Falling behind at the start, the first surgery shocked the world.
Chapter 123 General Practice Consultation
"Doctor, the tests you ordered for Chaochao yesterday have all been done. Could you please take a look and see what's wrong with her?"
"Chaochao started having a high fever again around 3 a.m. last night."
"The doctor surnamed Wang prescribed Chaochao a fever reducer, and the fever went down, but she seems very listless. What's wrong with her?"
The patient's mother was very young, in her early forties, but she looked much older than her age.
She was heartbroken over her daughter's illness.
"Let me see."
CT scan: Normal.
MRI: Normal.
Electrocardiogram and color Doppler ultrasound: Normal.
Abdominal CT scan: normal.
Of all the indicators, only mild inflammation was visible in Chaochao's body, and there were no tumors or cancers, but her condition was getting worse.
"Wait a mininute."
Xia Tian took the report and went to Zhang Ming's office.
He reported Chaochao's condition to Zhang Ming.
"Director, do you have any thoughts?"
"What exactly is the patient's condition?"
Zhang Ming looked at the report and fell into deep thought for a moment.
"This patient is a bit strange."
"If we really can't find the cause, how about a multidisciplinary consultation?"
A multidisciplinary consultation is used for patients with complex or difficult-to-diagnose illnesses. All departments of the provincial hospital consult at the same time to pool their wisdom and may be able to find the cause of the disease.
Summer also considered a general practitioner consultation.
He nodded: "I'll notify them right away and arrange a general consultation for the patient."
Xia Tian turned to leave, at which point Zhang Ming spoke up.
"I heard..."
Ok?
Xia Tian turned around, looking blankly at Zhang Ming, waiting for Zhang Ming to say what he would say next.
Zhang Ming's expression was somewhat unnatural. He glanced at him quickly with his small eyes, then quickly lowered his head again.
"I heard you went out to dinner with Jin Qiaoqiao yesterday?"
"Ah...this..."
Xia Tian hurriedly explained, "Yesterday, I asked Jin Qiaoqiao to help a patient cut in line, so... I treated her to a meal."
"Mm." Zhang Ming nodded and said nothing more.
The atmosphere was awkward.
Even though he was just Zhang Ming's apprentice, and he and Zhang Yunshu were not a good match, why did he feel so embarrassed as if he had been caught in the act?
"That director doesn't have anything to do, I'll go take care of my work now."
I want to run away in the summer!
At this moment, Zhang Ming took out a card from his pocket and handed it to Xia Tian: "Xia, take this."
"Someone gave me a gift card a few days ago. I can use it to buy Japanese Wagyu beef. We older folks don't really like Japanese food, but Yunshu really enjoys it."
"You two go eat together."
Xia Tian glanced at the gift card; the amount was five thousand yuan.
Should I accept this card or not?
He and Zhang Yunshu are not a good match; a forced relationship won't end well...
(Zhang Ming: If the melon isn't sweet, I'll dip it in white sugar.)
He glanced at Zhang Ming.
Zhang Ming frowned.
Xia Tian quickly took the card: "I'll make an appointment with Yun Shu later, and we'll go out to eat another day."
Zhang Ming: "I've already arranged with Yunshu. She doesn't have class tomorrow afternoon, so it'll be 7:30 pm, table 19."
The tables have all been ordered?
Have you booked a hotel?
Have you bought the condoms yet?
Xia Tian nodded helplessly: "I'll be there on time. I'll go take care of my work now."
Zhang Ming waved goodbye, and Xia Tian left.
After summer leaves.
Zhang Ming opened his phone and sent a message.
"Hehe, honey, I don't have enough pocket money this month."
Aunt Xue replied, "Five thousand dollars, gone at the beginning of the month?"
Zhang Ming sighed deeply: "It's all for our daughter... We have to work hard for our daughter's happiness."
Ding Dong!
The money has been transferred.
Zhang Ming grinned as he looked at the amount.
500 yuan!
"Honey, 500 is a bit low, isn't it? It's a month's salary. I'm a director, after all, and I occasionally have to eat out with my colleagues."
Aunt Xue: "You said yourself you're the director. Do directors need to pay for their meals?"
"Or, you can split the bill; it won't cost much."
Zhang Ming's eyes widened in disbelief: "Damn it, me, a high-ranking director, going out to eat with a nobody and splitting the bill? What kind of behavior is that?"
Aunt Xue: "Do you want it or not? Don't return it."
Zhang Ming: "Yes, yes, yes!"
He hurriedly accepted the 500.
Zhang Ming sighed and opened Liu Yu's WeChat: "Hey Lao Yu, where should we eat for lunch? How about hot pot? It's been so long since I've had hot pot. Let's invite Lao Jia too."
……
One o'clock in the afternoon.
Taking advantage of the fact that everyone was not busy at the beginning of the work week, Xia Tian invited all departments to conduct a general consultation for Chaochao.
Inside the meeting room.
In the summer, all the patient's images were displayed.
"The patient developed urethritis a month ago, with swelling in both legs and knee pain. Recently, he has also developed shingles, chest pain when breathing, and fever."
"A blood test revealed inflammation in the body."
"He has mild pneumonia, but no tumor has been found."
"The MRI and CT scans were both normal."
"Initially, I suspected heart and kidney problems, but both have been ruled out, as has uremia. The lymphatic system is good, so lymphatic problems have been ruled out."
"Colleagues, do you have anything to add?"
Doctors from internal medicine, surgery, obstetrics and gynecology, oncology, and even ENT all came. Listening to Xia Tian's report, several of them laughed.
The oncologist laughed.
"You've ruled out tumors, so how are we supposed to supplement our diet?"
"I have no objection."
The ENT specialist simply started playing on his phone.
"I have no idea either."
The OB-GYN frowned and asked Xia Tian, "Have you had an abdominal CT scan? Could it be caused by cervical cancer?"
"It's obvious that the patient's overall function is declining and their immunity is weakened; it must be some kind of disease that's causing this condition."
The internist nodded: "That's right."
"That aligns with my thinking. A certain disease leads to a decrease in the patient's immunity. Shingles and pneumonia are both manifestations of a weakened immune system."
Xia Tian shook her head.
"An abdominal CT scan was performed, ruling out cervical cancer."
"What specific illness could it be? Do either of you doctors have any ideas?"
The two shook their heads, completely bewildered.
All the necessary tests have been done.
Doctors aren't gods; if even instruments can't find the cause of a disease, then they certainly can't either.
After half an hour.
End of the meeting.
The doctors went back to their work.
Summer sat alone in the conference room, deep in thought.
What is the cause of the disease?
At this moment, Li Xiaohong came in and cautiously asked Xia Tian.
"Brother Tian, the patient's family asked me to ask you something. If they can't find the cause of the illness, they want to transfer the patient to another hospital."
"Transfer to a hospital in Beijing."
After several days of effort, the patient still could not be identified, leaving the patient and their family disappointed.
I'm preparing to go to a larger hospital for help.
Generally, when a hospital cannot find the cause of an illness, it will discuss with the patient the possibility of transferring to a larger hospital for further examination, as larger hospitals have advanced equipment and more professional doctors.
but……
Are we just going to give up like this?
"Wait a moment."
"Let me go see the patient."
Summer returned to the ward.
Inside the ward, the patient's mother was wiping away tears. The patient had started to have a high fever again. As a mother, it was too painful to see her daughter suffer like this.
Looking at the patient, Xia Tian asked.
"What did you do before the onset of the illness?"
"Where have you been? Tell me anything you remember."
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