Chapter 612: Disease within disease, a new way of diagnosing diseases in the future
"Are the red spots on your hands itchy?" Li Quan asked.
The middle-aged man's face suddenly turned red.
Some diseases are the privacy of patients. If they are made public, they will feel humiliated and embarrassed, which will hurt their self-esteem.
“It’s a bit itchy!”
The middle-aged man lowered his head, with a hint of shame in his voice.
"When did it start to appear?" Li Quan continued to ask.
"Uh... about a year." The middle-aged man answered, raised his head angrily, stared at Li Quan and asked. "Hey, why are you asking these questions? Now, let's talk about how to deal with my wife's matter?"
The middle-aged man obviously thought that Li Quan wanted to change the topic and focus.
Vice President Min and others understand Li Quan's methods.
Knowing that Li Quan asked about this matter in public, there must be a deep meaning behind it.
"Your hand is related to your wife's illness." Li Quan said word by word with a serious expression.
"Bullshit! I have one or two red spots on my hands. What does it have to do with my wife's illness? Stop trying to shirk responsibility here." The middle-aged man became furious and slammed the table.
This time, everyone saw it clearly.
There were three disgusting red spots on the back of his right thumb and ring finger, as well as on the palm. One could even see obvious cracks, as well as scales and blisters.
"First of all, I want to tell you that these plaque lesions on your hands are typical characteristics of tinea manuum." Li Quan said lightly.
"I've known about it for a long time. It's just tinea manuum. It won't have a big impact on the body anyway, so it doesn't matter. It will heal naturally in two years." The middle-aged man said disapprovingly.
"Tinker's hands are fungal infections, and the possibility of self-healing is very small. If you don't take medicine, I'm frank, it will only get worse and it's impossible to heal on its own. In addition, tinea manuum is highly contagious and can easily be transmitted to your family and other parts of your body."
Li Quan explained the pathological knowledge of tinea manuum to this middle-aged man who was rather arrogant.
"You, stop exaggerating here. I don't believe your nonsense." The middle-aged man still spoke stubbornly, but he seemed to be strong on the outside but weak on the inside.
The pitch was still high, but the momentum had invisibly weakened a lot.
"Don't disbelieve it. Patients with tinea manuum can easily get tinea cruris if they don't receive timely treatment and don't pay attention to hygiene. In addition, the red patches on your wife's chest are also tinea.
She is a healthy person and it is impossible for her to be infected with psoriasis for no reason.
In addition, her psoriasis first appeared on her chest. I believe that other people infected with psoriasis would not have the opportunity to touch such a private part as hers.”
When Li Quan said this, he unexpectedly discovered that the pregnant woman's expression showed something strange.
It was not an expression of shame or embarrassment, but rather a hint of panic.
He couldn't help but feel a little moved. Could there be something else going on here?
"You, are you saying that I infected my wife with ringworm?" The middle-aged man believed Li Quan's words a little.
"This possibility is very high." Li Quan nodded seriously.
"Okay, even if I gave my wife the psoriasis on her chest. We came to your hospital for treatment a week ago, but the medicine you prescribed not only didn't work, but made my wife's condition worse. Now my wife's baby may miscarry at any time. This is your hospital's responsibility, right?"
The middle-aged man is not stupid after all.
He was not led astray by Li Quan.
"That's exactly what I'm going to say next." Li Quan was well prepared.
Back then, even a veteran like Dean Min was no match for him. This middle-aged man was even less of a match for him.
Unconsciously, Li Quan had used a move to take the initiative and had already quietly taken control of the initiative.
At present, the middle-aged man has been led by him.
"The doctor who treated your wife is an old professor with the best medical skills in our hospital. He was also the chief physician of the former obstetrics and gynecology department. He has rich experience in diagnosis and treatment and superb medical skills. There is no problem with the treatment procedure for your wife.
The real problem is that the psoriasis bacteria that your wife was infected with has mutated.
We took samples from your wife's lesion and found two types of psoriasis bacteria after a skin examination. This is the main reason for your wife's fetal heart rate to continue to drop and become abnormal. "
Help your relatives, not your friends.
Li Quan naturally tried his best to absolve his teacher of responsibility.
If at this time, I was really stupid and told the patient the truth, and then told the patient and his family, sorry, it was all our hospital's fault.
The result was that the golden signboard of the Obstetrics and Gynecology Department of Huier Hospital was smashed, and then the pregnant woman's family demanded a huge amount of compensation from Huier Hospital.
