Vol 2 Chapter 1460: Ha ha

   Chapter 1460
The snowflakes outside the window fell silently, and the flakes of flies and flies were scattered and piled up in the corner of the tea hospital. In half an hour, the quiet infectious department yard was covered with a large white cashmere. The same as the carpet.
Large swaths of snowflakes are floating in the air, seeming to be very lively, but in the small courtyard where the thousands of people have disappeared, it is so quiet, and a group of sparrows with white hats occasionally fly up and down on the tree branches, making the quiet small courtyard many Annoyed.
The boilers in the hospital are heated by the heating of the hospital. In the slightly more beautiful departments, the clothes of the doctors and nurses are relatively thin, especially in the endocrinology. The nurses are better, and the female doctors wear quite thin, all kinds of lace. It blooms rarely in winter.
But the infectious department is different. The thick cotton mask is put on the face like cotton trousers, and it feels very difficult to breathe. Zhang Fan looked at the doctor in the department behind him, feeling a little bit in his heart. No wonder the doctors in the Department of Infectious Diseases are so thin and breathing so hard that you can't stop eating three eggs in the morning."
  In addition to the power of the logistic heating, the sweat mixed with the breath of August 4 disinfectant, people wearing a mask suddenly felt like a wet urine mustard just pulled out from under a child's buttocks with a warmth.
Entering the ward, the ward of the infectious department is different from other departments. The ward area of ​​this department is relatively small, and almost all patients are one person. In this era when the tea-sugar hospital is already the leader in the tea-sugar area, if other departments can still have The treatment of a single room is definitely not small.
   "Pulmonary tuberculosis, recurrent tuberculosis, the patient was admitted to the hospital with painless hematuria!"
  The doctor in the tube bed began to report the patient's condition to Zhang Fan before entering the ward. The ward round in the infectious department is different from the rounds in other departments. The rounds in other departments report the condition to the superior doctor in front of the patient.
  The report of the disease by the Department of Infectious Diseases is to report at the door, which can reduce the contact time between the doctor and the patient. Zhang Fan nodded after hearing the case. After the case, he asked: "What does the pulmonary hospital say?"
  Tea Su Hospital has merged all the top three general hospitals in the Tea Su area, but two hospitals have not been merged. It is not that the Tea Su Hospital is not strong enough, but the national policy does not allow it.
  One is the women’s and children’s hospitals. Regarding the preference of medical policies in the past ten years, none of the hospitals have the same policies and funding as the women and children’s hospitals. Everyone may have such a feeling, it seems that the women and children's hospital, which was not well-known and transparent before, suddenly seems to be developed overnight, and it seems to be famous. This is not only the hard work of doctors and nurses, but also the country's vigorous use of money.
  The second is the pulmonary hospital, which is the so-called infectious hospital. The income of this hospital is fully subsidized by the state. Even if there is no patient in a year, the state will still fully subsidize it. The salary and bonuses that should be given will not be less at all.
  The name of this hospital is also rather peculiar. It was called the Infectious Hospital in the early years. Later, I didn’t know if the people around me were unhappy or the staff in the hospital were not satisfied, so it changed its name to a pulmonary hospital.
  The whole country was trembling in 2003. This hospital was renamed the Infectious Disease Hospital. Later, I didn’t know what was going on, and it became a pulmonary hospital. Anyway, the past and these two names kept changing.
  Under normal circumstances, the initial treatment of tuberculosis patients is treated in a pulmonary hospital. In addition, the state distributes drugs for tuberculosis treatment free of charge.
  "Pulmonary Hospital recommends transfer!" The tube bed doctor reluctantly said. It can be said that since the beginning of tuberculosis treatment in the 1950s, the treatment plan has hardly changed. In the past, I used isoniazid and rifampicin.
  It’s okay to say if there is no drug resistance, once drug resistance occurs, this matter is quite troublesome.
  Zhang Fan opened up the case while listening to the report of the tube bed doctor. When he saw the profession, Zhang Fan was a little dizzy. "How can drug-resistant tuberculosis patients still belong to the catering industry?"
   "Uh!" Hearing the dean's voice was not loud, but the inquiries were very severe, and the tube bed doctor was silent. To be honest, Zhang Fan's questioning about this matter was purely unreasonable.
  Zhang Fan paused slightly, realizing that his question was wrong, shook his head and said helplessly: "Go in for the room round."
   Entering the ward, it was a woman with a headscarf. Perhaps because of hematuria, the woman's complexion was very fair, and she looked like a pretty young woman.
This woman is walking on the street. To be honest, who can know that she is a tuberculosis drug-resistant patient. Before Zhang Fan spoke, the woman started coughing. While coughing, the woman covered her mouth and stood up. She was already thin, but she was even more ill after she got sick. I was exhausted, and coughing in bed was really hard.
  Wang Hong pulled Zhang Fan lightly, and then she walked two steps ahead and stood in front of Zhang Fan. Zhang Fan shook his head lightly. In this state of coughing, let alone one Wang Hong standing in front of him, even ten Wang Hong standing in front of him would not work.
  Useless!
