Zhuhai County People's Hospital, Emergency Department.

"Doctor, am I really okay?" Tan, who is in his fifties, asked the attending doctor with a worried face.

The doctor said, "It's really fine, CT scans and brain MRIs have also been done, and nothing abnormal has been found." ”

"But......" Old Tan wanted to say and stopped.

"But what?" The doctor asked.

Lao Tan said: "I feel that I must have a problem." Alas...... Forget it, you won't be able to find out here anyway, I'll go back first! ”

"Wait, wait, we can't find out here." The doctor was anxious, and hurriedly stopped the other party and said, "You tell me about your medical history first." ”

"I can't find out, I'm leaving." Lao Tan frowned, waved his hand, and took his wife out.

He has been sick for several years, and he has also been checked in the county people's hospital before, it was three years ago, at that time, he suddenly felt some pain in his chest, and hurriedly ran to the county people's hospital to take a CT scan, but no problems were found, and the doctor asked him to go back.

After returning home, Lao Tan has been cautious, always paying attention to it, and if something is wrong, he plans to run to the hospital immediately.

Fortunately, for the next two years, it has been peaceful.

I forgot about it, thinking it would be nothing.

Who knows, about half a year ago, he began to have back pain again, and as soon as the pain started, it was quite bad.

Especially at night, I couldn't sleep all night long. That kind of torture is worse than death.

Lao Tan came to the county people's hospital again, and the doctor arranged a round of examinations for him, such as blood routine, X-ray, CT, B-ultrasound, gastroscopy, and colonoscopy...... I've done it all, but I didn't find anything wrong.

"The level of the county people's hospital is not good, I still have to go to the big city!"

So, Lao Tan went to the provincial hospital.

To no avail.

Then, on the recommendation of a friend, I went to several big hospitals in the magic capital to visit experts, but I still didn't find any problems.

Lao Tan realized for the first time that the hospital is not omnipotent, and he used to go to the hospital in time whenever he was uncomfortable, but now, he has gone to so many tertiary hospitals, large and small hospitals, and it doesn't work at all.

It can only be said that the current medicine is not as developed as imagined. The level of many doctors is also really insufficient.

"I'm not going to have an incurable disease, am I?"

Lao Tan was a little scared, his back hurt more and more, and the attacks became more and more frequent.

I tossed for about two months, and when they were seeking medical treatment in a big hospital in the provincial capital, as before, they came out of the specialist's clinic happily, walking, walking, and I went, and all of a sudden, it didn't hurt.

Lao Tan breathed a sigh of relief!

His wife also advised him: "If it doesn't hurt, don't look at it, look at it, there is nothing wrong." Between the lines, my wife still carried a little reproach, and felt that Lao Tan liked to "moan without illness".

So many doctors haven't seen that you are sick, and you shout every day that it hurts here and there, doesn't it make it clear that you don't usually want to do housework?

I do housework every day, and I don't complain of pain.

The wife naturally has complaints.

Since his wife said so, Lao Tan had no choice but to go home.

After that, there was a period of peace.

Then, today, without an obvious trigger, Lao Tan suddenly fainted.

He fell to the ground, lost consciousness for about ten seconds, and was accompanied by symptoms such as sweating, blurred vision, and nausea.

Then after an inspection, naturally no obvious abnormalities were found.

His wife also breathed a sigh of relief.

However, although nothing has been found out this time, it has played a "reassuring" role. At the very least, there should be no hidden tumors or anything like that.

Not being able to find out, in a sense, is a good thing. Worse than a check-up, I went and suddenly found that the cancer was terminal, much better than that situation!

"It's just a regular check-up." Lao Tan and his wife walked in the corridor, shaking their heads, very embarrassed.

His wife also comforted him that when he was old, there would be some problems more or less, so don't be too nervous and scare yourself.

The two were about to go home, but unexpectedly, the emergency doctor behind them actually chased them out.

"Wait, wait, don't be in a hurry, we'll help you find out why." Said the emergency doctor.

The people on the side were discussing, what is the matter with this emergency doctor, still chasing the patient out?

The emergency room isn't busy today, is it?

"You can't find out, I've been here several times before." Lao Tan said very seriously. However, I am still very grateful to this doctor, and I said that this doctor is very serious and responsible.

Unlike before, when I saw that there was no abnormality in the report, I let myself go home.

The doctor said, "You tell me about your previous medical history first, I can't figure it out, so I'll help you get a specialist." ”

Lao Tan was surprised: "Do you still have experts in your hospital?" "The heart says that there are experts, so they are also parallel trade experts, right? Can it be better than the experts in big cities and big hospitals?

