Back in 2002 as a doctor

Teng Fei had already prepared everything, half an hour later Zhou Congwen read the materials and said intently, "Director Teng, your medical history is not detailed."

"..." Teng Fei was taken aback.

Myocardial infarction, thrombosis, surgery, right middle finger necrosis after surgery.

The evolution of the patient's condition is normal, how did Zhou Congwen get involved in the medical history?

"I'll go see the patient and ask about the medical history." Zhou Congwen said.

"Professor Zhou, the patient's family members are more emotional, please be careful." Teng Fei said worriedly.

Zhou Congwen smiled, stood up and walked out of the office.

Xiao Kai and Teng Fei looked at each other, and they both saw puzzlement in each other's eyes.

Medical history is just a random item to fill in clinically. For patients undergoing surgery, hepatitis B, AIDS, and syphilis must be asked.More is high blood pressure, coronary heart disease, diabetes and the like.

But I asked all these questions and wrote clearly, but Professor Zhou didn't seem to be talking about these routine medical histories.

Did I miss something?

Following Zhou Congwen, Xiao Kai tried his best to recall, but he couldn't remember what kind of disease would be caused by necrosis of the right middle finger after myocardial infarction, and how it had anything to do with the medical history.

When he came to the ward, Zhou Congwen saw the patient lying on the bed, covering his hands and humming softly.

Ten fingers connected to the heart, Zhou Congwen couldn't empathize with that kind of heartache, but he also knew that it was absolutely uncomfortable.

"I'm Doctor Zhou, may I ask, when did your fingers start to hurt?" Zhou Congwen asked gently.

"What Doctor Zhou, get out." The patient's family member yelled shamelessly.

Hearing the roar of the patient's family, Teng Fei's expression changed, and she walked into the ward quickly.

Zhou Congwen was also very helpless, if the boss came in wearing white clothes to ask about the medical history, the family members of the patients would definitely not look like this.

Seeing Teng Fei running in, Zhou Congwen waved his hands, then gave the patient's family a smiling face, and said gently, "I'm here to ask about the medical history."

"What is there to ask? Before the operation, we didn't tell us that there would be such a serious complication!"

"The traumatologist has said that the finger may be amputated!"

"Holy shit hospital!"

Zhou Congwen sighed, "Hurry up, maybe you can avoid amputation, but it will be hard to say if you delay it any longer."

"Who are you."

"This is Professor Zhou. I invited you here for a consultation. Please show some respect." Teng Fei shouted coldly.

Xiao Kai wanted to stand in front of Zhou Congwen's body, but Zhou Congwen pushed him away with a smile.

"Don't worry, I'll ask a few things, let's discuss the solution for the next step." Zhou Congwen said.

Since the patient's family members were emotionally unstable, he was not going to follow the normal procedure to ask questions, but went straight to the point.

"Are you the patient's lover?"

"Yes, what's the matter?" The man who just yelled at Zhou Congwen suppressed his anger a little bit, but his neck was still stuck when he spoke.

"Do you have any children?"

"!!!"

The hearts of Teng Fei and Xiao Kai were pinched tightly, and they started beating wildly in a daze.

Professor Zhou Congwen Zhou is planning to threaten the patient's family after being scolded for a few words?

The patient's family was taken aback for a moment, then became furious, and immediately picked up the stool and prepared to do it.

"It has something to do with finger necrosis. Calm down and hurry up. Do you still want your fingers?" Zhou Congwen's expression suddenly became serious, and he said coldly.

"..."

"If I ask you, hurry up and say, if my diagnosis is correct, you still have to go to the imperial capital." Zhou Congwen said, "It takes a long time to go back and forth, and the patient's dry gangrene may not last long."

After being "threatened" by Zhou Congwen, the family members of the patient didn't know what to do with the stool in their hands.

"You can say whatever I ask you." Zhou Congwen said, "Do you have any children?"

The man looked angry, but it was obvious that he still cared about the patient, and was "threatened" by Zhou Congwen to his weakness.Although not happy, but still shook his head.

"Is there a habitual abortion?" Zhou Congwen continued to ask.

Listening to Zhou Congwen's words, Teng Fei really wanted to bang her head against the wall.

