White armor

Chapter 530 Why are there so many parasites recently?

"Director Fang, you didn't go to see the opening ceremony." The circulating nurse sat in the corner, holding a mobile phone in her hand, refreshing the video, and chatting with Fang Xiao in a casual manner.

Fang Xiao skillfully made a 4-centimeter incision and entered the abdomen layer by layer.

The patient was a five-guarantee household with limited financial resources and could not afford laparoscopy, so he chose traditional surgery. Fang Xiao was also good at it. When he first started working, he used surgery, and there was no laparoscopy at that time.

"They all want to bring their children to watch the opening ceremony, so I have to stay at home." Fang Xiao answered while operating.

"Tsk tsk, you..." The circulating nurse hesitated to speak.

The old director asked for leave directly because of the last incident and didn't want to continue working. Maybe it was because although Fang Xiao looked unreliable on the surface, he was actually very capable and could handle everything with ease. Or maybe the old director, as a "big wave", had already enjoyed various dividends and now just wanted to retire smoothly.

Therefore, after the last incident, the old director has faded out and is no longer responsible for specific department matters, while Fang Xiao is already the acting director, and he has the final say on all matters, big or small. This is also the most ideal way of handing over, with minimal damage to the department.

It's a smooth transition.

"They are willing to bring their children to squeeze in, but I can't. Since the epidemic, I get a headache when I see crowds of people." Fang Xiao said while operating.

"The holographic projection of bamboo is so beautiful, just like the real thing, and a little bit playful." The circulating nurse muttered softly.

"I've seen a lot. You guys are using holographic projection, but I'm in close contact. Last time I went to the provincial capital, Professor Luo took me to pet cats." Fang Xiao began to brag.

"Petting the cat?" The circulating nurse was a little confused.

"It's bamboo. Pandas are also cats!" Fang Xiao explained with a smile. Anyway, the nurses on duty couldn't prove it. Besides, when he shook hands with Secretary Lu recently, the bamboo was right next to him. Even Secretary Lu didn't know whether he stroked it or not, let alone others. So Fang Xiao felt at ease bragging.

"Director Fang, Professor Luo who performed the surgery last time was from the Ice and Snow Festival project team. Why don't you go and show your support?" asked the circulating nurse.

"You don't need me. I'm afraid I won't be able to see Professor Luo if I go. He's so busy. Look at the bamboo, that's Professor Luo's research project. I heard that one endorsement can earn hundreds of millions." Fang Xiao chatted while performing surgery.

"They can really make it back. During the opening ceremony yesterday, when Bamboo was hit into the sky by the holographic projection, Tencent launched a new skin. Short videos everywhere are of Bamboo's holographic projections... Not to mention others, my son has been pestering me to buy him a new skin for Bamboo in the game." The circulating nurse said excitedly.

Although she didn't understand and didn't approve of buying skins, she was Bamboo after all, so she didn't curse.

"The hot search list is dominated by the Ice and Snow Festival in the top ten!" The equipment nurse also happily followed the gossip. After all, bamboo is related to Changnan City, and the little nurse also has the photo of the red-crowned crane flying, so it feels very familiar.

"Yes, my son told me this morning that Tencent released a new skin yesterday, and it almost became the best-selling product overnight. One billion yuan? And this is the first day." Fang Xiao smacked his lips. I heard Tencent spent a lot of money to buy the endorsement of Bamboo, but I didn't expect to earn it back in one resale. It's really amazing.

"Peritoneal protection." Fang Xiao stretched out his hand.

The instrument nurse handed the cotton pad to Fang Xiao and said, "Director Fang, I don't follow the operation very often. Can you please say a few more words to me?"

"I haven't done much either. Now we all do laparoscopy. Don't worry, it's a simple task." Fang Xiao encouraged the nurse and the patient while operating. However, the patient had already fallen asleep and started snoring.

"I saw in their Moments that the ice of the Songhua River was covered with sleds pulled by robotic pandas. They were having a lot of fun," the circulating nurse continued.

"They are everywhere. There are also robot pandas in the team maintaining order." The equipment nurse added.

"It's so cold, what if the electricity goes out?" everyone was chatting.

