Although he thought so, Wei Dabao was startled by the patient''s words.
What the hell is this! The temperature in his protective clothing was extremely high, but in the blink of an eye, he fell into an ice cave. The penetrating coolness made him very sour.
"It''s all right, it''s all right." Wei Dabao didn''t know whether he was comforting the patient or himself. He said blindly.
"Dabaozi, what''s the matter?" Zhang Zimo''s voice came from his mobile phone.
"Director, the patient said someone was blowing behind her..."
Zhang Zimo is silent.
He is the director of ICU and is not good at general practice. And now the general ward of the hospital only deals with some minor diseases, which can''t be said to be more specialized.
Zhang Zimo was confused about the patient''s situation.
It seems easier for him to delve into the diagnosis and treatment of new pneumonia.
But in the face of a patient with no abnormality in blood test, fever, headache and mental symptoms, Zhang Zimo said he was helpless.
What can I do? Find a superior doctor.
In the past, Zhang Zimo was a superior doctor and could not be found. Maybe he would put the patient''s medical records in the group and consult other peers to see who had diagnosed and treated similar patients.
Now, a ready-made superior doctor is in Tianhe, but I don''t know if he has time.
"Dabaozi, look at the patient," Zhang Zimo said.
"Director Zhang, do you want to contact section chief Wu?" Wei Dabao immediately thought that Zhang Zimo was ready to make a big move.
"Yes."
"I want to see it too," said Trinket directly.
"Patient..."
"I''ll take over right away. Wait for me."
Seeing the patient''s situation, Zhang Zimo didn''t seem to be in a hurry. At least his vital signs were stable. In addition, there were several tests that didn''t return, so Zhang Zimo answered.
During the shift handover, Wei Dabao changed his clothes and returned to the isolation room to communicate with Zhang Zimo. After that, they pulled a group and dragged Wu Mian in.
In special times, you can''t meet without meeting. Everything is communicated through the Internet.
Fortunately, 4G and 5g networks are developed and WiFi is everywhere. It has become an important thing to lay a wireless network in the newly built shelter hospital.
Many things can be done. It is inconceivable what would happen and how to deal with the genesis level virus more than ten years ago.
Video call, Wu Mian didn''t move.
[Da baozi, Mr. Wu may be at work.]
Director Zhang, wait a minute
Wei Dabao was lying in bed with his legs crossed.
After leaving the fever ward, he thought about the patient''s situation carefully and would certainly report the medical history to Mr. Wu later. I haven''t seen you for a long time. I don''t know if my level of reporting medical history can satisfy Mr. Wu.
He turned on the computer, kept sorting out the patient''s situation and made a summary.
At the head of the epidemic, everyone''s mood is a little irritable. Under great pressure, many people are on the verge of collapse. They don''t know when they can see the light at night.
Chief Wu has been there for more than half a month. I''m afraid his mood has become manic. Wei Dabao guessed in his heart.
After more than an hour, a message appeared in the temporary group.
[director Zhang, Dr. Wei, what''s up?]
When the video call sounds, Wei Dabao clicks confirm to enter the video chat.
The handsome face of section chief Wu was almost destroyed, and Wei Dabao hardly recognized it.
His face was crisscrossed with deep gullies, like several deep visible bone scars.
"Section chief Wu, you..."
"Just came out of P3 lab." Wu Mian smiled.
With the smile involved, the "Scar" on the face is distorted and looks strange.
"What''s the matter?" asked Wu Mian.
"Mr. Wu, there is a patient with fever from unknown causes." Zhang Zimo first introduced, "today, the nucleic acid test is negative."
"Oh, now we have to do nucleic acid test at least three times to preliminarily determine that it is negative. The test error in the laboratory is too high. It''s a headache." Wu Mian holds a mobile phone in his right hand and a bottle of water in his left hand.
"Yes, Mr. Wu, we will pay attention to it." Zhang Zimo said, "the main symptoms of the patient are fever, headache, emotional instability, and someone blowing in the back of his head. Please report the specific details to Mr. Wu, Dr. Wei."
"Oh?" Wu Mian listened to Zhang Zimo and pondered, "is the patient emotionally unstable to this extent?"
"Well, just now I said someone was behind me. It was so gloomy that the nurses were scared to cry." Wei Dabao sighed. "The nurses are also under great pressure. Everyone has been depressed recently."
"Tell me about the existing inspection returns."
Wei Dabao began to report the medical history and test results.
Wu Mian was very satisfied with the standard process, like writing medical records. However, there is nothing to say about the patient''s situation. Director Zhang Zimo said all the key points, and there was no positive change in the remaining laboratory tests.
"Ana, ANCA, PCT, T-SPOT, HLA-B27, tumor markers, Cryptococcus capsular antigen, immunofixation electrophoresis and wind like test have not returned," Wei Dabao said finally.
"What are you going to do?" Wu Mian asked casually.
"Check the head MRI and cervical MRI," Zhang Zimo said, "but the patient is emotionally unstable now. I''m going to take the patient for an examination early tomorrow morning."
"Emmm, I suggest making a PETCT first," Wu Mian said.
"Suspected paraneoplastic syndrome?" Zhang Zimo asked.
"No." Wu Mian smiled. "The positive signs of the patient are fever and mental symptoms. Dr. Wei, which chapter of diagnostics describes a similar situation?"
His mind went blank.
Unexplained fever is the most difficult disease to diagnose clinically. If it is not the epidemic situation, we must ask the whole hospital for consultation.
Section chief Wu came up and took the exam. It''s really a familiar style.
Trinket was really worried about being scolded by chief Wu.
Looking at the deep scar on his face, I don''t know how many hours he has worked continuously on the other side of Tianhe. Anyway, you must be in a bad mood.
"I..."
"Forget it, everyone is very tired and won''t take the test." Wu Mian smiled and said directly, "the patient''s condition may be diagnosed as depression. There are 211 diseases with mental symptoms in clinical diagnosis, of which 18 may be accompanied by fever. There is no abnormality in various examinations for a long time. It is highly suspected that it is'' temporal arteritis''."
Looking at Mr. Wu in the video, he did not hesitate to give a diagnosis directly. Zhang Zimo was stunned. He felt that Mr. Wu had changed.
Even if Mr. Wu knew the diagnosis, he wouldn''t say it directly.
Now it''s upside down. First say the diagnosis, and then let me do the examination.
Is Tianhe under so much pressure? People like Mr. Wu are unconsciously being changed.
"However, the most common manifestation of temporal arteritis is visual impairment. Dr. Wei, take a good look at this section, check PETCT, and we''ll discuss it later."
Seeing that Wu Mian was going to hang up the video, Zhang Zimo quickly asked, "Mr. Wu, are you busy?"
"Night shift, no time to talk, wait for me to get off work." Wu Mian smiled.