It was written in the past history that the patient had a history of recurrent miscarriage. If it hadn't been for the long time of cooperation with Zhou Congwen and knowing his high level, Teng Fei would definitely think that Zhou Congwen came to provoke trouble.

Holding the patient's unbearable past and using words to provoke the scar... This is not what a doctor should do.

But who is Zhou Congwen?

"you……"

"What do you ask, time is tight." Zhou Congwen looked at the patient's fingers, "If I'm not mistaken, the pain should have started yesterday, and the color has already started to change today."

"If you waste time, you really can't keep it."

"You!" The patient's family looked at Zhou Congwen angrily, and then said, "Yes!"

He looked like if you don't give me an explanation, I will give you an explanation.

"Which hospital did you do the check-ups when you were pregnant? Is it a fixed maternity check-up hospital or have you been to many hospitals?"

Hearing that Zhou Congwen kept asking about pregnancy, not mentioning myocardial infarction, let alone finger necrosis, the patient's family finally burst into uncontrollable anger.

Chapter 1152 Morbid Pregnancy

"If the answers to all the questions I ask are yes, then the patient's diagnosis may be more troublesome." Zhou Congwen said at the moment when the patient's family was furious. "The diagnosis is antiphospholipid syndrome, which is a relatively rare disease."

"what?"

"what?"

The patient's family and Director Teng Feiteng asked at the same time.

The non-professional patients and the professional director had questions at the same time, but they didn't understand. Xiao Kai found this scene very interesting.

Although he didn't understand it either, Xiao Kai believed from the bottom of his heart that Zhou Congwen's diagnosis was correct, without any doubt at all.

As for antiphospholipid syndrome, Xiao Kai vaguely remembered it appearing in the medical certificate, but he had never encountered a similar patient in clinical practice for many years, and he had no idea what it had to do with myocardial infarction, dry gangrene of fingers, or miscarriage.

"It's a relatively rare rheumatic immune disease called antiphospholipid syndrome." Zhou Congwen said the six words antiphospholipid syndrome word by word.

Teng Fei still had question marks.

"If my diagnosis is correct, I will contact Xiehe." Zhou Congwen said seriously.

"Xiehe Urology and Andrology? Why do you contact them!" The patient's family members heard Zhou Congwen talk about Xiehe, and his mood became more unstable. (Note)

"wipe!"

This time even Zhou Congwen couldn't hold back, and cursed in a low voice.

There are so many urology and andrology clinics opened under the banner of Xiehe all over the country, so much so that more than ten years later, the country deliberately issued an administrative order to prohibit private hospitals from being called Xiehe, Huaxi, and Xiangya.

"Xiehe, I'm talking about Xiehe, the imperial capital, the hospital that ranks first in rheumatism immunity in the country." Zhou Congwen explained patiently.

"Rheumatism immunity, my wife's finger necrosis, not arthritis." The patient's family has not yet figured out the situation.

Zhou Congwen had no choice but to wink at Teng Fei, "Director Teng, please explain to the patient's family, and I'll ask about the medical history."

Teng Fei nodded and pulled the patient's family aside.

The explanation given by the country's No. [-] comprehensive public hospital left the patient's family speechless.

He may not know what kind of hospital Xiehe is, but the words "No. [-] in the country" are quite convincing.

Teng Fei watched Zhou Congwen patiently ask about the medical history, and then introduced who Zhou Congwen was to the patient's family.

Regardless of whether he is a doctor in circulatory medicine or not, Zhou Congwen has a halo around him, and the title of world number one is really scary.

"I know!" The patient's family members listened to Teng Fei's introduction of Zhou Congwen, and when he said that Zhou Congwen was number one in the world, his eyes immediately lit up. "I watched the TV interview and said that this doctor looked familiar."

"Yes, Professor Zhou's level is quite high, so I invite him to come for a consultation." Teng Fei heaved a sigh of relief.

"Say it earlier." The patient's family members scratched their heads in embarrassment, "I almost got into an argument with...Professor Zhou just now."

"Look at you, Professor Zhou can't tell you after coming in, I'm the number one surgeon in the world." Teng Fei explained.

When the patient's family members heard this, they thought it was the same, so they didn't say anything more.

Xiao Kai stood aside and laughed.

Professor Zhou Congwen looks too young to gain the trust of patients, at least few people believe him at first glance.No matter how orderly Professor Zhou himself is, he looks like a dog and is upright, the patient's trust in him will be greatly reduced at a young age.

