Surgical heat, also known as surgical heat or absorption heat.

It is a reaction that occurs after the absorption of surgical damage, tissue decomposition products and local exudation and blood oozing.

After surgery, the patient's body temperature may rise slightly, with a change range of 0.5 to 1C, and generally no more than 38.5C. If the fever is high or ultra-high, there must be something wrong.

This is not a good thing. The most feared thing about having a fever after surgery is wound infection or inflammation of the internal organs and tissues.

Piet's call caught Chen Qi's attention. There was nothing I could do, the offer was too much, and the after-sales service must always be done well.

Chen Qi looked around the Friendship Hospital and found that there were no critically ill patients that he needed to deal with, so he got into the Adem family's private off-road vehicle and headed to the Freetown National Hospital.

Sitting in the car, Chen Qi looked curiously at the city street scenery and lively crowds outside the window.

The roads are very narrow and dirty. It is hard to imagine that many roads in the capital of a country are dirt roads, and cars will bring up a lot of dust as they drive by.

In this dust, you can see a large group of black uncles sitting, standing or watching on the roadside.

The unemployment rate in this country is quite high. Young people cannot make money and have no place to work. This is an important reason for social instability and fighting all day long.

But since this is the capital, you can still see many stalls selling snacks on the roadside.

But this kind of clean and hygienic delicacy, Chen Qi, who is known as the "Purple Meal" by people in the world, does not dare to try it.

For example, when he was stuck in a traffic jam, he saw a black aunt stirring a bucket of porridge-like food with both hands and scratching her butt from time to time. Chen Qi almost felt nauseated.

So I quickly turned my head and didn't dare to look at it. Good guy, it's okay if I don't tilt my head. If I tilt my head, I will really vomit.

Because on the other side of the road, an African uncle was holding a few bats for a barbecue. The bats’ mouths were open and their eyes protruded, just like ugly mice.

Uncle Hei twirled his hair and waved to Chen Qi, indicating that he should buy some delicious food to try?

Chen Qi could only knock on the glass and signal the driver to leave quickly, otherwise he would be left with a psychological shadow.

The driver burst into laughter and started chirping. The translator said from the back seat:

"The driver said it was good if it could fill their stomachs. They had no choice at all. The food was actually really delicious, and many people just ate the cakes made from a kind of soil."

"Guanyin soil? Damn, this stuff is unhealthy. Will you cause intestinal obstruction and death if you eat it?"

"People are going to starve to death, why do they care about health?"

Well, Chen Qi was speechless and looked out the window silently, thinking that at least the villagers on the seaside would be happier and could eat seafood.

But this Chinese doctor who came from afar had no idea that in the seaside fishing village, only poor families eat lobster and abalone, while rich people eat meat.

The car quickly drove into the Freetown National Hospital, and Piet was already waiting at the door.

"Dr. Chen, please make another trip."

"It's okay, let's go and see your brother-in-law. What's his temperature now?"

"Just before I went downstairs, I took a test and it was 39.8c. I felt very bad."

"39.8c?" Chen Qi stopped.

"This isn't right. If it's surgical fever, why would the body temperature be so high? Come on, I'll check it myself."

In the ward, Adem has woken up from anesthesia, and his whole body is moaning because of his high fever.

There were people around. In addition to family members, the largest number were related experts from the Freetown National Hospital. They were all asked to come for consultation.

When Chen Qi first walked in, Mrs. Adem's face looked a little ugly.

I thought to myself, I gave you 20,000 US dollars, how much gold would it cost her to sell, and then you gave her a high fever that wouldn’t go away? What kind of bullshit doctor?

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So the tone was a bit cold: "Dr. Chen, you are here. Look at my husband's current condition. Could it be caused by the enlargement of the surgical incision last night?"

Chen Qi saw that the other party's family had a bad tone and felt unhappy, but he didn't show it:

"Hello Mrs. Adem, I can't say what the specific situation is. I have to check it first. Generally speaking, the possibility of this is very small. I am still confident in my operation."

"Okay, you go check it out." Mrs. Adam was obviously a little anxious because of her anxiety.

The political situation in African countries is characterized by serious nepotism. State power and the economy are basically controlled by a few families, and wealth is also in the hands of a very small number of people.

Future generations simply cannot imagine that the president of Zaire Republic, one of the least developed countries in the world announced by the United Nations, alone owns 50% of the country's wealth, with personal assets reaching more than 30 billion US dollars.

Remember, this number was more than $30 billion in the 1970s.

At this time, the monthly wages of domestic workers in our country are only ten to twenty dollars, and Africans estimate that they only earn tens of cents a month.

As for the African lion kzf who was later dragged out of the sewer and shot to death by the people, his personal savings exceeded 80 billion US dollars and hundreds of tons of gold.

This shows how big the gap between rich and poor Africans is, and how rich a very small number of Africans are.

But the prerequisite for all this is that you must be on stage. When you step down, you are finished. Your wealth may not be preserved, and you may even lose your life. For details, please refer to a certain male lion.

