Generally, the personal phone number of the senior director is not handed over to a resident doctor, unless it is his beloved master and doctoral student, it may be a little possible. This time, the number is given to Qi Jing, so it is entirely for the convenience of communication at critical moments.

When Luo Tang first gave Qi Jing a phone number, he foresaw this situation, but he didn't expect it to come so quickly.

The patient was hospitalized the next day and the examination was just completed. Although there was exchange and discussion in the department, there was no constructive opinion. The doctors in the entire department were completely confused. How could Qi Jing have just contacted the patient, so why did he find out?

Luo Tang didn't believe it, so he prefers the patient to have problems.

"What's wrong?" Luo Tang turned off the engine and pulled out the car keys. "What happened to the patient?"

"Well, he has rhinitis." Qi Jing said it very sure, and even a little serious. It seemed that in his eyes, rhinitis was indeed a big deal, and it was a big deal that needed to call him directly and report in time.

rhinitis?

Luo Tang frowned, and his hand, who was about to open the car door, shrank back. If it were the little doctors in Cory, he would have slapped the steering wheel and cursed, but opposite was Qi Jing. The phone call must have another profound meaning: "Rhinitis? What's wrong with rhinitis?"

"The patient has a rebellious heart."

Qi Jing said it very seriously, but Luo Tang couldn't get his point at all. He couldn't help but cough a few more times, "Well, what?"

Qi Jing felt a little strange. He had already mentioned the reversal heart. In connection with the long-term course of recurrent pneumonia and rhinitis, Luo Tang should have reacted. He believed that he had disclosed it very clearly. Although the number of reports on this genetic disease was rarely seen,...

Well, by the way...

Qi Jing suddenly remembered that he had overlooked a detail, now it was 2004.

Now is not the era he was familiar with at the time. There is no developed Internet and there is no perfect medical literature search system in China. Many directors’ knowledge is not wide. Moreover, here is Danyang, not the metropolises of Shangjing Minghai, so it is not surprising that this situation occurs.

I remember that it was several years later that he knew this syndrome.

The directors of junior high school are not those who are stumbled in small hospitals. They will pack novel cases into knowledge treasure chests and sank them into their minds, and then search for relevant foreign literature to supplement knowledge afterwards.

However, most of the sources of this novel case rely on treatment and then finding the truth through long searches and verifications. After all, not many people will subscribe to foreign magazines like Qi Jing.

Luo Tang didn't have as many strange cases as Qi Jing's inventory in his mind. It was actually more of a large number of common diseases in different situations. So when he heard that Zhou Hua's symptoms changed from 2 to 21, his first reaction was 21=3.

Theoretically, rhinitis and repeated lung infections do not have anything to do.

However, Luo Tang is the chief director after all. After so many years of clinical work, he immediately realized something. It is probably very likely that Qi Jing can be so excited. 21.

"You mean a genetic disease? What disease is it? I have seen many genetic diseases related to the respiratory system, but this disease has not been recorded in the book."

Of course, this syndrome will not occur in textbooks, and even domestic magazines reported very little about this case before 2004. If they were not searched for it in a targeted manner, even if all the documents were read, it would be normal to miss it.

Moreover, Qi Jing read a lot of magazines last night, but he did not find any records containing this genetic disease, otherwise he would definitely think of it with his sensitive nerves.

But the situation is a bit awkward now. The two of them should have had a tacit understanding and explained the diagnosis results to each other. Qi Jing took the lead in discovering rhinitis at most, but now it has become one sided. If the phone continues, it will become a personal show-off for him.

This is completely different from the discovery of the liver flukes in Ji Guanghao's body.

At that time, the directors involved in the consultation were not infectious agents at all. Qi Jing was originally interested in microorganisms, and Cai Ping, who worked in the infectious disease department, immediately reacted, so it was not considered a slap in the face. The earlier complications of thoracic surgery were due to the extremely low incidence rate, which looked more like Qi Jing was full of luck.

But this time it is different. The patient is a real respiratory patient and a respiratory disease, which is completely Luo Tang's home court. Moreover, the diagnostic idea is still a straight line without any technical content, and there is no external factor of opportunism.

Knowing means knowing, and even if you don’t know, you can’t know even if you want to break your head.

