Big Doctor Live Room

Chapter 1039 Autoimmune Attack
At this time, the eldest lady folded her hands in front of her chest, and subconsciously put on a defensive posture to deal with Chen Qun's strange brain circuit.

"You mean that the nurse's sister had an autoimmune attack? Didn't her symptoms say that the cysts and necrosis of the ovaries may naturally cause viruses and necrotic parts, resulting in immune phenomena in the body. What's so strange?"

"This is the fundamental difference between a quack doctor and a good doctor. The autoimmune attack is either caused by a tumor in the body or a virus, and organ lesions under normal circumstances will hardly show this symptom. In addition, she just appeared to be balanced The phenomenon of instability is mostly due to immune encephalitis, which damages the brain and causes dizziness for a moment. Therefore, finding out the root symptoms that lead to this autoimmune disease is the biggest problem."

The eldest lady immediately grasped Chen Qun's core point.

"You mean that the nurse's sister has other diseases that caused her autoimmunity, which has nothing to do with ovarian necrosis?"

"Yes, I suggest a cerebrospinal fluid examination here. To be on the safe side, bring a sample back to the center for re-checking. This will not only check whether the instruments and equipment here are complete, but also save time. Waiting for us The result of returning to the general hospital will come out, even emergency surgery can be resolved together. No need to argue, the most important thing is to send the person back first."

More than 40 minutes later, Chen Qun returned to the emergency center, and the test results from the new hospital were also sent. The eldest sister looked at the confirmed content and handed it directly to Chen Qun.

"Anti-NMDA receptor encephalitis, haven't you encountered it once? Did you know it was this kind of disease, so you deliberately dug a hole and waited for me to jump down?"

Chen Qun shook his head, expressing solemnly.

"I suspected this kind of encephalitis, but this time it was different from the last patient I saw. The patient's last recipient encephalitis was caused by teratoma, so this time the same brain encephalitis appeared. There may be a culprit, and all we have to do is find the culprit."

The eldest lady's expression suddenly became weird, and then she called up another file on the panel and presented it in front of Chen Qun.

"If the symptoms were caused by a deformed fetus, a stillbirth was found in the patient's body. According to the inference of experienced nurses, the fetus was only more than one month old, not more than two months old, and it was still an ectopic pregnancy born on the cervical wall. Because Nurse Zhang I want a child very much, but I haven’t been pregnant for several years, so we want to hide it from her temporarily after we find out, don’t tell her the news, only tell the surgeon, and tell her after the operation. Your problem is solved, will you Is it okay to take out the stillborn baby?"

Chen Qun was extremely angry when he saw that the eldest lady actually concealed the patient's condition. Of course, he knew that the eldest lady did not announce it at that time. In fact, she was afraid that a few loudmouths among the boys would talk nonsense, so she did not tell everything. Of course, another thought is to deliberately mislead himself to see if he can predict this conclusion.

In fact, this is actually meaningless to him, but it still surprises him now, because he did not use cheating methods to conduct a thorough investigation on the patient, and only wanted to follow the normal diagnosis method, so he missed this information .This is largely an inadvertent mistake.

But he has to bear at least half of the responsibility for this unintentional mistake, which is to make fun of his fiancée every day, even though it is encouragement in disguise, without any bad intentions.But any behavior has both advantages and disadvantages. As far as today’s incident is concerned, it is the most common and unsolvable problem in medical diagnosis, that is, for some reason, there are always patients who hide their illness from doctors.

Most of this kind of concealment will bring bad results. If it is mild, it will delay the treatment, if it is serious, it will directly kill it, and if it is more serious, even the doctor will suffer together.Out of the desire to protect and compete with him, the eldest lady almost made a serious mistake. Although this incident did not happen, it may happen again in the future.

Missy's negligence may be committed by other people. It is useless to blame the young lady, and even asking the young lady not to continue to do this kind of thing alone is of little use.The best way to fundamentally solve the problem of concealing the disease is to maintain information sharing, and it requires the help of girlfriends.

Perhaps, he needs to find a suitable way with Dongfang Wenxin to change this situation.For patients, hiding their personal illness is the most fatal. As for medical staff, most of them are not bad intentions to conceal the patient's illness, and even he has done a lot.Medical staff can ignore the real condition of the patient for the purpose of treatment, but patients have to think more about hiding the condition.

Judging from countless examples in reality, the most important and most common hidden diseases of patients are infectious diseases. This cannot be eliminated, and it is also the most harmful to doctors. He may need to break through the system to search for a disease that can When the solution comes out, even if it cannot be completely eradicated, something must be done.

Chen Qun stopped his unrealistic thinking at once, and returned directly to the patient himself.

"No, stillbirth does not necessarily trigger autoimmunity. We need a tumor test. I will immediately call Dr. Li from the Obstetrics and Gynecology Department and ask her to come over for a test. Maybe the patient has some kind of cancer."

The eldest lady stopped talking, and she knew better that Chen Qun specially asked the obstetrician and gynecologist to come here because the patient was a nurse in the hospital, and everything was done according to the best standards, even the examination was done by a female doctor, showing The delicate and considerate side of this guy.

The results of the examination came out in the afternoon. It was an early stage of malignant ovarian tumor, which could be treated by excision.But the nurse surnamed Zhang immediately expressed that she was willing to take conservative treatments such as chemotherapy and radiation therapy, and she would wait until a child was born before undergoing surgery.

Everyone in the hospital was surprised by the nurse's choice, and some even couldn't understand it.If ordinary patients who don't understand medicine don't know the power of the middle, how can a nurse not know these things?But he stubbornly insisted on the more difficult path, and even used Chen Qun as a shield.

"I think I can be regarded as Dr. Chen's patient. I am only in the early stage of ovarian cancer. After giving birth to a child in a year or two, Dr. Chen will definitely find a way to treat me. Even if it cannot be cured, I have no regrets. Please stop trying to persuade me."

After Liu Yang knew about this, he came directly to teach Chen Qun himself.

"This nurse was also selected by you. She is one of you. You have found a way to solve her problem. If I had known that she was playing the piano like this, I would have fired her a long time ago."

Having already learned the lesson, Chen Qun, who had completed all the surgical treatments of Nurse Zhang in the system space, was confident and said directly.

"Dean Liu, don't worry, I will solve this problem and operate on her personally."

(End of this chapter)