Chapter 1282: 【1282】Chronic diseases emphasize control
"This afternoon. After a nap, I don't know if it was because it got hotter this afternoon, but I suddenly started to feel feverish," the old aunt said.
Standing behind Teacher Xin after entering, Xie Wanying and Yue Wentong stayed quiet so as not to disturb the teacher while she examined the patient. They simply observed and learned from behind. The old aunt, while speaking, kept touching her knees repeatedly, as if they were in great pain.
Obviously, Xin Yanjun had noticed this early on. Thus, sometimes when patients don't mention or forget to mention or can't articulate their issues, doctors need to be able to observe and identify the patient's potential problems.
"Doctor, did I catch a cold?" the old aunt asked, "Ah, I really have been neglecting myself too much. I shouldn't have gone out, caught the wind, and gotten sick."
Xin Yanjun comforted her, saying, "No, this is not a cold."
"If it's not a cold, then what is it?"
"You should have experienced a similar fever before. Have you been to the rheumatology and immunology department for rheumatoid disease?"
With the doctor's reminder, the old aunt recalled her chronic ailment.
"Have you been taking your medication properly recently?" The doctor further inquired about her medication history.
Rheumatoid arthritis is a chronic, autoimmune disease. Like diabetes patients, those with rheumatoid arthritis need long-term medication and regular check-ups. If not managed well, it can affect vital organs like the heart and kidneys, leading to severe conditions with unthinkable consequences. Fever is a bad signal of the disease. Hence, Xin Yanjun suggested the patient undergo hospital reassessment and treatment.
Seeing this, Xie Wanying went out to help the teacher make a call to Guoxie's Ward Five, which is the endocrinology and immunology department, to see if there were any spare beds available for the patient.
The old aunt muttered, complaining about herself, "Lately, I seem to have forgotten to take my medications. I thought I had a cold myself. Look, doctor, doesn't my cough seem like a cold?"
"A cough isn't necessarily a cold," Xin Yanjun patiently explained to the patient.
Rheumatoid disease affecting the heart and respiratory system can also cause coughing. This is undoubtedly more serious than a common cold. So, it's crucial to thoroughly examine the internal organs with X-rays and an echocardiogram.
Having explained everything clearly to the patient, a nurse brought a wheelchair to take the patient, who had mobility issues, to the inpatient department. Xin Yanjun looked back and saw the two students returning and asked, "How was it? Did you learn anything from going out with Teacher Li?"
Xie Wanying and Yue Wentong hesitated for a moment.
The injured person survived, pulled back for surgery.
Xin Yanjun admired silently, the neurosurgery department at her hospital is indeed impressive. Ever since Cao Yong has been in charge, Guoxie's neurosurgery department has become increasingly renowned.
The influence of a renowned doctor is immeasurable.
On that note, after saving a life, her classmate Student Li would probably be very proud and boast about it to her. One could only say Student Li is much luckier than her. If the school she attended and the construction site had strong organization and rescue capacity, perhaps it wouldn't have ended in tragedy.
"Doctor Xin." Sister Seo approached the internal medicine consultation room and asked, "I asked Doctor Dong, and he said you're responsible for the internal medicine emergency dispatch tonight, is that correct?"
"Is there another patient?" Xin Yanjun turned her head to ask.
"Yes, there's a hypertensive patient with a history of multiple cerebral infarctions. They seem to be disoriented again now, and they called 120," Sister Seo conveyed the message from 120.
Xin Yanjun got up and called to the two students, "Let's go. Let's see if we can bring the person back this time."