In this case, the director of the University of Respiratory Medicine was easily defeated by a non-respiratory resident in the cognition of respiratory diseases, which was simply outrageous.

Moreover, Zhou Hua and his mother were sitting next to Qi Jing. If the patient spread it, Luo Tang would be able to put his face.

If he had changed positions with Luo Tang now and as the chief director, Qi Jing would have been slapped in the face in front of the patient, as the chief director, he would have been irritated to death by himself.

"Hey? Why don't you say it?" Luo Tang got out of the car and closed the car door, ran to the elevator, and even coughed, he was so anxious that he was dull. "Where is the person? He's talking!"

"Oh, I'm here." Qi Jing said.

"What are you thinking about? Tell me about the diagnosis, what disease is it?"

Luo Tang thought the phone signal in the underground garage was not good, and when he heard that the phone was not interrupted, he realized Qi Jing's concerns: "Don't you think I am the kind of petty person, do you?"

"That's not." Qi Jing smiled, "How dare you?"

"Then don't suck my appetite, talk quickly!"

"It's Katagne syndrome, with reversal organs, repeated respiratory infections and rhinitis sinusitis syndrome." Qi Jing sighed and said, "It's indeed a genetic disease. The patient's grandmother also has similar conditions, but the symptoms should be much lighter than his."

"It's really hereditary, ahem... this should be a rare disease, right?"

"Indeed, the incidence rate is very low," Qi Jing said. "Maybe the ancestors had a history of close relatives and marriage, which caused genetic mutations, and it is possible to inherit the same generation from generation to generation."

Luo Tang breathed a sigh of relief. Although he had no psychological burden for Qi Jing to be the first to diagnose the cause of the disease, he had even been mentally prepared. But he was the director of a department after all, and he still had self-esteem. If the patient was not a rare disease, he should question his knowledge reserves.

Of course, no one will feel comfortable when encountering special cases. They always feel like they are being left behind. It is certain that they will be compensated for the relevant documents when they go home.

After a little bit of emotion, the two of them skipped the diagnosis and focused on the patient's subsequent treatment.

"This..." Qi Jing stopped talking, smiled and looked at Zhou Hua and his mother, and said, "I'll discuss the subsequent treatment plan with Director Luo. You can rest early. When the rounds tomorrow, Director Luo will tell you in detail."

"Yeah, OK."

Originally, the patient still had a little distrust of Qi Jing. After all, he was so young that he was not a qualified chief physician. But after hearing what he said, he talked so much with Luo Tang, and probably the diagnosis was true.

After so many years, he finally got a decent diagnosis. Zhou Hua seemed very excited, and he squeezed his hands tightly against the bed, with a smile on his face: "Thank you, Dr. Qi."

I have to say that Zhou Hua is lucky.

As a genetic disease, Catagne syndrome is a major symptom, recurrent lung infection, reversal organ reposition and rhinitis and sinusitis are just the main symptoms. In addition, there are various other strange symptoms, such as deafness, infertility, and hydrocephalus. Many patients may even be accompanied by congenital heart disease, cleft lip, mental retardation and other deformities.

But there was no such complex and troublesome symptoms in him.

But Zhou Hua was also unfortunate.

He was diagnosed the next day after being admitted to Danyang Hospital, which was much beyond his previous expectations. But diagnosis was only the first step for him, and the next treatment was the key to reversing the condition.

Unfortunately, there is no special medicine for this rare disease, and there is only one way to deal with it symptomatically.

Qi Jing sat in the director's office, facing Luo Tang, and introduced in detail the special features of this genetic disease:

"The main problem lies in the respiratory cilia. Because of the cilia's movement disorder, the ciliary function of transporting mucus decreases, and secretions such as sputum cannot be excreted, thus accumulate in the lungs and becoming an excellent Petri dish for infection, which eventually causes repeated and long-term chronic infection."

"No wonder I'm cured repeatedly by repeated treatment, but I still get infected again in the end."

Luo Tang nodded and coughed suddenly for a while. Then he picked up the water cup at hand and drank two sips of water to moisten his throat: "After the infection has been infectious, he will have bronchodilation."

"Yes," Qi Jing said, "It is difficult to maintain the status quo of this disease. Many patients' conditions will eventually worsen. Pneumonia has a low mortality rate for ordinary patients, but for them, it will be more serious than the last time."

