Chapter 278 The competition of the younger generation, you Ph.D. spent money to buy it(1/2)
Chapter 278 The competition between the younger generation, you, a doctor, paid for it, right?
Author: Jiangbian Yuweng
Chapter 278 The competition between the younger generation, you, a doctor, must have paid for it
After listening to the family members' complaints, Dean Tian began to have serious doubts about Du Leng's ability.
But in such a public place, she would definitely not show it.
At the moment, we must first appease the family members and patients and let the situation calm down.
Finally, we invited Tuya's expert team to conduct this expert consultation, but it was full of twists and turns and constant troubles.
Tuya Hospital didn't know how many reliable young doctors to send here.
Thinking of the reliable young doctor, Dean Tian couldn't help but look at Zhou Can.
For example, young doctors like Dr. Zhou are very reliable.
"Family member, please calm down first! Maybe your wife's condition is indeed more complicated. But don't worry, we have invited many experts from Tuya Hospital this time. One expert may have limited knowledge, so we will invite more
Experts will conduct a joint consultation. We must work hard to find out the cause of your wife's illness so that you won't run away in vain."
The family members looked much better after being comforted by Dean Tian.
"Director Zhang, this patient's condition is somewhat complicated. Do you think you can conduct an on-site consultation and discussion on the cause of her illness?"
Dean Tian is almost putting pressure on Director Zhang.
After all, it depends on whether the expert consultation at Xinxiang Maternity and Children's Hospital can achieve good results.
Don't let such a small thing ruin a great situation.
"Okay, after I finish handling the patient in my hand, I will immediately organize a discussion with the experts present." Director Zhang Bihua readily agreed.
You may also worry that your family will be impatient and dissatisfied with waiting again.
After her eyes swept over the other experts, she happened to catch a glimpse of Deputy Director Shi and Director Jiang from Shenchi doing nothing.
"Director Shi, Director Jiang, one of you is good at gastroenterology and the other is good at neurology. The patient's symptoms are related to the digestive system and nervous system. Could you please help me take a look first?"
This time, Zhang Bihua led a team to Xinxiang Women and Children to carry out expert clinic activities. She is the team leader and has full authority to arrange for other experts to work.
Of course, at her level, she is very polite when speaking.
He used a consultative tone.
Instead of ordering other experts to work in that offensive and bossy tone.
"No problem! Bring the information here, Director Jiang and I will study it together!"
Deputy Director Shi answered more positively than anyone else.
This caused Zhang Bihua, Dean Tian and others to look at him in surprise.
We are all talented people. Looking at Deputy Director Shi’s positive attitude, I am afraid that we are somewhat confident!
As everyone knows, Deputy Director Shi and Zhou Can have already discussed it and are even planning to take the initiative to cut off Hu.
If Du Leng hadn't quarreled with his family, Deputy Director Shi might have taken the initiative to 'help'.
The family members fell out with Du Leng, and they were eager to find other experts to treat their wife.
"Honey, let's go, let's find another expert to see you!"
The family members took the information and took their wives to Deputy Director Shi's consultation table.
Director Jiang also stood up and walked over, followed closely by Gao Jian.
Zhou Can quickly stood up and gave way to his seat.
"Director Jiang, please take a seat!"
This kind of humility and courteousness made Director Jiang have a great impression of Zhou Can.
"Thanks!"
Director Jiang nodded friendly to him and sat side by side with Deputy Director Shi.
Zhou Can and Gao Jian stood together for the first time.
The two looked at each other and smiled, but Gao Jian's eyes showed full of fighting spirit.
"Dr. Zhou, after nearly two years, how about we take this rare opportunity to compare ourselves?"
"Haha, I don't care!"
Zhou Can has never been afraid of anyone.
He also wanted to see how high Gao Jian's medical level had become after nearly two years.
It gave him the impression that Gao Jian was much more pragmatic than Du Leng.
He must be much stronger than Du Leng.
