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484 The older the rivers and lakes, the less courageous

Gao Baixiang did not know Wei Dabao, but when he saw Teacher Wu talking to him with a happy look, he would naturally not offend the people around Teacher Wu.

Wei Dabao was also very well-behaved and didn't even dare to say a louder word. He borrowed an atomic pen, took a few pieces of A4 paper, and quietly followed Director Gao, and began to remember from the doctor's advice.

Gao Baixiang was distressed, and there was a small tail behind him, so he could not be beaten or scolded.

Wei Dabao was also worried that this was the case in high-level hospitals. There were so many doctors who ordered them to check that they didn’t know what it meant.

Both of them were silenced, and after a few hours, the results of the inspection were rewarded in the same way.

Gao Baixiang then took his subordinate doctor to the nuclear medicine room for PET-CT.

PET-CT is an invasive radioactive examination. Some basic examinations can be done after no special contraindications are found.

Gao Baixiang also worked hard to fulfill Teacher Wu's requirements. Generally, if you want to do PET-CT, you have to wait at least 2-3 days, so it's still a situation where you don't queue up.

There are no patients in Jianxi Hospital, but the medical equipment is top-notch. Not to mention how much it costs, just looking at these equipment and the images and the inspection results, Gao Baixiang felt comfortable all over.

Because of radiation, the nuclear medicine department cannot be in the inpatient department.

4,500 meters away from the inpatient department, there is a newly built two-story building in a corner of the Jianxi Hospital compound. The radiation prevention measures are quite in place. This is the Nuclear Medicine Room, with a brand new PET-CT placed in it.

The nurse began to give medicine to the patient, and Gao Baixiang sat outside waiting for the result. He and Wei Dabao were not familiar with each other and felt embarrassed whenever they said anything.

What Gao Baixiang didn't understand was that Teacher Wu seemed to take good care of this middle-aged and old man who looked a little vulgar. He didn't understand what Teacher Wu meant after thinking about it.

Wei Dabao was holding A4 paper and was worried when he looked at the messy records on it.

CRP:WBC 6.9*109/L,N 80%,HGB 96 g/L,PLT 580*109/L,CRP 102 mg/L,ALB 28 g/L,GLB 34.7 g/L,ALT 109 U/L,AST 54 U/L,GGT 95 U/L,ALP 212 U/L,TBIL 9.2 μmol/L,Cr 48.6 μmol/L,LDH 153 U/L,CK 12 U/L; LPS 120.8 pg/ml,1-3-β-D Glucan 115.53

pg/ml, ANA, ANCA, PCT, T-spot, HLA-B27, tumor markers...

What's the use of this!

Looking at the pile of test results recorded, Wei Dabao's eyes were really blurry, not exaggerated.

Most of the examinations Wei Dabao didn't know what it meant.

After thinking for a long time, Wei Dabao mustered up the courage, approached Gao Baixiang and asked, "Hello, Director Gao."

"Well, Dr. Wei is good." Gao Baixiang said lightly.

"Director Gao, I saw that the patient was fine. How did Section Chief Wu diagnose arteritis?" Wei Dabao asked for advice.

"Macro arteritis is not very common, and it is usually misdiagnosed." Gao Baixiang explained, but he did not use professional vocabulary to say that he was afraid that Wei Dabao, the "barefoot doctor", would not understand.

“Misdiagnosis?”

"Well, I have seen several patients with large arteritis. The last time was a famous respiratory patient who had inexplicably low fever. He had done all kinds of tests and could not find any problems. Later, he organized three hospital consultations...Dr. Wei, you know that inexplicably low fever is very difficult."

"Yeah, yeah." Wei Dabao nodded repeatedly.

Clinically, low fever that cannot be found is called inexplicable low fever or unknown low fever.

Most patients will be cured by resting in antibiotics for a few days. But a very small number of patients have been bad and the doctors are helpless.

"I mentioned that the misdiagnosed patient was given piperacillin tazobactam injection and moxifloxacin injection to fight infection, loxoprofen anti-inflammatory and analgesic pain after being hospitalized. However, 1 week after the symptomatic treatment, the patient still had fever and headaches, and there was no good solution for three consultations."

As he said that, Gao Boxiang paused, as if he was recalling the unbearable past. Even after many years, he still feels sad when he thinks about it.

"What happened later?" Wei Dabao asked.

"I just thought that the professor of the Department of Rheumatology and Immunology of 301 was in the provincial capital. We had no good idea, so we invited them here." Gao Baixiang said, "If you can't understand the disease, you can ask for rheumatology and immune consultation. This is the unbreakable truth for us to be doctors."

“…”

Wei Dabao heard this for the first time.

For doctors in grassroots hospitals like him, it is natural to go to the superior hospital if they have any diseases they don’t understand. As for rheumatism and immunity, Wei Dabao didn’t even know that there is such a department.

Judging from the name, it seems to be the department for the treatment of rheumatoid arthritis. Why is orthopedics so powerful? Wei Dabao thought in a random way.

"The professor at 301 came and looked at all the test forms, checked the body, and asked about the medical history. It took less than half an hour in total. Finally, he asked the patient to do a PET-CT and just tell him the result."

"Uh, just like this patient?" Wei Dabao was stunned for a moment.

"Yes." Gao Baixiang nodded, "The symptoms are different, but they were asked to do PET-CT. The result proved that they were right. After giving the medicine, the patient would be cured in a few days. I have always remembered this, tsk tsk."

Wei Dabao was very moved.

"There is another patient, I highly doubt that there is a problem, but he can no longer contact him." Gao Baixiang said with some regret.

"What patient, Director Gao?"

"I used to treat a patient and my heart was fine, but..." Gao Baixiang hesitated for a moment and said, "The patient complained that the blood in the blood vessels did not flow."

"..." Wei Dabao was stunned. Isn't this a mental illness?

"I also looked back and thought that the patient's diagnosis was problematic after the case I mentioned just now." Gao Baixiang continued, "I diagnosed it with depression at that time, and asked the patient to go to a mental hospital for treatment."

Wei Dabao suddenly remembered what Wu Mian said just now.

"Now, specific fever, fatigue, joint pain, weight loss, memory loss, headache, dizziness, black swelling, fainting, vision loss, intermittent claudication, hypertension, etc. may be caused by arteritis."

"So, it's really not easy for us to be a doctor. The older the world, the less courageous you are. If you walk more nights, you will inevitably encounter misdiagnosis." Gao Baixiang sighed and said, "For doctors, misdiagnosis may be a mistake. But for patients, it may cause extremely deep harm."

"Just like the patient I just mentioned... I cried from time to time and said that the blood stopped flowing. Normally, it wasn't it mental illness."

Wei Dabao nodded repeatedly. Director Gao's words reminded him of some things he had experienced personally. When he thought of misdiagnosis, which delayed the patient's life, Wei Dabao's back hair stood upside down.

"Doctor Wei, if you have the chance, learn more from Teacher Wu." After Gao Baixiang said, he quietly looked at the doctor who was doing PET-CT. He seemed to be talking to Wei Dabao, and he seemed to be talking to himself.

The image has been initially displayed on the machine.
Chapter completed!
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