Start From Emergency Doctor

Chapter 489

With Xiong Xinru’s words, the two family members did not entangle again, and nodded, believing to stay in Yanjing Traditional Chinese Medicine by default.

With worry, Zhou Yuan returned to the office.

This is the first patient to make Zhou Yuan feel so embarrassed.

No, it’s the second one to be precise.

The last one was a mutation in the KCMNA1 gene, but this disease hasn’t bothered Zhou Yuan for too long in the strict sense. Zhou Yuan probably knows where the problem lies.

But Xiong Xinru’s abdominal pain, Zhou Yuan really has no clue…

This is also one of the most troublesome reasons for internal medicine.

Any kind of symptom inevitably corresponds to countless diseases.

A simple headache may be a cold or excessive wind, or it may be fatal meningitis or myocarditis. Abdominal pain is equally complicated.

Of course, most of the time, physicians can judge the final disease based on the characteristics of certain diseases.

The worst case is the current state of Xiong Xinru, no way to start, no way to judge!

This is similar to having a silver needle in the air, but the opposite side does not leak, and you can’t even find an acupuncture hole.

Soon after returning to the office, He Jianyi, who had just finished the operation, also heard about it, so he didn’t care about taking a break, so he found it directly.

“Teacher.” Zhou Yuan opened the door and welcomed He Jianyi in.

“Go have a meal together, and talk while eating.” He Jian together.

Zhou Yuan glanced at the time, it was almost one o’clock.

He has been dealing with Xiong Xinru’s affairs. Before he had time to eat, he wanted to eat some dry food to make it through, but since He Jianyi invited him, Zhou Yuan didn’t have to refuse.

“it is good.”

Zhou Yuan changed into casual clothes and went to the cafeteria with He Jianyi.

The dining hall of Yanjing Traditional Chinese Medicine is open around the clock. This is to prevent the doctors from being unable to eat even a mouthful of food after performing the operation in the dark.

Of course, the dishes you order must be fresher than other times. When you come at other times, most of the meals are heated and kept warm.

Canteens also have to maintain their own costs and make profits. It is impossible to supply fresh dishes all day long.

After each ordering, Zhou Yuan and He Jianyi took their seats.

“How is the patient with abdominal pain?” He Jianyi asked.

Zhou Yuan shook his head: “No, it’s complicated. I don’t have a clue.”

He Jianyi took a few meals before and said nonchalantly: “Don’t care too much. This patient has been to our hospital several times, and I have seen it in the Gastroenterology Department and Cardiology Department. There is no response. It is probably an intractable disease.”(Read more @ wuxiax.com)

“They didn’t check out the problem?”

“No. I also heard a little bit, mainly because her abdominal pain came without any signs, and she walked quietly without detection at all. It was very troublesome!”

Zhou Yuan said with a headache: “I wanted to have a checkup, but I was afraid of protests from my family, so I didn’t dare to mention it.

He Jian nodded.

After so many inspections, the cause has not been found out, and the family members have not made troubles. They can only say that they are considerate of the doctor and have a better temper.

If you change your temper a little bit more grumpy, I’m afraid they have overturned the hospital…

Moreover, this is going to shake the sky, and the hospital can only swallow it in the stomach, because the hospital does not take care of this matter!

I did a lot of inspections, spent money like water, and found out the cause of the disease, but now I don’t have a clue at all. If it goes out, the reputation of Yanjing Traditional Chinese Medicine will be greatly affected!

He Jianyi hesitated for a moment and asked, “Do you want to do capsule endoscopy?”

“Yes. But it’s expensive, several thousand. Although it can be reimbursed, the cost is not low.”

Capsule endoscopy is a technology that has only recently appeared. It is to swallow a capsule-shaped endoscope. The camera will walk around the stomach and intestines, take pictures continuously, transmit data to the computer, and finally remove it through stool. There is no effect on the human body.

Capsule endoscopy is more thorough than other examinations. It can observe the condition of the digestive tract at close range and intuitively. It can be regarded as the most effective way to spy on the health of the human gastrointestinal and esophagus.

He Jianyi shook his head, “I can do it or not. There is really no way, I can only try my luck.”

Xiong Xinru’s family background is quite good. If it was Jiang Mai, He Jianyi would never agree, and Zhou Yuan would not propose this approach.

“Could it be the abdominal pain caused by some rare diseases?” He Jianyi asked for a moment after thinking about it.

“For example, lead poisoning, diabetic ketoacidosis, or uremia?” he continued.

Lead poisoning can affect the human nervous system, cardiovascular system, skeletal system, reproductive system, etc., and can also cause diseases of the gastrointestinal tract, liver, kidney, and brain.

Diabetic ketoacidosis and other diseases also have symptoms of abdominal pain. These factors cannot be ruled out…

Zhou Yuan carefully recalled Xiong Xinru’s situation and replied: “Diabetic ketoacidosis can be eliminated directly. The symptoms of this disease are too obvious. She has no signs of diabetes, nor can she see the performance of ketoacidosis. Really, it was discovered by the Gastroenterology Department a long time ago.

In the case of uremia… the patient will have edema, fatigue, and loss of appetite. Xiong Xinru has no symptoms other than abdominal pain. At least the abdominal pain can only be seen.

We have done urine pregnancy and urine routine examinations. If it is uremia, this test will not pass. ”

As for lead poisoning, this is a very serious disease, basically impossible.

Moreover, Xiong Xinru also has no adverse symptoms of various systems such as the reproductive system.

After Zhou Yuan denied it again, He Jianyi couldn’t make any constructive suggestions.

After that, the two of them were thinking about each other, and they stopped talking.

After lunch, Zhou Yuan and He Jianyi both returned to the office, and after a brief break, they started their afternoon work.

Zhou Yuan had an operation in the afternoon, it was not too complicated, and it was solved easily.

However, the ease of surgery does not mean that you are not tired.

No matter how simple the operation is, it requires full concentration, which consumes a lot of physical strength and energy.

Even Zhou Yuan, without the aid of energy medicine, was exhausted after an afternoon of surgery.

It stands to reason that after today’s surgery, Zhou Yuan can go home directly without the need for rounds.

Ward rounds are the task of low-level doctors.

When Zhou Yuan was an intern, his daily task was ward rounds.

At the level of attending physician and deputy chief physician, there is basically no need for ward rounds.

This kind of laborious work is naturally handed over to the lower-level doctors who need to exercise.

Zhou Yuan is of a higher level and has basically been far away from the rounds. Except for some patients who need special care, Zhou Yuan will not stay in the inpatient department.

This time I received Xiong Xinru, and the hospital had no clue about her illness. Whether it was out of guilt or a second observation, Zhou Yuan planned to check it out.

He Jianyi and Sun Meng also followed, planning to take a look together.

What Zhou Yuan didn’t expect was that it was this time round that he finally discovered the strangeness of Xiong Xinru. .