Chapter 280 This disease scares even the experts. Real medical skills must be learned from patients.

Author: Jiangbian Yuweng

Chapter 280 This disease scares even the experts. Real medical skills must be learned from patients.

An ordinary little cold unexpectedly brought a huge disaster to this young and beautiful girl.

It made her sick for two years.

With modern medical standards, even a severe cold is not a big deal. Just buy a box of medicine at a roadside pharmacy and you will be cured quickly after taking it.

But this girl has been ill since she was seventeen years old.

The age of seventeen or eighteen is the age when the body's resistance is strongest. The body's functions are strong and full of vitality.

Zhou Can realized that this girl's body must have suffered from immune decline or immune deficiency, so that a small cold could defeat the body's defense system.

Almost all difficult diseases have one common characteristic: the patient is not getting better despite treatment in multiple hospitals.

Many difficult cases first appear as minor ailments, and they are good at disguising themselves into appearances that make patients relax their vigilance. For example, they may have a low-grade fever, mild pain, or some mild physical discomfort, etc.

They are like evil weeds that cannot be cut down. They cut more and more, and finally become a disaster, completely defeating the patient's body and taking away the patient's life.

Although the disease is a critical illness from the beginning, although it is scary, it is easier to diagnose because the lesions are obvious.

At best, treatment is difficult.

The difficulty in such difficult cases is that the real cause of the disease cannot be found. Once the cause is found, it is equivalent to finding the lifeblood of the disease, and the disease may be cured with a box of medicine costing just a few cents.

I believe that many patients who have been registered as special-needs specialists know this deeply. They went to a regular doctor, had various examinations, and took a lot of expensive medicines, but their condition just didn’t get better.

Then I heard someone introduce me and called up an expert.

Hey, this expert didn't ask for any other tests. After some diagnosis, he prescribed a box of 50-cent medicine.

The patient kept wondering, is this expert reliable?

Could it be the Brick family?

I went home and tried to take the medicine as prescribed by the doctor. A week later, something incredible happened.

My body feels significantly better.

He continued to take the medicine, and after half a month, the disease that had not been cured for a long time was cured. From then on, the patient said to everyone that it was great to be called a specialist.

I just regret that I didn’t call that expert as soon as I got sick.

So much so that I took a lot of expensive and useless medicines, had a lot of unnecessary examinations, and was used as a guinea pig by ordinary doctors. It was really unfair.

This patient is undoubtedly lucky.

He met experts who happened to be good at treating his condition.

Otherwise, it is difficult to say what the final result will be.

There are not a few unlucky patients whose mild illness has been treated into severe illness.

This female patient had a minor cold that had not been cured for two years, which is unbelievable even if she told her about it.

Zhou Can took the patient's examination information and looked at it carefully.

Senior doctors are very happy that these young doctors are eager to learn and make progress.

The patient's erythrocyte sedimentation rate was 39mm/first hour. Glutamate aminotransferase was 170U/L, aspartate aminotransferase was 137U/L, and alkaline phosphatase reached 320U/L...

After reading this checklist, Zhou Can immediately suspected that there was a problem with the patient's lymphatic system.

The patient received roxithromycin as an anti-infective treatment in the first hospital, but the effect was very poor.

Later, a bone marrow puncture and B-ultrasound examination were performed in another hospital.

Now that these examinations were done in the outer hospital, Du Leng asked the patient to undergo a bone puncture. It was a great accomplishment that the family members did not scold her.

Bone biopsy results showed active proliferation.

Abdominal B-ultrasound showed polyps in the gallbladder.

splenomegaly.

Enlarged hilar lymph nodes.

Sure enough, as Zhou Can predicted, there was a problem with the lymphatic system.

He continued to check the patient's examinations in other hospitals.

Later, after the hilar lymph nodes were found to be swollen, experts from another hospital asked the girl to do a follow-up B-ultrasound check of the lymph nodes.

The results showed that lymph nodes were enlarged in the neck, armpits, and groin on both sides.

