Chapter 505: Good news keeps coming
"After the patient became blind, he went to many hospitals for treatment, but they all told him that they could do nothing. Problems with the optic nerve are already a difficult eye disease, so those hospitals were afraid to treat him. Maybe they were really unsure, or maybe they were afraid of getting into trouble."
Director Hu explained the reason.
After all, the patient was in legal action against Wheeler Hospital.
It would be fine if they are sure, but if they are not sure, which hospital would dare to take on this difficult task?
No doctor has the courage to do this.
Unless you really don't take your future and savings seriously.
"No wonder the patient has given up hope and started learning the lifestyle of the blind." Li Quan nodded in understanding. "Do you know the patient's current home address? I want to visit the patient in person."
Li Quan just checked the patient's medical records and related treatment medications and did not find any problems.
He couldn't understand why the patient became blind the day after starting hormone treatment?
There are some unpredictable risks in using hormone therapy, but doctors will be particularly cautious when using the medication.
It is not possible to use a large dose for the first time.
The dosage of hormones used in the medical prescription prescribed by Dr. Xin Le was not large.
Perhaps there are other unknown reasons, or the patient's illness has not been diagnosed.
After all, no matter how advanced modern instruments are, there are often cases where the cause of a disease cannot be identified.
"Do you want to go to the patient's house to apologize?" Director Hu asked.
"That's what I mean. I also want to check on the patient's condition again. If we can find out what the problem is, maybe there will be a turn for the better. It will be good for our hospital, Dr. Xinle, and the patient."
Li Quan's diagnostic skills are very strong, and he wants to try to see if he can find out the cause of the patient's illness.
"I happen to be familiar with the patient's home address. If you want to go, I'll go with you." Director Hu volunteered.
I guess she also wants to perform well in front of Li Quan, the new leader.
"Okay, I think it's about eleven o'clock in the morning. If his house is not far away, let's go there now."
Li Quan is a man who always acts in a swift and decisive manner and doesn't like procrastination.
Treating this patient quickly will also allow Xin Le to take charge of the ophthalmology and optic nerve clinic sooner.
This kind of dispute, which will have a huge negative impact on the hospital, should be dealt with as early as possible.
Last month, ophthalmology business fell 37%, and this month is sure to be even worse.
…
Li Quan and Director Hu rushed to the patient's home.
There is no need to take a taxi this time since it is official business, so I will just use the hospital bus.
This matter has been handled by Chen Xuesen from the hospital's public relations department and Chief Wang from the medical department.
Li Quan took these two people with him.
Four heavyweight hospital leaders were dispatched at once, including the president Li Quan, who personally showed up, which shows that Huier Hospital attaches great importance to this matter.
More than ten minutes later, Li Quan and others arrived at the community where the patient lived.
It's actually quite close to the Huier Hospital.
I guess the patient went to Huier Hospital for treatment because it was close and convenient.
This is an ordinary community, a popular one.
It was better than the residential complex that Li Quan rented. At least it had a dedicated property management and security guards at the door.
In fact, this type of popular residential area is the most common in Shanghai.
After all, truly rich people are only a minority.
Not everyone can afford to live in a high-end residential area.
"Hello, we are from Huier Hospital. We come here specifically to visit Luo Sanxiong in Room 201, 2nd Floor, Building 4." Chen Xuesen greeted the security guard at the security booth.
After coming here so many times, the security guards here have become familiar with Chen Xuesen and others.
"He should be home, go in!"
The security guard didn't even ask for registration and let me through.
After getting off the car, several people went directly to Building 4.
As a result, they had not walked far when Chief Wang, with his sharp eyes, pointed at a person near the community fitness facilities from a distance.
"It seems that person is Luo Sanxiong."
Li Quan looked in the direction he pointed, and saw a middle-aged man in his forties holding a stick used for guiding the blind, constantly probing and walking slowly forward.
A middle-aged woman followed behind him.
For this family, the middle-aged man is probably the backbone of the family.
He became blind, which was a huge blow to his family.
"Let's go and take a look!"
Li Quan took the lead and walked towards the man who was exploring the way with a stick.
At this time, the man may not have been fully familiar with the use of the guide stick. He did not notice the inconspicuous ground groove in front of him. He tripped.
He staggered and almost fell .
"I am a useless person, a useless person..."
The man got angry and threw the stick in his hand to the ground.
