I Have Unlimited Magic Skills

Chapter 500 Bone tuberculosis, a mess

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"Doctor, do you think it is possible to invite an older and more experienced doctor to treat our son?" the child's father accompanied him cautiously, and said very tactfully.

Obviously, even if Li Quan is the dean, he is not of much use in front of patients and their families.

They only recognize the medical skills of one doctor.

Not to mention the director of the hospital, even the director of the health bureau, if the medical skills are not good, they will not recognize and trust him.

Li Quan ignored the doubts from patients and their families.

Instead, he took out the mask and put it on first, and then asked Luo Wenhao and others to put on the mask as well. Then he stared at the patient and continued to ask, "Before you fell, did you have night sweats while sleeping, and your appetite decreased significantly? If nothing else, your body temperature must be higher than normal."

The boy who was full of doubts about Li Quan had a shocked expression on his face.

"Uncle doctor, I have all the symptoms you mentioned. Could it be that my illness is not caused by a fall?" The boy is fifteen or sixteen years old and should have started high school.

Pretty assertive.

After Li Quan explained all the symptoms before his fall, his doubts about Li Quan's medical skills have been greatly reduced.

The boy's parents saw that Li Quan and several other medical staff suddenly put on masks, and they felt a strong sense of unease.

"Let's do a blood test first, then the cause will be clear."

As soon as Li Quan's words fell, Luo Wenhao had already started to write the examination application form for the patient.

"Have you been with the child all this time?" Li Quan asked the child's parents.

"Since the child fell at school in the morning, we have been with the child." The child's parents are somewhat nervous at the moment. They don't know what disease their son is suffering from?

"Put on your masks first!"

Li Quan took out three more masks and gave them to the patients and their families respectively.

"Doctor, what disease is our son suffering from?" After the child's parents took the mask, they panicked.

"It's not confirmed yet.

But I suspect tuberculosis. The disease is highly contagious. After a while, your son will have his blood routine checked. If he is really suffering from tuberculosis, then you must also do a blood routine examination. "

Li Quan said to the two family members in a very serious tone.

"Well, how is this possible? Isn't tuberculosis just a cough? How can it cause pain in the lumbar spine, making it impossible to sit, stand or walk?" The family members still don't believe it.

"Let's go for an emergency blood test first. Dr. Tang, you go with them, and be careful not to let them spread to others."

Li Quan handed over the job to Tang Zhengyuan.

The hospital is a densely populated place, and the mobility is extremely high. There are really infectious diseases, causing cross-infection and spread, and the consequences are disastrous.

Therefore, when you go to the hospital for treatment, it is best to wear a mask to protect yourself.

Because no one knows what disease other patients have?

There is not much difference between the inspection items of emergency blood routine and ordinary blood routine. But there is a big difference in the time to get the results.

Ordinary blood routine, if a large amount of specimens are sent for examination on the same day, it may take more than an hour to get the results.

Hospitals generally require results within half an hour to one hour.

For emergency blood routine tests, the results are usually available within 15 minutes.

To put it bluntly, it is a priority to do inspections.

When the receiving doctor believes that the patient's condition is urgent and requires emergency surgery or emergency treatment, he will apply for emergency blood routine testing. This patient most likely had a highly contagious form of tuberculosis.

Li Quan applied for emergency blood routine for the patient, which met the requirements of the hospital.

...

Not long after, the patient came back from the routine blood test.

At this moment, the expressions of the two family members were broken.

The woman's eyes filled with tears.

The man's brows were furrowed.

Originally, they thought their son was injured by an ordinary fall. After the routine blood test, the test results made them collapse.

Li Quan's diagnosis came true.

Their son, really suffers from tuberculosis.

"Dean, the patient had a tuberculin test and it was positive. Blood routine examination showed that the white blood cell count was higher than normal."

Tang Zhengyuan's tone was serious.

At the same time, there was a trace of worry between his brows.

Because they did not take any protection when they diagnosed the boy before.

Tuberculosis is highly contagious. It can be spread through saliva and droplets.

Being a doctor is actually a very dangerous profession.

"Since the diagnosis has been made, send him to the tuberculosis specialist for treatment immediately!" Li Quan's here is the orthopedics department, not the infection department. Tuberculosis, he can't cure.

And this kind of infectious disease generally needs to be treated in isolation.