If you can’t go to the opening ceremony, you can only enjoy it at home. Eight out of ten short videos now are about the opening ceremony of the Ice and Snow Festival. The image of bamboo is so popular that it is the main focus of every big data push.

Fang Xiao opened the peritoneum, fixed it with forceps, and operated carefully. He did not think the operation was difficult, but he had just become the director, so he had to be cautious in all his actions, lest people would say he was a mean person who succeeded, which would be meaningless.

But after opening the peritoneum, Fang Xiao was a little confused. A white thing came out, "Gu Pu~Gu Pu~Gu Pu~~Gu Pu~~~"
Fang Xiao's scalp was numb. What the hell was this? ! Ascaris? !

"Fuck!" The instrument nurse was watching the operating area. She was quite attentive and saw a worm crawl out at the first moment. She was so scared that she cursed.

Whether girls are brave or timid is all relative. When medical students are taking anatomy classes, the girls are very curious. I have never seen any girl who is so scared that she dares not to do anything.

But if you encounter this situation on the operating table, even the bravest person will be frightened.

Fang Xiao knew that this patient was in trouble! Before the operation, the local poverty alleviation cadres looked unhappy and said that this five-guarantee household was willing to eat dirt. If he was not a firm materialist, he might have asked someone to dance a dance to exorcise the evil spirits.

In fact, Fang Xiao didn't care much about eating dirt, after all, the poverty alleviation cadres didn't describe it in detail. When he saw the worms in his stomach, Fang Xiao was stunned. He looked at the worms quietly for several minutes. He saw at least 3-5 white worms about 1 cm long crawling around in his field of vision.

Damn it! Fang Xiao realized that something was wrong. Of course, he could just cut the appendix, flush the abdominal cavity and then leave. As for the worms, it was easy to solve. Just remove them completely and give some anthelmintics after the operation and pretend nothing happened. But this was the first time in Fang Xiao's medical career that he saw worms after opening the abdominal cavity during appendectomy surgery, so he decided to be cautious.

Turn around, tear off the sterile gown, and remove the gloves.

"Director Fang?" The circulating nurse was a little confused.

"I'll take a photo, then ask and talk to the poverty alleviation cadres." Fang Xiao said sullenly.

"Director, is this a roundworm? I have never seen a parasite before." asked the assistant.

"It should be." The young doctor didn't know him, and neither did Fang Xiao. He said perfunctorily, took out his phone from his back pocket and took two photos. Turning to leave, Fang Xiao felt that it was not enough, so he recorded another video.

This thing looks disgusting. Fang Xiao frowned and said, "Cover it with warm saline gauze first and wait for me to come back." After saying that, Fang Xiao walked out of the operating room.

He sent the video and photos to Luo Hao, and then made a phone call.

"Professor Luo, I'm so sorry, the Ice and Snow Festival has just begun, you must be very busy there."

"Not busy, I'm researching pig feed." Luo Hao's voice came.

Pig feed? Fang Xiao thought about it for a moment, but immediately put the word behind him and began to quickly report the operation. The patient's appendix was perforated, and the parasites were probably hidden in the appendix, and they came out through the perforation and wandered in the abdominal cavity.

"Oh, it's the ectopic parasitism of pinworms." Luo Hao's voice came lightly.

It's not roundworms, but pinworms? Fang Xiao was stunned for a moment.

"The ectopic parasitism of pinworms can cause vaginitis, salpingitis, endometritis, etc. It can also invade the appendix and cause appendicitis or even peritonitis," Luo Hao explained.

"Hasn't Director Fang seen it?"

"Uh... I haven't seen it." Fang Xiao answered honestly.

"I haven't seen it either!"

Shit! Fang Xiao even heard a hint of excitement in Luo Hao's tone on the other end of the phone.

"Director Fang, seal the ruptured appendix first and wait for me."

"You're coming?"

"It is best to find all the pinworms. Dilute iodine tincture can only kill the eggs and has some effect on the adult worms, but not much. After the abdomen is closed, the adult worms will multiply everywhere in the abdominal cavity and form multiple granulomas. If it is not handled thoroughly at one time, there will be many troubles later."

