Sleepless Doctor

"Well, it may be tuberculosis in nature." Wu Mian said, "The patient will be checked back in a while, and I will consult with the Department of Respiratory Medicine. Could you please remind me..."

　　 "Ms. Wu, I asked carefully. Recently, the patient has progressive weight loss without night sweats and fever." Director Liang said.

　　 "Wait and see." Wu Mian said, "Director Liang, you are busy for now, I have to go to the Senior Director of the Circulation Department."

　　 Director Liang was a little nervous and confused. Knowing that he was not doing well, he actually missed the diagnosis in front of Teacher Wu.

　　 If this matter is said to be big, it is a big one. After the patient has undergone symptomatic treatment, he does not get better in a few days or has difficulty breathing soon after he gets better. When he comes to the hospital for an examination, he finds that the right thoracic cavity is full of pleural fluid. How do you explain it?

　　 If the patient is kind, just fool around and pass. Explain to her that there was cholecystitis first, and then some pleural effusion. The effusion appeared in the past few days when I went home, so I guess there is nothing wrong with it.

　　Although the patient may also understand that something is wrong, one is too lazy to care about it, and the other is that it is not easy for the doctor to pass it.

　　 But if you encounter something that you don’t understand, you can complain directly to the medical office by grabbing your own problems.

The key is!

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

　　 Director Liang was also very speechless, and it was estimated that his idea of ​​going to Bajingzi had fallen into vain. Although Mr. Wu helped him clear a mine, there were countless such mines in the doctor's life, and the chances of job-hopping were few.

　　 Director Liang was very depressed. He sent away Wu Mian and Dean Xue, and continued to go to the specialist for consultation.

　　 Even if you are in a bad mood, you still have to cheer up and deal with one patient after another. With so many years of experience, Director Liang didn't have all kinds of doubts about himself because of the last incident. He still sees a doctor as he should.

　　 Many doctors will have a kind of suspicion and denial of their own mental activity after one or two visits and misdiagnosis. No matter how I did it, I felt that it was wrong, no matter how careful I was, I felt that something was missing.

　　 This emotion is quite fatal.

　　Some people suffer from mental illness, and then they perish, or even get out of the clinic, and can only do some other work.

　　 Director Liang is an old gun for many years, and there is no such kind of psychological activity. He was just very depressed. He kept telling himself that Bajingzi's side might not be so good. It is difficult for Mr. Wu Mianwu to push a hospital to glory in a short period of time by himself.

　　 He is almost fifty years old, and Teacher Wu will only be thirty next year. He has time to watch a hospital grow up, but he can’t.

　　 I was still the director of the Second Hospital of Medical University honestly. I had no academic prospects. I started ERCP in the province and became one of the leaders in the province... earning some money and retiring in a few years.

　　 can only do this, Director Liang is constantly doing psychological construction for himself to get rid of the haze caused by the misdiagnosis just now.

　　 One hour later, the female patient returned with CT of her lungs. The right lung disappeared 2/3, and the film showed a large amount of pleural effusion.

　　 As expected!

　　 After seeing the film, Director Liang did not directly ask the patient to go to the Department of Respiratory Medicine for treatment, but asked her to wait for a while.

　　 After reading other patients, Director Liang carefully studied this young female patient.

　　 She was twenty-three years old, her skin looked a little pale, with some Lin Daiyu-like tenderness and slight sickness.

　　 There is no blush on the cheeks, and there is no blush that is typical of tuberculosis as written in the textbook.

　　 This is how it is described in "Dream of Red Mansions". The two bends seem to be frowning with smoked eyebrows, and the pair of eyebrows seem to be frowning, and the pair of eyebrows are like happy or not.

　　 can write a romantic beauty of tuberculosis, which is worthy of being a classical masterpiece.

　　Romantic poet Byron once said to his biographer Thomas　Moore: "I would rather die of tuberculosis...because the ladies would say, "Look, poor Byron, but his death is so remarkable! "

　　 Because of tuberculosis, his skin is pale and his cheeks are reddish. Because of the pale skin as the base color, the blush is more conspicuous.

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

　　 look down again...Huh? No, the trachea seems to be offset.

　　 Director Liang is also not sure if he really saw the tracheal deviation or because of his subjective feelings after watching the lung CT film. In other words, Mr. Wu just said that there was a tracheal deviation, and he felt that there was a problem.

　　 looked up and down for a full 3 minutes, Director Liang made the inspection to the extreme. The young woman who was watching was a little frightened. If Director Liang looked very kind and the door of the clinic was open and people coming and going, she would have run away in fear.

　　 The doctor looked at himself up and down, is he a pervert? Seeing that he was quite old and kind, he didn't think it was too colorful.

After 　　 Director Liang’s inspection was done, only the trachea that was suspected to the left could prove to be tuberculosis. But under normal circumstances, who would go to see the trachea for a patient with a stomachache?

　　 "Little girl, have you had difficulty breathing recently?" Director Liang asked softly after looking back at the film on the reader.

　　 "No..." Seeing that Director Liang stopped staring at her, the young female patient finally breathed a sigh of relief, "Director, am I okay."

　　"Wait, let me ask you a few questions~www.wuxiaspot.com~ Director Liang frowned and watched the film, "Fever, I asked you this question, right? "

　　 "Yes, I haven't had a fever recently." The young female patient said positively.

　　 "Do you have a nap? Will you sweat a lot after nap every day?"

　　 Director Liang asked about night sweats.

　　Night sweating is a syndrome of TCM. It is a symptom characterized by abnormal sweating after falling asleep and stopping sweating after waking up.

　　 "thief" means stealing. The ancient doctors used thieves to sneak around at night to describe the disease syndrome, that is, whenever people fall asleep or just close their eyes and fall asleep, sweat secretly leaks out like thieves.

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

　　 The young woman shook her head, denying this for sure.

　　 Director Liang is very depressed. He has no breathing difficulties, no night sweats, no fever, and coughs only after pain.

　　 The last positive sign, I think it is also the normal physiological reflection of the diaphragm and pleura that the inflammation of the gallbladder area involves.

　　 Even Teacher Wu has explained the situation and asked the patient to do a lung CT to determine that the high probability is a large amount of pleural effusion caused by tuberculosis. However, Director Liang looked back and thought again, if he sees similar patients again, there is no good way except to screen the lungs with CT on a large scale.

　　 Could it be said that this is the terrifying power of Teacher Wu who wrote the "Diagnostics" textbook?

　　 Recommend the new book of Urban Great God Lao Shi: