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Jillian asked Jess and others to contact the various specialists involved in the treatment and seek their consent. However, her approach was naturally a matter of professional etiquette. She only expressed her respect for these colleagues, especially before denying it.
In the case of a diagnosis, this etiquette is very important.
Soon, Jess and others came back. The result was naturally not very satisfactory.
"Professor Jesse didn't agree, and he didn't object either. Because Dubov Paul's condition seems to be terminally ill and there is no cure," Jesse said.
Allen also came back: "Professor Ryan from the Department of Pathology believes that without clinical evidence, he is not certain of the diagnosis of polyarteritis nodosa."
Ruth contacted the Department of Infectious Diseases: "Professor Rosie is not very sure about Mr. Dubov-Paul's diagnosis of polyarteritis nodosa. But he is noncommittal about stopping the medication."
Jillian nodded. She naturally understood the reason why these colleagues did not take a stand. They were not opposed to stopping the medication, but they were just trying to avoid taking responsibility.
"Teacher, what should we do?" Jess asked.
Jillian's attitude was very resolute. After taking a look at Qin Chuan, she said decisively: "Stop the anti-tuberculosis drugs first. Pay attention to the patient's condition."
Jillian obviously still wasn't completely sure of Qin Chuan's opinion. She adopted a compromise approach.
Qin Chuan still admires Jillian's compromise method, which reflects Jillian's experience. Although this method may slightly prolong the patient's treatment, this method is the safest.
.
"Qin, what do you think of my method of handling this?" Jillian asked after making arrangements.
Qin Chuan did not expect that Jillian would come to ask for his opinion at this time. He really admired this female professor who was nearly sixty years old. She was a real scholar and a doctor. She did not think that Qin Chuan was just a doctor.
Although she looked down upon Qin Chuan as a first-year medical student, she respected the opinions of Qin Chuan and the doctors on her team very much.
"It is more appropriate than my method. Even if the judgment is wrong, it will not cause serious problems. It will be more appropriate to wait and see the results of stopping the medication before making the next judgment." Qin Chuan expressed his true thoughts.
Jillian smiled and said: "I just don't have as much courage as you young people. I have been a doctor for a long time and have experienced more and more things, but my courage is getting smaller and smaller. Any treatment will have two results.
.One is effective, the other is ineffective. What I worry about most is that it is not only ineffective, but has the opposite effect.”
Before Qin Chuan could speak, Jillian continued: "You are very good. If you are interested, you can come here often after studying. I think Jess and the others will also be very happy. You young people should have something in common.
language."
"Of course, thank you, professor." Qin Chuan thanked him sincerely.
The Johns Hopkins Hospital has a very high reputation in the United States. Here we can encounter cases that have never been encountered in reality before. Qin Chuan will naturally not give up such a good learning opportunity. The environment of the Johns Hopkins Hospital
It is very good. Although it is a famous hospital, the number of patients here is obviously not the same as that of domestic hospitals. It is almost difficult to see the spectacular scenes of queuing on the road in China. It is not that there is no queuing.
Especially in public hospitals and non-profit hospitals, queuing is also very common. However, hospitals in the United States generally divert patients by appointment, and there are no long queues everywhere in domestic hospitals.
When Qin Chuan went to the hospital the next day, he learned that Mr. Dubov-Paul had not shown any obvious changes since he stopped five anti-tuberculosis drugs yesterday. This shows that these anti-tuberculosis drugs are very effective for Dubov.
It was completely unnecessary for Mr. Paul. It also further confirmed Qin Chuan’s previous guess.
"Jillian has asked us to stop all antibiotics and hormone drugs, leaving only nutrients and sedatives. So far, Mr. Dubov Paul's condition has not improved, but it has not worsened either." Qin Chuan
As soon as they arrived, Ruth told Qin Chuan about Dubov Paul's situation.
"That is to say, our judgment is correct." After Qin Chuan heard about Mr. Dubov Paul's situation, he finally felt relieved. He was still a little worried about his judgment before.
"It should be said that your judgment is very correct. We didn't believe your judgment at first. I didn't expect that you, a medical student, could be so good." Ruth said sincerely.
"Before coming to the United States to study, I had already obtained a medical qualification certificate in China and had several years of clinical experience." Qin Chuan said with a smile.
"No wonder. Should I call you Dr. Qin from now on?" Ruth smiled at Qin Chuan.
"No, no, no, here, I am still a student. At most, I am a trainee." Qin Chuan waved his hands repeatedly.
"Don't be nervous, what I said is right. When I was a medical student, I had a Chinese classmate. He graduated from a Chinese medical school. We all called him doctor." Ruth insisted on calling her Dr. Qin Chuan.
