Chapter 499 Bone Tuberculosis, Mess
"Doctor, can you please ask an older and more experienced doctor to come and treat our son?" The child's father accompanied him carefully and said tactfully.
Obviously, even though Li Quan is the dean, he is of little use in front of patients and their families.
They only recognized the medical skills of one doctor.
Not to mention the director of a hospital, even if it is the director of the Health Bureau, if his medical skills are not good, they will not recognize or trust him.
Li Quan ignored the questions from the patients and their families.
Instead, he took out a mask and put it on first, and then asked Luo Wenhao and others to put on masks as well. Then he stared at the patient and continued to ask, "Before you fell, did you have night sweats when you slept and did you have a significant decrease in appetite? If nothing unexpected happens, your body temperature must be higher than normal people now."
The boy, who was originally full of doubts about Li Quan, showed a shocked expression on his face.
"Uncle doctor, I have all the symptoms you described. Could it be that my illness is really not caused by a fall?" The boy was about fifteen or sixteen years old and should have started high school.
Quite opinionated.
After Li Quan described all the symptoms he had before the fall, his doubts about Li Quan's medical skills were reduced a lot.
When the boy's parents saw Li Quan and several other medical staff suddenly put on masks, they felt a strong sense of unease.
"Go get a blood test first, then the cause will be clear."
As soon as Li Quan finished speaking, Luo Wenhao had already started writing the examination application form for the patient.
"Have you been with your child all this time?" Li Quan asked the child's parents.
"We have been with our child since he fell down at school this morning." The child's parents are a little nervous. They don't know what disease their son has.
"Please put on your masks first!"
Li Quan took out three more masks and gave them to the patient and his family.
"Doctor, what disease does our son have?" The child's parents felt a little panicked after taking the mask.
"It cannot be confirmed yet, but I suspect it is tuberculosis. This disease is highly contagious. Your son will have his blood tested later. If he really has tuberculosis, you must also have a blood test."
Li Quan spoke to the two family members in a very serious tone.
"This, how is this possible? Isn't tuberculosis just a cough? How can it cause lumbar pain and inability to sit, stand or walk?" The family members still didn't quite believe it.
"Let's go get an emergency blood test first. Doctor Tang, you go with them and be careful not to let them spread the disease to other people."
Li Quan gave this task to Tang Zhengyuan.
Hospitals are densely populated areas with extremely high mobility. If there is an infectious disease, cross infection and spread will occur, with disastrous consequences.
Therefore, when going to the hospital for treatment, it is best to wear a mask and protect yourself.
Because no one knows what disease other patients have?
There is not much difference between the test items of emergency blood test and ordinary blood test. But the time to get the results is very different.
For routine blood test, if the number of samples sent for testing on the same day is large, it may take more than an hour to get the results.
Hospitals generally require results within half an hour to an hour.
For emergency blood tests, the results can usually be obtained within fifteen minutes.
To put it bluntly, it means giving priority to inspection.
When the attending doctor believes that the patient's condition is urgent and requires emergency surgery or emergency treatment, he will apply for an emergency blood test. This patient is very likely to have highly contagious tuberculosis.
Li Quan applied for an emergency blood test for the patient, which met the hospital's requirements.
…
Not long after, the patient came back after doing a routine blood test.
At this moment, the expressions of the two family members were devastated.
The woman's eyes were filled with tears.
The man's brows were furrowed into knots.
At first, they thought their son had just suffered a common fall injury, but after a blood test, the results left them devastated.
Li Quan's diagnosis came true.
Their son actually had tuberculosis.
"Director, the patient had a tuberculin test, which was positive. A routine blood test showed that the white blood cell count was higher than normal."
Tang Zhengyuan's tone was serious.
At the same time, there was a hint of worry between his brows.
Because they did not take any protective measures when they examined the boy before.
Tuberculosis is highly contagious and can be spread through saliva and droplets.
Being a doctor is actually a very dangerous profession.
"Since it has been confirmed, send him to the tuberculosis specialist for treatment immediately!" Li Quan is in the orthopedics department, not the infectious disease department. He can't treat tuberculosis.
Moreover, this kind of infectious disease generally requires isolation and treatment.
The conditions are not met here.
"Family members, you also need to do a tuberculin test. If the result is negative, then everything is fine. If the result is positive, then you must be hospitalized immediately to prevent infection to others."
