Chapter 245: Unscrupulous PUA (Bonus for Alliance Leader Feng Aiyun ×2)

However, simple ischemia does not seem to perfectly explain why only the ears turned blue, while other peripheral blood circulation showed no significant changes.

Yet, the entanglements and difficulties of medical diagnosis cannot keep up with the suppression in reality.

After the team leader, Professor Li, discovered that his initial diagnosis was wrong, he became even more frantic in shifting the blame onto Ji Xiang.

He had completely abandoned all shame, handling the problem in an unbelievable way, as if Ji Xiang had thrown his child into a well.

Ji Xiang found it hard to believe that there was someone in this world who could be so shameless.

Perhaps, this is the multifaceted nature of humanity?

At the third hospital-wide consultation, not only were the directors and professors of all relevant departments present, but a Family Member of the patient was also sitting among them.

"Self" stood in the corner, trembling.

People from various departments stated their opinions, and Ji Xiang could hear that not a single person had a prepared diagnosis; they were all speaking in vague terms, implying that it had nothing to do with them and not to pin it on them.

To a certain extent, a hospital is no different from a workplace.

The team leader, Professor Li, felt helpless; after all, the patient had been admitted by the doctor in his own group.

He spoke last, "I indeed made mistakes in the patient's diagnosis and treatment, and I did not supervise the doctor under me well."

As he spoke, the team leader, Professor Li, viciously "gouged" Ji Xiang with a look.

"The harm brought to the patient by the incorrect diagnosis and treatment... regarding this, I..."

The team leader, Professor Li, apologized repeatedly.

Ji Xiang sighed deeply; was this the legendary act of smearing one's own face with excrement?

Not only was the responsibility not completely shifted away, but it became dirtier and smellier the more he smeared it.

Such a bizarre thing could not be done by anyone without thirty years of Thrombosis in their brain.

"Dong, dong, dong~" Department Head Bao tapped the table, "State your diagnosis."

"My preliminary diagnosis is that the patient has Large Vessel Vasculitis and Relapsing Polychondritis; the diagnostic basis is..."

The team leader, Professor Li, regained a bit of confidence and began to speak incessantly.

In his view, the patient had a history of claudication, so the diagnosis was basically clear. A diagnosis like Large Vessel Vasculitis and Relapsing Polychondritis was not something an ordinary person could give, and Professor Li was somewhat proud.

Subsequently, the patient began to receive pulse therapy with Azathioprine and methylprednisolone.

The team leader, Professor Li, did have some ability; one day after the pulse therapy with Azathioprine and methylprednisolone, the blue color on the patient's ears began to change, gradually fading and visibly improving.

Although "Self's" mood was very low and they did not dare to go home, sleeping in the hospital every day and spending most of their time sitting in front of the office computer staring blankly and shedding tears, nearly depressed, what Ji Xiang cared about more was the patient's diagnosis.

Large Vessel Vasculitis and Relapsing Polychondritis—at a glance, the disease names were clearly from the Rheumatology and Immunology Department.

So that was it!

However, even after knowing the diagnosis of Large Vessel Vasculitis and Relapsing Polychondritis, the Empathy did not end.

Ji Xiang was also a bit strange; during "Self's" several rounds, they observed that the color of the patient's ears was indeed gradually returning to normal, and it was clear that Professor Li's medication was effective.

Why not let "Self" go back?

Could it be that this Empathy was not just about experiencing the disease and the diagnosis, but also about experiencing the full-blown malicious PUA?

"You're barely a doctor, you damn fool!"

"Bitch!"

"Pneumonia, your mother's pneumonia, is that even pneumonia! Look at what you've done to the patient!"

The team leader, Professor Li, kept cursing in "Self's" ear, the language becoming more and more unbearable.

Ji Xiang could not understand why "Self" could accept it, or rather, why they did not refute the team leader, Professor Li.

His words were not worth refuting at all, and Ji Xiang could clearly see the team leader, Professor Li, probing bit by bit from the beginning, and after being certain that "Self" dared not resist, the PUA became heavier and heavier.

Sigh, there must be something hateful about a pitiful person; although the correct diagnosis was known, Ji Xiang did not feel happy at all.

The next day, "Self" sat in the office, dejected, constantly refreshing the page for test results.

As the blue color on the patient's ears changed, the team leader, Professor Li, was certain that the medicine he prescribed was effective, so he became even more unscrupulous in his cursing and insults toward "Self."

"Self" did not know what to do either, and could only aimlessly refresh the laboratory test page to show that they were "working hard."

Suddenly.

The page refreshed.

"Self" subconsciously clicked on the test results.

A series of shocking numbers appeared before their eyes.

The patient developed Acute Kidney Injury, with creatinine increasing from 72mol/L at admission to 124mol/L.

Acute Kidney Injury!

"Self" subconsciously picked up the phone, but the sound of Professor Li's cursing appeared in their ear, becoming more noisy and louder, the sound piercing the eardrum, and "Self" felt waves of headaches.

But in the end, they still made a call to the team leader, Professor Li, to report the test results.

Professor Li on the other end of the phone was silent for a full minute before letting out a shrill voice—Impossible! You must have tampered with it!!

Ji Xiang was completely speechless.

The team leader, Professor Li, must be sick; the first thing he thought of when a problem arose was not to solve it, but his subconscious reaction was to shift the blame!

There's actually such a person!

However, Ji Xiang instantly sobered up; he did not know if the diagnosis of Large Vessel Vasculitis and Relapsing Polychondritis was wrong.

If they were receiving pulse therapy with Azathioprine and methylprednisolone, it was possible for complications of Acute Renal Injury to occur.

Ji Xiang knew that this matter was not over yet; no wonder the Empathy had not ended.

The team leader, Professor Li, rushed over; he probably did some psychological preparation on the way, and after meeting, he just had a dark face and did not immediately erupt.

He also did not mention the extremely absurd words like—you tampered with it.

"It's a side injury from the medication; do you have any Clinical common sense, calling me for this?"

"I really don't know what you learned when you were in school; did you learn everything the teacher taught you into a dog's stomach!"

"Stupid, bitch!"

The meaningless verbal abuse continued, and "himself" lowered his head, enduring it.

Ji Xiang looked at Professor Li helplessly; his face was right there, and it would be so easy to slap him.

It was just a pity that "himself" was a coward.

Professor Li adjusted the medication, but the Patient's Kidney function did not recover; the Kidney function continued to deteriorate, with creatinine increasing to 328 μmol/L, and by the 10th day, it progressed to anuria and Urinary Retention.

A repeat Vascular ultrasound examination showed that the aortic obstruction might extend to the celiac axis, with no blood flow within the renal vessels, leading to the deterioration of Kidney function.

What exactly was the situation with this sudden Acute Renal Injury?

Everyone was stunned.

Had the previously diagnosed vasculitis caused the Acute Renal Injury? After all, this was the only diagnosis that could be reached at present.

Could the medication also be a cause of the AKI? Of course, there was another suspected culprit: the Contrast Agent.

(End of chapter)