Tang Lou gently pushed Yuan Ji aside and looked at the patient's uncle seriously: "I understand your anxiety and frustration now. I can tell you responsibly now that I have found the cause of the patient's illness.

Go find Director Cheng to formulate a treatment plan."

"I believe you don't want to delay the patient's treatment because of some quarrels. I will report it earlier and decide on the treatment plan earlier, so the patient will recover faster."

Tanglou is open-minded and speaks from the bottom of his heart, very sincerely.

"But you just...Doctor Tang, have you really found the cause?"

All the worries of the patient's uncle were based on the fact that Hu Jindong had an inexplicable high fever and could not find the cause. Now, although Tang Lou's answer seemed very unbelievable, there was a voice in his heart saying that it was true, it was true.

, it must be true!

As the saying goes, you should seek medical treatment if you are in a hurry. It can be seen that when you are at a loss, as long as there is a voice saying that it can be cured, the family members will regard it as a life-saving straw.

The patient's uncle also became polite in his direct tone.

The patient's wife and mother also looked at the tenement building with hope.

"Well, I'm sure. I'll go find Director Cheng now and arrange treatment as soon as possible."

Tanglou's tone was firm. The best way to calm the family's emotions was the doctor's firm confidence.

"Okay, okay, Doctor Tang, then go quickly, go quickly!"

The patient's uncle immediately urged him. He had been transferred from the county hospital to now, and had gone through various examinations last night. He was really exhausted mentally and physically. Now that Tanglou had found the cause of the disease, he couldn't help but feel relieved.

No matter whether you are young or intern, as long as you can treat illnesses, you deserve his respect.

The patient's uncle was also aware of his previous irritability and rudeness: "Dr. Tang, Nurse Yuan, I was so anxious just now. It was really Dr. Ma and Dr. Wang who didn't know anything when asking questions. They had to wait for the superior doctor to read and reply. This made me

It’s about to explode. I’m really sorry for my bad attitude just now. Then I won’t disturb you anymore, go quickly!”

Looking at the changes in the attitude of the family members, Tang Lou was also very emotional. As long as he has medical skills and the medicine can cure the disease, there is no unsolvable doctor-patient relationship.

Yuan Aldehyde followed closely, still a little unconvinced, and asked softly: "Doctor Tang, have you really found the cause? If you lied to the patient, you will be in trouble. Now they are full of expectations for you. If

When the time comes when we can’t come up with a treatment plan, and if trouble breaks out, you’ll be in dire straits.”

"Don't worry, I really found the cause. Thank you for your help just now."

Tanglou was still very grateful to Yuan Aldehyde for his rescue and accompanying him. After saying that, he went straight to Cheng Jian's office.

Yuan Aldehyde looked at Tanglou's back with a complicated expression: "I hope it's true, otherwise it will be difficult to deal with."

In the ward, the patient's wife excitedly held the patient's hand: "Nindong, you heard, Dr. Tang said that the cause of the disease has been found, and when he goes to work out a treatment plan with Director Cheng, your fever will be gone and you will be fine.

"

Hu Jindong's face was pale, his lips were dry, and he was in low spirits. He put his right hand on the left hand held by his wife, clasped his wife's hand in the middle, and tilted his head: "Yuanyuan, don't worry, your husband has his own destiny.

Otherwise it will be fine."

"Um."

The patient's wife sniffed, feeling a little better, grinning with tears in her eyes.

Not very elegant, but very warm.

Hu Jindong tightened his hands, his head hurt, and he continued to close his eyes to rest.

...

...

Tanglou knocked directly on Cheng Jian's office door.

"Hey, Tanglou, what do you want from me?"

Cheng Jian still admires Tanglou very much, and he may have some connections with his daughter, so he is very kind to it.

"Director Cheng, our department admitted a patient with high fever after appendectomy yesterday. Dr. Ma and the others did a round of examinations last night but could not find out the specific cause. I also participated in the department consultation that day, but as an intern, naturally I did not

I had the opportunity to speak. After I returned home, I checked a lot of information and compared it with the patient’s symptom films, and I also came up with an immature suggestion.”

