This doctor has a system

Chapter 563 626. He has Alzheimer's disease
"Is there no real mutton?" the tattooed man asked unhappily, "It's not like I don't have money!"

"How about you come back tomorrow?" Old Shen said with a smile, "It's definitely not possible today."

He usually eats this kind of food himself, and besides, the taste of lamb may not be better than that of pork.

The stall owner, Lao Shen, gave each table of diners a few extra skewers of beef tendon as a hush money. After finally calming everyone down, someone started shouting again.

"Old Shen! Fuck you XXXXXX!" Jin Xinghuai ran up to him and yelled at full force, "You're going to kill me!"

"What are you yelling about?" Old Shen looked at him unhappily, "Don't cause trouble for me."

"What the hell!" Jin Xinghuai was furious. He didn't think too much about it at first. He thought that as long as it tasted good, it didn't matter whether it was pork or mutton.

But after eating a few more skewers, my dizzy brain suddenly became clear: Pork? ? ? This is pork?

No wonder he has recurring allergies!
Jin Xinghuai thought about it carefully and felt that the rashes and itching all over his body seemed to be related to the pork skewers. There was a time when his father was hospitalized and he was serving as a caregiver in the hospital. At that time, the rash and itching really did not recur.

“So we still consider that this patient’s condition is caused by food allergy?” Li Youliang asked.

"It should be." Gao Feng said.

"How could it be caused by food allergies?!" The stall owner, Lao Shen, disagreed. "How many years have you been eating here? Why didn't you have an allergy before?"

"Is it possible that real mutton was used before, but now my conscience has eaten my own, so I replaced it with pork?" Jin Xinghuai asked.

"Forget it!" Old Shen curled his lips, "I have never sold real lamb skewers since the first day this stall opened."

Everyone
"They're all top-quality, fresh pork!" Old Shen quickly added.

"So, your problem has nothing to do with me." He said to Jin Xinghuai, "Could it be a sexually transmitted disease? I'm not saying anything bad about you, but you go there every day..."

"You're talking nonsense!" Jin Xinghuai blushed. "I've checked for infectious diseases and sexually transmitted diseases many times. This has nothing to do with it!"

"That has nothing to do with me." Old Shen said firmly, "You can look for other reasons."

Jin Xinghuai hesitated for a moment and didn't say anything else. He felt that what Lao Shen said made sense. He had been eating here for several years and nothing had happened before.

But remembering what the doctor had told him, he felt itchy again and lost the mood to eat, so he decided to go home and sleep.

"The bill hasn't been settled yet." Old Shen shouted.

"No money!" Jin Xinghuai fell asleep after returning home. He woke up in the middle of the night and suddenly felt itchy all over his body.

When I lifted up her clothes, I saw some familiar red papules on her body, but not many in number.

"Damn Old Shen!" He cursed, took some medicine, and fell asleep again.

The next morning, Jin Xinghuai came to the emergency department of the Provincial Hospital. The triage nurse did not dare to be careless when she saw him and immediately notified Director Dong Zhida.

"Are you in a hurry? We have to hand over the shift first." Director Dong asked.

"It's okay, I'll wait for you for a while." Director Dong was flattered by Jin Xinghuai's attitude. In the past, the other party would be willing to wait, but he would inevitably curse at him.

The handover in the provincial hospital's emergency department is very detailed. There are many patients seen at night, and the nurses chatter non-stop. Another thing is that patients under observation in the emergency department need to be handed over at the bedside.

There are also some patients who cannot find their way home and need coordination during the day.

The so-called "cannot find a home" refers to some patients that no department is willing to accept. Their conditions are either complicated, involving various disciplines, and the treatment is laborious and the results may not be good.

Either there is a problem with the patient himself or his family, such as a patient who is very difficult to communicate with. No doctor is willing to take on such a hot potato.

There are also some patients who have no money. The patients themselves are not financially well off, and their children are unwilling to pay for various reasons. Doctors are definitely unwilling to accept such patients. It is a joke to ask them to work at their own expense.

In fact, unmarried and childless patients, even those who are eligible for the five guarantees, are better off than such patients. The former are backed by the state and can enjoy secondary reimbursement after medical insurance reimbursement, so they basically do not have to spend any money themselves.

Some people may ask, what if you need to use some medicines or consumables at your own expense?
Don't worry, it won't.

The country has strict regulations on the hospitalization of the five-guarantee households. The self-paid proportion cannot exceed 10%. The hospital will advance the excess. The hospital will definitely not suffer this loss, and the burden will usually fall on the attending physician.