In the same way, when Adem is on stage, he can use his power to obtain huge wealth for himself and his family, which is equivalent to a large part of the people working for them for free. It would be strange not to get rich suddenly.

But society is also very realistic. If Adem dies or becomes disabled, the power void left by him will soon be filled by others.

At that time, the interests will belong to others, and whether the Adem family can keep their wealth is a question, unless they run away as soon as possible and seek refuge in European and American countries.

So Mrs. Adham has to worry now. Her husband must not be in any danger, otherwise the whole family will receive box lunches.

Why is the average life expectancy in Sierra Leone only 32 years old? Even if you get a minor illness, the death rate will skyrocket. The locals are really afraid.

At this time, Piet immediately brought over a dressing bag, and Chen Qi also quickly put on gloves and opened the wrapped dressing.

Incision infection is also a cause of fever, which is manifested by increased secretions, moist dressings, pus or a special odor. This is easy to identify.

However, Adem's wound showed no redness or swelling, and except for a small amount of bloody secretions on the gauze, it was all clean.

Piet is a surgeon himself, so he knows that this means that there is no problem with the incision. His sister has wronged Dr. Chen.

"Piette, please immediately arrange for bacterial culture, abdominal drainage fluid culture, blood routine, urination routine, and chest X-ray to be done. These places are most likely to cause infection."

Chen Qi is also wondering whether the fever is caused by infection, not necessarily the incision, but maybe other places.

Only then did Piet come to his senses and quickly answered:

"I have done all these examinations. Except for bacterial culture, other reports are normal, and the inflammation indicators are not high."

"Isn't it high?" Chen Qishou held his chin and began to think.

My mind is spinning rapidly, because according to the fever chapter of "Diagnostics", there are too many causes of fever.

This includes infectious fever, such as fever caused by the invasion of various pathogens such as bacteria, viruses, Mycoplasma pneumoniae, rickettsiae, fungi, spirochetes and parasites.

There are also non-infectious fevers, such as sterile necrotic tissue absorption, hyperthyroidism, poisoning, rheumatic fever, serum sickness, drug fever, connective tissue diseases and certain malignant tumors, etc.

It is really difficult for Chen Qi to find the reason like looking for a needle in a haystack among so many reasons.

"Piette, let's do this. For now, let's treat the infection first. Use the best antibiotics in your hospital. In addition, you can do a complete biochemical test."

Piet touched his nose and said, "This, this, we haven't introduced the biochemical analyzer yet."

How do you expect a poor, backward and war-torn public hospital to have the money to buy a medical equipment worth hundreds of thousands of dollars?

Chen Qi was stunned for a moment, but he immediately understood. Fortunately, this time the Chinese medical team assisted Africa and brought almost all the most advanced equipment, showing the magnanimity of our great country.

"In this case, let the nurse draw a jar of blood. I will take it back now. If you need anything, please contact me anytime."

Piet didn't think there was something wrong with Chen Qi's surgery, so he treated him with great respect. Instead, Mrs. Adem sat next to her husband and didn't even get up to say goodbye, pretending not to see.

Chen Qi really has the urge to throw $20,000 in someone’s face, but for the sake of China-Serbia friendship, bear with it.

Knife flying fees are not that easy to get. Chen Qi encountered this when he was following his mentor in his previous life.

People, people, have a hundred intentions. Not everyone respects the spirit of the contract so much.

His mentor even encountered a situation where someone would immediately go to the health department to file a complaint after giving you a red envelope after surgery.

It is estimated that the patient's family felt that they had to endure the humiliation and had to betray their principles and give the doctor a red envelope for the family's surgery. They immediately made up for it afterwards, advocated justice, and made the evil doctor pay the price.

In fact, to put it bluntly, I just feel sorry for money and don’t want to get out of it.

The consequences of handling this matter include the refund of the knife fee received by the doctor, and internal criticism in the tutor’s hospital (actually it is a well-intentioned ridicule among colleagues)

But this incident has another consequence. Doctors from the provincial hospital have since refused to go to the area to perform surgery or make medical visits, adding this place to the blacklist.

Who loses in the end?

The later patients suffered the loss. They could have had the best experts perform surgery at their doorstep, but now they had to go to the provincial capital and endure the pain while waiting for a bed.

Many people often lose the best time because of delayed rescue.

Chen Qi returned to Friendship Hospital, brought back the patient's blood specimens, and instructed the laboratory department to issue a report as quickly as possible.

The biochemistry instruments these days are not fully automatic. Some aspects require manual operation, and it is already the next day when the results come out.

When Chen Qi got the report, he couldn't help but snap his fingers. He understood the reason. He was really wronged.

So I picked up the phone, hung around for a long time, and finally got through to Piet's office.

"Piette, has your brother-in-law's fever gone away today?"

Piette was also a little anxious at this time: "Dr. Chen, even the best antibiotics have no effect. My body temperature is still high now. What should I do?"

Chen Qi felt confident and his tone became much more relaxed:

"We estimate that during the physical examination, we only focused on the groin. I think your brother-in-law may have other ailments. Now go and ask if he has any pain anywhere on his body? Especially the bones and joints."
To be continued...