"Doctor, you gave Chao Chao an examination yesterday, and you have done all the examinations that should be done. Let's see what happened to her."

"At 3 o'clock last night, Chaochao started to have a high fever again."

"The doctor surnamed Wang prescribed a fever-reducing medicine to Chaochao, and the fever subsided, but she is completely inactive. What's going on?"

The patient's mother was very young, in her early 40s, but her whole person showed an old state.

I was heartbroken because of my daughter's illness.

"Let me see."

CT: normal.

MRI: normal.

Echocardiography: normal.

Abdominal CT: normal.

Among all the indicators, it can only be seen that there is inflammation in Chaochao's body, and the inflammation is only mild, and there is no tumor or cancer in the body, but her condition is getting more and more serious.

"Wait a mininute."

Summer took the report and came to Zhang Ming's office.

Report Chaochao's condition to Zhang Ming.

"Director, do you have any ideas?"

"What is the condition of this patient?"

Zhang Ming looked at the report and fell into contemplation for a while.

"This patient is a little strange."

"If you really can't find the cause, you should consult a general practitioner, right?"

General practice consultation is for some patients with difficult and miscellaneous diseases that cannot be diagnosed. All departments of the provincial hospital will consult at the same time, brainstorming, and possibly finding the cause.

In summer, general practice consultations are also considered.

He nodded: "I'll notify you and give the patient a general consultation."

Xia Xia turned around to leave when Zhang Ming spoke up.

"It is said that……"

Um?

Xia Xia turned back and looked at Zhang Ming blankly, waiting for the words behind Zhang Ming.

Zhang Ming's face was a little unnatural, his small eyes glanced at him quickly, and he quickly lowered his head.

"I heard that you went out to dinner with Jin Qiaoqiao yesterday?"

"Ah...this..."

Xia Xia hurriedly explained: "Yesterday, I asked Jin Qiaoqiao to help cut a queue for the patient, so... I asked her to have a meal."

"Well." Zhang Ming nodded and stopped talking.

The atmosphere is awkward.

Obviously... I'm just Zhang Ming's apprentice, obviously he's not suitable for Zhang Yunshu, but why is there a sense of embarrassment about being caught in bed?

"The director is fine, I'm busy."

I want to run in summer!

At this time, Zhang Ming took out a card from his pocket and handed it to Xia Xia: "Xiao Xia, take this one."

"Someone gave me a consumption card a few days ago, what to eat with Japanese Wagyu beef. We old people don't like to eat small Japanese things, but Yunshu really likes it."

"Let's eat together, the two of you."

Xia Tian glanced at the consumption card, the amount: five thousand yuan.

This card... to accept or not to accept?

He is not suitable for Zhang Yunshu, and the twisted melon is not sweet...

(Zhang Ming: The melon is not sweet, I eat it with white sugar.)

I looked at Zhang Ming.

I saw that Zhang Ming frowned.

Xia Xia hurriedly took the card: "I'll make an appointment with Yunshu in a while and go to eat another day."

Zhang Ming: "I told Yunshu that she won't have class tomorrow afternoon, at 7:30 pm, table 19."

Are the tables all set?

Have you booked a hotel?

Did you buy the cover?

Xia Xia nodded helplessly: "I'll be there on time, so I'll go to work first."

Zhang Ming waved his hand and Xia Xia left.

After the summer leaves.

Zhang Ming turned on his phone and sent a message.

"Hey, wife, I don't have enough pocket money this month."

Aunt Xue replied: "5,000 yuan, it's gone at the beginning of the month?"

Zhang Ming sighed a long time: "It's not for our daughter... For the happiness of the daughter, we have to work hard."

Ding dong!

Transferred.

Zhang Ming's mouth grinned open and looked at the amount.

500 yuan!

"Wife, 500 is a bit low, isn't it? For a month, I'm a director anyway, and I occasionally have a meal with my colleagues."

Aunt Xue: "You also said that you are the director. Does the director still spend money on meals?"

"Or, you AA, AA doesn't cost much."

Zhang Ming's eyes were round and round: "Wait, I am a big director, and I go out to dinner with the little one and pay AA, what kind of decency is this?"

Aunt Xue: "Do you want it? Don't go back."

Zhang Ming: "Yes, yes, yes!"

Received 500 in a hurry.

Zhang Ming sighed and opened Liu Yu's WeChat: "Old Yu, where do you go for lunch? How about hot pot? I haven't eaten hot pot for a long time, call Lao Jia."

...

One p.m.

Taking advantage of the fact that everyone was not busy when they just went to work, they invited all the departments in the summer to give Chaochao a general practice consultation.

conference room.

In the summer, all the images of the patient will be displayed.

"The patient, a month ago, developed urethritis, swollen legs, and knee pain. Recently, herpes zoster, breathing chest pain, and fever appeared."

"Routine blood test, accompanied by inflammation in the body."

"There was mild pneumonia, but no tumor was found."

"MRI and CT scans were normal."

"At first I suspected heart and kidney problems, but both have been ruled out, uremia has also been ruled out, the lymphatic circulation is good, and lymphatic problems have been ruled out."

"Dear colleagues, do you have anything to add?"

Doctors from internal medicine, surgery, obstetrics and gynecology, oncology, and even the ENT department all came. Listening to Xia Xia's report, several people laughed.

The oncologist laughed.

"You have ruled out the tumor, how can we supplement it?"

"I have no opinion."

The five senses department simply played with the mobile phone.

"I have no idea either."

The obstetrician frowned and asked Xia Xia, "Have you done a CT scan of your abdomen? Could it be caused by cervical cancer?"

"It is obvious that the patient has a decline in systemic function and a weakened immunity. It must be some kind of disease that caused this situation."

The physician also nodded: "That's right."

"Consistent with my thoughts, a certain disease has caused the patient's immunity to decline. Herpes zoster and pneumonia are all manifestations of reduced immunity."

Summer shook his head.

"A CT of the abdomen was done to rule out cervical cancer."

"What is the specific disease, do the two doctors have any ideas?"

The two shook their heads in confusion.

All the checks to be done have been done.

Doctors are not gods, and even instruments can't find out the cause, so it's even more impossible for them.

After half an hour.

End of the meeting.

The doctors went back to work.

In the summer, sitting alone in the conference room, thinking hard.

What is the cause?

At this time, Li Xiaohong came in, and she asked Xia Xia cautiously.

"Brother Tian, ​​the family members of the patient asked me to ask you. If the cause cannot be found, they will be transferred to the hospital."

"Transfer to Jingcheng Hospital."

After tossing for a few days, the patient was still not found, and the patient and his family were disappointed.

Get ready to go to a bigger hospital for help.

Generally, when the hospital cannot find out the cause, it will negotiate with the patient and transfer it to a larger hospital, which has advanced equipment and more professional doctors.

but……

Just give up?

"Wait a moment."

"Let me go see the patient."

Back to the ward in summer.

In the ward, the patient's mother was wiping tears, and the patient began to have a high fever again. As a mother, it was really uncomfortable to see her daughter suffer like this.

Looking at the patient, Xia Tian asked.

"What did you do before you got sick?"

"Where have you been? Tell me anything you remember."

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