Chapter 2153： Read it out
It is not a person who is diagnosed, but a team. Li Lao immediately realized.
The boss, the project team and the project team leader with funds investment, will be called the boss.
Of course, the little doctor is flattering, and the fun is not counted.
Li Lao is somewhat confused. The boss of the rheumatology and immunology department also screams that if he can overthrow his diagnosis, he will drop the test results on his face.
This relationship has never been seen before.
The research fund is the boss's fight. In the project team, the boss has a unique position. The assistant is so arrogant? Is it a funded group?
As the old saying goes, it is impossible to call a mountain. There are two bosses in a project team. Whoever makes a decision when they encounter a difficult problem?
This type of project has also been used, but the lifespan is not long.
Weird, Li Laoxin is more and more curious, what is this project group?
The assistant, or the second boss, is so arrogant.
However, judging from the tone, his words are not malicious, but like jokes.
It seems that there are several like-minded middle-aged professors at the level of professors, who have joined together to make a national-level research project, Li Lao guessed.
At this point, the director of the Department of Rheumatology and Immunology has said a variety of laboratory tests, and finally gave their own diagnosis - secondary APS.
Excluding all interference, a firm diagnosis is secondary APS and systemic lupus erythematosus.
If there is no A4 paper in front of him, Li Lao will be a wonderful inference and applause for the director of the Department of Rheumatology and Immunology.
The patient's condition is complicated, and he can find out the main problems among many complicated ones. This is the embodiment of the technical level of the medical college affiliated hospital.
Especially the final diagnosis, when he said it was very certain, he did not say those vague words.
However, on the A4 paper, under the description of the dragon and phoenix dance, Li Lao's mood is somewhat complicated.
A project team, an unknown "boss", even with a small number of inspection reports and CT images, was determined to be secondary APS complicated by systemic lupus erythematosus.
This is a bit magical.
[I guess the boss can't be wrong. If you haven't decided that it is secondary APS+ systemic lupus erythematosus, then think about it and do a related check. 】
The words on A4 paper are as bitter and mean as ever. Although they don't point to the nose, Li Lao can see a proud middle-aged doctor with a disdainful expression.
It is a pity that there is a professor of rheumatism and immunity, as well as a team of his own, and there is almost no possibility of recruiting under his own door.
Li Lao sighed.
The director of the endocrinology department smiled after hearing the judgment of secondary APS complicated with systemic lupus erythematosus. This is the same as my own judgment. I have done a lot of checks and finally turned the vague conjecture into reality. This complicated case is really a test of the level.
Listening to Li Lao sigh, the director of the endocrinology department stunned, is it a mistake?
"Li Lao, what happened?" she asked.
"Look." Li Lao handed over the paper he had read.
The director of the endocrinology department stunned and then flipped through the A4 paper.
The bitter tone made her very angry, but she couldn't find anything wrong with her whole body. Then she would lie in her chest and vent her, making her feel depressed.
When the doctor's, pointing to the nose, the mother, it is a shrew, no technical content. It is the kingly way to accuse the other party of diagnosing mistakes, standing at the apex of technology and despising everything.
Can look at the diagnosis and reasoning process written on A4 paper, the director of the endocrinology can not say a word.
The judgment of the people is organized and logical. Although there are some speculations, the doctor who wrote the analysis of the illness also said that this is what his boss insisted on, and he hoped to judge the mistake and use his correct diagnosis to lick his face.
The diagnosis of the person can be the same as the diagnosis of the director of the rheumatology department of the hospital. What? What to use!
"This patient has a high titer of antinuclear antibody positive, ACA positive, thrombocytopenia, suspected discoid erythema, but because of the specific antibody dsDNA negative, the possibility of considering SLE is large."
"At this point, the patient's diagnosis is basically clear: secondary APS, SLE is likely, bilateral adrenal venous thrombosis leads to adrenal hematoma, which in turn leads to primary adrenal insufficiency, and finally adrenal crisis."
The director of the Department of Rheumatology and Immunology is like reading a letter on A4 paper. Although it is not a good word, it probably means the same.
Li Lao looked at the words on the paper, and his heart gave birth to a ridiculous illusion.
She vaguely guessed that the technical level of the medical team was not lower or even higher than that of the Medical College Affiliated Hospital.
