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Chapter 457 Gastroscope is used as a guest colonoscope(1/2)

 Chen Qi went out to play for two days and came back. When he came back, there was a big truck following him.

Under the curious gaze of many members of the Chinese Medical Team, Chen Qi was already calling people:

"Don't be stupid. If you want to eat meat, hurry up and lift them. There are five young bulls here, each weighing about 300 kilograms. They are quite heavy. The older doctor stepped back and brought in a few more young men."<

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Captain Qi walked out of the office and was stunned when he saw the live sheep all over the floor. Those who knew it was a hospital, but those who didn't knew it thought it was a market.

"Chen Qi, where did these cattle and sheep come from? Are they ours? You can't make mistakes, we can't take every stitch from the masses."

Chen Qi was speechless, thinking that he was indeed an ideological and political leader, supervising the members at all times.

"Qi Chu, don't worry. Of course they belong to us when they arrive at our hospital. Nao, those 5 bison were hunted by me myself. These 20 sheep were the medical expenses paid by the patients in advance. You can arrange for someone to raise them as soon as possible."

Let’s kill one if we want to eat it.”

"Medical expenses?" Captain Qi understood instantly.

With the precedent of fishermen like Vivian using seafood to pay for medicine, it is not unusual for someone to drive a goat to treat a disease this time.

Moreover, most of Chen Qi's patients are surgical patients. They don't need many drugs, and at most they only pay for labor costs. This way, it won't cause a big deficit during cost accounting, and it's easy to explain when they return home. (This is why hospital leaders like surgery)

So Captain Qi also started to smile:

"When you said at the airport that everyone should be well-fed, it seems that you did it twice. Haha, Lao Wang, Lao Wang, hurry up and take all these cattle and sheep away. We will have meat to eat later."

Chef Wang was already instructing the young doctors to carry the bison, and he laughed when he heard this:

"Don't worry, leader, there's so much beef. Let's have a beef hot pot today while taking advantage of the news. We'll braise the rest of the beef offal and eat it slowly. We'll make soup with the beef bones to make sure not to waste any meat."

I heard that Deputy Captain Chen had brought a lot of cattle and sheep, and many members who were not at work rushed over to see what was going on.

Chen Li and Yang Xiuxiu were stepping up to see what African cattle looked like, when they were grabbed by Chen Qi:

"Okay, okay, what are you making fun of? It's just a few buffaloes. I'll bring you a rhinoceros tomorrow. Hurry, there's a patient in the car. She's a little girl. I'm going to the ward."
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The two little girls were also optimistic. As soon as they heard there was work to do, they immediately ran to the off-road vehicle.

Chen Qi is thinking about what kind of seasoning should be mixed with the beef hot pot tonight?

Luciana was like a country girl who came to the city for the first time. When she saw a lot of foreigners, her eyes widened.

Based on her knowledge, she never dreamed that there were yellow people in the world? Shouldn't everyone in the world be equally black?

When she saw that the two nurses who helped her into the hospital were so clean and neatly dressed, they didn't even smell at all, and they even had shoes.

Looking at herself again, she has dirty braids rolled out of mud and only a T-shirt with two spots exposed. She probably doesn't even know there is such a thing as a "mask" in this world.

All of this made her novel and at the same time made her feel a little inferior.

It turns out that the little princess in the village is nothing outside...

After a while, Chen Qi came over wearing a white coat, holding a stethoscope in his hand and carefully checking the little girl again.

In fact, Chen Qi suspected something was wrong.

Because when he saw primitive tribesmen drinking raw water, eating raw meat, and roasting insects before putting them in their mouths, he suspected that in addition to HIV, these black people may also have parasites.

There are various symptoms displayed by parasites, and abdominal pain and diarrhea are one of them, so it makes sense.

But again, modern medicine relies on evidence to treat diseases. Do you think there are parasites? What if there are side effects after taking insecticides?

That would be another medical accident. Will anyone be sent to Antarctica to feed penguins?

Chen Qi opened a lot of inspection reports and left.

I don’t know if the car is too bumpy? Or if I’m just not used to the climate? Or maybe the germs on my body have brought me to the hospital, and it’s the end of the world and I’m starting to suffer.

In the evening, when Chen Qi just sat down and picked up the kuaizi to eat beef hot pot, Zhang Xing, who was on duty, ran over.

"Dean Chen, hurry up, the patient you sent today suddenly has severe abdominal pain."

Chen Qi put down his tachyon and ran toward the ward. Yi Zewen, He Fule, Chen Lili, and Yang Xiuxiu also put down their tachyon and ran out of the cafeteria.

Having had the experience of receiving red envelopes together, they have firmly remembered that they are a team and should advance and retreat together in everything.

Chen Qi was still quite nervous, thinking that his luck was really bad. He had been suffering from abdominal pain and diarrhea for two months, but he had an accident on the first day it was handed over to him. This would be really fatal.

Even if he has never used any medicine, when the person dies or becomes disabled, he will be so full of words that he will not be able to explain.

