Elder Li immediately realized that it was not a single person making the diagnosis, but a team.
Only a project team leader with a project team and a fund to invest in would be called a boss.
Of course, that kind of junior doctor's flattery and humour did not count.
Elder Li was a little confused. The boss of the Department of Rheumatology and Immunology and his subordinates even clamored that if they could overturn his diagnosis, they would throw the test results in his face.
He had never seen this kind of relationship before.
The scientific research fund was fought for by the boss. In the project team, the boss had the final say. The assistant was so arrogant? Could it be that he brought funds into the team?
As the old saying went, two tigers cannot share a mountain. There were two bosses in a project team. Once they encountered a difficult problem, who would make the decision?
There had been such project teams before, but they did not have a long lifespan.
Strange. Elder Li became more and more curious. What kind of project team was this?
The assistant, or the second boss, was actually so arrogant.
However, judging from his tone, his words did not have any malice. It seemed like he was joking.
It seemed that a few like-minded middle-aged professors had come together to do a national scientific research project. Elder Li guessed.
At this time, the director of the Department of Rheumatology and Immunology had already finished talking about the various test results. Finally, he gave his diagnosis — secondary APS.
After eliminating all interference, the firm diagnosis was secondary APS and systemic lupus erythematosus.
If it was not for the A4 paper in front of him, Elder Li would have applauded the brilliant inference of the director of the Department of Rheumatology and Immunology.
The patient's condition was complicated. He was able to find the main problem among the many complications. This was a reflection of the technical level of the First Affiliated Hospital of Provincial Capital Medical University.
Especially the final diagnosis, when he said it, he was extremely certain. He did not say those ambiguous words at all.
However, on the A4 paper, under the description of the flying dragon and phoenix, Elder Li's mood was a little complicated.
A project team, an unknown "boss", had actually determined that it was secondary APS complicated with systemic lupus erythematosus based on a small number of examination reports and CT images.
This was a little magical.
[I think the boss is not wrong. If you haven't determined that it is secondary APS + systemic lupus erythematosus, then think about it and do the relevant tests.]
The words on the A4 paper were as sharp and mean as ever. Although they did not point at people's noses and curse, Elder Li could vaguely see an arrogant middle-aged doctor saying these words with a disdainful expression.
It was a pity that the professor was leading the rheumatology immunology team and his own project team. It was almost impossible to recruit him.
Elder Li sighed.
The chief of endocrinology smiled when he heard the diagnosis of secondary APS complicated with systemic lupus erythematosus. This was the same as his own judgment. He had done a lot of checks and finally turned his vague conjecture into reality. This complicated case was really a test of his ability.
Hearing Dr. Li's sigh, the head of the endocrinology department was stunned. Could it be that the diagnosis was wrong?
"Elder Li, what's wrong?" she asked.
"Take a look." Elder Li handed over the paper that he had finished reading.
The endocrinology department chief was stunned for a moment, then he flipped through the A4 paper.
His sharp and unkind tone made her very angry, but she couldn't find any fault in it. Her anger was suppressed in her chest, and she couldn't vent it, which made her very depressed.
As a doctor, if she pointed at the nose and cursed, she would be a shrew without any skill. Criticizing the other party for the wrong diagnosis, standing at the peak of technology and looking down on everything was the way to go.
However, looking at the diagnosis and reasoning process written on the A4 paper, the head of the endocrinology department could not say a word.
The other party's judgment was orderly and logical. Although there were some guesses mixed in, the doctor who wrote the analysis of the condition also said that this was what his boss insisted on. He hoped that the wrong judgment could hit him in the face with the correct diagnosis.
However, the other party's diagnosis was the same as the diagnosis of the rheumatology and immunology department chief of his hospital. Hit? With what!
"This patient is positive for high-titer antinuclear antibodies, ACA positive, thrombocytopenia, and suspected discoid erythema. However, because the specific antibody dsDNA is negative, the possibility of SLE is considered high.
"At this point, the patient's diagnosis is basically clear: secondary APS, SLE is highly likely. Bilateral adrenal venous thrombosis leads to adrenal hematoma, which then leads to primary adrenal cortical insufficiency, and finally, adrenal crisis."
The head of the rheumatology and immunology department seemed to be reading the words written on the A4 paper. Although not every word was correct, the general meaning was the same.
Old Man Li looked at the words on the paper, and a feeling of absurdity appeared in his heart.
She vaguely guessed that the technical level of that medical group was not lower than that of the First Affiliated Hospital of Provincial Capital Medical University, or even higher.
As the former head of the Department of Internal Medicine of the First Affiliated Hospital of Provincial Capital Medical University, Elder Li had pride in her heart. She subconsciously did not want to admit this.
However, the diagnostic level of rheumatology and immunology was higher than that of the First Affiliated Hospital of Provincial Capital Medical University. Which hospital was it?
[Yes, finally, give the treatment plan. Don't be impatient, and don't think that we are interfering. The most important thing is for the patient to recover as soon as possible. Do you feel uncomfortable with this big hat being put on your neck?]
Elder Li looked at the teasing words and did not know whether to laugh or cry.
[Warfarin anticoagulation, target INR.
2 ~ 3, add hydroxychloroquine to reduce aPI production and anti-coagulation aggregation. Prednisolone 40
Qd + methotrexate 10
QW Immunosuppression.]
"I suggest using warfarin anticoagulation, target INR.
2~3。 At the same time, add hydroxychloroquine to reduce aPI production and anti-coagulation aggregation. Prednisolone 40
Qd + methotrexate 10
QW Immunosuppression therapy. "The head of the Department of Rheumatology and Immunology finally" read "the treatment plan on the A4 paper.
If he had not been at least 10 meters away, Elder Li would have thought that he had really seen the treatment plan on the A4 paper and read it out without thinking.
This …
The head of the Department of Endocrinology had been staring at it and also saw the words written on the A4 paper.
His eyes were looking at the treatment plan, and his ears were hearing the same treatment plan.
Could this be considered as a coincidence?
Elder Li and the head of the Department of Endocrinology thought of a scene from a TV series at the same time. Zhuge Liang's palm was writing, and he and Zhou Yu happened to coincide. They looked at each other and laughed.
But … the unknown medical team on the other side made such a judgment while lacking many necessary tests and examinations.
This was the first time that Elder Li was distracted during a medical round in the Department of Internal Medicine.
The patient in bed 2-8 who received the Endocrinology Department would definitely be transferred to the Department of Rheumatology and Immunology. She did not care about this. She was thinking about the last page of the A4 paper. After all the words were said, there was a smiling face left behind.
The smiling face was the complete opposite of the previous sarcastic words. Elder Li did not think that someone was looking down on the First Affiliated Hospital of Provincial Capital Medical University and directly mocked them.
She was very curious and even a little anxious. She wanted the Department of Internal Medicine to end its rounds as soon as possible so that she could go back and ask which hospital's medical team had such a level of skill.
You've already exceeded your reading limit for today. If you want to read more, please log in.
Login
Select text and click 'Report' to let us know about any bad translation.
