My favorite big treasure

As soon as Xu Weiran opened his eyes, he touched the small notebook on the bedside, and after opening it, he read the love poem written by Hanque himself, word by word.

Han Que closed his eyes and stretched out his hand to find his mouth, covering it, "...Aren't you tired? Do you know how many times you read it in your dream last night?"

Xu Weiran shook his head, "Did I talk in my sleep?"

"You have read it at least thirty times... I was woken up by you, and then hypnotized by you. It's not easy.

Xu Weiran didn't feel embarrassed at all, he got up from the bed energetically, and continued to read until they went out to have breakfast, and after breakfast, they gathered with several other masters, and they still chanted from time to time. The last two sentences are the most classic.The others looked at each other in blank dismay, knowing that this was the head of their family, Yufu Youfang. Last night they were worried about the young couple for a while, afraid that they would really quarrel over a sudden appearance of a man and woman. Han Que gave a thumbs up: Well done, Patriarch! As for his wife, the head of the family, ordinary people really can't hold it.Those who can hold it are definitely not ordinary people.

Other people in the car were chatting and laughing, and the two brothers of the Qiu family seemed to be isolated from the beginning to the end.Qiu Rui didn't sleep well last night, he kept thinking about what Xu Weiran wanted them to do for most of the night, he wasn't sure yet, so he could only try to do it.They went to the scientific research building yesterday, they came relatively early, and were ushered into yesterday's meeting room by the reception staff to drink coffee.

Dr. Norman and his team were already inside. When they saw them, they put down the person they were talking to, trotted all the way to meet them, and spoke a few words of Mandarin with him. They should be learning and selling, not standard, but full of sincerity.

Mr. Guo also revealed the foreign language he was learning and selling. Dr. Norman still brought out the Neijing to consult Mr. Guo humbly. This time, he also brought a translator with him.About half an hour later, all these people had gathered. The moment Xu Weiran saw Ji Xianlin enter the door, he greeted him generously, making Ji Xianlin confused.The person surnamed Hong also came. I don't know if he had conflicts with his colleagues. When he entered the door, the person surnamed Hong was left behind several colleagues.

The person in charge of the organizer introduced the main content of today's discussion yesterday, and without much nonsense, he first sent out the three medical cases that are going to be consulted today, so that these experts can get familiar with the specific situation

After Xu Weiran took over the materials of the three medical records, he handed them to Han Que, and Han Que divided them up, and everyone read them separately before exchanging opinions.

Fortunately, the organizers are very responsible and have prepared material templates in two languages.The person in charge reminded them: "For the convenience of communication in the future, we have assigned three numbers to the three medical cases, number one, number two and number three. When discussing which case will be discussed later, remember the case number." so as not to confuse

Xu Weiran sat with Han Que, looking at medical records with him.There are two confirmed diseases here, one is ankylosing spondylitis', the other is osteosarcoma plus hip tuberculosis', and there is a No. [-] case, which has not yet been diagnosed.

What Han Que was looking at was the No. [-] case, which was not diagnosed.Judging from the time of admission, which is the last few days, it is estimated that the hospital is also conducting investigations from various aspects to facilitate the final diagnosis.The medical records recorded some basic physiological and pathological conditions of the patients, and Han Que read them word by word, carefully.

The person surnamed Hong spoke first, "The pathology of the No. [-] case is so clear, the joints of both lower limbs are swollen, painful to the touch, movement is blocked, and accompanied by low-grade fever. It is obvious that the immune system is damaged. We should consider whether it is related to bone tumors." ..."

"We have taken X-rays and done CT and MR for him, and there is no symptom related to osteoma or periostitis, especially in his swollen lower limbs, we have performed puncture, and the biopsy results from the puncture There is no cancerous reaction." The person in charge of the organizer said, "We are currently conducting a comprehensive screening of this patient from various aspects, and are also considering whether the pathological reaction on the bone is caused by other immune system diseases, but because of these Every examination takes time, so it is still in an undiagnosed state. We can only take anti-inflammatory and anti-inflammatory treatment every day, and supplement certain nutrition, because the patient's appetite is not very good, the stomach acid reflux, heartburn, eating He will vomit immediately, so he is ensuring his basic nutritional needs right now

"Could it be acute rheumatic fever? Judging from the clinical response, there are still many similarities between acute rheumatic fever, such as low-grade fever, joint swelling, etc..." Ji Xianlin put forward his opinion.When Xu Weiran heard this man's voice, his ears moved, and he felt a little unconvinced.However, he quickly adjusted his mentality.He is a professional medical student, and I am just an amateur beginner. If I am not convinced, I can only accept it in my heart, urge myself, and work hard.This is also in the process of further exclusion, and the result has not yet come out... More doctors in the humane conference room put forward their own opinions, but Han Que was discussing the clinical response of this case with Mr. Guo in a low voice.

Dr. Norman's expression moved slightly, he stood up and asked Guo Lao: "Does Mr. Guo have any ideas?

