After listening to the family's complaints, Dean Tian began to seriously question Du Leng's ability in his heart.

It's just that in this kind of public place, she definitely won't show it.

For now, the family and the patient must be reassured and the situation calmed down.

Finally, Tuya's expert team was invited to carry out this expert consultation activity, but it was full of twists and turns, and there were constant troubles.

Tuya Hospital didn't know how to send a few reliable young doctors.

Thinking of the reliable young doctor, Dean Tian's eyes couldn't help but look at Zhou Can.

For example, young doctors like Dr. Zhou are very reliable.

"This family, you should dissipate your anger first! Perhaps your wife's condition is complicated. But don't worry, this time we have invited many experts from Tuya Hospital, one expert may have limited knowledge, so we will ask multiple experts to consult together. I must try to find a way to find out the cause of your wife's illness and not let you run away in vain. ”

Under the comfort of Dean Tian, the family members' faces looked much better.

"Director Zhang, this patient's condition is a bit complicated, can you do an on-site consultation and discussion on the cause of her illness?"

Dean Tian is almost putting pressure on Director Zhang.

After all, it is about whether the expert consultation of Xinxiang Women's and Children's Hospital can achieve good results.

You can't let such a small thing mess up the good situation.

"Okay, after I finish dealing with the patient in my hand, I will immediately organize the experts present to discuss it." Director Zhang Bihua readily agreed.

They may also be worried that their families will be impatient and dissatisfied with waiting again.

After her gaze swept over the other experts, she just caught a glimpse of Deputy Director Shi and Director Jiang of the gods idle.

"Director Shi, Director Jiang, one of you is good at gastroenterology, the other is good at neurology, the patient's symptoms are related to the digestive system and nervous system, please help me take a look first!"

Zhang Bihua led a team to Xinxiang Women and Children to carry out expert outpatient activities this time, she is the captain of the team, and she has the right to arrange other experts to work.

Of course, at her level, she speaks very politely.

It's a negotiating tone.

And not to use that offensive tone to order other experts to do their work.

"No problem! Take the information here, and I will study it with Director Jiang! ”

Deputy Director Shi answered more positively than anyone else.

provoked Zhang Bihua, Dean Tian and others to look at him in surprise.

Everyone is a human spirit, looking at Deputy Director Shi's positive attitude, I am afraid that I am a little sure!

As everyone knows, Deputy Director Shi and Zhou Can have already discussed, and they are even ready to take the initiative to cut off the beard.

If it weren't for Du Leng's quarrel with his family, Deputy Director Shi might have taken the initiative to 'help' long ago.

The family members turned their faces with Du Leng, and they couldn't wait to find other experts to help their wife see a doctor.

"Wife, let's go, let's find another expert to see the disease!"

The family took the materials and took his wife to Deputy Director Shi's consultation table.

Director Jiang also got up and walked over. Takami followed.

Zhou Can quickly stood up and sat down.

"Director Jiang, please take a seat!"

This kind of modesty and courtesy made Director Jiang have a good impression of Zhou Can.

"Thank you!"

Director Jiang nodded to him in a friendly manner and sat side by side with Deputy Director Shi.

Zhou Can and Gao Jian stood together for the first time.

The two looked at each other and smiled, but Gao Jian's eyes were full of war.

"Doctor Zhou, after nearly two years, let's take this rare opportunity to compare, how about it?"

"Hehe, I don't care!"

Zhou Can was not afraid of anyone.

He also wanted to see how strong Gao Jian's medical level had been after nearly two years?

gives him the feeling that Gao Jian is much more pragmatic than Du Leng.

The strength must be much stronger than Du Leng.

This woman's disease is biased towards internal medicine, and the main direction of high-level regulation and training is internal medicine. Therefore, Gao Jian has an advantage over Zhou Can to a certain extent.

Because Zhou Can spent the previous year and a half in various departments of surgery.

The time to officially enter the internal medicine training of the university is only about two months.

The four began to study the woman's examination data and condition.

The woman had uterine bleeding a year ago and underwent dilation and curettage at the local county hospital, and pathology showed that the scrape was endometrial tissue. Since then, the woman has not had her period again.

After less than half a year, the woman showed obvious symptoms such as polyuria, thirst, polydipsia, and fatigue.

The maximum amount of water you drink a day is up to 20,000 ml.

I have to get up almost every hour or two at night to urinate.

And the patient gradually prefers to drink cold water.

At the Provincial People's Hospital, a steamed bread meal test was done and diagnosed with diabetes.

Doctors at the Provincial People's Hospital prescribed regegane and acarbose for the patient's treatment. After taking the drug for a period of time, the patient feels that it has no effect, so he stops the drug on his own.

In this way, he dragged on at home for several months, during which he did not control his diet, and the patient reported that there were always urine bubbles in the urine, but there was no urgency or painful urination.

About a few months ago, vulvar itching and increased discharge appeared.

