"Crab?"

Huang Xinghua frowned, immediately understood Qi Jing's meaning, and guessed: "In the Chinese medicine prescription you mentioned, shouldn't crabs be eaten raw directly, right?"

Qi Jing sighed: "It should be done with a little processing, but that kind of processing is not very useful. If the river fresh food is not cooked, it will be no different from eating raw."

Huang Xinghua has also seen many patients who eat raw river food and cause parasite infection. He has popularized science countless times, but unfortunately many people still do this every year. But this time it was because of traditional Chinese medicine, so he didn't even get angry: "It's just a mess!"

"This is also impossible. The old Chinese doctor in remote mountainous areas probably doesn't know much about parasites. If it were a young Chinese doctor today, although he was not experienced enough, he at least knew that raw crabs could not be eaten." Qi Jing said, "This old Chinese doctor probably used an ancient prescription, mashed raw crabs and drank them with hot wine."

When he heard this, Huang Xinghua and Qiu Xuan on the side showed disgust.

After asking Ding Xiujuan, the way to eat crabs is indeed the same as Qi Jing said, which is to mash them and squeeze them dry, take the juices with warm wine, and leave the residues for external application. Wang Gui took them three times in total and four times in external application. As for the efficacy of the medicine, Ding Xiujuan couldn't say it.

It seems to be better, but this has something to do with Wang Gui’s own protection, so it is difficult to explain clearly.

In this case that seems to be closed on all sides, Qi Jing opened a window, a parasite. Its nature is like Ji Guanghao's liver flukes. It is all caused by disasters, but the degree of trouble is much higher.

"Is this medicine broken?"

Ding Xiujuan on the other end of the phone heard some problems and immediately explained, "That's a very famous old Chinese doctor here. She has cured many difficult and complicated diseases that Western doctors cannot solve. I heard that it is still a very effective folk remedy, so how can it be damaged?"

"The river is full of parasites." Qi Jing said, "How can there be no problem after eating this whole raw crab?"

"Raw crab?" Ding Xiujuan quickly denied, "We soaked it in hot rice wine, so it can't be considered raw."

"You haven't eaten crabs?"

"It must have been eaten."

"Don't you know whether it's raw or mature?" Qi Jing's temper gradually became stronger, "I can't understand how raw or mature crab meat?"

"Ah?" Ding Xiujuan felt like she was stepping into a big pit for the first time. "The old Chinese doctor said that it's okay to send hot wine to the toilet. After all, it's yellow wine. I heard that it can kill insects and exorcises evil spirits. Can't you kill parasites even if you don't?"

Qi Jing sighed and did not explain further.

Because the explanation is further explained, it is about disinfection and sterilization, and even helps to distinguish between rice wine and realgar wine. He is very idle, but the patients don’t have that much time.

The phone immediately turned to Lin Rong's hand. The moment he heard the raw crab, Lin Rong thought of parasites. However, he was skeptical about this judgment, not only because of the eosinophils that did not rise much in the blood routine, but also the pleural smear that had just been completed: "Why can't the parasites be found in the pleural smear?"

"Then I have to ask your laboratory staff."

Huang Xinghua finally inserted his mouth: "I'm afraid the patient's breast fluid is too large. When you checked, you only checked the upper layer of clear liquid and forgot the lower layer of turbid liquid."

After he said this, Lin Rong thought about the strength of those in the laboratory department again, which seemed to be reasonable. Maybe there was a problem with the laboratory department, which in the end wasted valuable treatment time: "Okay, I'll go and have another pleural smear now."

"Remember not just take the upper layer of serum and mix it up."

"Yeah, I understand."

However, Qi Jing still spoke and suggested: "The pleural smear is still too lucky. Just do an immunologic examination directly. You need to cast a big net to catch a big fish."

"Which bugs are checked?"

"How many types can you check here?"

"Fifteen kinds."

Qi Jing didn't even think about it: "Not too many, check it all."

"Ah?" Lin Rong didn't expect that the young man on the other end of the phone was so generous that he had to check it out in full when he spoke. However, after all, the other party was protected by Huang Xinghua, so he had no choice at all.

"What are you? Just do the full set of inspections." Huang Xinghua yelled at the phone.

"Okay, listen to you."