Li Lao, who was the director of the Department of Internal Medicine at the Affiliated Hospital of the Medical University, is proud of her. She is subconsciously unwilling to admit this.
Only the diagnostic level of rheumatism immunity is higher than that of the Medical College Affiliated Hospital. Which hospital is it?
[Well, finally, give a treatment plan. Don't be impatient, don't feel that we are arrogant, and it is most important for patients to recover as soon as possible. This big hat is buckled up, does it feel that the cervical spine is uncomfortable? 】
Li Lao looked at the ridiculous words and couldn’t smile.
[warfarin anticoagulation, target INR 2~3, and the addition of hydroxychloroquine to reduce aPI production and anti-small plate aggregation, prednisolone 40mgQd + methotrexate 10mgQw inhibit immunity. 】
"I recommend anti-coagulation with warfarin, target INR 2~3. At the same time, add hydroxychloroquine to reduce aPI production and anti-small plate aggregation, prednisolone 40mgQd + methotrexate 10mgQw for anti-immunotherapy." The director of the immunization department finally "read" out of the treatment plan on A4 paper.
If he was at least 10 meters away from this side, Li Lao felt that he really saw the treatment plan on A4 paper and thought about it.
This……
The director of the endocrinology department has been staring and seeing the words written on A4 paper.
Look at the treatment plan hear the same treatment plan in the ear.
Is this a coincidence?
At the same time, Li Lao and the director of the endocrinology showed a picture in a TV series. Zhuge Liang wrote his heart and hand, and Zhou Yu coincided with each other and smiled.
The unknown medical team opposite... made these judgments in the absence of many necessary laboratory tests.
For the first time, Li Lao was distracted while attending the internal medicine clinic.
The patient who received the 2-8 bed of the endocrinology department must go to the rheumatology and immunology department. She didn't care about this. She thought that the A4 paper turned to the last page. After all the words, the smiling face left behind.
The smile is the opposite of the bitter words before, and Li Lao does not think that someone despised the Affiliated Hospital and directly ridicule.
She was very curious, and even anxious. She wanted to close the internal medicine clinic and went back to ask which medical group in which hospital had this level.
The boss, the project team and the project team leader with funds investment, will be called the boss.
Of course, the little doctor is flattering, and the fun is not counted.
Li Lao is somewhat confused. The boss of the rheumatology and immunology department also screams that if he can overthrow his diagnosis, he will drop the test results on his face.
This relationship has never been seen before.
The research fund is the boss's fight. In the project team, the boss has a unique position. The assistant is so arrogant? Is it a funded group?
As the old saying goes, it is impossible to call a mountain. There are two bosses in a project team. Whoever makes a decision when they encounter a difficult problem?
This type of project has also been used, but the lifespan is not long.
Weird, Li Laoxin is more and more curious, what is this project group?
The assistant, or the second boss, is so arrogant.
However, judging from the tone, his words are not malicious, but like jokes.
It seems that there are several like-minded middle-aged professors at the level of professors, who have joined together to make a national-level research project, Li Lao guessed.
At this point, the director of the Department of Rheumatology and Immunology has said a variety of laboratory tests, and finally gave their own diagnosis - secondary APS.
Excluding all interference, a firm diagnosis is secondary APS and systemic lupus erythematosus.
If there is no A4 paper in front of him, Li Lao will be a wonderful inference and applause for the director of the Department of Rheumatology and Immunology.
The patient's condition is complicated, and he can find out the main problems among many complicated ones. This is the embodiment of the technical level of the medical college affiliated hospital.
Especially the final diagnosis, when he said it was very certain, he did not say those vague words.
However, on the A4 paper, under the description of the dragon and phoenix dance, Li Lao's mood is somewhat complicated.
A project team, an unknown "boss", even with a small number of inspection reports and CT images, was determined to be secondary APS complicated by systemic lupus erythematosus.
This is a bit magical.
[I guess the boss can't be wrong. If you haven't decided that it is secondary APS+ systemic lupus erythematosus, then think about it and do a related check. 】
The words on A4 paper are as bitter and mean as ever. Although they don't point to the nose, Li Lao can see a proud middle-aged doctor with a disdainful expression.
