Sleepless Doctor

Latest website: Gao Boxiang doesn't know Wei Dabao, but seeing Teacher Wu and Yan Yue talk to him naturally, he will not offend the people around Teacher Wu.

Wei Dabao is also very well-behaved, not even dare to say a louder sentence. He borrowed a ball pen, took a few sheets of A4 paper, and quietly followed Director Gao, remembering it from the doctor's order.

Gao Boxiang was distressed, and a small tail grew behind him, so he couldn't beat him.

Wei Dabao was also distressed. High-level hospitals turned out to be like this. Many doctors' orders and examinations didn't know what they meant.

Both of them were stuffed, and after a few hours passed, the inspection results were the same and the same returned.

Gao Boxiang then took the lower-level doctor to personally send the patient to the nuclear medicine room for PET-CT.

PET-CT is an invasive examination with radioactivity. Some basic examinations are improved. It can be done after no special contraindications are found.

Gao Boxiang also tried his best to complete the requirements of Mr. Wu. Generally, he would have to wait at least 2-3 days for PET-CT. This is still the case without queuing.

There are no patients in Jianxie Hospital, but the medical equipment is top-notch. Regardless of how much it costs, Gao Baixiang feels that he feels comfortable just by looking at the equipment and the images and examination results.

Because of radiation, the nuclear medicine room cannot be in the inpatient department.

Located 4,500 meters away from the inpatient department, there is a newly built two-story building in a corner of the Jianxie Hospital compound. Radiation protection measures are well done. This is the Nuclear Medicine Room, where a brand new PET-CT is placed.

The nurse started to administer medicine to the patient. Gao Baixiang sat outside and waited for the result. He and Wei Dabao were not familiar with each other and felt embarrassed to say anything.

What Gao Baixiang didn't understand was that Teacher Wu seemed to take care of this seemingly a bit wretched middle-aged man. He didn't understand what Teacher Wu meant even after thinking about it.

Wei Dabao took the A4 paper and looked at the mess of records on it, worried.

CRP: WBC6.9*109/L, N80%, HGB96g/L, PLT580*109/L, CRP102mg/L, ALB28g/L, GLB34.7g/L, ALT109U/L, AST54U/L, GGT95U/L, ALP212U /L, TBIL9.2μmol/L, Cr48.6μmol/L, LDH153U/L, CK12U/L; LPS120.8pg/ml, 1-3-β-D glucan 115.53pg/ml, ANA, ANCA, PCT, T-spot, -B27, tumor markers...

What use is this!

Looking at the pile of test results that he wrote down, Wei Dabao's eyes were really blurred, not exaggerated.

Most of the inspections Wei Dabao didn't know what it meant.

After thinking for a long time, Wei Dabao plucked up his courage, approached Gao Boxiang and asked, "Director Gao, hello."

"Well, Dr. Wei is good." Gao Boxiang said lightly.

"Director Gao, I see nothing wrong with the patient, how does Section Chief Wu diagnose Takayasu's arteritis?" Wei Dabao asked for advice.

"Taoarteritis is not very common, and it is usually misdiagnosed." Gao Boxiang explained, but he didn't use professional vocabulary to say that he was afraid that Wei Dabao, the "barefoot doctor" would not understand it.

"Misdiagnosis?"

"Well, I have seen a few cases of Takayasu's patients. The most recent time was a famous patient in the respiratory department with an inexplicable low-grade fever. All tests were done, and no problem was found. Later, three hospital consultations were organized... Dr. Wei, you Knowing that inexplicably low fever is tricky."

"Hmm." Wei Dabao nodded repeatedly.

Clinically, low-grade fevers for which no reason can be found are called inexplicable low-grade fever or unknown low-grade fever.

Most of the patients are cured by taking antibiotics for a few days. But very few have been bad, and doctors can't do anything about it.

"The misdiagnosed patient I said was treated with piperacillin, tazobactam and moxifloxacin for anti-infection, loxoprofen anti-inflammatory and analgesic treatments after hospitalization. However, one week after symptomatic treatment, the patient still had fever and headache , 3 consultations are nothing good."

With that, Gao Baixiang paused, as if he was reminiscing about the unbearable past. Even after many years, I still feel embarrassed when I think of it.

"What happened later?" Wei Dabao asked.

"It happened to think that the professors of the Department of Rheumatology and Immunology of 301 were meeting in the provincial capital. We had nothing good to do, so we invited them over." Gao Boxiang said, "If you don't understand the disease, we should seek a rheumatism and immunology consultation. This is why we are doctors. The truth."

"..."

Wei Dabao heard this for the first time.

For a doctor in a basic hospital like him, it is only natural for him to go to a higher-level hospital if he doesn't understand it. As for rheumatism, Wei Dabao didn't even know that there was such a department.

Listening to the name, it seems to be a department for the treatment of rheumatoid arthritis. Why is orthopedics so good? Wei Dabao thought in a random manner.

"The professor of 301 came, read all the laboratory tests, physical examinations, and medical history. It took less than half an hour. Finally, he asked the patient to have a PET-CT, and the result was just to tell him."

"Uh, the same as this patient?" Wei Dabao was startled.

"Yeah." Gao Boxiang nodded, "The symptoms are different, but PET-CT is required. It turns out that they are right. After the medicine was given, the patient will be healed within a few days. I always remember this thing, tusk."

Wei Dabao was very moved.

"There is another patient. I highly suspect that there is a problem, but he can no longer be contacted." Gao Boxiang said with some regret.

"What patient, Director Gao?"

"I used to see a patient, and the heart was fine, but..." Gao Boxiang hesitated for a moment, and said, "The patient complained that the blood in his blood vessels did not flow."

"..." Wei Dabao was startled, isn't this mental illness?

"I also went back to the conclusion after the case I just mentioned, and felt that there was a problem with the diagnosis of this patient." Gao Boxiang continued, "I was diagnosed with depression at the time and asked the patient to go to a mental hospital for treatment and treatment."

Wei Dabao suddenly remembered what Wu Mian said just now.

"Now look at ~www.wuxiaspot.com~ specific fever, fatigue, joint pain, weight loss, memory loss, headache, dizziness, blackout, syncope, vision loss, intermittent claudication, high blood pressure, etc. It may be caused by arteritis."

"So, it's really not easy for us to be doctors. The older the rivers and lakes, the less courage. If you walk at night, you will inevitably encounter misdiagnosis." Gao Baixiang sighed and said, "For doctors, misdiagnosis may be possible. It’s just a mistake. But for the patient, it can cause extreme harm."

"It's like the patient just mentioned... from time to time, he involuntarily cries, and he says that the blood stops flowing. Normally, isn't it a mental illness."

Wei Dabao nodded repeatedly. Director Gao's words reminded him of some things he had personally experienced. The thought of misdiagnosis delayed the patient's life, and Wei Dabao's back was chilled.

"Dr. Wei, if you have the opportunity, let's learn more from Teacher Wu." Gao Boxiang finished speaking, quietly looking at the doctor doing PET-CT. He seemed to be talking to Wei Dabao, but also like talking to himself.

On the machine, the image has been initially displayed.