Chapter 396 - 249: Associate Professor Wu
Chapter 396: Chapter 249: Associate Professor Wu
Sun Zhenggang, the patient’s attending physician and an ophthalmology resident, had long since witnessed how unreasonable Shi Lihong could be.
He stepped in to try and persuade her. "Shi Lihong, Director Dou is only thinking about your health. For the sake of your condition, Director Dou invited Director Huo and Director Wu from the ER, as well as Director Jiang from Endocrinology, to hold a multi-departmental consultation specifically for you."
"Although you have endophthalmitis, the targeted treatment hasn’t improved your condition. You’ve also developed a fever and chills. There must be another underlying cause. We’re ordering an abdominal examination to confirm the diagnosis so we can treat it properly."
Sun Zhenggang felt a flicker of indignation. ’These tests don’t benefit us in any way. Besides, an abdominal CT doesn’t even cost that much. Did several hospital directors really need to hold a special consultation just for this? All of their time is precious.’
"Then tell me, why order an abdominal CT? I just had an abdominal ultrasound, and the results were fine."
Shi Lihong remained skeptical.
The test Director Wu had ordered, along with the potential diagnosis he described, fell under the domain of hepatic surgery. The two ophthalmologists didn’t really understand it, and for a moment, they genuinely couldn’t explain it.
Seeing Director Dou and Dr. Sun at a loss for words, Shi Lihong looked smug.
"What’s the matter? Can’t explain it?"
Dr. Sun’s face darkened, but he patiently explained:
"This test was ordered during the meeting by Director Wu of Hepatic Tumor Surgery. He has a preliminary theory about your condition. We need to perform a CT scan of your liver for confirmation. Once we have a diagnosis, we can proceed with the next stage of treatment."
"Director Wu had something to take care of this afternoon, so he left in a hurry. But he specifically instructed us to get you diagnosed as quickly as possible; otherwise, your treatment will be delayed."
Hearing Dr. Sun’s words only made Shi Lihong more suspicious that these corrupt doctors were just ordering unnecessary tests for her.
"Look, you can’t explain it, so you’re just passing the buck to some other Director Wu. In that case, have this Director Wu come and explain it to me himself. Otherwise, I won’t agree to the test."
Shi Lihong was a woman in her thirties who didn’t have a job. She had too much time on her hands and enjoyed arguing with people.
Hearing Shi Lihong’s words, Director Dou fell silent for a moment.
"Xiao Sun, I’ll contact Director Wu later."
"For now, continue with the standard symptomatic treatment for her endophthalmitis and monitor her condition closely."
"In a bit, have her sign a waiver stating that the patient is refusing examination."
Director Dou was not a patient man. He had followed procedure: the patient had been diagnosed and treated, and a consultation had been arranged. A plan had been proposed. If the patient, despite their earnest advice, continued to view his team with such malicious intent, then Director Dou could only follow procedure.
Dr. Sun hadn’t expected Director Dou to be so firm. He immediately did as the director instructed and retrieved a waiver form, which clearly stated that the patient was refusing the recommended examination and treatment.
"Shi Lihong, I really suggest you reconsider. If Director Wu’s guess is correct, delaying treatment will only make your condition worse."
Dr. Sun repeated patiently.
Shi Lihong patted her abdomen. ’I’m perfectly fine.’
She snatched the waiver, scribbled "Refuses examination," and signed her full name with a flourish.
After that, Dr. Sun could only continue to treat the patient symptomatically for the single diagnosis of endophthalmitis.
After leaving the ward, Dr. Sun went straight to a very popular domestic medical forum and posted about the patient’s case:
"A Bizarre Patient Case: Four Colon Cleanses for Diabetes, Followed by Hematuria and Persistent, Incurable Eye Pain. What’s the Real Story?"
"Patient: Female, 35 years old. Admitted for right eye swelling and pain, decreased vision, and fever. Prior to admission, the patient experienced bilateral eye redness and pain... Ocular pressure was 31 mmHg in the right eye and 14 mmHg in the left. Ocular ultrasound showed organic matter in the right vitreous and turbidity in the left vitreous..."
"Initial diagnosis was endophthalmitis. After symptomatic treatment, there was no improvement. So, our department head arranged a multi-departmental consultation. During the consultation, a deputy director from emergency surgery suggested a possible direction. However, the patient suspected our hospital of ordering unnecessary tests and refused the examination. After several attempts to persuade her, she still wouldn’t budge. We could only have her sign a waiver confirming her refusal and continue treating the endophthalmitis."
"Addendum: The patient has diabetes. Before the onset of symptoms, she had four ’beauty’ colon cleanses at a salon, after which she experienced hematuria..."
"All immune markers were checked. Immunoglobulin G was 1730.00 mg/dL; other markers were normal. Additionally, antineutrophil cytoplasmic antibodies showed no significant abnormalities. Two blood cultures showed no bacterial growth..."
"At the time, the deputy director from emergency surgery ordered an abdominal ultrasound, which unfortunately yielded no results. A subsequent request for an abdominal CT scan was refused by the patient."
"According to that deputy director’s recommendation, a diagnosis must be confirmed as soon as possible. If the optimal treatment window is missed, the patient’s prognosis will be dire. The patient thought we were just trying to scare her and paid no mind..."
"Below are all the physical examination records and test data. I’ll let you brilliant minds take a look:"
At the end of the post, Dr. Sun left a cliffhanger.
"Currently, the patient’s treatment has shown no progress. The emergency surgery deputy director’s diagnosis and the patient’s final outcome will be revealed later."