Chapter 62: You can't blame the patient
Zuo Li shook his head and said: "She is not a patient of our TCM department, it is not appropriate for me to prescribe this list to her directly from the inpatient department, and it is a chest X-ray, which has nothing to do with TCM." In this way, you go to the Department of Chest and Pulmonology to find Director Chen Tianming, she is on duty today, in the doctor's office. I'll give her a call and ask her to help open a bill and check it out. She is the deputy director of the Department of Chest and Pulmonology, and she will still give face to those people in the radiology department. ”
Hearing Zuo Li say this, Aunt Liu agreed, although she didn't believe Zuo Li's judgment very much, but since Zuo Li said it so godly, it was better to do an inspection according to other people's judgment.
Zuo Li dialed Chen Tianming's mobile phone and briefly told her the situation.
Chen Tianming said very simply: "No problem, come and find me." ”
Chen Tianming didn't ask about any illness or whether he should have a chest X-ray. Since it was Zuo Li who spoke, she gave this face, which made Zuo Li's heart warm.
After hanging up the phone, Zuo Li said to Aunt Liu and the others: "Okay, Director Chen agreed, let's go over." ”
After sending them away, Zuo Li continued to sit down, eating fruit while busy writing the patient's medical records on the computer.
After a while, a message popped up in the intranet chat window, which was sent by Chen Tianming: "What the hell? The patient's lower limbs are weak, and you ask her to go for a chest X-ray, what do you mean? ”
Zuo Li immediately replied: "You just have to let her go for inspection." ”
After another moment, Chen Tianming said again. "Okay, I'll give you face. But to be honest, if Director Sun and the others find out and laugh at you again, they will definitely use it to talk about it. It's time to say that you are indiscriminately prescribing tests to patients and making patients pay for nothing. Obviously your feet are weak, but you have to go to see a chest X-ray, you are a headache. ”
"That's right!" Zuo Li came back, "Traditional Chinese medicine pays attention to the whole, and sometimes it needs to be a headache and a doctor." However, this is not the case with her disease, and the specific cause of the chest pain should be known. ”
Chen Tianming made a rolling eye-rolling expression, and Zuo Li smiled.
After about an hour, Zuo Li received a call from Yao Mingming. As soon as the phone was connected, he couldn't wait to say: "You are too godly, Aunt Liu is just weak in her feet, you asked her to do chest fluoroscopy." We don't understand, but now we understand, just now I did a chest X-ray, and there is fluid in the chest cavity, which really makes you sure that there is something wrong with her lungs. ”
When Zuo Li heard this, his heart suddenly became a little heavier. He was not happy because he was right, and said, "You send the patient to the chest department of the inpatient department, and I will rush over immediately." ”
Yao Mingming heard that Zuo Li's words seemed to be wrong, and said, "What's wrong?" Is there something wrong? ”
"We'll talk about that later."
Yao Mingming hung up the phone and immediately took Aunt Liu and them to the chest department.
After Chen Tianming saw the chest X-ray, he was also surprised, it turned out that Zuo Li was really right, and the patient had a problem with his lungs.
Immediately, Chen Tianming discovered the relationship between Aunt Liu's pleural effusion and leg cords, her face became heavy, and she said to Aunt Liu: "Auntie, I will give you another test sheet, you need to do further testing, and then treatment." ”
When Chen Tianming opened the test sheet, Zuo Li came to the Department of Chest and Pulmonology.
Aunt Liu said very happily: "Doctor Zuo, you asked me to take a chest X-ray before, and I still muttered in my heart, I obviously have no strength in my feet, but you asked me to do chest fluoroscopy, I was mistaken, it was my daughter and friends who said that you are very good at medicine, and you should listen to you, so I went for an examination in disbelief, and it was really right, I really found out that there was fluid in the chest cavity after the examination just now." ”
The best friend was not as open-minded as her mother, and said to Zuo Li in a little anxious: "Doctor Zuo, I haven't figured it out, does this pleural effusion affect the weakness of the legs?" Are there any other diseases affecting the feet that have not been detected? ”
Zuo Li glanced at Chen Tianming, who was making an order, and said to Aunt Liu: "I will understand after the test results come out." There are some diseases that you haven't done the check-up, and you're really confused. ”
Aunt Liu nodded and said to her daughter: "Doctor Zuo is right, you will know what the disease is before you check it." ”
After the test sheet was opened, Fat Tiger, Searchlight and his girlfriend helped Aunt Liu to do a needle biopsy, because the results could not be obtained immediately, leaving their contact number, and the results would be sent to the chest department.
After they left, Chen Tianming said to Zuo Li: "I can't help but say that you are really a ghost, and let you say it accurately." At first, I didn't know why I had to check her chest X-ray because of the weakness of my lower limbs, but I immediately figured it out when I got the results. - You suspect she was caused by lung cancer! Because tumors are capable of producing peptide hormones or hormonal substances, which can lead to nonmetastatic extrapulmonary manifestations, limb weakness is a common symptom. I didn't think about it before, I always thought that the weakness of the limbs was caused by nerve or bone problems, but I didn't expect that it was caused by a malignant tumor in her lungs. ”
Zuo Li gave a thumbs up: "Awesome, worthy of Dr. Liuyang, in one sentence." ”
Chen Tianming was a little melancholy: "I, Dr. Liuyang, is not as good as you, the senior apprentice of the top 100 old Chinese medicine doctors in the country, you really found out that her disease is in the lungs, which is really amazing." ”
Zuo Li shook his head and said, "It's a pity, although I found out that her illness is in the lungs, I don't know what the specific disease is." The accuracy of this pulse is still not as good as that of high-tech things, and modern medicine is needed to help determine it. ”
"Medical testing, Chinese medicine, and Western medicine are needed." Chen Tianming nodded and said, "The patient already had weakness in both lower limbs more than a year ago, and it quickly worsened. However, the patient's attention was not paid enough to identify the exact cause of the weakness in the limbs. If the two of us guessed correctly, the cause of her limb weakness is the cause of lung cancer, it is estimated that it has developed to an advanced stage by now in that year, and there should not be much time left for her. ”
Zuo Li shook his head and said, "It's not that the patient doesn't pay enough attention,—— have you ever read the patient's test report?" ”
Chen Tianming heard what he said, and hurriedly asked, "Look, what's wrong?" ”
"Aunt Liu used to see a doctor before Director Jiang. Jiang Ren also always thought that there was something wrong with her nerves and bones, so he conducted all the examinations in this regard, and it seemed that no results were found. Later, he even suspected that she was mentally ill, and asked her to go to the psychiatric department to see if she was hysterical. Now, once a patient is diagnosed with lung cancer, the patient may collapse. ”
"Because, the patient is not not paid enough attention as you just said, in fact, the patient has been given enough measures to go to the hospital for testing many times, but our doctors have not been able to find the real cause in time, so that the condition has been delayed. If the patient is really lung cancer, it is estimated that it is at an advanced stage, and the patient will collapse, and I am worried that the patient will trouble our hospital. ”
Chen Tianming nodded with a heavy heart: "I hope the judgment of the two of us is wrong." ”