Chapter 914 Red eye disease

  Not long after returning to the hospital for work in the afternoon, the doctor from the ophthalmology department came to see Guo Xiang and said that there was a patient with a special eye disease and asked Guo Xiang to take a look.

  In fact, Guo Xiang is not very good at ophthalmology, but she likes intractable diseases the most, so she went over to see what was going on.

  Guo Xiang looked at the man’s eyes, the whole white of his right eye was flushed, and it looked a little scary.

  "Is this pink eye disease?" Guo Xiang asked.

  Pink eye disease should be paid attention to. It can be contagious. If you have been in contact with a patient, you must disinfect it, otherwise it is easy to get infected.

"I thought it was keratitis at first." Doctor Jin from the ophthalmology department nodded. "This patient has been seen in other hospitals before. I read the medical records. It was also diagnosed as keratitis. I prescribed toromycin, dexamethasone, and eye drops. Ofloxacin eye ointment, it should be all right."

  Guo Xiang nodded. This is the combination of antibiotics and hormones, which should be effective for keratitis.

   “The patient said that the drip was completely useless for two days, so he came to our hospital and I prescribed levofloxacin for him.” Dr. Jin said.

  Guo Xiang nodded. Ofloxacin is also divided into left-handed and right-handed. Ofloxacin has little effect. Left-handed is purified and has almost twice the efficacy, so the effect is obvious.

"But after he took the medicine, it was still useless." Doctor Jin looked at the patient's eyes. "You see, it seems to be serious. It turned out that the corner of the right eye was red, but now the whole white of the eye is red. Surrounded."

  Guo Xiang put on the gloves and checked the patient again. It does not seem to be a typical pink eye. Pink eye usually has inflammatory secretions. Obviously, this person does not.

  "Are there any discomforts besides the eyes?" Guo Xiang asked the patient.

  The patient thought for a while, "Sometimes I get a headache, and if I feel uncomfortable, I take a painkiller."

   "Headache?" Guo Xiang frowned, "Anything else?"

   "Others don't seem to..." The patient scratched his eyes, "It's just a bit itchy here, does that count?"

   "Itching?" Guo Xiang looked at the patient's face. There was a little red rash on the corner of his right eye and near the nose, which was not particularly obvious.

  "Is this a drug allergy?" Dr. Jin leaned forward and looked at it. "Ofloxacin shouldn't be allergic, right? This is a common drug."

   "This allergy is unlikely, and dexamethasone has anti-allergic effects, and it shouldn't be." Guo Xiang shook his head.

   "Maybe it has nothing to do with the eyes, but where did you touch it by mistake." Dr. Jin said.

  "Why don't you call Dr. Cheng from the dermatology department for a consultation?" Guo Xiang said, is she good at surgery, or it would be better for a dermatologist to come and see.

  Doctor Jin went out and soon called Dr. Cheng from the dermatology department.

  Doctor Cheng looked at the patient’s face carefully and said, “This is shingles.”

  "Isn't shingles growing on the waist?" Doctor Jin asked.

   "Yes, I have had herpes zoster before. It's on my waist. It hurts and itchy, but I can suffer." The patient also said.

"There are many types of blister diagnosis, you say that is the most common one, usually one side of the body, underarms, flank, chest, back, waist and head and face, arranged along a certain peripheral nerve distribution area, generally not Beyond the midline."

"The thoracic segment is the most common, followed by the lumbar, cervical and trigeminal nerve distribution areas. It can also occur in other parts such as limbs, but it is relatively rare. Generally, the onset of severe pain is unbearable, and it is also accompanied by symptoms such as irritability and fever. Fever?" Doctor Cheng asked the patient.

   "It's a bit, but the fever is not high, so I didn't say it, but the head hurts. I don't know if this is the cause?" the patient said.

Dr. Cheng nodded, "Because your herpes zoster is ocular herpes zoster. When the virus invades the trigeminal nerve, the eyes are affected, accompanied by hyperemia, swelling, and severe pain. If the cornea is involved, the blister will rupture and form ulcerative keratitis. , Can cause blindness due to scarring."

  "So serious?" The patient was shocked.

   "So your diagnosis of keratitis is not completely misdiagnosed, but the cause of keratitis has not been found out, so the use of eye drops is not effective."

"Have you ever had chickenpox before?" Dr. Cheng asked, "This is caused by the varicella-zoster virus. The varicella virus is neurotropic. After invading the nerve endings of the skin, it can move along the nerves to the nerves of the posterior root of the spinal cord. In the festival, and lurking there."

  “Once you catch a cold, fever, tumor, etc., the virus will be triggered again, and then move along the peripheral nerve fibers to the skin, and then these symptoms of shingles will appear.” Dr. Cheng said.

  "How do you treat it?" the patient asked quickly.

   "Go to the dermatology department." Guo Xiang said, and Dr. Cheng is still a professional.

   "Okay." Dr. Cheng nodded, "First, do a blood test, and then do a herpes scrape to confirm the diagnosis. After the diagnosis, I will prescribe the right medicine for you..."

   "Then you can go to the dermatology department. The registration fee for the ophthalmology department will be refunded to you." Guo Xiang said.

   "Thank you doctor." The patient nodded and followed Dr. Cheng to the dermatology department.

   "Unexpectedly, keratitis is caused by herpes zoster, I really rarely see it." Dr. Jin said.

   "I will have experience when I look at it a lot later." Guo Xiang said, since he has never been in an ophthalmology department before, so the experience is also inadequate. In terms of medical treatment, it is to live and learn.

  ……

  Gu Zhennan went to Saudi Arabia and brought some domestic specialties to the oil fields. The workers were very happy to see that the boss came, and when he saw that he brought home specialties, everyone praised the boss for his caring.

  Gu Zhennan took a look at the production situation. All the work in the oil field is in order, and the workers are also conscientious.

  Just as the first quarter has passed, Gu Zhennan announced that he would issue a quarterly award, and waited a year to pay them back.

  The workers were immediately excited. They traveled all the way to a foreign country because they wanted high salaries. Mr. Gu took care of them in this way, and he really felt that there was no need to do it with him.

  As their salary increases, the lives of their relatives at home can be better, and their hard work is also worth it.

  Gu Zhennan stayed for three days. Seeing that everything was okay, he bought some things in Saudi Arabia and set off to return home.

   is still transiting from Hong Kong City.

  I took the plane back to Beijing from Hong Kong. When I got on the plane, I found a woman sitting in my seat.

  The woman is wearing a beige windbreaker, black pants, high heels, and sunglasses. She is very fashionable.

  Gu Zhennan glanced at his registration card, and he remembered correctly.

   "Comrade, I'm sorry, did you take the wrong seat? This is my seat." Gu Zhennan said politely.

  The woman moved her sunglasses down, looked up at Gu Zhennan, and was taken aback. This man is so handsome.

  Gu Zhennan is wearing a black jacket, is tall, looks at her condescendingly, with profound features and a handsome face.

  The woman took off her sunglasses and stood up, "Excuse me, my seat is next to this, but I want to sit in the aisle. Can you change it with me?"

  Gu Zhennan glanced at the woman, and when she saw that she was polite, he nodded. It didn’t matter. He didn’t change to a very far position after sitting on the side. It’s better by the window, so just change.

   "Thank you!" The woman was very happy, and moved her body to let Gu Zhennan pass.

  (End of this chapter)