  The woman's cough is very long, and her thin body is shaking while coughing, and it feels like she is about to cough up a cavity of the lung lobes. She has a fair face, and the blood vessels and blue veins are exposed in the cough.
  It is as if a woman is wearing a blue-green mask like a grid. The white and sick skin has also turned into a sickly scarlet.
  The cough finally subsided. After the cough, the female patient inhaled and snored, just like an old cat angered and threatened other creatures approaching. Other people who listened have an urge to cough for him and cough up the contents of their throats.
  Too depressed, depressed as if being infected.
  Zhang Fan and the others waited for the patient's cough to subside, then they said, "How are you feeling now?"
   "It takes a lot of inhalation, but nothing else. When can I go home, doctor, the child is young!" The woman took a bite of the local dialect of tea.
  "Treat first. You can see your child anytime after you are treated. What can you do if you are sick and see your child? And before your disease is cured, you must not contact other people. Can you lie down now?"
  Even the introduction of relief was cancelled, because no one knew when the woman would cough again.
  The woman sat on the side of the bed sadly, "Can't lie down, lie down and suffocate."
   "Okay, you can sit down, I'll check it for you, and you can untie your shirt."
  Zhang Fan said as he took the disinfectant from the corner and smeared it on his hands. The woman silently turned her back to the crowd and slowly untied her clothes.
  Take off the clothes, it feels extremely uncoordinated. A thin woman should be skinny, but the entire chest cavity is like an inflated bucket, with no ribs visible at all.
  In this situation, according to a normal person, according to a woman's height of about 165, no one can not reach the level that even the ribs cannot be seen from 80kg to 90kg. But the woman in front of him, Zhang Fan knew from the naked eye that she didn't even have 50kg.
  When the patient turned around, the front chest was thin and almost no excess fat was seen, only two brown meat bumps like grapes were hanging on the chest alone.
   "I have pumped pleural fluid twice, but I still can't control it. I still had to pump it once today."
  The tube bed doctor said softly. Zhang Fan nodded and began a physical examination.
  When the hands were clasped on the woman's back, it was as if she was hitting a skin drum. Amidst the unpleasant sound, the woman began to cough again, covering the palm of her mouth, Zhang Fan saw the bright red bloodshot eyes.
The suffocated woman stood up again, ignoring the nakedness of her upper body, clutching Zhang Fan's white coat with both hands, like a drowning man grabbing a life-saving cord, dragging her desperately, which is suffocating.
  The feeling of suffocation makes the woman's eyes stare so huge, as if she is about to bang out.
   "Pump!"
  The disease of tuberculosis is a wasting disease. To put it plainly, it is a disease of bullying. Aspiration puncture, lidocaine local anesthesia, and a thick gel pen punctured the patient's fissure gap.
  Grass-green and yellowish liquid began to drain out in large quantities. As the liquid flows out of the container, the liquid white surface foam begins to roll with the outflowing liquid, as if the liquid from the puncture is the waste water discharged from the washing machine after washing the clothes.
   "This won't work, the egg whites are all exhausted. This is to raise the soup to stop boiling." Zhang Fan frowned and said to Director Huang and Director Zheng.
   "No way, the effusion in the chest cavity has leaked out in three days. The more the patient is pumped, the weaker the patient will be. If the patient is not pumped, the patient will suffocate, and the patient's state will only get worse and worse."
  "Strengthen nutrition, have you lost albumin?"
   "I lost, the effect is not good, the tuberculosis can not be controlled, everything is in vain." Director Huang clasped his brows together.
   After six or seven hundred milliliters of liquid was drawn out, the woman seemed to have taken a big mouthful of white (a) face and had an addiction, lying on the bed with her eyes closed, if it were not for the ups and downs of the chest, she thought she was hanging up.
  With so many people in front of the window, the woman soon went to sleep. In the past few days, she can only fall asleep within one or two days after the pumping. On the third day, it will not work. She suffocates and coughs when lying down.
  The tuberculosis patients in the department are mostly in general conditions. The mild ones are often in the pulmonary hospital, while the tea hospitals are almost all severely ill patients.
After a round of ward rounds, Zhang Fan said to a group of doctors and nurses with sweat beads on their eyelashes in the department: "You have worked hard, you must protect yourself."
  Sometimes, in fact, what people need is to pay attention to it. Zhang Fan’s hard cry made many thankful lesbians red their eyes.
   "Director Huang, I think so. I have some thoughts about this tuberculosis recently. I want to bring a few doctors to do some research!"
  After everyone's absorption and disinfection is over, Zhang Fan smiled and said to Director Huang.
  When Director Huang heard this, his face was dull, and he felt that this was more shocking than Zhang Fan's visit to the Department of Infectious Diseases for rounds.
  Looking at Director Huang's unbelieving look, Zhang Fan smiled awkwardly. When Wang Hong looked unhappy, he said to Director Huang, "Director Huang, Director Huang, the leader asks you something!"
  Director Huang glanced at Wang Hong, who directly ignored Director Huang. Zhang Fan is helpless too, this Wang Hong!
  "You said you have an idea? Haha!" Director Huang was not only against Zhang Fan, but also against Wang Hong.
  She said in her heart: "Don't tell me anymore!"
  (End of this chapter)