Chapter 620: You're Just Broken Mouths (Asking for a Monthly Pass)
A group of famous doctors hugged each other and entered the special branch of Beijing Rentong Hospital.
Gu Feng originally walked in the middle, but he was squeezed and squeezed, and he was squeezed to the back, in fact, he really didn't understand, but he was just seeing a patient, not to rob relatives, what was there to squeeze? If he really had the heart to fight with this old guy, these old arms and legs would definitely be squeezed out by him and fractured.
As everyone entered a conference room, Dean Zhao Xiangrui, the attending physician in charge of Vice Premier Wu's grandson, Wu Chao's comprehensive condition, began to introduce the condition!
"Persistent low-grade fever that does not go away, persistent diarrhea that does not stop, accompanied by abdominal pain, nausea, vomiting, and bloating that began two days ago."
Abdominal pain, diarrhea, bloating, nausea, vomiting, fever...... Such a symptom, not to mention the famous doctors in the big hospitals, even the barefoot doctors in the countryside will intuitively consider this to be a gastroenteritis disease when they hear it.
It's just that Dean Zhao's statement next made everyone fall into doubt.
"When the patient was admitted to the hospital, we were admitted with acute gastroenteritis, but after CT, ultrasound, and even MRI examinations, no substantial lesions were found. Therefore, we give symptomatic treatment according to the principle of conventional gastroenteritis treatment, but ...... The condition did not improve in the slightest, but worsened day by day. ”
Saying that, Zhao Xiangrui personally distributed the copied medical case to everyone, but I don't know if he did it on purpose, or if he was really not fully prepared, and when it was sent to Gu Feng, it happened to be gone!
"Huh? No, I'm really sorry, Doctor Gu! ”
Zhao Rui said sorry, but there was no apology in that expression, but there was a hint of mocking smile, and that look was obviously saying, I just won't send it to you, what can you do?
Although Gu Feng wanted to slap him to death, he said lightly: "It's okay!" ”
After everyone read the medical records, Academician Tian Qiming first asked: "How is the patient's stool now?" ”
Zhao Xiangrui said: "At the beginning, there were only thirteen or fourteen times a day, but now it has increased to more than twenty times, and there is an upward trend!" ”
Tian Qiming frowned, "What about vomiting?" ”
Zhao Xiangrui said: "The vomiting is not very serious, but the stomach is very poor, and now I can only eat a small amount of liquid food." ”
Tian Qiming's heart was even more abrupt, the diarrhea lingered for a month, and he couldn't eat, and the patient would be finished if it didn't drag on for a few days, so he hurriedly continued to ask: "What about the fecal test results?" ”
Zhao Xiangrui said: "Routine laboratory tests did not show anything, so we did the quantitative and qualitative bacteria of the smear, and the results proved that the normal flora in the intestine has been seriously imbalanced, and various pathogenic bacteria have also appeared. However, we used a large dose of antibiotics and microbiota promoters, but the effect was not ideal, not only could not reduce the pathogenic bacteria, but also could not promote the production of normal bacteria. ”
As soon as this remark came out, everyone's original disapproving expression finally became solemn, all kinds of treatment methods have been used, and the symptoms have not decreased but worsened, this gastroenteritis may not look as simple as expected!
After Tian Qiming pondered for a while, he spoke: "Go see the patient first, and then discuss it after reading it." ”
Everyone got up one after another and went to the ward under the leadership of Zhao Xiangrui.
Entering the ward, Gu Feng's first feeling was that this ward was too luxurious, not much larger than the conference room just now, about a hundred square meters, but there was only one hospital bed inside, which was quite elegantly decorated, and there was a living room on the side, with leather sofas, LCD TVs, refrigerators, air conditioners and other household appliances.
In the center of the ward, a man of the same age as Gu Feng was lying on it, and Vice Premier Wu was sitting on the edge of the bed, holding his grandson's hand with concern.
Seeing everyone coming in, Vice Premier Wu nodded, didn't say anything, and stepped aside.