At this time, Luciana was almost rolling on the floor in pain, crying out in pain and vomiting from time to time.

Old Nguema was holding a trash can at a loss and didn't know what to do.

As soon as Chen Qi ran into the ward, he held the doctor's hand: "Doctor, please save my daughter. She is dying. She will definitely not survive."

If Chen Qi hadn't appeared, the little girl would definitely not have survived. Otherwise, why would the average life expectancy be 32 years old? It's because too many people died young.

But now that Chen Qi is here, if he lets her die, it means that he, an international double director, is incompetent.

"Nguema, don't be anxious. You are now at the China-Serbia Friendship Hospital. In front of you are the best doctors in the world. We will definitely do our best to cure little Luciana's disease. Now I need to check

."

Speaking of which, Chen Qi didn't care about the uncle Hei who had runny nose and tears next to him, and quickly opened the patient's clothes.

"Where does it hurt? Over here? Over here?"

Suddenly Chen Qi felt a lump on his left abdomen, and the pain was most obvious when he pressed it. With a little force, Luciana started crying and shouting.

Yi Zewen swallowed: "Dean Chen, what is going on?"

Chen Qi had a gloomy face: "Severe abdominal pain, vomiting, and I also felt a lump. It is probably an intestinal obstruction. Chen Li, has the examination sheet I ordered at noon come out?"

"Come out, here."

Chen Qi took it over and took a look and saw that there was a problem. He said to the two assistants: "Here, you two take a look."

Zhang Xing was a little confused when he took the report sheet and looked at it: "Dean, there doesn't seem to be any inflammation on this report sheet."

Yi Zewen was a little surprised after taking it over and looking at it: "I don't see the problem either, the white blood cells are all normal."

Everyone who has been to a hospital basically knows that routine blood testing is the simplest blood test item.

Usually when we look at blood routine, we basically look at white blood cell count, hemoglobin, platelet count, etc. These indicators can provide doctors with several dimensions of consideration.

If the white blood cell count is high, you should consider bacterial infection. If it is very high, then you should consider blood diseases such as leukemia?

If the hemoglobin is low, then you should consider anemia and find the cause.

If the platelets are low, there is also a problem. It is most commonly caused by hematological diseases or serious infections. Low platelets can lead to bleeding.

This is the most basic blood routine reading item.

In fact, there are dozens of items in the blood routine, and some are relatively unpopular with clinicians (but that does not mean they are unimportant), because under normal circumstances, the probability of abnormalities is small and easy to ignore.

Chen Qi cursed angrily:

"Look carefully, the patient's eosinophil ratio is 48.2%. You can't even see such a high indicator. We really need to strengthen our business learning."

Yi Zewen and Zhang Xing, look at me and I look at you, both of them have innocent eyes.

"Dean Chen, we really don't understand this. What does high eosinophils mean?"

Don't expect the rough guys in the surgery department to know too much about internal medicine. They don't care about people who have tubes and surgeries, but don't care about other things. If they really don't understand, it's a big deal and they should seek internal medicine consultation.

"The proportion of eosinophils accounts for almost half, which means there are parasites in this patient. You don't know such simple basic knowledge?"

I saw a significant increase in the proportion of eosinophils in the blood routine. What does this mean?

The simple explanation is this, white blood cells are a collective term, including neutrophils, eosinophils, basophils, lymphocytes, monocytes, etc.

Among them, neutrophils are the most numerous, and eosinophils are relatively small, generally only accounting for about 0.4%-8% of the total number.

Therefore, eosinophils are like some humble-looking but unique masters of boxing and kicking skills in the martial arts world, especially those poisoning masters who live in a corner and are unknown to everyone.



The reason why eosinophils are special is that in addition to being related to immune responses and allergic reactions, they also have a unique function of killing parasites.

Yes, eosinophils can kill parasites.

In some patients with parasitic diseases, the eosinophil count is often elevated, but of course it is not absolute.

But even so, it can leave a deep impression on the doctor: the eosinophil count is significantly elevated, and one must be wary of parasitic infections.

How can a normal person have such a high eosinophil count? What’s more, the patient also has abdominal pain and diarrhea, so parasitic infection cannot be ruled out.

Chen Qi has taught his two assistants another good lesson.

Yi Zewen and Zhang Xing both lowered their heads and felt a little embarrassed. After all, they had been doctors for so many years and could not even do a blood test.

He Fule quickly came out to make a cross to lighten the atmosphere:

"Dean Chen, if we suspect a parasitic infection, what should we do next? We all listen to you, and we will fight wherever you point us, without any hesitation."

Chen Li and Yang Xiuxiu also nodded firmly: "Yes, we all listen to the dean."

Chen Qi's mood improved a lot. As expected, beauty can cure all diseases, so his tone also softened:

"I was supposed to pick up the stool and check for eggs, but now it's too late. So what, hurry up and call Director Hu from the Department of Internal Medicine and ask him to come over with a gastroscope."
To be continued...
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