Chapter 745: Chapter 303: When a Poor Man Gets Ten Wen, His Clothes Make a Sound – This Is Truly Effective Treatment_2
Strike the snake at its vital point, trample over the faces of your adversaries.
Du Leng would not have provoked Zhou Can if there had been no issue at all.
But now that he has, he’s asking for trouble.
Du Leng’s face turned greener bit by bit upon hearing these words, and his smile completely stiffened.
Looking at his expression, it was even more uncomfortable than swallowing a dead fly.
“Xiao Zhou, come here! I have great news for you. The lab at Tuya Hospital just called to inform me of some good news. That boy’s ANA test came back weakly positive. It really is as you boldly hypothesized, the patient is highly likely suffering from systemic lupus erythematosus.”
Director Zhang, who had just finished a call, excitedly announced the news to Zhou Can from across several tables.
Because she was too excited.
The boy’s disease was extremely complex and difficult to diagnose.
Now that a successful diagnosis had been made, it was enough to exhilarate her. She couldn’t wait to share the news with Zhou Can right away.
Because it was Zhou Can who first put forward the bold hypothesis.
“That’s great, finding the cause means the child can be saved.” Zhou Can’s mood of dejection from sitting at the clinic all day was swept away upon hearing the news. “This disease is very terrifying, and although it can’t be completely cured, as long as it is detected early and the condition is controlled in time, the child’s life can be preserved.”
The success of Tuya Hospital in identifying a weakly positive ANA result shows that the testing capabilities vary from hospital to hospital.
Xinxiang Women and Children’s Hospital, including Provincial Children’s Hospital and the county-level women and children’s hospitals, had all conducted this test but kept getting negative results.
Undoubtedly, this seriously misled the diagnosing doctors, causing them to rule out systemic lupus erythematosus initially.
In clinical practice, such cases are not uncommon.
Indeed, Xiao He can either be your making or your undoing.
Certain gold standards for diagnosing some diseases both help doctors confidently identify these diseases and cause them to instinctively dismiss them due to normal test results stemming from these standards.
This leads to missed diagnoses or misdiagnoses, delaying the patients’ chance for optimal treatment.
Such cases are not just one or two in number, but many.
“Dr. Zhou, impressive!” Yang Chan gave him a big thumbs up with a mischievously charming smile.
She probably praised him in front of so many people because she saw Du Leng, the little villain, showing off in front of Zhou Can and humiliating him, so she deliberately emphasized Zhou Can’s strengths and achievements.
Yang Chan couldn’t stand seeing her classmates being bullied.
Even if it were Vice Dean Bai or Director Xie from the major surgery department bullying Zhou Can, she wouldn’t hesitate. She would directly ask Director Zhang for help to back Zhou Can up.
“Didn’t you also make the same bold hypothesis at the time, squad leader? Shouldn’t we compliment each other?” Zhou Can winked at her with a smile.
“Stop it!”
She gave Zhou Can a glare, which sounded more like coquetry no matter how one heard it.
Completely different from how she treated other men.
Du Leng, watching from the sidelines, felt a wave of jealousy. He had pursued Yang Chan multiple times without success. To his surprise, Zhou Can didn’t need to pursue her at all, and Yang Chan directly maintained a very close relationship with him.
Even a fool could see that Yang Chan treated Zhou Can as a good friend and regarded Du Leng as a ‘guest.’
Here, ‘guest’ doesn’t mean a visitor, but rather a polite stranger.
“Dr. Zhou’s charm with women is indeed quite something! Dr. Yang Chan is the most delicate and aloof beauty in our obstetrics department. She’s never been superficial to men, but she provides special care exclusively to Dr. Zhou.”
Ji You teased with a smile.
“She’s my college classmate and my squad leader; of course, she would treat me differently!”
Having replied, Zhou Can didn’t bother with the green-faced Du Leng anymore and quickly walked towards Director Zhang Bihua’s table.
“Director Zhang, now that the cause has been identified, should we start the child on medication immediately?”
He was eager to see the child’s condition improve after treatment.
Because the ANA test result was only weakly positive, the diagnosis of systemic lupus erythematosus was still not entirely certain. Only through medication treatment could the truth be verified.
“Yang Chan, you and Xiao Zhou discuss together, how should we treat this disease?”
While Director Zhang tested Zhou Can, she didn’t forget to cultivate her favorite pupil.
Her training for Yang Chan really embodied the principle of teaching by words and example.
“Hmm… Considering his persistent proteinuria of 3+, we should restrict his protein intake, provide treatment with Angiotensin II Receptor Blockers, and avoid ultraviolet radiation exposure!”
Yang Chan preemptively answered.
Her treatment plan was quite consistent with the actual condition of the boy.
“And Xiao Zhou, what are your treatment suggestions?”
Director Zhang, although noncommittal, clearly wasn’t very satisfied with the treatment plan Yang Chan provided.
“I believe it’s best to avoid estrogen-containing drug treatments. Given the patient’s current symptoms and the organs and systems involved, anti-infection treatment will likely be ineffective. It might be better to use methylprednisolone pulse therapy and intravenous immunoglobulin therapy.”
Zhou Can’s pharmacological differentiation was at a mid-level practitioner’s proficiency, and his suggested treatment might not be perfect.
However, when compared with Yang Chan, it was clear they were not on the same level.
Yang Chan’s approach was textbook-like and almost rote learning. Zhou Can’s treatment proposal already integrated precious clinical experience.
There was a considerable difference between the two.
“Hmm, the treatment proposals from both of you have their merits. Based on the actual situation, Xiao Zhou’s suggestion of pulse therapy should be the first-line treatment option. As for medication, starting with methylprednisolone and immunoglobulin is fine, but after five to seven days of treatment, it’s definitely necessary to adjust medication based on the patient’s actual condition.”