, the patient has only more than one hour’s best rescue time. What can I do at this time? At most, I will improve the laboratory test and then rush to do a CT scan to see if there are any infected lesions in the chest and abdominal cavity.
These things are necessary, but they actually don’t have much effect on this patient. So when Yan Hong saw the case, she thought it was a death penalty.
But now, she had to change her previous view.
"I heard from those children that he was getting his hands from Staphylococcus epidermis." Yan Hong typing characters on the notepad, typing and talking to herself, "It seems that he determined that the patient was infected with Staphylococcus epidermis. Maybe it was because he had encountered this patient before, and the result of conditioned reflex..."
At this time, a voice came into her ears: "It's over?"
Yan Hong looked up at the person and nodded: "Well, it just ended, and your place was over?"
"Well, my task has been completed, and it will be much easier next." Lu Wenlie stretched and thought of the previous case, "How about that? When the case was dismantled in the end, the scene must be very spectacular. They definitely didn't expect the problem to be on a tampon!"
“Spectacular?”
Yan Hong looked up at Lu Wenlie sitting next to her again, and nodded again: "It's okay."
Um?
Seeing her lukewarm expression, Lu Wenlie felt something was wrong: "It's okay? What's the point? Did something go wrong? Someone found the answer? Is it that Xu Sheng? By the way, there are also the four boys from Liang Hui and Danyang! They are the ones who are the most accomplicated, and they are chasing each one."
"Four boys?"
After hesitating for a while, Yan Hong thought of Ji Qing and the others: "Oh, it's the four of them."
"It's really them? They look amazing, but no..." Lu Wenlie was a little excited, not at all calmness and cultivation he had when he gave a speech on stage. "Tell me the process quickly."
"I have something to do." Yan Hong didn't want to say it.
"Ah, I provided the cases." Lu Wenlie sat beside her and said, "You should talk quickly..."
......
At this time, Qi Jing had already returned to Minghai from Jiang Ping, but he was not in a hurry to return to the conference center. He had more important things to do than the medical seminar.
"Brother Qi, what are you talking about?" Yuan Tianchi looked at the hotel sign and felt a little guilty, "It won't be that coincidence."
"What's wrong?" Qi Jing looked at him in confusion, "Although all the people who came here are famous bosses in Minghai and surrounding areas, you, the young master of the Yuan family, have experienced this kind of scene a long time ago, right? Why are you still guilty?"
"It's not considered guilty..."
Yuan Tianchi swallowed, "Actually, my dad is here tonight."
.
Chapter completed!