He squatted on the ground, grabbed his hair with both hands and howled.
It is understandable that he must have felt a huge loss as he suddenly became blind from being a healthy and normal person.
It would be hard for anyone to accept.
"Husband, let's not be discouraged, let's try again, okay? You are not a useless person... woo woo..." The middle-aged woman tried to persuade him, but ended up crying herself.
The couple hugged each other and cried bitterly.
This is definitely not the first time they have seen such a scene.
This kind of scene must have happened many times during the time her husband was blind.
Li Quan felt very sympathetic when he saw this middle-aged couple who had suffered such misfortune in the world.
"Hello, Mr. Luo and Ms. Li!"
Chen Xuesen walked up and greeted him a little awkwardly.
"What are you doing here? We have nothing to talk about. See you in court." The middle-aged woman said angrily.
She was probably full of hatred towards every medical staff in Huier Hospital.
Because she believed that her husband was blinded by the doctors at Wheeler Hospital.
"Ms. Li, this is our hospital's new director, Li Quan. After hearing about your situation, he expressed deep sympathy and took it very seriously. He immediately asked us to bring him over to visit Mr. Luo."
Chen Xuesen is worthy of being the head of the Public Relations Department and he speaks very appropriately.
At least what was said could make both the patient and Li Quan feel comfortable.
"Mr. Luo, I deeply sympathize with your unfortunate experience. I came here specially to help you solve the problem. If it is indeed the responsibility of our hospital, we will never evade it and will compensate you in the full amount. If the hospital is not responsible, out of humanitarianism, I will also try every means to cure your eyes.
Before coming here, I carefully reviewed your medical records. Can I take your pulse and check it again? "
Li Quan was full of sincerity.
"Are you really the new dean?" Ms. Li looked at Li Quan warily.
Because Li Quan is too young.
“Guaranteed authenticity!”
Li Quan looked confident and spoke in an affirmative tone.
"Okay then!" The middle-aged woman believed it a little bit. Because Chen Xuesen and others were very respectful to Li Quan. "Husband, let this Dean Li help you check it out."
Luo Sanxiong obeyed his wife's words very much. He immediately sat down at the stone table next to him for rest as Li Quan requested, stretched out his right hand and placed it flat on the table.
When taking a pulse, if you are sitting, place your hands flat on the table. This will help to make the diagnosis more accurate.
Li Quan held the Cun, Guan and Chi points of Luo Sanxiong's right hand and felt his pulse carefully.
There is a saying in Chinese medicine's pulse diagnosis that goes, "The lungs face all the meridians, and the pulse meets Taiyuan."
What does it mean?
That is, all the meridians of the human body converge in the lungs, and Cunkou is the course of the hand Taiyin lung meridian. The Taiyuan point above it is where the meridians meet, so there is a saying that "the meridians meet at Taiyuan".
Li Quan took Luo Sanxiong's pulse. This time he not only used the three parts and nine signs pulse diagnosis technique, but also used the pulse diagnosis skills of a master level to begin to consciously check the lung pulses one by one.
This is equivalent to treating the lungs as the source of all blood vessels, and then checking and diagnosing them one by one.
Ordinary Chinese medicine practitioners, even experienced ones, cannot achieve such amazing results.
Li Quan checked the patient's body veins one by one.
This process is more complicated than imagined, and requires extremely high pulse diagnosis skills and experience.
"No, this patient has serious lesions in both kidneys and acute optic neuritis. But it is not as serious as imagined. Could it be that the patient has kidney disease, which led to his blindness?"
Hormones have a great stimulating effect on the kidneys.
The patient's complexion appears darker than that of a normal person.
[You have successfully performed the pulse diagnosis technique, skill points +10. ]
[You have successfully performed the art of visual diagnosis, skill points +10. ]
It seems that Li Quan's inference and diagnosis were correct. The real culprit for the patient's blindness might not be acute optic neuritis.
It's because of kidney disease.
Li Quan's mind was recalling the patient's medical history and the diagnostic tests that had been performed.
Dr. Xin Le performed routine vision, fundus, and MRI examinations on the patient, and later performed VEP and cerebrospinal fluid examinations.
Logically speaking, so many tests should be enough to clearly diagnose the patient's condition.
However, the patient was not given the most common tests such as blood tests and urine tests.
It is estimated that this is also the main reason why Dr. Xin Le ultimately missed the diagnosis.
