Hospitals are equally afraid of picking.

Whether it's surgery, ward care, medication, or diagnosis, there is always something wrong with it.

But when it comes to this kind of super VIP patient, the hospital is very vulnerable, and there is no second way to go except to fully cooperate and strive to provide the best service.

Of course, if the hospital top management has a tendon and has to try the taste of death, then there is no taboo.

The five-year-old girl, who had been suffering from fever for almost a month, was hospitalized at the Provincial Children's Hospital for eight days.

The presenting symptoms of admission are fever, abdominal pain, and blood in the stool.

To be honest, it is not common for children to have blood in their stool.

Considering the young age of the patient, the Provincial Children's Hospital conducted a screening for genetic diseases, and did not find that the child's family had a history of relevant genetic diseases.

The child had a large amount of blood in his stool, and when he was admitted to the hospital, he was already in a state of severe blood loss and was close to shock.

The Provincial Children's Hospital provided emergency blood transfusions to the children.

At that time, the child's blood pressure was only 81/35mmHg, which was a very frightening low blood pressure.

Under normal circumstances, it is an ordinary family, and the child will be sent to the hospital for treatment long after the child is so sick. But the family of this BOSS of the Health and Family Planning Bureau is very special, and the child was born to him and his ex-wife.

On weekdays, I am busy with work, and the responsibility of taking care of the children almost completely falls on the stepmother and nanny.

Now that this kind of thing is happening, that stepmother must be to blame.

As for how people deal with it, it's a family matter.

At the time of physical examination, the child had a body temperature of 39.6 degrees, a pulse of 110 beats/min, a breath of 28 times/min, a trance, and severe anemia.

In fact, if the blood pressure is so low, it is already severe anemia.

When the expert examined the patient's body, he found that there was no yellow staining of the skin and sclera, no rash and bleeding spots, no enlargement of superficial lymph nodes, a soft neck, and a centered trachea.

Rhythm of the heart.

Auscultation of both lungs was also unremarkable.

The abdomen is flat and soft, and a cord-like mass can be palpated in the right lower abdomen, with a length of nearly 10 cm and a width of nearly 6 cm.

Seeing this, Zhou Can's first suspicion was an intestinal tumor.

The right lower abdomen should be the ileocecal part of the intestine.

Specialists from the Provincial Children's Hospital conducted further tests on the child, and the hemoglobin was only 36-85 g/L.

Blood and fecal cultures were done several times, all of which were negative.

This should be to check for the possibility of intestinal malignant bacteria.

The intestinal environment of the human body is extremely complex, with countless types of bacteria and toxins in it. But under normal circumstances, these bacteria are beneficial, not only harmless to the human body, but also provide some help for the human body to digest food.

Just like earthworms are able to help plants break down organic matter in the soil.

These tests failed to find the problem, and the experts at the Provincial Children's Hospital worked hard to check the children for antinuclear antibodies and rheumatoid factor.

Rheumatoid disease has always been one of the most clinically strange diseases.

It acts like a ghost that makes it difficult for doctors to diagnose.

And there are many diseases that can be caused.

During the diagnostic process, doctors are prone to misdiagnosis. Nowadays, many experienced old doctors, as long as they encounter this kind of difficult diagnosis, and the symptoms are basically a little side to rheumatoid, will look up this item.

It's a pity that there isn't much to gain.

Next, I checked the reaction of Feida and Waifei.

The results showed that Typhoid bacillus types H and O, paratyphoid bacilli types A, B and C were all negative. After checking this step, it is estimated that the experts of the Provincial Children's Hospital will start to pick their heads.

It turned out that the experts were indeed a little confused, because the children were then checked for hepatitis B virus antigen, serum potassium, serum sodium, serum chloride, carbon dioxide binding capacity, blood urea nitrogen, blood creatinine, and serum protein electrophoresis......

It's just a compilation of everything that can be checked.

This also illustrates a problem, if Western medicine uses this wide-cast examination method to check everything, this is a manifestation of poor medical skills.

A truly skilled doctor will prescribe the necessary tests to the patient.

There will be no superfluous checks.

Of course, this girl belongs to the super VIP, and it is understandable that the experts of the Provincial Children's Hospital have not been able to find out the cause of the disease, and they have done various examinations on her with such fanfare.

The more distinguished patients are treated, the more cautious doctors become.

This can be referred to the ancient imperial physicians who treated the emperor, concubines, and princes. Basically, he pinned his head to the waistband of his trousers, and he could offend Long Yan at any time and be killed.

