My Medical Skills Give Me Experience Points Chapter 1477 - 593: Treat First, Investigate Later—The Underestimated General

The hospital is also afraid of being nitpicked.

Whether it’s surgery, ward care, medication, or diagnosis, there is always something that can be critiqued.

However, when encountering such a super VIP patient, the hospital is very vulnerable. Besides fully cooperating and trying to provide the best service, there’s no other way.

Of course, if the hospital management insists on testing the waters of disaster, then anything goes.

This girl, only five years old, has had a persistent fever for nearly a month and has been hospitalized for treatment at the Provincial Children’s Hospital for eight days.

The primary symptoms upon admission were fever, abdominal pain, and blood in the stool.

To be honest, blood in the stool in young children is not common.

Considering the patient’s young age, the Provincial Children’s Hospital conducted genetic screening and found no related family medical history.

The amount of blood in the stool was substantial, and upon admission for treatment, the patient was already in a severe state of blood loss, nearly in shock.

The Provincial Children’s Hospital provided emergency blood transfusion.

At that time, the child’s blood pressure was only 81/35 mmHg, a very frighteningly low blood pressure.

Under normal circumstances, even in an average family, a child in such a condition would have been sent to the hospital for treatment. However, this Health Bureau BOSS’s family is quite special—the child was born to him and his ex-wife.

Due to busy work schedules, the responsibility of caring for the child almost entirely fell on the stepmother and the nanny.

Now that this incident has occurred, the stepmother certainly cannot evade blame.

As for how they handle this, that’s a family matter.

When the child was admitted for physical examination, her temperature was 39.6 degrees, pulse 110 beats/min, respiration 28 breaths/min, consciousness was unclear, and she appeared severely anemic.

In fact, with blood pressure this low, the child was already in a state of severe anemia.

The expert examining the patient found no jaundice on the skin and sclera, no rash or petechiae, no swelling of superficial lymph nodes, the neck was supple, and the trachea was centered.

Heart rhythm was regular.

Lung auscultation revealed no abnormalities.

The abdomen was soft, and a cord-like mass in the lower right abdomen, nearly 10 cm long and 6 cm wide, was palpable. Just touching it caused the child to cry out in pain.

Seeing this, Zhou Can first suspected an intestinal tumor.

The lower right abdomen should belong to the ileocecal region of the intestine.

Provincial Children’s Hospital experts conducted further examinations and found hemoglobin levels only at 36-85 g/L.

Blood cultures and stool cultures were performed multiple times, all negative.

This should be in the process of ruling out the possibility of malignant intestinal bacteria.

The intestinal environment is extremely complex, hosting countless types of bacteria and toxins. However, under normal circumstances, these bacteria are beneficial, not only harmless to the human body but also aiding in food digestion.

Like earthworms helping plants decompose organic matter in the soil.

Since they couldn’t find the problem with these tests, the experts at the Provincial Children’s Hospital worked hard and tested for antinuclear antibodies and rheumatoid factors.

Rheumatoid diseases have always been one of the quirkiest conditions in clinical settings.

They are like ghosts, making it difficult for doctors to diagnose.

Moreover, they can cause numerous symptoms.

During the diagnostic process, doctors are very prone to misdiagnosis. Many experienced older doctors, when faced with challenging diagnostics where symptoms align somewhat with rheumatoid conditions, will check this item.

Unfortunately, there wasn’t much gain.

Next, they tested for Weil-Felix reaction.

The results detected no H-type typhoid bacteria, O-type, paratyphoid bacteria type A, B, and C, or proteus bacteria. At this point, the experts at the Provincial Children’s Hospital probably began to scratch their heads.

Proven by fact, experts were indeed a bit puzzled, because next they tested for hepatitis B virus antigen, serum potassium, serum sodium, serum chloride, carbon dioxide binding force, Blood Urea Nitrogen, Blood Creatinine, serum protein electrophoresis...

It’s like checking every possible thing.

This also indicates a problem; when Western medicine uses this broad-net approach, checking everything, it reflects a lack of precise medical skills.

Truly skilled doctors will prescribe only essential tests for the patients.

There won’t be any unnecessary tests.

Surely, this girl is a super VIP, and it’s understandable considering the experts at the Provincial Children’s Hospital conducted so many checks without identifying the cause.

The more prestigious the patient, the more cautious the doctors.

This can be referenced from how ancient Imperial Physicians treated emperors or noble concubines or Princes, basically putting their lives on the line, always risking offending the emperor and getting executed.

Modern society advanced substantially, and incidents where doctors suddenly face severe punishment are no longer frequent.

However, if doctors make significant mistakes in diagnosing important patients, facing the cold shoulder or losing their career prospects is rather normal.

Therefore, Zhou Can can greatly understand the mindset of those experts at the Provincial Children’s Hospital.

After a series of lab tests, yielding no major discoveries, the experts again checked chest and abdominal flat X-rays, finding no abnormalities.

A bone marrow puncture was performed, showing reduced cell iron ratio but no abnormal cells.

Essentially, the bone marrow puncture was fruitless.

It didn’t offer much practical value in diagnosis.

After the child was admitted for treatment, the cause of the illness needed to be identified, but the child’s condition is too severe to wait. Besides, the child’s father is watching intently.

The experts must provide some symptomatic treatment, primarily to stabilize the child’s life.

This is also the most common practice in clinical settings.