Mr. Guo stroked his beard: "From the point of view of traditional Chinese medicine, we tend to think that this is a type of arthralgia, which can also be classified as internal injury fever, a type of "typhoid fever" or febrile disease.

Qiu Chuanbai opened his mouth: "The scope of this kind of statement is too wide. 'Typhoid fever' and 'febrile disease' itself include many kinds of causes. From the perspective of Western medicine, it is too general. Teacher, do you have a more specific statement about cold? Que tilted his head slightly at this time, without looking back, and said flatly: "In terms of the specific naming of certain diseases, traditional Chinese medicine originally only named them according to the similarity between the cause of the onset and the mechanism of the injury. From the medical records, The patient's condition involves wind, dampness, heat, phlegm, and deficiency. From different theories of traditional Chinese medicine, many corresponding diseases can be found. It is not unreasonable to say that it belongs to typhoid if it is treated from the six meridians of typhoid fever'... Dr. Norman recorded it with a recording After reading what Han's family said, and asking the translator next to him to translate it to him, the translator was at a loss for a while.How to translate this, he can understand, but after translation, these foreigners may not understand, there is no choice but to translate it literally. "Doctor Qiu also grew up studying Neijing. Have you forgotten the basic diagnostic theory of Neijing?

Qiu Chuanbai immediately sat down in shame and indignation.

He couldn't find an excuse to refute the opponent.What Han Que said is correct, if they are based on the basis of a canon of internal medicine as the basis for diagnosis, then case No. .The group of foreigner experts listened to Han Que say a lot like listening to the scriptures, and finally heard him pause and say in a language they understand, "If you ask me for my personal opinion, I think this It should be a manifestation of Still’s disease in adults. Alternatively, your hospital can give priority to this aspect to investigate and start.

Before Han Que finished speaking, someone exclaimed, "He's right. The clinical reaction of adult Steele's disease also includes low-grade fever, joint pain and other symptoms. Occasionally, it is accompanied by rash and increased white blood cell count... Dr. Norman kept on Nodded, "You can indeed try to troubleshoot this disease first.Because this disease is an exclusive diagnosis based on clinical symptoms and laboratory tests, there is no unified diagnostic standard in Western medicine at present, and there is also a lack of corresponding treatment options. Generally, it will be misdiagnosed, and patients often need to go through many years of other treatment responses without results. , will be thought of laboratory examination, multi-party data joint diagnosis The person in charge of the sponsor promised to tell the people around him to carry out the priority screening of this disease immediately.

Unexpectedly, Dr. Han also knows western medicine. "Dr. Norman's attention shifted to Han Que. Han Que smiled modestly, "I don't understand, I just read some books. "Look a lot, remember, his brain is like a high-speed computer, and it's not unusual to say something. I still think it should be acute rheumatic fever." Ji Xianlin stood up to express his support for his statement Steele's disease' often involves heart, liver, kidney and other organ problems, which are not reflected in this case. "Ji Xianlin said, looking at Han Que with a provocative expression. "He just got sick not long ago. If he has been sick for several years, he will definitely have the above problems.Moreover, at present, he has not done the basic function tests of the heart, liver, and kidney... Han Que further explained Ji Xianlin's statement, "Or you can ask him to do these three function tests first by the way. The organizer is responsible After thinking about it, I will do it anyway, so I asked someone to explain it and asked the people in the inpatient department to arrange it quickly.

"If it is adult Still's disease, what treatment does Mr. Han offer?" Dr. Norman humbly asked for advice.

From the perspective of traditional Chinese medicine, this should belong to the category of 'difficult and miscellaneous diseases'.That is to say, it is necessary to rely on the syndrome differentiation of the six meridians, the syndrome differentiation of Wei, Qi, Ying and blood, the syndrome differentiation of Sanjiao and the differentiation of syndromes of qi, blood, yin and yang in the viscera to classify and treat.We have to touch the patient and see him before we can give a treatment plan. "Han Que said.

The Chinese doctors present here were naturally convinced, while the Western doctors next to them looked puzzled if they understood, and were completely confused if they didn't understand.

If the diagnosis is "adult Still's disease"...Mr. Han must be invited to treat the patient on the spot." The person in charge of the organizer humbly extended an invitation to Han Que.

Han Que generously agreed.It is also the first time he has seen this kind of disease, and he is wishing for it.Well, let’s first focus on Case No. [-], the patient who was diagnosed with ‘osteosarcoma and tuberculosis of the hip joint’, what is the most suitable treatment plan he needs at present, this is a young man who is only [-] years old …:host

Everyone's attention was temporarily diverted from Case No. [-]. Regarding this case, most of the people present had an expression of greater sorrow than heartbreak.

According to the medical records, this young man has more and more tuberculosis. If it is simply tuberculosis of the hip joint, it is not bad. The problem is that this child is also accompanied by the occurrence of osteosarcoma, a malignant tumor of osteosarcoma. Although this child still has the disease In the early stage, but 灬...Generally, in such a situation, the doctors have certain treatments in mind, which is just a means to reassure the family members.

(End of this chapter) The author's gossip