I can see health

Chapter 801 Denial
But where did tuberculosis come from?

Lu Chen was a little confused.

In his impression, the patient had undergone various examinations, and no other signs of tuberculosis infection were found.

"What's the opinion of the rheumatology department now?" Lu Chen asked.

Dr. Hua said slowly: "The rheumatology department invited an infection doctor to come over for consultation, and analyzed it from the beginning. There was no pulmonary tuberculosis on the imaging studies, and the patient did not have intestinal tuberculosis. It is recommended to have a colonoscopy to see clearly if necessary. "

Lu Chen nodded.

A positive PPD test alone does not immediately diagnose tuberculosis.

However, the results of this experiment cannot be ignored.

"I'll go to the rheumatology department to have a look." Lu Chen thought for a while, and decided to go and see for himself.

……

Come to the rheumatologist's office.

As soon as he walked in, he saw the patient's parents communicating with the rheumatologist.

"We decided to take hormones first!" the rheumatologist said.

"Wait, didn't you say before that you are afraid of tuberculosis? Can you still use hormones if you have tuberculosis?" the patient's father asked suspiciously.

They also checked the relevant information themselves, and hormones are a taboo for tuberculosis patients.

How can this be good?

The rheumatologist continued: "Our director said that the patient may not survive for more than half a year, and the disease may progress very quickly."

When the patient's parents heard this, they immediately became anxious.

The patient's mother yelled loudly: "Why is this doctor talking? Is this a human thing? What do you mean you can't live for half a year!"

The honest parents are in a hurry now.

The bed doctor in the rheumatology department hesitated and couldn't say anything.

Lu Chen immediately stepped forward.

"Uncle and aunt, don't worry."

Hearing Lu Chen's voice, the patient's father looked back and immediately stopped making noise.

"Professor Lu, why are you here?" The patient's father said in surprise, "Are you here to see my daughter?"

Lu Chen successfully diagnosed the disease "Takayasu Arteritis". The patients and their families are all grateful to him.

Lu Chen nodded with a smile, helped the patient's parents to sit aside, and then nodded to the rheumatologist.

The rheumatologist smiled gratefully at Lu Chen.

In the situation just now, it was indeed a problem with his communication method. Fortunately, Director Lu Chen came to remedy it in time.

"Professor Lu, please tell me quickly, what should my daughter do now?"

Lu Chen paused, "The rheumatologist is right. This Takayasu arteritis will progress faster. If you wait to fight tuberculosis before using hormones, it may be too late. We can't predict what will happen. It may happen." There are worst-case scenarios."

Having said that, the mood of the patient's father has calmed down.

"In order to avoid this situation, we decided to use hormones first to suppress immunity and inflammation. As for the tuberculosis side, it doesn't look too similar at the moment. We can observe while treating, and adjust at any time if there is something wrong."

The patient's parents nodded again and again. This sounded much more pleasing to the ear, although it meant the same thing.

"Professor Lu, thank you very much." The patient's mother said, "We have all transferred departments, please come and see her."

"As long as she has lived under my control, she is my patient." Lu Chen smiled, then turned to the rheumatologist and said, "Take me to the ward to see her."

"Okay, Director Lu."

The doctor in charge of the rheumatology department immediately stood up and brought Lu Chen to the ward.

The patient was also very happy when he saw Lu Chen.

However, when she heard that she still had to use hormones, she looked very hesitant.

However, under Lu Chen's persuasion.

The patient finally received hormone + immunosuppressant therapy. At the beginning, he took 12 tablets of prednisone, plus a mycophenolate mofetil.

Before leaving, Lu Chen instructed: "This disease cannot be cured, but it can be controlled through drug treatment. Most of them can live for a long time. Be confident, but taking medicine will have some side effects. Take it easy!"

"Okay, thank you, Professor Lu." The patient has accepted this fact psychologically at this moment, "However, why is my tuberculosis test positive?"

The doctor in charge of the rheumatology department also looked at Lu Chen curiously.

The rheumatologists got together and discussed for a long time, but they didn't come to a conclusion.

"That's a good question. I don't know the answer yet." Lu Chen shook his head slightly.

Clinically, there are still many things that have not been fully explored.

"However, before you are discharged from the hospital, if you check another PPD, it may be a false positive!" Lu Chen said.

This is also what the rheumatologist heard.

Aside, the rheumatologist nodded repeatedly.

"Okay, then I'm leaving."

Lu Chen waved to everyone and left the rheumatology ward.

In fact, Takayasu is not a rare disease, and the incidence rate in island countries is 40/10.

I don't know the exact number of Hu Huaxia, but it is estimated that the difference is not too far away. Considering our huge population base, this is definitely not a rare disease.

I hope that girls with this disease will be treated correctly, and they will not shy away from medical treatment.

Why do you say it's a girl?
Because this disease is really more female than male, the incidence rate of male and female is about 1:10.

In addition, hormones are not the devil. Hormones are the basic medicine for such diseases and should be treated correctly.

However, the side effects of hormones are also quite large. We must build up confidence, because girls who gain weight due to hormones may eventually lose weight because of stopping the drugs. I firmly believe in this.

Finally, compared with fat and thin, life is still the most important.

……

"Congratulations, the completion of the system upgrade has increased!"

"Congratulations, I received the thank you value..."

The appreciation value and the completion rate of the system upgrade have increased slightly, Lu Chen is still very happy.

Back in the second heart area, the patients in the group were all in stable condition, so Lu Chen returned to his office.

Not long after staying in the office, there was a knock on the door.

"Please come in." Lu Chen said softly.

Afterwards, Director Yan Wanfeng opened the door and walked in.

"Director, why are you here?"

Lu Chen quickly stood up and poured Yan Wanfeng a glass of water.

Yan Wanfeng smiled and sat on the sofa, "Did you go to the rheumatology department just now?"

"Yeah." Lu Chen nodded, "A patient has been transferred to the rheumatology department, I'll go and have a look."

"Director Yang from the rheumatology department called him specifically just now." Yan Wanfeng smiled, "I told you that you helped them solve a problem in the past, so let me thank you very much."

"Actually, it's nothing, I went to communicate with the patient." Lu Chen said modestly.

However, he was also very puzzled. Director Yan Wanfeng came here to talk about this on purpose?
Shouldn't it?

Sure enough, Director Yan Wanfeng took a sip of tea, and then slowly said: "Lu Chen, I proposed to the director of the hospital what you suggested last time."

"What did they say?" Lu Chen asked.

Yan Wanfeng shook his head, "This issue involves the interests of many parties. They vetoed it. They still want to expand the TAVR surgery team. It is not enough to send people to TAVR training classes."

(End of this chapter)