There are no conditions here.

"Family, you also need to do another tuberculin test. If it is negative, you will be fine. If the result is positive, you must be hospitalized immediately. Prevent infection from spreading to others."

Li Quan said to the boy's parents.

"In addition, you don't need to have any mental burden. 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 leave the hospital soon."

Seeing the frightened expression of the middle-aged couple, Li Quan comforted them.

"Doctor, can you tell us that my son has tuberculosis, why does it cause back pain and he cannot sit up?"

the boy's father asked.

"Your child should have been infected with pulmonary tuberculosis at the earliest. Due to the failure to detect and treat it in time, the tuberculosis bacteria spread in the body and destroyed other body tissues.

When they invade the vertebrae, it becomes the less common bone tuberculosis.

Your child's fall from the bed should have been just an inducement. Even if there is no fall, there will be symptoms of inability to sit, stand and walk.

It is a good thing for your children to be diagnosed in advance now. "

Li Quan patiently explained to the family.

Bone tuberculosis is a devastating lesion caused by the invasion of Mycobacterium tuberculosis into bones or joints. Most of the diseased sites are in the bones or joints that are heavily loaded, active, and prone to strain. The best site is the spine, followed by hips, knees, feet, elbows, hands and so on.

Early diagnosis of bone tuberculosis is difficult.

Experienced doctors often need to conduct comprehensive analysis and diagnosis based on medical history, signs, imaging, tuberculosis culture, pathological tissue, blood tests, epidemiology and other data.

It was also the first time Li Quan encountered this disease.

Now helping patients to diagnose in time is the greatest contribution.

As for the follow-up anti-tuberculosis treatment, there is actually no need to worry too much.

Because the current technology is very mature, and Huier Hospital has a specialist in tuberculosis, it will definitely be able to cure this patient.

"Teaching! No wonder you can become the dean at such a young age. Your medical skills are indeed very good." The man should have a high degree of education, and he can speak fairly well.

"Mr. Hou, you're flattering! By the way, because your son is suffering from highly contagious tuberculosis, according to the regulations, we need to make a registration. All the information about the school your son attends must be provided in detail."

According to the regulations of the hospital, when an infectious disease is found, it must be registered and reported at all levels.

Every hospital has a person in charge of the daily work of infectious disease outbreak management.

Once an infectious disease is discovered, it will be reported to the CDC immediately according to the level of the infectious disease.

"Row!"

Mr. Hou's family now respects Li Quan very much.

Li Quan arranged for Hu Yue'er to register the patient and his family in detail, and then sent Tang Zhengyuan to take the two to a tuberculosis specialist for treatment.

After the patient left, Li Quan arranged for someone to come over and disinfect the outpatient room.

Fortunately, there are no patients today.

Otherwise, the consequences will be disastrous.

Although tuberculosis is only a Class B infectious disease, it does not belong to the highest Class A, but it is extremely harmful.

In crowded places, if the patient keeps coughing, a large number of tuberculosis bacteria can be produced and gathered in the air.

Other healthy people are easily recruited if they inhale the airway.

"Dr. Luo, Hu Yue'er, you two didn't take protective measures when you were diagnosed and treated just now, so according to the regulations, you need to be isolated for two days for observation, and then do a tuberculin test. Only when there is no problem can you continue to return to work."

This is done to prevent doctors from infecting patients.

In fact, from this incident, it also reflects that Luo Wenhao, Tang Zhengyuan and others do not have a strong sense of security.

If you find that the patient has a cough, put on a mask in time and take good protection, so there is no need to be isolated.

After Li Quan made the arrangements, he quickly took the registered information and asked the staff of the infection management department of the hospital to report it to the CDC immediately.

This case must be taken seriously.

The boy was a student and was attending school at the time of illness.

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 also attached great importance to it, and immediately organized personnel to go to the school where the boy was studying for investigation.

...

It was the first day for Li Quan to become the dean, and he thought it was quite fresh.

I got used to it slowly.

As soon as he returned to his office, Yuanzhu He took a copy of the latest departmental business report for him to check.

It indicates the business situation and personnel situation of each clinical department.

As the dean, you must look at the overall situation and focus on the business development and talent management of the entire hospital.

These reports are made very clear, the data is transparent, and can be understood at a glance.

