Chapter 2 Yang Xiuying's Thoughts
While thinking, Yang Xiuying had already arrived at the doctor's office on the first floor of the comprehensive ward. In the office, Director Hong Jianguo from the comprehensive ward was sitting, a man in plain clothes beside Hong Jianguo, and three young doctors.
Seeing Yang Xiuying coming, Hong Jianguo quickly asked her to sit in the office.
"Doctor Yang, this is our deputy mayor of Changzhou City, Qu Liang, and the mayor of the district." Hong Jianguo introduced the handsome and handsome man sitting beside him to Yang Xiuying.
"Hello, Mayor of District!" Yang Xiuying quickly stood up and shook hands with Qu Liang.
"Hello Dr. Yang! Thank you very much for coming to consult my mother." The mayor of the district revealed the "secret". It turned out that the person who could move Gao Jiang, the great god, was the deputy mayor of the city.
"Well, obviously, President Gao doesn't want Director Du to steal his limelight. Since that's the case, I will try not to speak later." Yang Xiuying already had an idea in his mind.
Soon, Gao Jiang rushed over. Hong Jianguo saw that he had personally put on Gao Jiang's white coat that had been prepared. His careful, considerate and charming attitude made Yang Xiuying feel disgusted and he also felt disdainful of Gao Jiang's calm expression. Humph, such a director is a world of difference compared to our Director Shi Yuanteng.
After Gao Jiang sat down, he nodded to the district mayor, and then said to Hong Jianguo: "Director Hong, let's start."
"Today, I am very grateful to President Gao for taking the time to consult with the mayor of the district in our department. Now, please report the medical history and treatment process by the supervisor." Hong Jianguo's opening remarks did not mention Yang Xiuying at all, as if Yang Xiuying was a transparent person.
Yang Xiuying is very focused on her major. Once she enters the state, she no longer pays attention to other things. She listens to the doctor's report without missing a word.
The mayor's mother is 65 years old and is not very old. She has been hospitalized for more than half a year due to progressive limb fatigue. In the past six months, after Chinese and Western medical treatment in many hospitals in the city, her symptoms have not improved at all. On the contrary, her condition is getting worse and worse, and she has developed to a recent time. She can no longer walk alone, and she has lost a lot of weight in half a year.
The anxious district mayor found Gao Jiang. What surprised Yang Xiuying was that Gao Jiang actually allowed the patient to be admitted to a comprehensive ward with the nature of recuperation, which further confirmed Yang Xiuying's speculation and made Yang Xiuying even more disdainful of Gao Jiang's approach and people.
After being admitted to the comprehensive ward, all the tests that should be done and can be done were done, and no obvious abnormalities were found. Some slight abnormal biochemical indicators did not explain the patient's performance and changes in the condition, because the diagnosis was unclear and the treatment could not be carried out effectively.
After the report of the doctor in charge, Hong Jianguo made some painless supplements. Gao Jiang suggested going to see the patient and asked Yang Xiuying to follow him to see the patient.
It seems that Gao Jiang asked Yang Xiuying to learn from him, but Yang Xiuying is as clear as a mirror: Gao Jiang has long been very unfamiliar with his major, and this time he asked himself to come here simply to provide advice and suggestions. Yang Xiuying, who admires Shi Yuanteng, decided that he would be like outsiders, and he would listen to everything.
After checking the patient, Yang Xiuying had already thought about it. Gao Jiang also finished seeing the patient and returned to the doctor's office to discuss it with everyone.
The doctors in the comprehensive ward, including Hong Jianguo, have no new opinions and have no clue about diagnosis. Naturally, they have not put forward any good or new opinions on treatment.
Gao Jiang turned his head to Yang Xiuying sitting next to him and said, "Doctor Yang, you can talk about it first."
"Well, I have no idea, so I'd better listen to President Gao's analysis." Yang Xiuying rejected Gao Jiang very politely and simply.
Gao Jiang's face changed slightly, but Yang Xiuying's words were nothing wrong. Although his wishful thinking failed, it was not easy to attack. In desperation, Gao Jiang had to diagnose and analyze the patient's condition by himself.
"The patient is an elderly woman, with muscle weakness in the limbs as the main manifestation, and it is characterized by light morning and heavy evening. During physical examination, the patient suffered muscle fatigue. Although there is no characteristic change in the electromyography, I consider the most likely to diagnose the patient. It is recommended to conduct a neostigmine test on the patient immediately and adjust the treatment of the drug based on the test results." For professionalism, Gao Jiang's idea can only be used to this extent.
After listening to Gao Jiang's speech, Hong Jianguo immediately issued a doctor's order to ask the nurse to conduct the New Side Mining test under the supervision of the doctor. Thirty minutes after the New Side Mining injection, Gao Jiang came to the patient's bedside again and asked the patient repeatedly: "Does the hands and feet feel stronger than before?"
When Yang Xiuying heard Gao Jiang’s question, she couldn’t help but turn her eyes up: “How can you ask the patient like this? Such words are strongly suggestive, and if you ask the same sentence repeatedly, it is difficult for the patient to not be affected.”
As expected by Yang Xiuying, the patient pondered for a while after Gao Jiang's repeated questioning, and said, "Well, it's indeed a little stronger than just now." Gao Jiang heard this, his eyebrows raised and said, "That's it, this is a typical generalized myasthenia gravis. Use pyridinesidine immediately, three times a day, 60 mg each time. In addition, it is best to use large doses of GC globulin shock treatment."
When Yang Xiuying heard this, she almost blurted out: "At such an age, is it appropriate to use such a large amount of pyridine from the beginning?" However, Yang Xiuying finally held back. After all, she herself was not sure about the diagnosis of this disease.
"Well, it's good that Director Dun is here. I believe he must have better ideas and clearer guidance." Yang Xiuying couldn't help but think of Shi Yuanteng.
After the consultation, Yang Xiuying and Gao Jiang walked out of the comprehensive ward together.
"What happened just now? Why didn't you express your opinion?" Gao Jiang was obviously unhappy with Yang Xiuying's performance just now.
"I'm sorry, President Gao! I'm really not sure about this patient, so I dare not talk nonsense." Yang Xiuying tried to lower her posture.
"What do you mean is that you don't agree with the diagnosis of myasthenia gravis?" Gao Jiang's words seemed very serious.
"This is not what it means. If the Neustin test is obviously positive, there is no doubt about the diagnosis of myasthenia gravis." Yang Xiuying refused to comment.
"Well, it seems that you are still skeptical about this diagnosis. Well, we will see the final decision tomorrow. I originally wanted you to come and show your strength, but I didn't expect you to be so cautious and wouldn't even say a word." Gao Jiang seemed to be very confident in his diagnosis, but he was obviously dissatisfied with Yang Xiuying's performance.
"By the way, the district mayor wants to invite us to dinner tonight, so you can go too later." Gao Jiang still didn't give up.
"No, I'm going to attend the parent-teacher meeting tonight." Will Yang Xiuying give Gao Jiang a chance?
"Why are there so many parent meetings? Isn't your husband enough to participate?"
"No, it's unreliable for men to attend such a meeting." Yang Xiuying had something in her words. Gao Jiang was stunned for a moment and stopped answering Yang Xiuying's topics.
Back at the ward, Yang Xiuying felt the more she felt wrong. From the onset of the disease to the present, the symptoms of this patient were only concentrated on the limbs, and there was no fluctuation in the morning light and the heavy evening that Gao Jiang said. The New Sidemin test did not show any real positive.
Chapter completed!