This doctor has a system

Chapter 591 654. Find the Cause
Gao Zhaodi was discharged from the hospital three days later, and the doctor told her to take her medication on time.

At first she was very happy, after all, it was really uncomfortable to stay in the hospital, but the development of the disease was beyond all expectations.

In less than a month, Gao Zhaodi's chest tightness became more severe, and even light activities would make her breathless.

"Why don't we go and take another look?" she asked.

The doctor at the county hospital rejected Gao Zhaodi's request for a second hospitalization. He took a look at the patient's chest CT scan and frowned. The progress was obvious.

"Let's go to a big hospital. We don't have any good treatment here."

"Director Gao, is there no cure for pulmonary interstitial fibrosis?" Gao Zhaodi's son asked worriedly, "My mother took the pirfenidone on time, so why did her condition get worse?"

Gao Feng didn't know how to answer this question.

For idiopathic pulmonary fibrosis, there are only two drugs that have been proven effective by evidence-based medicine: pirfenidone and nintedanib. Unfortunately, they are not effective for all patients.

In fact, only a small number of patients receive effective treatment.

The vast majority of patients can only suffocate to death in despair.

Yes, when the patient's lungs become completely fibrotic and lose their ventilation function, that is the end of their life.

Gao Feng had previously met a 34-year-old female patient who was diagnosed with idiopathic pulmonary fibrosis when her youngest son was just one year old. Her young life passed away in less than three months.

However, Gao Feng still had doubts about Gao Zhaodi's situation. The evidence for her diagnosis of idiopathic pulmonary fibrosis seemed insufficient.

Her imaging features are very consistent, but after all, there is no support from pathological results. What if it is caused by other reasons?
Some diseases, such as rare immune diseases, can also lead to the occurrence of pulmonary interstitial fibrosis, and their imaging features are sometimes not so obvious from those of idiopathic ones.

"Can you check it more deeply?"

"Yes, we need to rule out some rare immune diseases." Gao Feng explained, "We also need to do a bronchoscopy and take tissue for pathology."

"Okay, I'll listen to you." Gao Zhaodi's son cooperated very well.

Just when Gao Feng was about to get off work, he received a call from the Nephrology Department, asking him to come over for a consultation.

"Nephrology?" Gao Feng was a little puzzled. "What kind of patients will they want me to see?"

The patient who needs consultation is Wang Xinling, and her diagnosis is renal damage.

"And then?" Gao Feng looked at the medical records and test results. "Isn't this diagnosis quite clear? I think the treatment effect is also good."

Do such patients need a consultation?

"The cause of her kidney damage has not been found yet." The attending doctor explained, "This is the second time the patient has been hospitalized."

This aroused Gao Feng's interest.

"When was the last time you were hospitalized?"

"It was not long ago." The attending doctor pulled up the medical records. "She also has a close friend who also suffered from kidney damage, and her symptoms are similar to hers."

"Really?" Gao Feng became even more interested.

"Could it be some kind of contagious disease?" Li Youliang took out a mask from his pocket, and Gao Feng cooperated and put it on.

"That shouldn't be the case." The doctor in charge looked at the two people and said with an uncertain tone, "Other test results didn't reveal anything abnormal. The patient's family members didn't have any symptoms either." There are many causes of kidney damage, such as bad living habits.

If the patient stays up late for a long time, overworks, or overeats, it may increase the burden on the kidneys and cause kidney function damage.

In addition, there is acute glomerulonephritis. If the patient's immunity is relatively low, bacteria or viruses may invade the body, leading to acute glomerulonephritis, resulting in symptoms such as hematuria, proteinuria, edema, and even impaired renal function.

Another one is diabetic nephropathy and hypertensive nephropathy.
If the patient already has diabetes and hypertension and does not receive timely treatment, the disease may worsen, thereby inducing diabetic nephropathy and hypertensive nephropathy, with symptoms such as large amounts of proteinuria and edema, and even accompanied by impaired renal function.

However, Wang Xinling's situation didn't seem to fit the criteria, and her best friend didn't have any clear trigger.

"Could it be due to something he ate?" Gao Feng guessed. Drug-induced kidney damage is not uncommon.

As the saying goes, all medicines are poisonous to some extent. Every year, the Department of Nephrology admits many patients who suffer kidney damage due to taking traditional Chinese medicine blindly.

"I've asked, and they all said no." The nephrologist was also scratching his head. This patient named Wang Xinling was really troublesome. She pestered him all day long to ask about the cause of her illness. Before she could say a few words, her tears would stream down her face, making him feel very embarrassed.

"Where is the patient? Take us to see him." Gao Feng said.

Everything has a cause. Some diseases do have unknown causes, but this patient is definitely not one of them.

The reason is very simple. She was not the only one who fell ill. She also had a close friend who had similar symptoms and signs as her. When the two of them worked together, they could always find out what the problem was.

But after asking for a long time, Gao Feng found nothing and couldn't help but frown.

"So, you want to come to my house to see a doctor?" Wang Xinling looked at the overly young doctor in front of her. The people next to him seemed to call him Director Gao.

"Yes, let's see if there's anything special."

Although she didn't quite understand, Wang Xinling agreed, and her husband drove the group to Jiazhong.

Wang Xinling's family is well off and they live in a 180-square-meter apartment with a direct elevator access, which maximizes their quality of life.

"The house is a bit messy. My parents and children are living in their hometown for a while. She is in the hospital again, and there is no one to clean up the house." Wang Xinling's husband cleaned up the clutter on the sofa a little embarrassedly and asked everyone to take a seat.

"What do you usually eat?" Gao Feng asked.

"I mostly eat out or order takeout during this period," Wang Xinling replied, "and occasionally I make some porridge or something."

But they did it very rarely because both of them were too lazy to cook. Originally, cooking at home was done by the "nanny", Wang Xinling's mother-in-law.

Gao Feng checked Wang Xinling's house inside and out and found no problems.

"Let's go to your bestie's house." He turned around and said.

Wang Xinling’s best friend was at work at the time. After receiving the notice, she hurried back home.

"You don't even have to come back. I have your house key."

"It's not very convenient today." My bestie looked unhappy, "How about another day?"

"Is there any inconvenience?" Wang Xinling pushed the door and led everyone in.

The room was very tidy. As a few people were talking, a naked man walked out of the bathroom.

(End of this chapter)