My medical path

Chapter 88

This Thursday, Chen Bo received a call from Director Wei, asking Chen Bo to attend the general hospital consultation for him.

According to the usual practice, the general consultation of the whole hospital generally requires the deputy chief physician or above to participate, so the department director or deputy director usually attends.

Director Wei was originally invited today, but unfortunately Director Wei received a temporary notice to go to the meeting, and Deputy Director Zhao has not yet come out of surgery, so Director Wei asked Chen Bo to go over to see what's going on and talk about it later.

The hospital-wide general consultation is tantamount to concentrating the strength of the whole hospital to conduct research and discussion on some patients with unclear diagnosis, difficult and critical conditions, and finally come up with a multidisciplinary comprehensive diagnosis and treatment plan.

Today, the Department of Nephrology applied for the general consultation of the hospital. In addition to the Department of Orthopedics represented by Chen Bo, Departments of Respiratory Medicine, Cardiology, Urology and Critical Care Medicine were also invited.

The consultation was presided over by Gan Jianshu, a representative sent by the hospital's medical department.

Because it was a temporary call from Director Wei, when Chen Bo arrived at the Department of Nephrology, the directors of other departments had already arrived.

Seeing that a young man like Chen Bo not only arrived late, but also sat down on a chair around the round table when he arrived, everyone frowned.

You must know that the leaders of each department are the ones who can be on the table now.

At the level of department director and deputy director, the principals and deputies of all departments in the hospital must recognize it, and Chen Bo obviously does not belong to this rank.

However, several directors soon realized that this young man was the protagonist of the acupuncture rescue event!
After the rolling publicity in the news and the hospital's big screen, Chen Bo is really in the limelight in the hospital now.

After Chen Bo sat down, he saw that everyone was looking at him with strange eyes. He figured out the reason after a little thought, and explained to everyone:
"I'm sorry I'm late. Director Wei went to an impromptu meeting. Deputy Director Zhao hasn't had surgery yet, so let me come over to see what's going on..."

After hearing Chen Bo's explanation, everyone knew what was going on, and they all nodded to Chen Bo.

Although it seemed to be a greeting, Chen Bo understood the encouragement from the seniors to the juniors contained in it.

Chen Bo laughed at himself, but it didn't matter. Although he was famous, in the eyes of these big directors, his sense of existence was actually very low.

The barriers of medical technology are difficult to break. Without certain qualifications, in many cases, there is no real core technology at all.

So everyone looked at Chen Bo as a junior and didn't care.

Zhu Guangtao, director of the Department of Nephrology who applied for a consultation, had such an idea at this time:

"Anyway, the patient is just suffering from low back pain. Let them come for a regular check-up. I don't expect the orthopedics department to be of any help..."

"Okay, everyone is here, let's get started!"

Gan Jianshu from the medical department looked around the back road.

"Doctor Wu, please report your medical history."

Director Zhu of the Department of Nephrology said to Wu Siqi, the doctor in charge of their department.

"Okay, leaders, now let me report on the patient's condition..."

Wu Siqi read through the patient information prepared in advance.

After Chen Bo listened carefully, he briefly summarized the patient's condition:

Patient Chen Zhendong, male, 45 years old, was admitted to the hospital for 1 week due to edema of the face and lower limbs. When he was admitted, he still had fever, accompanied by chest tightness, chest pain and dyspnea...

After being admitted to the hospital, the renal function was abnormal, the uric acid was high, and one side of the kidney had stones with mild hydrops...

Inflammation in the lungs and fluid in the chest...

There was abnormality in the heart function enzyme test, the electrocardiogram showed myocardial ischemia, and the heart blood vessels were also checked, and there were plaques...

Of course, Chen Bo also heard about the only back pain that was related to him, and he mentioned it in one sentence. Obviously, the doctor in charge didn't pay much attention to this problem.

"...The above is the situation of this patient. The real cause of this patient is not very clear now, and the condition is serious, so I would like to ask all the teachers to come and help today, thank you all!"

After Wu Siqi finished reading the manuscript she had prepared, she said to everyone.

"The characteristic of this patient is repeated fever. We sent both sputum and pleural effusion for culture. Klebsiella pneumoniae was cultured from the sputum. The fever disappeared soon after the anti-inflammatory drugs were first used, but the fever returned soon. Get up...today, experts are invited to come over to check and see if we haven't thought about anything, and it's also an explanation to the patients and their families..."

Director Zhu Wentao continued Wu Siqi's words.

After Director Zhu finished speaking, the directors began to look through the patient's information, and then went to check the patient one after another.

Chen Bo also read the information, and the situation was similar to what Wu Siqi reported just now, so he simply followed the directors and went to see the patients together.

First, Director Zhang Weimin of the Department of Respiratory Medicine asked the patient about his fever, cough and sputum in detail, and then took a stethoscope to listen to his lungs...

Director Li Yiping of the Department of Cardiovascular Medicine asked about his daily activities and then listened to the heart...

Director Liu Yunbo of the Department of Urology asked about the back pain and then tapped the kidney area...

The detailed examination by Director Cai Xinyun of the Department of Critical Care Medicine, from eyelids to lips, to lungs, heart, abdomen...

Chen Bo was not idle when several of their directors started to check.

"Low back pain...is nothing more than soft tissue, bone and neuropathic...Of course, other systemic diseases must be excluded..."

Chen Bo thought to himself.

The medical history records are relatively scarce, only the low back pain is introduced, and the specific location, nature and physical examination of the pain are not recorded.

"Anyway, it will take some time for them to ask about the medical history and physical examination, so let me investigate the possible causes one by one..."

Chen Bo thought to himself.

Smart system scan begins...

Chen Bo checked everything from the neck down to the chest and waist, and found no obvious adhesion or inflammation in the soft tissues of the lower back, and no intervertebral disc herniation...

Looking at the bones again, looking at the cervical, thoracic and lumbar spine, there is no slippage, spinal stenosis, tumors, and tuberculosis, but it is a bit osteoporotic...

Chen Bo didn't pay much attention to it, and then looked at the condition of the nerve, and found no adhesion or compression of the nerve...

"This is weird..."

After checking it for a round, Chen Bo didn't find any obvious problems, so he was puzzled.

"I didn't find a problem, so just check to see if there are other reasons for low back pain..."

Chen Bo thought of this, and focused on scanning the chest and abdomen.

The lungs do have inflammation, and there is a lot of pleural effusion... But there is no dissection or blockage of the large blood vessels... The kidneys do have stones and a small amount of fluid, but if it is such a fatal renal colic, it is estimated that the patient's main complaint It will be much clearer, and it is impossible for a nephrologist to ignore this...

(End of this chapter)