This woman's disease was prone to internal medicine, and Gao Jian's main training direction was internal medicine. Therefore, Gao Jian had an advantage over Zhou Can to a certain extent.
Because Zhou Can spent the previous year and a half rotating in various departments of surgery.
It only took about two months to officially enter the internal medicine training program.
The four people began to study the woman's examination data and condition.
This woman suffered from uterine bleeding a year ago and underwent dilation and curettage at the local county hospital. Pathology showed that the scraped material was endometrial tissue. Since then, the woman has not had her period.
Less than half a year later, the woman developed symptoms such as obvious polyuria, thirst, polydipsia, and fatigue.
The most water I drink in a day is up to 20,000 ml.
I have to get up almost every hour or two at night to urinate.
And the patient gradually likes to drink cold water.
I did a steamed bun meal test at the Provincial People's Hospital and was diagnosed with diabetes.
The doctor at the Provincial People's Hospital prescribed Regagonide and Acarbose to treat the patient. After taking the medicine for a period of time, the patient felt that there was no effect and stopped taking the medicine on his own.
He stayed at home like this for several months without controlling his diet. The patient reported that there were always bubbles in his urine, but he had no symptoms of urgency or painful urination.
About a few months ago, I developed vulvar itching and increased discharge.
More than two months ago, I developed symptoms such as impaired consciousness, slow reaction, and occasional inability to communicate. Sometimes I even urinate on my body due to impaired consciousness.
The husband was worried that his wife's condition would become more serious if the treatment was delayed any longer, so he hurriedly took his wife to the hospital for treatment again.
The first place we arrived was the Provincial People's Hospital.
In the minds of many people, the People's Hospital is a good hospital that serves the people, with affordable prices and guaranteed medical quality.
This time, they called a urologist from the Provincial People's Hospital.
After the expert made the diagnosis, the patient was given a water deprivation test and an MRI of the sellar area was performed. It was found that the patient's pituitary stalk was thickened and blood prolactin was elevated, so he was diagnosed with type 2 diabetes and hyperprolactinemia.
There is also a mention of diabetes insipidus at the end?
It is estimated that the expert only suspected that the patient had diabetes insipidus. It was difficult to draw a conclusion as to what type of diabetes insipidus it was.
Experts from the Provincial People's Hospital gave the woman rosiglitazone, acarbose, and glipizide controlled-release tablets to control her blood sugar.
At the same time, desmopressin and bromocriptine were also prescribed to control urine output.
After the woman took desmopressin, her urine output decreased significantly, but the good times did not last long. Only a few hours later, the patient again developed symptoms of increased urine output.
After the patient returned home from the Provincial People's Hospital, he insisted on taking desmopressin and other drug treatments.
They were all prescribed by the expert from the Provincial People's Hospital.
The condition has improved significantly.
Due to long-term use of desmopressin, the patient developed "fat" symptoms, so he stopped taking the drug. At the suggestion of a relative, he found a local traditional Chinese medicine doctor and switched to traditional Chinese medicine for treatment.
As a result, after taking traditional Chinese medicine, the symptoms of polyuria and polydipsia worsened. I also felt particularly weak.
In the past two days, the patient was talking nonsense, had impaired consciousness, and could not even recognize her husband. She also had symptoms of limb weakness and trembling. She frequently urinated on her body.
Now I have to change her diaper to a larger size every once in a while.
In desperation, the husband took his wife to Xinxiang Women's and Children's Hospital for treatment.
After Zhou Can fully understood the female patient's condition, he realized the complexity of the condition.
"Excuse me, has your wife never had a period in more than a year since she had dilation and curettage?" Zhou Can asked the woman's husband.
The female patient has become completely stupid and unable to communicate normally.
"Yes!"
The family members frowned tightly.
At this moment, Yang Chan also came over on her own and helped with the diagnosis.
"Yang Chan, the patient has not had her period for more than a year since she had dilation and curettage. What do you think is the most likely cause?"
Zhou Can took the initiative to communicate with her.
To be continued...