Gu Feng, who was blocked at the end, could only vaguely see that the person lying on the bed had a thin and pale face, deep dark circles, deep eye sockets, pale purple lips, and the appearance of a tuberculosis ghost.
Diarrhea for a whole month, the iron man can't stand it, he looks like this, barely good!
Dean Zhao Ruifeng came to the bed, first greeted a few times, and his expression and tone when he spoke were natural and similar to those of Gu Feng, showing kindness and cordiality, as if lying on it was his own father.
Subsequently, he stepped aside and let a group of famous doctors led by Tian Qiming examine him.
Tian Qiming put on gloves and began to do a full body examination of Wu Chao in an orderly manner, but when he checked his abdomen, his expression became solemn, because when he swayed Wu Chao's abdomen from side to side, he felt that his slightly swollen abdomen seemed to have a slight fluctuation.
This sensation is a clear indication of fluid accumulation in the abdomen.
Effusion caused by gastroenteritis?
It seems unlikely!
So this disease is not gastroenteritis, but something else?
If not gastroenteritis, what would it be? Liver disease, pancreatic disease?
If it was liver disease, it was reasonable to have abdominal effusion, so he hurriedly asked: "Dean Zhao, how is Wu Chao's liver function?" ”
"Normal!"
"What about the albumin concentration in the blood?" Tian Qiming asked without giving up, because if it is hypoproteinemia, it can also cause fluid accumulation in the abdomen.
"It's normal!"
"What about tumor markers?"
"This ......" Zhao Xiangrui couldn't remember clearly, and hurriedly looked through the medical records, fortunately, Wu Chao's examination was extremely comprehensive, and he finally saw the data on the last page of the test sheet, "CEA is high." ”
"Huh?" Tian Qiming's eyes lit up, and he immediately said: "Immediately give Wu Chao another abdominal B ultrasound, and perform an abdominal puncture examination." ”
Zhao Xiangrui couldn't react, and said hesitantly: "Director Tian......"
Tian Qiming didn't speak, but Vice Premier Wu saw that Tian Qiming's expression was changing, obviously he had made a discovery, and hurriedly whispered: "Dean Zhao, didn't you hear Director Tian's words?" Do as he says now! ”
Zhao Xiangrui looked furious, nodded hurriedly, and said, "Yes!" ”
When Zhao Xiangrui went to carry out the doctor's order, Vice Premier Wu stepped forward and asked Tian Qiming in a low voice, "Director Tian, is there a new change in Wu Chao's condition?" ”
Tian Qiming said: "Prime Minister, I'm not sure yet. Let's wait for the results to come back later. ”
Soon, the bedside B ultrasound pushed over, and after examination, it was found that Wu Chao did have a moderate amount of fluid in his abdomen.
This result was very surprising, especially Zhao Xiangrui, seeing the B-ultrasound image above, his face changed and said: "This, how is this possible, three days ago, when I did abdominal B-ultrasound for Wu Chao, there was nothing!" ”
Everyone thought that he was shirking the responsibility for missing the diagnosis, but looking at the copies of the medical records in his hand, he did see several B-ultrasound examination results, and the most recent B-ultrasound examination was three days ago, and the results shown above were that there was no abnormality in the abdomen.
If there is no abnormality, i.e. there is no effusion, then the moderate amount of effusion is produced in the inter-three days?
What disease can change so much? Even if it is severe cirrhosis, liver rehydration will not develop so rapidly!
This unbelievable test result made Wu Chao's illness even more confusing.
However, when Gu Feng saw the B-ultrasound image, his eyes moved slightly and he opened his mouth, but in the end he didn't say anything.
He was the least qualified of the class.
Next, the abdominal puncture begins.
This is a very small surgery to remove the fluid in the abdomen, perform laboratory analysis, and determine the nature of the ascites, so as to identify the cause and achieve the purpose of treating the cause.
This kind of small surgery without much skill and difficulty is willing for anyone to serve, because it can be regarded as contributing to the condition of Vice Premier Wu's grandson, isn't it?
However, this minor operation, a group of famous doctors did not have a share, and Dean Zhao Xiangrui did it single-handedly.
