Ten o'clock in the morning.

Temporary inpatient department of emergency department.

This is an inter-department consultation, and doctors from almost all departments are here.

The reason for such a big battle is that this patient is particularly troublesome.

This patient was a seven-year-old boy from a pastoral area named Barter. He had been admitted to the county hospital for a month before coming. He had been in low-grade fever, but he was in good spirits and was alive and well.

It has been a month since the little boy had a fever of unknown origin, and all the examinations that the county hospital could do have been done. Basically, nothing was found.

There are many causes of fever, and the common ones can be divided into two categories, infectious causes and non-infectious causes.

The most common causes of infectivity in the clinic are bacteria, viruses, fungi, etc. These days, almost all the microbiological tests that county hospitals can think of are done.

The non-infectious factors mainly include tumors, blood system diseases and connective tissue diseases, and these diseases did not show signs of this boy.

Therefore, this boy was sent to the first hospital because the local county hospital really had no choice.

"Shen Dashen, what kind of disease do you think this patient is? Why can't it be detected for so long?"

Lu Chenxi sat next to Su Yang, watching He Jianming standing in the middle of the meeting room, presiding over the consultation, and asked quietly.

"We'll talk later."

Su Yang did not speak, his attention was focused on the patient introduced by He Jianming.

"This patient is characterized by fever of unknown origin for one month, and the heat type is relaxation fever, with a peak of 40°C. Except for mild headache, hyperhidrosis, and joint pain, there are no other symptoms."

"The inspection materials from the local county hospital have been sent to everyone. Let's see them all."

He Jianming talks eloquently, and he has no shortage of professionalism.

Maybe it was because he didn't choose the deputy dean. He had figured it out. On his face, he couldn't see any disappointed expression. After all, he is also the director of the emergency department of a hospital.

The doctors from various departments nodded and began to look at the information in their hands.

However, the more I look at this, the more strange it becomes.

ten minutes. .

twenty minutes. .

Until half an hour passed, the entire conference room was still silent.

Because this disease is really weird.

Among all the inspection items, only the white blood cells are slightly higher, and the other inspection results and indicators have no abnormalities.

Before I came, the county hospital had used antibiotics for a month, but there was no effect at all.

"You can talk about whether you have any specific ideas."

He Jianming said.

To be honest, when he saw the inspection information, he was also very heady.

Although I was in the county hospital before, I basically did all the examinations I could do. There was no abnormality, but the patient was still feverish, which was the biggest abnormality in itself.

"Could it be a problem with the blood system? I think a bone marrow aspiration can be done to make sure. That way, Director He, please transfer to our hematology department."

Guo Feng, a young male doctor in the Department of Hematology, helped his glasses and spoke.

"right."

"very likely to be."

"In addition to the blood system, there are no other problems."

When other doctors heard what the hematologist said, they all echoed.

In their opinion, this little boy is very likely to have leukemia.

"Can."

He Jianming nodded, now that he has no other thoughts, he can only deal with it like this first.

Su Yang, who was sitting next to him, didn't think so at this time. Leukemia had a rapid onset and a short course of illness, often showing symptoms of fever, fatigue, and bleeding within a short period of time.

But the boy had no symptoms other than fever.

Moreover, once the bone marrow puncture was done, it was a tormental waiting for the little boy, especially his family.

Leukemia, how terrible it sounds!

"Let's go, let's go see the patient."

Su Yang shook his head slightly, He Jianming's judgment was too arbitrary.

Once the little boy is transferred to the hematology department, the doctor of the hematology department, the focus will only be whether the boy has leukemia or not. Basically, other possibilities will not be considered.

However, there is no specific diagnosis yet. What if this little boy is not leukemia?

In that case, the best time for treatment will be missed.

"Um"

Lu Chenxi nodded.

She also felt that it was a bit arbitrary to attribute the little boy directly to blood diseases, especially leukemia, just because of the fever.

Su Yang and Lu Chenxi withdrew from the meeting room, He Jianming saw it, and didn't say anything.

This Su Yang, after going out of the emergency room, has been in good shape, and now he sees him, and he doesn't say hello anymore.

After coming out with Lu Chenxi, Su Yang and her quickly came to the ward of the little boy Battelle.

Upon entering, Su Yang saw that the little boy's parents were sitting on the side of the hospital bed with anxious expressions, feeling a little at a loss.

They had been hospitalized in the county hospital for a month before, but the child was still feverish and did not get better at all. This is too worrying.

Moreover, through the Internet or other channels, they have also learned that the child's low-grade fever for such a long time is most likely to be leukemia.

The thought that their child might have leukemia makes the parents anxious.

"You are?"

The boy's parents saw Su Yang and Lu Chenxi coming in, and they were a little puzzled.

Isn't the child's attending doctor Wei Cheng, doctor Wei?

"My name is Su Yang, and I am a doctor of general surgery. We are here for a consultation. I would like to know more about this child about some details."

Su Yang said slowly.

Although the examination materials I read in the conference room before were already very detailed, other doctors seemed to feel that it was enough to read the materials.

But Su Yang felt that no matter what kind of patient, how many examinations were done, it is still necessary as a doctor to face the patient directly.

Because in many cases, inspection is not a panacea. If the direction of inspection is not correct, a lot of important information will be missed.

"Doctor Su, is Barthes really leukemia?"

The boy's father, a middle-aged man with a rough face, asked worriedly.

He was originally a herder in a pastoral area. He usually grazes, raises horses, has a wife and children. His life is very comfortable, but his child’s illness has disappeared.

"It's not yet certain. You can talk specifically about what things the child had been in contact with before he became ill. Try to be as detailed as possible."

Su Yang looked at the worried look of this rugged uncle, and he could understand his thoughts at this time.

After all, who would hope that their children will get leukemia?

Now that the information is advanced, leukemia is a terminal disease that makes people fearful!

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