I don’t know if I don’t look at it, but I’m startled when I see it.

He found that since Hezhen became the dean, the business volume of various departments in the entire Huier Hospital has continued to shrink in the past two months, which is really shocking.

In some departments, business has shrunk particularly sharply.

For example, the department of traditional Chinese medicine has shrunk by almost 99%.

Obstetrics and gynecology shrank by 17%.

The brain department shrank by 21%.

Neurology and neurosurgery are almost twin brothers. Each shrank by 15%.

Emergency departments shrank 18%.

If we compare the business of a hospital to the water in a lake. Then the emergency department is equivalent to the largest water inlet of this lake.

The shrinking of individual departments may only prove that there is something wrong with this one department.

When a hospital's emergency department business begins to shrink, it must be taken seriously. Because this means that the business of the entire hospital has gone wrong.

The competition among the major hospitals in Shanghai is already fierce.

Even if the original level is maintained, the business volume may decline if medical skills and equipment do not keep pace with the times. Because 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.

After Li Quan was driven away, the American expert team also left. Then Professor Liu, the biggest gold-lettered signboard, was so angry that he fell ill and finally retired. There are also various departments that violate regulations and promote incompetent people to important positions.

With the addition of all kinds of death-seeking actions, Wheel Hospital is desperately reversing here, while other hospitals are all working together.

As one ebbs and the other grows, it is inevitable that Wheel Hospital's business will shrink sharply.

Most puzzling was ophthalmology, which shrank by 37%. The severity of atrophy ranks second only to TCM departments.

It can be called the worst performing department.

"If the declining trend of business cannot be reversed, it is estimated that I, the dean, will not be able to work for long."

Li Quan is very self-aware.

At the meeting in the morning, when Li Quan was promoted to the position of dean, the old leader surnamed Guo said that he must be prepared to bear a heavy burden on his shoulders.

Now that he understands the situation of each department, Li Quan feels that the burden on his shoulders is more than a thousand catties?

It is heavier than ten thousand catties.

Looking at the various departments in a mess, Li Quan knew that it was impossible to pull all the departments up at once.

Only come one by one.

Hip pull is the most serious in ophthalmology department, so the ophthalmology disease should be treated first.

"Director Hu, come to my office."

If Li Quan wants to help the ophthalmology department boost its business, it must first understand the actual situation of the ophthalmology department and find out the reason for its sharp decline in business.

Soon, Director Hu came in.

"Hi, Lee!"

Aixen also walked in after Director Hu.

His old face was full of smiles.

"Li, we have encountered a problem in our research, and you promised to help us solve it. Can you help us now?" Exon asked.

"Okay! I'll go there right away!"

Li Quan asked Aixen for a lot of help today, and the other party has fulfilled his promise and given him all the results of years of research on blood diseases.

Now asking Li Quan for help, Li Quan would naturally not refuse.

"Director Hu, first secretly investigate the reason for the sharp decline in ophthalmology business, and report to me later." Li Quan explained, and followed Aixen to the laboratory to help solve the problem.

Able people should do more work.

The more he discovers his abilities, the more things become.

It's getting busier.

...

This time, the problem solved for the Exon team was a bit difficult. Li Quan was busy until he got off work, but he still couldn't solve it.

There was no other way, after having dinner in the hospital with this group of American experts who forgot to sleep and eat, they had no choice but to continue to help with the experiment.

At this time, Li Quan's cell phone rang.

"Dean, can I see you now?" Dr. Wen sent a message.

"Yes! You can come directly to Laboratory No. 2." Li Quan sent her a message back and continued to do research.

Not long after, Dr. Wen arrived.

She knew the rules, stood at the door and knocked.

"Come in!" Li Quan felt that Dr. Wen was not an outsider.

"Hi!" Dr. Wen waved his hand with a smile and greeted Aixen and others.

"Hello!" Exon, who is a Hua Guotong, also smiled and nodded in response.

"Does Doctor Wen want to ask me for anything?" Li Quan asked without raising his head. He is concentrating on experimenting.

The main thing is to test the response of Chinese medicine to those cultured hematopoietic stem cells.

"Well... How about I accompany you to do the experiment first. Let's talk after you're done. I'm afraid of interfering with your experiment now." Dr. Wen's eyes flickered.

It seems that what she wants to say does not want outsiders to know.

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