Chapter 200 From zero to full marks! A miraculous turnaround!
Xu Qiu's voice was still calm and said: "The patient's respiratory tract stenosis does not occur in a short period of time."
"What's the meaning?"
“The patient has been experiencing respiratory obstruction since he was in college, and since then, his trachea has tended to become narrow.
If it is the non-tuberculous mycobacterium you guessed... could it be that he has been infected for more than ten years? "
Director Xie's expression changed.
At this moment, he was shaken!
Is it really nontuberculous mycobacteria?
A week, a month, or even two or three months, it may be non-tuberculous mycobacteria, but for more than ten years... from college to now, this is absolutely against the objective laws.
Well, there is only one answer - Wang San's disease has nothing to do with non-tuberculous mycobacteria!
"Wait a minute, I will convene the fourth consultation of the whole hospital immediately!" Director Xie's face immediately became serious.
Xu Qiu said calmly: "Call the doctor from the endocrinology department to attend the meeting."
"Endocrine...really endocrine?! Okay, I'll call their director over!!"
Director Xie's eyes were a little crazy.
He was a little confused by Xu Qiu's words.
After putting down the phone, Dean Xiehe was a little angry and said: "They were taking an exam and you directly revealed that it was non-tuberculous mycobacteria. How can they ensure fairness?"
Director Xie let out a long breath: "Dean, this doctor... not only guessed that our direction is non-tuberculous mycobacteria, but also pointed out that this answer is wrong! Either he mobilized our Xiehe case database, or A genius far beyond all the younger generations of Concordia!"
Director Xiehe was stunned. Only now did he realize what kind of monster was hidden behind this phone call...
…
Jinghai People's Hospital, Baiyun Province.
Not long after Xu Qiu hung up the phone, Xiehe suddenly requested a video conference.
The assessment venue is originally used for presentations and academic conferences, so there is no shortage of networking equipment.
At that moment, the director of Jinghai People's Hospital asked people to put down the big screen and conduct a video consultation with Union Hospital directly in the hall.
"What's going on here?"
"Consultation? Is this patient's condition serious again?"
"It's great, I have the opportunity to study with the doctors from Union Medical College Hospital! This is the opportunity I have dreamed of!"
For a time, everyone in the venue was excited.
Being able to feel the atmosphere of the Union Medical College Clinic and learn their discussion methods is a precious treasure for other hospitals.
Dong dong dong——
Finally, the big screen was put down, and images gradually appeared on the screen.
The first thing you see is the conference room of Xiehe. It is not big, and the seats are even a little old. But no one doubts that this is the benchmark of Daxia's medical community and an insurmountable peak.
However, the moment the call was connected, Director Xie, who was presiding over the meeting, began to look around anxiously: "Where is the young man who called me, Xu Qiu, yes, that should be his name, Xu Qiu!"
At this moment, the venue of Jinghai People's Hospital was completely silent.
how so?
The director of the People's Hospital smiled dryly and said, "Director Xie, didn't you let these young people see your consultation ideas?"
"No, the direction of our diagnosis may be a little off. We are about to confirm with Xu Qiu."
Director Xie is the director of Xiehe after all.
He knows that everyone makes mistakes, so he has the courage to admit his mistakes.
Even if it's just a resident who points out the error.
At this time, everyone in the venue was shocked and speechless.
Qiu Qingwen, the examiner and others were even more stunned.
wrong?
They had given Xu Qiu 10 points and 0 points before... If the director of Xiehe was really wrong, then Xu Qiu would make a comeback and go from zero points to full points!
Could such a magical plot really exist?
…
"Thank you, Director, dear directors."
In the crowd, Xu Qiu stood up facing countless confused and shocked eyes.
Still carrying a light temperament, he walked to the center of the video conference.
"You said bloodletting can relieve the pain? We have discussed it and think your statement is possible. We agree to bloodletting!"
"As well as anti-nuclear antibodies and rheumatoid factor, do them all!"
Director Xie was a little excited.
After Xu Qiu received permission, he looked at the examiner again.
The examiner's shoulders shook a few times, thinking that you don't need to ask me for instructions now, you have the final say!
"Quickly, prepare the equipment and let Dr. Xu operate it. The laboratory department will also come over and do the serology test quickly!" the examiner said quickly.
More than ten minutes later,
Xu Qiu drained all the pus and blood from Wang San's ears.
Everyone was really shocked.
They thought that the amount of pus and blood would not be too much, but as a result, Xu Qiu used seventeen pieces of gauze and several test tubes were filled!
"Wow, that feels much better!"
The moment the bloodletting was completed, Wang San, who had been shrouded in darkness, suddenly felt his mind clear.
He stared at Xu Qiu in shock.
In the past few months, countless doctors have examined and treated him, and never has he been more comfortable than he is now!
He even felt that he would get better in the next moment!
Shortly after.
The laboratory department reported the results urgently.
Antinuclear antibodies and rheumatoid factor were positive.
Total complement C3 and C4 were increased.
In addition, the patient's renal function was abnormal, with proteinuria and casturia, and symptoms similar to pyelonephritis.
This result shocked everyone in the Union Medical College conference room.
"How can there be positive antinuclear antibodies?"
"C3 and C4 are also elevated!"
"This is not a non-tuberculous mycobacterium infection. Non-tuberculous mycobacteria cannot have such a manifestation!!"
Director Xie and others looked at the director of the Immunology Department at the same time.
The other party read the test report again and again, and combined with Xu Qiu's guess, he said with some shock: "I am not sure if it is the relapsing polychondritis guessed by Doctor Xu, but... all the current manifestations are consistent with this immune disease."
Everyone was silent.
They kept flipping through Wang San's medical records.
Relapsing polychondritis is actually an inflammation of multiple cartilages in the body. It is a rare immune disease and can affect the whole body.
Common sites of infection include auricular cartilage, nasal cartilage, laryngeal cartilage, trachea, etc.
In addition, joints and other places will also be affected.
If this is the case...
The patient's ear canal inflammation, throat damage, and tracheal stenosis are all caused by relapsing polychondritis?
Including the piece of cartilage removed from the lower back, it is actually relapsing polychondritis? !
At this moment, whether it is the Union Hospital meeting room or the Jinghai People's Hospital venue, it is dead silent.
Countless eyes fell on Xu Qiu.
Ten minutes ago, the "relapsing polychondritis" and "antinuclear antibodies, rheumatoid factor" tests that seemed ridiculous became the unquestionable correct answer at this moment.
And this...
is the disease that even the Union Hospital director ignored and guessed wrong!
"No, if it is relapsing polychondritis, there is another problem."
At this moment, Director Xie, who had been silent for a long time, suddenly knocked on the table, his face full of incomprehension.
