The patient underwent a total of three MRIs, one for the heart, one for the abdomen, and one for the lungs.

However, none of the problems were found.

As for the CT examination and X-ray examination done by the patient, it is also focused on the two major areas of the chest and abdominal cavity. Strange to say, the patient is fine except for mild stomach ulcers and mild fatty liver.

The stomach ulcer has healed after treatment.

This can be seen from the patient's latest examination.

The first hospital where the patient was treated was a municipal hospital in another province. After the doctor examined the patient, the diagnosis column said stomach ulcer, mild fatty liver.

Gastric ulcer is suspected to be causing vomiting.

However, after the stomach ulcer was cured, the patient's condition still did not improve much. The attending doctor of the Municipal People's Hospital was afraid that he would be doubted in the end.

One head and two big that's for sure.

Zhou Can took advantage of the fact that the two senior doctors were thinking about the cause, and picked up a brain CT film that he thought was suspicious.

It is also the only CT of the brain that the patient has taken.

It looks like everything is working and nothing is wrong.

However, he did not immediately put down the film, but continued to observe it carefully.

This CT scan of the brain was taken at the provincial people's hospital where the patient lives. After the gastrointestinal tract, even the thoracic and abdominal cavities, could not find the cause, it is estimated that the attending doctor has begun to change the diagnosis thinking and want to see if there is a brain tumor.

No significant anomalies were found.

Zhou Can also suspected that there was a problem with the patient's brain.

In addition to being extremely harmful to organs such as the liver and kidneys, drunkenness is also very damaging to the brain.

It can cause blood vessels in the brain to constrict, reduce blood flow, cause cerebral cortex to lack oxygen, mental retardation, lack of concentration, memory and judgment decline, and even visual impairment.

People who have ever been drunk will find that they see things spinning around, even upside down.

Or ghosting.

In addition, alcohol can also affect the blood supply to the brain and nerves, causing the brain to shrink and accelerate the aging and death of brain cells.

According to medical research, alcohol is particularly damaging to the nerves.

This patient often needs to drink for socials, and the damage to the brain is certainly not small.

Zhou Can is suspicious in this direction.

Like the attending doctor at the Provincial People's Hospital, Zhou Can looked at this brain CT, and the first thing he did was to check whether the patient had a brain tumor.

In this era of high incidence of cancer and hemangioma, the probability of brain tumors in the skull is too high.

But after a careful examination, Zhou Can was finally slapped in the face.

I was stunned that I didn't even find a small tumor with a diameter of less than 0.5cm.

Even a small hemangioma is fine!

None of them.

At this time, Zhou Can couldn't help but think of a difficult case that had been successfully diagnosed. The patient, a student, had symptoms similar to enteritis due to the stress of the high school entrance examination. The final diagnosis was neuropathic digestive disorder.

Could this patient also have a neuropathic digestive disorder?

This possibility is not ruled out.

He subconsciously looked at the patient.

From the medical records, it can be seen that the patient is now forty-one years old, which is the most stressful age in a man's life.

Is it because of the high level of stress that the vomiting of non-parenchymal lesions eventually occurs?

It's really possible.

"I would venture to ask, before he became ill, was your family financially stressed?"

Zhou Can asked the woman.

"It's alright! My husband's annual income was okay, and I also had a stable job at the time. Basically, the combined annual income of our husband and wife will not be less than 7 figures. As for work pressure, there must be. However, my husband is very optimistic and cheerful, and often takes me and my children out to travel together to release stress. ”

The woman thought for a moment and replied seriously.

Zhou Can instantly glanced at the couple several times.

Those who can achieve a stable monthly income of more than 20,000 yuan are basically the elite class of this society. No matter what means are used, as long as it is not illegal, as long as it can achieve this income, it is very remarkable.

The couple's combined annual income is more than seven figures, at least in the millions.

With such a high income, you can live a nourishing life in any city.

It's really that people can't look good, and the sea can't fight.

Looking at the dress of the husband and wife, they are all so ordinary that they can't be more ordinary.

Who would have thought that their income would be so high!

The most fearful thing is to get sick.

This male patient, before he got sick, could be imagined, must be the kind of high-spirited and dragon and phoenix among people.

As a result, after getting sick, after just over a year, he was no longer human.

Many successful people emphasize that physical health is the most important thing. They compare physical health to 1s and career success to one or more zeros.

When the healthy 1 is not there, no amount of zeros is useless.

"All the tests that need to be done have already been done, and there is no point in doing it again. His cause was so complex that I couldn't diagnose it with decades of experience. With his current condition, I am afraid that he will not be able to be admitted to the hospital for observation. Even if we are hospitalized and the cause cannot be found, our hospital is helpless. ”

Director Shang thought about it for so long, and he really couldn't find out where the patient's lesions were.

So I can only tell my family frankly, you can ask for another master!

Some people may think that it is a very shameful thing that experts cannot find the cause.

In fact, whether in ancient or modern times, it is very common not to be able to detect the lesion. Ancient imperial doctors and famous doctors in society, this is already powerful enough!

But when a member of the royal family is sick, they often kneel in a large area and take the initiative to plead guilty.