In fact, this probability is like the card drawing of a Death playing card mobile game.

The chance of ssr drawing is very low, but it has a guaranteed mechanism. Each draw will increase the chance of the next ssr drawing. If you draw too much, you will always get hit, and the patient will eventually die from repeated infections and bronchodilation.

Qi Jing was pessimistic, but Luo Tang didn't think so: "It saved me a lot of effort to be diagnosed so early."

"Save effort is to save effort, but the next treatment is not easy."

"Why are you young man so pessimistic? Cough cough, you're not sunny at all."

Luo Tang clearly showed the ketchup temperament that a director of a junior college should have, and was not as good as Qi Jing in diagnosis, but he had absolute confidence in formulating treatment plans.

The work in an ordinary hospitalization ward is very boring, but this boredom has cultivated Luo Tang's long-term struggle experience. He is very clear that if he cannot decide the outcome in one move, he has to take his time. Death will eventually draw that ssr, which will artificially reduce the shipping rate of Death's card draw and make the ssr come later.

"Although I haven't heard of the disease, the pathogenesis is not difficult to understand. After eliminating the messy infection, it is easy to determine Zhou Hua's death point."

Luo Tang was completely focused and took out the bronchoscopy examination report from the medical record on the side:

"There are only three key points. One is the progressive aggravation of repeated infections, which will eventually cause diarrhea. The other is sleep apnea caused by nasal polyps, which will lead to sudden death from hypoxia during sleep. The last is the hemoptysis caused by bronchodilation. Just like the patient in the intensive care unit just now, the amount is increasing."

Qi Jing had to admire Luo Tang's skills, and with only his brief description, he took the lifeline of Katagne syndrome: "Indeed, the patient has had mild expansion."

"Well, but fortunately it's just light."

Luo Tang laughed rare. When he was excited, his habitual cough would disappear and his speech became much smoother: "This is very beneficial to us. Next, limiting infection and actively resolving phlegm and expelling phlegm should achieve good results. As for rhinitis nasal polyps, it is even simpler. With the help of endoscopy, it can be used to remove polyps in minimally invasively, and his respiratory tract will be opened tomorrow."

Qi Jing nodded, agreeing with these treatment plans, but his fingers kept fiddling with the footer of the examination report; "Director Luo, you are good at treating you, but where does the money come from?"

"Money? Money..."

Just as he was about to talk about Ji Guanghao, Luo Tang immediately remembered the conversation between the three of them just now.

He had to admit that the anti-infection drugs he mentioned were not cheap, and other treatments had to be included. A rough estimate would cost 1/3 of the hospitalization fee for a nasal polyp removal.

"Why don't you try it with Ji Guanghao?"

"Although Boss Ji is kind and charitable, he is not our ATM." Qi Jing said with a smile, "According to your standards, it would be great if Zhou Hua could last for three months of treatment. What after that? He is only 30 years old."

Luo Tang sighed: "I have helped a lot, and it is impossible to waive his bed fee. It is impossible to waive the medicine fee."

“It’s certainly unrealistic.”

"Then I can only rely on him." Luo Tang thought for a while and said, "Since he has been diagnosed, as long as he has a doctor's certificate, he should be able to find a job. As long as he has income, I will make some medication adjustments and I can continue to use it."

This is indeed the best compromise now. Doctors are outsiders after all, and the main force in fighting the disease is always the patient themselves.

Fortunately, Zhou Hua is in good health and has no other diseases. As long as the infection is strictly controlled, the progress of bronchodilation will be delayed.

......

The two left the office, Luo Tang went to meet Zhou Hua, while Qi Jing walked towards the elevator entrance.

"Leave?"

"Well, two cases were solved in one day, so you should be able to have a good sleep when you go back." Qi Jing smiled and pressed the button to go downstairs. "I will go back and look through my father's study to see if there are any magazines reporting on Katagne syndrome."

Luo Tang was old after all, and was very unfamiliar with surfing the Internet. He didn't want to waste time on a completely unfamiliar machine: "I hope there is, if not, I can only go to the library of Dan Medical University to try my luck."

"There are no direct case reports in those genetic books? Even if there are some rules and regulations, the treatment area must be very small." Qi Jing thought for a while and said, "If it doesn't work, I'll go to a foreign website to find a book."
To be continued...