Professor Liu's reputation has been ruined in his later years. Huier Hospital, Professor Liu, and even the dean Li Quan may be punished by the health authorities.
Be flexible in small matters and stick to principles in big matters.
There are two things to do in dealing with this thorny medical dispute. First, do everything possible to absolve the hospital and the doctor of responsibility. Second, find a way to make up for the loss, cure the pregnant woman's illness, and do everything possible to save the fetus in her belly.
By then, the matter will be resolved satisfactorily.
"Even if I'm infected with two types of psoriasis bacteria, and one of them mutates, it's still your hospital's responsibility!" Pregnant women are smarter than ordinary women.
"Ms. Song Xiaoling, I suggest you do a skin check on your husband first to see if the psoriasis bacteria you two are infected with are the same? Because according to common sense, the same psoriasis patient will only have one type of psoriasis bacteria.
If the results are inconsistent, we will have to conduct an epidemiological investigation to see how you were infected with the second psoriasis bacteria.”
Li Quan didn't want to get involved in this woman's private affairs.
Since the other party is so aggressive and sharp-tongued, then use your trump card to make her shut up.
You've done something wrong, but you still have the nerve to speak in such a high-pitched voice here. Do you really think Li Quan is a fool?
Li Quan is not as easy to fool as her cuckold husband.
Hearing what Li Quan said, the pregnant woman panicked and her morale plummeted.
"Director Li, I usually come into contact with a lot of people and things, so how did I get the second type of psoriasis? I have no idea. The most important thing now is to try to save the baby in my belly. The obstetrics and gynecology department of your Huier Hospital is very famous. It is the best obstetrics and gynecology department in Shanghai, and even in the province. I believe you will be able to cure my disease."
The pregnant woman took the initiative to surrender and asked Li Quan not to bother investigating how she was infected with the two psoriasis bacteria.
This also secretly coincides with Li Quan's intention.
The purpose was not to quarrel with these people, nor was it to dig up the ugly deeds of this pregnant woman and break up her marriage.
Since the other party is sensible, there is no need for Li Quan to pursue him relentlessly.
He decided to quit while he was ahead and took advantage of the situation to get off the donkey.
"Ms. Song is very righteous and sensible. I really admire her. I also think that the most important thing right now is to try to save the baby in your belly and cure your illness."
Li Quan praised the other party and then took out a disposable plastic glove.
The very thin kind.
"Ms. Song, I want to feel your pulse and confirm your condition. Then, several famous doctors and experts in our hospital's obstetrics and gynecology department will consult on your condition and come up with a specific, feasible and effective treatment plan as quickly as possible."
Although the diagnosis of the real cause of her illness, treatment and prescription were all decided by Li Quan alone.
But you can’t say that to the family members.
This is no longer the era of fighting alone and showing off one's abilities.
Nowadays, what matters is teamwork, mutual assistance and win-win results.
Li Quan never forgets to make the golden signboard of Huier Hospital's obstetrics and gynecology department more famous. Only in this way can Huier Hospital's obstetrics and gynecology business flourish and get better and better.
"Thank you for your concern, Dean Li." Song Xiaoling didn't know whether she was happy to be praised by Li Quan, or she felt guilty that Li Quan had discovered her scandal. In short, her attitude towards Li Quan changed 180 degrees.
You’re very welcome.
Li Quan did not hesitate and took her pulse on the spot.
Wearing disposable plastic gloves is a lesson learned from the last time at Beijing No. 1 Hospital to avoid infection.
After taking the pregnant woman's pulse, Li Quan found that the pulse was somewhat disordered, and at the same time, it was floating and tight.
The fetus's condition is not optimistic either.
However, he was unable to find out the specific cause of the disease for the time being.
At this moment, a pulse diagnosis method emerged in Li Quan's mind.
"The pulse is floating and tight, but the doctor gives purgatives. This is a serious mistake. Floating means there is no blood, and tight means cold. When the cold air hits the patient, it causes bowel sounds. The doctor doesn't know this, but gives the patient cold water, which makes the patient stop sweating. When the water gets cold air, the cold will hit the patient, and the patient will choke."
This is a piece of pulse diagnosis knowledge that comes with the master's level of pulse diagnosis.
What does it mean?
That is to say, if the patient has a floating and tight pulse, it means that the qi is stagnant and the blood is stagnant, and the cold evil has invaded the body. At this time, if the patient does not know the medical knowledge and drinks cold water to relieve the symptoms of fever, it will cause the sweat to be unable to be discharged. The water gets cold, and the two fight against each other, and the patient may die.