More than two months ago, he developed consciousness disorders, slow reactions, and occasional inability to communicate. Sometimes I even pull urine on my body because of impaired consciousness.

The husband was worried that if it dragged on, his wife's condition would become more serious, so he hurriedly took his wife to the hospital again for treatment.

The first to arrive was the Provincial People's Hospital.

In the minds of many people, the People's Hospital is a good hospital for the people, with affordable prices and guaranteed medical quality.

This time, they hung up a urology specialist at the Provincial People's Hospital.

After the expert diagnosis, the patient was given a water deprivation test and a sellar MRI was performed. The patient was diagnosed with type 2 diabetes mellitus and hyperprolactinemia due to thickening of the pituitary stalk and elevated blood prolactin.

Also wrote a diabetes insipidus later?

It is estimated that the expert only suspects that the patient has diabetes insipidus, and it is difficult to draw conclusions about what type of diabetes insipidus it is.

Experts from the Provincial People's Hospital gave the woman rosiglitazone, acarbose, and glipizide controlled-release tablets to control blood sugar.

At the same time, desmopressin and bromocriptrin were prescribed to control urine output.

After the woman took desmopressin, her urine output decreased significantly, but the good times did not last long, and only a few hours later, the patient reappeared to have symptoms of increased urine output.

After the patient returned home from the Provincial People's Hospital, he insisted on taking drugs such as desmopressin.

All of them were prescribed by experts from the Provincial People's Hospital.

There has been a significant improvement in his condition.

Due to the prolonged use of desmopressin, the patient developed symptoms of 'gaining weight', so he stopped taking the medication himself. At the suggestion of a relative, I found a local Chinese medicine practitioner to switch to Chinese medicine.

As a result, after taking traditional Chinese medicine, the symptoms of polyuria and polydipsia worsened. And I feel very tired.

Two days ago, the patient developed gibberish, impaired consciousness, and even her husband could not recognize her. There are also symptoms of limb paralysis and trembling. Pulling urine on the body occurs frequently.

Now I have to change her into a queen diaper every once in a while.

In a hurry, the husband took his wife to Xinxiang Women's and Children's Hospital for treatment.

Zhou Can understood the entire condition of this female patient, and then realized the complexity of the condition.

"May I ask your wife that she has never had a period since she had uterine curettage for more than a year?" Zhou Can asked the woman's husband.

The female patient has become stupid and has no way to communicate normally.

"Yes!"

The family's brow furrowed.

At this time, Yang Chan also came over on her own to help diagnose together.

"Yang Chan, the patient has not had a period for more than a year since he had uterine curettage, what do you think is the most likely cause?"

Zhou Can took the initiative to communicate with her.

There is a specialization in surgery, and for obstetrics and gynecology diseases, Yang Chan has obtained a lot of true biography from Director Zhang Bihua.

Although the study time is still short, less than two years, she is definitely better at this field than Zhou Can.

"What about your suspicions?"

Yang Chan did not answer the rhetorical question.

"The patient's imaging findings showed a mass in the pituitary stalk, so I think hypothalamic or pituitary lesions are the most likely."

Zhou Can's diagnosis of this incurable disease has always been to find a breakthrough first, and then carry out comprehensive syndrome differentiation and analysis.

This diagnostic technique has been tried and tested by him, and it has been effective.

"There are many causes of amenorrhea, such as lesions in the uterus, hypothalamus, pituitary gland, and ovaries, all of which may cause amenorrhea. She has undergone uterine curettage, and the uterus should also be listed as a key target for screening. ”

After listening to Zhou Can's diagnosis, Yang Chan made a supplement.

The corners of Zhou Can's mouth raised, this chick is deliberately establishing the authority of the squad leader!

The possibility of uterine lesions is very small, and she has to pull it out, which is nothing more than to tell Zhou Can that she, the squad leader, is still the squad leader and knows a little more than him.

However, considering that the patient also has symptoms of diabetes insipidus, the uterus should indeed be examined.

Zhou Can took the patient's examination data and checked it carefully, and soon, he ruled out the possibility of uterine lesions.

The reason for this is that the patient's pituitary stalk is thickened, which may also cause diabetes insipidus.

"Director Jiang, may I ask me, is it possible to cause central diabetes insipidus due to the thickening of the pituitary stalk?" Zhou Can combined his experience in extrajudicial surgery and couldn't help but think of a similar case.

That patient is suffering from a lesion of the pituitary gland, causing central diabetes insipidus.

"Dr. Zhou's level is very high, no wonder Director Tan of our Department of Internal Medicine values you so much! I'm also skeptical in this direction, and since you've brought it up, I feel the need to do a water deprivation compression test and a follow-up MRI of the sellar area. ”

Director Jiang in the gods was still a little uncertain.

Hearing that Zhou Can also suspected that pituitary lesions caused central diabetes insipidus, he immediately made up his mind to do an investigation in this area for the patient.