How about making a sign hanging around Professor Zhou Cong Wenzhou's neck, with the words "world number one" written on it?

The feeling of the picture suddenly rose, and Xiao Kai tilted his mouth in joy.

Ten minutes later, Zhou Congwen finished asking about the medical history and asked Teng Fei to come out with the patient's family members.

"The diagnosis of antiphospholipid syndrome should be correct, and the patient's condition is more serious now." Zhou Congwen came to the office and said straight to the point.

The patient's family and Director Teng Feiteng did not expect Zhou Congwen to say that. Just as Teng Fei wanted to ask, Zhou Congwen picked up his landline and called Director Han.

He told Director Han about two hospitals, both of which were nearby, and asked if he could find outpatient records of the patient at that time.

"Professor Zhou." Seeing Zhou Congwen put down the phone, Teng Fei asked, "Why do you want outpatient records?"

Zhou Congwen sighed, "The patient couldn't explain his problem at that time, so I want to see the outpatient medical records."

That's what I said, but Zhou Congwen knew very well the virtue of outpatient doctors writing medical records in 2003.

Take it out, the doctor who wrote the medical record may not be able to recognize his own words at that time, let alone other people.It doesn't have to be some Latin ghostwriting, it's just scribbled handwriting.

After the phone call, Zhou Congwen was in a daze for a moment, then smiled wryly.

Now the provincial capital has just implemented the information system. In the past, outpatient medical records were written for patients, so there is no record in the hospital.

I subconsciously thought that there was data in the computer system, and forgot that it was 2003.

"Don't talk about that, let me talk about the patient's condition first." Zhou Congwen said seriously.

The patient's family members were a little confused, but nodded.

"Antiphospholipid syndrome is a disorder characterized by recurrent arterial or venous thrombosis, morbid pregnancy, and persistent positive antiphospholipid antibodies."

"Sick pregnancy?"

"Yes." Zhou Congwen nodded, "This disease is more common in women than in men. The family tendency of antiphospholipid syndrome is not obvious, but the antiphospholipid antibody tests of relatives of patients can often be positive."

As he said that, Zhou Congwen scratched his head, "Is it impossible for our hospital to do this examination?"

"I haven't heard of it, let me ask." Teng Fei immediately picked up the phone and asked the laboratory department.

Soon, Teng Fei shook his head.

"Then I'll continue." Zhou Congwen knew that the Second Hospital of Medical University could have a similar examination at this point in time, so he continued, "I won't talk about how it came about. As long as there are several clinical manifestations, the one that is related to the patient is miscarriage. .”

"The typical miscarriage in patients with antiphospholipid syndrome mostly occurs after 10 weeks of pregnancy, but there are also those who are earlier than 10 weeks, and the latter is more common in chromosomal or other genetic defects.

Patients with antiphospholipid syndrome usually have a normal pregnancy in the first 3 months, and then there will be slow fetal growth and decreased amniotic fluid, and eclampsia and preeclampsia may also occur. "

"Yes, it is said that the baby is not growing at 5 or 6 months, and the fetal heart rate is gone." The patient's family said suddenly.

"Yes, I want to look at the previous medical records, and it is also out of this consideration. But it is estimated that the possibility of finding the previous medical records is not high."

"What should we do next?" Teng Fei was also a little anxious.

"Go to Xiehe." Zhou Congwen said, "The long-term prognosis of patients with primary antiphospholipid syndrome is relatively average. Coupled with pulmonary hypertension, neuropathy, myocardial ischemia, kidney disease, limb gangrene and malignant antiphospholipid syndrome, the prognosis of patients is even worse. ……generally."

……

……

Note: This meme was mentioned by our nurse in 2003. At that time, I was stunned. There are really some people in the medical circle who don't know Xiehe.

Chapter 1153

Zhou Congwen briefly explained the seriousness of the condition to the patient's family members, and it was not enough to just amputate the fingers. The faces of the patient's family members turned pale from fright, and their bodies began to tremble involuntarily.

Then Zhou Congwen called Deng Ming to explain what he meant.

Deng Ming responded without even thinking about it, and contacted the Department of Rheumatology and Immunology of Xiehe to arrange a hospital bed.