Li Quan said to the boy’s parents.
"Also, you don't have to worry about it. The treatment technology for tuberculosis is very mature. As long as you cooperate with the doctor's diagnosis and treatment, you will be able to recover and be discharged from the hospital soon."
Looking at the middle-aged couple with frightened expressions, Li Quan comforted them with a few words.
"Doctor, can you tell us why my son has tuberculosis and why it causes back pain and inability to sit or stand?"
the boy's father asked.
"Your child was probably first infected with tuberculosis. Because it was not discovered and treated in time, the tuberculosis bacteria spread in the body and then destroyed other body tissues.
When they invade the vertebrae, they become the less common bone tuberculosis.
Your child falling off the bed is probably just a trigger. Even if he didn't fall, he would still have symptoms of being unable to sit, stand or walk.
It is actually a good thing for your children to be diagnosed in advance now.”
Li Quan patiently explained to the family members.
Bone tuberculosis is a destructive disease caused by the invasion of tuberculosis bacteria into bones or joints. The disease mostly occurs in bones or joints that bear heavy loads, are active, and are prone to strain. The most common site of disease is the spine, followed by the hips, knees, feet, elbows, hands, etc.
Early diagnosis of bone tuberculosis is difficult.
Experienced doctors often need to conduct a comprehensive analysis and diagnosis based on medical history, physical signs, imaging, tuberculosis culture, pathological tissue, blood tests, epidemiology and other information.
This was also the first time that Li Quan encountered this disease.
Now helping patients get diagnosed in time is our greatest achievement.
As for subsequent anti-tuberculosis treatment, there is no need to worry too much.
Because the technology is now very mature and Huier Hospital has a tuberculosis specialty, this patient can definitely be cured.
"Thank you for your advice! No wonder you can become the dean at such a young age. Your medical skills are indeed superb." The man must have a good academic degree and his speech is quite good.
"Mr. Hou, you are so kind! By the way, since your son is suffering from tuberculosis, which is highly contagious, we need to register him according to regulations. We need to provide all the detailed information about your son's school."
According to hospital regulations, infectious diseases must be registered and reported to higher authorities when discovered.
Every hospital has someone responsible for the day-to-day management of infectious disease outbreaks.
Once an infectious disease is discovered, it should be immediately reported to the CDC according to the level of the infectious disease.
"OK!"
Mr. Hou and his family now have great respect for Li Quan.
Li Quan arranged for Hu Yue'er to help the patient and his family make detailed registration, and then sent Tang Zhengyuan to take the two to the tuberculosis specialist for treatment.
After the patient left, Li Quan arranged for someone to come and disinfect the outpatient room.
Fortunately, there are not many patients today.
Otherwise the consequences will be disastrous.
Although tuberculosis is only a Class B infectious disease and not the highest Class A, it is extremely harmful.
In crowded places, if patients keep coughing, a large number of tuberculosis bacteria may accumulate in the air.
Other healthy people can easily be infected if they inhale it into their respiratory tract.
"Doctor Luo, Hu Yue'er, you two did not take proper protective measures when you were treating patients just now, so according to regulations, you need to be isolated and observed for two days, and then do a tuberculin test. You can return to work only if there is no problem."
This is done to prevent doctors from infecting patients.
In fact, this incident also reflects that Luo Wenhao, Tang Zhengyuan and others have a weak sense of safety.
If a patient is found to be coughing, he or she should wear a mask in time and take good protection, so there is no need for isolation.
After making the arrangements, Li Quan quickly took the registered information and asked the staff of the hospital's infection management department to report it to the CDC immediately.
This case must be taken seriously.
The boy was a student and was attending school when he fell ill.
The risk of transmission is extremely high.
Students are the future of the motherland, and their health and safety must be protected.
After receiving the report, the Municipal Center for Disease Control and Prevention attached great importance to it and immediately organized personnel to go to the school where the boy studied to conduct an investigation.
…
Li Quan felt it was quite new on his first day as dean.
Gradually I got used to it.
As soon as he returned to his office, Assistant Dean He handed him a copy of the latest departmental business report for him to review.
The business and personnel situation of each clinical department is indicated above.
As the dean, one must look at the overall situation and focus on the business development, talent management, etc. of the entire hospital.
These reports are clear and the data is transparent, so you can understand them at a glance.
You don’t know until you see it. It’s shocking.
