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2153 read it out

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

Only when the boss has a project team and a project team leader invested in funds will he be called the boss.

Of course, the kind of young doctor flattering and making fun of him doesn't count.

Mr. Li was a little confused. The boss of the rheumatism and immunology department and his subordinates were clamoring that if he could overturn his diagnosis, he would throw the test result on his face.

I have never seen this kind of relationship before.

The scientific research fund was won by the boss. In the project team, the boss has a certain position. The assistant is so arrogant? Could it be that he brought funds into the team?

As the old saying goes, one mountain cannot withstand two tigers. There are two bosses in a project team. Once you encounter difficult problems, who will decide?

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

Weird, Mr. Li 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 there are several like-minded middle-aged professor-level people who are leading the group together to do a national-level scientific research project, Mr. Li guessed.

At this time, the director of the Department of Rheumatology and Immunology had already explained the various test values ​​and finally gave his own diagnostic opinions - secondary aps.

All interference was ruled out, firm diagnosis was secondary to the aps, and systemic lupus erythematosus.

If there is no A4 paper in front of you, Mr. Li would applaud the wonderful inferences and praises of the director of the Department of Rheumatology and Immunization.

The patient's condition is complicated, and he can find out the main problem among the many complicated ones. This is a reflection of the technical level of the Affiliated Hospital of Medical University.

Especially when he said the final diagnosis, he was extremely sure of it and did not say those vague words at all.

However, on a4 paper, under the description of the handwriting of dragons and phoenixes, Mr. Li's mood was a bit complicated.

A project team, an unknown "boss", was determined to be secondary to systemic lupus erythematosus with a small number of examination reports and CT images.

This is a little magical.

[I guess the boss will not be wrong. If you haven't determined that it is secondary aps+systemic lupus erythematosus, then think about it and do relevant examinations.]

The words on a4 are still as sarcastic and mean as ever. Although they do not point at the nose and curse, Mr. Li vaguely saw a proud middle-aged doctor saying these words with a look of disdain.

Unfortunately, he is a professor in the rheumatism and immunity group and his own project team, and there is almost no possibility of recruiting his own subordinates.

Mr. Li sighed.

The director of the Endocrinology Department smiled after hearing the judgment of secondary APS-concurrent systemic lupus erythematosus. This was the same as his own judgment. He did a lot of examinations and finally turned the vague guess into reality. This complex case really tests the level.

When Mr. Li sighed, the director of the Endocrinology Department was stunned. Could it be that the diagnosis was wrong?

"Old Li, what's wrong?" she asked.

"Look." Mr. Li handed over the paper he had finished reading.

The director of the Endocrinology Department was stunned for a moment, and then looked through the a4 paper.

Her sarcastic tone made her angry, but she couldn't find any problem in the whole article. She was holding her breath in her chest and couldn't vent it, making her feel very depressed.

When a doctor pointed at his nose and cursed, he was a shrew, without any technical content. It is the kingly way to accuse the other party of the diagnosis, stand at the top of technology, and despise everything.

But looking at the diagnosis and reasoning process written on a4 paper, the director of the endocrinology department could not say a word.

Their judgment is organized and logical. Although it is mixed with some speculations, the doctor who wrote the analysis of the disease also said that this was what his boss insisted on, hoping that the judgment could be wrong and that he could hit him in the face with the correct diagnosis.

But the diagnosis is the same as the diagnosis of the director of the Rheumatology and Immunology Department of our hospital. What to use?

"This patient is highly titered anti-nuclear antibody positive, ACA positive, thrombocytopenia, and suspected discoid erythema, but due to the specific antibody dsdna negative, it is very likely to consider SLE."

"At this point, the patient's diagnosis is basically clear: secondary APS and SLE are likely to be high, bilateral adrenal venous thrombosis leads to adrenal hematoma, which leads to primary adrenal cortex insufficiency, and finally an adrenal crisis."

The director of the Rheumatism and Immunology Department read the words written on A4 paper as if he was reading them. Although not a single word is good, the meaning is roughly the same.

Mr. Li looked at the words on the paper and felt a ridiculous illusion out of thin air.

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

As the former director of the Department of Internal Medicine Affiliated Hospital of Medical University, Mr. Li was proud in her heart, and she subconsciously refused to admit this.

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

[Well, finally, give a treatment plan. Don’t be impatient, don’t think it’s the most important thing for us to point fingers. Patients recover as soon as possible. Do you feel uncomfortable with this big hat when you put it on?]

Mr. Li looked at the teasing words and was amused and crying.

【Warfarin anticoagulation, target inr 2~3, and hydroxychloroquine is added to reduce API generation and anti-platelet aggregation, prednisolone 40 mg qd + methotrexate 10 mg qw inhibits immunity.】

"I recommend using warfarin to anticoagulation, target inr 2~3. At the same time, hydroxychloroquine is added to reduce API generation and anti-platelet aggregation. Prednisolone 40 mg qd + methotrexate 10 mg qw for inhibitory immunotherapy." The director of the Department of Rheumatism and Immunology finally "recited" the treatment plan on A4 paper.

If he hadn't been at least 10 meters away from this side, Mr. Li would have thought that he had read the treatment plan on a4 paper without thinking about it.

this……

The director of the Endocrinology Department kept staring at it and saw the passage written on a4 paper.

The eyes look at the treatment plan, and the same treatment plan is heard in the ears.

Is this a coincidence?

Mr. Li and the director of the Endocrinology Department also showed a scene in the TV series. Zhuge Liang wrote in his palm, and coincided with Zhou Yu, looking at each other and laughing.

But... the unknown medical team on the opposite side made these judgments while lacking many necessary tests.

Mr. Li was distracted when he was attending a medical consultation for the first time.

The patient from bed 2-8 from the endocrinology department must be transferred to the rheumatism and immunology department. She didn't care about this. She thought about the smiley face left after turning the a4 paper to the last page and after all the words were said.

His smile was completely opposite to his sarcastic words before. Mr. Li did not think that someone despised the Affiliated Hospital of the Medical University and directly mocked him.
Chapter completed!
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