Chapter 127127 Unexplained high fever & another fight & miserable life...
Shu Jinyue suddenly became interested and wanted to follow Liu Jinbu to the epidemic prevention station, but was stopped by Xu Duan.
He had a grudge against Old Wang. Even though he had publicly apologized, he always felt that he was difficult to get along with and didn't want Jin Yue to waste his energy with such a person.
But it was not possible to prevent Jin Yue from seeing the doctor. He thought for a moment and said, "You go back to the clinic first, put on a mask, and take precautions. I will go and pick them up."
Jin Yue thought about it and realized that he was not alone now. This kind of high fever with unknown cause could be caused by infectious diseases, and pregnant women were a susceptible group.
She turned back to the clinic, where Zhao Wanqiu and Qi Peilan were still there, waiting for Shu Linong and Qi Lixin to bring them lunch.
Jin Yue found a multi-layer gauze mask, put it on, put on his white coat and hat, and opened the doors and windows of the clinic to allow for fresh air.
Then, Old Man Wang and his wife came. As soon as they entered the room, they couldn't keep their eyes away. They looked at the neatly arranged small mahogany drawers, which were all filled with Chinese medicine, at least two or three hundred of them. Then they looked at the clinics, each with its own characteristics, clean windows and antique style. As they looked around, they met a few well-dressed young women coming down from upstairs, chatting and laughing...
Old Man Wang paused and thought that he had underestimated Dr. Shu. Since publishing the apology letter, he secretly contacted Shi Xuehai to learn about Shu Jinyue's situation. He learned that she was young, worked in an epidemic prevention station, and was also allowed to open a clinic outside as an exception, working on both sides.
"Look, before you came here you said that Dr. Shu's clinic was at most a small workshop. Now look at this, it's called a small workshop?" Next to him was an old lady with silver hair, her back was straight and her figure was thin. Although she was wearing a thick cotton coat, it was very neat without a single wrinkle. She also had a colorful silk scarf around her neck. At first glance, she looked like an intellectual old lady with a lot of temperament.
"I just asked someone about this. Shi Xuehai himself has never been here." Old Wang was not convinced, but his wife's words were like an imperial decree and he dared not refute it.
As the two were talking, they came to the door of Jin Yue's clinic. Xu Duan had already prepared two masks and asked them to put them on before going in.
Shu Jinyue found it a little funny. Xu Duan was too cautious.
"It was our negligence. We should have worn it." Old Wang's voice was cold, but he put on the mask very quickly.
And Old Lady Wang was also very fast... Shu Jinyue narrowed his eyes. Not only was she fast, but she also wore the mask very properly and perfectly, covering both her mouth and nose tightly. The mask fit her face tightly without any leakage.
In fact, Jin Yue always felt that her movements were more skillful than his, as if she had been wearing it for many years.
And the fact is that -
"Hello, Doctor Shu. I am Lao Wang's wife. I used to be a forensic doctor, and I am in the same field as you and Lao Wang."
So he’s a forensic doctor, no wonder!
"Hello, Auntie, please come in and sit down."
When she was not wearing a mask just now, Jin Yue paid attention to her face. Her skin color was a little blue-gray, and she looked like she was seriously ill for a long time; her eyes were dry. Although a normal adult's eyes would not be as watery as a child's, at least there was "water" in them, not as dry as hers, as if it was difficult for her eyeballs to move.
Judging from her walking posture, it took her twice as long as an average person to walk just a few steps. It seemed that every step was very difficult. Looking at her thinness, it was also a sign of a serious late-stage illness.
Apart from the fact that she still had a little bit of strength in her voice, her facial features showed that of someone who had been suffering from a long-term serious illness. In Zhao Wanqiu's words, her forehead was black, which indicated a poor prognosis.
"Doctor Shu, even though she can still speak normally, she is actually very weak and can't even lift a thermos."
"You are the only one who talks too much. I can tell myself." The old lady glared at Lao Wang, then turned to Shu Jinyue and said slowly, "My illness is quite complicated. I have been to many places for treatment. I am also old and don't want to bother with it. But Lao Wang said that he met a very good young Chinese medicine doctor when he went to Beijing for a meeting. I thought, why not give it a try? So we hit it off and took the train here three days ago."
Shu Jinyue smiled. This old lady was quite talkative and looked very optimistic. But as she said before, she was used to seeing patients who had lost their spirits due to illness and were pessimistic and wanted to die. It was quite "rare" to see someone who was seeking medical treatment in a positive and optimistic manner.
"I can't say I'm that great, Auntie, please tell me about yourself first."
