I really don't want to be a doctor

Chapter 141 Strange Fever

There is a word often mentioned in medicine, that is clinical thinking.

Every clinician is talking about clinical thinking, and they all think they have good clinical thinking.But when we ask what is clinical thinking, neither the resident doctor nor the senior attending doctor can give a specific answer.

However, in medicine, there is a most basic principle—the principle of monism, which uses one disease to explain all the symptoms, abnormal signs and auxiliary examinations of a patient as much as possible.

There is also a principle in medicine that considers common diseases first, and rare diseases second; organic diseases first, and functional diseases second; curable diseases first, and incurable diseases second.

"Fever, rash, elevated inflammatory indicators, rule out infections, tumors, blood and other diseases, if you connect all these things together..." Jing Xiaoran's eyes flickered, and he kept searching for various rare diseases in his mind.

At this time, Professor Yang brought over Grandma Wang's medical records.

He carefully flipped through the medical records page by page, and the doctors next to him were waiting patiently.

half an hour.

"I read in the medical records that the patient had a history of joint pain, but why didn't I hear it mentioned when I reported the medical history just now?" Professor Yang said solemnly.

Uncle Wang said from the side: "Professor, this is true. My mother will feel joint pain when she has a fever, mainly in the knee joints, and sometimes wrist joints, ankle joints and finger joints."

Grandma Wang, who was lying on the bed, also nodded slightly, admitting that she had joint pain.

The female doctor in charge of the bed was embarrassed, and quickly said: "Mr. Yang, the patient's physical examination did find that the joints were tender and slightly red and swollen. However, an X-ray of the painful joints was taken, and the report was normal joints without cartilage. Destruction or bone hyperplasia. So, so I didn't report just now..."

Professor Yang said: "Any abnormal symptoms are meaningful, so remember not to miss them next time."

"Okay, okay." The female doctor whispered.

"Joint pain?" An idea flashed in Jing Xiaoran's mind, and he suddenly thought of a possibility, but he still had some doubts in his heart, wondering if he already had the concept of this disease.

At this moment, Director Sun Chenghai stood up and said.

"Mr. Yang, what diagnosis do you consider for the patient? I can arrange the next step of treatment."

Professor Yang pondered for a moment, then slowly said: "My preliminary consideration is that it is also a fever related to rheumatic immune diseases."

"Ms. Yang, but we did a series of rheumatism checks." Director Sun said, "Except for erythrocyte sedimentation rate, they were all negative, and we also invited Director Zhao of the rheumatology department for consultation, and he didn't consider it to be a disease of the rheumatology department. "

The implication of Director Sun's words is that the directors of other rheumatology departments have basically ruled out rheumatic diseases.

Although Professor Yang is a well-known medical expert in China, he is in the Department of Hematology after all, and his major is not suitable for him.

Professor Yang smiled, "Director Sun, because the disease I suspect is one of the intractable diseases."

"It was only proposed by foreign scholars in recent years. If I hadn't participated in an academic seminar at Kyoto Medical University a year ago and had been exposed to this disease, I'm afraid I wouldn't be able to judge it."

"Teacher Yang, don't be a fool, just tell us what the patient's disease is!" Director Sun said hastily.

When Uncle Wang heard Professor Yang's words, his expression was equally anxious. He sought medical treatment for more than 3 months, and now is the closest to the truth.

Professor Yang put down the case gently, and said with a chuckle: "It's not that I want to be a joke, because I also forgot what the name of this disease is."

Director Sun was full of black lines: "Mr. Yang, you..."

"I'll go ask my old friends in Kyoto later, they should know." Professor Yang waved his hand, "If it's really the rheumatic disease I mentioned, and the family members are qualified, you can suggest to go to the Rheumatology Department of the Affiliated Hospital of Kyoto University for treatment. , it should be the most authoritative place in Huaxia to treat rheumatism."

"That's fine." Director Sun said helplessly, "I will advise the patient at that time, and this is the only way to go for the time being."

"But you really don't remember anything about this disease?"

Professor Yang nodded and said: "It's been too long, I only vaguely remember that there are two words in the name of this disease, it's called Sti or something..."

Director Sun frowned deeply: "Ste? It's really a strange name, I've never heard of it before."

People in the ward were discussing and speculating about the disease.

"It should be called adult still disease..."

Suddenly, a voice sounded from the corner of the ward.

No one cared, but it fell on Professor Yang's ears like thunder.

"That's right! It's called adult still disease!" Professor Yang shouted excitedly.

Director Sun was taken aback, "Teacher Yang, do you remember?"

"Yes!" Professor Yang said, "I heard someone say something behind my back just now, and I remembered it."

"Anyone else knows about this disease?" Director Sun looked back at the group of young doctors in doubt, "Who said it just now?"

The group of young doctors looked at each other, but no one spoke up.

"No one admits to good things?" Director Sun was puzzled. These young doctors are usually very active in taking credit, so why are they so low-key now.

"Young man, did you say that just now?"

At this time, Professor Yang walked up to Jing Xiaoran.

The source of the words just now came from this corner, but there is only a young girl and a boy here.

Then it could only be this boy.

Everyone turned their attention to Jing Xiaoran.

Uncle Wang looked at Jing Xiaoran in shock. As far as he knew, Jing Xiaoran was only a freshman, but according to the old professor, very few people knew about this disease.

"What is he!"

At the same time, in the ward, a young male doctor saw Jing Xiaoran's appearance clearly, and murmured in his heart.

There was a strange light in his eyes, as if he recalled the scene on the train.

Jing Xiaoran looked at Professor Yang and nodded slowly: "Yes, Professor Yang, I am also a medical student."

The reason why Jing Xiaoran spoke out about Still's disease was not to show off himself.

It's about the treatment of this disease. Even if you go to Kyoto University, the treatment is no different from the treatment in Fancheng.

He might as well tell the truth to prevent Uncle Wang's family from running around again.

Professor Yang smiled all over his face and said, "Young man, how old are you?"

"Professor Yang, I'm a freshman this year." Jing Xiaoran replied.

"Freshman?"

Everyone was shocked, except the male doctor in the crowd.

"The students of our Fancheng Medical University are excellent. They know about such a rare disease." Director Sun laughed.

"Director, I'm a first-year student at Ning'an Medical College."

Jing Xiaoran smiled lightly.

……

(End of this chapter)