It is a pity that there is a professor of rheumatism and immunity, as well as a team of his own, and there is almost no possibility of recruiting under his own door.
Li Lao sighed.
The director of the endocrinology department smiled after hearing the judgment of secondary APS complicated with systemic lupus erythematosus. This is the same as my own judgment. I have done a lot of checks and finally turned the vague conjecture into reality. This complicated case is really a test of the level.
Listening to Li Lao sigh, the director of the endocrinology department stunned, is it a mistake?
"Li Lao, what happened?" she asked.
"Look." Li Lao handed over the paper he had read.
The director of the endocrinology department stunned and then flipped through the A4 paper.
The bitter tone made her very angry, but she couldn't find anything wrong with her whole body. Then she would lie in her chest and vent her, making her feel depressed.
When the doctor's, pointing to the nose, the mother, it is a shrew, no technical content. It is the kingly way to accuse the other party of diagnosing mistakes, standing at the apex of technology and despising everything.
Can look at the diagnosis and reasoning process written on A4 paper, the director of the endocrinology can not say a word.
The judgment of the people is organized and logical. Although there are some speculations, the doctor who wrote the analysis of the illness also said that this is what his boss insisted on, and he hoped to judge the mistake and use his correct diagnosis to lick his face.
The diagnosis of the person can be the same as the diagnosis of the director of the rheumatology department of the hospital. What? What to use!
"This patient has a high titer of antinuclear antibody positive, ACA positive, thrombocytopenia, suspected discoid erythema, but because of the specific antibody dsDNA negative, the possibility of considering SLE is large."
"At this point, the patient's diagnosis is basically clear: secondary APS, SLE is likely, bilateral adrenal venous thrombosis leads to adrenal hematoma, which in turn leads to primary adrenal insufficiency, and finally adrenal crisis."
The director of the Department of Rheumatology and Immunology is like reading a letter on A4 paper. Although it is not a good word, it probably means the same.
Li Lao looked at the words on the paper, and his heart gave birth to a ridiculous illusion.
She vaguely guessed that the technical level of the medical team was not lower or even higher than that of the Medical College Affiliated Hospital.
Li Lao, who was the director of the Department of Internal Medicine at the Affiliated Hospital of the Medical University, is proud of her. She is subconsciously unwilling to admit this.
Only the diagnostic level of rheumatism immunity is higher than that of the Medical College Affiliated Hospital. Which hospital is it?
[Well, finally, give a treatment plan. Don't be impatient, don't feel that we are arrogant, and it is most important for patients to recover as soon as possible. This big hat is buckled up, does it feel that the cervical spine is uncomfortable? 】
Li Lao looked at the ridiculous words and couldn’t smile.
[warfarin anticoagulation, target INR 2~3, and the addition of hydroxychloroquine to reduce aPI production and anti-small plate aggregation, prednisolone 40mgQd + methotrexate 10mgQw inhibit immunity. 】
"I recommend anti-coagulation with warfarin, target INR 2~3. At the same time, add hydroxychloroquine to reduce aPI production and anti-small plate aggregation, prednisolone 40mgQd + methotrexate 10mgQw for anti-immunotherapy." The director of the immunization department finally "read" out of the treatment plan on A4 paper.
If he was at least 10 meters away from this side, Li Lao felt that he really saw the treatment plan on A4 paper and thought about it.
This……
The director of the endocrinology department has been staring and seeing the words written on A4 paper.
Look at the treatment plan hear the same treatment plan in the ear.
Is this a coincidence?
At the same time, Li Lao and the director of the endocrinology showed a picture in a TV series. Zhuge Liang wrote his heart and hand, and Zhou Yu coincided with each other and smiled.
The unknown medical team opposite... made these judgments in the absence of many necessary laboratory tests.
For the first time, Li Lao was distracted while attending the internal medicine clinic.
The patient who received the 2-8 bed of the endocrinology department must go to the rheumatology and immunology department. She didn't care about this. She thought that the A4 paper turned to the last page. After all the words, the smiling face left behind.
The smile is the opposite of the bitter words before, and Li Lao does not think that someone despised the Affiliated Hospital and directly ridicule.
She was very curious, and even anxious. She wanted to close the internal medicine clinic and went back to ask which medical group in which hospital had this level.
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