Early the next morning, Qin Feng had just arrived at the hospital, and they returned to the office after a meeting with Zhao Yitian.
Just as he sat down, before his butt was warm, the phone in front of him rang.
"Hello, I'm Qin Feng."
"Qin Feng, I'm Wang Yue from the Department of Obstetrics and Gynecology."
"Director Wang?"
Hearing the voice from the other side, he was taken aback for a moment, and subconsciously remembered the woman with ruptured corpus luteum admitted last night.
"What do you want from me? Is there something wrong with the patient last night?"
"No, no, you misunderstood."
Upon hearing this, Wang Yue quickly explained,
"It's like this. A small patient came to our department last night. It's a baby just over three months old. The condition is not very good. The internal medicine department and I can't judge. I would like to invite you to come and have a look.
Do you have time right now? "
"Oh? All right! Then I'll go there now."
Qin Feng's eyes lit up when he heard the words, and he immediately agreed.
For such a long time, he has not encountered infant patients for a long time.
The most important thing is that Director Wang Yue is too capable. She has been in the obstetrics and gynecology department for 20 or 30 years and has dealt with all kinds of patients.
If you need help from other departments, you can contact him directly, and you rarely find him.
It's not like director Zhang Fan who is out of his mind, who always calls to discuss a case, do an operation or something.
And since Qin Feng became the director of the two departments, it seems that the number of operations and consultations has decreased a lot.
This made him really uncomfortable, didn't he cut off my money?
System rewards depend on these!
But there is no way. Now more energy is put on the preparation of the general practice outpatient center, and things are more biased towards administration.
In addition, his subordinates are all elites, unless it is an intractable disease, it is seldom in his hands.
After hanging up the phone, Qin Feng picked up the stethoscope and hung it around his neck and rushed to the obstetrics and gynecology department excitedly.
"Hello Director Qin."
"Hello."
"Where is Director Qin going?"
"Obstetrics and Gynecology!"
"Director Qin seems very happy today!"
"Hahaha~"
…
After getting on the elevator, just stopped at the obstetrics and gynecology floor, when the elevator door opened, Wang Yue was standing outside the elevator waiting for him.
"Qin Feng, you are here!"
"Director Wang, why are you still welcoming me in person? You're too polite."
Qin Feng smiled in surprise.
"The situation is a little urgent, let's talk as we walk."
Wang Yue showed a wry smile, and greeted him quickly,
"It's like this. This baby came to the emergency department last night and was sent directly to the obstetrics and gynecology department because it was too young, only 3 months and 3 days old, and the jaundice has not subsided.
The child's parents said that three days ago, the baby's complexion suddenly turned yellow, his reaction was obviously slow, and he kept spitting up milk and losing weight…"
"Then I went to the local county hospital, and it was found that the baby had obvious symptoms of liver damage, bile acid rise and anemia.
Because of the limited local conditions, after two days of treatment, I found that the situation was not right, so I hurried over here. "
After simply listening to the introduction, Qin Feng calmed down, and through Wang Yue's words, his mind kept flashing illnesses.
Now Qin Feng has a huge amount of experience in obstetrics, gynecology and pediatrics with top Chinese and Western medicine, and quickly filtered out more than a dozen diseases that can correspond to the current situation.
But speculation cannot be used as the basis for diagnosis, this is the minimum rigor for medicine!
"Is there an inspection report?" he asked immediately.
"Yes, I read the inspection report from the county hospital, and guessed it was hemolytic anemia."
Wang Yue nodded.
Qin Feng didn't say much after hearing the words, because this possibility exists.
The clinical symptoms of hemolytic anemia completely include all the current status of the baby, jaundice, liver function damage, etc.
Moreover, hemolytic anemia is anemia that occurs due to the accelerated destruction of red blood cells, that is, the shortened survival time, which exceeds the compensatory capacity of bone marrow hematopoiesis.
However, this is only a symptom, not the cause!
What they need to do is if it is confirmed as hemolytic anemia, what exactly is causing it?
If the cause cannot be found, there is no way to proceed to the next step of treatment.
However, this is only one of the possibilities, and the others need to be checked in detail.
"Have you done any other checks?"
The pace of the two of them was obviously faster, and Qin Feng asked immediately.
"It was done when it was delivered last night, and it was reported this morning. The result is basically the same as that of the county hospital, but the situation has deteriorated."
With that said, the two came to the ward.
As soon as he entered the door, he saw several familiar figures standing beside the hospital bed. One was Sun Sheng, the director of the Department of Internal Medicine, the other was Cheng Hongwu, the deputy director of the Department of Internal Medicine, and Ji Zhonghe, the director of the Department of Hematology.
"Qin Feng, you are here too."
"Director Qin, we've been waiting for you for a while."
"Director Qin, hello."
When Qin Feng came in, the three of them also took the initiative to say hello.
"All the directors are here, I was shocked."
Qin Feng was really startled, but at the same time his heart sank.
The four directors of departments in front of him, plus himself, are the directors of the six major departments gathered together.
And this battle is too big for a baby who is only 3 months old!
I'm afraid the situation is really not good!
"You are Director Qin Feng? Great!
Please, please save my child! "
The parents of the children sitting by the bed, who looked not much older than Qin Feng, stood up almost at the same time when they heard his name, and hurried forward to hold his hand and begged.
"Don't worry, don't panic, I'll take a look at the baby first."