"I just have a fever. The unexplained high fever has lasted for a year. My body temperature is usually above 38 degrees, and the highest is 39-41 degrees."
Shu Jinyue listened quietly. Old Lady Wang spoke very logically. Basically, what she said could be written directly into the medical record. She didn't have to pick out the key points from the long-winded descriptions of other elderly people of her age and summarize them.
"Last March, I had a dispute with my son and didn't sleep well at night. I had a fever the next day. I took fever-reducing tablets myself, but the effect was not ideal. But I was in a bad mood at the time, so I didn't take it seriously."
The cause of the disease here, in addition to lack of sleep and deficiency of vital energy, there should also be emotional excitement. Jin Yue thought for a moment and said, "May I ask you if you and your son ever had a fierce argument? To what extent? Can you describe it to me?"
Old Lady Wang sighed, "Every family has its own problems."
Old Wang couldn't bear her struggling to talk about these unpleasant things, so he directly took over her job: "That unfilial son is asking us for money. That year I was sent down to the countryside, and he was afraid that I would affect his work. The news of the demotion had just come out, and the document notification hadn't come down yet, but he came back overnight to sever the father/mother-son relationship with us, and also posted big-character posters at the door of our house and at the unit. What a heartless and shameless person. He probably thought we would die in the countryside forever, but he never thought that we would be able to come back later, not only to resume our work, but also to re-issue all the wages and allowances during the demotion period. He immediately came home to ask for money again, and it has been going on for several years... Last year, on my wife's birthday, he said he would invite the two of us to his house for a meal, but who knew it was a Hongmen Banquet, and he asked for money again."
"My wife couldn't help but quarreled with the unfilial son. She got a little emotional and didn't sleep well all night. She woke up with a fever the next day. The medicine didn't help. She was angry and didn't go to the hospital. It was not until more than 20 days later, almost a month later, when the high fever still didn't subside, that she went to the hospital."
Shu Jinyue took the thick stack of information he handed over, which included the hospital stays and examinations he had undergone during the past year.
"At first, she went to our hospital. I took her to see the director of the respiratory department. After asking about her medical history, they suspected tuberculosis or lung abscess. But after a series of tests, they found nothing."
High fever is usually accompanied by other symptoms. If it is accompanied by cough, it may be an upper respiratory tract infection; if it is accompanied by abdominal pain and diarrhea, it may be gastroenteritis; if it is accompanied by mental disorders, it may be a nervous system disease... But the same thing goes, we are not afraid of too many symptoms, but too few symptoms.
Old Mrs. Wang had a fever for more than twenty days. She had no other symptoms but a high fever.
With a high fever for such a long time, the clinician's first reaction is tuberculosis or lung abscess. This is common sense, and the other party's treatment was completely correct. Old Wang knew this, of course. “So he suggested that we change hospitals and doctors. We… changed a lot of doctors.”
Jin Yue nodded to show his understanding.
"Apart from the high fever, her appetite was fine, and her sleeping and bowel movements were normal." So, during that initial period, being too "healthy" actually increased the difficulty of diagnosis.
So, I could only rule out the causes one by one, like looking for a needle in a haystack, and change doctors and hospitals one by one.
The most common cause of high fever is infection, including acute infections caused by various bacteria, viruses, and fungi. Jin Yue looked through the report sheets from a year ago one by one, and indeed nothing was found during the examination. It did not meet the diagnosis of pulmonary tuberculosis, and infectious factors such as bacteria, viruses, and fungi were also ruled out.
“Later, I suspected a parasitic infection and checked for common parasites, but still found nothing.”
Jin Yue said "hmm". The types of tests he conducted were relatively comprehensive in this era, because Lao Wang was the director of the hematology department of a provincial hospital and had some resources.
"Endocrine disorders were ruled out. She did not have hyperthyroidism or hyperadrenocortical function. Later, we suspected she had rheumatic fever, leukemia or a malignant tumor, and she was admitted to our department."
Then, even these diseases were ruled out.
"I suspected it was an autoimmune disease, so I accompanied her to Haicheng to see Zhao Damin, who treats lupus erythematosus and rheumatoid arthritis, but still found nothing."
Zhao Damin?
Shu Jinyue's heart skipped a beat. This was the founder of the field of immune diseases in Longguo, the author of many textbooks currently used in medical schools, and a great figure whose name was written into textbooks in later generations!
If he couldn't do anything, Jin Yue would be a little nervous.
But she remained calm, her face expression unchanged, and continued to look up information: all the necessary examinations, such as X-ray, ultrasound, CT, and all kinds of punctures were done twice. At this time, she could not care about radiation and damage. Compared with curing the disease, being exposed to radiation a few more times was not a big loss. Unfortunately, even after checking for all possible clinical diseases, nothing was found, just like what happened to Little Tiger back then.
