After seeing that there were so many café au lait spots on the patient's body, Zhou Can had basically been diagnosed.

In fact, this disease can also be detected by eye examination.

The ophthalmologist can see the miliary-shaped brownish-yellow nodules of the iris through the cleft gland lamp.

Zhou Can picked up the patient's B-ultrasound examination sheet again, and he could see the subcutaneous lump.

Multiple neuromas occur in peripheral nerves at the site of the disease.

If left untreated, it can spread further.

This is also the main reason why the adjacent fingers are affected and the lesions appear.

There is currently no specific drug for the treatment of neurofibromatoma macrodactyly. The best thing to do is to have surgery, supplemented by some medications. The main treatment idea is to ensure the quality of life of the patient and reduce the recurrence of the tumor.

And try to reduce complications.

There is no cure for this disease for the time being.

Zhou Can's treatment idea is very clear, considering the patient's family difficulties, the child's father died in a car accident, the child's grandmother is a sanitation worker, and the mother works outside to make money.

Try to save the family money on treatment and reduce recurrence.

Of course, the first priority is to ensure that the patient's hand function is restored as much as possible. The child is still so young, as soon as he takes out his right hand, he immediately looks like a monster, which will cause great damage to the child's mind.

He will naturally be ostracized and isolated by other classmates at school.

Surgery to restore the child's right hand to its normal shape and function is the primary goal of treatment.

After communicating with the child's grandmother, arrange for the child to be hospitalized for surgery.

Surgical treatments include soft tissue reduction, epiphyseal fusion, bone tissue reduction, amputation of a portion of the finger, carpal tunnel decompression, ...... What seems to be the area to be treated is only two fingers, but it is far more complex than you think.

And the technical requirements for doctors are quite high.

That's not to worry about.

Tuya's surgical strength is one of the best in the province, and there are multiple teams that can complete this level of surgery.

Approaching 11 o'clock in the morning, the little boy who had a fever for more than two years, chest pain, and had not eaten for two days came back after a blood routine and ultrasound.

After the child's mother handed the test results to Zhou Can, she took her mobile phone to check them frequently.

I didn't know and thought she was in a hurry to go to work.

Zhou Can was furious for a while, the child's father was a bad gambler, and being a mother was not a good thing.

The child only eats two meals a day, and being a little more responsible as a mother will not be like this.

"Blood tests showed that the patient's total white blood cell count and neutrophil ratio were markedly elevated, and he had symptoms of anemia. Hemoglobin is low. Zhou Can frowned slightly after checking the blood.

Long-term fever and an increase in the total number of white blood cells, these two together in most cases indicate inflammation in the patient's body, viral invasion, etc.

The patient also has long-term chest pain, which is actually located in the upper abdomen, which is the area of the liver.

After Zhou Can checked the B-ultrasound results, he couldn't help but be surprised.

"Your child probably has an abscess or a tumor in his liver! And the situation is very serious! ”

No wonder children always complain of chest pain.

The area of the liquid dark area in the liver area is very large, and Zhou Can judged that the possibility of liver tumor is small, and it is likely that a liver abscess has occurred.

Ultrasound is quite accurate in diagnosing the size and extent of the abscess.

This is a parent, it really makes people want to take off their shoes and smoke their big mouths.

If the child had been brought in for treatment when he had a fever, it would not have become so serious.

"I know it's serious. Doctor, how do you say it? ”

The woman's expression was unconcerned.

Maybe he thought Zhou Can was deliberately scaring her.

"It is advisable to do a liver puncture first and draw a small sample of pus for further testing. After the specific cause is confirmed, further treatment is done. ”

Zhou Can gave advice on diagnosis and treatment.

An abscess in the liver is only a preliminary suspicion, but it is not conclusive.

I don't know what the disease is.

"Haven't they all been found out? I still have to do a checkup! You can also see the attitude of the child's father, it is impossible to ask him to come up with a lot of money for the child's treatment. ”

When the woman heard this, she was immediately unhappy.

I don't know if she really doesn't care about the life or death of her child, or if she doesn't realize how serious her son's condition is.

"The child's father is unwilling to spend money on treatment, and you are also the child's parent, you can cure it!"

Zhou Can said to the woman.

The child looked at his mother pitifully.

"I don't have any money at all, how can I treat him!"

She felt the child's gaze, and it seemed that her conscience had finally been discovered.

The attitude is somewhat sincere.

"Don't you have a job?"

Zhou Can asked curiously.

"Nope! My father and I play cards and mahjong every day. If you win money, you order two takeaways, and when you don't have money, you order noodles or something at home. ”

The woman's answer really refreshed Zhou Can's three views.

There are people who can live like this.

"Then neither of you nor you work and you don't have any savings, what if you encounter something big that costs money? Just like right now, your son's condition is so serious, the treatment will cost at least more than 10,000 yuan. If you don't have the money for treatment, won't you delay the child? ”

Zhou Can may come into contact with positive people in this society on weekdays.

