Chapter 327: Different Diagnostic Opinions, Sorrow at the Bottom

It doesn't look like asthma.

Zhou Can frowned and pondered, there was really no way to diagnose what disease the old lady had for a while? Could it be a cerebral hemorrhage?

However, the patient's blood pressure is quite normal, and it stands to reason that even if there is a cerebral aneurysm or the like, it should not be broken with a little stimulation! Besides, the human body is not as fragile as it seems.

At this time, other doctors and nurses from the pediatric department rushed to help.

When a patient needs to be resuscitated, medical staff are often in unison. It's pretty much the same no matter what department you're in.

There is only one exception.

Rescuing a patient is at great risk.

For example, it is possible to be blackmailed by family members, or the patient may behave more difficult, or even have some behavior before needing to be rescued.

Doctors and nurses are also human beings, and they know that taking the initiative to rescue may cause big trouble, so they must avoid the evil and operate according to the situation.

To kidnap a medical worker by the standards of a saint is to think too much.

"Doctor Zhou, do you know what her illness is?"

"I just don't know! Before she passed out, she said that she had high blood pressure, but she took her medication on time. I measured my blood pressure and my heart rate was a bit too fast, but it was okay. She was unwell when she heard that her granddaughter's condition was more serious. She said she had no strength all over her body, headaches, and chest tightness. By the way, she still had cold sweat before she fainted. ”

Zhou Can couldn't find out the cause of the woman's illness for a while, so he recounted the patient's symptoms and onset.

"Director Yan is here, let Director Yan take a look!"

In such an occasion, when a patient is in urgent need of rescue, the weight and prestige of a top expert is even more significant.

Because there is no way to find out the cause of the patient in a very short time, it is naturally impossible to treat the symptoms. Many fatal diseases, even if they are only symptomatic one second in advance, may save people.

Director Yan stepped forward, leaned over to listen to the patient's breathing, observed the patient's mouth and nose, and finally opened the patient's eyelids and looked at it.

"Her breathing looked scary, not fatal. I felt her forehead a little hot, did I take her temperature? ”

The top experts are really extraordinary.

This shot, just the powerful aura that naturally emanates, as well as the concentration, is enough to stabilize the scene. Let the medical staff present feel at ease.

"I haven't taken my temperature yet!"

At that time, Zhou Can only thought about ruling out the two diseases with the highest risk, high blood pressure and heart disease, but he didn't think about taking his temperature.

There are already nurses who are quick to see and clip a thermometer into the patient's armpit.

During this period, Director Yan began to learn more about the patient's illness from Zhou Can.

After listening, she said lightly, "It shouldn't be too dangerous, I observed that her eyes were a little red and swollen, as if she had cried many times with sadness." It may be that he was overworked, coupled with his old age, and he was worried about his granddaughter's condition, and his granddaughter was seriously ill and stimulated, which caused abnormal nerve discharge, and finally fainted. ”

After listening to Director Yan's reasoning, the other doctors nodded again and again.

This explanation is indeed very realistic and in line with medical logic.

In addition, Director Yan has always been highly respected in pediatrics, and his medical skills are also extremely clever, not to mention his diagnosis and treatment experience.

"Is your temperature better?"

Director Yan looked at the nurse who was taking her temperature.

All kinds of admiring eyes, and everyone echoing her diagnosis, she has long been accustomed to this kind of beautiful scene.

So there wasn't much of a change in expression.

"37.3, seems to have a little low-grade fever." The nurse replied after checking her temperature.

37.1 degrees is considered a low-grade fever, only more than 0. 2nd grade, in clinical practice, doctors will determine the patient's syndrome, and in most cases it will be considered normal body temperature.

"It should be similar to my judgment, it's just that it was stimulated and the nerve was abnormally discharged. After being frightened, the heart rate is too normal. Let the patient rest for a while, and they should be able to recover quickly. ”

After learning about the patient's body temperature, Director Yan made a diagnosis.

"Perhaps...... The old lady was also sick. ”

Zhou Can had been frowning and thinking hard, he seemed to have grasped something, but he was not too sure.

It wasn't until the nurse read out the patient's temperature that he realized that the patient's temperature was most likely a true low-grade fever.

"Why does Dr. Zhou think so?"

As soon as Director Yan made a conclusion, his opinion was overturned by Zhou Can, isn't this equivalent to slapping her in the face?

She wasn't angry, though.

