Gao Baixiang didn't know Wei Dabao, but when he saw Teacher Wu talking to him with a pleasant face, he naturally wouldn't offend the people around Teacher Wu.

Wei Dabao was also very well-behaved, and he didn't even dare to say a word louder. He borrowed a ballpoint pen, took a few pieces of A4 paper, and quietly followed behind Director Gao, starting to remember from the doctor's order.

Gao Baixiang was distressed, and he had a small tail behind him, and he couldn't beat or scold.

Wei Dabao was also distressed, high-level hospitals turned out to be like this, and many doctors didn't know what they meant when they were ordered and examined.

Both of them kept their heads down, and as hours passed, the results of the examination were the same.

Gao Baixiang then took the junior doctor to personally send the patient to the nuclear medicine room for PET-CT.

PET-CT is an invasive examination with radiation, and it can be done after completing some basic examinations and finding no special contraindications.

Gao Baixiang also tried his best to complete Mr. Wu's requirements, and generally wanted to do PET-CT, at least 2-3 days to wait, which is still not in line.

There are no patients in Jianxie Hospital, but the medical equipment is top-notch, not to mention how much money is opened, just looking at these devices and the images and examination results that come out, Gao Baixiang feels that the whole body is comfortable.

Because of the radiation, the nuclear medicine unit cannot be in the inpatient unit.

4 or 500 meters away from the inpatient department, there is a newly built two-story building in a corner of the compound of the Jianxie Hospital, and the anti-radiation measures are quite in place. This is the nuclear medicine room, where a brand new PET-CT scan is located.

The nurse began to administer medicine to the patient, and Gao Baixiang sat outside waiting for the results, he was not familiar with Wei Dabao, and he felt embarrassed to say anything.

And what Gao Baixiang didn't understand was that Mr. Wu seemed to take good care of this middle-aged and old man who looked a little obscene, and he didn't understand what Mr. Wu meant even if he wanted to break his head.

Wei Dabao held the A4 paper and looked at the messy pile of records on it with sadness.

CRP：WBC 6.9*109/L，N 80%，HGB 96 g/L，PLT 580*109/L，CRP 102 mg/L、ALB 28 g/L，GLB 34.7 g/L，ALT 109 U/L，AST 54 U/L，GGT 95 U/L，ALP 212 U/L，TBIL 9.2 μmol/L，Cr 48.6 μmol/L，LDH 153 U/L，CK 12 U/L；LPS 120.8 pg/ml, 1-3-β-D dextran 115.53 pg/ml, ANA, ANCA, PCT, T-spot, HLA-B27, tumor markers......

What's the use of that!

Looking at the pile of test results written down, Wei Dabao's eyes were really spent, not exaggerated.

Most of the checks Wei Dabao didn't know what it meant at all.

After thinking for a long time, Wei Dabao plucked up his courage and approached Gao Baixiang and asked, "Director Gao, hello." ”

"Well, Doctor Wei is good. Gao Baixiang said lightly.

"Director Gao, I see that the patient is fine, how can Section Chief Wu diagnose Takayasu's arteritis?" Wei Dabao asked.

"Takayasu's arteritis is not very common and is generally misdiagnosed. Gao Baixiang explained, but he didn't use professional words to say, he was afraid that Wei Dabao, a "barefoot doctor", would not understand.

"Misdiagnosis?"

"Well, I've seen a couple of patients with Takayasu's arteritis. The most recent time was that a patient in the respiratory department had an inexplicable low-grade fever, and he did all the tests, but he couldn't find any problems. Later, three hospital-wide consultations were organized...... Dr. Wei, you know that inexplicable low-grade fever is tricky. ”

"Uh-huh. Wei Dabao nodded again and again.

Clinically, low-grade fever that cannot be found is called inexplicable low-grade fever or nameless low-grade fever.

The vast majority of antibiotics are left on for a few days, and the patient is fine. But a very small number of them have been bad, and doctors are helpless about it.

"The misdiagnosed patient I mentioned was successively treated with piperacillin, tazobactam injection and moxifloxacin injection for anti-infection, loxoprofen anti-inflammatory and analgesic after hospitalization. However, 1 week after symptomatic treatment, the patient still had fever and headache, and there was no good way to do it after 3 consultations. ”

As he spoke, Gao Baixiang paused, as if recalling the unbearable past. Even after many years, it's still embarrassing to think about it now.

"What happened later?" Wei Dabao asked.

"It just so happened that the professor of the Department of Rheumatology and Immunology of 301 was holding a meeting in the provincial capital, and we didn't have anything to do, so we invited people over. Gao Baixiang said, "If you don't understand the disease, you should seek rheumatism and immunity consultation, which is the unbreakable truth of our doctors." ”

“......”

Wei Dabao heard this for the first time.

For a doctor in a grassroots hospital like him, it is only natural that he should go to a higher-level hospital if he has a disease that he does not understand. As for rheumatism immunity, Wei Dabao didn't even know that there was such a department.

Listening to the name, it seems to be a department that treats rheumatoid arthritis. Why is orthopedics so powerful? Wei Dabao thought wildly in his heart.

"The professor of 301 came, looked at all the test sheets, examined the body, and asked for medical history, which took less than half an hour. In the end, he asked the patient to do a PET-CT and told him the results. ”

"Uh, the same as this patient?" Wei Dabao was stunned for a moment.

"Hmm. Gao Baixiang nodded, "The symptoms are different, but they all let PET-CT be done." It turned out that the person was right, the medicine was given, and the patient was fine within a few days. I've always remembered this, tsk. ”

Wei Dabao was very emotional.

"There is another patient, I highly suspect there is a problem, but he is no longer available. Gao Baixiang said with some regret.

"What patient, Director Gao?"

"Once upon a time, I received a patient whose heart was fine, but ......," Gao Baixiang hesitated for a moment and said, "the patient complained that the blood in the blood vessels did not flow. ”

"......" Wei Dabao was stunned, isn't this mentally ill?

"I also extrapolated from the case I just talked about and felt that there was a problem with this patient's diagnosis. Gao Baixiang continued, "I was diagnosed with depression at that time, and I asked the patient to go to a psychiatric hospital for treatment and treatment. ”

Wei Dabao suddenly remembered what Wu Mian said just now.

"Now, specific fever, fatigue, joint pain, weight loss, headache, dizziness, amaurosis, syncope, vision loss, intermittent claudication, and hypertension may be caused by Takayasu's arteritis. ”

"So, it's not easy for us to be doctors. The older the rivers and lakes, the less courageous they are. Walking a lot at night, it is inevitable to encounter misdiagnosis. Gao Baixiang sighed and said, "For doctors, misdiagnosis may be a mistake. But for the patient, it can be very harmful. ”

"It's like the patient I just said...... From time to time, I cry involuntarily, and say that the blood stops flowing, and normally it is not mentally ill. ”

Wei Dabao nodded again and again, Director Gao's words reminded him of some things he had personally experienced, and when he thought of the misdiagnosis and delaying the patient's life, Wei Dabao's back was cold.

"Doctor Wei, if you have the opportunity, learn more from Teacher Wu. After Gao Baixiang finished speaking, he quietly looked at the doctor who did PET-CT. He seemed to be talking to Wei Dabao, and it was like talking to himself.

On the machine, the image has been initially displayed.