Chapter 42: Beware of Misdiagnosis

"Humph! When I was studying for my PhD overseas, I interned at a very highly-ranked medical center in the United States, and it was not as unbearable as you said. When this fainting pregnant woman is cured, I will prove that it is not just a matter of words, and you will have to apologize to me at that time. ”

Du Leng claimed to be a top medical genius, and Zhou Can said in public that he was talking on paper.

How could he stand it?

I directly have to use this pregnant woman to prove my diagnostic ability.

Even more so that Zhou Can apologized to him in public.

Zhou Can grinned and showed an unfathomable smile.

"Okay, no problem! It's just that I have to remind Dr. Du that misdiagnosis is the most terrible! ”

Du Leng's face turned from blue to red, and his breathing became heavy.

"What do you mean? Say my diagnosis of this pregnant woman was a misdiagnosis? ”

Anyone could feel that Du Leng was already extremely angry.

Doctors are most afraid of hearing two words of misdiagnosis.

Once a misdiagnosis occurs, it can be a slap in the face or a medical accident.

It's no wonder that Du Leng jumped to his feet after hearing this.

Director Xie was also furious when he saw that the surgical signboard that had just been erected was about to be smashed.

"Director Lou, your doctor is really arrogant. Director Shen Nei Yin and Du Leng of our Department of Surgery both diagnosed the patient's fainting as the cause of intracranial artery hemangioma compressing the brainstem. He actually came casually and said that our joint opinion was wrong. ”

Director Xie assumed his identity and protested directly to Director Lou.

This is to let Director Lou teach Zhou Can a lesson.

By the way, Director Yin was also pulled into his camp.

"Young man, although you have won the first place in the training exam, you must be humble. I've diagnosed 10,000 times more cases than you. How many days have you been working? Don't be too superficial. Otherwise, you will lose your own face and the face of the emergency department. ”

Director Yin was also a little angry.

There is no vanity under the fame.

His authority in the field of internal medicine has been challenged once by Du Leng . Now a small undergraduate, still a doctor who has just worked for less than two days, dares to refute his diagnosis.

The wind must not rise.

Director Lou faced the protests of the two bigwigs at the same time, and the pressure was great.

"Xiao Zhou, speak more rigorously!"

He scolded Zhou Can painlessly, which was regarded as giving an explanation to the two directors.

Zhou Can didn't say anything more, facts speak louder than words.

As long as the real cause is found, whether it is Director Yin or Du Leng, they all have to bow their heads.

He dared to remind Du Leng to be careful of misdiagnosis, but he was actually a little sure.

Lesions are sometimes disguised.

For example, headache treatment is often joked. According to normal logic, the headache must be in the head. In fact, it is really possible that the lesion is on the foot.

Eye diseases caused by hot foot disease can lead to headaches.

If you meet a quack doctor and prescribe a cure for headaches, it will definitely not work.

The fainting of this pregnant woman may indeed be caused by a head hemangioma, but the real cause may not be the hemangioma.

Zhou Can felt that the sudden increase in blood pressure of pregnant women was particularly strange.

Chances are this is the real cause.

As for the head hemangioma, it's just a faΓ§ade.

If you only treat the appearance, it is like whack-a-mole, after beating this one, the other one will come out again.

There are quite a few examples of this.

Many patients are admitted to the hospital with only one disease, and the results get worse and worse the more they are treated. From one disease, five or six diseases are cured, which is called a complication in medicine.

Some complications may be unavoidable, and some so-called complications are simply caused by the doctor's wrong treatment.

Zhou Can lowered his head in contemplation.

The pregnant woman has been pregnant for nearly six months, and she has been controlling her blood pressure well, and nothing has happened.

Why does my blood pressure suddenly rise?

It is said that a long illness becomes a good doctor.

A pregnant woman who has a history of high blood pressure for more than 15 years may be no worse than a professional doctor when it comes to controlling blood pressure.

It can be inferred from this that low-level mistakes such as forgetting to take blood pressure medication and excessive behavior such as raising blood pressure can basically be ruled out.

What's more, she regards the child in her womb as more important than life, and she will definitely be more careful.

She suddenly became ill in a taxi.

It means that she didn't notice any physical abnormality before going out, otherwise she wouldn't have taken a taxi, but an ambulance.

But what are the dangers of taking a taxi? Even if the driver brakes ten times in a row, it will not cause her blood pressure to rise out of control.

Judging by her dress, she is very intellectual and elegant, and her face is also very kind, and the possibility of arguing with the driver to increase blood pressure is also very small.

Since all of the above are ruled out, let's make a bold guess, will it be because she ate something she shouldn't have eaten before going out?

For example, taking the wrong medicine.

This is a very high possibility.

Because the eyebrows she drew before going out were so messy, but she didn't notice it, it was enough to show that she had a problem with her eyesight at that time.

Habitually taking blood pressure medication before going out, as a result, there is a problem with vision, resulting in taking the wrong medicine.

After taking it, go out in a hurry.

The drug enters the stomach, melts over time, is absorbed by the body, and then causes blood pressure to rise.

From the time of taking the medicine to the onset of the disease, it takes about 20 minutes.

The onset time is also just right.

"Yes, it must be!"

Zhou Can's eyes became brighter and firmer.

See the sun when the clouds are cleared.

Now he deduced the cause of the sudden increase in blood pressure and loss of control of the pregnant woman.

The next step is the corroboration of the medical test data.

Nothing can be just guessed, right? There has to be a scientific basis.

What medicine did she take wrong?

There are many medications that can raise blood pressure.

Looking at her blood test report, she may be able to find some clues.

Because the pregnant woman is now in a state of fainting and cannot communicate.

If you want to find the ultimate cause, you must rely on the doctor to diagnose and dialectize.

Zhou Can walked to the locker and picked up the patient's examination results placed on it to check.

This move immediately attracted everyone's attention.

Several senior doctors in the emergency department looked at Zhou Can appreciatively.

Young doctors love to learn, and that's a good thing.

Only by seeing more and thinking more can we improve the level of diagnosis.

"Dr. Zhou seems to have a different diagnosis!" Takami walked over with a smile and took the initiative to talk.

Others look down on Zhou Can as an undergraduate, but Gao Jian thinks that Zhou Can has real talent and learning.

After coming to the emergency room, Takami has been thinking about the cause of the pregnant woman.

I want to win back a game in the contest with Zhou Can.

But he didn't have a clue.

Zhou Can now suddenly took the test results to check, which made Gao Jian feel bad for a while.

"I just have a learning attitude and just look at it."

Zhou Can picked up the pregnant woman's blood test report and read it, and was slightly disappointed.

This is just a routine blood test report.

In order to find out the drug components in a patient's blood, blood must be collected and sent to a specialist for testing.

At this time, the pregnant woman pushed back after doing the head color ultrasound.

Du Leng couldn't wait to check the color ultrasound film.

"That's right, it's the intracranial artery hemangioma that compresses the brainstem." Du Leng looked extremely excited.

There was no howling.

I can't wait to announce to the world that his diagnosis was correct.