Chapter 42 Diagnosis, rare disease
"Old man, this is all retribution, retribution..."
The old lady knocked her head heavily on the ground, clasped her hands together, and spoke tremblingly.
ICU Director Jiang, He Hai and others were all confused.
However, the family did not blame the hospital, which is a good thing no matter what.
He Haihai went forward and helped the person up.
At this moment, the old lady suddenly said: "I won't go to the ICU anymore. I want to take my son home."
He Hai's face darkened.
Shen Baocai's condition was not optimistic, and now he has suffered a fracture.
If you don't send him to the ICU, the risk of cerebral hemorrhage will be much higher.
However, if you take it home, the patient will definitely not survive more than a week!
Director Jiang also quickly came over and explained the consequences.
The old lady's eyes were still dull, and she said absently: "Our family deserves such retribution..."
…
…
The next day, when Xu Qiu went to work, he casually asked about Shen Baocai.
Wang Fan, with dark circles under his eyes, yawned and said, "He? He's ready to be discharged from the hospital."
"Have you found the cause?"
"No way, it's because my mother doesn't want to be treated anymore, and she signed the consent form voluntarily giving up the treatment.
However, our nurse accidentally broke a bone while moving Shen Baocai...
Director He was afraid that there would be no more people behind him and the hospital would be involved in a life-threatening lawsuit, so he insisted on staying and asked for the fracture to be treated before being discharged. "
fracture?
A man in his forties breaks his bones just by moving? !
Xu Qiu's eyes changed, thinking that this might be the key to solving the case.
but……
There was still a question in his mind.
During the rescue operation yesterday afternoon, the old lady kept emphasizing that "no matter how much money is spent, it will be cured."
The desire for treatment is very strong.
There is also a solid economic foundation, so there is no need to worry about expenses.
How come one night passed and my attitude changed 180 degrees.
Wang Fan came over and said mysteriously: "I also found out about it after chatting with the nurse during the night shift last night. I can only say...let's relieve my anger."
Xu Qiu became interested and asked, "What's going on?"
Wang Fan said: "Shen Baocai's father is also a doctor, but... his family works in a shady clinic.
At that time, his clinic performed "gender identification" which was strictly prohibited.
Moreover, patients will also be provided with services such as abortion drugs and surgery.
They abort maybe two to three hundred girls a year...
I even heard that in order to make money, his family would deliberately gender-identify some baby boys as girls.
It wasn't until a pregnant woman forced her to die that she gave birth to her child, only to find out that it was a boy. This was revealed! "
Wang Fan had a pleasant smile on his face.
As a doctor, he shouldn't show such a mentality to a suffering patient.
but……
He is a human being first!
With his white coat on him, he will do his best to treat a patient.
But this will not delay his contempt for every ugly soul.
After hearing this, Xu Qiu was a little surprised.
Unexpectedly, the old lady who seemed to be very well-educated had actually done these things.
Despite her grudges, Xu Qiu responsibly retrieved Shen Baocai's medical records and scanned them carefully.
This time, he focused on abnormal bleeding and pathological fractures.
Yes, Xu Qiu did not believe in the conclusion of "osteoporosis" about the fracture last night, but defined it as a pathological fracture.
After all, for a person in his forties, osteoporosis is a bit premature.
Pathological fracture.
Bleeding.
Routine blood tests also showed an increase in white blood cells and a decrease in platelets.
Renal function was abnormal, and CT also showed shrinkage of both kidneys.
And, most importantly...sudden fainting!
At this moment, the name of a rare disease suddenly popped into Xu Qiu's mind.
He immediately rushed to the ward and asked the old lady, "Madam, has the patient's vision declined in the past few days?"
The old lady squatted in the corner, lost her mind, and said to herself: "Bodhisattva bless, Bodhisattva bless..."
Xu Qiu could only ask again.
The other party nodded numbly: "My son said several times that he couldn't see clearly and needed glasses. I felt at that time that it was retribution... How can anyone in their forties suddenly become short-sighted?"
Xu Qiu patted her thigh and felt suddenly enlightened.
Vision loss and even blindness are also symptoms of the nervous system!
At first, he and other doctors only checked the neurological manifestations of the limbs and face, but ignored this!
Xu Qiu hurried back to the office and prescribed two new examinations for the patient.
"Serum Biochemistry Test"
"Bone Bone Biopsy"
afternoon.
When He Hai checked the patients, he noticed several tests prescribed by Xu Qiu and called.
"These tests...do you think it's a blood disease?" He Hai wondered.
Xu Qiu said: "Yes."
He Hai read the medical records carefully again.
Fainting, lung infection, vision loss, platelet abnormalities, kidney damage, and... pathological fractures redefined.
These symptoms are disorganized and belong to damage to multiple systems.
but……
If a system must be used to explain blood diseases, it really makes sense!
He Hai searched quickly in his mind.
Suddenly, an idea flashed through his mind, and a patient he had managed appeared in his mind, and he blurted out: "Do you suspect multiple myeloma?!"
This is a malignant disease characterized by abnormal proliferation of clonal plasma cells.
Plasma cells exist in the blood. Their function is to produce antibodies and resist the invasion of foreign pathogens.
Patients with multiple myeloma lose their normal resistance and are prone to repeated infections, causing damage to multiple systems throughout the body.
Moreover,
Plasma cells are more distributed in the bone marrow.
When it deteriorates and proliferates, it will secrete many abnormal factors to infect bone metabolism!
Nickname - "the disease that eats bones".
"If it is multiple myeloma, it is really retribution..." He Hai exhaled a long breath.
He has only seen one case of this rare disease in his more than 30 years of career.
It is almost incurable.
He can only rely on radiotherapy and chemotherapy to maintain life and ensure the quality of life.
Soon after, the test results were sent.
Biochemical examination: increased serum abnormal globulin, positive hemocoagulase protein.
Electrophoresis also showed an abnormally high and sharp M peak.
This is a common manifestation of multiple myeloma.
Another biopsy completely confirmed that it was a plasma cell tumor!
He Hai said with lingering fear: "It is actually a blood disease..."
If it wasn't Xu Qiu, he would never have thought of this!
Director Jiang of the ICU also received the news. After seeing the diagnosis, he was even more amazed.
He sighed: "It feels like we old guys can't keep up with the experience. The young are really awesome!"
Since the diagnosis is clear, there is nothing to do in the ICU for the time being.
Director Jiang returned to the ICU.
Unexpectedly, that night, another emergency call came from the emergency department!
At the same time, Deputy Director Qiu of the Oncology Department suddenly appeared at the door of the ICU!