Jess came over and when he saw Qin Chuan, his attitude was also very enthusiastic: "Qin, you are really good and your judgment is very accurate. Medical students are all like you. Life for us residents is very difficult."
"Jess, did you know? Qin was a doctor before he came to the United States. So, you should call him Dr. Qin." Ruth quickly corrected Jess.
Jess looked happy at this time: "I see. I mean, why is a medical student putting me under so much pressure? It turns out that you have been a doctor for a long time. No wonder you have so much experience. You have encountered nodules before.
Is this a disease called polyarteritis?"
Qin Chuan shook his head: "No. But I have read the introduction to polyarteritis nodosa. I happened to remember it very clearly. After reading Mr. Dubov. Paul's medical records yesterday, I felt something was wrong."
"It seems that you study very hard. There are Chinese top students everywhere. Look, I met another one here." Jess was obviously oppressed by the top Chinese top students.
Ruth and Qin Chuan also couldn't help laughing.
"Jillian asked us to share Mr. Dubov Paul's treatment with you. If you have time, you can come here at any time." Ruth said.
When Qin Chuan went to Johns Hopkins Hospital the next day, he heard cheers as soon as he entered the hospital. Qin Chuan quickly quickened his pace and walked to Mr. Dubov Paul's ward. Sure enough, the cheers just now came from Du Brev.
The news came out of Mr. Paul's ward.
Seeing Qin Chuan, Jess and others immediately cheered again.
"Dr. Qin, did you know? Today, Mr. Dubov Paul's temperature has dropped to 37 degrees Celsius. The number of white blood cells has also dropped by half. Your judgment is absolutely correct. Mr. Dubov Paul's condition has begun to improve significantly.
." Ruth shouted excitedly to Qin Chuan. She seemed very excited.
"Really? It seems we did the right thing." Qin Chuan was also very happy.
"We have to celebrate today. Doctor Qin." At this time, Allen and Jess had completely lost any contempt for Qin Chuan, a medical student, and their attitudes were very enthusiastic.
"It's time to celebrate. If you decide on a place, be sure to let me know." Jillian appeared at the door at some unknown time, and she looked very happy.
Seeing the patient's condition improve, Jillian felt uncontrollably happy.
Qin Chuan also has a good impression of this group of American doctors, but he is also filled with emotions. No matter where he goes, people are divided into good people and bad people. Doctors are also divided into good doctors and quacks. If Dr. Taylor McDonald can
If the patient's health was his first priority, he would not make such a mistake. He was too keen on the reputation of a doctor who diagnosed polyarteritis nodosa, and did not consider what kind of consequences it would cause to the patient if his judgment was wrong.
Trouble. It was not a particularly serious disease, but it was treated to the point where it almost killed the patient. Doctors like this are not only found in China, but also in the United States, a country that claims to be the most advanced in medicine in the world, there are also doctors who love their reputation.
Jillian was also very lucky, "Fortunately, I listened to your opinion, otherwise something would have almost happened."
Mr. Dubov Paul's condition was already very critical at that time. Extremely serious consequences could occur at any time. However, Qin Chuan proposed a bold treatment method at that time. This brought Mr. Dubov Paul back from the edge of death.
Come back.
"I actually don't have much confidence. I just happened to have seen polyarteritis nodosa, a rare disease. There is no good treatment method. In fact, Dr. Taylor should have been able to make a correct judgment long ago, but his
Some subjective factors made him eager for quick success, which ultimately led to misdiagnosis." Qin Chuan analyzed.
"Qin, you are right. Taylor has paid the price for his recklessness. He will not be able to obtain a medical qualification certificate in the future." Jillian was very dissatisfied with Taylor's behavior.
Mr. Dubov Paul's condition gradually improved, various treatment measures were slowly removed, and his consciousness slowly recovered. All consultations and departments slowly withdrew. He was soon transferred from the ICU ward to the general ward.
.
Before Mr. Dubov Paul was discharged from the hospital, he specifically expressed his gratitude to Qin Chuan.
"Dr. Qin, thank you very much for saving my life. I know that if it weren't for you, Taylor's misdiagnosis of me would have kept me receiving the wrong treatment. Maybe I would have died a long time ago. Fortunately, you found it in time." Du
Wave Paul hugged Qin Chuan tightly. He almost left his life in this world-renowned hospital.
Because of Qin Chuan's outstanding performance this time, he was even more appreciated by Jillian. He also gained the trust of all the doctors in Jillian's team. (A great activity of pie-in-the-sky, cool mobile phones are waiting for you! Pay attention
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