Chapter 1419: The Problem with the Egg?

Chapter 1419: Chapter 1419: The Problem with the Egg?

"You two little fools, let me ask you again, what other symptoms does the patient have?"

After waiting for a while, Liu Banxia continued to speak.

"And there’s abdominal pain, diarrhea. Oh? Teacher Liu, couldn’t the bacteria causing the abdominal pain and diarrhea be related to the gas... Oh, I know, Clostridium perfringens?" Xu Yino asked happily.

"That’s why I say you’re a bit slow, for just thinking of it now. The bacteria causing gas gangrene is mainly Clostridium perfringens, but it’s often a mixed infection." Liu Banxia said.

"Yesterday it was her boyfriend who scratched her back, likely carrying the bacteria on his fingers. Although it’s anaerobic bacteria, it often finds a space to survive."

"And after ingesting Clostridium perfringens, it can also cause symptoms of gastroenteritis. But it’s mostly self-limiting. Now I’m curious about what substance it was carried on."

"After all, it’s anaerobic bacteria, and its living conditions are quite harsh. I..."

"I know, hey, Teacher Liu, I know." Liu Yiqing said gleefully.

"Doctor, what is it?"

Before Liu Banxia could speak, the patient asked a question.

"Did you eat a stone pot bibimbap yesterday, with that kind of semi-raw egg mixed in?" Liu Yiqing asked.

"Yes." The patient was a bit surprised.

"The problem likely lies with that egg. If the egg carried bacteria, and your boyfriend accidentally got it on his fingers while cracking it, some might remain for a while." Liu Yiqing said.

"I seem to remember that Clostridium perfringens needs high temperatures to be killed, right? Something like eighty or ninety degrees? Yet, it thrives at human body temperature."

"Above 75 degrees is about right. Sometimes, tiny cracks on the egg can allow bacteria to sneak in." Liu Banxia nodded.

"Also, did your boyfriend bring this egg from his hometown? I’m not sure if he washed the shell properly before cooking."

"Eggs from home are often found in hen houses and can get contaminated with chicken feces, naturally carrying more bacteria."

"But for now, it’s definitely the Clostridium perfringens playing a major role. Next, we need to replenish your fluids, correct electrolyte imbalances and prevent dehydration."

"Additionally, we’ll use penicillin to fend off viral attacks. After debridement, you can also spend some time in a hyperbaric oxygen chamber, which helps eliminate anaerobic bacteria."

"Doctor, just because I ate a soft-boiled egg?" The patient asked weakly.

"That seems to be the reason now. But it could also be carried on the chicken. We can ask your boyfriend about it when we go out later." Liu Banxia said.

"But he didn’t do it on purpose to harm you. This bacteria is quite common in nature. It’s just your bad luck. If it had been just a simple wound, it might not have been a big deal, since it’s anaerobic bacteria, after all."

"Scratching it open turned out to be acne, which is a favorable environment for anaerobic bacteria to grow and reproduce. Luckily, you came in this morning. If it had been delayed, who knows how much flesh might have had to be removed."

The patient didn’t dare to speak, finding the thought quite frightening.

"However, the symptoms will progress a bit further. We’ll adjust based on your physical condition. Blood replenishment and cooling down are also methods to consider." Liu Banxia continued.

"You’re currently in the early stages of the disease and discovered it in time. Otherwise, it would be hard to say. Such conditions often affect limbs, and if it gets worse, amputation might be necessary."

"But the issue is on your back — how would we amputate that? So, you came just at the right time, and these two girls discovered it in good time, which is excellent."

"Actually... actually, I knew my back felt a bit strange, but I thought it was just a popped pimple, so I didn’t pay attention." The patient said weakly.

"That’s normal. After all, you’re not a doctor. No one keeps checking their pimples in front of a mirror all the time. Go ahead and do the debridement; I’ll go have a look outside." Liu Banxia said.

"Don’t go, don’t go, doctor, can you stay? I’m scared."

Seeing him about to leave, the patient hurriedly said.

"Okay, I’ll stay here for a while then. Luckily, the necrotic area isn’t very large, so debridement is simple and quick." Liu Banxia nodded with a smile.

Xu Yino and Liu Yiqing also found it amusing. Who would have thought that the patient would rely on the ’Big Demon King’?"

"By the way, I’ve told him to help contact your family as well. With such a serious illness, you need to inform your family." Liu Banxia said.

"Actually, it’s okay not to tell them. I’m not going to die from this, but they’ll worry if they find out." The patient said.

