The Surgeon’s Studio

Chapter 1567: 1554 Definitely shows off his wild survival skills (Leader Xiaoxiao 515 plus update 4)

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"It must be the wild bamboo rats we ate when we crossed the Qinling Mountains." Zheng Ren's voice was slightly excited.

"Bamboo rat? What do you mean? What infectious virus is it carrying?" Su Yun asked immediately.

"Chinese bamboo rats mostly live on hillsides. In the Qinling area, they often live in broad-leaved forests and mixed coniferous and broad-leaved forests in Zhongshan mountains above 1,000 meters above sea level. There are many bamboo plants growing under the forest, or they live directly in bamboo forests." Zheng Ren's portrait It was like a machine talking about the memories archived in my mind.

When he said this, Su Yun could feel that Zheng Ren's emotions quickly returned to calm, but he did not deliberately hide the joy.

no need.

He was just calming himself down and lowering the hormone levels in his body.

"Asking you what's wrong with you, it's like you can't understand words." Su Yun said contemptuously.

"Talaxella marneffei, formerly known as Penicillium marneffei, is an opportunistic pathogenic fungus." Zheng Ren said slowly, looking forward, full of confidence.

The aura was so strong that even Su Yun didn't speak this time.

"It is a fungus isolated from the Chinese bamboo rat in Vietnam by Dr. I in France in 1956. It is an opportunistic pathogen and the only temperature-dependent biphasic fungus discovered so far.

Talaromyces marneffei can cause deep fungal infections, and immunocompromised patients are extremely susceptible to infection. "

"..." Chang Yue's face changed slightly, and she asked in a low voice: "Isn't Director Pan suffering from AIDS?"

"Generally, AIDS patients are more likely to get sick." Zheng Ren smiled, "But ordinary people can also get sick. I think it may be because the director has been struggling for more than ten days, and he can't sleep well for more than ten days, and his body's immune function is extremely weak. Oops, in the end... he must have had a heavy drink!"

"Hey, don't rely on drinking for everything." Su Yun was dissatisfied, "If you don't want to drink, just drink. No one is forcing you to drink."

"Hey." Zheng Ren scratched his head.

Fingers, cold.

Just as he was about to rub his fingers subconsciously, a small hand stretched out.

Warmth and dryness seem to be always by your side and never leave.

Holding Xie Yiren's hand, Zheng Ren felt that his heart had become very stable.

A feeling of invincibility filled my heart.

Bullshit lung cancer, impossible! He thought hard.

"After crossing the Qinling Mountains, it is normal for the comrades to have a big drink when they are separated at the end." Zheng Ren chuckled and said, "Director, you know that you will definitely drink too much. I will probably never see you again in this life."

"You talk too much." Su Yun said.

"Normal people with low immunity can also be infected with Talaromyces marneffei. It mainly manifests in the lungs. It looks like a tumor. In order to check whether it is a tumor, antibiotics must be administered for a period of time."

"Are there any misdiagnosed cases?" Su Yun asked.

"I really doubt who gave you the title of the future star of cardiothoracic surgery." Zheng Ren was in a good mood and said something casually to Su Yun.

“…”

"There are not many misdiagnosed cases, but there are. When I opened it and couldn't find the tumor, I was immediately fooled." Zheng Ren said with a smile: "These misdiagnosed cases must be considered before surgery."

Su Yun was unconvinced, but he really didn't know about such damn things as Talaromyces marneffei.

But you can't refute it based on your temper.

For professional things, one is one, and two is two. If you refute based on emotion, it will only be more embarrassing in the end. It's not like women are quarreling. Academic matters still require logic.

The most important thing is that when it comes to old Director Pan, Su Yun also hopes that Zheng Ren's diagnosis is correct.

"The transmission route of the disease is currently unclear. 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 epidemic areas during the rainy season. It is the main route of transmission.”

"The director must be really showing off his wilderness survival skills. Is being a soldier now the same as being a soldier when he was young? He is not a special soldier, but he has the body of Fan Tianshui? What nonsense, a medical soldier? It doesn't matter how old you are!" Zheng Ren got a little excited and started nagging about old Director Pan.

"Boss, you're so sworn, you're not lying to yourself." Su Yun was a little worried, but he didn't hide it. Zheng Ren's expression, tone of voice and the aura emanating from his body told him that there would definitely be no problem.

So for this kind of thing, it's better to ask directly.

"No." Zheng Ren took a long breath and said, "When you get back, just give the director a check-up."

"What to check? Local biopsy?" Su Yun asked.

"The skin lesions were sampled and cultured, the lung lesions were biopsied using a bronchoscope, and the alveolar lavage fluid was collected for etiological examination."

After Zheng Ren finished speaking, he relaxed his hold on Xie Yiren's hand, and leaned against the back of the car with relief.

Su Yun did not speak, but logged into a foreign language website and started searching for information about Talaromyces marneffei.

Just as Zheng Ren said, Director Pan's symptoms, signs, and imaging examinations were very similar.

Su Yun then remembered that Zheng Ren had not read all the video data that had been sent.

Is this enough

"boss… "

"Shh..." As soon as Su Yunchang spoke, Xie Yiren turned his head and whispered to stop him.

"Asleep?" Su Yun was surprised.

Xie Yiren smiled, nodded, and immediately turned back to concentrate on driving.

One hand is in Zheng Ren's palm, and only one hand is left holding the steering wheel, no longer looking at the road...

That’s not how you seek death.

Su Yun glanced at it and saw that Zheng Ren was sleeping soundly, with a smile on his lips, like a child.

"I'm tired of the coward." Su Yun shook his head.

A few hours later, after entering Haicheng City, Xie Yiren woke up Zheng Ren.

"I fell asleep?" Zheng Ren was shocked to find that he had slept for a long time.

It seems that when I come back from the front line and haven't slept for several days and nights, my sleep is not as sweet as the sleep I just had.

"Boss, we've arrived in Haicheng, get ready to work." Su Yun said: "The director's infection focus is relatively far away. I guess the respiratory medicine department does not dare to use a bronchoscope to take a biopsy."

"Well, it's okay, I'll come." Zheng Ren said confidently.

"Is this okay with you?"

"As a magician, you must be flawless." Zheng Ren was obviously in a very good mood. When he said this, Su Yun was speechless.

Is there anything this product can't do? Su Yun thought in his heart.

Anyway, so far, nothing has been discovered. It seems that I should work harder. It seems that I haven't read all of Xiehe's medical records.

I should go check it out again if I find time.

"Boss, I'm going to take some time off after I get back." Su Yun was thinking about the medical record database and said directly without hiding it.

"No." Zheng Ren said.

“…”

"You don't have to do the surgery, but you still have to take care of the project. I'm not good at dealing with people like this."

"What are you good at?" Su Yun asked contemptuously.

"When it comes to dealing with people, I can do it after anesthesia." Zheng Ren said with a smile.