Because they can't find out where the lesion is.

There's no way to start.

If the lesion cannot be diagnosed, the best way is to take the initiative to admit it.

Forcibly using drugs, that is a mistake on top of a mistake.

It's easy to move heads.

When the woman heard this, she was anxious.

"Professor Shang, please find a way to save my husband! I have taken him to many big hospitals, and they have told me that Tuya Hospital has a high level of treatment for digestive diseases. I've come with my husband all the way to find a way. I'll kowtow to you. ”

The woman's determination to save her husband is touching to hear.

Director Shang was also a little hesitant for a while, it would definitely not work if he was hospitalized.

The patients have become so ill that the cause of the disease has not been identified, and most of them will die in the hospital if they are admitted.

At that time, even if the family does not look for trouble, it will be extremely disadvantageous to the doctor concerned.

"Hurry up, hurry up! Our Tuya Hospital is really limited! As long as it can be cured, we will never let it go. Renhe Hospital in the imperial capital, regardless of the level of doctors and the advanced degree of equipment, is stronger than our Tuya Hospital. You can take your husband to the imperial capital to see. ”

Director Shang worked hard to push the patient out.

I recommended Imperial Capital Renhe Hospital to my family. This trick is exactly the same as the routine of those small hospitals pushing patients to Tuya Hospital.

"My husband is like this, where else can he go? Even if we go to the imperial capital, we are not familiar with the place, but I am afraid that it will still be the same, and we will not be able to find out the cause. Professor Shang, I beg you, be merciful and save my husband! I beg you! ”

The woman burst into tears, and in order to save her husband, she did not hesitate to kowtow to Director Shang.

Zhou Can looked at all this and felt particularly moved in his heart.

Husband and wife were originally birds of the same forest, and they flew separately when disaster came.

The husband is sick like this, if he were replaced by a cooler wife, I am afraid that he would have run away a long time ago.

It would be nice to be able to find out the cause of the patient.

Not to mention anything else, just the attitude of saving her husband against this woman is worth doing all your best to help.

"I will open a hospital for you, and then find an opportunity to invite other experts from the hospital to do a hospital-wide consultation. If we still can't find the cause, then we really can't do anything. When the time comes, you can go to other hospitals to have a look, do you think it's okay? “

Director Shang looked serious, but his heart was soft.

When the patient's family knelt down like this, he had no choice but to bite the bullet and admit the patient to the hospital first.

In fact, with his rich experience in diagnosis and treatment, he made it clear that it is difficult to achieve any results from hospitalization for diseases that cannot be diagnosed.

"Thank you, thank you!"

When the doctor finally agreed to admit her husband to the hospital, she thanked her again and again.

Many family members and patients are panicked and frightened when faced with a terrible disease. At this time, the doctor is their only recourse.

When they are admitted to the hospital, even if they don't do any treatment, they will feel more at ease.

In fact, after the hospital admits a person to the hospital, it needs to be responsible for the safety of the patient.

I will do my best to treat patients.

"According to the hospitalization process, some basic examinations need to be redone, such as blood routine, electrocardiogram, do you think it's okay?"

"Okay! We can understand. ”

It's not the first time she's been hospitalized with her husband, and she's quite clear about the hospital's process.

Director Shang did not rush to open an application for examination, but turned his head to look at Huang Xinggui, an auxiliary physician.

"Are there any beds in the inpatient unit?"

"I'll call and ask. Beds have been tight, I don't think there are. Because I still have a dozen patients in the queue, waiting for the beds to be vacated for hospitalization. ”

Huang Xinggui called the inpatient department on the spot.

When I asked, sure enough, there was no.

"Come, let me tell you!"

Director Shang heard it clearly beside him.

Facing the eager eyes of the family members, coupled with the fact that they came from other provinces, I really couldn't bear to send them away.

"Hello, I'm Shang Feng! There is a patient here who came from another province and has been unable to find the cause of the disease after visiting many hospitals. I think it's really difficult for them, and it's really inconvenient for a woman to carry a husband who weighs more than 100 pounds, can you think of a way to get him a bed? ”

It's not easy to arrange a bed.

Even if Director Shang is the director of the department, he is cheeky and open-mouthed.

"Okay, okay, thank you!"

Director Shang hung up the phone.

It seems that I am quite satisfied with the results.

"The inpatient department said that it will coordinate first, if there is really no bed, you can only add a temporary bed in the corridor first, and wait until there is a bed tomorrow, and then give priority to arranging for you."

It's already afternoon, and the chances of a bed are slim.

It makes sense to add a makeshift bed in the hallway.

In line with the principle of humanization, the hospital sometimes has a special way to temporarily add a bed in the corridor in the face of some special circumstances. Once the patient is accommodated, there will at least be a medical care to manage the patient.

It can also be used normally, infusion or something.

"Thank you, thank you so much!" The woman knew that this result was not easy, and thanked Director Shang gratefully.

If Director Shang hadn't said hello, her husband would have had to wait in line for a bed like other patients.

After the arrangement was secure, Director Shang opened an application for examination to the patient.