The doctor said, "Of course there are experts in our hospital, and Dr. Zhou, a top famous doctor invited from the United States, knows, right?" ”

"You know, didn't Dr. Zhou see heart disease?" Old Tan was surprised.

The doctor said with a look on his face that you were lagging behind, "Dr. Zhou is not only proficient in heart disease, but also proficient in many other diseases, and it is said that he is especially good at incurable diseases. Most of your illnesses are incurable. ”

This doctor is already Zhou Qiao's hardcore, and in his heart, Zhou Qiao is simply omnipotent.

This is also one of the confidence of him to chase people out.

With Dr. Zhou here, are you afraid that you won't be able to diagnose the disease?

"So?" Lao Tan and his wife looked at each other, and Lao Tan asked tentatively, "Why don't you ...... Just ask Dr. Chow to take a look here? ”

The wife said: "Just take a look, it's all here anyway." ”

Although his wife suspected him of pretending to be sick before, when she fainted today, she was really startled, and she was also worried that Lao Tan really had some hidden illness.

This disease may be hidden deeply, and since there are experts, it is really unwilling not to try it.

In case it gets more and more serious, it will be too late when the time comes for a real big outbreak.

The doctor called Zhou Qiao, and after Zhou Qiao agreed, the other party brought the patient and his wife to find Zhou Qiao.

Zhou Qiao is in the county people's hospital, if he sits in the consultation, he is in the exclusive consultation room, if he does not sit in the operating room, he may be in the ward rounds, he may also participate in the consultation in the conference room, or give training to everyone, and maybe, accompanied by President Zheng, visit some departments and guide some work.

It is also possible to rest in the temporary office arranged by Dean Zheng.

When the doctor called Zhou Qiao, Zhou Qiao happened to be drinking tea in the office. Jiang Yunyun came to see him and made him a pot of tea by the way.

The tea brewed by this professional tea master is naturally different.

Jiang Yunyun is already in the second semester of her senior year, and she basically has no classes in school, so she is looking for jobs everywhere. I came back this time because I started an internship at the Zhuhai County Bureau of Culture and Tourism.

Hearing that some doctors and patients were coming to find Zhou Qiao, Jiang Yunyun said, "Cousin, then I'll go first." ”

"Well, let's have a barbecue together in the evening." Zhou Qiao invited.

"Okay!" Jiang Yunyun smiled back when she went out and made an "OK" gesture.

Soon after, the doctor arrived with the patient and his wife.

As for the emergency doctor himself, it was time to change shifts, and at this time, he took advantage of the time to help the patient solve the problem before getting off work, and at the same time, he also wanted to take this opportunity to communicate with Dr. Zhou alone and learn to learn.

"Please sit down, please take a seat." Zhou Qiao gestured, and after a brief greeting, he began to ask about his condition, including details of Lao Tan's daily life, such as his diet, daily life and emotions.

Lao Tan told them one by one.

It's just that, looking at the young expert in front of him, Lao Tan and his wife have no bottom in their hearts.

"What is this Dr. Zhou blowing out there, but after all, he is a young boy than my son!" Old Tan said in his heart.

In fact, Zhou Qiao is a few years older than his son, but after several transformations, he has achieved "reverse growth" in the real sense, and he looks very young.

The emergency doctor was off work anyway, and he was not in a hurry to go back, so he listened on the side, observed Zhou Qiao's diagnosis up close, and wanted to learn a trick and a half.

Zhou Qiao remembered that the doctor's surname seemed to be Hu, and he had dealt with him a few times before.

So he said, "Doctor Hu, please help bring out all the tests that this patient has done here before." ”

Zhou Qiao is not in that special clinic now, so he can't connect to the hospital's system, he only has his own notebook.

"Okay, Dr. Zhou, wait a minute."

Dr. Hu hurriedly ran out, and soon, he came over with a hospital-specific computer and borrowed it from the doctor's office not far away. There was also a nurse behind him, helping to hold the monitor.

As soon as they heard that Dr. Zhou wanted to use it, they readily agreed.

The little nurse came over and looked at Zhou Qiao, her little eyes blinked, and she kept sending Qiu Bo, but Zhou Qiao turned a blind eye.

There's no way, he's too peachy, if he doesn't pretend to be stupid, then he will probably be busy to death.

Zhou Qiao began to read the report seriously.

One by one.

Time passed minute by minute, and just when Lao Tan and his wife were not hopeful, thinking that this young expert was estimated to be the same as other experts, and he couldn't give a reason, Zhou Qiao's eyes lit up and he snapped his fingers lightly.

"Doctor Zhou, what did you find?" Dr. Hu hurriedly leaned over and asked. He said to himself, I knew that Dr. Zhou could find clues.