However, after finding the right position and preparing the skin for disinfection, Zhao Xiangrui pricked the No. 6 needle into it and wanted to withdraw it, but when he lifted the needle, he found that it was extremely heavy and could not be withdrawn at all.
He thought he was in the wrong position, so he changed his position again, but he still couldn't pull back, and then changed several places in a row, and it was still the same.
At this moment, Zhao Xiangrui began to be anxious, this is a small operation, for a famous doctor with rich clinical experience, it is really a piece of scraps, he didn't know how much he did in the past, so that he didn't bother to do this kind of trivial surgery later, but what the hell happened this time, obviously the location is correct, the fluid is there, why can't it be pumped?
A group of famous doctors all stood aside, watching Zhao Xiangrui toss fixedly, looking at him with a pale face and sweating profusely unknowingly, and his intuition was funny, it was a great dean to not even do such a fur kung fu, it was really embarrassing. However, some discerning doctors have seen the place of the evil sect, the position and depth of Dean Zhao's piercing, there is no problem, they can almost be sure, now the tip of the needle is in the middle of the effusion, but why can't the effusion be extracted?
Secretly, these people couldn't help but gasp, fortunately they didn't take the initiative to ask for help just now, otherwise it would be themselves who would be embarrassed!
Soon, the famous doctors who were originally holding the mentality of watching jokes also saw that something was wrong, and their expressions became solemn.
It's just that they can see it, but it doesn't mean that Vice Premier Wu, who doesn't know how to do medicine, can also see it, the only thing he sees is that his grandson is tormented by this mediocre and incompetent bullshit dean.
After repeating this, Vice Premier Wu finally couldn't help it, "Dean Zhao, can you do it, if you can't do it, you will change it to someone else!" ”
Vice Premier Wu implied angry reprimands, which made Zhao Xiangrui even more red-faced, but there were bitter words, such a situation and Vice President Wu couldn't understand clearly, so he had to look at Xiang Tian Qiming as if asking for help!
Tian Qiming found that something was wrong when Dean Zhao first started to withdraw the needle, the nature of the fluid in it was unknown, it was very likely that it was not an ordinary liquid, and a simple aspiration technique might not be able to extract the liquid, and it was very likely that he would have to open the knife, so at this time, how dare he take on this kind of embarrassing work.
Vice Premier Wu saw that Tian Qiming seemed to be bowing his head and pondering something, and slowly looked at others, obviously hoping that someone would replace Dean Zhao, who couldn't even do puncture.
As the leader of the famous doctor, Tian Qiming didn't dare to try again, and other people were even more afraid of losing face, so they avoided Vice Premier Wu's gaze one after another.
Tian Qiming came back from his contemplation and was about to explain the situation to Vice Premier Wu and make a request for an open abdomen.
In the crowd, the young doctor, who was standing at the end, the youngest and the least qualified, walked up.
A group of famous doctors saw that this originally honest junior actually stepped forward, and they couldn't help but feel strange, what kind of excitement did you come up to?
Gu Feng walked closer and said to Zhao Xiangrui: "Dean Zhao, why don't you let me try it!" ”
Zhao Xiangrui is already embarrassed at this time, he can't tell the difference between the southeast and the northwest, and he wishes there was a step to go down, and this doctor named by Mayor Sun to take over and continue to be embarrassed is undoubtedly in the middle of the middle, and it couldn't be better.
However, he still pretended to be reluctant and said, "Okay, since you are eager to study, I will give you this opportunity." ”
It's obvious that I can't do it myself, and I also say that I will give others a chance!
Dean Zhao, do you dare to be a little more shameless?
The famous doctors once again ceremoniously despised Zhao Xiangrui!
Gu Feng just nodded, and didn't talk nonsense, so he took his place.
A group of famous doctors couldn't help but shake their heads secretly when they saw that this posterior was grabbing such a front, it's really not long-sighted, this fluid is really so easy to pump, can it be your turn?
A few famous doctors who have always been good friends can't help but whisper in private.
"Young, I don't know the depth!"
"Eh, eat a sting and you will grow wise!"
"Will he become the second Zhao Xiangrui?"
“……”