When Li Jian heard the patient's feelings, he already made a basic judgment in his heart. Seeing that the patient's condition was not good, he stopped asking any more questions and turned to Zhang Jie: "Let's go out to discuss and let the patient have a good rest."
In order not to increase the psychological burden on the patient, doctors generally cannot discuss the condition in front of the patient, so as not to affect the patient's emotions.
While everyone was walking out, Chen Yang had the opportunity to observe the patient. Now he didn't know the patient's true identity, otherwise he would be shocked. Apart from weakness, the patient lying in front of him could not see anything.
He has a bit of a director-general attitude.
The bedside instrument showed that the patient's temperature was 38.3°C, and it had been so for several days.
If an average person has a fever for such a long time, the body fluids will dry up to some extent, such as dry mouth and tongue, flushed eyes, or even coma in severe cases. But Chen Yang noticed that the patient in front of him showed no signs of damage to the fluids.
Just now, when she answered Li Jian's question, she was very conscious, and even her lips were still faintly blue at this moment.
Seeing this, Chen Yang frowned. This meant that although the patient had a fever, it was not a symptom of severe fever or dryness. On the contrary, there was still cold in her body. All the doctors had gone out, and he did not
In order to make further observations, I could only follow the team out.
Once the door of the ward is closed, the reception room outside becomes a temporary consultation room.
Li Jian then asked: "How is the patient's bowel movement?"
"Yellow-green thin water, containing a lot of foam, and accompanied by bowel sounds, the frequency can be seven to twenty times a day." Director Guan Shilei replied.
Li Jian nodded slightly. It seemed that the situation was basically in line with his judgment. He said: "The patient's intestines are most likely infected by a variety of bacteria. Let's do a smear first."
Zhang Jie hurriedly took out a report and said: "Mr. Li, this is the result of what we did before. Please take a look at it."
Li Jian took the report, first adjusted the frame of the glasses, then shook the report twice with a very skillful technique, just like many doctors' habitual movements before watching CT films, and finally squinted his eyes to read.
After a while, he put down the report and said: "It seems that my judgment is correct. According to the quantitative and qualitative analysis results of the smear, the number of resident bacteria that should have been parasitic in the intestines has become very small. At the same time, it was detected that
There are extremely large populations of passing bacteria, such as Staphylococcus, Candida albicans and Streptococcus. It is obvious that the proportion of bacterial flora in the patient's intestines has been seriously imbalanced, which is a very typical intestinal flora imbalance."
Hearing this, Zhang Jie and Guan Shilei immediately showed admiration. They are indeed the full-time doctors of the central leadership. Their level is very high.
Everyone usually says that Western medicine is difficult, but what is the difficulty? The difficulty lies in the diagnosis. As long as the diagnosis can be confirmed, Western medicine has a very standard plan for the treatment of all diseases. You can just find a doctor to treat it.
The plans are generally the same. The most important thing that tests whether a Western medicine doctor is excellent is diagnosis.
Although Li Jian's conclusion was consistent with that of the medical team of the First Affiliated Hospital, the First Affiliated Hospital had to change its conclusion only after a wrong cut. Director Li hit the nail on the head just after reading the report.
You’ll know just by looking.
"I completely agree with Mr. Li's conclusion." Zhang Jie was the first to agree. After hearing this, other doctors also agreed.
At this time, Chen Yang secretly appreciated Mr. Li's diagnosis. If he had only used Western medicine diagnostic methods, he would have come to the same conclusion. Although Chen Yang is a master of traditional Chinese medicine, he does not understand Western medicine at all.
Guan Shilei showed a flattering smile and boasted: "Mr. Li is rich in experience and has a sharp vision. No matter how complicated the disease is, it will be easy for you. Now that the disease is clear, you can give me a treatment plan."
This flattery was just right, which made Li Jian very useful. However, he was not in a hurry to come up with a plan. Instead, he looked at Zhang Jie and asked: "Have you used the antibiotics?"
"Yes, I used 10 times the prescribed dose."
But when Zhang Jie said this, he shook his head and said that antibiotic therapy was ineffective for the patient.
"What about the flora promoter? Are they used together?"
"I've used it too." Zhang Jie shook his head again.
After two consecutive inquiries, Li Jian's face showed a solemn expression for the first time. Antibiotics are ineffective, and flora promoters are also ineffective. If this is the case, things will be a bit tricky. The patient's condition is already very dangerous.
With milder conservative treatments, patients may not be able to wait, but with radical treatments, the patient's body may not be able to adapt.
After pondering for a moment, Li Jian's eyes lit up and he seemed to have thought of a quick cure. His right hand was involuntarily placed on his waist, and he walked slowly, which was his habit when thinking. After a full two minutes, he stopped
stopped, "Have you tried enema therapy?"
Zhang Jie and Guan Shilei's faces immediately showed embarrassment. If they were ordinary patients, they would have used it long ago, but the patient now is the wife of the provincial leader. How dare they try this kind of therapy so easily.
Li Jian understood when he saw the embarrassment on their faces. He also knew their difficulties, but after much thought, he still felt that quick-acting treatment was the most reliable and the best treatment plan at this time, so he insisted: "Sickness should not be ignored."
Well, let’s try to work as a patient.”
After the voice fell, the room suddenly fell silent, and no one spoke. Who dares to do the work of the Zhou Bureau? It can be done, but it can't be done. In the future, when the wife of the leader No. 1 recovers from illness, as long as I think of this, it will definitely
It's like a lump in the throat, and we, the people, will not have a good life when the time comes.
After a while, Zhang Jie also retracted his shoulders and said: "Enema therapy is indeed the best choice at the moment. Let's discuss it for the sake of safety."
"The condition is clear, so what objections are there?"
Li Jianda was very dissatisfied. He always said a good plan must be the best one after careful consideration. No one dared to question it.
The patient is lying in bed at the moment, and his condition is raging and may worsen at any time. What are you going to discuss? If the optimal treatment time is delayed, who will bear the responsibility?
The room was completely silent, and no one dared to respond.
"If you feel uncomfortable talking, I'll talk to the patient."
After a while, Li Jian became angry when he saw that no one took the initiative to ask for help.
At the moment of the stalemate, the door of Ward No. 1 was pushed open, and a young man came in and said softly: "Leader No. 1 will be here soon. Everyone, please prepare. The leader wants to hear the treatment plan."
After saying that, he added a special warning: "Leader No. 1 has many things to do every day, so don't talk about anything that has nothing to do with the illness."
After hearing this, everyone nodded in unison, and the atmosphere in the room suddenly became silent again, quietly waiting for leader No. 1 to appear.
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