Lao Tan and his wife also stood up in surprise and looked over here.

Zhou Qiao pointed to the computer screen and said, "If you look carefully, this is the coronary CTA report that the patient did before, which shows a mild stenosis of the lumen, and there is an annular density shadow around the lumen of the lower thoracic aorta, considering the possibility of intramural hematoma." ”

"What kind of disease could it be?" Dr. Hu asked.

Dr. Hu was suspicious, not to mention Lao Tan and his wife.

Zhou Qiao pondered for a moment, and then said: "This may be a problem with rheumatism and immunity, check the IgG4 level." ”

Dr. Hu: "......"

Lao Tan and his wife: "......"

Dr. Hu was confused, but he helped the patient transfer to the rheumatology department.

Then, Dr. Hu couldn't bear it anymore and went home to rest first.

Although Dr. Hu is an internist, he has some knowledge of IgG4-related diseases.

IgG4-related disease is a chronic, progressive inflammatory disease with fibrosis. The patient's clinical presentation varies depending on the organ affected. glands are enlarged and induration when the lacrimal and salivary glands are involved; Periorbital inflammatory pseudotumors and extraocular muscle thickening are present. Lesions involve other sites, often with masses within tissues or organs, which can cause local obstruction, compression, or organ atrophy.

This disease is quite complex and may affect a large number of organs. Moreover, many typical symptoms are very easy to be confused with other diseases, and there are misdiagnoses and missed diagnoses.

But, strangely, the patient could hardly detect any typical diseases, nor did he have any typical symptoms. Why did Dr. Zhou lock the direction of the investigation so quickly?

Could it be that you don't know, and then get a random one, right? For the sake of face?

"No, no, no, you can't say that about Dr. Zhou. Dr. Zhou's level is far from what a half-person like me can match, perhaps, he is judged on the basis of something. The mystery in Dr. Hu's mind grew thicker and thicker, and he couldn't sleep well.

I've been dreaming about this in my dreams.

Dr. Hu is quite studious and self-motivated, and he is also a very curvy person. Otherwise, he would not have seized this opportunity and wanted to communicate with Zhou Qiao in private.

It's just that what makes him strange is that when Dr. Zhou diagnosed the disease, he saw it with his own eyes, but there was a feeling that an antelope was hanging on its horns and there was no trace to be found, which was very ethereal.

Dr. Hu said that he couldn't understand it, he couldn't understand it at all. Can't keep up with the rhythm of Dr. Zhou's thinking.

When Dr. Hu came to work again the next day, he called a colleague who was familiar with him in the rheumatology department and asked about Lao Tan's condition.

"Oh, you said the uncle you turned around yesterday. The test results came out, and it was really as Dr. Zhou expected, it was an IgG4-related disease. His serum IgG4 level was high, Dr. Zhou said to do a biopsy, and then we did a biopsy, and found that it was plasma cells that were expressing, which was amazing! ”

Dr. Hu: "......"

The colleague said: "Dr. Zhou is going to hold a multidisciplinary consultation on this case today and talk about the process of his diagnosis. ”

Dr. Hu immediately said, "Come, of course, as long as I can go away!" Some? ”

"Two o'clock in the afternoon, the large conference room in the administration building."

"Okay, thanks."

"You're welcome, who is with whom."

At 1:40 p.m., Dr. Hu set off. He didn't have to sit in for a consultation today, and the affairs of the ward were finished in advance, and he told the department director, and the department director agreed.

So, he went to the large conference room, intending to sit in. It turned out that even the seats for the auditors were occupied!

There are so many people coming!

Although the number of people is large, it is a small scene for Zhou Qiao. When he used to give lectures at the University of California, San Francisco, and Los Angeles, there were many more people than that!

Zhou Qiao talked eloquently, peeling off the cocoon, and explained some IgG4-related diseases to everyone, especially some IgG4-related diseases with atypical symptoms, which are very difficult to diagnose.

In itself, there are fewer cases of the disease.

Because diagnosis is difficult. Especially, like Lao Tan, it is not typical at all.

The patient's symptoms are simply a thick growth on the outside of the blood vessel, which causes the blood vessel wall to thicken, which is easy to ignore.

In the patient's body, there is no obvious mass. Especially in the chest and abdomen, the reports made are quite good.

Lao Tan was admitted to the hospital, and then, he began to feel uncomfortable again, and his back began to hurt.

He said in his heart that he was going to be tortured again, and it was difficult to sleep at night.

Who knows, under the guidance of Zhou Qiao, the doctor from the rheumatology department came to give him an injection, and he was immediately comfortable!

The results were immediate!

(End of chapter)