The enlargement of lymph nodes in so many locations indicates that it is likely to be a systemic disease.

The problem is more serious than expected.

If it is just a case of internal heat, bilateral cervical lymph node enlargement is more common.

Colds are divided into wind-cold and wind-heat.

Wind-heat means excessive internal heat combined with the invasion of wind evil, which is a double syndrome.

The experts from the external hospital were not vegetarians. Following the clue of enlarged lymph nodes, they performed an inguinal lymph node biopsy on the patient.

The result was reactive hyperplasia, and immunohistochemistry showed proliferation of T, B and histiocytes.

This can basically lock in the possibility of virus infection.

Experts from other hospitals gave the patient liver protection and antiviral treatment.

This is symptomatic treatment and is common in medicine.

The patient's condition improved after receiving treatment. Unfortunately, the good times did not last long. Less than ten days later, the patient had a fever again, and the fever was over 40 degrees, and he developed a cough.

The family members urgently sent the patient to the hospital for treatment again, and they still found the same expert.

Because the last treatment had a certain effect, the family members have a high degree of trust in that expert.

After receiving the consultation, the expert immediately prescribed a blood test application for the patient.

After the blood Rt test, it was found that the proportion of lymphocytes increased to 47%. The bone marrow puncture found no abnormalities. The AST test showed 43U/L. AST is aspartate aminotransferase.

If you check it, you will definitely check ALP, which is alkaline phosphatase, which reaches 141U/L.

Immediately after checking the patient's blood culture and sputum culture, the expert probably still suspected that the patient had a viral or bacterial infection.

After not getting much results, the experts from the outside hospital were a little confused and decided to apply for an abdominal CT for the patient.

It is estimated that this expert only performed an abdominal B-ultrasound last time and felt that there were certain limitations.

The examination description of the lesion site is not clear enough.

So this time I did a CT scan.

The results showed that the patient had an enlarged liver, developed fatty liver, the spleen was still enlarged, and there was a low-density lesion in the left adnexal area.

Seeing this result, Zhou Can secretly sighed in his heart. If experts were separated from numerous high-tech medical examination instruments, they would be directly brought back to the diagnosis and treatment level of primitive society.

Take this female patient as an example. Last time, the expert only performed an abdominal B-ultrasound and found no fatty liver or ovarian disease.

The CT results showed that the low-density focus in the left adnexal area was actually an ovarian tumor or cyst.

This time, experts from other hospitals were afraid of being slapped in the face, so they performed a liver puncture on the patient and sent him for pathological examination.

The examination results showed mild turbidity of liver cells, small focal fatty degeneration and scattered focal necrosis.

The portal area was slightly dilated and more lymphocytes were infiltrated.

The peripheral plates of the leaflets were slightly damaged.

Lymphocyte infiltration was also found in the liver sinusoids.

The final diagnosis given by experts from outside hospitals was chronic hepatitis, fatty liver, and gallbladder polyps.

Once again, the patient was given liver-protective treatment and anti-infective treatment.

The patient was hospitalized for nearly four months and was discharged after his condition improved.

During this period, the patient's fever was not cured.

The fever turned from high to low and remained low until discharge.

After discharge, hepatoprotective treatment was continued.

After patients return home, they often have fever at night, even reaching above 38 degrees Celsius.

Just like that, another half a year later, the patient had red eyes, blurred vision, buzzing in the right ear, severe hearing loss, and nasal congestion for no reason.

The girl's mother saw that her daughter's condition had not been cured, and now the symptoms were much worse than at the beginning.

She was worried that more serious problems would arise if she sought treatment from that expert again, so she changed hospitals this time.

Unexpectedly, the doctors at that hospital failed to find out the cause of the disease after three days of investigation.

So the girl's mother had no choice but to find the expert from another hospital again.

This time, after receiving the diagnosis, the expert from another hospital spoke very tactfully. It meant that he had been practicing medicine for decades and had never encountered such a difficult disease. Since the girl's condition had deteriorated, it was recommended that the family go to Tuya Hospital or other major hospitals.

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To be continued...