Sleepless Doctor

Matthew De's phone rang.

"Hey, this is Matthew De."

"Ma Yuan, I am Wang Zuming." The voice of the vice-president Wang, who specializes in clinical practice, came over, "There is a fever patient in the fever ward who is undergoing consultation. Do you have time? Take a look?"

"what happened?"

As soon as he heard that it was a fever patient, Matthew De had a headache.

"The fever is 3 days and it can't go down. The nucleic acid test and antibody test are negative, and the infectious disease hospital will not accept it." Dean Wang said angrily. manage!"

There was a wave of irritation in his words, and Matthew De had a splitting headache.

Unexplained fever is itself a disease that is particularly difficult to diagnose and treat. Before the epidemic, if you encounter an unknown fever that cannot be diagnosed, you will usually consult the rheumatology and immunology department.

The situation is very different now.

The outbreak of the new type of pneumonia virus has caused everyone to be nervous. Once they encounter a fever, they will definitely think of the new type of pneumonia.

After sighing, Matthew de slid and ran away.

"Mayuan, video consultation?" Han Guangyun suggested.

"No." Matthew De shook his head, "If I didn't even dare to enter the door of the fever ward, what would the people on the front line think? It would poke my spine!"

"But……"

"Chan Han, you can inspect the ward to see if there are any flaws." Matthew De said.

Han Guangyun hesitated, but silently rejected the proposal.

He knew that the Mayuan was to appease him, and changed his view, fearing that he was afraid.

"The Horse Academy, let's go together." Han Guangyun smiled, "The people in our medical office have never been scumbags!"

Matthew did not continue to persuade him. After all, he went to the fever ward and hosted the consultation in the clean area. If he was afraid of this, he might as well go home and hold his grandson directly like He Xin.

The two came to the fever ward, walked through the passage of medical staff, changed their masks, disinfected their hands and entered the office.

Dean Wang was startled when he saw Matthew come in with a cane.

"Mayuan, what are you?"

"I've been busy these few days, the disc has been stubborn, and I can't walk." Matthew De walked into the office with a crutches, "What's the situation with the patient?"

"Mayuan, no...you go home and rest." Dean Wang couldn't laugh or cry.

Matthew frowned and glanced at Dean Wang, "Wang Yuan, what's the patient's situation?"

Seeing Matthew Dee insisted, Dean Wang didn't have to say anything, so he said, "Wait a minute, Director Tang of the Respiratory Department has just completed an inspection of the room and is changing clothes in a semi-contaminated area."

Finding a position, Matthew De tried to change to a more comfortable position and sat down slowly and steadily.

It has only been a few days, and I feel that all the illnesses have been found, and Matthew De is also a little helpless. But the situation in the hospital was urgent, and he couldn't retreat at all. He could only grit his teeth.

The provinces and cities called every day to inquire about the situation.

It took a full 30 minutes before Director Tang came out.

She is the director of the Respiratory Department of the Second Hospital and has rich experience. She is a reliable doctor in Matthew's cognition.

"Ma Yuan." Director Tang greeted Matthew De first after entering the house.

"Sit down and talk about the situation." Matthew De said.

"That's it. The patient is a 36-year-old male. The main complaint is-cough and sputum for 4+ years, aggravated by 1 month, dyspnea and fever for 3 days. 3 days ago, he developed dyspnea and fever, and his body temperature reached 38.5℃. Came to our hospital for treatment, and a CT scan of the chest revealed interstitial lung lesions with multiple exudates."

"Mayuan, this is a film." Director Tang inserted the film into the reader, "According to the experience of Tianhe City, imaging studies should be able to judge the new type of pneumonia."

Hearing the words new pneumonia, Matthew's heart suddenly tightened.

"But I always feel wrong." Director Tang said, "Moreover, the nucleic acid test was negative. It was like this several times in a row, so the Infectious Hospital did not agree to accept it. I wondered if everyone sat down and discussed it together."

Matthew De stood up and walked to the reader to take a look at the film.

The lungs are white and flowery, and they are similar to the various films of patients with new pneumonia in Tianhe City that have been posted in the group recently.

"Are patient isolation measures in place?" Matthew De asked.

"In place." Director Tang said, "Now all patients with fever follow the diagnosis and treatment procedures of the Affiliated Hospital of Southern Medical University."

"That's good. The first thing I felt when watching the film was a new type of pneumonia." Matthew De said.

"The 3 new pneumonia nucleic acid tests and the 1 new pneumonia antibody test were all negative." Director Tang explained, "Although I heard that on the Tianhe side, CT may be used as a reliable basis for large-scale screening..."

"What's wrong with you?"

"The patient used to be in good health and engaged in manual labor, but had cough and sputum for more than four years. If there is no new type of pneumonia, other tests must be done to confirm the diagnosis. But the current situation can only be initially considered as a new type of pneumonia."

"The infectious disease hospital side, let me contact you."

"The Horse Academy..." Director Tang hesitated to speak~www.wuxiaspot.com~Huh? Is there anything you didn't say? Matthew De asked.

"I think it is better to improve the relevant examinations, otherwise the patient is now taking a ventilator and going to the ICU of the infectious hospital. Once it is infected, it will not be the same."

Director Tang was more sloppy, but Matthew De understood what she meant.

Icu is the ghost gate, especially the ICU of the infectious hospital. Those who are admitted to the hospital are all patients with new type of pneumonia. People who are okay are sent to a high probability of being infected. Although the patients are now in separate rooms on that side, if you are not sure about the new type of pneumonia, it is better not to send it over.

"Director Tang, what kind of illness do you think?" Matthew Dechi questioned.

"I don't know." Director Tang did not conceal that she did not make a clear diagnosis. She said, "If it is normal, bronchoscopy + alveolar lavage is required, and the lavage is checked. But you also know the relevant situation. ."

"After 3 tests, they were all negative." Matthew De thought.

"Yes."

"I will ask Teacher Wu to see his opinion." Matthew De also couldn't make up his mind.

Although the first feeling was to send the patient away, it would be better to send such a hot potato to an infectious hospital.

However, what Director Tang said is reasonable. Once a healthy person is sent there, it means that the patient's chance of survival is further reduced.

"I don't think there is any need to do more examinations." Dean Wang said in a deep voice, "There are many imaging doctors in Tianhe who suggest that you can make a scheduled diagnosis based on imaging diagnosis. The Mayuan, contact the Provincial Infectious Disease Hospital, it is better to send it as soon as possible. "

"The situation is different on that side." Director Tang insisted in a low voice.

"Tianhe City can make a scheduled diagnosis, why can't we?" Dean Wang said dissatisfied, "I have reservations about Director Tang's views, and I suggest transfer to an infectious disease hospital."