His colleague, friend, or at least a doctor or nurse, has a serious job. The income is stable, and the social status is not bad. His parents, as well as Mr. Li and Mr. Cui, and his girlfriend Su Qianqian, these people already belong to the middle and upper classes of society, a proper elite.

To say that the bottom of the society he came into contact with were basically patients.

Just like the old lady who brought her grandson to treat macrodactyly, and the young father who brought her child to treat hair dryer deformity, they all belong to the bottom of society. But even if people are at the bottom of society, they are still working hard and are unwilling to rot at the bottom.

This gambler couple sleeps at the card table every day and doesn't work, which is unimaginable.

The most pitiful are their children.

"What do you say? My son's treatment costs more than 10,000 yuan? ”

The woman seemed to be frightened by the high cost of treatment.

10,000 yuan, for some people, may be half a month's or a month's salary, but for people like them who make a living from gambling, it is already a huge amount of money.

"At least $10,000 or more. If the child is brought to see a doctor when he is just sick, maybe it can be cured for about 3,000 yuan. ”

Zhou Can said solemnly.

"I'll call his dad first."

The woman's mobile phone doesn't seem to be bad, at least two or three thousand yuan.

People, different people have different ways of living. For a person like her, a typical life is one day at a time.

"Hey, husband, the doctor said that our son's treatment fee is at least 10,000 yuan, what should I do?"

"I'm playing cards! It's not worth 10,000 if you sell me, so you can do it! ”

"I don't have any money!"

"You don't have money, do I have money? It cost me a hundred and twenty to check that loser in the morning, and I have to win it back. That's it, hang up first. ”

"Hey, hey......"

The woman looked at the phone that had ended the call.

"Doctor, you also saw the attitude of the child's father, I said that he would not care at all. I still have more than 300 yuan on me, why don't you get some medicine!" I took my child home for treatment. ”

At least this mother is still like a person at the moment, and she can take out all the money on her body to buy medicine for her child.

It's just that the child's condition is already so serious that it definitely needs to be punctured and drained, or even surgically cut the abscess, and then medicated. I'm afraid 300 yuan is not even a fraction of it.

Zhou Can looked embarrassed.

"Your son's condition is no longer solved by simply taking medicine, and needs to be punctured and drained. And now the cause is not clear, and there is no way to prescribe medicine. Also, his illness cannot be delayed any longer, otherwise his life will be in danger. ”

Zhou Can can only do the ideological work of his family members with hard work.

"I want 10,000 yuan, where can I get so much money!" The woman's face was helpless.

"As a mother, you can't ignore your child's serious illness, right? Borrow it from relatives and friends to save your son's life first. When your son's illness is cured, you can find a job and earn money to pay off your debts. When you give birth to a child, you are responsible for him. Even the law clearly stipulates that parents have an obligation to raise their children until they reach adulthood. ”

Zhou Can had no choice but to give the woman's support.

In any case, saving the child's life first is the most important thing.

"Okay then, I'll call and borrow it."

The woman went out with the child.

Zhou Can was still a little worried when he saw her attitude.

It's really unimaginable that for the sake of 10,000 yuan for treatment, parents can be ruthless and don't care about the life or death of their children.

This matter was beyond Zhou Can's handling experience, and he felt the need to report it.

Seeing that the child was still so young, he couldn't bear it.

That's a life!

I dialed Director Tang Fei's phone on the spot, she is the director of the pediatric department, and it must be right to report this matter to her.

The call was quickly connected.

"Hello Director Tang, I'm Zhou Can!"

"Hello, hello! Dr. Zhou's first day of consultation, did he encounter something? ”

Director Tang Fei's voice was very gentle, slightly low, and at the same time very steady.

"That's right, I took care of a patient...... "Zhou Can gave a brief report on what had happened.

"It's useless to call the police in this situation. You give me the patient's address and the identity information of the father or mother, and then we will directly contact the local women's federation and neighborhood office, and they will come forward to solve the problem. ”

Tang Fei has a lot of experience in dealing with it than him.

Parents are the first guardians of their children, and if parents refuse to treat their children, doctors usually do the ideological work of the child's grandparents. If it still doesn't work, you can contact the neighborhood office and the women's federation and other institutions to mediate. Use social forces to help your child succeed in seeking medical care.

It is certainly not realistic to ask the hospital or the doctor himself to pay for this.

Doctors also have their own families to support and are limited in their capacity. Even if it is a rich man like Zhou Can, who is worth tens of millions, if his compassion is overflowing, he will personally pay for the treatment of patients who encounter a little difficulty. In less than a year, he would have to become a pauper.

There's no way he's going to do such a stupid thing.

At this time, the door of the examination room was pushed open, and another patient returned after the examination.

"I've got another patient here, so let's do it first!" Zhou Can said to Tang Fei.

"Well, you get busy first! If the child's parents don't treat the patient, you can send me the name, phone number, and address of the patient and his family, and I will take care of it. ”

She finished her instructions and hung up the phone.

Zhou Can put away his mobile phone and looked up at his family.