The civilization of modern society has progressed a lot, and the situation of pulling doctors out and cutting them at every turn is no longer happening.

However, it is normal for doctors to make big mistakes when diagnosing important patients, sit on a cold bench, and ruin their future.

Therefore, Zhou Can can understand the mentality of the group of experts in the Provincial Children's Hospital.

After a series of laboratory tests with no major gains, the experts examined the child's chest X-ray and abdominal X-ray, and found no abnormalities.

A bone marrow aspirate was performed, the granulosus ratio was reduced, intracellular iron was deficient, and no abnormal cells were found.

To put it bluntly, this bone marrow puncture is equivalent to doing it for nothing.

It does not provide much practical significance in terms of diagnosis.

After the child was admitted to the hospital, the cause of the disease had to be identified, but now the child's condition is so serious that he cannot afford to wait. Besides, the sick child's father is staring.

Specialists must first treat the child with some symptoms to save the child's life.

It is also the most common procedure in clinical practice.

Some tests take several days to get results, and you have to wait until the results are available before giving the medication, and the patient may not be able to wait for the results to come in.

Before the cause of the disease was identified, experts from the Provincial Children's Hospital performed a number of symptomatic treatments for the child, such as blood transfusion, hemostasis, and anti-infection.

The diseases that are currently suspected are intestinal hookworm disease, Crohn's disease, lymphoma, intestinal tuberculosis.

In terms of treatment medications, experts seem to be more inclined to intestinal tuberculosis.

Because many of the symptoms of sick children are similar to those of intestinal tuberculosis, and intestinal tuberculosis is a common disease in China.

After the film, the possibility of intestinal tumors can be basically ruled out.

In the beginning, there was a lot of hope for intestinal tumors.

This is because a large cord-like mass can be felt in the ileocecal region.

Unfortunately, after many days of treatment, antibiotics and glucocorticoids were used, and the child's condition continued to recur. When taking medication, the body temperature can be controlled, and the bleeding seems to improve significantly.

However, recurrence occurs soon after stopping the drug.

This suggests that no true cause has been found.

Zhou Can's mind began to carefully deduce the possible cause. It is the most common method to diagnose difficult diseases in clinical practice.

At this time, a middle-aged man with big ears and a rather dignified face walked into the consultation room.

It can be seen that the middle-aged man's face is a little haggard.

The daughter has been seriously ill for many days, and the treatment has not improved significantly, which must have brought great pressure to this man.

"My name is Lin Jinzhi, and my daughter's name is Lin Nuanxi, and I have to trouble the directors, experts, nurses and teachers so late today, I am very sorry not to go. But the little girl is in danger, and I can't afford to delay it, and I would like to express my sincere gratitude to all of you. No matter what the result is, Lin must remember this kindness today. ”

After saying that, the man bowed to everyone.

is worthy of being a big leader, speaking and doing things at a very high level, grasping human nature, and controlling people's hearts is even more wonderful.

Just a few words and a bow were enough for the medical staff present to go all out to save his daughter.

And the impression of him will be very good.

"My daughter was born to my ex-wife, and she married me when I was at my poorest and most destitute. Later, because of work, we didn't have children until my job was more stable, and I gave birth to Lin Yuxi. However, due to heavy bleeding during childbirth, she suffered an amniotic fluid embolism, and eventually left me and my newborn daughter behind. It can be said that my daughter is my lifeblood, and I implore the experts here to think of a way to save my daughter. If you have any questions, you can ask me at any time, and I will fully cooperate with the doctors. ”

Lin Jinzhi once again expressed his position to everyone.

Zhou Can originally thought that this Lin Jinzhi, like most successful men, would be promoted to get rich and change his wife.

I didn't expect it to happen for a reason.

It turned out that the wife died of amniotic fluid embolism and postpartum hemorrhage.

It is not easy to be a father and a mother alone.

Out of personal physiological needs, out of the needs of the family, it is understandable to marry another wife.

It's just that I didn't expect that the second wife I married was not a good person, but a poisonous woman.

If there is a problem with the child's body, it would be great if he could be sent to the hospital for treatment as soon as possible!

There are many diseases, especially malignant ones, and the sooner they are treated, the more advantageous it is.

For example, the discoloration of cancer in China is not taken seriously in many developed countries at all. Because people attach great importance to physical examinations, cancer can often be detected at an early stage.

After surgery and drug treatment, it can achieve the effect of radical cure.