But Jin Yue understood very well that Xiao Huzi's high fever was not quite the same as Old Lady Wang's high fever.
Xiaohuzi is a child, his body temperature center is not fully developed, and he is more prone to high fever than adults, especially his simple high fever with no diagnosed cause. After drinking a bowl of gypsum water, the fever has not recurred once in all these years.
But Old Mrs. Wang cannot use gypsum water indiscriminately. She is a middle-aged or elderly person, and her body temperature center is not impaired. There must be a reason for her high fever.
Shu Jinyue knew that reducing the fever was just a matter of reducing the fever, and the most important thing for her was to help her find the cause of the disease.
"Have you tried symptomatic treatment, regardless of the cause, to reduce the fever first?"
"I've tried it. I started with one antibiotic, but when it didn't work, I changed to a combination of antibiotics, still ineffective. Later I also used hormones, but the fever didn't go down." I've tried all the Western medicine methods to reduce fever.
When Shu Jinyue heard this, he suddenly remembered something, "Could it be the effect of the drug, or an allergic reaction?"
The old couple shook their heads together, "I have always been in good health, I don't have any chronic diseases, I haven't had any infectious diseases, I haven't had any surgeries, I haven't had any blood transfusions, and we couldn't find out what was wrong during that time. I was also worried that it was because I took antipyretic and analgesic drugs on my own, so I stopped taking all the drugs, but the fever didn't go away."
"Later, I stopped the combined antibiotics prescribed by the hospital, but there was no obvious change." Whether it was used or not, the temperature did not drop or rise.
That completely eliminates the effects of the drug. Two words popped up in Shu Jinyue's mind - tricky.
Aunt Wang continued, "It is true that I am allergic to sulfonamide drugs, but ever since I discovered I was allergic once when I was young, I have been consciously avoiding risks and will never come into contact with them again." An allergic reaction is an allergy.
Shu Jinyue thought to herself: Well, the reason I could think of was actually thought of by the old couple a year earlier than her. After all, they have been practicing medicine for so many years and they do have some experience.
"Later, I started to wonder if I just had a fever. I didn't feel any discomfort, so I adjusted my mindset and thought, I'll just ignore it as long as the rest of my body is fine." Aunt Wang sighed, "Who knows? Two months later, I still had a high fever and even fainted from the fever. I was sent to the hospital for emergency treatment and was diagnosed with critical condition."
Old Wang smiled bitterly. He had been giving critical illness notices to his patients all his life, but he never thought that there would be a time when he would receive a critical illness notice himself. The moment he received the notice, his legs went weak and he was shaking like a sieve. There was no trace of the calmness and majesty of a department director.
Shu Jinyue did not respond. She was thinking: she knew very well the dangers of high fever. Dehydration, convulsions, and indigestion were all little Camilla's. Mainly, persistent high fever would cause brain nerve damage, liver damage, and increase cardiac burden, leading to multiple organ failure of the heart, liver, spleen, lungs, and kidneys, coma, shock...So, Shu Jinyue felt strange when Liu Jinbu said just now that Aunt Wang was still conscious and able to answer.
"I believe Dr. Shu also knows the harm of high fever, but I also sincerely admire my wife for being able to speak in such a bad physical condition. She has such a good mentality. Even if the cause of the disease cannot be found and it cannot be cured, she is always confident."
An average person would be troubled by this strange disease for a year. Not to mention a year, even if an ordinary person has a high fever for two or three days, they would become listless, lose interest in life, and feel hopeless. But Old Lady Wang was tormented by this problem for a year.
In this state, she not only had a strong desire to survive, but was also very optimistic. She was not at all averse to seeing a doctor. Even if the doctor could not treat her well, she would go directly to a certain doctor as soon as her friends in the industry told her about the good doctor.
Shu Jinyue also admired from the bottom of his heart, "Auntie Wang, you are so amazing, you are a role model for my generation."
"What a role model! I just hope you won't get this strange disease in your lifetime."
Shu Jinyue smiled and asked Old Wang and Xu Duan to help the old lady onto the examination bed. She took the stethoscope and began to do a physical examination.
Old Mrs. Wang is afraid of the cold, so she still wears a thick cotton coat in this season with the buttons unbuttoned... Well, I didn't expect that she was wearing four or five sweaters, sweaters and autumn clothes inside. Taking off clothes is like taking off nesting dolls, and you never know how many more clothes she has underneath.
Shu Jinyue touched her hands. Even though she was dressed like that, her hands and feet were still cold.
