Start as an Emergency Physician
Chapter 399
Unless, the doctor who helped Duan Hongwei create fake medical records is even higher than Zhou Yuan's level, but this is almost impossible, and the doctor who can do something contrary to medical ethics for the sake of money is unlikely to work medical skills, but focuses on making profits.
What's more, how many doctors can be more superb than Zhou Yuan's medical skills?
Duan Hongwei's medical records include outpatient medical records and inpatient medical records, outpatient medical records are more common, and most people should have them, that is, the doctor writes a few lines of diagnosis, prescribes medicine, and then signs a name.
Inpatient medical records are much more complicated, a person's inpatient medical record is tens of thousands of words at every turn, if it is the kind of patient who has been hospitalized for a long time, the inpatient medical record alone may have hundreds of pages.
"Name: Duan Hongwei. Place of birth: Yanjing City. Gender: Male. Age: 42 years old..."
"Chief complaint: cough, coughing up thick sputum for a week, due to the fever after the cold gradually worsened cough, coughing up mucous sputum, the sputum coughed up after the question improved, no obvious fatigue, night sweats, headache and other symptoms, no chest pain, no obvious improvement after the hospital gave cephalosporin antibiotics static point..."
There are no problems with the outpatient medical records, they are all minor problems, and the average outpatient doctor really can't diagnose moyamoya disease based on the symptoms.
Moreover, moyamoya disease itself causes headaches, chest pains and other symptoms, unless it is in the advanced stage, there are generally no too obvious symptoms, most people will choose to go to internal medicine for headache and chest pain, and few people will think of going to brain surgery for examination.
Moreover, the physician said a little ugly, in fact, it is quite metaphysical, the doctor is not a god, he can't see what the disease is, he can only judge what it may be according to the symptoms of the patient's disease, and then he can prescribe medicine, unlike the surgeon who says to cut where it is.
Therefore, there is basically no serious illness in the outpatient clinic, especially this relatively hidden serious illness.
Zhou Yuan looked at the inpatient medical record again, the inpatient medical record is much more detailed than the outpatient medical record, just before the hospitalization, there are complaints, current medical history, past history, personal history and family history, basically the inpatient medical record can show all the family relationships of a person.
There is also a physical examination in the inpatient medical record, which will be recorded from height and weight to skin color and elasticity, mouth, ears, nose and throat, upper body and lower body inside and out, but unless it is necessary for treatment, some hidden and private parts will be written "not checked".
Zhou Yuan watched very slowly, and sometimes a sentence could be read for several minutes.
He flipped back several more pages, and the hospitalization records generally had a beginning and an end, but he didn't find the final result of this hospitalization at all!
Not to mention what the result is, even the diagnosis is not detailed, only mentioning "headache of unknown cause", which is obviously an initial diagnosis!
So...... What about the final diagnosis after completing various tests?
If it was just an ordinary headache, maybe Zhou Yuan could still believe that this hospitalization record was fine, but the unknown cause had been clearly written here.
Zhou Yuan had brief contact with Duan Hongwei, who was obviously afraid of death, and he was not short of money for expensive examinations, so it was impossible to let an unknown disease go unnoticed in his body.
After waking up, even though the nurses and doctors had stressed to him many times that there was no problem, he still did several more tests uneasily, for fear that his condition would suddenly become serious, how could such a person ignore his headache?!
It wasn't until half an hour later that Zhou Yuan finally noticed that something was wrong.
The current medical history of an inpatient medical record last year showed that Duan Hongwei had dizziness of unknown cause, accompanied by tinnitus, headache and other symptoms, and after the examination, he ignored the rotation of vision, nausea and vomiting, and did not fall and have a seizure.
After the examination, the cause of the extracorporeal changes and the relationship between the neck and the neck was ruled out. In some people, the neck is turned too quickly, which causes the cervical spine to compress the nerves and cause vertigo.
Several symptoms of moyamoya disease include cerebral ischemia, cerebral hemorrhage, epilepsy, headache, etc., which are all brain-related symptoms and may cause headaches of unknown causes!
Zhou Yuan's sensitivity to medicine made him realize the problem at once, and he immediately contacted He Jianyi and told He Jianyi about the matter.
Although his identity is different now, but the network resources and so on are definitely not how to build a class and others, all Zhou Yuan can do is to find out the problems in the medical records, as for the follow-up to find out where the flaws are, it is still necessary to use He Jianyi's power.
It even needs the assistance of Dean Fang.
First of all, if you want to find out all the contents of the medical records, you must mobilize the databases of many hospitals, and the patient's medical records are confidential and cannot be seen by ordinary people, even if President Fang wants to check them, they need to be approved.
However, at least there are some signs now, as long as evidence is found before the second trial, then the verdict can be changed.
Zhou Yuan's frowning brows relaxed a lot, and his mood improved.
If he really let the guilty people go unpunished, Zhou Yuan also had a troubled conscience.
He suddenly remembered something and called out the system, "System, is there a task?"
Duan Hongwei's case is not trivial, and it is also related to medicine, which may trigger the mission.
"Mission: Leak. "
Zhou Yuan blackened when he saw the name of the task, his mother sold the batch, and sure enough, the task was triggered again, but the system didn't remind him...
The content of the task is what Zhou Yuan guessed, Duan Hongwei's medical records are indeed problematic, but it is very difficult to see the final problem.
The condition for completing the task is to prove that Duan Hongwei knew that he had moyamoya disease before the onset of the disease, or that there was a high probability of inducing moyamoya disease.
Just looking at the rewards of the mission, two intermediate treasure chests and a bottle of stimulants, you can also deduce that this task is not easy.
Even doing ten toe transplants to reconstruct thumbs can only get intermediate treasure chests, and occasionally stimulants, which can be imagined to be very difficult - it is estimated that it will eventually be linked to the treatment of moyamoya disease, and it may be difficult for people without relevant knowledge to make judgments.
However, moyamoya disease itself is an extremely insidious and largely incurable disease. Although there are some schools of thought in the world that surgery can be performed to dissolve thrombolysis, unblock vascular channels, and untie the network of blood vessels that are entwined into smoke, there are basically no people who actually put this idea into practice.
It is easy to find out that Duan Hongwei has a problem with his medical records, but the difficult thing is to prove that Duan Hongwei knew that he had moyamoya disease before the car accident!
Zhou Yuan sighed helplessly: "I don't have much research on moyamoya disease... How do I find this?"
After speaking, he suddenly remembered something, looked at the system, and said, "Can't you activate the task directly for me next time?"
System: "Are you sure you want to activate one for a mission?"
Zhou Yuan nodded.
The system was silent for a moment, and said very humanely: "I'm afraid I'll tire you to death." "
Zhou Yuan's face was overjoyed: "You mean there are a lot of tasks?!"
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