The attending doctor is not a fool. How could he possibly give the patient something that he has to pay for himself?

What if the patient must use it?

There is no other way but to purchase it from outside, but the five-guarantee households usually have no money, so they have to treat the symptoms.

Director Dong didn't come out of the ward until 9 o'clock. There was a patient who refused to be transferred out no matter what. He called Director Ma of the orthopedics department, and the patient finally agreed to let him in.

As a result, the family member said: Our family is already in financial difficulty. If the money is spent but the patient cannot be cured, then I have something to say to you!
Director Ma left without saying a word, and Director Dong was also very embarrassed. In the end, he could only tactfully suggest to the family that they seek treatment at another hospital. The family cursed for a long time, and finally decided to go home and not treat the patient.

The patient lying on the stretcher had tears streaming down his face, but no one asked for his opinion.

"Has your illness recurred?" Director Dong asked.

"Fortunately, it's not as serious as before." Jin Xinghuai replied, "But I seem to know the reason." He told Director Dong about the pork skewers.

The latter looked constipated, and he would occasionally go there to eat a little.

"But I'm confused," Jin Xinghuai said. "I've been eating pork skewers there for at least six years, but why didn't I have any problems before?"

Just say you are allergic?
"How about this? Go find Director Gao again," Director Dong suggested, "and tell him about this situation."

"That young boy?" Jin Xinghuai.

"How can you talk like that!" Director Dong glared at him. "Don't be so blind as to not recognize a great man. You are lucky to have found Director Gao to treat you!"

Is it really that amazing? Jin Xinghuai searched on Baidu during the trip and was really shocked. It was really that amazing!

"I know. I was there too." Gao Feng said to him, "We were just about to contact you."

Gao Feng went back and thought a lot. He had a rough idea in his mind, so he asked someone to draw blood from Jin Xinghuai.

It was found that the patient's α-1-galactose IgE antibodies were significantly elevated, which means that Jin Xinghuai, who was allergic to pork, was allergic to the α-Gal in pork.

α-Gal is a special type of galactose that is found in most mammalian meat, with particularly high levels in animal offal and a small amount in dairy products.

Humans and a few other primates do not have this galactose in their bodies, but they do not experience allergies when they come into contact with α-Gal when eating meat.

The human immune system does not recognize them as enemies and attack them, but digests and absorbs them just like other foods.

So what is the problem? What causes the immune system to suddenly regard α-Gal as an enemy?

"Which floor do you live on?"

"First floor, what's going on?"

"How are your usual hygiene habits?" Gao Feng asked.

"It's fine..." Jin Xinghuai replied, "I usually take a shower."

"Can we go take a look at where you live?"

"That's not necessary," Jin Xinghuai refused, "I'm a person who values ​​privacy."

Besides, what kind of doctor would go to a patient's home to treat an illness? If others see him, they would think something is wrong with him.

"We definitely won't wear white coats." Gao Feng said to him, "I think I've found the reason why you're allergic to pork, but I still need to confirm it on the spot."

"You found the reason?!" Jin Xinghuai was a little excited. "It's not completely certain at the moment, but it's highly likely."

The three of them returned to Jin Xinghuai's residence together. This was a resettlement housing community and it was quite lively there.

"These are basically all villagers from our village," Jin Xinghuai introduced to the two people, "the few communities in front have been rented out to others."

Many people passing by obviously knew him, "Xing Huai, who are they?"

"Oh, Uncle San, these two are my friends."

"Young man, don't learn bad things from Xinghuai. He is not a good person." Jin Xinghuai's third uncle warned.

"Okay, thank you uncle for your concern." Li Youliang replied.

"Don't bother with him, he has Alzheimer's." Jin Xinghuai said unhappily.

When he opened the door, Gao Feng and Li Youliang walked in. This was a house with three bedrooms and two living rooms. The decoration inside was very simple, but it still looked very clean.

"Mom, I'm back!" Jin Xinghuai shouted loudly.

An old lady in her sixties walked out of the house and gave a kind smile when she saw Gao Feng and the others.

"Mom, this is my friend. He came to visit me today."

"Hello, Auntie." Gao Feng, Li Youliang.

"Would you two like to drink tea or drinks?" asked the old lady.

"We're not thirsty."

The old lady still poured two glasses of water.

"Where's your room?"

"My room is a bit messy." Jin Xinghuai felt a little embarrassed, "No, you guys sit down first, I'll clean it up?"

"No need." Gao Feng pushed the door and walked in, then he frowned.

