After eating, Tao Zhijie took out classmate Zhao Zhaowei's medical records and placed them on the coffee table.
Seeing this, the other doctors stopped talking. This morning, they were all scolded by Director Tang, and they were feeling depressed. A bunch of doctors couldn't figure out how this medical student could be like this and be more difficult to manage than ordinary patients.
"He is the most difficult patient to manage." Tao Zhijie said earnestly to the young doctors below, which showed that he had already expected this situation.
Ordinary people would never imagine that it is the most difficult thing for a doctor to take care of a sick doctor. It is a very simple principle. If you don’t understand anything, you will be fooled. You only need to listen to the doctor’s words. If a doctor is sick, he will understand what is going on. The more he understands, the better he will be.
Easily suspicious.
"I misjudged him." He Guangyou admitted that he was negligent in this matter when Tao Zhijie was away. "His grandfather had been hospitalized in the department before, but he didn't have as many strange and suspicious illnesses as he did."
"What is he suspicious of?"
"He was suspicious of every word we said. I told him to take this injection to control the infection first. He said yes, he would talk to us in two days and explain why the infection was not controlled and what kind of injection was given. I explained to him, your blood
The white blood cell and neutrophil indicators in the medicine dropped, and the injection was effective. But he didn’t believe it and insisted that we change the medicine. How can antibiotics be changed randomly? It needs to be given for a full course of treatment.”
Qiu Ruiyun interjected and added: "What he cares about is the jaundice on his body. He thinks that it is good if the jaundice subsides. As for the infection indicators, it is not important. However, for us doctors, the infection indicators must be controlled first, and we cannot let them
The abscess in his liver is getting bigger. The jaundice will gradually subside. His total bilirubin is actually not very high."
After carefully listening to the report of the people below, Tao Zhijie looked at the two newcomers: "Xiao Song, why don't you give a few words of your opinion first."
"I never thought his condition was good." Song Xuelin maintained his previous point of view, "His liver abscess is not easy to resolve. Although the area is small, there are several places, and the possibility of them connecting into a large area is very high.
"
"So you mean-"
"His lipid metabolism abnormalities need to be investigated."
A group of people listened to Song Caizi's words and thought as if he didn't say it. Isn't it obvious that lipid metabolism is abnormal? Zhao Zhaowei, a boy who has been well nourished at home since he was a child, eats too much, and is simply obese. If it is neurological
Secondary obesity caused by endocrine was diagnosed early in the hospitalization. Even so, Tao Zhijie cautiously asked He Guangyou: "Have you ever ordered a checkup to check your thyroid?"
"I've checked, especially the insulin ones, and there's nothing wrong with the results," He Guangyou replied.
"Does anyone else have any other opinions?" Tao Zhijie asked those who did not speak in the group.
Dr. He Jiuliang, another attending physician in the team, is older than He Guangyou. He is not in charge of Zhao Zhaowei. He can only express his opinion based on the patient's condition he just heard about: "I feel that his disease does not need to be complicated. Mr. Zhao's ideas are different from ours."
The initial treatment policy is prudent. Continue to control the infection, and then observe whether the liver abscess shrinks. The final goal is to disappear. The jaundice will naturally subside. The patient's mood needs to be comforted. If measures need to be taken, there is nothing at this stage.
Very good method.”
"I feel like he is impatient." Gong Xiangbin added, "His jaundice appeared after losing weight. In the final analysis, it is a problem with his temperament. As Director Tang suggested, find a psychiatrist to talk to him.
