2379 Money allergy or bird allergy
What the hell!
"Look, I just said it was insufficient exposure. If the conditions were not given enough, some lesions that caused slight changes in interstitial pneumonia cannot be seen." Sister Zhao smiled and made a movie and uploaded it.
Director He stood behind stupidly, looking at the dense mosaics of the dense and diffuse spots of flaky frosted glass density that appeared on the video data, and was stunned.
What's going on?!
Interstitial pneumonia? The patient has no previous history or work history, so where does interstitial pneumonia appear? Such a young bank staff member has too low probability of interstitial pneumonia.
At the age of 34, the age does not support the diagnosis of interstitial pneumonia.
And the progress was too fast, and in two or three months, the limbs were already weak to a certain extent.
This is impossible!
"Director He, the patient should not need to refer him." Sister Zhao looked at the image and started uploading, "It may be allergic pneumonia, a rare situation. It is difficult to do an allergen test. It may be necessary to check everything the patient has come into contact with."
When Director Zhao diagnosed it as allergic pneumonia, Director He had no objection. He just thought about it and had to check countless possible allergens, and her head became two big ones.
A video of enhanced CT defeated Director He completely. She left the CT room with some loss and walked back slowly by herself.
Director Zhou said that she asked her to call to tell the department, but Director He forgot about it. Her eyes were filled with images of scattered frosted glass.
What a fuck! How small is this interstitial inflammation, the resolution of ordinary CT is invisible.
Allergic pneumonia refers to a group of diffuse interstitial granulomatous lung diseases caused by the susceptible population repeatedly inhaling various antigenic organic dust and low molecular weight chemicals.
Repeated inhalation of the peasant lungs caused by hay containing thermophilic actinomycetes is a major clinical source of disease.
Director He has considered this disease, but what allergen can a bank employee come into contact with? Is it allergic to money?
If you are allergic to money, can you diagnose poor disease? Is there really someone who is poor disease? Director He also knows that it is impossible. But when he thinks about it, the image of enhanced CT appears in front of him.
Director He slowly walked back to the department, while thinking aimlessly.
How did Zheng see it? Forget it, no matter how he sees it, it is impossible to find allergens in the end.
Director He sighed, but this "troubled" patient still couldn't transfer it.
Next, she had to check allergens! When she thought of this, Director He became even more depressed. She felt that she had already begun to tend to be depressed.
Back at the ward, Director He pushed the door and went into the doctor's office. Seeing that the patient's family was also there, she remembered that she had not informed Director Zhou of uploading the image data.
But now it seems that it is not used.
"Boss Zheng considers that it may have something to do with it, so he will throw it away. Or send it to his parents' home or other friends' homes, and don't let the patients come into contact with it again." Mr. Wang said earnestly.
"Really...really?" the patient's family asked in a daze.
Director He didn't understand what was going on either.
What Mr. Wang said should be that he had found allergen. But why was it so fast? When I walked back by myself, no matter how slow it was, I would not find allergen.
It takes time to pass the film over, let alone diagnoses, and find the source of trivial things. Is it really allergic to money and throw away all the money?
"Mr. Wang, what is the patient's allergy?" Director He asked directly without caring about anything else.
"Boss Zheng is considering that he is allergic to down quilts. He just asked the patient's family and said that his family did buy down quilts at an off-season discount a while ago." Mr. Wang replied with a smile.
After a clear diagnosis of the condition, everything is fine. It is the happiest time for the doctor.
"Boss Zheng has given the treatment plan. For details, please consider it. I am still busy, so I will leave first." Mr. Wang handed a piece of A4 paper to Director He.
Director He saw that it was written on it - first test for antigen-specific IgG antibodies for duck or goose feathers. If the diagnosis is confirmed, 40 mg of prednisolone should be given orally once a day. It will last for 1 month, and then it will be reduced every 2 weeks and gradually reduced.
There are also some tests that need to be done, such as bone density, to avoid long-term stimulation of glucocorticoids, resulting in reduced bone density and complications.
Another thing is to use proton pump inhibitors such as omeprazole to avoid other complications.
These are routine, and it is reasonable to use glucocorticoids to control allergies.
But the judgment of this allergen is too bizarre...
...
...
"Boss, bird lovers have asthma or bird allergies, have you seen it?" Su Yun asked.
"No, but the diagnosis is on this relatively complicated manifestation of lung allergicity. The first thing to consider is the allergic to bird hair." Zheng Ren said with a smile, "Mr. Zhou, I'll leave if I'm fine."
Zhou Litao looked at Boss Zheng foolishly, thinking that if he had changed himself and diagnosed a bird with allergies, he would have started to show off.
But look at Boss Zheng, he smiled slightly and didn't care at all.
It was like a diagnosis of appendicitis, and it didn't take it seriously.
"Don't go, Boss Zheng." Zhou Litao said quickly: "Did the patient just get in touch with the duvet? Is this a coincidence?"
"After contacting a new duvet or pillow, the symptoms may occur between three weeks and five years. As time goes by, breathing difficulties will increase, and patients will experience night sweats, dry coughs, weight loss and fever." Zheng Ren smiled.
"Have you ever stayed in a high-end hotel?" Su Yun asked.
“Live.”
"Some people stay in high-end hotels... I ask you, judging whether the hotel is high-end or not, what will you see when you enter the door?" Su Yun said, and the topic shifted again.
"..." Zhou Litao was stunned for a moment. Didn't he say that birds are allergic to them in the previous sentence? Why did he talk about the hotel?
He knew what Yun Ge'er meant. High-end hotels are basically full of down pillows. But hotels are not high-end, such things...
"Look at the trash can." Su Yun said, "Excluding other factors, you should look at the trash can at first glance. If there is no plastic bag or garbage bag, the quality of this hotel should be good."
"..." Zhou Litao's thinking could not keep up with Su Yun's speed at all.
"It is the legend that luxury is troublesome. Is it an explanation that the more troublesome the more luxurious it is?" Zheng Ren asked with a smile.
"Of course!" Su Yun said.
"Uh... Brother Yun, what's the matter with bird allergy?"
Chapter completed!