I really don't want to be a doctor

Chapter 142 Director Sun's Olive Branch

"Ning'an Medical College?"

Director Sun's eyelids couldn't help but twitch, it could be Ning'an Medical College, that mediocre medical school?

It's fine if you don't know what kind of still disease it is, but now a person pops up suddenly, so you have to compare it.

He looked at the young doctors in the department behind him, and they were all medical students from Fancheng Medical University or universities of the same level.

And more than 80.00% of the people have a bachelor's degree or above!

But so many people are not as good as a freshman from "Ning'an Medical College"?

When the young doctors in the ward saw Director Sun's gaze, they all shrank their necks and lowered their heads not daring to meet his gaze.

"No matter which school you are from, they are all good." Professor Yang patted Jing Xiaoran on the shoulder, and then gave him a thumbs up, "I don't usually read less literature."

Jing Xiaoran nodded with a smile: "Yes, Professor Yang. This adult still disease is a case report I read in an English literature a few weeks ago. Because it wasn't long ago, my memory is relatively deep."

"Really?" Professor Yang said, "Then tell us about this adult still disease."

At the same time, Director Sun also echoed: "Student, please spread the knowledge to the young doctors in our ward, so that everyone can learn and improve together."

Sun Chenghai wanted to see this freshman from Ning'an Medical College, did he really understand this adult still disease?Or just just know the name of a disease?

Seeing that Professor Yang and the head of the department said so, and it was in line with his initial expectations, Jing Xiaoran nodded.

"Adult Still's Disease, named after the pathologist Still who discovered the disease."

Jing Xiaoran's voice sounded, and everyone in the ward focused on him.

Xiaoxiao on the side held her brother's hand tightly, and the eyes of everyone made the little girl feel a little uncomfortable.

"Its etiology and pathogenesis are still a mystery. The main clinical manifestations are recurrent and intermittent fever, which often lasts for more than a week, with arthritis and scattered rash all over the body. The rash and arthritis are associated with fever."

"Patients are often suspected or even misdiagnosed with infections, tumors, and blood diseases during the diagnosis and treatment process. Almost all tests cannot be diagnosed, and various treatments will not have any effect."

Director Sun asked: "Student, do you know the diagnostic criteria for adult Still's disease?"

Jing Xiaoran nodded and said, "The diagnosis of adult Still's disease should be a clinical diagnosis or an exclusionary diagnosis."

What is a clinically diagnosed case? (For this term, everyone may be familiar with it recently.)
In layman's terms, there is no way to diagnose a disease at all, or the method of diagnosis is very harsh (for example, myocarditis, the diagnosis method is to take a little heart tissue for pathological examination), so this kind of disease can only be diagnosed by clinical symptoms or certain diseases. Some non-characteristic indicators for diagnosis, so as not to miss diagnosis!
"So when making a diagnosis, other diseases related to fever, rash, and arthritis must first be ruled out." Jing Xiaoran added.

"Since adult Still's disease is a rheumatic immune disease, how to explain the negative results of the rheumatism series?" Director Sun continued to ask.

"In adult Still's disease, laboratory tests can reveal elevated white blood cells, and elevated ferritin is a special indication. The rheumatology department checks for rheumatoid factor and antinuclear antibodies are often negative." Jing Xiaoran answered eloquently.

"What about the treatment method and prognosis?" Director Sun asked Jing Xiaoran one after another.

Jing Xiaoran thought for a moment, then said: "Fever is the main goal of treatment, and hormones are the main drug for treating adult Still's disease. The dosage of hormones should be selected according to the condition. When the condition is more serious, a large dose of hormones or even gamma globulin is often needed. , and immunosuppressants such as azathioprine, methotrexate, etc.”

"As for the prognosis of Still's disease, the prognosis of most patients is good. A small number of patients will relapse and the relapse time is uncertain, but the symptoms at the time of relapse are often milder than those at the initial onset, and the duration is short. However, severe complications may occur in patients who develop severe disease Such as disseminated intravascular coagulation (DIC), hemophagocytic syndrome, liver and kidney damage, and cardiopulmonary damage."

At this time, Professor Yang nodded with satisfaction: "Young man, that's very good. But I want to know, for this patient, do you have any ideas on how to formulate the next treatment method?"

Jing Xiaoran looked at Grandma Wang on the hospital bed, and found that she was also looking at him. Although her face was pale, she still had a kind smile.

Grandma Wang nodded slightly to Jing Xiaoran, motioning for him to continue.

Jing Xiaoran withdrew his gaze and said, "I asked, although Grandma Wang has always had a fever, but the fever is easy to control at present. According to the medical history report just now by the teachers, it can also be known that Grandma Wang has no internal organs involved, and her arthritis symptoms are relatively severe. The rash is mild, and the rash is easy to subside. Therefore, although the condition is repeated and protracted, it is still a mild patient. Hormone therapy can be used, and a moderate dose of glucocorticoids can be given, and the patient’s condition and adverse reactions to hormones can be closely monitored.”

"If the condition is stable, intravenous hormones can be changed to oral administration, and long-term maintenance in small doses is sufficient."

The way Director Sun looked at Jing Xiaoran completely changed. If he had some doubts at first, then he is completely convinced now.

His thinking is so clear, and his answers are well-founded, it is definitely not just memorizing knowledge points.

This freshman of Ning'an Medical College is not easy!

But it was much better than the group of young doctors in the department behind him.

Moreover, these rare diseases can only be discovered by reading English literature, which also proves that Jing Xiaoran's English skills must be good!
Director Sun coughed: "Student, do you plan to apply for the postgraduate entrance examination of Fancheng Medical University?"

Jing Xiaoran was taken aback: "Director, I'm only a freshman, am I a little hasty?"

"It's okay, five years will pass in a flash, I can wait for you." Director Sun smiled, this smile was extremely warm, as if facing relatives and nephews.

As soon as the words finished, all the young doctors in the ward cast envious and jealous looks at Jing Xiaoran.

Most of them are masters, and even some have Ph.Ds, but they still do hard work in the department.

But if it was Sun Chenghai's student, it would be unusual.

Sun Chenghai is the chief director of the four hematology wards of the Affiliated Hospital of Fancheng Medical University, and also the vice president in charge of foreign affairs.

Every year, he sends a few selected students to study abroad, coats them with a layer of gold, and then returns to China. This is a great benefit for medical students.As long as you return to China, you will have all kinds of projects and funds at your fingertips, and the road to promotion will be much easier.

Director Sun is now directly offering an olive branch to a student whom he has just known for a few minutes, which is unexpected by everyone, and also unexpected by Jing Xiaoran.

(End of this chapter)