2152 Read it out loud.
Elder li immediately realized that it was not a single person who was doing the diagnosis, but a team.
Boss. Only project leaders with project teams and funding were called bosses.
Of course, those junior doctors who flattered their Department Director and made him happy did not count.
Elder li was a little confused. He was the boss of the Rheumatology Department, and his subordinates were even clamoring to throw the test results in his face if they could overthrow his diagnosis.
He had never seen such a relationship before.
The research Fund was won by the boss, and he had the final say in the project team. Why was the assistant so arrogant? Could it be that he brought money into the production?
As the old saying goes, a mountain can not hold two tigers. There were two bosses in a project team. Once they encountered a difficult problem, who would make the final decision?
There had been such projects before, but they didn’t last long.
Strange. Elder li was getting more and more curious. What kind of project team was this?
The assistant, or the second boss, was actually so arrogant.
However, judging from his tone, he didn’t have any ill intentions and seemed to be joking.
It looked like a few middle-aged professors with the same goal were working on a national scientific research project, elder li guessed.
At this time, the director of the Rheumatology Department had finished explaining the various test results and finally gave his own diagnosis. It was a secondary APM.
After eliminating all interference, he confirmed that it was a secondary APAs and systemic lupus Chimaera.
If he didn’t have the A4 paper in front of him, elder li would have cheered for the wonderful inference of the Rheumatology Department Director.
The patient’s condition was complicated, but he could find the main problem among all the complicated problems. This was a reflection of the medical University Affiliated hospital’s skill level.
Especially the final diagnosis, when he said it, he was extremely certain. He did not say anything ambiguous at all.
However, on the A4 paper, under the flamboyant handwriting, old Li’s feelings were a little complicated.
A project team, an unknown “boss,” had actually determined that it was a secondary PTSD with systemic lupus monosus with just a few test reports and CT scans.
This was a little magical.
[I don’t think the boss is wrong. If you guys haven’t determined that it’s a secondary APM + systemic lupus Chimaera, then think about it and do a related examination.]
The words on the A4 paper were still as sharp and mean as ever. Although he did not point at the person’s nose and scold him, elder li could vaguely see a proud middle-aged doctor saying these words with a disdainful expression.
Unfortunately, it was the leading Professor of Rheumatology and his own project team. It was almost impossible to recruit him under his wing.
Old man Li sighed.
The director of the Endocrinology Department smiled after hearing the diagnosis of systemic lupus Chimaera as a secondary FPS. This was the same as his own judgment. He had done a lot of examinations and finally turned his vague guess into reality. This complicated case really tested his standard.
Hearing elder Li’s sigh, the director of the Endocrinology Department was stunned for a moment. Was there a mistake in his diagnosis?
“Old Li, what’s wrong?” She asked.
“You see.” Old Li handed over the paper he had finished reading.
The director of the Endocrinology Department froze for a moment before he flipped through the A4 paper.
His sharp and unkind tone made her very angry, but she couldn’t find a single fault in it. That anger was stuck in her chest and she couldn’t vent it out, making her very depressed.
As a doctor, pointing at her nose and scolding her mother was a Shrew without any skill. Accusing the other party of making a wrong diagnosis, standing at the top of the skill, and looking down on everything was the right thing to do.
However, when he looked at the diagnosis and reasoning process written on the A4 paper, the director of the Endocrinology Department could not say a word.
His judgment was organized and logical. Although there were some speculations mixed in, the doctor Who wrote the medical analysis also said that this was what his boss insisted on. He hoped that if the judgment was wrong, he could use the correct diagnosis to smash his face.
However, his diagnosis was the same as that of the Department Director of Rheumatology and immunization in his hospital. With what!
“This patient is positive for high-titrated antinuclear antibodies, ACA positive, low platelets, and a suspicious disc-shaped red spot. However, due to the negative specific antibody dsDNA, the possibility of him suffering from lupus is high.”
“At this point, the patient’s diagnosis is basically clear: There is a high possibility of a secondary APM or an sleus. A dual adrenal venous thrombosis leads to adrenal hemorrhages, which subsequently leads to primary adrenal cortex dysfunction, and finally, an adrenal crisis. “
The director of the Rheumatology Department read the words as if they were written on A4 paper. Although not every word was correct, the general meaning was the same.
Elder li looked at the words on the paper, and a ridiculous illusion appeared in his heart.
She vaguely guessed that the medical team’s skill level was not lower than that of the medical University Affiliated Hospital, and might even be higher.
As the former director of the Internal Medicine Department of the Affiliated Hospital of the medical University, elder li was proud, and she subconsciously refused to admit this.
However, the level of Rheumatology immunity was even higher than that of the Affiliated Hospital of the medical University. Which hospital was it?
[Well, finally, I’ll give you a treatment plan. Don’t be impatient, and don’t think that we’re giving you orders. The patient’s speedy recovery is the most important. [With this big hat pinned on you, do you feel uncomfortable in your neck?]
Elder li didn’t know whether to laugh or cry when he saw the teasing words.
[Warfalin anticoagulates, target Inn 2 – 3. Add laprolqulin to reduce aPI production and anti-platelet accumulation. Ponixone 40 mg XD + metronadine 10 mg Qw to suppress immunity.]
“I suggest using warfalin as an anticoagulant, target INR 2 – 3. At the same time, he also added laproqinlin to reduce the production of aPI and anti-platelet accumulation. He also added 40 mg of ponisolone plus 10 mg Qw of metrinyltrine to treat the suppressed immune treatment. ” The director of Rheumatology finally ‘read’ the treatment plan on the A4 paper.
If he wasn’t at least 10 meters away, elder li would have thought that he had read the treatment plan on the A4 paper without thinking.
This …
The director of the Endocrinology Department had been staring at the A4 paper, and he also saw the words written on it.
He looked at the treatment plan with his eyes and heard the same treatment plan in his ears.
Was this considered a coincidence?
Elder li and the director of the Endocrinology Department thought of a scene from a TV series at the same time. Zhuge Liang wrote on his palm and met Zhou Yu’s eyes, laughing at each other.
However … The unknown medical team opposite them made this judgment despite the lack of many necessary laboratory tests.
It was the first time that elder Li’s mind wandered during a major Internal Medicine inspection.
The patients from bed 2 to 8 would definitely be transferred to the Rheumatology Department, but she did not care about that. All she could think about was the smiling face on the last page of the A4 paper when she finished speaking.
The smiling face was the complete opposite of the previous sharp and unkind words. Elder li didn’t think that someone was looking down on the Affiliated Hospital of the medical University, but directly ridiculed them.
She was very curious, and even a little anxious. She wanted the internal Medicine inspection to end quickly so that she could go back and ask which Hospital and Medical team had such a level of skill.