Lin Ge is still full of hope for the uninvited Boss Zheng.

Boss Zheng is indeed awesome, but can he have any good solutions for such a clueless consultation? I hope there can be.

Linger looked at Boss Zheng with anticipation.

"I agree with Professor Gu's view that systemic lupus erythematosus is relatively clear," Zheng Ren said in a deep voice.

"Boss Zheng..." The gynecology director was stunned for a moment.

Gynecology, obstetrics, and doctors in two departments are all in the same group in smaller hospitals. Although they are different departments in 912, gynecology has a deep understanding of obstetrics.

The intrauterine interventional surgery that Boss Zheng just completed is no less than a fantasy for obstetricians and gynecologists.

But that's not a rumor. Boss Zheng is full of confidence and even dares to do live surgery directly.

This is a powerful person. Even the gynecology director of 912 also has the deepest admiration and even awe of Boss Zheng.

The same words are said, Professor Gu is an attitude. However, from Boss Zheng’s mouth, it becomes another attitude.

The gynecology director hesitated for a moment and did not scold Boss Zheng condescendingly, but instead acted in a scrupulous manner.

"I checked the course of the patient and recorded that after the immunotherapy was applied, the patient developed symptoms of palpitations and shortness of breath.

After acute left heart insufficiency, diuretic and cardiac strengthening treatment, the patient's wheezing and palpitations gradually worsened. Re-examination showed that LVF was 36%, and the pulmonary artery pressure was 35 mmhg."

Zheng Ren also did not look at the medical records and said with a smile: "So far, the diagnosis still considers systemic lupus erythematosus. There is no evidence that there are heart valves, cardiac conduction system and coronary artery involvement, so heart failure may be caused by systemic lupus erythematosus involvement of the myocardium."

"The condition of patients with systemic lupus erythematosus can be treated worsened," asked the director of gynecology.

Linger was also confused, and the doctors in the office were confused.

“I have several considerations about the aggravation of cardiac function impairment when hormones and immunosuppressants are applied.

First, the original treatment plan is not strong enough. I agree with Professor Gu's point of view that shock treatment can be given to save important organs.

Second, water and sodium retention after hormone application increases the insufficiency of the center of gravity, and similar symptoms may also occur.

third,……"

Everyone in the room was silent.

It is indeed difficult to diagnose and treat rheumatism and immunity. Even old clinicians who have been in their for many years may not even be exposed to rheumatism and immunity.

The related diseases are complex and have a variety of treatments. This is also the reason why Su Yun said that when encountering a disease that he cannot understand, he will directly remove rheumatism and immunity.

As for doctors in rheumatism and immunology who have high levels of level, most of them will stand on the peak of medical technology with a very contempt, look at other disciplines, and say in disdain, "Will they also see a doctor?"

Boss Zheng is an interventional doctor sitting here talking, firm and confident, which is really dazed.

"It seems that there is a problem with the lungs, too." I don't know who asked in a low voice.

"The patient's lungs have significantly thickened, which is a manifestation of imaging." Zheng Ren said confidently after hearing the questions.

"At this time we need to judge whether the thickness of the lung texture layer is caused by hormones or the manifestation of systemic lupus erythematosus in the lungs.

Of course, I just went to see the patient.

The patient was left with nasogastric tube due to intestinal obstruction and still vomited and choked. In addition, he was bedridden, and hormones were used and aspirated, so inhaled lung infections cannot be excluded."

This is a complete statement, which is similar to what the professor of respiratory medicine said before, and there is a suspicion of avoiding the most important things.

However, Zheng Ren changed his tone and said: "But fever, lung symptoms and cardiac insufficiency appear at the same time, and the high-resolution of the chest does not indicate a clear infection in the lungs. The anti-infection is ineffective, and it is more likely caused by systemic lupus erythematosus activity."

"The patient is suspected to have the Renault phenomenon in the medical record. I think this is one of Professor Gu's basis for judgment."

"If you are worried..." Zheng Ren began to pursue the rationality of clinical diagnosis.

Generally speaking, the diagnosis of rheumatism and immune diseases is relatively erratic. It is best for patients to have a cystoscopy to take a tissue biopsy. However, the Urology Department also said that the bladder wall is not suitable for biopsy.

The best way is to have kidney tissue puncture biopsy.

"I suggest that the patient's family should be persuaded to do a kidney puncture biopsy." Zheng Ren said firmly: "After the biopsy, you can determine the problem."

Linge felt a huge black pot and was pressing towards him.

The reason for diagnostic treatment is that the patient's family believes that nausea, vomiting, and diarrhea have nothing to do with the kidneys, so they insist that it is a problem with gynecological surgery.

Do you need a biopsy?

If someone else said that a puncture biopsy was necessary, Lin Ge would definitely not believe it completely. This operation is a fuse that may intensify the contradiction. Once there is no positive, it is hard to say how the emotions of the patient's family members will change.

But if Boss Zheng said that Lin Ge began to think about how to explain to the patient's family.

"If the patient's family agrees to a renal biopsy, the result is positive, and a more radical treatment can be used." Zheng Ren thought for a while and said: "Methylprednisolone 1 g, shock treatment once a day + intravenous immunoglobulin 20 g, treatment once a day. Then cyclophosphamide 1.0 g impact, and hydrocortisone succinate 300 mg per day."

This dose...

If you make a mistake in judgment, you will be able to die.

Lin Ge looked at Boss Zheng with a frown. Is the dosage so large?

After using 0.2g of cyclophosphamide for a day, the patient suffered serious damage to his heart muscle. However, Boss Zheng actually gave the dosage of 1g, this...

Not easy to explain.

Linge thought of lightning, and when he thought of lethal dosage, he should be more cautious.

He looked up at Boss Zheng, and his gentle and steady smile gave Linge almost unlimited confidence.

The office was silent, and Professor Gu looked at Zheng Ren with surprise. This dosage was the most extreme dosage he imagined.

Although he had just said that he needed large doses of shock treatment, Professor Gu knew that he could not use such a limit to the dose to give the patient medicine.

Impact treatment is usually done after a puncture biopsy determines systemic lupus erythematosus. Before that, Boss Zheng said with certainty that the dosage is given...

Boss Xiao Zheng is too brave. Is he a doctor in the interventional department or an expert in rheumatism and immunity?

After pondering for a while, Linge closed the notebook and smiled reluctantly, "Let's do this, let's ask the patient's family to go to the medical office. I'll discuss with them the matter of having a kidney puncture biopsy."

Linger was forced to do so.
Chapter completed!