It is difficult for doctors to diagnose kidney disease with the naked eye.
Unless the patient is in the late stage of uremia, he or she will have obvious characteristics such as dark yellow complexion, swollen eyes and legs, etc.
"Mr. Luo, have you ever done any screening for diabetes?" Li Quan asked.
"No!"
He shook his head.
"I just checked your pulse and found that there is something wrong with your kidney pulse. I suspect that the cause of your blindness may not be caused by acute optic neuritis, but may be related to your kidneys.
If you are willing to believe me, you can come back to the hospital with me now for a kidney check-up.
I think as long as you receive prompt and appropriate treatment, there is a good chance that your eyes will be able to see again.”
Li Quan sincerely invited Mr. Luo to go to Huier Hospital for examination and treatment again.
“Is this… true ?”
Mr. Luo didn't hear much of the other things. He was not a medical student and didn't understand these things.
Just by listening to this sentence, there is a great hope of regaining the light.
"Everything I said is true. As the new director of Huier Hospital, I think you and your wife should trust me for once. At least I came here today with the sincerity to solve the problem. I understand even more how heavy a blow it is to a family when a middle-aged man loses his sight ."
Li Quan looked at the middle-aged couple sincerely.
"Well, we'll trust you this time."
Mr. Luo's wife made the decision.
…
Li Quan took the middle-aged couple back to Huier Hospital and personally applied for an examination for Luo Sanxiong in his own name.
This was also the first time that Li Quan confidently applied for an inspection in his own name.
Having obtained licenses for both Western and Chinese medicine, he can now prescribe both Western and Chinese medicine under his own name.
No need to ask anyone for help anymore.
This feeling is really great.
Soon, Luo Sanxiong's test results came out.
The patient's urine test showed proteinuria and he had diabetes.
This test result is consistent with the conclusion Li Quan reached based on traditional Chinese medicine diagnostic techniques.
He also became more confident in his diagnostic skills in traditional Chinese medicine.
If one day, his three major diagnostic medical skills can all be upgraded to the master level or above, perhaps he can really diagnose all diseases.
"Mr. Luo, according to the test results, you have diabetic nephropathy. I suggest you be hospitalized for treatment immediately. I will give you insulin injections first, and you should see results soon."
Li Quan’s idea is simple.
First, inject the patient with the fastest-acting insulin, and after verifying the effect, provide further treatment to the patient.
Diabetes is a chronic disease, and Luo Sanxiong has developed diabetic nephropathy, which means that he has had diabetes for a long time.
Many middle-aged and elderly people, when they find themselves feeling some discomfort in their bodies, most of them choose to endure it.
As long as the pain is not unbearable or the illness is not particularly serious.
They will just endure it silently and not go to the hospital for treatment.
Because seeing a doctor is too expensive now.
Ordinary people are generally afraid to go to the hospital.
"President Li, we are willing to accept the treatment plan you proposed. Please take care of it."
Ms. Li now has significantly more trust in Li Quan.
She arranged for her husband to be hospitalized and chose to receive hospital treatment.
Li Quan wrote a prescription, the nurse took the medicine, and injected insulin into Mr. Luo.
All that’s left is waiting.
After finishing this matter, it was already past twelve o'clock, and Li Quan hurriedly had lunch in the hospital cafeteria.
Just as I returned to my office and was about to take a rest, Vice President Min came to my door.
"Dean, I have contacted the fourteen ophthalmologists who changed jobs as you instructed. Six of them expressed their willingness to come back." Vice Dean Min brought good news to Li Quan.
It may take three to five years for a hospital to train a resident doctor.
However, it takes a long time to train doctors at the attending physician level and above. It often takes more than ten years, or even twenty or thirty years. Such a loss of talent is definitely a huge loss for the hospital.
If we can save six people, the situation in ophthalmology will be much better.
Li Quan will personally go to the ophthalmology department to take charge of the case. With his superb medical skills, as long as he can cure a few difficult patients and make a big publicity, the ophthalmology business can be quickly restored.
After all, the ophthalmology department of Huier Hospital has been developed for so many years, has a good reputation, and has a strong popular base.
"Old Min, you did a great job. I'll give you credit for this." Li Quan smiled and praised Vice Dean Min. "Now that they are back, we must treat them well and make arrangements for them. And as soon as possible."
