Auto chess in the operating room

Chapter 98 Convincing Cheng Jian
Tang Lou gently pushed Yuan Xing aside, and looked at the patient's uncle very seriously: "I understand your anxiety and boredom very well, and I can tell you very responsibly now that I have found the cause of the patient, and now I have Go to Director Cheng to formulate a treatment plan."

"I believe you don't want to delay the patient's treatment because of some quarrels. I will report it earlier and make a treatment plan earlier, so the patient will recover sooner."

Tanglou is open-minded and speaks from the bottom of his heart, very sincerely.

"But you, Dr. Tang, have you really found the cause?"

All the worries of the patient's uncle are based on the fact that Hu Jindong's inexplicable high fever has never been able to find the cause. Now, although Tang Lou's answer seems very unbelievable, there is a voice in his heart saying that it is true, it is true. , it must be true!
As the saying goes, when you are in a hurry, you go to the doctor. It can be seen that when you are at a loss, as long as there is a voice saying that it can be cured, the family members will regard it as a life-saving straw.

The patient's uncle also became more polite in his direct tone.

The patient's wife and mother also looked at Tang Lou with hope.

"Well, I'm sure. I'll go to Director Cheng now and arrange treatment as soon as possible."

Tang Lou's tone was firm, and the best way to comfort the family members was the doctor's firm confidence.

"Okay, okay, Doctor Tang, then you go, go!"

The patient's uncle urged him immediately. He was transferred from the county hospital to now, and he went through all kinds of examinations last night. He was really exhausted. Now that Tang Lou found the cause, he couldn't let him breathe a sigh of relief.

It doesn't matter if you are young or an intern, as long as you can treat diseases, it deserves his respect.

The patient's uncle was also aware of his irritability and rudeness before: "Doctor Tang, Nurse Yuan, I was too anxious just now. It's really Dr. Ma and Dr. Wang who don't know what to ask. I have to wait for the superior doctor to read and reply. It's about to explode. I'm sorry for my bad attitude just now. Then I won't bother you, go!"

Seeing the changes in the attitudes of the family members, Tang Lou was also very emotional. As long as the medical skills are in hand, there will be no doctor-patient relationship that cannot be resolved when the medicine cures the disease.

Yuan Hu followed closely, still a little unconvinced, and asked softly: "Doctor Tang, have you really found the cause? If you lied to the patient, you will be in trouble. Now they are full of expectations for you. If If we don't have a treatment plan by then, and a commotion breaks out, you'll be in trouble."

"Don't worry, I really found the cause. Thank you for your rescue just now."

Tang Lou still thanked Yuan Xun for his rescue and company, and went straight to Cheng Jian's office after speaking.

Yuan Xun looked at Tang Lou's back with a complicated expression: "I hope it's true, otherwise it will be difficult to clean up."

In the ward, the patient's wife excitedly held the patient's hand: "Jindong, you heard that Dr. Tang said that the cause of the disease has been found, and when he goes to work out a treatment plan with Director Cheng, your fever will subside and you will be fine. "

Hu Jindong's face was pale, his lips were dry, and his spirit was very low. He put his right hand on the left hand held by his wife, clasped his wife's hand in the middle, and turned his head: "Yuanyuan, don't worry, your husband has a good fortune. If you don't, you'll be fine."

"Ah."

The patient's wife sniffed, feeling a little better, grinning with tears in her smile.

Not very elegant, but very warm.

Hu Jindong clenched his hands tightly, suffering from a headache, and continued to close his eyes to rest his mind.

Tang Lou knocked on Cheng Jian's office door.

"Hey, Tang Lou, what do you want from me?"

Cheng Jian still admires Tang Lou very much, and he may have some possibilities with his daughter, so he is very kind.

"Director Cheng, didn't our department admit a patient with high fever after appendectomy yesterday, and Dr. Ma and the others did a round of inspections last night, but they couldn't find out the specific reason. I also participated in the department consultation that day, but as an intern, naturally I didn't." I had the opportunity to speak, and after I went back, I checked a lot of information and compared it with the patient's symptom film, and I also have an immature suggestion."