Many people hope that in the future, drugs can be invented to treat cancer, and one day treating cancer will be as simple as treating a small cold.

This can be very big, but it takes time.

Before the development of this drug, it is the most correct prevention and treatment method to do physical examination on time, early detection and early treatment.

Lin Jinzhi's gaze swept over everyone, and he slowly took out a paper folded love peach from his arms.

"This is a birthday present from my daughter, and she said, Dad, I know you are very busy at work, but I especially hope that you can spend more time with me, because you smile so much every time you see me. Happy Birthday to you! ”

The boss of the Health and Family Planning Bureau, his lips trembled when he read the above content at this moment.

Emotions are the most precious thing for human beings.

Even money and work are not as important as emotions. For the people we love, we can go bankrupt, we can work like sweat, and then the moment we get our salary, we can spend it all on the people we love without complaint.

That's the beauty of emotion.

After listening to this, the doctors and nurses present were also moved.

The nurse in charge of the tea and several female doctors wiped away tears.

"Does your daughter vomit a lot of blood? When did vomiting blood begin? How many times have you vomited blood so far? ”

Zhou Can was the first to ask.

It wasn't that he came up with the limelight, but that he was wholeheartedly diagnosing this sick child, and he needed to know more details.

Lin Jinzhi looked up at Zhou Can, and when he found that the first person to ask a question was only a very young young doctor, he seemed slightly disappointed.

But still replied.

"The amount of vomiting blood is not very large, probably since this morning, I started to vomit blood, that is, the sputum spit out when coughing is bloodshot. I vomited a few times, but I really haven't counted them. ”

It seems that vomiting blood is not as bad as expected.

Zhou Can initially suspected that it was the effect of the drug, or that his condition had deteriorated, and it had invaded the upper gastrointestinal tract from the lower gastrointestinal tract.

Or it can invade the lungs.

Coughing up blood is mostly associated with lung disease.

For example, lung cancer and pneumonia are prone to coughing up blood.

"Is your daughter still vomiting blood? I mean, does she still have blood in her phlegm? ”

Zhou Can continued to ask.

Lin Jinzhi frowned slightly.

"Sometimes the sputum that comes out is bloody. I thank you very much for your kindness, but I would like to suggest that you try to leave as much time as possible to the senior experts here. Because they are more experienced, they are more likely to be diagnosed with the cause of my daughter's disease. ”

Obviously, he thought that Zhou Can was asking too many questions, and he was worried that he would take up the time for other experts to ask questions.

Almost all of them have a deep-seated subconscious, that is, the older the doctor, the more powerful, the more advanced, and the more experienced.

"Okay."

Zhou Can's expression was calm and he didn't ask any more questions.

Director Tang Fei wanted to explain two sentences and tell Lin Jinzhi that although Zhou Can is young, his level is not low. But by this time someone had already started to ask questions, and she swallowed the words back for the time being.

"Forest Bureau, what kind of food does your daughter usually eat?"

"My daughter has always been carried by a nanny and my current wife, and I often come home late because I am very busy with work. So it's not very clear. ”

"Do you usually eat a lot of snacks? Because such a young child, serious intestinal diseases, after excluding genetic factors, are often caused by the mouth. ”

"Hmm...... I do eat a lot of snacks on a regular basis. I see that she likes to eat it, and she will often buy some back. Because of eating too many sweets, my daughter's tooth decay is more severe. ”

……

Zhou Can just listened quietly, and his mind was still analyzing the cause of the child's illness.

Half an hour later, the experts had almost all the questions they should have asked.

There were also several new rounds of discussions.

Director Tang Fei began to make a concluding speech.

"Based on the results of the discussion just now, five diseases are suspected: intestinal tuberculosis, typhoid, Crohn's disease, myeloma, malignant or intestinal lymphoma. First of all, intestinal tuberculosis I think should be able to be ruled out. From the analysis of Ambiguous Xi's general condition, there are no symptoms of tuberculosis toxemia, no obvious increase in blood sedimentation rate, no similar genetic history and past medical history, and her condition is very critical, so I think intestinal tuberculosis can be basically ruled out. ”

Director Tang Fei was able to become the director of pediatrics, and his medical skills and academic level were first-class.

It's not an empty vase.

She is gifted in several areas of pediatrics.

The only thing lacking may be the ability to operate.

Because surgery is very practical, very skilled, and requires high physical strength, it is generally difficult for female doctors to make great achievements in this field.

There are only a few cases where there are good achievements.

It is also concentrated in obstetrics and gynecology.

(End of chapter)