He found that since He Zhen became the dean, the business volume of all departments in the entire Huier Hospital has been shrinking continuously in the past two months, which is really shocking.
In some departments, business has shrunk particularly sharply.
For example, the Traditional Chinese Medicine department has shrunk by almost 99%.
Obstetrics and gynecology shrank by 17%.
The brain shrank by 21%.
Neurology and neurosurgery are twins, each shrinking by 15%.
Emergency departments shrank by 18%.
If the business of a hospital is likened to the water in a lake, then the emergency department is equivalent to the largest water inlet of the lake.
The shrinkage of individual departments may only prove that there is a problem with this department.
When the emergency department business of a hospital begins to decline, it must be taken seriously, because it means that the business of the entire hospital is in trouble.
There is already fierce competition among the major hospitals in Shanghai.
Even if you maintain the original level, if the medical skills and equipment do not keep pace with the times, the business volume may decline, because if you are not making progress, other hospitals are making progress.
He Zhen has been committing suicide for the past two months since he became the dean.
Li Quan was driven away, the US expert team also left, and then Professor Liu, the biggest golden signboard, was so angry that he fell ill and eventually retired. In addition, various departments violated the rules and promoted incompetent people to important positions.
With all these suicidal behaviors added together, Huier Hospital is desperately trying to reverse its course, while other hospitals are also making efforts to do so.
As one thing grows, the other shrinks, and it is inevitable that the business of Huier Hospital will shrink sharply.
The most puzzling department is the ophthalmology department, which has shrunk by 37%, ranking second only to the traditional Chinese medicine department in terms of severity of shrinkage.
It can be said to be the worst performing department.
"If I can't reverse the downward trend in business, I don't think I'll be able to stay in this position for long."
Li Quan is very self-aware.
At the morning meeting, when Li Quan was pushed to the position of dean, the old leader surnamed Guo said that we must be prepared to bear a heavy burden.
Now that he understood the situation of each department, Li Quan felt that the burden on his shoulders was more than a thousand pounds.
It's heavier than ten thousand pounds.
Looking at the mess that was happening in various departments, Li Quan knew that it was impossible to bring all the departments up at once.
Only one at a time.
Ophthalmology is the most serious, so treat the eye disease first.
"Director Hu, come to my office."
If Li Quan wants to help boost ophthalmology business, he must first understand the actual situation of ophthalmology and find out the reasons for the sharp decline in its business.
Soon, Director Hu came in.
"HI, Lee!"
Aixen followed Director Hu in.
His old face was all smiles.
"Li, we have encountered difficulties in our research and you promised to help us solve them. Can you help us now?" Axen requested.
"Okay! I'll be right there!"
Li Quan asked Aixen for a great favor today, and the other party has fulfilled his promise and given him all the results of his years of research on blood diseases.
Now that I ask Li Quan for help, Li Quan will naturally not refuse.
"Director Hu, please secretly investigate the reasons for the sharp decline in ophthalmology business and report to me later." Li Quan gave instructions and followed Aixen to the laboratory to help solve the problem.
Those who are capable should work harder.
He discovered that the greater his abilities, the more things became.
Getting busier and busier.
…
The problem that Li Quan helped the Aixen team solve this time was a bit difficult. He was busy until the end of get off work but still couldn't solve it.
There was no choice but to continue helping with the experiments after having dinner in the hospital with these American experts who were working day and night on research.
At this time, Li Quan's cell phone rang.
"Dean, can I see you now?" Doctor Wen sent a message.
"Sure! Come directly to Lab 2." Li Quan sent her a message and continued his research.
Not long after, Doctor Wen arrived.
She knew the rules very well and stood at the door and knocked.
"Come in!" Li Quan felt that Doctor Wen was not an outsider.
"Hi!" Doctor Wen smiled and waved, greeting Axen and others.
"Hello!" Aixen, who was an expert on China, also responded with a smile and a nod.
"Doctor Wen, what do you want to talk to me about?" Li Quan asked without even raising his head. He was concentrating on the experiment.
The main purpose is to test the response of traditional Chinese medicine to cultured hematopoietic stem cells.
"Well...how about I accompany you to do the experiment first. We can talk after you are done. I am afraid of disturbing your experiment ." Doctor Wen's eyes flashed.
It seems that what she wants to say is something she doesn't want outsiders to know.