"Speaking of yesterday's patients, it's really a headache. Doctor Qing reported to me just now. Based on yesterday's examination, so far only some possibilities have been ruled out. Now it is mainly focused on sepsis, biliary tract infection and liver disease. Regarding the lesion, Dr. Qing is already formulating further examinations."

Cheng Jian also felt a little heavy when he talked about this patient. According to the latest vital signs of the patient, the high fever continued and continued to worsen. Antibiotics were used, but there was no effect. If this drags on, the patient's life may really be in danger.

If another intern came to talk to the director himself to discuss the patient's condition, Cheng Jian would have scolded him and sent him out.

But for Tang Lou, he still had some expectations. Cheng Jian took out the patient's medical records and spread them out on the table: "This is the patient's physical examination data in the last two hours and Doctor Qing's summary of suggestions and diagnosis directions. , take a closer look first, and don’t rush to make guesses.”

After finishing speaking, Cheng Jian went to the coffee machine to make coffee.

It is normal for doctors to be on duty, Cheng Jian is very happy with this, and Qing Ping just got him some coffee beans.

While Cheng Jian was making coffee, Tang Lou looked at the latest information.

The hanging heart finally fell, and it turned out that he had made the right bet. Cheng Jian is a person who can listen to other people's opinions, especially when it is about the life and death of patients.

Tang Lou looked at ten lines at a glance, and quickly searched for evidence that could prove portal phlebitis from these materials.

It is difficult to deduce conclusions through complicated conditions, but it is much easier to know the answer, deduce the process and arguments.

"You guys are really blessed. The Arabica beans that Dr. Qing just brought me are said to have a rich and delicate taste, a strong smell, and a smooth texture."

Cheng Jian brought a cup of coffee in front of Tang Lou, but Tang Lou didn't pay attention at all because he was seriously thinking about how to persuade Cheng Jian.

He took it as plain boiled water and drank it all in one gulp. He felt a little bitter and slightly hot, so he frowned and licked his lips.

It's completely like Zhu Bajie eating ginseng fruit.

Putting down the cup, he looked up at Cheng Jian suspiciously: "Director Cheng, what did you just say?"

Cheng Jian's face darkened, he looked at Tang Lou's serious and bewildered face, and choked for a moment:
"Look at the medical records, look at the medical records."

What an uninterested guy, I wasted my cup of good coffee.

"Oh~"

Tanglou was a little confused. What was Director Cheng's expression of heartache and pity?

Tang Lou continued to bury his head in sorting out, and it took him a while to flatten the information satisfactorily: "Director Cheng, then I'll just say what I think. I fully agree with Dr. Qing's conclusion, but it's still too broad. I think the patient's pus Toxaemia and liver lesions and cholelithiasis suppurative obstructive cholangitis are manifestations."

"If you think about it at a deeper level, the first point is naturally the symptoms of the patient's primary disease, the second is the symptoms of sepsis summarized by Doctor Qing, such as relaxation, high fever, and chills, and the third is the patient's liver symptoms, hepatomegaly. Large and tender, conventional thinking naturally considers the conventional diseases corresponding to various classic symptoms, but is it possible that it is a different manifestation of a hidden cause?"

Hearing Tang Lou's analysis, Cheng Jian felt struck by lightning, and frowned: "Continue!"

"The patient presented with clinical manifestations such as chills, high fever, jaundice, hepatomegaly, pain in the liver area, splenomegaly, and ascites. Routine blood tests and liver function tests showed elevated white blood cells, transaminases, and bilirubin."

Tang Lou took out one of the images of the liver area, and pointed to the branch of the vein draining the liver: "Is it possible that Director Cheng's problem is not the liver itself, but the suppurative inflammation of the vein branch."

After being reminded by Tang Lou, Cheng Jian finally caught the flashing light, suddenly realized, and said in unison with Tang Lou:
"Suppurative portophlebitis!"

(End of this chapter)