Zhou Can has been studying the blood routine done by the patient not long ago. The examination applications for the patients here have been opened, and he has no intention of putting them down.

"Doctor Zhou, why don't you pack up the patient's examination data for him first, and let them go for the examination first!"

Director Shang reminded Zhou Can.

"Oh...... Good! ”

Zhou Can thought about things too much, and he really didn't find this.

He quickly put the results of the blood routine into a plastic bag and handed them to the patient's wife.

"We're going to be hospitalized anyway, so if you're willing to look into it, just put these tests here. I'll come back and get it when you're almost off work. ”

The woman did not despise Zhou Can because he was young.

Instead, she was more than happy to let him study her husband's examination data.

"Hmm...... When you have completed the hospitalization procedures, I will go to the inpatient department and see the same. It's not too early, so let's take him for a check-up! If necessary, you can borrow a wheelchair for temporary use under the stairs at the corner of the outpatient lobby. I see that it is quite difficult for you to carry him on your back, and it will be much more convenient to push him in a wheelchair. ”

Zhou Can suggested to her.

I don't know if the family members are taboo about this, and they feel that it is unlucky for people who are not paralyzed to be in wheelchairs. I'd rather carry such a heavy person around for medical treatment than buy a wheelchair to cope with it.

"Okay, thank you!"

The woman struggled to carry the patient on her back and almost fell, so Zhou Can hurriedly went over to help her.

"Be careful, be careful!"

has been helping to escort patients and family members out of the door, and Zhou Can turned around.

His mind was constantly pondering the cause of the patient's illness.

Diagnosing such an ultra-difficult case requires doctors to constantly find out the real lesion from the clues, and separate the false from the true.

The process is extremely difficult and complex.

……

It was just after five o'clock when the woman came in pushing her husband in a wheelchair.

All the examinations for hospitalization were completed, and the results were obtained.

Director Shang took the results and looked at them, there was no big problem, and he could be admitted to the hospital.

It must be explained here that inpatients must undergo some necessary examinations before they can be admitted to the hospital, and this is due to a number of considerations. There are two main aspects.

One is to prevent patients from having infectious diseases. If the patient has an infectious disease, he or she cannot be admitted to the hospital, or he or she can be admitted directly to the infectious disease department.

Another consideration is to screen patients for hidden high-risk conditions.

In case he dies just after being admitted, the hospital will not be able to wash it by jumping into the Yellow River.

This must be guarded against.

Director Shang personally issued a hospitalization certificate to the patient.

Before the patients left, Zhou Can stopped them.

"Wait! I asked, he raised his hand and scratched his head many times, was it itchy? ”

Zhou Can walked over and looked at the patient's head while asking.

If you don't wash your hair for a long time, it may cause itchy scalp.

The area where the patient scratches is the right side of the head. I don't know if it's because I'm too weak and don't have the strength, so I can only scratch this area or what's going on.

The first time the patient stayed in the outpatient room, Zhou Can noticed that in less than 30 minutes, the patient scratched his head four times.

Although this was just a very inconspicuous action, it made Zhou Can suspicious.

Just now, the patient scratched his head again, and Zhou Can asked out loud.

"I don't know. Because he was so sick, I couldn't move him, I couldn't help him wash his hair. He can only shave his hair and wipe his head with a wet towel. It may be a little itchy if you don't wash your hair for a long time. But I remember that before my husband was sick, he would often raise his hands and scratch his head. It seems to be a habit of his. ”

The woman talks about the past, and her eyes are full of good memories.

Zhou Can carefully looked at the right side of the patient's head, and there was no hair to cover it, so he could see it at a glance.

And not much to discover.

At this moment, Zhou Can noticed a slight bulge on the patient's scalp, and then collapsed. A normal person's scalp may also have a pulse.

It was also after the scalp was slightly raised and then rapidly collapsed that the patient again raised his hand to tickle.

However, because it was too difficult, I soon gave up again.

Zhou Can originally wanted to observe for a while longer, but he was in a hurry to go through the hospitalization procedures, and the time was almost time to get off work.

He had to give up.

Anyway, when the patient is hospitalized, there is a chance to observe carefully.

As the end of the day approaches, there are basically no new patients. Basically, they came back with the test results to find Director Shang for further diagnosis.

Director Shang takes every patient very seriously.

After reading it carefully, it will give a certain answer.

Zhou Can stood behind and studied, but he also learned a lot.

Soon, it's time to get off work.

At this time, no patients came back.

Basically, the patients who were able to get their test results on the same day had already arrived before the end of the day.

"Dr. Zhou, how did you learn after studying in the outpatient clinic for an afternoon? Can you adapt? ”

Director Shang kindly asked him how he felt.

"I learned a lot from you, and I learned a lot from you in diagnosing gastroenterology diseases. The patient who couldn't find the cause of his vomiting, do you think his problem is in the brain? ”

Zhou Can has been thinking about the cause of this patient, and now that he is off work, he finally has the opportunity to discuss it with Director Shang.

"Do you suspect neuropathy?"

Director Shang asked.

"It's kind of like it, it's not like it. I suspect it's another disease that's easy to overlook. ”

Zhou Can expressed his opinion.

(End of chapter)