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Chapter 806 Continued Misdiagnosis (Blood Donation Plus Series 034)

This chapter is updated to thank the book friend "Xiaoyue, Canglang" for donating 2020ml of whole blood for free on December 12, 11.

"Continued misdiagnosis for five years?" Sun Li'en was a little surprised at first, Yuan Ping'an went out for a trip, why did he bring back a little girl - at first he thought this young woman was Qian Ziwen's mother.As a result, after careful questioning, it turned out that a business came to the door.

"I think the possibility of misdiagnosis is quite high." Yuan Ping'an didn't say anything dead, but in his opinion, if this case was not misdiagnosed, it would be really unjustifiable. "The results of the two previous biopsies were actually conflicting, but the capital's hospital determined that it was tuberculosis based on the second test. This process lacks sufficient rationality."

"I reckon they planned to do a diagnostic treatment at the beginning." Sun Lien rubbed his chin and pondered for a while, then said, "Hospitals in the capital are generally short of beds. They insist on keeping patients for a month. Courtyard, it shows that at the beginning, I was still a little confused."

From this perspective, the diagnosis of tuberculosis is very problematic.Hospitals in the capital actually did not receive conclusive evidence of a TB diagnosis.The reason why they think Ji Xiuying is TB is actually a bit far-fetched-they really don't know what is wrong with Ji Xiuying, and she is responding well to anti-TB treatment.A diagnosis of tuberculosis was thus made.

"She's still in the affiliated hospital, right?" Thinking about this, Sun Li'en probably had a direction in his mind.He asked the young woman who had been standing not far away, a little embarrassed and worried, "What does the affiliated hospital say?"

"There is really no bed in the affiliated hospital, so we just went to the outpatient clinic twice. She was really uncomfortable this time, so she stayed in the emergency observation area of ​​the affiliated hospital. The doctor at the affiliated hospital told me that this It’s a disease whose cause can’t be found out, it’s best to come to the Comprehensive Diagnostic Center of the Fourth Hospital and find... Director Sun.”

"Director" Sun and Yuan Pingan looked at each other, and then asked, "You mean the team leader?"

"Oh, that's right." The young woman nodded quickly, and then said a little embarrassedly, "Our family is not from the local area. We can't understand what the doctors at the affiliated hospital are saying."

"How about this." Sun Lien thought for a while and said, "You can contact the affiliated hospital, and if possible, send the patient directly. We can accept it here. If the patient's condition is not acceptable, we can send a transfer vehicle. If you can't tolerate the transfer, then simply ask them to apply for teleconsultation."

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A patient is about to arrive at the Fourth Hospital from the affiliated hospital, but so far, basically no one has the time to wait for the patient.The doctors of the first treatment group gathered in the office, waiting for the results of the ultrasound department.

Yuan Ping'an has called the ultrasound department several times to urge the report.In the end, I gave up after getting the promise of "we will publish your patient's report first".

Professor Zhang Zhifu just pushed open the door of the first diagnostic team. He looked at a group of "fans" in the office who seemed to be gathering to watch a football game, and he was a little surprised, "What are you doing?"

"Professor Zhang." Zhou Ce greeted Professor Zhang Zhifu and said, "We are waiting for the examination report from the Ultrasound Department."

Professor Zhang Zhifu pushed his glasses with the palm of his hand, and asked curiously, "What kind of disease is this? Are you so concerned?"

"I don't know." Zhou Ce gave way to Professor Zhang Zhifu, and then looked at the screen on tiptoe, "We made a bet to see if Dr. Sun can find the correct cause of the disease in one go."

"Oh?" Professor Zhang Zhifu asked with great interest, "What are you betting on? Can you add me? I think Dr. Sun should be able to find out the cause of the disease once."

"Bet on a bowl of roast duck rice." Zhou Ce nodded with a smile, and then said to Dr. Brunn beside him, "Old Bu, if you win, you have to share the roast duck rice with Professor Zhang."

Dr. Brunn glanced at Professor Zhang with some sympathy, "You should ask for more details. The patient's condition this time is different from the previous ones, and the patient's family members disagree with the imaging examination."

Sun Lien is well-known in the entire Fourth Hospital for being good at using imaging evidence to find the cause of the disease.However, Professor Zhang Zhifu is still very confident in his choice, "So, the two of us think that Dr. Sun can handle it?" He smiled and patted Old Bu on the shoulder and said, "I think the possibility of us winning is still very high." big."

"Here we come!" Sun Li'en didn't hear the movement around him, he was engrossed in looking at the screen all the time.The moment he saw the report, he immediately became excited. After shouting, Sun Lien immediately clicked on the results of the B-ultrasound test.

"The echo in the right liver parenchyma is uneven, and there are multiple hypoechoes in the right liver, the largest being 1.3CM × 0.9CM." Sun Lien slapped his thigh suddenly, "Use ELISA! Check for paragonimiasis!"

The people around gradually dispersed, and Professor Zhang Zhifu asked a little uncertainly, "Is this... winning the bet?"

"Dr. Sun is calling for an ELISA test, so it should be a win." Brunn nodded with a smile, "It seems that this wave has stabilized!"

Everyone else left, but Sun Lien turned his head and saw Brun and Professor Zhang Zhifu.As soon as he saw Professor Zhang, he immediately said cheerfully, "Professor Zhang, I'm planning to find you."

"Why are you looking for me? Let me win a few boxes of roasted duck rice?" Professor Zhang Zhifu won the bet, and he was in a good mood. "Tell me, what's the matter?"

"We have a patient who has been misdiagnosed for five years in a row." Sun Lien asked after talking about the situation, "The diagnosis of the patient we have now should be almost done, and we should wait for the ELISA results to come out." It can be diagnosed. After the diagnosis is confirmed, is it okay to hand this kid over to the second group to continue treatment? We just concentrate on dealing with this new patient."

"If it's really lung fluke, it's okay to leave it to us." Professor Zhang Zhifu nodded, and then asked, "This new patient...is the situation complicated?"

"If it was a very simple case, it wouldn't have been misdiagnosed for five full years." Sun Lien sighed.Although he has confidence in himself, when he sees this kind of patient, he still instinctively sympathizes with the other person's experience. "I can't guarantee that I will be able to make a clear diagnosis. Let's do our best."

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"Now I can't tell you what the problem is." At three o'clock in the afternoon, Ji Xiuying and her daughter arrived at the Fourth Hospital.Sun Lien conducted consultations and preliminary medical history inquiries in accordance with the usual procedures.After the other party kept asking "What is my disease?", Sun Lien could only explain helplessly, "You have just been admitted to the hospital, and I always need to arrange an examination to have a general diagnosis direction. Now I need to explain clearly." What is wrong with you... Even a god can't do it."

"It's not...it's not cancer, is it?" Ji Xiuying asked in a low voice, "Doctor, just tell me if you have any questions. I can live enough at my age, so I'm not afraid."

"You had a total hysterectomy and double appendix removal six years ago, and you haven't had a recurrence until now. The possibility of the tumor is not too high." Sun Lien tried to comfort the neurotic patient in front of him, "Your tumor last year The right femoral head necrosis and right femoral head replacement that I experienced had nothing to do with the tumor."

"Hey..." Ji Xiuying sat back down again, ignoring her daughter's sad expression and sighed, "I don't know what disease I have, and I have to suffer every day... I might as well die!"

(End of this chapter)