"No buddy, you were pulled in?!" Li Youliang asked in shock.

"How can you talk like that!" Jin Xinghuai was very dissatisfied, "It's just that the instant noodle soup was not poured out, and it became smelly after a long time."

What is the pull inside? That's so rude.

"The garbage in your room is up to your ankles!" Li Youliang stood at the door and was unwilling to go in. "Auntie, why don't you help him clean it up?" He said to Jin Xinghuai's mother.

"This child won't let us into his room," the old lady explained, "or else he'd be very fierce."

How fucking sloppy, Li Youliang thought, no wonder they got divorced! Who can stand this?

"Brother Feng, let's go."

"Wait a moment." Gao Feng turned on the light in the room and then opened the curtains. He then put on the prepared surgical gloves and lifted up Jin Xinghuai's quilt.

"Hey!" Jin Xinghuai was anxious, "What are you doing?!"

"Looking for something." Gao Feng said to him, "Put these aside first." He pointed at the masturbation cup and inflatable doll in the quilt.

"I shouldn't have let you guys come." Jin Xinghuai regretted, "I have lost all my privacy!"

"Brother Feng, what are you looking for?" Li Youliang felt that it was a mistake for him to go out without a mask.

"Fleas, ticks, lice or something else," Gao Feng replied. "The point is ticks."

The two of them began to toss and turn on the bed, and soon they reaped the rewards.

"This one?" Li Youliang said, pointing at a dead insect.

Gao Feng took a closer look and found that the insect's body was oval in shape, with a slightly raised back, eyes and marginal piers; the shield had enamel-like spots, the pedipalps were broad and short, the base of the jaws was rectangular, and the dorsal spur was short and blunt.

It was undoubtedly a tick, but he couldn't tell which kind.

This tick must have been dead for a long time, and it broke into pieces when I squeezed it with my hands.

"Have you ever been bitten by this thing?" Gao Feng asked.

"I don't know." Jin Xinghuai replied, "But I have seen this thing in the house several times, and I killed it every time."

"Why did you close the window so tightly?" Li Youliang was puzzled. "Isn't it good to ventilate normally?"

"You'll know once you open it." Jin Xinghuai said.

Li Youliang came up and opened the window, and immediately a foul smell floated in.

"Fuck! What is this?"

"My third uncle raises chickens, ducks and two sheep in the green belt." Jin Xinghuai said with a smile.

"Is this still possible?" Gao Feng was shocked. "The property management company doesn't care?"

"Didn't I tell you? My third uncle has Alzheimer's disease." Jin Xinghuai explained, "The property management can't do anything to him."

In fact, it’s not that the property management company is not doing anything, but that the residents here are all former villagers, and the top leaders of the property management company are also from the village. According to seniority, they have to call Jin Xinghuai’s third uncle “grandpa”, so most of the time they can only give him advice with kind words.

Uncle San's brain has not been working well in the past two years. After the property management cleaned up his sheep, he went crazy. Every morning at around 5 o'clock, he would take a broken gong and beat it in the community, shouting: "Oh my God! Where are my sheep? Where are my sheep?"

"Just let him raise the child!" A group of old men and women ran to the property management and blocked the door, saying that they were going to be tortured to death by their third uncle.

It’s hard for Jin Xinghuai and another neighbor. They have to close the windows every day, otherwise the smell is unbearable.

"We've found the cause of your illness." Gao Feng said to him, "It should be caused by this tick."

“How can pork allergy also involve ticks?”

Not to mention Jin Xinghuai couldn't understand, even Li Youliang felt a little puzzled. Is there any special connection between the two?
It really does.

Some ticks live in grass and bushes. They will target us when we are camping or picnicking, or they will crawl onto pets playing in the grass and then jump from the pets to humans.

Unlike mosquitoes, which bite and run away, the front of the tick's body is almost entirely mouthparts.

Ticks can even remain firmly attached to their hosts for several days and can easily spread disease if not found and removed in time.

Some ticks bite other mammals and leave α-Gal in their saliva. When they bite humans again, the α-Gal enters the human blood.

This is completely different from the previous practice of eating meat and simply entering the digestive tract to be digested and absorbed. The complete α-Gal allows the human immune system to recognize it as a foreign enemy, thereby activating a series of protective mechanisms and producing specific antibodies.

The immune system is under high stress, and when meat containing α-Gal enters the digestive system, the immune system will deal with it as if it were a major enemy.

Allergies then arise.

These antibodies persist, with the consequence that the victims can never eat pork again.

(End of this chapter)