I run a clinic in the United States

Chapter 349 Don’t leave, we have Dr. Zhou!

Zhuhai County People's Hospital, Emergency Department.

"Doctor, am I really okay?" Lao Tan, who was in his fifties, asked the attending doctor with a worried look on his face.

The doctor said: "It's really okay. I also did a CT scan and a cranial MRI. No abnormalities were found."

"But..." Lao Tan hesitated.

"But what?" the doctor asked.

Lao Tan said: "I feel like there must be something wrong with me. Oh... forget it, you guys won't be able to find it out here anyway, I'll go back first!"

"Wait, wait, what do you mean we can't find it out here?" The doctor was anxious and quickly stopped the other person and said, "Tell me your medical history first."

"It's definitely not going to be found out. I'm leaving." Old Tan frowned, waved his hands, and walked out with his wife in disinterest.

He has been suffering from this disease for several years, and he was checked out at the County People's Hospital before. That was three years ago. At that time, he suddenly felt some pain in his chest, and quickly ran to the County People's Hospital to take a CT scan, but nothing was found. Problem, the doctor sent him back.

After returning home, Lao Tan has been cautious and alert at all times. If anything goes wrong, he plans to run to the hospital immediately.

Fortunately, the next two years were uneventful.

I just forgot about it, thinking that nothing would happen.

Who knew that about half a year ago, he started to have back pain again, and when the pain started, it was quite severe.

Especially at night, I couldn't sleep all night long. That kind of torture is simply worse than death.

Lao Tan came to the County People's Hospital again. The doctor arranged a round of examinations for him, including blood routine, X-ray, CT, B-ultrasound, gastroscopy, colonoscopy... they were all done, but nothing was wrong with him. .

"The quality of the county people's hospital is not good, so we still have to go to a big city!"

So, Lao Tan went to the provincial capital hospital.

Failed.

Then, on the recommendation of a friend, I went to several major hospitals in Shanghai and visited experts, but still no problem was found.

For the first time, Lao Tan realized that hospitals are not omnipotent. He used to go to the hospital immediately if he felt uncomfortable, but now, after going to so many tertiary hospitals, large and small, it didn't work at all.

It can only be said that current medicine is not as developed as imagined. The quality of many doctors is indeed insufficient.

"Do I have an incurable disease?"

Lao Tan was a little scared, his back was getting more and more painful, and his attacks were becoming more frequent.

After struggling for about two months, they were seeking medical treatment at a large hospital in the provincial capital. Just like before, they came out of the specialist's clinic in low spirits. As they walked, they suddenly felt no pain. .

Lao Tan breathed a sigh of relief!

His wife also advised him: "If it doesn't hurt, I won't look at it anymore. After looking at it, there's nothing wrong with it." There was a bit of reproach between the lines in his wife's words, feeling that Lao Tan liked to "moan for nothing." .

So many doctors haven't found out that you are sick. You complain every day that it hurts here or that there. Isn't it clear that you don't want to do housework?

I do housework every day and I don’t complain about pain.

Of course the wife has complaints.

Since his wife said so, Lao Tan had no choice but to go home.

Then there was another uneventful period.

Then, today, without any obvious trigger, Lao Tan suddenly fainted.

He fell to the ground and lost consciousness for about ten seconds, accompanied by symptoms such as profuse sweating, blurred vision, and nausea. Fortunately, his wife was at home, so he was rushed to the hospital.

After a thorough inspection, naturally no obvious abnormalities were found.

His wife also breathed a sigh of relief.

However, although nothing was found this time, it had a "peace of mind" effect. At least, there shouldn't be any hidden tumors or anything like that.

Not being able to find out is, in a sense, a good thing. It is much better than that situation when I go for a check-up and suddenly find out that the cancer is in the advanced stage!

"Just treat it as a regular physical examination." Lao Tan and his wife were walking in the corridor, shaking their heads and feeling very sad.

His wife also comforted him. As he gets older, he will have some problems. Don't be too nervous and scare yourself.

The two of them were planning to go home, but unexpectedly, the emergency doctor behind them actually chased them out.

"Wait a minute, don't leave in a hurry, we will help you find out the cause," the emergency doctor said.

People on the side were talking about it, what's wrong with this emergency doctor, chasing the patient out?

The emergency department isn't busy today, is it?

"You can't find out. I've come to your place to check several times before." Lao Tan said very seriously. However, I am still very grateful to this doctor. I think this doctor is very serious and responsible.

Unlike before, when I saw nothing unusual in the report, I just let myself go home.

The doctor said: "Please tell me your previous medical history first. If I can't figure it out, I'll ask an expert for you."

