Doctor of Healing

Chapter 244 Unscrupulous PUA (Leader Feng Aiyu plus more×2)

However, simple ischemia does not seem to be able to perfectly explain why only the ears turn blue, while other peripheral blood supply does not change much.

However, the entanglements and difficulties in medical diagnosis cannot keep up with the suppression in reality.

After Professor Li, who led the team, found out that his initial diagnosis was wrong, he became even more frantic and blamed Ji Xiang.

He was completely shameless, and dealt with the problem in an unimaginable way, as if Jixiang jumped into a well with his child in his arms.

It's hard for Ji Xiang to believe that there are people in this world who are so shameless.

Perhaps this is the multifaceted nature of human beings?
In the third hospital-wide consultation, not only the directors and professors of relevant departments, but also a family member of the patient sat in it.

"I" stood in the corner, trembling.

The people in each department explained their opinions, and Ji Xiang heard that none of them had a prepared diagnosis, and they all talked in unison, meaning that it had nothing to do with me, so don't rely on me.

Hospitals are in some ways like workplaces.

Professor Li, who led the group, was helpless, after all, the patient was received by the doctor of his own group.

He finally spoke, "I did make mistakes in the patient's diagnosis and treatment, and I didn't take good care of my doctor."

As he said that, Professor Li, who led the group, gave Ji Xiang a vicious "gouged out" look.

"The harm caused by wrong diagnosis and treatment to patients...I am..."

Professor Li, who led the group, kept apologizing.

Ji Xiang sighed deeply. Could this be the legend that he wiped shit on his face?

Not only has the responsibility not been completely shirked, but it has become more and more black and stinky.

This kind of weird thing can't be done in less than 30 years with cerebral thrombosis.

"Boom, boom, boom~" Director Bao knocked on the table, "Tell me about your diagnosis."

"I initially diagnosed the patient as large vessel vasculitis and relapsing polychondritis, based on..."

Professor Li, who led the group, regained a little confidence and began to speak eloquently.

In his opinion, the patient had a history of lameness, and the diagnosis has been basically confirmed.The diagnosis of large vessel vasculitis and relapsing polychondritis is not something that ordinary people can give, and Professor Li is a little proud.

Subsequently, the patient was started on azathioprine and methylprednisolone pulse therapy.

Professor Li, who leads the group, is also a bit skilled. One day after the azathioprine and methylprednisolone pulse treatment, the blue color of the patient's ears changed, gradually became lighter, and became better visible to the naked eye.

Although "myself" is very depressed, dare not go home, sleeps in the hospital every day, and spends most of the time sitting in front of the computer in the office in a daze, crying, almost depressed, but Ji Xiang cares more about the patient's well-being. diagnosis.

Large vessel vasculitis and relapsing polychondritis, the name of the disease is a disease of rheumatology and immunology.

It was so!
However, knowing the diagnosis of large vessel vasculitis and relapsing polychondritis, empathy has not ended.

Ji Xiang was also a little surprised. During several ward rounds, "I" observed that the color of the patient's ears did gradually return to normal. It is obvious that Professor Li's medication is symptomatic.

Why not let yourself go back?
Could it be that this empathy is not only about feeling the disease and diagnosis, but also feeling the malicious PUA yourself.

"You're a doctor too!"

"Bitch!"

"Pneumonia, your mother's pneumonia, is that pneumonia! Let's see how you treat the patients!"

Professor Li, who led the group, kept swearing in "my" ears, and the language of the swearing became more and more unbearable.

Ji Xiang didn't understand why "I" could accept it, or why he didn't refute Professor Li who led the group.

His words are not worth refuting at all, and Ji Xiang clearly saw that the PUA became more and more serious after leading Professor Li to test a little bit from the beginning to the present, and he was sure that "he" would not dare to resist.

Alas, the poor man must have something to hate. Although he knew the correct diagnosis, Ji Xiang was not happy at all.

Another day, "I" sat in the office in a daze, constantly refreshing the page of the inspection results.

As the blue color of the patient's ears changed, Professor Li, who led the group, had confirmed that the medicine he gave was suitable for the disease, so he abused and insulted "self" even more unscrupulously.

"I" didn't know what to do, so I could only refresh the page of the laboratory test aimlessly, expressing that I was working "hard".

suddenly
page refresh
"I" subconsciously click to check the results

A series of shocking numbers appeared in front of my eyes.

The patient developed acute kidney injury, and his creatinine increased from 72mol/L on admission to 124mol/L.

Acute Kidney Injury!

"I" picked up the phone subconsciously, but Professor Li's cursed voice appeared in my ears, getting louder and louder, the voice pierced the eardrum, and "I" felt headaches.

But in the end, I made a phone call to Professor Li who led the group to report the test results.

Professor Li on the other side of the phone was silent for a full minute before making a sharp voice—impossible!You must have moved your hands and feet! !

Ji Xiang was completely speechless.

Professor Li, who leads the group, must be sick. When a problem arises, he doesn't think about solving it immediately. His subconscious move is to throw the blame away!
There is such a person!
However, Ji Xiang woke up instantly, and it is not known whether the diagnosis of large vessel vasculitis and relapsing polychondritis was wrong.

If you receive azathioprine and methylprednisolone pulse therapy, there may also be complications of acute renal injury.

Ji Xiang knows that this matter is not over yet, no wonder the empathy never ends.

Professor Li, who led the group, came in a hurry. He guessed that he had done psychological training along the way.

I didn't even mention the ridiculous thing - you moved your hands and feet.

"Side injury after medication, do you have any clinical common sense, just call me?"

"I really don't know what you learned when you were in school, did you learn everything the teacher taught into the dog's stomach!"

"Stupid, bitch!"

The meaningless abuse continued, and "I" lowered my head and endured it.

Ji Xiang looked at Professor Li helplessly, his face came closer, and it was really easy to slap him.

It's a pity that "I" is a coward.

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

Renal vascular ultrasonography was performed again, and the results showed that the aortic obstruction may extend to the celiac axis, and there was no blood flow in the renal vessels, resulting in deterioration of renal function.

What is the situation of this sudden acute renal injury?
Everyone was stunned.

Has previously diagnosed vasculitis caused acute kidney injury?After all, this is the only diagnosis that can be made at present.

Could drugs also be the cause of AKI?Of course, there was another object of suspicion: contrast agents.

(End of this chapter)