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Chapter 500 Bone tuberculosis, a mess(1/2)

"Doctor, can you ask an older and more experienced doctor to come and treat our son?" The child's father accompanied him and said tactfully.

Obviously, even if Li Quan is the dean, it is not very useful 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 or trust them.

Li Quan ignored the questions from the patients and their families.

Instead, I put on the mask first, and then asked Luo Wenhao and others to put the mask on. Then I stared at the patient and continued to ask, "Did you have night sweats while sleeping and your appetite have obviously decreased? If nothing unexpected happens, your body temperature will definitely be higher than that of a normal person."

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

"Uncle Doctor, I have all the symptoms you mentioned. Could it be that my disease is really caused by a fall?" The boy is fifteen or sixteen years old and should have started high school.

Very opinionated.

When Li Quan told all the symptoms before he fell and injured, his suspicion of Li Quan's medical skills had been reduced a lot.

The boy's parents saw Li Quan and several other medical staff suddenly put on masks, and they felt a vague feeling of intense anxiety.

"Go to do a blood routine first, the cause of the disease will naturally be clear."

As soon as Li Quan finished speaking, Luo Wenhao had already started writing examination application forms to the patient.

"Have you been by your child for a while?" Li Quan asked the child's parents.

"We have been with the child since he fell in school in the morning." The child's parents were a little nervous at this moment. They don't know what disease their son was suffering from?

"You guys put on the mask first!"

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

"Doctor, what disease does our son suffer from?" The child's parents felt a little panicked after taking the mask.

"It is not confirmed yet, but I suspect it is tuberculosis. This disease is highly contagious. Your son will have a blood routine after he has finished his blood routine. If he really suffers from tuberculosis, you must also have a blood routine examination."

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

"How is this possible? Isn't tuberculosis just a cough? How can it cause lumbar pain, unable to sit and walk?" The family members still didn't believe it.

"Go to have a routine blood test in the emergency room first. Dr. Tang, you go with them and be careful not to let them spread to others."

Li Quan handed this errand over to Tang Zhengyuan.

Hospitals are densely populated and highly mobile. There are real infectious diseases that cause cross-infection and spread, and the consequences are unimaginable.

Therefore, when you go to the hospital for treatment, it is best to wear a mask and take good care of yourself.

Because no one knows what disease other patients suffer from?

There is not much difference between the routine examination items of emergency blood and the routine examination items of ordinary blood. However, there is a big difference in the time of the result.

Ordinary blood is routine. If the number of specimens sent for testing on the same day is large, it may take more than an hour to produce the results.

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

Emergency blood routine usually results can be obtained within fifteen minutes.

To put it bluntly, it is a priority for inspection.

When the doctor who receives the patient believes that the patient's condition is urgent and requires emergency surgery or emergency treatment, he will apply for routine emergency blood tests. This patient is very likely to suffer from extremely contagious tuberculosis.

Li Quan applied for emergency blood routine to the patient, which met the hospital's requirements.

...

Not long after, the patient came back after having a blood routine.

At this moment, the expressions of the two families were collapsed.

The woman's eyes were filled with tears.

The man's brows frowned.

Originally, they thought their son was just an ordinary fall. After the blood routine, the examination result made them collapse.

Li Quan's diagnosis came true.

Their son is really suffering from tuberculosis.

"Director, the patient underwent a tuberculin test and was positive. The blood test was routinely tested and the white blood cell count was higher than normal."

Tang Zhengyuan's tone was serious.

At the same time, there was a hint of worry between my eyebrows.

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

Tuberculosis is very contagious and can be transmitted through saliva and droplets.

Being a doctor is actually a very dangerous profession.

"Since you have been diagnosed, please send it to the tuberculosis specialist for treatment immediately!" Li Quan is an orthopedic department, not an infectious department. He cannot treat tuberculosis.

Moreover, this infectious disease generally requires isolation and treatment.

There is no condition here.

"Family, you should also do a tuberculin test. If it is negative, it will be fine. If the result is positive, you must be hospitalized immediately to prevent infection to others."

Li Quan said to the boy's parents.

"In addition, you don't have to have any ideological 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 discharge soon."

Looking at the middle-aged couple with a frightened expression, Li Quan comforted them.

"Doctor, can you tell us that my son has tuberculosis, why does it cause pain in his waist and back and unable to sit and stand?"

the boy's father asked.

"The earliest infection of your child is tuberculosis. Because it was not discovered and treated in time, tuberculosis bacteria spread in the body, thereby destroying other body tissues.

When they invade vertebrae, they become a rare bone tuberculosis.

Your child falls off the bed, which should be just a cause. Even if you don’t fall, you will be unable to sit and walk.

Now that the diagnosis is confirmed in advance, it is a good thing for your children.”

Li Quan patiently explained to his family.

Bone tuberculosis is a destructive lesion caused by the invasion of tuberculosis into bones or joints. Most of the onset are bones or joints that are heavily burdened and have a lot of movement, and are prone to strain. The best part is the spine, followed by hips, knees, feet, elbows, hands, etc.

Early diagnosis of bone tuberculosis is difficult.

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

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

Now, helping patients diagnose it in time is the greatest contribution.

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

Because the technology is very mature now, Huier Hospital has a tuberculosis specialist, which will definitely cure this patient.

"I've been taught! No wonder you can become the dean at such a young age. Your medical skills are indeed very clever." A man should have a good education and speak well.

"Mr. Hou, you have been too proud! By the way, since your son suffers from tuberculosis, according to regulations, we need to register. All information about the school your son is studying must be provided in detail."

According to the hospital's regulations, infectious diseases must be registered and reported at all levels.

Every hospital has a person in charge of daily work in managing infectious disease epidemics.

Once an infectious disease is discovered, it will be reported to the Centers for Disease Control and Prevention according to the level of the infectious disease.

"OK!"

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

Li Quan arranged for Hu Yueer to help the patients and their families register in detail, and then sent Tang Zhengyuan to take the two to the tuberculosis specialist for treatment.

After the patient left, Li Quan arranged for a special person to come and disinfect the outpatient department.

Fortunately, there are no patients today.

Otherwise the consequences will be unimaginable.

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

In crowded occasions, if the patient continues to cough, a large number of tuberculosis bacteria can be produced and gathered in the air.

Other healthy people are easily caught when they inhale into the respiratory tract.

"Doctor Luo, Hu Yue'er, you two did not take protective measures when they were diagnosed and treated just now, so according to regulations, you need to be isolated and observed for two days, and then have a tuberculin test. You can continue to return to your job without any problem."

This is done to prevent the doctor from spreading it to the patient.

In fact, this incident also reflects that Luo Wenhao, Tang Zhengyuan and others have poor safety awareness.

If the patient is found to have a cough, wear a mask in time and take good protection, there is no need to isolate it.

After Li Quan made the arrangements, he quickly took the registered information and asked the staff of the hospital's infection management department to report it to the Center for Disease Control and Prevention immediately.

This case must be taken seriously.
To be continued...
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