Qin Feng quickly asked the two to sit down, walked to the side of the hospital bed and looked at the baby lying on the bed.
After about three to five minutes, he straightened up and did a simple physical examination.
The baby's skin is light waxy yellow, and the jaundice is obvious!
And the physique is obviously thin, only about 7 catties in 3 months, obviously a little stunted.
But he didn't ask for a doctor. I believe Wang Yue and several directors have already asked.
It is not a good thing to always ask the patient's family members repeatedly, and it is easy to arouse the family members' irritability and irritability.
Wang Yue also briefly talked to him about these things, and it was not a big problem.
"Qin Feng, how are you doing?"
Ji Zhonghe from the hematology department looked at him and couldn't help asking.
"I can't make an accurate judgment now, let me hear your opinions."
Qin Feng shook his head, he was rapidly filtering countless possibilities and diseases in his mind to match them.
"Then let me talk about it first."
Sun Sheng spoke first,
"According to the examination, the most likely cause of the patient's liver injury and other complications is hemolytic anemia.
We also conducted a comprehensive inspection of the patient's condition, but we couldn't find out what caused it. This is something we couldn't figure out. "
"Well, yes, Director Qin, I have the same opinion as Director Sun, and it may not be too optimistic."
Director Cheng Hongwu next to Sun Sheng also spoke, nodded in agreement,
"According to the current inspection report, if the condition continues to deteriorate, it will soon cause liver failure."
After speaking, the expressions on the parents' faces became more and more tense, and the baby's mother kept crying.
But Qin Feng fell into deep thought when he heard what the two said, and frowned.
"Director Ji, do you think so too?"
The next second, he raised his head to look at Ji Zhonghe, and asked in a deep voice.
"I?
actually..."
Ji Zhonghe was taken aback when he heard the words, and was also a little embarrassed in the next second.
"Don't hesitate, just speak straight."
Qin Feng waved his hand and let him speak boldly.
"Okay, then I'll say it.
In fact, my opinion is a little different from theirs, but I don't have evidence now. "
Ji Zhonghe nodded and said,
"Although all the signs and symptoms of the patient point to hemolytic anemia, I always feel that something is wrong.
In other words, although the symptoms are the same, the cause may not be caused by hemolytic anemia. Could it be other blood diseases?
Of course, this is just my guess. "
The voice fell, and the ward fell silent.
And Ji Zhonghe's words suddenly awakened Qin Feng, a flash of light flashed in his eyes, and a disease almost identical to hemolytic anemia appeared in his mind.
[Citrin deficiency]!
"Director Ji, your opinion may not be wrong!"
The next second, he looked at Ji Zhonghe, raised a corner of his mouth, nodded slightly, and then turned to look at Wang Yue,
"Director Wang, arrange a genetic metabolism test for the baby."
"Genetic metabolism test?"
Wang Yue was stunned when he heard this, and suddenly his eyes brightened, and he blurted out almost at the same time as Cheng Hongwu from the internal medicine department,
"Citrin deficiency!"
Qin Feng smiled and nodded at the two of them.
That's right!
This is a relatively rare congenital genetic metabolic disease, and ordinary hospitals simply do not have the ability to predict and detect it.
Just like some specialized diseases, those who can make an accurate judgment on this disease are basically concentrated in the first-line large hospitals.
In a place like Jiangcheng First Hospital, even if the department of gynecology is good, it is difficult for doctors to judge without cases.
Inexperienced!
Citrin deficiency generally manifests as intrahepatic cholestasis in newborns, yellow urine, jaundice, malnutrition, and severe cases may even be life-threatening.
The genetic metabolic test is a necessary means of diagnosis!
"Inherited...inherited?"
Hearing this word, the baby's parents were also taken aback, and said in surprise.
"No way, Director Qin, we don't have any genetic diseases? Why would the child have any genetic diseases?"
The child's father also became more nervous and looked at him in a panic.
Qin Feng smiled lightly and said: "Don't worry, we are just doing an exclusion check, and we haven't confirmed it yet, so don't worry..."
Hearing his explanation, the parents also nodded in agreement.
Get blood drawn immediately.
"Qin Feng, I'm afraid it's too late for this inspection!"
Wang Yue approached and said worriedly.
"Well, I know. In this way, we will conduct preliminary treatment first and wait for the results after 15 days."
Qin Feng nodded, looked at her and Cheng Hongwu,
"In this way, stop breastfeeding first, and use deeply hydrolyzed protein milk powder, combined with nutritional support such as liver protection.
Director Cheng, thank you for your hard work these few days. I think the possibility of citrin deficiency is very high, so we should pay attention to controlling the baby's condition to prevent acute liver failure. "
"Okay, don't worry."
Cheng Hongwu immediately nodded in agreement.
After solving the matter, Qin Feng also left temporarily.
…
However, things are not always as expected!
In the middle of the night on the fourth day, Qin Feng, who had just fallen asleep, was suddenly awakened by a phone call.
"Director Wang, what's the matter?"
He took a look and saw that it was Director Wang Yue calling.
"Qin Feng, the baby's condition is not right, I sent you the picture."
On the phone, Wang Yue's voice was obviously deep and serious.
Qin Feng opened WeChat and saw a newly released inspection report sent by her, and couldn't help but sit up loudly.
"Fuck!
Wait for me, I'll be right there! "