Instead, I want to hear the basis of Zhou Can's rebuttal.

"Because the old lady's granddaughter also has symptoms such as fever and chest tightness. The two of them live and live together, and there are many similarities in their symptoms, which I think are likely to be infectious diseases. ”

Zhou Can's diagnosis ideas are becoming clearer and clearer.

"Yes, it must be! Grandma and granddaughter may have had a disease. ”

After listening to Zhou Can's judgment, a doctor rushed to say, "Headache, fever, this kind of infectious disease is not very common, is it a cold?" ”

"A cold can be ruled out! The girl's symptoms were very similar to those of a cold, but the results of blood and urine tests showed that it was not a cold. Zhou Can has his own judgment.

If it had been so easy to diagnose, he would have diagnosed it long ago.

"White blood cells and platelets are so low? And her urine protein 4+, is it nephrotic syndrome? After Director Yan checked the little girl's examination results, the first thing he suspected was that the little girl had kidney disease.

These similar symptoms tend to be precursors to uremia.

In fact, the symptoms of this little girl are also more consistent with leukemia, but the urine test results of leukemia are generally an increase in uric acid concentration and uric acid excretion in the urine.

She has symptoms of protein in the urine, so leukemia can be basically ruled out.

There is a high probability of kidney disease.

Director Yan has super rich experience in diagnosis and treatment, and the first thing that comes to mind is this disease, which has its own reason.

Zhou Can relied on his intuition that the patient's illness should not be kidney disease.

"I'm more inclined to have a different diagnosis, which is kidney failure and lesions caused by some serious disease. It may even lead to systemic organ failure. ”

Zhou Can expressed his judgment.

Director Yan's diagnosis was once again contradicted, and when the other doctors looked at Zhou Can, their eyes were somewhat strange.

They felt that this young man was too arrogant and self-righteous.

"The possibility that Dr. Zhou said does exist. This old lady should not be in danger of life, no need to be rescued, and can be sent to the observation area to recover on her own. However, it is still important to pay close attention to changes in her physical signs to avoid accidents. ”

Director Yan gave guidance.

Her status is the highest in the field, and it is under her command that no one has an opinion.

"This little girl's diagnosis will be handed over to Dr. Zhou! If you can't solve it, you can save it for tomorrow morning meeting to discuss it. There are still a lot of patients waiting on my side, so they went first. ”

After two consecutive diagnoses were refuted, she was somewhat displeased.

It's just that she has reached her level, and she is broad-minded, and she won't worry too much about Zhou Can. She came over mainly to help rescue the old lady, and now that she has dealt with it, she naturally no longer meddles with things.

The hospital has always implemented the first diagnosis system, and whoever is the first doctor to receive the patient will be responsible for the patient.

She asked the old lady to be dragged to the observation area, obviously not agreeing with Zhou Can's conclusion that the old lady and the little girl were diagnosed with infectious diseases.

"Uncle, please save my grandmother, please!"

The little girl wiped her tears and begged Zhou Can.

may have been in contact with Zhou Can for a long time, and she came to the hospital to see a doctor and also looked for Zhou Can. Now that her grandmother has an accident, she instinctively has a certain trust and dependence on Zhou Can.

"Don't cry, don't cry! This is the most powerful of all our doctors, and she has just diagnosed your grandmother, and she is not in danger of her life. Don't worry, my uncle is a doctor, and he won't leave you alone. ”

Zhou Can comforted the little girl while watching the nurse and other doctors work together to get the old lady onto the flat bed that was pushed over.

This flatbed cart is a common tool used in hospitals to transport comatose patients.

"Director Yan, I'm still a little worried that the patient is suffering from an infectious disease, and the observation area is full of children, and there are even newborn babies and mothers who accompany their children. These are all susceptible people, so for the sake of safety, do you think you can put this old lady and her granddaughter in a relatively closed environment? ”

Zhou Can has a strong sense of security.

The main thing is the heart of the doctor's parents!

In case these two people really have an infectious disease, it can be transmitted through the air, saliva droplets, etc., and the consequences are unimaginable.

Hearing Zhou Can emphasize twice that the patient might have an infectious disease, the doctors and nurses who had carried the old lady just now were somewhat worried. Doctors and nurses are high-risk professions, and it is not uncommon for them to be infected with various diseases.

Everyone is afraid that they will be unlucky.

