My medical path

Chapter 89 Let me tell you my opinion?
"In addition to low back pain, the patient also had chest tightness and chest pain. Although the heart vessels did not see narrowing or blockage, it cannot be ruled out whether it is caused by the temporary contraction of the heart vessels..."

"The sternum and ribs look a bit strange..."

"Wait... This patient is only 45 years old, how could he have such obvious osteoporosis?"

Chen Bo reacted again and saw osteoporosis in the thoracolumbar spine just now...

"Could it be?..."

Chen Bo turned on the system scan again, this time he took a detailed look at the situation inside the bones including the skull, and started the cell scan in the diagnosis master area...

"Dr. Chen, it's your turn. You can also help me see if there is any problem with your department!"

While Chen Bo was still checking, Director Zhu Guangtao of the Department of Nephrology spoke.

He didn't have any expectations for Chen Bo either, he just politely gave him a chance.

The several directors who had finished the inspection wanted to go back to the office, but they all stopped when they heard Director Zhu's words. They were also quite interested in this hospital celebrity.

Originally, Chen Bo didn't intend to show it in front of several directors, but when Director Zhu asked, Chen Bo couldn't refuse.

Next, he simply did a straight leg raising test and a 4-figure test, and asked the patient to turn over to press the muscles and bones on the back of the button, and then stopped...

"Doctor Chen, have you finished your examination?"

Director Zhu asked when he saw that Chen Bo stopped within a minute.

"The inspection is over!"

Chen Bo replied while washing his hands with disinfectant.

Director Zhu is fine. The other directors who were a little curious about Chen Bo shook their heads in relief when they saw this situation.

"In the end, he's just a young man, and I don't know what the leaders of the hospital think, and they even call on all the hospital staff to learn from Chen Bo..."

"If every doctor spends his mind on these things that are eager for quick success and heresy, how can the business develop? How can the hospital develop?"

Chen Bo didn't know that with his move, he became a representative of "eager for quick success and quick profit, heresy".

Back in the office, several directors began to express their opinions.

Firstly, Director Li Yiping of the Department of Cardiovascular Medicine:
"This patient has no history of high blood pressure. He has repeated symptoms of chest tightness and chest pain. No murmurs were found on auscultation, and no obvious problems were seen in the electrocardiogram. Cardiac color Doppler ultrasound showed a little plaque in the blood vessels, and there was no problem with the heart valve..."

"Heart enzymes are mildly abnormal, and there is no stenosis or blockage of blood vessels in angiography... Generally speaking, the organic problems in our cardiology department are not serious, and functional factors cannot be ruled out...

"But the patient was able to go up to the fifth floor in one breath, and his heart function is still quite good. We can temporarily take some plaque-stabilizing medicine for observation, and there is no special treatment..."

When Chen Bo saw Director Li Yiping speak, Wu Siqi also took a blank paper to record Director Li's opinion.

Then Zhang Weimin, Director of the Department of Respiratory Medicine:
"This patient has recurrent fever, no low-grade fever and night sweats, irregular fever pattern, cough and sputum, obvious rales in the lungs, obvious pneumonia and pleural effusion can be seen on the film, the diagnosis of pneumonia must be clearly……"

"Klebsiella pneumoniae was cultured from the sputum, but the body temperature dropped two or three days after the medication and then rose again..."

"My opinion is to take more sputum and pleural effusion and send them for smears and cultures to find out if there is any mixed infection with other bacteria, especially fungi. The antibiotics can be upgraded in the medication, and the pleural effusion can be guided by B direction and placed with a tube for drainage... "

Director Zhu of the Department of Nephrology nodded after listening to Director Zhang Weimin's opinion, and also recorded some key points on paper.

Next, Director Liu Yunbo of the Department of Urology gave a speech:

"The patient has found stones for more than ten years, and has never experienced renal colic or gout attacks. The physical examination of the kidney area and ureteral journey has no tenderness and percussion symptoms. The renal function is abnormal, the uric acid is high, and there is a small amount of hydrops in the kidney. At present, there is no indication for surgery here, and internal medicine is still the main medicine. If the hydronephrosis increases, B-ultrasound can be used to guide the drainage..."

Next, Director Cai Xinyun of the Department of Critical Care Medicine gave a more straightforward speech:
"Several directors have done a detailed analysis from the perspective of specialists, so I won't go into details. The patient's vital signs are relatively stable now, and there is no indication to transfer to our department. I will deal with it first according to the opinions of the directors. If necessary Contact us again..."

After listening to Director Cai's speech, the other directors knew that the consultation was basically over here.

As for Chen Bo's opinion, the directors really didn't take it seriously.

Several directors were about to find an excuse to say that their department still had something to deal with, and when they were about to say hello and leave first, Chen Bo said:
"Leaders, let me tell you my opinion?"

As soon as Chen Bo's words came out, everyone's attention was naturally focused on him, and the steps that the directors were about to take were naturally taken back.

"Dr. Chen is here, and of course he will give us advice, please tell me..."

Director Zhu of the Department of Nephrology did not expect Chen Bo to speak out suddenly at this time, but she still spoke politely to Chen Bo.

Chen Bo looked around, and finally said to Director Zhu:
"I think this patient needs to be consulted with the Department of Hematology. It is necessary to check serum protein electrophoresis, urine Zhou's protein, and a bone biopsy..."

Chen Bo expressed his opinion as soon as he opened his mouth.

"Oh……?"

After hearing what Chen Bo said, several directors became interested, so all their inquiring eyes turned to Chen Bo, motioning him to continue talking.

"This patient complained of chest tightness and pain in the back and back. Director Li also said just now that the heart problem is not serious, and there is no such thing as renal colic. The problem of nerve compression..."

Chen Bo paused, and continued:

"Then what is the cause of this chest pain and low back pain?"

Chen Bo looked at several directors with an inquiring eye, and the latter realized that the patient also said that he had low back pain, but because it had nothing to do with the system they managed, so although they heard the patient said , but didn't care.

"Why is that?"

Several directors did not answer, but Wu Siqi, the doctor in charge of the bed, couldn't help asking curiously.

"It's time to ask!"

Chen Bo secretly praised Wu Siqi, who is qualified.

"I judge the problem is in the bones!"

This time Chen Bo didn't wait for them to ask questions, and continued:
"This person has obvious anemia. Of course, renal insufficiency will cause anemia. This is normal...but this patient's blood calcium has abnormally increased..."

"This needs to be taken seriously..."

Everyone fell into deep thought because of Chen Bo's words...

(End of this chapter)