Practicing Medical Skills in a Small Clinic novel Chapter 521

Chapter 521: Chapter 240: Misdiagnosed Arthritis—Dr. Ruan’s Unjust Grievance (Part 4)

"Dr. Li, could you help with a consultation for the patient who caused a disturbance this morning? Professor Wu has admitted the patient for hospitalization and promised to find out the true cause of the illness."

Ruan Xiaoqin showed no embarrassment or guilt regarding this matter.

He seemed to think that being unable to find the cause and making a misdiagnosis was only natural.

"Alright, let me take a look."

Li Jingsheng did not refuse.

He is not a doctor in the second group, but his girlfriend is, and he often assists Professor Wu in surgeries, so he has somewhat of a half status as a second group’s doctor.

"Have the patient’s scans been taken?"

"Yes, but he seemed very resistant and only agreed to the cheapest X-ray."

"That should be sufficient. Was there any abnormality found in the CT scans taken previously?"

Li Jingsheng asked again.

"The CT scan results at the time were very similar to arthritis."

Ruan Xiaoqin stated with certainty.

"Can I access the patient’s records by logging into my own account?"

"You should be able to."

When Li Jingsheng and Ou Qinglan came in, this time Dr. Qin did not leave.

Because he had already changed seats.

The seat next to Ou Qinglan was mostly empty now.

Dr. Qin also didn’t want to be kicked out of the office every time Li Jingsheng came over. It was quite awkward.

So, he voluntarily asked to change seats.

After all, there was no fixed seating in the office.

Li Jingsheng sat next to Ou Qinglan, opened a computer, and logged into his personal account.

The second time, there was still no improvement, another ultrasound suggested a high likelihood of inflammation. I prescribed medication for arthritis again.

The third visit still showed no improvement. I was worried about misdiagnosis, so I did a CT scan to prevent a missed diagnosis, and even conducted biochemical tests: low-density lipoprotein was 1.54mmol/L, uric acid was 465umol/L.

This time, I suspected a possible tuberculosis because I had read about similar cases in books.

Unexpectedly, the treatment was still ineffective. I explained it might be tuberculosis combined with gout and proposed an MRI which he refused, then started calling me a quack and accusing me of scamming him out of money. Honestly, in the previous two times, I used the most cost-effective X-ray or ultrasound for tests."

Ruan Xiaoqin, looking extremely wronged, explained to Li Jingsheng and also to the rest of the office colleagues.

No one wants to be labeled as a black-hearted doctor who intentionally scams patients for money.

"Patients don’t understand these things; it’s normal for them to curse without basis, just ignore it."

While saying this, Li Jingsheng had already started looking at today’s X-ray of the patient again.

This condition likely isn’t as simple as it seems.

For any difficult-to-treat arthritis or tuberculosis, if medicated for such a long period, there should be some improvement.