"Well, it may be tuberculosis." Wu Mian said, "the patient will come back from the examination and consult the respiratory department. Please remind me..."


    "Miss Wu, I asked carefully. Recently, the patient has progressive weight loss without night sweat and fever." director Liang said.


    "Wait and see." Wu Mian said, "director Liang, you''re busy first. I''m going to find director Gao of the circulation department."


    Director Liang was a little uneasy and confused. He knew he was not doing well and missed the diagnosis in front of teacher Wu.


    It''s a big deal. After symptomatic treatment, the patient doesn''t get better in a few days or has difficulty breathing soon after improvement. He comes back to the hospital and finds that the right chest is full of pleural effusion. How can he explain?


    If the patient is kind, he will pass by. Explain to her that there was cholecystitis first, and then pleural effusion. The effusion appeared at home these days. It''s estimated that there''s nothing wrong.


    Although patients may understand that things are wrong, they are too lazy to care about it. Second, they think it is not easy for doctors, so they go through it.


    But if you don''t understand, it''s a little trouble to complain directly to the medical office.


    The key is!


    I have heard some things these days. I hesitate and hesitate. I haven''t finally made a difficult decision until now. Mr. Wu probably came to see the situation today. Unexpectedly, a patient with tenderness in the gallbladder area had an accident


    Director Liang is also very speechless. It is estimated that his idea of going to bajingzi has come to naught. Although Mr. Wu helped him arrange a thunder, there are countless such thunder on the doctor''s way all his life, but there are few job hopping opportunities.


    Director Liang was very depressed. He sent Wu Mian and President Xue away and continued to go out for expert consultation.


    Even if you are in a bad mood, you still have to cheer up and deal with one patient after another. With many years of experience, director Liang did not have all kinds of doubts about himself because of the last thing. He still saw a doctor as he should.


    Many doctors will doubt and deny their psychological activities after misdiagnosis once or twice. No matter how you do it, you feel it is wrong, and no matter how careful you are, you feel you have missed something.


    This emotion is quite deadly.


    Some people have mental diseases, which sink down, or even get out of clinic, and can only do some other work.


    Director Liang is an old gun for many years, and there is no such psychological activity. He was just very depressed. He kept telling himself that bajingzi might not be very good. Mr. Wu Mian was very difficult to promote a hospital to glory in a short time.


    He is almost 50 years old, and Mr. Wu is only 30 years old next year. He has plenty of time to watch a hospital grow up, but he can''t.


    He is still an honest director of the second hospital of Medical University. He has no academic future. He carries out ERCP in the province and becomes one of the leaders in the province. He can earn some money and retire in a few years.


    Only in this way, director Liang continued to do psychological construction for himself to get rid of the haze brought by the just misdiagnosis.


    After one hour, the female patient came back with lung CT, the right lung disappeared 23, and the film showed a large amount of pleural effusion.


    Sure enough!


    After seeing the film, director Liang did not directly ask the patient to go to the respiratory department, but asked her to wait for herself for a while.


    After seeing other patients, director Liang carefully studied the young female patient.


    She was twenty-three years old, looking at her skin a little white, with some Lin Daiyu like tenderness and slight morbid.


    There is no redness of the cheeks, and there is no typical example of the blush of tuberculosis.


    In a dream of Red Mansions, it is described in this way. Two curved eyebrows seem to be frowning, and one pair seems to be happy, but not happy, with exposed eyes. It has two dimples, and it is a disease that attacks the whole body.


    It is worthy of being a classical masterpiece to write a romantic beauty of tuberculosis.


    The romantic poet Byron once said to his biographer Thomas Moore, "I''d rather die of tuberculosis... Because women would say," look, poor Byron, but how remarkable his death is! "


    Because of the pale skin and red cheeks of tuberculosis, the blush is more prominent because of its pale skin.


    But the little girl in front of her has no such body surface characteristics at all.


    Look down again... Eh? No, the trachea seems to be offset.


    Director Liang is not sure whether he really saw the trachea deviation or because of his subjective feeling after watching the lung CT film. Or Mr. Wu just said there was trachea deviation, so he felt there was a problem.


    After looking up and down for a full three minutes, director Liang made the inspection to the extreme. The young female patient was a little afraid. If director Liang hadn''t looked very kind, the door of the consulting room was open and people came and went outside, she would have run away in fear.


    The doctor looked at himself up and down, wasn''t he a coyote? He looked very old and kind, and didn''t feel multicolored.


    After director Liang''s inspection, only the suspected left deviation of the trachea can prove to be pulmonary tuberculosis. But generally, who will see the trachea in patients with stomachache?


    "Little girl, have you had difficulty breathing recently?" director Liang looked back at the film on the film reader and asked softly.


    "No..." the young woman was relieved to see that director Liang no longer stared at herself. "Director, am I okay?"


    "Wait, I''ll ask you some questions." director Liang frowned at the film. "Fever, I asked you this question, didn''t I?"


    "Yes, I haven''t had a fever recently," the young woman said with certainty.


    "Nap? Will there be a lot of sweating after nap every day?"


    Director Liang asked about night sweats.


    Night sweating is a disease and syndrome name of traditional Chinese medicine. It is characterized by abnormal sweating after falling asleep and stopping sweating after waking up.


    "Stealing" means stealing. Ancient doctors used thieves to sneak every night to describe the disease, that is, whenever people fall asleep or just close their eyes and go to sleep, sweat secretly leaks out like thieves.


    Generally, patients with pulmonary tuberculosis will have night sweats in the afternoon.


    The young woman shook her head and positively denied this.


    Director Liang is very depressed. There is no dyspnea, night sweat, fever and cough only after pain.


    The last positive sign is also a normal physiological reflection of gallbladder inflammation involving diaphragm and pleura.


    Even Mr. Wu has explained the situation and asked the patient to do a lung CT to determine that the probable rate is a large amount of pleural effusion caused by pulmonary tuberculosis. But director Liang looked back and thought that if he received similar patients again, there would be no good way except for large-area lung CT screening.


    Is this the terrorist strength of Mr. Wu, who wrote the textbook diagnostics?