"..." Fang Xiao was stunned. He didn't expect this matter to be so troublesome.

"Of course, that is an extremely rare case. There are only one or two related papers, and not many citations." Luo Hao briefly explained the situation. "Talk to the patient's family, and then ask your medical department to send a letter to the First Hospital of Medical University. I'll drive there now."

"By the way, Director Fang, I'll bring you 20 gifts for the opening ceremony. You can give them to the doctors and nurses in the department later."

"Hey, ok, Professor Luo." Fang Xiao came to his senses. He was not too worried, after all, Professor Luo was there. And from the perspective of medical disputes, the five-guarantee households are a group of people who are naturally unprotected. They don't even have children, and no one will come forward if something goes wrong. There will definitely be no problem. The only problem is that he has seen a special case - after opening the abdominal cavity, the stomach is full of worms.

"It's strange, why are there so many parasites recently?" Luo Hao said and hung up the phone.

Recently? Are they all parasites? Fang Xiao scratched his head and didn't bother to figure out why. He vaguely knew that some time ago someone "released" cockroaches, from the south to the north, and parasites might be related to releasing cockroaches. Cockroaches don't spread parasites, but who can guarantee that those behind the scenes won't spread something else.

But this matter has nothing to do with Fang Xiao, so he is too lazy to think about it. If the sky falls, there is someone tall to hold it up, and Professor Luo is that kind of tall person.

Putting on a lab coat, Fang Xiao walked out of the operating room.

"Xiao Zhu, this way." Fang Xiao waved.

The poverty alleviation cadre's surname is Zhu. He is less than 30 years old, but the skin on his face is already dark. He looks at least 40 years old, older than Fang Xiao, and has a worried look on his face.

"Director Fang, is the operation done? You have worked so hard." The poverty alleviation cadre said politely to Fang Xiao.

"Oh no, I can't do the surgery. I've already contacted experts from a higher-level hospital to come and save me."

"What?!" The poverty alleviation cadre was stunned. Isn't it appendicitis? This is a Class 3A hospital after all, how come they can't even do an appendectomy? Director Fang must be joking, for sure!

"Here, look, this is a photo I took." Fang Xiao said without any proof, and handed the photo on his mobile phone to the poverty alleviation cadre. A white worm among the internal organs was extremely visually impactful.

The poverty alleviation cadres were stunned.

"Here, this is a video." Fang Xiao opened the video. It would be fine if the white insect was still, but when the poverty alleviation cadres saw it start to wriggle and gurgle, they were dumbfounded.

What is this?

"Xiao Zhu, the patient must have other problems. It's not just simple appendicitis." Fang Xiao said confidently, "But don't worry, I have contacted the experts at the higher-level hospital. You can contact the village party secretary and tell him about the situation. I will send you the photos and videos."

"Director Fang." The poverty alleviation cadre pulled Fang Xiao's dark green coat, leaned over and whispered, "I heard from the people in the village that Lao Ma killed a yellow fox a few months ago, and the yellow fox ran out to ask him..."

"What are you asking?"

"It is said... don't laugh at me, it is said that one day Lao Ma drank too much and was walking home drunk. A yellow fox came out and stood in the middle of the road and asked him - do you think I look like a human being?" "Fuck!" Fang Xiao cursed.

"I know this is a rumor, and I didn't believe it before," the poverty alleviation cadre explained embarrassedly.

"Xiao Zhu, go take a break. It's not easy for you to help the poor. You just punch the clock in all day, hahaha." Fang Xiao made a little joke and patted the poverty alleviation cadre on the shoulder. "Besides, don't worry about the expert fees. I respect you poverty alleviation cadres in my heart. I will pay for the expert fees."

"That won't work. We'll just have to do what we have to do!" The poverty alleviation cadre said no but his expression looked much more relaxed.

Fang Xiao knew that they didn't earn much, and they could indeed apply for this, but if such a rare thing was approved, it would take who knows how long it would take. Since he had accepted it, he was relieved. As for Fang Xiao, he knew that Luo Hao would not ask for money or sell a favor. The only one who lost in this situation was Professor Luo, and everyone else benefited.