......

When we arrived here, the patient's cause seemed to have been found. I'm afraid it was a parasitic infection caused by eating three raw crabs more than half a year ago.

Lin Rong naturally listened to Huang Xinghua's everything, so he would do whatever he said here.

But the infectious disease experts in Southeast Asia on the table are different. They all graduated from higher medical schools in various countries and worked in clinical practice for so much time, and have their own medical knowledge system.

They all know what small things are in the belly of raw crabs. After a raw crab is eaten, it is still difficult to not get sick. But in Wang Gui, the parasite's judgment is still far-fetched: "Why do I think the patient's disease course is still a little faster? Ordinary parasite infection can be delayed for a long time even if it has symptoms."

"Yes, general parasite infections can last for more than half a year, and the course of the disease is very slow."

Qi Jing nodded, and did not refute, but said: "You are right. The course of a single parasite infection is indeed quite slow. However, that is a single."

"single......"

"What's the meaning?"

Someone heard Qi Jing’s implication: “Did he have infected more than one parasite?”

Qi Jing stretched out his right hand, shook his five fingers, and boldly guessed the number: "At least five."

When hearing parasite infection, the doctor's established thinking is to make a single parasite. No one has ever thought about the infection of parasites above the plural: "If it is an infection above the plural, the same symptoms will overlap and aggravate. But five kinds of parasites at one time?"

“Are there too many five types?”

“There are so many bugs in the river crab?”

Qi Jing spread his hands: "I'm just conservatively estimating that there may be more in fact. Parasite infections develop slowly, which is right. But things happen at the same time, for example, this time, maybe a few small insects gather together and choose the time to get sick together."

The bold speculation caused heated discussion among these people. In just a few minutes, they determined several of them. Among them, liver flukestosomes and lung flukestosomes are two of them. In addition, there may be larvae of Toxoplasma gondii and other parasites, such as cleft worms, microfilariae, etc.

Of course these are all speculations, and we have to wait for the inspection report in the end.

At this point, the conference has completely separated from the original content. Although Huang Xinghua was very strong before, it was based on the source of the infection on yuenan's prescription. Now it is basically confirmed that it is a parasite, and it has to be traced back to a pair of traditional Chinese medicine more than half a year ago. It would be very rude to suppress those Southeast Asian experts.

If the other party is willing to cooperate, Huang Xinghua will naturally not treat them unfairly.

This is a complete teaching bureau, with Huang Xinghua being a teacher, while the experts below are students.

The content written in PPT is related to their current situation, especially the malaria that has not been spared in the five countries, which has caused tens of thousands of deaths, which is the top priority of this meeting. Of course, the application of artemisinin is also extremely important. This talk also takes into account the export supply of artemisinin raw materials from China.

The regular meeting lasted for more than three hours. Although there were still many things that were not mentioned, the content was detailed and very inspiring to 18 Southeast Asian experts.

At 4:48 pm, the last foreign expert left after asking a question, leaving only Huang Xinghua, Qiu Xuan and Qi Jingsanren in the entire venue.

For them, this regular meeting was just a routine matter. What really needed them was Wang Gui, a patient far away in Licheng, Yunchuan. In more than three hours, it was enough for pleural smears and accelerated immunologic examinations.

Huang Xinghua's phone was placed on the table, and the three of them watched it, but no one was fooled.

Suddenly a series of rapid rings rang, and Huang Xinghua quickly raised his hand and picked it up: "Lao Lin, how about it?"

Lin Rong took a few breaths, then poured half a glass of water on his back, and then he recovered: "Yes, it's a parasite, a lot of parasites!"

"How many?" Huang Xinghua asked, looking at Qi Jing at the same time, hoping to meet the number.

"There are only five or six types that can be distinguished in the laboratory, and there are several other strange-shaped ones. We are limited in strength and can't tell what it means." Lin Rong had to admit that he was poor at his skills, "But most parasite treatments are those drugs, so why would he have a hodgepodge?"

Treatment is not Qi Jing's unique skill, and Huang Xinghua will have to go into battle at this time.

"First use praziquantel and metronidazole for combination, first take a course of treatment and then check the parasites to see the effect. If the effect is good, continue with the previous course of treatment, and finally use pyrimidine for deworming." Huang Xinghua said, "Do this first, if there is any problem, come to me."