"That won’t do. Including medications and procedures, you or your immediate family need to make those decisions. A boyfriend is just a boyfriend; his decisions don’t count." Liu Banxia said.

"That’s pretty much how it is, but his mom kind of looks down on me, saying I’m too pampered," the patient said.

"I’ve never lived in the countryside; their family is in the countryside. Of course, I can’t get used to it. I’ve never cooked or done household chores, and he knows all of this."

"Then he always picks on my faults. I just don’t know what to say. Doctor, if it were you, what would you do? Anyway, I’m a bit fed up now."

"Well, today I took on a big job. The thing is, it’s really hard for outsiders to give advice on this, because I can explain this problem from two perspectives," Liu Banxia said.

"The first thing is, it still comes down to you. If you really like him and he truly treats you well, I think these little issues can be overcome."

"Not being good at household chores, we can learn slowly. It’s not about whether you can learn or not; it’s just about whether you do it well."

"But, you know, between mother-in-law and daughter-in-law, there’s often a certain level of conflict. If she already has opinions about you now, she might have opinions about you after you get married too, leading to new conflicts."

"So, it’s not easy for outsiders to say, it depends on what you think. But I see the young man cares about you a lot, he felt very guilty hearing he scratched you himself."

"Since you’re sick these days, you might as well take the time to think it over. If you really want some advice, I can give you some based on my own experiences."

"My wife wasn’t good at household chores either. The first time she cooked, she cut her hand. She was so scared, but luckily we went to the hospital, otherwise the wound would’ve healed on its own."

"Doctor, are you kidding?" the patient asked incredulously.

"No, I’m not kidding. Teacher Liu and Xu Yino met because of that," Xu Yino interjected.

"And then?" the patient continued to ask.

"And then, over time, they got to know each other and eventually got married. She really didn’t do much cooking, but she could make instant noodles well. But she felt she should make something tasty for me, so she bought a lot of ribs just to practice sweet and sour ribs," Liu Banxia continued.

"I always feel I owe her a lot. In our line of work, we’re almost always busy at the hospital. I’ve been called in several times at night. Now that we have two little babies, it’s her and my mom taking care of them."

"But the relationship between her and my mom is quite good. Sometimes I feel like I’m not even their biological child, and I can only bully our family dog,"

"What I’m trying to say is, in a relationship, you can’t rely on only one person to give. Because this home belongs to both people."

"Husband spoiling wife, wife spoiling husband, it’s only natural, but there should be reciprocity. When it comes to household chores, whether you want to or not, you should gradually pick up some skills."

"Otherwise, when the other person gets off work late, are you just going to watch the pot intensely, waiting for it to learn how to cook and fry on its own? That’s quite a challenging task."

"Imagine, if he comes home from work late and you’ve prepared a table full of food, and you chat while eating. How would that feel?"

"On the other hand, if he comes back, and the house is empty with the stove cold, and you blame him for coming home late, not knowing there’s someone at home waiting to be taken care of."

"Such a life might be fine in the short term, but over time, new conflicts will arise. At that stage, you’ll start to see each other’s flaws."

"This isn’t just advice for her, but for both of you. When it comes to love, marriage, how much time do you really spend together?"

"It’s mostly just at night, holidays, or after retirement. A big part of the time is occupied by work. When two people cherish this relationship, this marriage, there are no other issues. How long have you two known each other?"

"Over three years, so I can’t let go easily," the patient said.

"Director Liu, the sensitivity test is negative," the nurse reported at this time.

"Alright, administer the medication according to the daily dose of 12 million units. Clindamycin, 2.4 grams on the first day, given in three doses, and adjust the dosage tomorrow based on the situation," Liu Banxia said.

"You’re a director, huh? How come you’re so young?" the patient asked curiously.

"Young? I’m already an old fossil," Liu Banxia said.

"In your case, you’ll need to change all your clothes later, and the room needs isolation handling. But you’ll also require transportation, although the gangrene area isn’t large, you’ll need a hyperbaric oxygen chamber."

"Huh? That means I’ll have to be completely uncovered?" the patient asked, somewhat surprised.

"Don’t worry, I’ll step out then, and they’ll help you change. Also, the wound on your back can’t be stitched up, it needs to be exposed," Liu Banxia said.

"Teacher Liu, we’ve already seen healthy tissue, and there is blood flow. Could a few more rinses do the trick?" Xu Yino asked.

"Sure, let’s do that, but I really have to go now. Make sure to examine her thoroughly again," Liu Banxia said.

The current treatment is all that can be done and the progression of the condition will depend on her luck.