I Can See Health

But where did the tuberculosis come from?

Lu Chen was a little confused.

In his impression, the patient had undergone various examinations and no other signs of tuberculosis infection were found.

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

Dr. Hua said slowly: "The rheumatology department invited an infectious disease doctor to come for consultation and analyzed it from the beginning. No pulmonary tuberculosis was found on the imaging, and the patient did not show signs of intestinal tuberculosis. It is recommended that a colonoscopy be done to see clearly if necessary. "

Lu Chen nodded.

Just a positive ppd test does not immediately diagnose tuberculosis.

However, this test result cannot be ignored.

"Let me go to the rheumatology department to have a look." Lu Chen thought for a while and decided to go and have a look in person.

…

Come to the rheumatologist's office.

As soon as he walked in, he saw the patient's parents communicating with the rheumatologist about his condition.

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

"Wait a minute, didn't you say before that you were afraid of tuberculosis? Can you still use hormones if you have tuberculosis?" the patient's father asked doubtfully.

They themselves also checked the relevant information and found that hormones are contraindicated for tuberculosis patients.

What should I do?

The rheumatologist continued: "Our director said that he is afraid that the patient will not survive for more than half a year, and the disease may progress very quickly."

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

The patient's mother shouted loudly: "How can this doctor talk? Is this human talk? What do you mean you can't live for more than half a year!"

The parents of Honest Badajiao were anxious at this moment.

The doctor in charge of the rheumatology department was hesitant and could not say anything.

Lu Chen immediately stepped forward.

"Uncle and aunt, please don't be impatient."

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 said in surprise, "Are you here to see my daughter?"

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

Lu Chen smiled and nodded, helped the patient's parents sit aside, and then nodded to the rheumatologist.

The rheumatologist smiled gratefully at Lu Chen.

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

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

Lu Chen paused and said, "The rheumatologist is right. Takayasu arteritis will progress faster. If we wait to fight tuberculosis before using hormones, I'm afraid it will be too late. We can't even imagine what will happen. It may happen." 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 end, it doesn't look too similar at the moment. We can observe it while treating it, and if anything goes wrong, we can make adjustments at any time."

The patient's parents nodded repeatedly, and the words sounded much more pleasant to their ears, although they meant the same thing.

"Professor Lu, thank you so much." The patient's mother said, "We have all been transferred to another department, so why bother coming to see her."

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

"Okay, Director Lu."

The doctor in charge of the rheumatology department immediately stood up and took Lu Chen to the ward.

The patient was also very happy when he saw Lu Chen.

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

However, under Lu Chen’s persuasion.

The patient finally received hormone + immunosuppressant treatment. Initially, he took 12 tablets of prednisone, plus one mycophenolate mofetil.

Before leaving, Lu Chen told him: "This disease cannot be cured, but it can be controlled through drug treatment. Most people can survive for a long time. You must have confidence, but taking medicine will have some side effects. Take your time!"

"Okay, thank you Professor Lu." The patient has now accepted this fact mentally, "But, why is my tuberculosis test positive?"

The doctor in charge of the rheumatology department also looked at Lu Chen curiously.

The rheumatologists got together and discussed it for a long time, but they didn't come to a conclusion.

"This is a good question, but I don't know the answer yet." 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 check another ppd, it may be a false positive!" Lu Chen said.

This is also what rheumatologists say and listen to.

On the side, the rheumatologist nodded repeatedly.

"Okay, then I'm leaving."

Lu Chen waved to everyone and left the rheumatology ward.

In fact, Takayasu arteritis is not a rare disease. The incidence rate in island countries is 40/100,000.

I don’t know the exact number of Huaxia, but I guess it’s not too far off. Considering our huge population base, this is definitely not a rare disease.

I hope that girls with this disease will treat it correctly and not hide their illness and avoid medical treatment.

Why do you say it's a girl?

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

In addition, hormones are not the devil. They are the basic medicine for this type of disease and must be treated correctly.

But the side effects of hormones are also quite serious. You need to build up confidence. Girls who gain weight because of hormones may eventually lose weight again by stopping the medication. I firmly believe this.

In the end, life is still the most important compared to being fat or thin.

…

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

"Congratulations, I received the thank you..."

The thank you points and system upgrade completion level increased slightly again, and Lu Chen was still very happy.

Back in the second area of ​​​​the heart, the conditions of the patients in the group were relatively stable, so Lu Chen returned to his office.

Not long after I stayed in the office, there was a knock on the door.

"Please come in." Lu Chen said softly.

Then, Director Yan Wanfeng opened 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 smiled and sat on the sofa, reading a book www.uｕkanshu.net "Did you just go to the rheumatology department?"

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

"Director Yang of the Rheumatology Department called him specifically just now." Yan Wanfeng smiled and said, "You 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 confused. Director Yan Wanfeng came to him specifically to talk about this?

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 leadership of the hospital."

"What did they say?" Lu Chen asked.

Yan Wanfeng shook his head, "This issue involves the interests of many parties. They rejected it and still want to expand the TAVR surgery team. It is not enough to just send people to TAVR training classes."

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