Chapter 686 [686] Discussing the Cases of Classmates
After eating, Tao Zhijie took out Zhao Zhaowei's medical records and put them on the coffee table.
Seeing this, the other doctors stopped talking. Everyone was scolded by Director Tang this morning, and they were feeling depressed. A group of doctors couldn't figure out how this medical student could behave like this, and it was more difficult to manage than ordinary patients.
"He is the most difficult patient to manage." Tao Zhijie said earnestly to the young doctors below, which shows that he had expected this situation.
Ordinary people must never have imagined that it is the most difficult for doctors to take care of sick doctors. It's a very simple truth, if you don't understand anything, you will be foolish, and you just need to follow the doctor's words. When a doctor is sick, he knows what is going on, and the more he understands, the more suspicious he becomes.
"I miscalculated him." He Guangyou admitted his negligence in this matter when Tao Zhijie was away, "His grandfather was also hospitalized in the department before, but he didn't have so many strange suspicious diseases."
"What is he suspicious of?"
"He doubted everything we said. He told him that the injection should control the infection first. He said yes, he will blame us in two days, saying why the infection is not under control and what injection was given. I explained to him, your blood The white blood cells and neutrophils in the test tube fell, and the needle was effective. But he didn’t believe it, and insisted on us changing the medicine. How can antibiotics be changed randomly, we need to take a course of treatment.”
Qiu Ruiyun interjected and added: "What he cares about is the jaundice on his body. He thinks it is good if the jaundice subsides. As for the infection index, it is not very important. However, for us doctors, the infection index must be controlled first, and we cannot let it go. No matter how big his intrahepatic abscess is, the jaundice will subside. His total bilirubin is actually not very high."
After carefully listening to the reports from the people below, Tao Zhijie looked at the two newcomers: "Xiao Song, why don't you say a few words about your opinion first."
"I never think his condition is good." Song Xuelin insisted on his previous point of view, "His liver abscess is not easy to subside, regardless of the small area, but there are several places, and it is very likely to become a large area. "
"So you mean—"
"His lipid metabolism abnormalities need to be investigated."
A group of people listened to Song Caizi's words, thinking as if this person hadn't said anything. Abnormal lipid metabolism, isn't that obvious? This boy Zhao Zhaowei was well nourished since he was a child. He ate too much and was simply obese. If it is secondary obesity caused by neuroendocrine, it will be detected early in hospitalization. Even so, Tao Zhijie asked He Guangyou cautiously: "Have you ordered a checklist to check the thyroid gland?"
"I've checked, and insulin must be checked more, and there is nothing wrong with the results." He Guangyou replied.
"Do other people have any other opinions?" Tao Zhijie asked those who did not speak in the group.
Another attending physician in the group, Dr. He Jiuliang, is older than He Guangyou. He is not in charge of Zhao Zhaowei. He can only express his opinion based on what he has just heard about the patient's condition: "I feel that his disease does not need to be complicated. Mr. Zhao's thoughts are in line with ours. The treatment policy in the early stage is safe. Continue to control the infection, and then observe whether the liver abscess has shrunk. The final goal is to disappear. The jaundice will naturally subside. The patient’s mood needs to be comforted. If measures are to be taken, there is nothing at this stage Very good way."
"I feel it, he's impatient." Gong Xiangbin continued, "His jaundice appeared after he lost weight. In the final analysis, it's his temperament problem. Like Director Tang suggested, find a doctor in the psychology department to talk to him. "