【686】Discuss the cases of classmates
After dinner, Tao Zhijie took out Zhao Zhaowei's medical records and put them on the coffee table.
When the other doctors saw this, they stopped talking. Everyone was criticized by Director Tang this morning and felt depressed. A group of doctors couldn't figure out how this medical student was like this, it was more difficult to manage than ordinary patients.
"The most difficult patient to manage is his type." Tao Zhijie said earnestly to the young doctors below, which shows that he had expected this situation.
Ordinary people would never have thought that doctors are the most difficult to deal with doctors who are sick. A very simple truth. If you don’t understand anything, you will just be foolish and just need to listen to the doctor’s words. When a doctor is sick, you will understand what’s going on. The more you understand, the easier it is to be suspicious.
"I guessed him wrongly." He Guangyou admitted that he was negligent about Tao Zhijie when he was away. "His grandfather had been hospitalized in the department before, but he did not have as many strange suspicious diseases as he had."
"What did he doubt?"
"He suspected every word we said. He told him that we should first control the infection when we were given this injection. He said ok, and we said we would say that we would not control the infection. I explained to him that the neutrophil indicators in your blood had fallen out, and the injection was effective. But he didn't believe it and insisted that we change the medicine. How can antibiotics be changed randomly? It needs to be given a course of treatment."
Qiu Ruiyun inserted his mouth and added: "What he cared about is the jaundice on his body. He thought that it would be better if the jaundice subsided. As for the infection indicators, it was not very important. However, for our doctors, the infection indicators must be controlled first, so that his intrahepatic abscess cannot be made bigger. The jaundice will gradually fade. His total bilirubin is actually not very high."
After listening carefully to the report from the people below, Tao Zhijie looked at the two newcomers: "Xiao Song, why don't you say a few words of your opinion first."
"I never think his condition is good." Song Xuelin adhered to his previous view, "His liver abscess is not easy to subside. Although the area is small, there are several places, and it is very likely to be connected into a large area."
"So you mean-"
"It needs to be investigated for his abnormal lipid metabolism."
A group of people listened to Song Caizi's words and thought that it was like this person who didn't say anything. Isn't this obvious? Zhao Zhaowei, a kid, has been very nutritious since he was a child. He ate too much and was simply obese. If it was secondary obesity caused by neuroendocrine, it was found out early in hospital. Even so, Tao Zhijie carefully asked He Guangyou: "Have you checked the thyroid gland?"
"I have checked it, and I must check the insulin even more. There is no problem with the results found." He Guangyou replied.
"Does other people have any other opinions?" Tao Zhijie asked the person who did not speak in the group.
Dr. He Jiuliang, another attending physician in the group, is older than He Guangyou, and is not responsible for Zhao Zhaowei. He can only express his opinion based on the patient's situation he just heard of: "I feel that his disease does not need to be complicated. Mr. Zhao's ideas and our early treatment guidelines are safe. Continue to control the infection, and then observe whether the liver abscess has shrunk. The final goal is to disappear. Jaundice will naturally recede. The patient's emotions need to be comforted. If measures are to be taken, there is no particularly good method at this stage."
Chapter completed!