She didn't say anything and continued the physical examination. She found that the abdomen was warm, which was the normal human body temperature. It was also soft when pressed, with no tenderness or rebound pain. Everything else was normal.
Coincidentally, the temperature she had just measured had reached its limit, so she took it out and saw that it was 39 degrees!
This is too contradictory. Her body temperature is hot, but her limbs are cold. She is so afraid of the cold that she wants to go out wrapped in a quilt... Should she believe the temperature measured by the mercury thermometer, or the feeling of her own hands?
"Let me check your pulse."
Old Mrs. Wang's wrist is slender and she is very thin. The purple blood vessels are very obvious. Her pulse is easy to find, and it is a bit slippery and rapid, a typical slippery and rapid pulse, but the pulse position is relatively deep, like a sinking pulse.
The slippery and rapid pulse matched her high fever, but the deep and heavy pulse seemed contradictory.
"Is my pulse heavier?"
Jin Yue nodded.
"It's like this. I've seen more than ten Chinese medicine doctors before, and they all said that my pulse was deep. This may have always been the case. I remember when I was very young, about eleven or twelve years old, my father took me to see a Chinese medicine doctor. The old doctor also said that my pulse was deep, which may be related to the fact that I was a premature baby."
Aunt Wang was born when her mother was more than seven months pregnant. Life was hard at that time and she didn't even have much to eat. She didn't develop well in the womb and had congenital liver and kidney deficiency. She didn't get much breast milk after she was born and was fed with rice soup, which didn't replenish her kidneys... It makes sense given her deep pulse.
Shu Jinyue thought to herself that if she judged from the perspective of her inherent constitution, her pulse would not be considered a diseased pulse. So, the problem is the slippery and rapid pulse, which is a sign of real heat.
Because of the blockage of real heat, the Yang Qi is isolated inside and the Yin Qi floats outside, resulting in cold limbs, but hot abdomen and high body temperature, which is a bit similar to Feng Chunxia back then.
In Feng Chunxia's case, Jin Yue made this judgment and then used Baihu Decoction to cure her.
Could it be that Old Lady Wang also has a case of Baihu Decoction syndrome?
"How is it?" Old Wang stood aside and observed Jin Yue quietly. Seeing that her face was calm and he could not see anything, he was quite disappointed.
The young doctors in their department who are about the same age as Jin Yue, or the middle-aged doctors in their forties, do not have such good self-control and will more or less reveal some emotions, but Shu Jin Yue is really too steady.
"It's okay, you can tell me anything, my wife is very strong."
Shu Jinyue smiled. Aunt Wang was indeed strong. Otherwise, she wouldn't have been able to hold on for more than a year with a high fever.
"I want to think about it first. I'm a little unsure. I'll tell you when I figure it out. Is that okay?"
The old couple believed her a little when they saw that she spoke in a very calm manner, without trying to be stubborn or making excuses. "Okay, okay, think about it slowly. We have nothing to do anyway. We can stay here for two days."
If the old lady wasn't so weak and unable to walk, the couple would like to go out for a walk and have some fun.
With this mentality, Shu Jinyue wants to give a thumbs up!
With his stomach growling with hunger, Jin Yue hurried home with Xu Duan to eat. They couldn't help but talk about this in the car, "Look at Aunt Wang, her mentality is amazing."
"No wonder Old Wang deliberately made things difficult for me. Now that I think about it, it wasn't that he wanted to show off, but he really wanted to test my medical skills. He didn't go to the meeting this time, but to find a doctor for his wife." Not only did she see her cure Old Jin with her own eyes, she also called all the difficult-to-treat patients in his department to come to Beijing. On the one hand, it solved her own urgent problem, and on the other hand, he wanted to test Jin Yue to see if she was qualified to treat his wife.
Others went to Beijing to attend advanced training courses, but he went to find a doctor for his wife.
Xu Duan looked straight ahead and said, "Just do your best, don't overwork yourself."
"It's been three months, and now is the most comfortable time. If I don't work hard now, I won't be able to work when my belly gets bigger." In the first three months, apart from slight nausea and loss of appetite, she didn't feel any discomfort. But she just felt weak all over and wanted to lie down.
Due to this situation, and the fact that no one wanted her to work hard, a lot of her work was temporarily put on hold.
She counted the tasks she had on hand recently on her fingers. "I have to write a few more articles while the second trimester is the most comfortable period. I will first submit them to the sea and then focus on fishing. There are also matters related to the clinic, the epidemic prevention station, and selling medicine to Sato Shizuka. Oh, is Sato Shizuka okay?"