"Speaking of yesterday's patients, it's really a headache. Dr. Qing just reported to me that based on yesterday's examination, only some possibilities have been ruled out so far. Now they are mainly focused on sepsis, biliary tract infection and liver infection.

Regarding the lesions, Dr. Qing is already formulating further examinations."

Cheng Jian felt a little heavy when talking about this patient. According to the latest patient's vital signs, the high fever continues and gets worse. Antibiotics have been used but have no effect. If this continues, the patient's life may really be in danger.

If another intern had come to discuss this patient's condition with his director, Cheng Jian would have scolded him and kicked him out.

However, he still had some expectations for Tanglou. Cheng Jian took out the patient's medical records and spread them out on the table: "This is the patient's physical examination data in the last two hours and the suggestions and diagnostic directions summarized by Dr. Qing.

, please take a closer look first and don’t rush to make any guesses.”

After saying that, Cheng Jian went to the coffee machine to make coffee.

It is normal for doctors to be on duty. Cheng Jian enjoyed this, and Qing Ping just got him some coffee beans.

While Cheng Jian was making coffee, Tang Lou read the latest information.

My hanging heart finally dropped. Sure enough, I had made the right bet. Cheng Jian is a person who is very able to listen to other people's opinions, especially when it comes to the patient's life or death.

Tanglou scanned the information and quickly searched for evidence that could prove portal phlebitis.

It is difficult to draw conclusions from complicated conditions, but knowing the answers, inference process and arguments makes it much easier.

"You really have a good taste. The Arabica beans that Dr. Qing just brought me are said to have a rich and delicate taste, a fragrant smell, and a smooth texture..."

Cheng Jian brought a cup of coffee in front of Tang Lou. Tang Lou didn't pay attention at all because he was seriously thinking about how to persuade Cheng Jian.

I took it as boiled water and drank it down in one gulp. I felt a little bitter and slightly hot. I frowned and licked my lips.

Completely looking like Zhu Bajie eating ginseng fruit.

He put down the cup and looked up at Cheng Jian in confusion: "Director Cheng, what did you just say?"

Cheng Jian's face darkened, he looked at Tanglou's serious and confused face, and choked:

"Look at the medical records, look at the medical records."

I cursed in my heart, what a boring guy, wasting a cup of good coffee.

"Oh~"

Tanglou was a little confused. What was Director Cheng's expression of heartache and pity?

Tanglou continued to immerse himself in sorting, and after a while he flattened the information to his satisfaction: "Director Cheng, let me tell you what I think. I completely agree with the conclusion drawn by Dr. Qing, but it is still too broad. I think the patient has pus

Toxaemia and hepatic disease are manifestations of septic-obstructive cholangitis and cholelithiasis."

"If we think about it from a deeper level, the first point is naturally the symptoms of the patient's primary disease, the second point is the symptoms of sepsis summarized by the doctor Qing, such as relaxation, high fever, and chills, and the third point is the patient's liver symptoms, hepatoma

Large and tender, etc., conventional thinking naturally considers the conventional diseases corresponding to various classic symptoms, but is it possible that it is a different manifestation with a hidden cause?"

When Cheng Jian heard Tang Lou's analysis, he felt as if he had been struck by lightning, and frowned: "Continue!"

"The patient had clinical manifestations such as chills, high fever, jaundice, hepatomegaly, pain in the liver area, splenomegaly, and ascites. The blood routine and liver function function showed increased white blood cells, transaminases, and bilirubin..."

Tanglou took out one of the films of the liver area and pointed at the venous branches draining the liver: "Director Cheng, is it possible that the problem is not the liver itself, but purulent inflammation of the venous branches..."

After being reminded by Tang Lou, Cheng Jian finally caught the flash of light, suddenly realized, and said in unison with Tang Lou:
Chapter completed!