I … What the f * ck!
"See, I told you there was not enough exposure. The conditions were not enough. Some of the lesions caused by interstitial pneumonia could not be seen. "Sister Zhao smiled as she did the radiographic films and uploaded them.
Chief He stood behind in a daze, looking at the dense, diffuse mosaic changes in the density of the frosted glass on the radiographic data. She was completely stunned.
What was going on?!
Interstitial pneumonia? The patient had no past or work history. How could there be interstitial pneumonia! Such a young bank staff, the possibility of interstitial pneumonia was too low.
Thirty-four years old, age did not support the diagnosis of interstitial pneumonia.
Moreover, the progress was too fast. In just two or three months, his limbs had already become weak to a certain extent.
This, this was impossible!
"Chief He, the patient should not need to be transferred." Sister Zhao looked at the image and began to upload it. "It may be allergic pneumonia, a very rare situation. It's very difficult to do an allergen test. It may have to be checked for everything the patient came into contact with. "
Hearing Chief Zhao's diagnosis of allergic pneumonia, Chief He did not have any objections. However, when she thought about the countless possible allergens to be checked, her head swelled.
An enhanced CT image completely defeated Chief He. She left the CT room with some disappointment and slowly walked back by herself.
Chief Zhou had asked her to call the department, but Chief He had forgotten about it. Her eyes were filled with diffuse frosted glass images.
Damn it! This interstitial inflammation was so small that the resolution of ordinary CT could not see it at all.
Allergic pneumonia referred to a group of diffuse interstitial granulomatous lung diseases caused by repeated inhalation of various antigenic organic dust and low-molecular weight chemicals.
Farmer's lung caused by repeated inhalation of hay containing thermophilic actinomyces was a major clinical cause of disease.
Chief He had considered this disease, but what allergens could a bank staff be exposed to? Could it be an allergy to money?
If it was an allergy to money, could it be diagnosed as a disease of poverty? Was there really a disease of poverty? Chief He also knew that it was impossible. However, as soon as she thought about it, the enhanced CT image appeared in front of her.
As Chief He slowly walked back to the department, she aimlessly thought about it.
How did Chief Zheng see through it? Forget it. No matter how he saw through it, it was probably impossible to find the allergen in the end.
Chief He sighed. This' troublesome 'patient could not be transferred.
His next step was to check for allergens! At that thought, Dean He became even more depressed. She felt that she was beginning to have the tendency of depression.
Back at the ward area, Chief He pushed the door open and entered the doctor's office. When she saw that the patient's family was also there, she remembered that she had not informed Chief Zhou about the upload of the imaging data.
But it seemed like there was no need for that now.
"Boss Zheng, it might have something to do with it. Throw it away or send it to your parents' house or a friend's house. In short, don't let the patient come into contact with it again," Chief Wang said earnestly.
"R-really?" the patient's family asked in a daze.
Dean He did not understand what had happened either.
Judging from Mr. Wang's words, he must have found the allergen. But why was it so fast? No matter how slow he walked back, it was impossible for him to find the allergen.
It would take time to send the radiographic films over, not to mention trifling matters such as diagnosis and finding the source. Was he really allergic to money and wanted to throw it away?
"Chief Wang, what allergies does the patient have?" Chief He could not care about anything else and asked directly.
"Boss Zheng, I think it's a duvet allergy. I just asked the patient's family and they said that the family did buy a duvet on a discount during the off-season a while ago," Chief Wang replied with a smile.
With a clear diagnosis of the illness, everything was fine. It was the happiest time for the doctor.
"Boss Zheng has given a treatment plan. You can consider the specifics. I'm still busy over there, so I'll leave first. "Chief Wang handed a piece of A4 paper to Chief He.
Chief He saw what was written on it — first, test for antigen-specific IgG antibodies in duck or goose feathers. If it was confirmed, give prednisolone 40 mg.
Take it orally once a day. Last for a month, reduce it every two weeks, and gradually reduce the amount.
There were also some tests to be done, such as bone mineral density, to avoid long-term glucocorticoid stimulation that would cause bone mineral density to decrease and complications.
Another thing was to be combined with a proton pump inhibitor like omeprazole to prevent other complications.
These were all routine. It was also reasonable to use glucocorticoids to control allergies.
However, the determination of the source of this allergy was too bizarre …
..
..
"Boss, have you seen the asthma or bird allergy of bird lovers?" Su Yun asked.
"No, but it's in the diagnosis. For this kind of relatively complicated lung allergy, the first thing to consider is the allergy to bird feathers, "Zheng Ren said with a smile." Chief Zhou, if there's nothing else, I'll leave. "
Zhou Litao looked at Boss Zheng in a daze. He thought to himself that if it were him, he would definitely start showing off a long time ago if he diagnosed a bird allergy.
However, look at Boss Zheng. He smiled and did not care.
It was as if he had diagnosed appendicitis. He did not take it seriously at all.
"Don't mind, Boss Zheng," Zhou Litao quickly said. "Is the patient new to the duvet? Isn't this too much of a coincidence? "
"After coming into contact with a new duvet or pillow, the time for symptoms to appear may be between three weeks and five years. As time passes, the breathing difficulties will worsen. The patient will have night sweats, dry coughs, weight loss, and fever, "Zheng Ren said with a smile.
"Have you stayed in a high-end hotel?" Su Yun asked.
"Yes."
"Some people stay in high-end hotels … Let me ask you, to judge whether a hotel is high-end or not, what will you look at first when you enter the door?" As Su Yun spoke, the topic changed again.
"…" Zhou Litao was stunned for a moment. Wasn't he talking about bird allergies in the previous sentence? Why did he talk about hotels?
He knew what Brother Yun meant. High-end hotels were basically filled with feather pillows. However, whether the hotel was high-end or not, this kind of thing …
"Look at the trash can," Su Yun said. "Excluding other factors, at first glance, if there are no plastic bags, garbage bags, or the like, this hotel should be of a good grade."
"…" Zhou Litao's thinking could not keep up with Su Yun's speed.
"Is this the legendary explanation that luxury is troublesome, and the more troublesome it is, the more luxurious it is?" Zheng Ren asked with a smile.
"Of course!" Su Yun said.
"Uh … Brother Yun, what's with bird allergies?"
"Eh? You haven't forgotten. "Su Yun glanced at Zhou Litao. He looked a little surprised, but in fact, he was full of contempt.
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