"He must have eaten wild bamboo rats when he crossed the Qinling Mountains." Zheng Ren's voice was tinged with excitement.
"Bamboo rats? What do you mean? What infectious virus? "Su Yun asked immediately.
"Chinese bamboo rats mostly inhabit hillsides. In the Qinling Mountains, they often inhabit broad-leaved forests and coniferous broad-leaved forests above 1000 meters above sea level. There are many bamboo plants under the forests, or they live directly in the bamboo forest." Zheng Ren recounted the memories in his mind like a machine.
As he spoke, Su Yun could feel Zheng Ren's emotions quickly returning to calmness. However, he did not deliberately hide the joy in his heart.
There was no need.
He was just calming himself down and lowering the hormone levels in his body.
"I'm asking you what's wrong with you. Why do you sound like you don't understand?" Su Yun said disdainfully.
"Basket marneffei, formerly known as Penicillium marneffei, is a conditional pathogenic fungus," Zheng Ren said slowly, looking forward with confidence.
This time, even Su Yun did not say anything.
"It's a French Capponi.
Ph.D. in 1956.
It's a conditional pathogenic fungus isolated from Chinese bamboo rats in Vietnam. It's the only temperature-dependent biphasic fungus found so far.
Basket marneffei can cause deep fungal infection, and patients with low immune function are extremely susceptible to infection. "
"…" Chang Yue's expression changed slightly. She whispered, "Old Chief Physician Pan didn't get AIDS, did he?"
"Under normal circumstances, AIDS patients are more likely to get it." Zheng Ren smiled. "But ordinary people can also get sick. Maybe Chief Physician Pan went through a lot of trouble and did not sleep well for more than ten days. His immune function is very poor, and in the end … he must have drunk a lot! "
"Hey, don't blame everything on drinking." Su Yun was dissatisfied. "If you don't want to drink, then don't drink. No one is forcing you to drink."
"Hey." Zheng Ren scratched his head.
His fingers were cold.
Just as he was about to subconsciously rub his fingers, a small hand reached over.
Warmth and dryness seemed to always be by his side, never leaving.
Holding Xie Yiren's hand, Zheng Ren felt his heart become very, very stable.
A feeling of invincibility filled his heart.
Lung cancer my * ss. Impossible! He thought with great effort.
"After crossing the Qinling Mountains, it's normal for our comrades to split up and have a big drink." Zheng Ren chuckled and said, "Chief, you know that I'll definitely drink too much. I don't think we'll ever meet again in this lifetime. "
"You talk too much." Su Yun said.
"Normal people with low immunity can also be infected with marneffei. Most importantly, it's in the lungs. It looks like a tumor, and in order to check if it's a tumor, we need to take antibiotics for a period of time. "
"Was there a misdiagnosis?" Su Yun asked.
"I really wonder who made up your title of cardiothoracic surgery's rising star," Zheng Ren retorted in a good mood.
"…"
"There aren't many cases of misdiagnosis, but there are. When he opened it up and couldn't find the tumor, he was dumbfounded, "Zheng Ren said with a smile." These misdiagnosed cases have to be considered before the surgery. "
Su Yun was not convinced, but he really did not know anything about the Marneffey's Basket Fungus.
But he couldn't refute it with his temper.
When it came to professional stuff, one was one, two was two. If he refuted it with his emotions, it would only be more embarrassing in the end. It was not a woman's quarrel. Academic things still had to be logical.
The most important thing was that it involved Old Chief Physician Pan. Su Yun also hoped that Zheng Ren's diagnosis was correct.
"The transmission route of the disease is currently unclear. The possible routes are through skin damage, digestive tract, or inhalation of conidia. Contact with bamboo rat feces or exposure to marneffei blue conidia in the soil of the epidemic focus during the rainy season is considered to be the main route of transmission.
"The chief must be f * cking showing off his wilderness survival skills. How can being a soldier now be the same as being a soldier when he was young? He's not a special forces soldier. Does he have Fan Tianshui's body? He's a medical soldier. How old is he?! "Zheng Ren was a little emotional and began to nag Old Chief Physician Pan.
"Boss, you're not lying to yourself, are you?" Su Yun was a little worried, but he did not hide it. Zheng Ren's expression and tone, as well as the aura exuded from his body, told him that there was definitely no problem.
Therefore, it was better to ask this kind of thing directly.
"I won't." Zheng Ren let out a long sigh and said, "When we go back, just give the chief a checkup."
"What do you want to check? Local biopsy? "Su Yun asked.
"Take samples from the skin lesions and culture them. Use a tracheoscope to biopsy the lesions in the lungs and retain the alveolar lavage fluid for etiological examination."
After Zheng Ren finished speaking, he gently loosened his grip on Xie Yiren's hand and leaned against the back of the car in relief.
Su Yun did not say anything. Instead, he logged into a foreign language website and began to search for information about the marneffei basket fungus.
Just as Zheng Ren had said, Old Chief Physician Pan's symptoms, physical signs, and imaging examinations were very similar.
Only then did Su Yun remember that Zheng Ren had not seen all the imaging information.
Was that enough?
"Boss …"
"Shh …" As soon as Su Yun spoke, Xie Yiren turned her head and whispered to stop him.
"Asleep?" Su Yun was surprised.
Xie Yiren smiled and nodded. She immediately turned back to focus on driving.
One hand was in Zheng Ren's palm, and the other was holding the steering wheel. He no longer looked at the road …
There was no way to die like this.
Su Yun glanced at Zheng Ren and saw that he was sleeping soundly. There was a smile on the corner of his mouth like a child.
"The coward is tired." Su Yun shook his head.
…
…
A few hours later, they entered Sea City and Xie Yiren woke Zheng Ren up.
"I fell asleep?" Zheng Ren was surprised to find that he had actually slept for a long time.
It was like returning from the frontline. When he had not slept for a few days and nights, he did not sleep as soundly as he had just now.
"Boss, we're in Sea City. Get ready to work," Su Yun said. "The chief's infection focus is relatively far away. I think the Department of Respiratory Medicine doesn't dare to use a tracheoscope for a biopsy."
"Okay, it's fine. I'll do it," Zheng Ren said confidently.
"You can do that?"
"As a surgeon, you must be flawless." Zheng Ren was obviously in a particularly good mood. This sentence left Su Yun speechless.
'What is wrong with this guy?' Su Yun thought to himself.
Anyway, so far, he had not found anything. It seemed that he should work harder. He had not finished reading the medical records in Union Medical College.
He should find time to go and take a look again.
"Boss, after we go back, I'll take some time off," Su Yun said directly without hiding anything. He was thinking about the medical records in his heart.
"No," Zheng Ren said.
"…"
"You don't have to do the surgery, but you still have to follow the project. I can't deal with this kind of thing with people. "
"What can you do?" Su Yun asked disdainfully.
"If it's dealing with people, I can after the anesthesia," Zheng Ren said with a smile.
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