"Wow, are you getting rich? You gave me braised pig's trotters, fried loach, and a big chicken drumstick."

Li Jingsheng drooled a little when he saw the dishes in the basin.

Everyone said that eating too much meat was bad, but every time he saw these delicacies, he couldn't help but want to eat them.

What if a doctor knows health care knowledge?

If you can't control your mouth, you can eat whatever you want.

The most difficult thing for people to control is all kinds of desires.

"You big pig's trotter, don't you know today is my birthday?"

"ah……"

Li Jingsheng slapped his forehead and really forgot about it.

"Find a place to celebrate for you tonight, I didn't even prepare a gift!"

He said a little embarrassed.

"What gift do you want? You staying with me is the best gift. Hurry up and eat. I'll be waiting for you to go to the office to diagnose difficult cases later! Today our team received another difficult case. The patient's right thumb

The swelling is suspected to be arthritis, but arthritis treatment has no effect."

As soon as she mentioned the patient's condition, Li Jingsheng knew who she was talking about.

It must be the tall guy.

Even if he is admitted to the hospital, it doesn't feel like a normal illness.

Li Jingsheng is now very good at orthopedic surgery diagnosis and bone palpation, but he is not afraid.

Maybe he can make some merit again.

"Oh, by the way, I just saw your parents coming to the hospital. I wonder if they have eaten? I smiled and greeted them, but they ignored me and turned around and left."

Li Jingsheng told her this.

"It's okay, they just don't trust me and want to check you out more. As for eating, they won't eat in the cafeteria."

It seemed that Ou Qinglan had called or communicated with her parents again.

I feel like she seems to be in a good mood today.

Moreover, the food she bought was quite abundant, and the economy seemed to be improving.

Li Jingsheng secretly guessed that maybe her parents felt sorry for their daughter and gave her some money after they reconciled.

She had refused to spend the dowry money before, and her parents no longer gave her pocket money because she did not want to go on a blind date with the son of the chairman of the livestock company introduced by her parents.

It is estimated that her parents made compromises and concessions.

After dinner, Li Jingsheng came to the doctor's office. When Ruan Xiaoqin saw his arrival, it was like seeing a savior.

"Dr. Li, the patient who caused trouble this morning asked you to help with consultation. Professor Wu admitted the patient to the hospital and promised to find a way to help the patient find out the real cause of the disease."

Ruan Xiaoqin didn't feel embarrassed or guilty at all about this matter.

He seemed to think that it was natural that the cause of the disease could not be found and that a misdiagnosis had occurred.

"Okay, let me take a look first."

Li Jingsheng did not refuse.

He is not a doctor in the second group, but his girlfriend is in the second group. He often performs surgeries with Professor Wu, which can be regarded as half a second group doctor.

"Did you take any pictures of the patient?"

"It was taken. But he seemed to be very resistant and only agreed to take the cheapest X-ray."

"It should be enough. Did you find any abnormalities in the CT scan before?"

Li Jingsheng asked again.

"The results of CT films at that time were very similar to arthritis."

Ruan Xiaoqin said with certainty.

“Can I see the patient’s information when I log in to my own account?”

"It should be okay."

After Li Jingsheng and Ou Qinglan came in, Doctor Qin did not leave this time.

Because he has changed seats.

The seat next to Ou Qinglan is basically empty now.

Dr. Qin also didn't want to be kicked out of the office every time Li Jingsheng came over. It was very embarrassing.

So he took the initiative to change seats.

Anyway, there is no fixed seat in the office.

Li Jingsheng sat next to Ou Qinglan, turned on the computer, and then logged in to his personal account.

Go directly to the final case and see the patient's information.

Chen Heli, male, 26 years old, said that his right thumb was injured playing ball a year ago, but he did not go to the hospital for treatment. Later, he was injured in the same area for the second time. His thumb was painful and swollen, so he came to the second hospital for treatment...

The medical history is very clearly described.

It is estimated that Dr. Ruan will blush once after seeing her.

In any case, such a case that cannot be cured will definitely make the first-diagnosing doctor a little embarrassed. What's more, it has been treated so many times.

Looking at the CT films taken before by the patient, it does look a bit like arthritis.

B-ultrasound films taken previously showed that the phalangeal and metacarpal bones at the metacarpophalangeal joint of the right thumb were destroyed and the surrounding area was hypoechoic. This indicated the possibility of inflammation.

Seeing this, Li Jingsheng felt that Ruan Xiaoqin could not be entirely blamed for this matter.

If another doctor looked at this film, he would probably treat it as arthritis.

He then looked at the patient's X-ray taken today and could see obvious osteolytic damage to the base of the proximal phalanx of the thumb.

"The patient kept calling me a quack, and I was almost pissed off. I was really wronged. When he came here for the first time, he took an X-ray and it felt like osteoarthritis, so I treated him as if he had arthritis.

He was treated.

The second time he came, he still wasn't feeling better, so he took another B-ultrasound, which still showed that the possibility of inflammation was very high. I prescribed medicine for him to treat arthritis again.

When he came for the third time, he still said there was no effect. I was also worried about misdiagnosis, so I gave him a CT scan. In order to prevent a missed diagnosis, I even did a biochemical test. The low-density lipoprotein was 1.54mmol/l and the uric acid was 465umol/l.

.

This time I suspected it might be tuberculosis because I had seen related cases in books.

Unexpectedly, the treatment was still ineffective, so I explained to him that it might be tuberculosis combined with gout. I wanted to do an MRI on him, but he didn't agree, and then he started to call me a quack, a liar, and so on. I have no conscience on earth and heaven.

The examinations prescribed to him twice were all cost-effective, and both were X-ray films or B-ultrasounds with the lowest cost."

Ruan Xiaoqin looked aggrieved. While explaining to Li Jingsheng, he was also explaining to other colleagues in the office.

No one wants to be labeled by colleagues as a shady doctor who deliberately defrauds patients of their money.

"Patients don't understand this. It's normal to curse people. Just ignore them."

As Li Jingsheng spoke, he had already begun to review the patient's X-rays taken today again.

This disease is definitely not as simple as imagined.

No matter how difficult it is to treat arthritis or tuberculosis, if you take the medicine for such a long time, you should see some effects.
Chapter completed!