I Can See Health

   Chapter 801 Denial

   But, where did the tuberculosis come from?

  Lu Chen was a little confused.

   In his impression, the patient had done all kinds of examinations and found no other signs of tuberculosis infection.

   "What's the opinion of the rheumatology department now?" Lu Chen asked.

Dr. Hua said slowly: "Their rheumatology department invited an infectious disease doctor to come over for consultation and analyzed it from the beginning. There was no pulmonary tuberculosis on the imaging studies, and the patient had no manifestations of intestinal tuberculosis. It is recommended to do a colonoscopy if necessary. "

  Lu Chen nodded.

   Only a positive PPD test cannot be immediately diagnosed as tuberculosis.

   However, this test result cannot be ignored.

   "I'll go to the rheumatology department to have a look." Lu Chen thought about it, and decided to go see it in person.

  …

   Came to the rheumatologist's office.

   As soon as he walked in, he saw the patient's parents, who were communicating with the rheumatologist.

   "We decided to take hormones first!" the rheumatologist said.

   "Wait, didn't you say before that you are afraid of tuberculosis, can you still use hormones if you have tuberculosis?" the patient's father wondered.

   They also checked the relevant information themselves, hormones are taboos for tuberculosis patients.

   How can this be good?

  The rheumatologist continued: "Our director said that the disease may progress very quickly if the patient does not last for more than half a year."

   When the patient's parents heard this, they immediately became anxious.

   The patient's mother shouted: "How did this doctor talk, is this a human word, what does it mean that he can't live for half a year!"

   Honest and honest parents are in a hurry at the moment.

  The doctor in charge of the rheumatology department was unable to say anything.

  Lu Chen stepped forward immediately.

   "Uncle and auntie, don't worry."

   Hearing Lu Chen's voice, the patient's father looked back and immediately stopped making noise.

   "Professor Lu, why are you here?" The patient's father was pleasantly surprised, "Did you come to see my daughter?"

  Lu Chen successfully diagnosed the disease "Takayasu arteritis", and the patients and their families are grateful to him.

  Lu Chen nodded with a smile, helped the patient's parents aside to sit down, and then nodded to the rheumatologist.

  The rheumatologist smiled gratefully at Lu Chen.

   In this situation just now, there was indeed a problem with his communication method. Fortunately, Director Lu Chen came to remedy it in time.

   "Professor Lu, tell me now, what should my daughter do now?"

Lu Chen paused, "The rheumatologist is right, this Takayasu arteritis will progress faster, if we wait for the fight against tuberculosis before using hormones, I'm afraid it's really too late, we can't imagine what will happen, maybe The worst happens."

   Having said this, the patient's father's mood has calmed down.

   "In order to avoid this situation, we decided to use hormones first to suppress immunity and inflammation. As for the tuberculosis, it doesn't look too similar at the moment. We can observe it while treating it, and adjust it at any time if something goes wrong."

   The patient's parents nodded again and again, which sounded more pleasing to the ears, although it meant the same thing.

   "Professor Lu, thank you so much." The patient's mother said, "We've all been transferred, so please come and see her."

   "As long as she has lived under me, she is my patient." Lu Chen smiled, then turned to the rheumatologist and said, "Take me to the ward to see her."

   "Okay, Director Lu."

  The rheumatology doctor immediately stood up and took Lu Chen to the ward.

The moment the patient saw Lu Chen, he was also very happy.

   However, when she heard that she still had to use hormones, her expression was hesitant.

   However, under Lu Chen's persuasion.

   The patient finally received hormone + immunosuppressive therapy. At first, he used 12 tablets of prednisone, plus one mycophenolate mofetil.

   Before leaving, Lu Chen instructed: "This disease cannot be cured, but it can be controlled with drug treatment. Most of them can survive for a long time. Be confident, even if you take medicine, there will be some side effects. Slowly adjust!"

   "Okay, thank you Professor Lu." The patient has accepted this fact psychologically at this moment, "However, why is my tuberculosis test positive?"

  The rheumatology doctor also looked at Lu Chen curiously.

  The rheumatologists got together and discussed it for a long time without coming to a conclusion.

   "This is a good question, I don't know the answer for now." Lu Chen shook his head slightly.

  Clinically, there are still many things that have not been fully discovered.

   "However, before you leave the hospital, if you re-examine a PPD, it may be a false positive!" Lu Chen said.

   This is also what the rheumatologist heard.

   aside, the rheumatologist nodded.

   "Okay, then I'm leaving."

  Lu Chen waved to everyone and left the rheumatology ward.

   In fact, Takayasu arteritis is not a rare disease, with an incidence of 40/100,000 in island countries.

The exact number of   Huaxia is unknown, but it is estimated that it is not too far away. Considering our huge population base, this is definitely not a rare disease.

   I hope that girls with this disease will treat them correctly, and don’t be afraid to avoid doctors.

  Why do you say it's a girl?

  Because this disease is really more women than men, the incidence rate of men and women is about 1:10.

   In addition, hormones are not devils. Hormones are the basic medicines for these diseases, so they should be treated correctly.

   But the side effects of hormones are also quite big. You must build up your confidence, because girls who gain weight with hormones may eventually lose weight again because of the withdrawal of the drugs. I firmly believe this.

  Finally, compared to being fat or thin, life is the most important thing.

  …

   "Congratulations, the completion of the system upgrade has increased!"

   "Congratulations, thank you..."

The    gratitude value and system upgrade completion rate rose slightly again, and Lu Chen was still very happy.

   Returning to the second area of ​​the heart, all the patients in the group were in stable condition, so Lu Chen returned to his office.

   Before long in the office, there was a knock on the door.

   "Please come in." Lu Chen said softly.

   Then, Director Yan Wanfeng pushed the door and walked in.

   "Director, why are you here?"

  Lu Chen quickly stood up and poured a glass of water for Yan Wanfeng.

  Yan Wanfeng sat on the sofa with a smile, "Did you go to the rheumatology department just now?"

   "Yeah." Lu Chen nodded, "A patient has been transferred to the rheumatology department, I'll go take a look."

   "Just now, Director Yang of the Department of Rheumatology specially called him." Yan Wanfeng smiled, "I said you helped them solve a problem in the past, let me thank you."

   "Actually it's nothing, I just went to communicate with the patient." Lu Chen said modestly.

   However, he was also very puzzled. Director Yan Wanfeng came to him to talk about this on purpose?

   Shouldn't it?

   Sure enough, Director Yan Wanfeng took a sip of tea, and then said slowly, "Lu Chen, I proposed your last proposal to the leader of the hospital."

   "What did they say?" Lu Chen said.

  Yan Wanfeng shook his head, "This issue involves multiple interests. They rejected it. They still want to expand the TAVR surgical team. Just sending people to TAVR classes is not enough."

   (end of this chapter)