Old Tan was surprised: "Do you still have experts in your hospital?" He said there are experts in his heart, but are they also experts in parallel imports? Can they still be better than experts from big hospitals in big cities?

The doctor said, "Of course we have experts in our hospital. Do you know Dr. Zhou, the top-notch doctor invited from the United States?"

"You know, doesn't Dr. Zhou treat heart disease?" Old Tan said in surprise.

The doctor looked like you were behind the times and said, "Dr. Zhou is not only proficient in heart disease, but also in many other diseases. It is said that he is especially good at difficult and complicated diseases. Most of your diseases are difficult and complicated diseases."

This doctor is already Zhou Qiao's biggest fan. In his heart, Zhou Qiao is omnipotent.

This was one of the reasons why he chased people and stopped them.

With Dr. Zhou here, are you still worried that you can't diagnose the disease?

"Is that so?" Lao Tan and his wife looked at each other, and Lao Tan asked tentatively, "How about... just ask Dr. Zhou to take a look here?"

My wife said, "Just take a look, I'm here anyway."

Although his wife had suspected him of pretending to be ill before, she was really shocked when he fainted today and was worried that Lao Tan did have some hidden disease.

This kind of disease may be hidden very deep. Now that there are experts, I really can't bear not to give it a try.

If it gets worse and worse, by the time it really breaks out, it will probably be too late.

The doctor called Zhou Qiao. After Zhou Qiao agreed, the doctor took the patient and his wife to see Zhou Qiao.

Zhou Qiao is at the County People's Hospital. If he is sitting for a consultation, he will be in the exclusive clinic. If he is not sitting for a consultation, he may be in the operating room, he may be doing ward rounds, he may also be in the conference room to participate in consultations, or to provide training for everyone, and maybe , accompanied by Dean Zheng, visited some departments and guided some work.

It is also possible that he would rest in the temporary office arranged by Dean Zheng.

When the doctor called Zhou Qiao, Zhou Qiao happened to be drinking tea in the office. Jiang Yunyun came over to see him and made him a pot of tea.

The tea brewed by this professional tea master is naturally unique.

Jiang Yunyun is already in the second semester of her senior year. She has basically no classes at school and is looking for a job everywhere. I came back this time because I started an internship at the Zhuhai County Culture and Tourism Bureau.

Hearing that doctors and patients were coming to see Zhou Qiao, Jiang Yunyun said, "Cousin, I'll leave first." "Well, let's have barbecue together tonight." Zhou Qiao invited.

"Okay!" Jiang Yunyun looked back and smiled as she went out, making an "OK" gesture.

After a while, the doctor came over with the patient and his wife.

As for the emergency doctor himself, it was already time to change shifts. At this time, he was taking advantage of the opportunity to help patients solve their problems before leaving get off work. At the same time, he also wanted to take this opportunity to communicate and learn from Dr. Zhou alone.

"Please have a seat, please have a seat." Zhou Qiao gestured, and after a brief greeting, he began to inquire about Lao Tan's condition, including details of Lao Tan's daily life, diet, mood, and other details.

Lao Tan told them one by one.

However, looking at the ridiculously young expert in front of them, Lao Tan and his wife felt uncertain.

"How much is Dr. Zhou being praised outside, but after all, he is a young boy who is younger than my son!" Old Tan thought to himself.

In fact, Zhou Qiao is several years older than his son, but after several transformations, he has truly achieved "reverse growth" and looks very young.

The emergency doctor was off work anyway, so he was not in a hurry to go back. He just listened and watched Zhou Qiao's diagnosis at close range, hoping to learn a few tricks.

Zhou Qiao remembered that this doctor seemed to be named Hu, and he had interacted with him several times before.

So he said: "Dr. Hu, please help me bring out all the examinations that this patient has done here before."

Zhou Qiao is not in the dedicated clinic, so he cannot connect to the hospital's system. He only has his own laptop.

"Okay, Doctor Zhou, wait a moment."

Dr. Hu ran out quickly, and soon brought a hospital-specific computer, which he borrowed from the doctor's office not far away. There was a nurse following behind to help hold the monitor.

As soon as they heard that Dr. Zhou wanted to use it, they readily agreed.

The little nurse came over and looked at Zhou Qiao. Her little eyes blinked and glanced at her, but Zhou Qiao turned a blind eye.

There is no way, he is too attractive, if he doesn't pretend to be stupid, he will probably be busy to death.

Zhou Qiao began to read the report seriously.

Go through each item one by one.

Time passed by minute by minute. Just when Lao Tan and his wife had given up hope and thought that this young expert was probably just like other experts and couldn't give any explanation, Zhou Qiao's eyes lit up and he gave a gentle blow. Snap your fingers.