"It's okay. The pretty boy not only used her money to support her best friend and illegitimate child, but also had four or five extramarital affairs. She made them cough up everything and sent them to jail."
That’s good. We can’t lose this important customer.
As Xu Duan was speaking, he just turned the car into Liuye Hutong and saw a lot of people gathered at the gate of No. 3 Courtyard, all of them stretching their heads to look inside, their eyes bright and shiny.
"What's wrong?" Jin Yue asked Li Yulan, who was standing on the edge of the crowd with melon seeds in her pocket.
"Who else could it be? The Niu family." Li Yulan has now become the deputy director of the Xinqiao Street Office. The Niu family happens to live in the same courtyard as her, and they always come to her to ask her to give them a minimum living allowance quota and some kind of care and support. In the past, she always acted according to the principles and would give it if the conditions were met and would not interfere. But ever since Niu Xiaofang was arrested for that kind of thing, she no longer gives them anything.
So when something happened in the Niu family, she didn't want to get involved at all. As a deputy director, she actually hid at the back of the crowd to watch the fun.
Shu Jinyue hurriedly got out of the car and asked Xu Duan to park the car on the side of the road at the entrance of the alley. There was a row of parking spaces there, but there were few people buying cars nearby, so most of the time they were empty.
"What's going on with the Niu family?"
"It's Aunt Li from your hospital who's here to make trouble."
Shu Jinyue suddenly became energetic and no longer felt hungry. "What's the matter?"
Last year or the year before last, didn't Aunt Li say that she wanted to rent a stall at the farmers' market to sell tofu? She actually knew how to make tofu. Even Aunt Niu wanted to go, but who knew that she suddenly disappeared later, saying that she thought the stall fee was too expensive and backed out. Aunt Niu was the same as her, wanting to make money but not willing to invest, so neither of them managed to rent a stall.
As a result, the farmer's market business has been booming in the past two years, and everyone who sells things there has made money. Aunts Li and Niu began to regret why they had complained about the high rent. With such a good business, they could earn back a month's rent in just a few days. They really had misjudged.
"Recently, a stall closed down, saying that his elderly family member was seriously ill and needed care, so he wanted to sublet the stall. The tenant took the initiative to find Aunt Li, and she immediately agreed. Who knew that the tenant's wife, not knowing that her husband had already found someone, went to find Aunt Niu, who also agreed and paid a deposit. Now..."
There was a conflict. Two tigers were fighting for one stall. It would be strange if they didn't fight.
So that's how it was. The original tenant of the stall was Aunt Li. She felt that what he said should be the basis and the stall should be transferred to her, but Aunt Niu felt that since she paid the deposit first, the stall should be rented to her.
It just so happened that both of them agreed on the same day, and it was impossible to tell who came first, so they just started doing it.
The more Shu Jin listened, the more amazed she was. Most people, like her, preferred Aunt Li. Why?
Ever since Niu Xiaofang was arrested, causing Liuye Hutong's election for the "Top Ten Hutongs" to fail, everyone in the entire hutong hates the Niu family to death and they wish they could watch them make a fool of themselves every day!
At this time, Aunt Li, who has always been disliked by people, has a stronger mass base than Aunt Niu.
Jin Yue was watching the fun here. He had successfully become a master with Zhao Wanqiu, Xu Wenli and the three little girls. They were also moving around in the crowd, eating melons.
Xu Duan dragged the youngest child, Xiao Ping'an, out and said, "Be careful or the adults might step on you."
This brat, now taken care of by Xu Wenli and Shu Linong, has become plump and has a chubby little butt, but his height has not increased much, and has grown sideways. He looks short and fat, and does not stand out as cute and agile as the sprouts in the crowd. "No, no, no, uncle, I will walk by myself, please let me go."
Xu Duan didn't let go, afraid that he would run in again, so he held him with one hand and tried to catch Yaya with the other. Mengmeng slipped away like a loach half a minute ago.
Now that Jin Yue knew the whole story, he didn't want to waste any more time staying there and followed them home.
"Aunt, come here, I want to tell you a secret!" Xiao Ping'an kicked his chubby little legs.
"What secrets do you have? Tell me first."
"Come here, I can only talk in private."
Shu Jinyue then pretended to move closer and reluctantly cooperated with him, but he unexpectedly dropped a bomb -
"I heard Grandma Niu say that she wanted to sell Laicai!" Laicai was none other than the son that Niu Xiaofang gave birth to a few years ago.
His father is in jail, his mother is having an affair, his grandmother is wicked, his uncle is infertile, his aunt is having an affair, and he is about to be sold... How miserable his life is can be described with just one word: "bitter".
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