But Professor Luo seemed very happy, because he said he had never seen a similar case, and he was eager to come for the surgery.

"Then I'll go back and watch until the experts come. We'll do our best here, and you can contact the village. Once we determine what kind of insect it is..." Fang Xiao rolled his eyes and lowered his voice, "Don't talk about things like asking for a title, let them figure it out themselves. But the parasite is real, what are the local sanitary conditions like?"

"It's okay. We have water and sewage, electricity and internet. Old Ma is lazy to begin with. After the internet was connected, he just sat on the kang watching short videos on his mobile phone every day. The piglets we bought for him are almost killed by him for meat." The poverty alleviation cadre complained.

Fang Xiao almost burst out laughing. Is that for sure? Fang Xiao has seen lazy men in the countryside. To put it in today's terms, they are very clear-headed and have long since laid down and made peace with themselves. As for whether they make money or get married, it doesn't matter. As long as they are comfortable, it's fine. They don't even feed the breeding pigs bought for poverty alleviation. Teaching a man to fish doesn't exist in the minds of lazy men at all. They only want fish, not fishing.

It's reasonable to do so. If you are working in the provincial capital or Changnan City and encounter such a thing, without the poverty alleviation cadres running around, one illness or one surgery would be a waste of one or two years of work. But the patient is lying on the kang at home, browsing his phone, and the poverty alleviation cadres are running around like their own sons, how comfortable it is.

As for this person, it depends on the time. Now we are talking about common prosperity, so it is no wonder that Xiao Zhu complained.

"Come on, don't say anything if you have any questions. Do you still want to make progress?" Fang Xiao said, "Call the old branch secretary and tell him that Old Ma is full of worms. Ask him what parts of your area are polluted."

"Okay!" The poverty alleviation cadre was stern, knowing that Fang Xiao was talking about serious matters that could not be delayed. One or two cases were minor, but if the whole village was infected, it would be a big deal, and he would inevitably be blamed for his poor performance. There might not be any punishment, but he could see the end of his road in the future.

The poverty alleviation cadres immediately called and Fang Xiao returned to the operating room. That was about it. All that was left was to wait for Professor Luo to come to the rescue. Stepping on the seven-colored auspicious clouds, Fang Xiao descended from the sky. A year ago, Fang Xiao could not have dreamed that he would have such an experience a year later.

Back to the operating room.

"Director, how is it?"

"I contacted Professor Luo in the provincial capital. He is driving over here."

"..."

"Isn't Professor Luo busy?"

Busy? Pig feed? Fang Xiao thought to himself, but his expression was extremely serious, "No matter how busy I am, it's not as important as the matter at hand. Human lives are at stake."

"And." Fang Xiao lowered his voice and glanced behind him mysteriously.

"What's going on?" The nurses and anesthesiologists also became nervous.

"I heard that there are a lot of parasitic diseases recently."

"???"

"???"

"Don't talk nonsense when you go out. You are the parties involved, so don't get yourself into trouble." Fang Xiao warned.

"Oh oh oh."

Although they agreed, the nurses still thought Fang Xiao was just talking casually.

"Will Professor Luo bring bamboo?" asked the equipment nurse.

"Don't dream. Zhuzi can't enter the operating room. But there is a dog with half a face next to Professor Luo. His name is Dahei."

"Half a face?"

"Yes, he used to be a police dog. When a gangster injured someone on the street, Dahei bit the gangster tightly and refused to let go. He was severely injured. Professor Luo carried Dahei into the operating room of the First Hospital of Medical University!"

"Damn, Professor Luo is awesome! He will probably be scolded by the hospital leaders after this incident." The circulating nurse was experienced, but she changed the subject and said, "It's okay to be scolded. The police dog did its job well. We can't just watch it die like this."

"Scolded? Are you kidding? That's Professor Luo." Fang Xiao said, "Professor Luo invited one of the top oral surgery experts in Peking University Medical School in the imperial capital to come and perform a flying knife."

"Emergency?"

"Yes! Just agree to pet the cat, Professor Mao."

