Chapter 2153

It was not a person who made the diagnosis, but a team. Mr. Li immediately realized it.

The boss is the leader of the project team with project team and fund investment.

Of course, that kind of little doctor flattering and coaxing his director to be happy doesn't count.

Li Lao was a little confused. The boss and subordinates of the rheumatology and Immunology Department also clamored that if he could overturn his diagnosis, he would throw the test results in his face.

I've never seen such a relationship.

The scientific research fund is won by the boss. In the project team, the boss has a unique position. Is the assistant so arrogant? Is it bringing money into the group?

As the old saying goes, one mountain cannot tolerate two tigers. There are two bosses in a project team. In case of difficult problems, who will decide?

There have been such project teams, but their service life is not long.

Strange, Li Lao became more and more curious. What kind of project team is this?

The assistant or the second boss is so arrogant.

However, judging from the tone, his words were not malicious, but seemed to be joking.

It seems that several like-minded middle-aged professors gathered together to do a national scientific research project. Mr. Li guessed.

At this time, the director of Rheumatology and Immunology Department has finished all kinds of test values, and finally gives his own diagnosis opinion - secondary APS.

Excluding all interferences, the firm diagnosis was secondary APS and systemic lupus erythematosus.

If there is no A4 paper in front of him, Mr. Li will applaud the wonderful inference of the director of the Department of rheumatism and immunology.

The patient's condition is complex, and he can find out the main problem among the numerous and complicated, which is the embodiment of the technical level of the Affiliated Hospital of Medical University.

Especially in the final diagnosis, he was very sure when he said it, and didn't say those vague words at all.

However, on A4 paper, under the description of long feifeng's handwriting, Li Lao's mood is a little complicated.

A project team, an unknown "boss", decided that it was secondary APS complicated with systemic lupus erythematosus with a small number of examination reports and CT images.

It's a little magical.

[I don't think the boss is wrong. If you haven't determined that it is secondary APS + systemic lupus erythematosus, think about it and do relevant tests.]

The words on A4 paper were as sharp and mean as ever. Although he didn't point to his nose and swear, Li Laoyin could see a proud middle-aged doctor saying these words with a disdainful look on his face.

Unfortunately, it is almost impossible for the professor of rheumatic immunity and his own project team to attract people under his own door.

Lao Li sighed.

The director of Endocrinology Department smiled after hearing the judgment of secondary APS complicated with systemic lupus erythematosus. Like my own judgment, I made a lot of checks and finally turned the vague conjecture into reality. This complex case really tests my level.

Listening to Li Lao's sigh, the director of Endocrinology Department was stunned. Is there a mistake in the diagnosis?

"Old Li, what's the matter?" She asked.

"Look." Old Li handed over the paper he had read.

The director of Endocrinology Department was stunned and then flipped through A4 paper.

The sour tone made her very angry, but there was nothing wrong with the whole article. The tone was held in her chest and couldn't vent, which made her depressed.

When a doctor points to his nose and scolds his mother, he is a shrew without any technical content. Accusing the other party of making a wrong diagnosis, standing at the top of technology and despiseing everything is the king's way.

But looking at the diagnosis and reasoning process written on A4 paper, the director of Endocrinology couldn't say a word.

People's judgment is organized and logical. Although it is mixed with some speculation, the doctor who wrote the condition analysis also said that this is what his boss insisted on. He hopes to make a wrong judgment and hit him in the face with the correct diagnosis.

But the diagnosis of others is the same as that of the director of the Department of rheumatism and immunology in his own hospital, smash? With what!

"This patient has high titer of antinuclear antibody positive, ACA positive, thrombocytopenia and suspected discoid erythema, but because the specific antibody dsDNA is negative, it is more likely to consider SLE."

"So far, the diagnosis of the patient is basically clear: secondary APS and SLE are more likely. Bilateral adrenal vein thrombosis leads to adrenal hematoma, which leads to primary adrenal insufficiency, and finally adrenal crisis."

The director of Rheumatology and Immunology Department reads what is written on A4 paper. Although not every word is good, it probably means the same.

Looking at the words on the paper, old Li had an absurd illusion out of thin air.

She vaguely guessed that the technical level of the medical group was not lower or even higher than that of the Affiliated Hospital of Medical University.

As the former director of internal medicine in the Affiliated Hospital of Medical University, Li Lao is proud of it. She subconsciously doesn't want to admit it.

But the diagnosis level of rheumatism immunity is higher than that of the Affiliated Hospital of Medical University. Which hospital is it?

[well, finally, give the treatment plan. Don't be impatient and don't think it's important for the patient to recover as soon as possible. Do you feel uncomfortable with the cervical spine when this big hat is put on?]

Li Lao looked at the ridiculed words and couldn't cry or laugh.

[warfarin anticoagulation, target INR 2 ~ 3, add hydroxychloroquine to reduce API production and anti small plate aggregation, prednisolone 40 mg QD + methotrexate 10 mg QW to inhibit immunity.]

"I suggest anticoagulation with warfarin, target INR 2 ~ 3. At the same time, hydroxychloroquine is added to reduce API production and anti small plate aggregation. Prednisolone 40 mg QD + methotrexate 10 mg QW are used for inhibitory immunotherapy." The director of rheumatism and Immunology finally "read" the treatment plan on A4 paper.

If he hadn't been at least 10 meters away from this side, li felt that he really read out the treatment plan on A4 paper.

This

The director of the endocrinology department kept staring and saw this paragraph written on A4 paper.

Look at the treatment plan with your eyes and hear the same treatment plan in your ears.

Is this a coincidence?

Li Lao and the director of the endocrinology department simultaneously emerged a picture in the TV play. Zhuge Liang wrote with his palm, coincided with Zhou Yu, looked at each other and laughed.

But... The unknown medical group opposite made these judgments while lacking many necessary laboratory tests.

For the first time, Mr. Li was distracted when he participated in the internal medicine tour.

After receiving the 2-8 beds from the endocrinology department, the patient must be transferred to the rheumatology and Immunology Department. She didn't care about this. What she remembered was the smiling face left after turning to the last page of A4 paper.

The smiling face was in stark contrast to the previous sour words. Li didn't think that someone despised the Affiliated Hospital of Medical University and directly mocked.

She was curious and even worried. She wanted to finish the internal medicine tour quickly. She went back and asked which hospital and which medical group had this level.