Dr. Zhou's concerns are not unfounded. Let's put them in Ward 0 first! Wait until the patient's specific cause is identified before making further arrangements. ”

Although Director Yan dealt with Zhou Can for the first time, he had heard some of Zhou Can's deeds.

Knowing that this young man's skills are not simple.

She didn't dare to take Zhou Can's diagnosis too lightly.

Ward 0, there are some major hospitals that have this kind of special ward. Some hospitals call it an isolation ward.

For example, AIDS patients, hepatitis B patients, potential rabies patients, etc., if they need to be hospitalized for observation, in order to avoid threatening the safety of other patients and their families, they often enjoy the special treatment of being admitted to ward 0.

Some hospitals will also directly stipulate that patients with infectious diseases will be transferred to the infectious disease ward for treatment.

Regulations vary from hospital to hospital.

Tuya Hospital was first founded by foreign friends, and Ward 0 has always existed.

It is not a specific ward, and the department will change temporarily according to actual needs.

"Little girl, obediently stay by your grandmother's side, you know? I will arrange for the nurse to collect blood samples for you and send them for biochemical tests, so that we can find out the cause of you and your grandmother as soon as possible. ”

Zhou Can said softly to the little girl.

After speaking, his eyes looked at the nurse who was taking the old lady's temperature.

"Beauty, could you please help her collect a blood sample? She was actually quite sick, and now her grandmother doesn't know when she will wake up. I opened the application for the examination and took her blood sample and sent it for testing. It is estimated that the results will be available at two o'clock in the afternoon at the latest. ”

At this moment, it was close to twelve o'clock at noon, and Zhou Can was very worried that the little girl's illness would be delayed.

She had been sick for two days and looked very weak at the moment.

This little girl is very sensible, and she looks sympathetic.

As long as he can help, Zhou Can deliberately does his best to help a group of grandparents and grandchildren.

"Yes!"

The female nurse readily agreed.

Many female nurses are very kind-hearted and sympathetic to the weak.

Zhou Can opened the examination application form, and after the nurse brought tools to collect blood samples for the little girl, he, who was a doctor, personally ran errands for the patient. First, take the slip to the window to pay the fee.

No way, the old lady is unconscious, it is impossible to rummage through her bag to find the ID card.

Window payment is the only shortcut.

After paying the fee, it will be sent for inspection.

The outpatient room is closed at noon.

Go to work at one o'clock in the afternoon.

The doctor eats for about half an hour and can rest for half an hour.

……

When he went to work in the afternoon, Zhou Canji hung up on the little girl's test results, and went over to take a look, but the results of the biochemical test had not yet come out.

There are too many patients doing biochemical tests in Tuya Hospital, and even though the laboratory is overstaffed and the testing speed is fast, it still takes an hour or two to get the results.

Some biochemical testing items are also time-consuming.

He had just entered the No. 17 clinic and had not yet sat down when the rotten gambler's mother came in with her son.

"Dr. Zhou, I called all over the phone, but I didn't get any money. Do you think you can prescribe some medicine for my son? Her eyes were a little red, and she could still see the signs of crying on her eyelashes.

It seems that she can't borrow money by phone, which makes her a little broken and crying.

When people reach middle age, if they don't have a certain amount of credit, it is a very sad thing.

If nothing else, when something happens, no one wants to trust you if you want to borrow money.

This woman should have deeply experienced what it means to be helpless.

The feeling of being abandoned must be uncomfortable.

"Let's register your and your child's name, address or something! Our hospital also helped to figure out a solution. Zhou Can didn't tell her directly, he would find the street office.

Because of this, she was so scared that she would definitely not cooperate with the registration.

After registering, he also deliberately asked for the woman's ID card and carefully checked it.

As soon as I looked at the ID card, I realized that this woman was already thirty-eight years old.

She felt sad.

The most pitiful thing is her son.

He was only more than three years old, and no one cared about his illness like this.

"Is the child's father still unwilling to pay for his treatment?"

"I called him, said that he had lost money, and in turn scolded our mother and son. I don't dare call him anymore now. The child's father has a short temper, and if I bother him about this matter again, I will probably hit someone. ”

The woman seems to be very afraid of the child's father.

"Okay, our hospital will figure out a way to deal with this. You take the child home first. ”

Zhou Can sent the mother and son away.

The woman hesitated, but finally left with the child.

She may want to ask how the hospital can help her.

(End of chapter)