"Dr. Zhou, what did you find?" Dr. Hu quickly came over and asked. He said to himself, I knew Dr. Zhou could find clues.

Lao Tan and his wife also stood up in surprise and looked over.

Zhou Qiao pointed to the computer screen and said: "Look carefully, this is the patient's previous coronary CTA report. It shows mild lumen stenosis and an annular density shadow around the lumen of the lower thoracic aorta. We consider the possibility of intramural hematoma." .”

"What kind of disease could it be?" Dr. Hu asked.

Dr. Hu was suspicious, let alone Lao Tan and his wife.

Zhou Qiao pondered for a moment and then said: "This may be a problem with rheumatism and immunity. Check the IgG4 level."

Doctor Hu: "..."

Lao Tan and his wife: "..."

Dr. Hu was confused, but he still helped the patient to be transferred to the rheumatology department.

Then, Dr. Hu couldn't bear it anymore and went home to rest.

Although Dr. Hu is a physician, he still has some knowledge of IgG4-related diseases.

IgG4-related disease is a disease of chronic, progressive inflammation and fibrosis. The clinical symptoms of patients vary depending on the affected organs. When the lacrimal and salivary glands are involved, glandular enlargement and induration will occur; when the periorbital area is involved, inflammatory pseudotumor and extraocular muscle thickening will appear. The lesions involve other parts, and tumors often appear in tissues or organs, which can cause local obstruction, compression symptoms, or organ atrophy.

This disease is quite complex and may involve many organs. Moreover, many typical symptoms are very easy to be confused with other diseases, leading to misdiagnosis or missed diagnosis.

However, the strange thing is that this patient has almost no typical diseases and no typical symptoms. Why did Dr. Zhou lock in the direction of investigation so quickly?

Could it be that he didn't know and just mistook it? For the sake of face?

"No, no, no, you can't say that about Dr. Zhou. Dr. Zhou's level is far beyond that of a dabbler like me. Maybe, he bases his judgment on something." The mystery in Dr. Hu's heart became thicker and thicker, making him unable to sleep. Stable.

I almost dream about this.

Dr. Hu is very studious and a very timid person. Otherwise, he would not have seized this opportunity to communicate with Zhou Qiao in private.

However, what surprised him was that when Dr. Zhou diagnosed a patient, he witnessed the whole process with his own eyes. However, he had the feeling of an antelope hanging its horns and no trace to be found, which was very ethereal.

Dr. Hu said that he couldn’t understand it, he couldn’t understand it at all. I can’t keep up with Dr. Zhou’s thinking rhythm.

When Dr. Hu came to work again the next day, he called his familiar colleagues in the rheumatology department to ask about Lao Tan's condition.

"Oh, you were talking about the uncle you transferred yesterday. The test results came out. As Dr. Zhou expected, it was an IgG4-related disease. The IgG4 level in his serum was high. Dr. Zhou said to do a biopsy, and then we I did a biopsy and found that plasma cells were expressing it, which was amazing!"

Doctor Hu: "..."

The colleague said: "Dr. Zhou is going to hold a multidisciplinary consultation on this case today and talk about his diagnosis process. Old Hu, do you want to come and listen?"

Doctor Hu immediately said: "Come, of course, as long as I can walk away! What time?"

"Two o'clock in the afternoon, large conference room in the administrative building."

"Okay, thanks."

"You're welcome. Which one of us will follow the other?"

At 1:40 in the afternoon, Dr. Hu set off. He didn't have to sit for a consultation today, and he was already busy with the ward affairs in advance. He told the department director, who also agreed.

So, he came to the big conference room and planned to listen. It turned out that even the auditorium seats were taken up!

There are so many people coming!

Although there were many people, for Zhou Qiao, it was a small scene. When he gave lectures at the University of California, San Francisco and the University of California, Los Angeles, the number of people was much larger than this!

Zhou Qiao talked eloquently, peeling off the cocoons, and gave everyone a thorough explanation of some IgG4-related diseases, especially some IgG4-related diseases with atypical symptoms, which are very difficult to diagnose.

In itself, there are few cases of this disease.

Because diagnosis is difficult. Especially someone like Lao Tan, who is not typical at all.

This patient's symptoms were just thick growth outside the blood vessels, causing the blood vessel walls to thicken, which could easily be ignored.

There were no obvious masses in the patient's body. Especially the chest and abdomen, the reports produced are quite good.

Lao Tan was admitted to the hospital, and then he began to feel uncomfortable again, with pain in his lower back.

He thought to himself that he was going to be tortured again and it would be difficult to sleep at night.

Little did he know that the doctor from the rheumatology department, under the guidance of Zhou Qiao, came over and gave him an injection. He immediately felt comfortable!

It’s an instant success!

(End of this chapter)