It was the grandmother who had brought her granddaughter to see her.

"Doctor Zhou, we have finished the examination, please bother to see the results."

After receiving the checklist, Zhou Can motioned for the patient and his family to sit and rest. This eight-year-old girl certainly didn't have a cold.

As for what kind of disease it is, it has to be diagnosed step by step and analyzed by syndrome differentiation.

One thing is for sure, this little girl's illness must be incurable.

Check her blood first.

The white blood cell count of 1.7×10 to the 9th power/L was significantly reduced and well below the normal value.

The normal value of white blood cell count is (4~10) ×10/L for adults and 10/L for children (5~12) ×.

This little girl is only 8 years old this year and belongs to the children.

It stands to reason that her white blood cell count must be more than 9 powers of 5×10 to be considered normal.

Now there is only 1.7 left, which is already very frighteningly low.

Her neutrophil ratio and lymphocyte ratio were slightly lower than normal, which was normal.

However, when Zhou Can's eyes swept over the platelet column, he found that there was only 37.5×10 left to the ninth power/L.

This is significantly lower than normal.

At the same time, the white blood cells and platelets are greatly reduced, which must be a serious illness. It's not a cold.

Zhou Can was even more sure of his preliminary inference.

What kind of disease could it be?

He also had the patient do a urinalysis.

One look at the results, urine protein 4+.

The girl's grandmother watched the young doctor's face change with each examination report, and her heart continued to hang.

"Dr. Zhou, what is my granddaughter's disease? Is it serious? ”

She asked anxiously.

"Judging from the results of the tests so far, I can be sure that she doesn't have a cold. Her white blood cells and platelets were all far below normal, and the urine test results were also very bad, with 4+ urine protein. ”

Zhou Can wanted to say that it was likely to be a serious illness.

Seeing that the old lady's face was already a little pale, he didn't dare to say any more.

If the little girl's illness has not been diagnosed yet, and the family members are scared out of the problem, it will really be a problem.

Many of the retired elderly sit in the office.

Their bodies are prone to a variety of underlying diseases, and when they get older, they can't withstand the wind and waves.

High blood pressure, heart disease, and fear of being stimulated.

"Doctor Zhou, please save my granddaughter! Her parents are not around, and they entrust her to me to take care of, you say that if there are three long and two short, then what can I do! ”

The old lady was very smart, even if Zhou Can didn't say any more, she still guessed that the result might be very bad.

"Don't worry, don't worry, when you come to us, you will definitely do your best to treat her. At present, only blood routine and urine routine have been done, and some indicators can be seen to be obviously abnormal, but there is no way to confirm what the disease is. You may also need to cooperate with some biochemical tests. ”

Zhou Can found that the old lady's hands were trembling, took out a pack of tissues from her bag, and wiped the sweat from her forehead.

And the old lady's face became more and more pale, and it was particularly scary to look at.

I'm afraid that if something happens to this old man, I won't be able to tell it when the time comes!

"Yes, we will definitely cooperate with the doctor to do the examination. Is a biochemical test a film? ”

"You don't need to make a film. It is just a matter of collecting blood and other specimens and sending them to the laboratory for some specific tests, such as lactate dehydrogenase and aspartate aminotransferase. There's nothing wrong with your body, right? ”

Zhou Can asked with concern.

At the moment, he was desperate to have a nurse by his side.

In case the old lady faints in the consultation room, she can't tell!

"I just feel a little weak in my whole body, my head hurts a little, and my chest feels like a stone is pressed, it's stuffy!" She already needed to prop her hands on the table, indicating that she was in terrible health.

Chest tightness, especially the appearance of this symptom after the old man was stimulated, immediately made Zhou Can highly vigilant.

Today is really unlucky, the more afraid of what is biased, what will come.

Before a heart attack or a heart attack, symptoms of chest tightness and dyspnea will appear.

The elderly also have headaches, and if high blood pressure comes with it, it will be even worse.

"You don't have heart disease or high blood pressure, do you?"

Zhou Can asked nervously.

"I have high blood pressure, one, have been taking medication, and my blood pressure is well controlled. I, I seem to be really a little uncomfortable, the figure in front of me is shaking......"

As she spoke, the old lady lay directly on the table and opened her mouth to gasp for air.

"Grandma, grandma...... Woo woo...... "When the little girl saw that her grandmother was sick, she was so frightened that she cried directly on the spot.

Zhou Can hurriedly stood up, opened the door of the consultation room, and shouted to the nurse outside, "One of my family members here may have been stimulated and suddenly fainted." You immediately call other doctors and nurses to come and help save people. ”

"Ah...... I'll call someone right away! ”

When the nurse heard this, she was also a little panicked.

Zhou Can returned to the clinic and hurriedly checked the old lady's body.

First make sure that the old lady's airway is not blocked, and then measure her blood pressure.

Very weird, normal blood pressure, fast heart rate, a symptom with a little girl.

She said she didn't have heart disease, her blood pressure wasn't high, and it was certainly not a hypertensive attack.

(End of chapter)