University Doctor and His Fragile Patients

Chapter 132: You Skip the Tertiary Hospital Expert and Trust the School Doctor to Find the Cause?


During Yan Zhi's first hospitalization, while the doctor was inquiring about her condition.

A surprising piece of data was obtained: Yan Zhi experienced mucus and bloody stools up to twenty times a day.

While Chen Mu sorted through this information, he confirmed it with Yan Zhi.

Meanwhile, Zheng Xin was helping to check the reports.

Upon hearing this startling data, he couldn't help but look up and ask, "Excuse me, do you still have mucus and bloody stools now?"

Yan Zhi nodded.

Zheng Xin took a deep breath.

Chen Mu: "How about the frequency? It should have improved after the previous treatment, right?"

Yan Zhi: "Now it's about once a day?"

Chen Mu: "So it has eased."

After Yan Zhi's first hospitalization, besides some routine tests, the local hospital also arranged a colonoscopy for her.

Chen Mu turned to Zheng Xin, "Give me the colonoscopy report from seventeen months ago first."

Almost as soon as Chen Mu finished speaking.

Zheng Xin slapped Yan Zhi's colonoscopy report in front of Chen Mu.

Chen Mu picked up Yan Zhi's colonoscopy report and looked at it carefully, "The rectal and sigmoid colon mucosa are congested and edematous, with multiple ulcers of varying sizes and shapes visible."

"So the first hospital you visited diagnosed you with ulcerative colitis back then."

Yan Zhi looked at Chen Mu expectantly, "Dr. Chen, was there anything wrong with my diagnosis at that time?"

Chen Mu gently shook his head: "Based on these test reports alone, the initial assessment by the local hospital was correct, but your current condition may still require further screening to identify the underlying cause."

"The first hospital treated you with sulfasalazine suppositories combined with traditional Chinese medicine, which was also a reasonable treatment approach."

"Moreover..."

"According to similar reports, after some time of cooperative treatment, the frequency of bowel movements decreased, so it was considered controlled back then."

Yan Zhi nodded.

Back when she was at that hospital.

Her parents had to work during the day to earn money to pay for her medical expenses.

The doctors and nurses in the hospital, seeing her as a young girl alone in the hospital, took good care of her.

Otherwise...

She wouldn't have chosen the same hospital when she needed to be hospitalized for the second time.

After opening Yan Zhi's second medical record.

His expression was noticeably more serious than when reading the previous record.

"Yan Zhi, this medical record is from fifteen months ago when you first started having a fever."

"Tsk! Yan Zhi must still have a hidden cause of disease that hasn't been found. If Dr. Chen can find it out, he'd become famous."

"I've hardly been to hospitals. Isn't it that the patient just sits there and explains, and the doctor finds the cause?"

"Then you really don't understand. If a doctor can find the cause with just a few words from the patient, the worst they could be is an expert."

"There are potentially hundreds of reasons for an abdominal pain. Doctors will usually rule out common diseases first. For some uncommon ones, finding the cause isn't that easy."

"I briefly looked at Yan Zhi's medical records. The hospital she initially went to is a major local hospital, and the doctors there are supposed to be capable. One could only say her underlying cause might genuinely be difficult to determine."

"If Vice Principal Zheng saw this, he might not even care about the school. He'd rush in to take Zheng Xin away, 'Foolish boy, daring to meddle with any medical record!'"

"..."

As Yan Zhi nodded.

Chen Mu's frown deepened, "When you were admitted, your temperature was 39.8 degrees, a peak over these years."

"Typically, a fever indicates inflammation inside your body. Since you are still experiencing fevers, it proves there's still some undetected inflammation inside your body."

Yan Zhi nodded: "The last doctor I saw also told me this."

"He sincerely suggested that I should visit one of the top-tier hospitals in Shanghai or the Imperial Capital to see if the cause could be found since the doctors there are more skilled."

"I signed up for an expert appointment, an expert from the Imperial Capital."

Chen Mu raised an eyebrow, "That is indeed a good suggestion, but he probably would never have imagined that instead of going to the Imperial Capital to find an expert, you ran to the school hospital to find the school doctor."

Yan Zhi: "..."

"Pffft—" Zheng Xin, still helping organize the materials, couldn't control himself and burst into laughter when he heard the two's conversation.

As they looked over at him.

Zheng Xin laughed even more unabashedly, "Back then that doctor probably couldn't have dreamed you'd not only look for a school doctor but also feel the school doctor's level surpassed his! Hahahahaha!!!"

Zheng Xin laughed so hard he pounded his leg.

Yan Zhi, due to Zheng Xin's teasing, turned red.

She shook her head anxiously: "Dr. Zheng, you've misunderstood me, I didn't mean that..."

Zheng Xin: "Then you mean to say Dr. Chen's skills aren't as good as your previous doctor's?"

Yan Zhi: "I didn't mean that either..."

Yan Zhi anxiously wanted to explain herself, but as she tried to speak.

She realized.

The words Zheng Xin said earlier were quite ambiguous.

No matter how she responded.

There was still a possibility of implying one doctor wasn't as capable as the other.

Yan Zhi was at a loss for words.

Struggling to find a reasonable explanation.

She heard Chen Mu say: "Don't bother paying attention to him, let's continue organizing your medical record."

"Fifteen months ago, you had a high fever of 38.9 degrees and were hospitalized for the second time."

"Abdominal pain and the occurrence of mucus and bloody stools were still present, but much improved from the first hospitalization, now only 6-7 times a day."

-

"Mucus and bloody stools happening six or seven times a day, and he's using 'only' to describe it, Dr. Chen sure understands 'only'. "

"Can't some nitpickers stop typing two keyboard stabs before going on a rant, Dr. Chen is comparing it to when she was first hospitalized, right?"

"When she was first hospitalized for mucus and bloody stools, it occurred over twenty times a day. Compared to that, isn't six or seven times really 'only'?"

"But the problem is, although the frequency of mucus and bloody stools reduced, there's now a high fever, which doesn't mean it's more severe?"

"That's why she's hospitalized again. The first time addressed the mucus and bloody stools, and for the second hospitalization, it should relieve the fever, right?"

"..."

"These are her examination reports from the second hospitalization."

"I've marked the important sections for you in red pen."

Chen Mu continued flipping through Yan Zhi's second medical record.

A thick stack of examination reports was suddenly thrust into his hands.

While reviewing Yan Zhi's second medical record, Chen Mu skillfully found the colonoscopy report.

After glancing at it, he slightly raised his eyebrow, "During the second hospitalization, the condition was consistent with the first, still ulcerative colitis."

"But..."

Chen Mu looked up at Yan Zhi, "The second time, it was diagnosed as pancolitis, active phase, severe."

"According to all your tests, their diagnosis during the second hospitalization also had no issues."

"Hold on, let me check what medications they prescribed..."

With that.

Chen Mu flipped open Yan Zhi's medical record to the next page.

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