"Later, Professor Mao took the opportunity to have two teeth implanted before leaving. Professor Luo didn't even mention the dental implants. I heard about it from a classmate in the provincial capital."

"Who is it for?" the instrument nurse asked in a daze.

Fang Xiao, the circulating nurse, and the anesthesiologist all looked at her with contempt.

"Professor Luo is so talented, he can perform emergency flying surgery. Even Director Fang can't be invited." The circulating nurse changed the subject.

Fang Xiao smiled slightly and looked at the patient on the operating table.

"..."

Isn't it right in front of me? What am I asking? The circulating nurse was ashamed.

"Wait a minute. By the way, Xiao Zhou, plug the perforated area of ​​the patient's appendix. I won't wash my hands yet." Fang Xiao instructed.

"Okay."

Watching the junior doctors seal the incision and remove the visible worms, Fang Xiao began to study these worms.

"Have you heard about the increase in parasitic diseases recently?"

"No, I've been working for 20 years, and this is the first case of parasitic disease during surgery I've seen," the anesthesiologist replied immediately.

That's right. Fang Xiao thought about it and threw the last sentence Luo Hao said after hanging up the phone out of his mind. This kind of thing can only be solved by the gods in heaven. He should just sit down and watch the gods fight. If the hemorrhoids are really broken, blood will spill all over the face, which is disgusting enough. But there is no way, who made this patient come to him in such a beautiful way.

It's all fate.

While chatting and waiting, Luo Hao called Fang Xiao a few hours later and said that he was going upstairs and asked Fang Xiao to pick him up in the locker room.

Seeing Luo Hao, Fang Xiao felt a warm current in his heart. What is a backer? This is it! To say that the mountain will fall if you have a backer is nonsense said by people without a backer. I posted two photos and a video. Professor Luo put aside the weekend and the Ice and Snow Festival, and came like this.

"Thank you for your hard work, Professor Luo."

"Hey, Director Fang, why are you being so polite to me?" Luo Hao strode into the locker room. "Have you notified the patient's family and the village where they live?"

"I am a five-guarantee household, I have no family members, and I am a bachelor." Fang Xiao explained, "I told the poverty alleviation cadres as soon as possible, and he went back to check if there was any problem."

"Well, it's really strange recently. I've met many patients with parasitic diseases. It's understandable that there was one who ate toad skin to prevent tumors, but this one is rare." Fang Xiao was silent and listened to Luo Hao quietly. Professor Luo was just talking to himself, and Fang Xiao knew it in his heart.

"Pinworms are common, but it's rare to see so many of them directly in the stomach."

"Professor Luo, what do you think the problem is?"

"How would I know? Director Fang, let me ask you, how is pinworm disease transmitted?"

"..." Fang Xiao regretted it. He shouldn't have started a conversation. Professor Luo was becoming more and more like a professor. He asked questions as soon as he opened his mouth, which made him feel very embarrassed.

"The three most common ways are sexual contact, inhalation, and retrograde transmission. Retrograde transmission is the most common, with pinworm eggs hatching in the anal folds and then drilling directly into the anus."

These words made Fang Xiao feel a little itchy at his back door. He wanted to scratch it a few times, especially because the pinworm he had just seen seemed to be drilling into his anus, which made him feel very itchy.

"What's with that expression on your face? You're already a senior director, but why are you still acting like a student? You think you're sick no matter what I say." Luo Hao laughed and said with contempt.

"Hey." Fang Xiao was also a little embarrassed.

"Well, Director Fang, call the poverty alleviation cadres and tell them not to wander around and keep stool samples. The Municipal Health Commission will send an ambulance to collect samples." Luo Hao instructed. His expression was serious, and there was no trace of joking in his voice.

The difference between before and after was so great that Fang Xiao was stunned.

"???"

"When I get back, I'll do a microscopic scan to see if anyone else has parasites or something."

"You?!" Fang Xiao was really surprised this time.

"Why? My level of microscopic diagnosis is very high." Luo Hao stated a fact.

"No, no, no, Professor Luo, I'm not saying that you're not good enough, but why are you so concerned about this?"

"I'm worried about transmission through inhalation." Luo Hao said lightly.

(End of this chapter)