Healing Doctor

Chapter 245 Unbridled PUA (Bonus Chapter x2 for Alliance Leader Feng Aiyun)

However, simple ischemia does not seem to perfectly explain why only the ears turned blue, while other peripheral blood circulation did not change much.

However, the difficulties and challenges in medical diagnosis cannot compare to the suppression in reality.

After Professor Li, who was in charge of the group, discovered that his initial diagnosis was wrong, he became even more frantic in trying to shift the blame onto Ji Xiang.

He has completely lost all shame, handling problems in an incomprehensible way, as if Ji Xiang had jumped into a well with his child in his arms.

Ji Xiang found it hard to believe that there could be such a shameless person in the world.

Perhaps this is the multifaceted nature of humanity?

The third hospital-wide consultation included not only the directors and professors of various relevant departments, but also a patient's family member.

"Myself" stood in the corner, trembling.

People from each department expressed their opinions, and Ji Xiang could tell that no one had a prepared diagnosis. They were all speaking incoherently, meaning that it had nothing to do with him and that he shouldn't be blamed.

In some ways, hospitals are not much different from workplaces.

Professor Li, who was in charge of the group, felt helpless, since the patient was admitted by the doctors in his own group.

In his closing remarks, he said, "I did make mistakes in the diagnosis and treatment of the patients, and I did not take good care of the doctors under my command."

As he spoke, Professor Li, who was leading the group, glared fiercely at Ji Xiang.

"The harm caused to patients by incorrect diagnoses and treatments... I... "

Professor Li, who was leading the group, kept apologizing.

Ji Xiang sighed deeply. Was this what they called smearing shit on one's own face?

Instead of completely shirking responsibility, the more they tried to cover it up, the worse it became.

Such a bizarre thing could only be done by someone who had suffered a stroke within thirty years.

"Knock knock knock~" Director Bao tapped on the table. "State your diagnosis."

"My initial diagnosis for the patient is macrovascular vasculitis and recurrent polychondritis, based on the following criteria..."

Professor Li, who was leading the group, regained some confidence and began to speak eloquently.

In his view, the patient's history of limping was sufficient to establish a definitive diagnosis. Professor Li was quite pleased with himself, as diagnoses like macrovascular vasculitis and recurrent polychondritis are not easily made.

Subsequently, the patient began pulse therapy with azathioprine and methylprednisolone.

Professor Li, who was in charge of the group, was also quite capable. After a day of pulse treatment with azathioprine and methylprednisolone, the blue color in the patient's ears changed, gradually fading and visibly improving.

Although he was feeling very down and didn't dare go home, he slept in the hospital every day and spent most of his time sitting in front of the computer in the office, staring blankly and crying. He was almost depressed, but Ji Xiang was more concerned about the patients' diagnoses.

Macrovascular vasculitis and recurrent polychondritis are diseases that, judging from their names, belong to the rheumatology and immunology department.

So that's how it is!

However, even after learning about the diagnoses of macrovascular vasculitis and recurrent polychondritis, the empathy lingered for a long time.

Ji Xiang was also a little surprised. When he made rounds several times, he observed that the color of the patient's ears was indeed gradually returning to normal. It was obvious that Professor Li's medication was effective.

Why won't you let me go back?

Does this mean that this time, empathy involves not only experiencing the illness and diagnosis, but also personally experiencing the malicious PUA (Pick-Up Artist) tactics?

"You call yourself a doctor?!"

"Bitch!"

"Pneumonia, pneumonia my ass! Is that pneumonia?! Look at the state you've made of the patients!"

Professor Li, who was leading the group, kept cursing in "his" ear, and the language he used became increasingly vile.

Ji Xiang couldn't understand why "himself" could accept it, or rather, why he didn't refute Professor Li, who was in charge of the group.

His words were not worth refuting at all, and Ji Xiang clearly saw that Professor Li, who was in charge of the group, had been testing him little by little from the beginning until now, and after he was convinced that "he" would not dare to resist, the PUA became more and more serious.

Alas, there's always a reason why someone is pitiful. Although he knew the correct diagnosis, Ji Xiang wasn't happy at all.

The next day, "myself" sat listlessly in the office, constantly refreshing the page of test results.

As the patient's ears turned blue, Professor Li, who was in charge of the group, was certain that the medication he had prescribed was effective, so he became even more unrestrained in his insults and abuse of "himself".

"I" don't know what to do either, so I just aimlessly refresh the test results page to show that I'm "working hard".

suddenly

Page refresh

"Myself" subconsciously clicked to check the results

A series of shocking numbers appeared before my eyes.

The patient developed acute kidney injury, with creatinine increasing from 72 mol/L upon admission to 124 mol/L.

Acute kidney injury!

"Myself" subconsciously picked up the phone, but Professor Li's abusive voice came to my ears, becoming more and more noisy and louder, the sound piercing my eardrums, and "myself" had a headache.

But in the end, I still called Professor Li, who was in charge of the group, to report the test results.

Professor Li on the other end of the phone was silent for a full minute before uttering a sharp voice—"Impossible! You must have tampered with it!!"

Ji Xiang was utterly speechless.

Professor Li, who is in charge of the group, must be sick. When a problem arises, his first instinct is not to solve it, but to shift the blame!

There are actually people like that!

However, Ji Xiang instantly regained his senses and wondered if the diagnoses of macrovascular vasculitis and recurrent polychondritis were incorrect.

If the patient is receiving pulse therapy with azathioprine and methylprednisolone, there is a possibility of complications such as acute kidney injury.

Ji Xiang knew this matter wasn't over yet, no wonder his empathy for the situation hadn't ended.

Professor Li, who was leading the team, rushed over. He must have mentally prepared himself for the journey, because when they met, he just had a dark expression and didn't immediately lash out.

It didn't mention anything absurd, like you tampered with something.

"You call me about side effects after medication? Don't you have any clinical common sense?"

"I really don't know what you learned in school! Did you forget everything the teachers taught you?!"

"Foolish, bitch!"

The pointless insults continued, and "he" kept his head down and endured them.

Ji Xiang looked helplessly at Professor Li, whose face was so close that it was easy for him to slap him.

Unfortunately, "I" am a coward.

Professor Li adjusted the medication, but the patient's kidney function did not recover and continued to deteriorate. Creatinine increased to 328 mol/L, and on the 10th day, it progressed to anuria and urinary retention.

A second renal vascular ultrasound examination revealed that the aortic obstruction may have extended to the abdominal axis, with no blood flow in the renal vessels, leading to deterioration of renal function.

What exactly caused this sudden acute kidney injury?

Everyone was stunned.

Did the previously diagnosed vasculitis cause acute kidney injury? After all, this is currently the only diagnosis that can be made.

Could the medication also be a cause of AKI? Of course, there is another suspect: contrast agents.

(End of this chapter)