"Then I'll stop cefosporine."

"No need to stop, use it for the time being." Huang Xinghua suggested, "There are so many parasites in his body, and it is difficult to guarantee that there will be other microorganisms. After all, the anti-parasitic medicines will be used, and the next medication will be determined based on the treatment results."

"Okay!" Lin Rong felt that he had finally overcome the difficulties, and kept lit his head, "Thank you, thank you."

"If the patient has something to do, please notify me as soon as possible." Huang Xinghua ordered again, "Don't wait for something big to happen, have you heard it clearly?"

"It's clear!"

After hanging up the phone, Huang Xinghua sighed and added a cup of hot tea to himself. Qiu Xuan, who was standing beside him, had seen Qi Jing's ability and was very interested in his knowledge. He always felt that what this kid knew was completely different from that of ordinary clinicians: "Where did you see those Chinese medicine prescriptions? That one?"

“Not exactly.”

Qi Jing looked at the two books at hand and replied: "In fact, there were many things missing from the earliest Shennong Baicao Sutra. Now all you can see are supplementary content. I have some descriptions of the usage of raw crabs in this book. There is no specific prescription here. In fact, it was read by bored reading miscellaneous books before."

"Miscellaneous books?"

"Well, it's quite a boring miscellaneous book." Qi Jing scratched his head embarrassedly, "I forgot the title, but I still have some impression of the content of describing the treatment of fractures and dislocations in raw crabs."

"Where do you have so much time to read this kind of book? I want to scan all my academic papers in my department. But even so, I don't feel that I have enough time."

"In the emergency department, you can encounter any patient. Learn more about it, and sometimes it will take effect."

Qiu Xuan envied Qi Jing's knowledge that is far beyond ordinary people, but in the end he could only attribute it to a relatively good memory and a good body for young people. After all, he, a middle-aged and elderly person in his fifties, was interested in literature for a few hours. Even if he could persist, there would not be much in his mind and it was very inefficient.

Of course, Qi Jing also has his weakness, which is a treatment method that is accurate to a slight slightest. However, in Qiu Xuan's opinion, this is no big deal.

The two chatted for a while, and then they found Huang Xinghua sitting alone on the side, drinking hot tea silently.

"Old Huang, what's wrong with you?" Qiu Xuan asked with a smile.

Huang Xinghua shook his head and did not answer, but Qi Jing, who was standing beside him, saw a little sign and said with a smile: "Director Huang is probably still questioning my judgment in his heart. Wang Gui's condition cannot be completely applied to parasite infection. There are many places that are too inconsistent. Bacteria are one side, while other unknown microorganisms are the other side."

"You also noticed it? I thought you thought it was a parasite."

"Suspicion is suspicion, but I have no evidence." Qi Jing was helpless, "In fact, let alone evidence, there is no place for a little bit of prompting. My mind is basically stuck in a dead end. Now I can only wait for the effect of parasite treatment. If the effect is good, it means there is no problem. If the effect is poor, or the condition worsens further..."

After hearing this, Huang Xinghua nodded.

His thinking was the same as Qi Jing's wall.

The main entrance of the wall said bacterial infection, but they couldn't open the key without a key, and they were unable to break through hard and returned without success. Now Qi Jing found a path outside the wall. Although it seemed to lead to the side door next to the high wall, it was only after walking to know whether the front door and the side door led to the same room.

Qiu Xuan is not an infectious disease expert. He had thought that Wang Gui's case had ended before. He only realized after hearing the two of them that the battle had just begun.

"What should I do next?"

Huang Xinghua drank hot tea and thought for a while: "My phone is turned on 24 hours a day, Lin Rong is timid and will definitely call me whenever there is something wrong. Then..."

Qi Jing smiled and said, "Director Huang, don't worry, I will definitely be there for this kind of case on call."

"Okay, that's how things are done."

After afternoon discussion and diagnosis, the only good news was that Wang Gui was not a malignant infectious disease and had no lethality to the people around him. However, there were a lot of bad news, a large number of parasite infections, and the real pathogens were still hidden behind the scenes. The third generation of cephalosporins was ineffective, and coupled with Yunchuan's harsh medical conditions...

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