When I arrived at the ward, I saw a haggard and thin middle-aged woman lying on the hospital bed.
Beside the bed, a middle-aged man was applying a towel to a woman's stomach.
Seeing Li Zheng and the others arrive, the man took the towel off the woman's belly and asked, "Doctor, my wife is possessed by an evil spirit. Your injections are useless. We need to be discharged from the hospital and go out to find a Taoist priest to exorcise the evil spirit!"
The middle-aged woman showed obvious symptoms of dehydration, with sunken eyes, dull skin, and a listless spirit.
But the laughter just now was very loud, which made the male family member firmly believe that his lover was possessed by evil spirits.
Director Tang walked to the bedside and said, "What era is this? Why are you still so superstitious? If you continue to pull like this after you are discharged from the hospital, she will die!"
"So what do you think the problem is? We can't find out what the problem is, and the IV drip has no effect. He has already had diarrhea seven times here. If this goes on, he will die! If you delay my wife, you will be in trouble!" The male family member became more and more angry, and pointed his finger at Director Tang, almost pointing at his nose.
Director Tang has encountered this kind of situation many times in the emergency department. He remained calm and said, "Our doctor Li is back. He's an expert in general surgery at the city hospital. He'll take a look at you first. If that doesn't work, you can transfer to another hospital."
Seeing how young Li Zheng was, the male family member was a little skeptical. He snorted coldly and said, "If you want to see it, hurry up and see it. If you delay any longer, he will really die!"
"Hahaha...it's itchy, I'm itchy, don't tickle me, don't tickle me..."
The female patient lying on the bed laughed strangely again, with a painful expression on her face.
The male family member quickly held down her arm, which was still receiving an IV drip, to prevent her from scratching.
"Look at him, he must have been possessed by an evil spirit. He's already in such a state of diarrhea, yet he still has so much strength!" The male family member shouted, "You son of a bitch, my family didn't bother you, so why did you come after my wife? Get out of here now, or I'll ask a Taoist priest to perform a ritual to kill you!"
After the man finished shouting, the female patient really quieted down, her eyes were dull and she was in a drowsy state.
When Zhu Haiping saw this scene, he became even more convinced that the woman was possessed by an evil spirit. He quickly shrank his body behind Li Zheng. He felt that Li Zheng was a righteous man, and his name contained the word "正" (Zheng). He must be immune to all evil, and it would be safe for him to hide behind him.
Li Zheng carefully observed the woman's condition. This was a typical symptom of delirium caused by damage to the nervous system.
He asked in a deep voice, "Brother, your wife recently had an attack of cholecystitis. Do you know what medicine she is taking?"
The male family member shook his head and said impatiently, "I don't know. What else could the anti-inflammatory water at the clinic be? It must be penicillin!"
Everyone frowned.
Penicillin would not have such serious side effects on the nervous system.
Li Zheng shook his head and asked, "Is your wife taking any other medications?"
The male family member shook his head and said, "She didn't take any medicine. Anyway, I didn't see her take any medicine."
That's strange.
Do I need to go to the clinic to investigate?
"Director Tang, have you asked the patient himself?" Li Zheng asked.
Director Tang shook his head and said, "The patient's condition is very unstable. When we ask her questions, she can't answer, or she answers irrelevant questions."
Li Zheng glanced at the patient, who had his eyes closed and was relatively stable.
Li Zheng came to the bedside, bent down and touched the female patient's forehead.
A slight fever.
"Wang Fang...Wang Fang, take your medicine!" Li Zheng shouted, patting the patient's shoulder.
Everyone else's eyes widened.
What scene are you acting in?
"Ah... okay." Patient Wang Fang slowly opened her eyes and glanced at Li Zheng.
This scene left everyone dumbfounded.
Wang Fang actually responded to Li Zheng and agreed to take the medicine.
This means that Wang Fang is very likely taking medication for a long time.
"Where are your medicines?" Li Zheng asked again.
Wang Fang raised her hand and said weakly, "It's...in the bedside table."
"Okay, what medicine are you taking? I'll get it for you." Li Zheng said loudly again.
Wang Fang glanced at Li Zheng, then at the male family member, and said, "Doctor, ask my dead man to get it. It's in the bedside table. It's a bottle of chloramphenicol. He knows it."
Everyone was shocked.
Although no one knew whether Wang Fang's consciousness was clear or confused at the moment, everyone keenly captured a key piece of information: chloramphenicol.
But does chloramphenicol cause this series of symptoms?
Li Zheng patted Wang Fang's shoulder again and said in a gentle tone, "If it's chloramphenicol, you don't need to take it. We'll change you to another medicine."
Wang Fang nodded, closed her eyes and began to rest.
Lee straightened up.
Everyone looked at him curiously.
"Is it caused by chloramphenicol?" Director Tang asked.
Li Zheng nodded and said, "Her condition is probably caused by long-term use of chloramphenicol, which has led to an imbalance in intestinal flora and triggered pseudomembranous colitis."
"Pseudomembranous colitis?"
Everyone was confused.
What kind of disease is this?
Even Director Tang, who is proficient in internal medicine, had never heard of this disease.
Li Zheng explained: "This disease is relatively rare. It is caused by long-term use of antibiotics, which kills the normal intestinal flora and leads to the overgrowth of a bacterium called 'Clostridium difficile' (yes, the difficult one in it), which releases toxins and causes a severe inflammatory response in the intestine.
When these bacteria multiply, they form a pseudomembranous membrane in the colon, hence the name pseudomembranous colitis; severe diarrhea is a typical symptom of this disease, no less severe than cholera.
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