Chapter 686: 【686】Discuss the case of classmates
Chapter 686 [686] Discussing the case of classmates
After eating, Tao Zhijie took out the medical records of student Zhao Zhaowei and put them on the coffee table.
Other doctors saw it and stopped talking. This morning, everyone was severely criticized by Director Tang, and they felt stuffy in their hearts. A bunch of doctors can't figure out how this medical student could be like this, it's more difficult to manage than ordinary patients.
"He is the most difficult patient to manage." Tao Zhijie said earnestly to the young doctors below, showing that he had expected this kind of situation.
Ordinary people would never have imagined that it is the most difficult thing for a doctor to manage a sick doctor. It's a very simple truth. If you don't understand anything, you will be foolish and you just need to follow the doctor's words. When a doctor is sick, he understands what is going on, and the more he understands, the more suspicious he becomes.
"I misestimated him." He Guangyou admitted that he was negligent in this matter when Tao Zhijie was away, "His grandfather was also hospitalized in the department before, but he didn't have so many strange paranoia."
"What does he suspect?"
"He was suspicious of every word we said. He told him that the injection should be used to control the infection first. He said okay, he will talk to us in two days, saying why the infection was not controlled and what injection was given. I explained to him that your blood The white blood cell and neutrophil indicators in the hospital have dropped, and the needle is effective. But he does not believe it, and insists that we change the medicine. How can antibiotics be changed indiscriminately, and a course of treatment is needed. "
Qiu Ruiyun added: "What he cares about is the jaundice on his body. He thinks it is good if the jaundice subsides. As for the infection index, it is not very important. However, for our doctors, the infection index must be controlled first, and we cannot let the jaundice subside. His liver abscess is getting bigger. The jaundice will slowly subside. His total bilirubin is actually not very high."
After carefully listening to the reports from the following people, Tao Zhijie looked at the two newcomers: "Xiao Song, why don't you say a few words of your opinion first."
"I never thought his condition was good." Song Xuelin adhered to his previous point of view, "His liver abscess is not easy to subside, even though it is small in size, but there are several places, which are very likely to form a large area. "
"So you mean—"
"His abnormal lipid metabolism needs to be investigated."
A group of people listened to Song Caizi's words, thinking that it was as if this person hadn't said anything. Abnormal lipid metabolism, isn't it obvious? Zhao Zhaowei, this kid, has been well nourished since he was a child. He eats too much and is simply obese. If it is secondary obesity caused by neuroendocrine, it will be detected early in hospital. Even so, Tao Zhijie cautiously asked He Guangyou, "Have you ever given a checklist to check your thyroid?"
"I checked, and insulin must be checked more. There is no problem with the results." He Guangyou replied.
"Does other people have other opinions?" Tao Zhijie asked those who did not speak in the group.
Another attending physician in the group, Dr. He Jiuliang, is older than He Guangyou and does not care about Zhao Zhaowei. He can only express his opinion based on what he has just heard about the patient's condition: "I feel that his disease does not need to be complicated. Elder Zhao's thoughts are the same as ours. The initial treatment policy is stable, continue to control the infection, and then observe whether the liver abscess has shrunk, and the final goal is to disappear. The jaundice will naturally disappear. The patient's mood needs to be comforted. If you want to take measures, there is nothing at this stage. A very good way."
"I feel it, he is impatient." Gong Xiangbin continued, "His jaundice appeared after losing weight. In the final analysis, it is his temperament. As Director Tang suggested, find a psychiatrist to talk to him. "
(end of this chapter)