"Several experts, my wife checked what M in the saddle area last time in the Provincial People's Hospital, and Dr. Du also said that the test results of what M in this saddle area can be used. You see, is it okay not to check? ”

When the family heard that they were going to have to do an examination again, and it was an examination that had been done, they couldn't help but show a bitter face.

What patients and their families fear most is various tests.

This is caused by the excessive examination of many hospitals.

Regardless of whether the patient is sick or not, do the tests that should be done first.

"I think it's very necessary to do a double-check."

Director Jiang said solemnly.

The family frowned and hesitated for twenty or thirty seconds, and finally agreed, "Okay, I'll take my wife to check again." I believe that you experts will not deliberately open more examinations in order to earn my two inspection fees. ”

In fact, this statement already contains the meaning of warning doctors.

I can also feel that after being fooled by Du Leng, the family members have become very difficult to speak.

Several doctors looked at each other and did not answer.

Director Jiang applied for examination for the patient.

"Go ahead! Rest assured, even if we doctors work overtime today, we will find a way to find out the specific cause of your wife's illness. However, some tests and examinations, as well as the efficacy of medications, require a certain amount of time to observe, and if you trust our doctors, you need to be prepared for hospitalization. The ugly words are ahead, her condition is extremely complicated, and it is unrealistic for our doctor to pat his chest and say that it will be cured. We can only assure you that we will give it our all. ”

Director Zhang Bihua also finished dealing with the patients in his hands at this time and walked over.

Female doctors are significantly more relatable than male doctors.

In particular, an elderly female doctor like her has rich experience in communicating with family members and patients, and can better and faster gain the trust of family members and patients.

"Okay! Thank you, Director Zhang, thank you! ”

After listening to Director Zhang's words, the family members looked much better.

Even a rare smile of gratitude.

A good doctor not only needs to have superb medical skills, but also has excellent ability to communicate with patients.

After seeing the family take the female patient for examination, Zhang Bihua picked up the information of the female patient and began to study it carefully.

At this time, it seemed that there was a problem on Du Leng's side again.

"You paid for this doctor, didn't you? You can't find out the cause of her, and we can't find out the cause either. If you don't have the ability to say it early, it will cause us to waste time. ”

The fat woman's father yelled at Du Leng.

Du Leng looked embarrassed.

At this moment, it is estimated that there are 10,000 grass and mud horses galloping in his heart. A fashion B is cool for a while, and be careful of the crematorium afterwards.

He pretended to be B all morning, earning enough eyeballs and adoration.

Now bad luck is coming.

Three patients with extremely difficult diagnosis, to be honest, he has no bottom on any of them.

At that time, they were surrounded by many patients and their families, and they were given a check-up just to be happy for a while. Coupled with the overestimation of his own strength, when the results of the examination came out, he found that he still had no clue.

Don't know what the cause is?

If you usually sit in the clinic, it is not a big problem.

There are many cases where the cause cannot be found.

Especially this incurable disease, it is normal that it cannot be detected.

But at this moment, sitting in public, and the cause of the previous patient could not be found, the family had a big quarrel with him.

Now another one can't find the cause, which is really worse.

Du Leng had already clearly noticed that many people were casting strange glances at him.

In this case, being watched by people and making a fool of himself in public made him feel extremely ashamed and a little frightened.

"Don't be angry, sir. Bring your daughter here and we'll have a few doctors to diagnose her. ”

Director Zhang Bihua hurriedly mediated.

You can't quarrel anymore, otherwise, what will the other family members and patients look like?

It will also make the doctors and nurses of Xinxiang Women's and Children's Hospital see the joke.

The family came with their super obese daughter.

For this patient with sleep apnea, Zhou Canting is interested.

This kind of disease, in fact, should be hung on the special needs expert number of the respiratory department.

It's hard to come across in normal times, but today there was a case where it was a rare opportunity to exercise.

After several chief physicians read it, Zhou Can picked up the patient's examination data to check it.

He always felt that the patient's neck seemed a little asymmetrical.

The rich diagnostic experience accumulated in the Department of General Surgery has helped him a lot at this time.

"Myxedema of the upper respiratory tract should be a diagnostic direction."

After reading it, Director Zhang Bihua took the lead in giving diagnostic opinions.

"Contrast-enhanced CT did not detect any such phenomena as tumors. Her upper respiratory tract edema is a bit strange, and I have diagnosed many obese patients, but few people have been diagnosed with respiratory myxedema. ”

Deputy Director Shi offers a little experience of his own.

There is a lot of strength in numbers, and these experts gather together to consult and gather the strengths of others, which is indeed much more obvious than going it alone.

"There are three types of SAS disease, which are obstructive, central, and mixed, and I think she should belong to mixed sleep apnea."

Director Jiang was also unwilling to weaken the name of the Department of Neurology, and also gave some substantive opinions.

The three young doctors, Gao Jian, Zhou Can, and Yang Chan, stood behind and did not speak.

All three of them are working hard to make a difference.

(End of chapter)