Gao Boxiang didn''t know David Webb, but when he saw Mr. Wu talking to him kindly, he naturally wouldn''t offend the people around Mr. Wu.
Trinket was so clever that he didn''t even dare to say a louder word. He borrowed a ballpoint pen, took some A4 paper, quietly followed director Gao and began to remember from the doctor''s order.
Gao Baixiang was distressed. He had a small tail behind him. He could not beat or scold.
Trinket is also distressed. It used to be the case in high-level hospitals. Many doctors don''t know what they mean.
They both frowned. A few hours later, the inspection results returned the same.
Gao Baixiang then took the lower level doctor to personally send the patient to the nuclear medicine room for PET-CT.
PET-CT is a radioactive invasive examination. Some basic examinations can be improved. It can be done after no special contraindications are found.
Gao Baixiang also tried his best to fulfill teacher Wu''s requirements. Generally, if you want to do PET-CT, you have to wait at least 2-3 days. This is still a case of no queuing.
There are no patients in jianxie hospital, but the medical equipment is top-level. Not to mention how much it costs, Gao Baixiang feels comfortable just looking at these equipment, images and examination results.
Because of radiation, the nuclear medicine room cannot be in the inpatient department.
4 or 500 meters away from the inpatient department, there is a newly built two-story building in a corner of the compound of jianxie hospital, and the anti radiation measures are quite in place. This is the nuclear medicine room, in which a brand-new PET-CT is placed.
The nurse began to give medicine to the patient. Gao Baixiang sat outside waiting for the results. He was not familiar with Wei Dabao and felt embarrassed to say anything.
What Gao Baixiang doesn''t understand is that Mr. Wu seems to take good care of this middle-aged man who looks a little obscene. If he wants to break his head, he doesn''t understand what Mr. Wu means.
Trinket took A4 paper and looked at the mess of records on it.
CRP：WBC6.9*109L，N80%，HGB96gL，PLT580*109L，CRP102mgL、ALB28gL，GLB34.7gL，ALT109UL，AST54UL，GGT95UL，ALP212UL，TBIL9.2 μ molL，Cr48.6 μ molL，LDH153UL，CK12UL； LPS120.8pgml，1-3- β- D-glucan 115.53pgml, Ana, ANCA, PCT, T-SPOT, HLA-B27, tumor markers
What''s the use of this!
Looking at the pile of inspection and test results written down, Wei Dabao''s eyes are really spent, not exaggerated.
Most people don''t know what it means.
After thinking for a long time, Wei Dabao summoned up his courage, approached Gao Boxiang and asked, "Hello, director Gao."
"Well, Dr. Wei," Gao Baixiang said faintly.
"Director Gao, I don''t see anything wrong with the patient. How can chief Wu diagnose Takayasu arteritis?" asked Wei Dabao.
"Takayasu arteritis is not very common and is usually misdiagnosed." Gao Baixiang explained, but he didn''t use professional words. He was afraid that Wei Dabao, a "barefoot doctor", couldn''t understand it.
"Misdiagnosis?"
"Well, I''ve seen several patients with Takayasu arteritis. The last time was a famous patient in the respiratory department who had inexplicable low fever. He did all the tests and couldn''t find out any problems. Later, he organized three hospital consultations... Dr. Wei, you know inexplicable low fever is very difficult."
"Mm-hmm." Wei Dabao nodded repeatedly.
Clinically, low fever without cause is called inexplicable low fever or nameless low fever.
The vast majority of patients will be well after a few days of antibiotics. But very few have been bad, and doctors can''t do anything about it.
"The misdiagnosed patient I mentioned was treated with piperacillin tazobactam needle and moxifloxacin needle for anti infection, loxoprofen for anti-inflammatory and analgesic treatment after hospitalization. However, one week after symptomatic treatment, the patient still had fever and headache, and there was no good way for three consultations."
With that, Gao Boxiang paused for a moment, as if recalling the past. Even after many years, I still feel sorry when I think of it.
"And then?" asked trinket.
"There happened to be a 301 professor of Rheumatology and Immunology meeting in the provincial capital. We didn''t have any good way, so we invited others over." Gao Baixiang said, "if you can''t understand the disease, you can find rheumatism and Immunology consultation. This is the indestructible truth of being a doctor."
“……”
Wei Dabao heard this for the first time.
For doctors in grass-roots hospitals like him, it is natural for them to go to a higher-level hospital for diseases they can''t understand. As for rheumatism immunity, Wei Dabao didn''t even know there was such a department.
It sounds like a department for the treatment of rheumatoid arthritis. Why is orthopedics so good? Trinket''s mind wandered.
"Professor 301 came and looked at all the test sheets, physical examination and medical history. It took less than half an hour. Finally, he said to let the patient do a PET-CT and tell him the results."
"Er, just like this patient?" Wei Dabao was stunned.
"HMM." Gao Baixiang nodded. "The symptoms are different, but they all asked to do PET-CT. The results proved that people were right. After giving the medicine, the patient would be fine in a few days. I always remember this. Tut tut."
Wei Dabao was very moved.
"There is another patient, I highly doubt that there is a problem, but he can''t be contacted." Gao Baixiang said with a little regret.
"What patient, director Gao?"
"Once upon a time, I received a patient. His heart was fine, but..." Gao Boxiang hesitated and said, "the patient complained that the blood in his blood vessels did not flow."
"..." Wei Dabao was stunned. Isn''t this mental illness?
"After the case I just mentioned, I went back and concluded that there was a problem with the patient''s diagnosis." Gao Baixiang continued, "I was diagnosed as depression and asked the patient to go to a mental hospital for treatment."
David suddenly remembered what Wu Mian had just said.
"Now, specific fever, fatigue, joint pain, weight loss, memory loss to local vascular involvement, headache, dizziness, blackness, syncope, vision loss, intermittent claudication and hypertension may be caused by Takayasu arteritis."
"So, it''s not easy for us to be doctors. The older the Jianghu is, the less courage we have. If we walk a lot at night, we will inevitably encounter misdiagnosis." Gao Boxiang sighed and said, "misdiagnosis may be a mistake for doctors. But for patients, it may cause deep harm."
"It''s like the patient just said... From time to time, he can''t help crying and says that the blood stops flowing. Normally, it''s psychosis."
Wei Dabao nodded repeatedly. Director Gao''s words reminded him of some things he had personally experienced. At the thought of misdiagnosis, which had delayed the patient''s life, Wei Dabao''s back bristled.
"Dr. Wei, if you have a chance, learn more from Mr. Wu." Gao Baixiang said, quietly watching the doctor doing PET-CT. He seemed to talk to trinket and to himself.
On the machine, the image has been preliminarily displayed.