Chapter 22 Medical Records
Xiao Xiao asked, "Symptomatic treatment?"
Dr. Zhao: "Hematopoietic damage can cause serious infections, so to improve hematopoiesis and prevent infection, I will first arrange for you to be admitted to a relatively isolated clean ward. Pen @ fun @ pavilion wWw. ļ½ļ½ļ½Uļ½Eć ļ½ļ½ļ½ļ½ā
You Kexin asked, "You're going to quarantine me?!"
Dr. Zhao: "It's just relatively isolated, which is good for your condition. ā
"What about Li Zhiyi? is the person who accompanied Li Zhihao, is he also in the isolation ward?"
"Well, he's in a serious condition and needs to have his leg amputated. ā
"Amputation?!" You Kexin and Xiao Xiao asked at the same time, "Why do you want to amputate your limb?"
Dr. Zhao: "You are his colleagues, so I might as well tell you that his right leg is severely necrotic and will be life-threatening if he does not amputate it." ā
You Kexin subconsciously touched his right leg and asked with a pale face: "What about my right leg? Will I have to have my leg amputated?" I have no other symptoms except for nosebleeds. ā
Dr. Zhao: "Everyone's situation is different, don't worry too much. ā
Although the doctor said easily, You Kexin's heart was still up and down, Ye Zhenzhen said to the doctor, "Can I take a look at Kexin's blood test report?"
Doctor Zhao looked at Kexin, who nodded and said, "Zhen Zhen is my friend, and she also studied medicine before, let her help me take a look." ā
Dr. Zhao handed the report to Ye Zhenzhen, Zhen Zhen took a closer look, and the result was indeed as the doctor said, the hematopoietic damage was very serious, Zhen Zhen tried to analyze and said: "This kind of hematopoietic damage mostly occurs in tumor patients after high-dose radiotherapy and chemotherapy, and the patient will have clinical manifestations such as severe bone marrow suppression, hematopoietic insufficiency, and further decline in immunity, but how can this happen?"
After listening to Zhen Zhen's analysis, Dr. Zhao also agreed, saying: "We also suspected this situation, but the patient has not taken chemotherapy drugs or received radiotherapy, so it has been ruled out, and we are looking for reasons in other aspects." ā
Ye Zhenzhen: "Could it be poisoning?"
Dr. Zhao: "I have asked the laboratory to test for several common poisons that inhibit hematopoiesis, but there are no results yet. ā
Ye Zhenzhen: "Could it be a disease of the autoimmune system?"
Dr. Zhao: "The testing of various immune factors is also underway, and we will not be able to judge until the test results come out." ā
You Kexin listened to the conversation between Ye Zhenzhen and the doctor, but the most important thing was to understand, that is, the two were discussing the cause of their illness.
Nan Zhiqiao didn't know when he finished the call, walked behind Ye Zhenzhen, heard the conversation between Zhen Zhen and the doctor, and accosted: "It won't be an immune system disease." ā
"Why?" asked both Zhen Zhen and Dr. Zhao.
"I just learned that two more employees of Nanmu Group have nosebleeds and vomiting blood, and they are now being sent to JS Hospital. ā
Dr. Zhao frowned slightly, "So many people have the same symptoms, is it poisoning? ā
"Please wait a minute. Nan Zhiqiao stopped Dr. Zhao.
"What else?"
Nan Zhiqiao: "I want to see Li Zhihao's case. ā
Dr. Zhao refused, saying: "The hospital has a rule that a patient's case cannot be shown to others at will. ā
Nan Zhiqiao took out his work card, and when Dr. Zhao saw it, his face immediately softened, and he said, "It turned out to be Director Nan of the Chinese Center for Disease Control and Prevention, hello, if you want to see a case, come with me to the archives." ā
Nan Zhiqiao followed behind Dr. Zhao and gave Ye Zhenzhen a look at the same time, and Ye Zhenzhen immediately followed.
In addition to rows of paper files, there are also two rows of computers, a large round conference table, and two archivists sitting at the door, both of whom are female employees over the age of 50.
When the two administrators saw Dr. Zhao, they both greeted him with a smile, and one of them was a little older and asked, "Dr. Zhao, what information do you want to check today?"
"Today I brought people over to see the information, they are the staff of the Chinese CDC, and they want to see Li Zhihao's case. ā
"Li Zhihao's case, just after it has been filed, I will transfer it to you. ā
Soon, the paper files were brought to the conference table, and at the same time, the electronic files were transferred to the computer desktop.
Dr. Zhao looked at the time and said, "Director Nan, you look first, I still have to go to the ward rounds, and call me if I have something." ā
Dr. Zhao left a business card and instructed the archivist to meet Nan Zhiqiao's request as much as possible, and then left in a hurry.
Nan Zhiqiao sat down next to the computer and began to look through Li Zhihao's case, while Ye Zhenzhen took the paper case, sat next to Nan Zhiqiao, and looked at it carefully.
Li Zhihao's cases were opened one by one, Nan Zhiqiao's brows were also furrowed, and Ye Zhenzhen asked worriedly: "Can you see anything from Li Zhihao's case?"
Nan Zhiqiao: "Li Zhihao's case said that the patient complained that before Li Zhihao was admitted to the hospital, he had symptoms such as fatigue, nausea, vomiting, etc., and the symptoms were reduced after two days, and a day later, he suddenly fainted and coma and was admitted to the hospital, and the patient had severe symptoms such as high fever, vomiting, diarrhea, refusal to eat, and bleeding, blood tests, white blood cells and platelets dropped to zero, and severe anemia; lung infection, progressive dyspnea, cyanosis, and the patient finally died of severe sepsis. ā
Ye Zhenzhen: "Li Zhihao died on the third day of admission, and the course of the disease developed rapidly, and the main symptoms were bleeding, hematopoietic impairment and infection, which is different from the manifestation of poisoning." ā
"It's not poisoning. Nan Zhiqiao repeated his opinion again.
"What is the cause? Could it be hemorrhagic fever?"
"It is not hemorrhagic fever, the symptoms of hemorrhagic fever are mainly small blood vessel damage, with fever, hemorrhage, congestion, hypotensive shock and kidney damage as the main clinical manifestations, which is inconsistent with Li Zhihao's clinical symptoms. ā
Ye Zhenzhen was silent, thinking about the possible cause of the symptoms in Li Zhihao's case, and suddenly, Nan Zhiqiao blurted out: "Could it be ......?"
Ye Zhenzhen looked at Nan Zhiqiao, Nan Zhiqiao didn't finish speaking, suddenly shook his head again, and said to himself: "It's rare for this to happen now......"
Ye Zhenzhen: "Senior Nan, did you think of anything?"
Nan Zhiqiao suddenly asked, "Is the person who was Li Zhihao's escort also hospitalized?"
"You're talking about Li Zhiyi, he was admitted to the isolation ward, and I heard Dr. Zhao say that Li Zhiyi is going to have his leg amputated. ā
Nan Zhiqiao turned to the archivist and said, "Can you bring up Li Zhiyi's electronic medical records?"
"Yes. ā
Soon, Li Zhiyi's electronic medical record was also transferred to the computer desktop, Nan Zhiqiao clicked the mouse, and Li Zhiyi's record was clear at a glance.
Li Zhiyi is still in the hospital, and the medical record has little content, writing, hospitalized with vomiting blood, and then has difficulty moving his right lower limb, tissue cells are seriously damaged, serious infection, and needs to be amputated, etc., Nan Zhiqiao read the medical record within two minutes.
Nan Zhiqiao frowned, stood up suddenly, and said, "I'm going to Li Zhiyi's ward to have a look." ā