The pulse condition of this pregnant woman is quite similar to the one in this pulse diagnosis.
Li Quan couldn't help but boldly speculate that the pregnant woman's fetal heart rate continued to decline, and she had various symptoms of chest tightness and difficulty breathing. Could it be that this was caused by drinking cold water, and had no direct connection with the psoriasis bacteria that infected the chest?
I have never heard of any patient suffering a miscarriage due to psoriasis infection.
Besides, the pregnant woman should not have been infected with psoriasis bacteria for a long time.
Because pregnant women are nurturing a new life in their bodies, the fetus will absorb a lot of nutrients from the mother's body, which will cause the mother to become weak.
Therefore, pregnant women are more likely to get sick than ordinary people.
[You have successfully performed the pulse diagnosis technique, skill points +10. ]
Li Quan was overjoyed.
It seems that my diagnosis was correct.
Professor Liu, and even all the doctors who consulted with this pregnant woman, were led into a misunderstanding.
It is believed that a decrease in fetal heart rate in pregnant women is related to psoriasis bacteria that infects the chest.
In fact, it may not matter at all.
"Ms. Song, let me ask you, do you often drink cold water or eat cold drinks?" Li Quan stared into the woman's eyes.
Because this woman is not a good woman and she may lie.
Looking into her eyes, Li Quan was no longer afraid that she would lie.
As long as she had any false thoughts, Li Quan would be able to detect it immediately.
"Yes, my wife had a low-grade fever at night in recent days, and she felt nauseous and wanted to vomit. She kept complaining that she felt uncomfortable, so she drank a cup of iced black plum soup."
The middle-aged man is an honest man.
At least I didn't lie.
"The problem lies in this cup of iced black plum soup. You are taking medicine and drinking iced black plum soup at the same time, which makes you feel comfortable. But the baby in your belly can't stand it. In fact, it is taboo to drink cold water when taking almost all medicines."
Li Quan did not tell the patient and his family that the decrease in fetal heart rate was because the pregnant woman caught a cold and drank cold drinks, which aggravated her condition and harmed the fetus.
If he really said that, he wouldn't be able to justify his previous explanation.
That's equivalent to selling out Professor Liu.
Now that the problem has been found, the next step is to prescribe medication for treatment.
In fact, the pregnant woman's condition is not complicated.
It may have started as a psoriasis infection, and then felt a little itchy. Nothing serious in itself.
It just so happened that she caught a cold again, but she didn't know it. She just felt uncomfortable and miserable.
When she went to the hospital for treatment, she had no idea what a cold was.
Just blame all the problems on the itching and abnormality in the chest.
Then, because Professor Liu had too much experience in diagnosis and treatment, was too blindly confident, and was misled by the patient, he directly led to the misdiagnosis.
The real cause of the disease could not be found.
Until now, it was believed that the decrease in fetal heart rate in pregnant women was caused by psoriasis.
Through this incident, Li Quan realized the importance of pulse diagnosis.
First of all, pulse diagnosis is not omnipotent. There are many diseases that it cannot diagnose, and it is not as accurate as modern advanced medical examination instruments.
But it has its own strengths.
It can directly diagnose the cause of the disease.
For example, you can has just by touching his/her Cunkou pulse.
In fact, in traditional Chinese medicine, illness is the imbalance of yin and yang.
Whether it is hyperactivity of yang or excess of yin, you will get sick.
Traditional Chinese medicine also starts from this aspect. If the patient has excessive yin, then support yang . If the patient has excessive yang, then support yin.
Let the body return to a state of balance between yin and yang, and the disease will naturally be cured.
Pulse diagnosis combined with modern medical examination instruments is simply invincible.
Perhaps this will be the new way doctors will diagnose patients in the future.
Li Quan did not prescribe medicine for the pregnant woman immediately, but told her that he would organize doctors in the hospital to have a consultation on her illness, and then work together to prescribe a good prescription.
…
An hour later, the attending physician in charge of taking care of Song Xiaoling excitedly ran to Professor Liu's office to report to Li Quan and Professor Liu.
"Director, Director Liu, good news, good news. After taking the new prescription, the pregnant woman named Song Xiaoling broke out in a sweat, and her fetal heart rate has risen and become stable."
The resident doctor personally ran to the office to report the matter. In addition to his genuine joy, he also wanted to please Li Quan and Professor Liu.
“Okay, great!”
Professor Liu was greatly encouraged, and for the first time, an excited smile appeared on his worried face.
This medical dispute was finally resolved perfectly.
