Sleepless Doctor
Vol 2 Chapter 1098: Silent change
Latest website: Even though he thought so, the patient's words still surprised Wei Dabao.
What the **** is this! Wei Dabao shrank his hands abruptly. The temperature in the protective suit was originally extremely high, but in the blink of an eye, he was like falling into an ice cave. The sourness made Wei Dabao extremely sour.
"It's okay, it's okay." Wei Dabao didn't know whether he was comforting the patient or himself, he muttered blindly.
"Dabaozi, what's the matter?" Zhang Zimo's voice came from the phone.
"Director, the patient said someone was blowing behind her..."
Zhang Zimo was silent.
He is the director of ICU and is not good at general medicine. And now the general ward of the hospital only deals with some minor illnesses, which is hard to say.
Zhang Zimo looked dazed by the patient's condition.
It seems easier for him to delve into the diagnosis and treatment of new pneumonia.
However, when faced with a patient whose blood test showed no abnormalities, accompanied by fever, headache, and mental symptoms, Zhang Zimo said that he was helpless.
What can I do? Find a superior doctor.
If Zhang Zimo had been a superior doctor before, and there was no way to find him, he might put the patient's medical records in the group and consult other colleagues to see who diagnosed and treated similar patients.
And now, a ready-made superior doctor is in Tianhe, just don't know if he has the time.
"Dabaozi, look at the patient." Zhang Zimo said.
"Director Zhang, are you going to contact Section Chief Wu?" Wei Dabao was transparent, and he immediately thought that Zhang Zimo was going to make a big move.
"Um."
"I want to see it too." Wei Dabao said directly.
"patient……"
"I'll take over right away, you can wait a moment for me."
Seeing the patient's condition does not seem to be anxious, at least the vital signs are stable, and there are still a few checks that have not been reported, Zhang Zimo responded.
After the shift, Wei Dabao changed clothes and returned to the isolation room to communicate with Zhang Zimo. The two pulled a group and dragged Wu Mian in.
In special times, if you can't meet, you can't meet, and everything is communicated online.
Fortunately, 4G and 5G networks are now developed, and WIFI is available everywhere. Even in the newly built shelter hospitals, laying wireless networks has become an important matter.
A lot of things can be done. If you change to a Genesis-level virus more than ten years ago, what will happen and how to deal with it is unimaginable.
Video call, Wu Mian did not move.
[Dabaozi, Teacher Wu may be at work. 】
[Director Zhang, wait a minute. 】
Wei Dabao was lying on the bed, not in a hurry with Erlang's legs tilted.
After leaving the fever ward, he carefully considered the patient's condition, and would definitely report his medical history to Teacher Wu later. I haven't seen it for a long time, and I don't know if my level of medical history report can satisfy Teacher Wu.
He turned on the computer, constantly sorted out the patient's situation, and made a summary.
At the beginning of the epidemic, everyone's emotions were a little irritable. Many people are on the verge of collapse under the immense pressure, and they don't know when they can see the night when they can't see their heads.
Section Chief Wu has been there for more than half a month, fearing that his emotions have already shown a manic tendency, Wei Dabao guessed in his heart.
After a full hour, a message appeared in the temporary group.
[Director Zhang, Dr. Wei, what's the matter? 】
The video call sounded, and Wei Dabao clicked to confirm to enter the video chat.
Section Chief Wu's handsome face was almost destroyed, and Wei Dabao hardly recognized it.
There are deep ravines on his face, like a few scars with deep bones.
"Chief Wu, you..."
"Just came out of the P3 laboratory." Wu Mian smiled.
With the smile involved, the "scar" on his face was distorted and looked strange.
"What's the matter?" Wu Mian asked.
"Ms. Wu, there is a patient with a fever of unknown cause." Zhang Zimo first introduced, "I came here today and the nucleic acid test was negative."
"Oh, now it takes at least three nucleic acid tests to initially determine that it is negative. The laboratory's test error is too high and it's a headache." Wu Mian held the mobile phone in his right hand, and took a bottle of water in his left hand, sipping mouthfuls.
"Yes, Mr. Wu, we will pay attention." Zhang Zimo said, "The main symptoms of the patient are fever, headache, emotional instability, and they say that someone is blowing air behind the head. For specific details, Dr. Wei, you and Mr. Wu will report ."
"Oh?" Wu Mian listened to Zhang Zimo's words and thought a little, "Is the patient emotionally unstable to this degree?"
"Well, I just said that there was someone behind him, gloomy, and scared the nurses to cry." Wei Dabao sighed and said, "The nurses are also under a lot of pressure, and everyone is depressed recently."
"Let's talk about it, the existing inspection returns."
Wei Dabao began to report the medical history and test results.
The standard process, like writing a medical record, Wu Mian is very satisfied with it. However, there is nothing to say about the patient's condition. Director Zhang Zimo has said all the important points, and the remaining laboratory tests have not changed any positive results.
"ANA, ANCA, PCT, T-spot, -B27, tumor markers, cryptococcal capsular antigen, immunofixation electrophoresis, and rheumatoid test have not been reported yet." Wei Dabao said at last.
"What are you going to do?" Wu Mian asked casually.
"Check the head MRI and cervical spine MRI." Zhang Zimo said, "But the patient is emotionally unstable now, and I am going to take the patient for an examination tomorrow morning."
"Emmm, I suggest making a petct first." Wu Mian said.
"Suspected of paraneoplastic syndrome?" Zhang Zimo asked.
"No." Wu Mian smiled, "The patient's positive signs are fever and psychiatric symptoms. Dr. Wei, which chapter in diagnostics describes a similar situation?"
Wei Dabao's mind went blank.
Fever of unknown origin is the most difficult disease to be diagnosed clinically. If it is not an epidemic, the whole hospital must be consulted.
Section Chief Wu took the test when he came up, and he was really familiar with his style.
Wei Dabao was really worried that he would be scolded by Section Chief Wu.
Seeing the scars on his face so deep, I don't know how many hours of continuous work on the Tianhe side. In any case, it must be in a bad mood.
"I……"
"Forget it~www.wuxiaspot.com~ everyone is very tired, so I won't take the exam." Wu Mian smiled and said directly, "The patient's condition may be diagnosed as depression. There are 211 kinds of diseases accompanied by mental symptoms in the clinical diagnosis. Among them, 18 may be accompanied by fever. Prolonged fever and no abnormalities in various examinations are highly suspected to be'temporal arteritis'."
Seeing Teacher Wu in the video directly gave a diagnosis without hesitation, Zhang Zimo was stunned. He felt that Teacher Wu had changed.
Even if the former teacher Wu knew the diagnosis, he would not speak directly.
But now it’s the reverse, first talk about the diagnosis, and then let the examination.
Is Tianhe's pressure so great? People like Teacher Wu have been changed unconsciously.
"However, the most common manifestation of temporal arteritis is visual impairment. Dr. Wei, please take a good look at this paragraph, check a petct, let's discuss it."
Seeing Wu Mian want to post the video, Zhang Zimo quickly asked, "Teacher Wu, are you busy?"
"Night shift, no time to talk, wait for me to get off work." Wu Mian smiled.
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