Zhou Yewu looked at Chen Jin's cowardly look...

I'm really speechless.

How can we better diagnose without examination?

We can't just delay like this. After all, symptomatic support and treatment is just symptomatic support and treatment, and it doesn't cure the root cause. I don't know what the cause is, how can it be completely cured!

"Don't you really think about it? You can get anesthesia and it won't hurt." Zhou Yewu tried to communicate with Chen Jin.

He really hopes to do lymph node puncture and bone puncture to learn about Chen Jin’s real situation at the moment.

"No, no."

Chen Jin still refused firmly.

His face was haggard and he looked quite depressed.

In fact, he was really depressed. Zhou Yewu and Chen Riyuan later adjusted the previous medical history in the area to check and found that the patient was diagnosed with "mild depression" by the Provincial Mental Hospital two months ago and was given drug treatment.

Moreover, in the past medical history, Zhou Yewu also found other information...

After depression, the patient was hospitalized by his parents because of poor mental health and fatigue during anti-depression treatment.

The symptoms of fever during hospitalization appeared again, with a maximum of 38.0℃, and there was a response during the initial HIV screening at that time!

Then he drew blood to the Municipal Center for Disease Control and Prevention for three confirmation tests that were not confirmed at the time.

"The window period should be there, why can't HIV be detected at the beginning?" Zhou Yewu was also very puzzled by this.

Anyway, the hospital there immediately tested the HIV-1 viral load, about 364073copies/ml, and was diagnosed as: acquired immunodeficiency syndrome, lung fungal infection, and acute liver injury.

The hospital immediately gave prednisone, compound sulfamethoxazole tablets, levoxy, piperacillin sodium tazobactam, Xuebijing, amphotericin B, and Acoenpin tablets and other drugs.

However, I didn’t expect that when I went home, I still had a fever of up to 39.0℃, accompanied by fatigue, palpitations, shortness of breath, fear of chills, chills, abdominal distension, and I still had a fever again and again when I returned home. Therefore, the reason for this hospitalization was caused.

The key is that this time I was hospitalized, the screening for the new G virus was also positive!

"I really can't believe the patient's words." Zhou Yewu sighed, he was a little far away from Chen Jin.

Chen Riyuan and Zhou Yewu looked at each other, and both of them expressed helplessness.

A few days ago, I came to ask him if he had unclean style of living habits!

College student, you should know that Chen Jin is a college student from a key university. He said he didn’t. Then, with a simple and innocent look, the doctors in the department really believed his nonsense!

Because I don’t know why the HIV screening was negative, no one thought about HIV.

It is really embarrassing to be AIDS, and the patient is a college student, very shy. Now Zhou Yewu recalls why Chen Jin was hesitant when he was hospitalized, and now he finally understands it.

...

"Why are the five infections and eight blood transfusions he had done before were negative?" Yu Shiya muttered.

At this moment, Sun Jun and Hu Huan were communicating with Chen Jin to see if there were any other missing details and places.

Zhou Yewu and others were not noticed by Chen Jin.

If Chen Jin found that Zhou Yewu and others were talking about him, he would probably be even more embarrassed.

Moreover, it is really difficult to treat AIDS. If it weren’t for the infectious department, there would be no countermeasures for the time being. He wanted to transfer Chen Jin to the infectious department for more professional treatment.

"But the infectious disease department of our hospital should be helpless and can only try to maintain the right symptoms." Chen Riyuan said weakly.

The doctor is helpless when facing the patient, which is also a kind of ridicule for him.

But this is the current situation of HIV.

Not to mention Linping Hospital, even the world lacks effective drugs to cure HIV infection.

At this stage, the treatment goal of major hospitals is to minimize and lasting reduction of viral load as before, obtain immune function reconstruction and maintain immune function, and improve quality of life.

General treatment, antiviral treatment, treatment to restore or improve immune function, and treatment of opportunistic infections and malignant tumors...

Otherwise, there would be no way for him.

"Director, why did the five infections and eight blood transfusions he had done before were negative?" Yu Shiya was very confused about this issue, and she was curious about it.

Chen Riyuan pinched his hand, and this problem was indeed annoying.

Now it seems that the answer is that Chen Jin is panicking. He has been hiding his medical history. Even if he admits that he has a high-risk bad life history, he still has half-covered it.

"I couldn't help it at that time, and I was curious and found an online person... I treated her as my girlfriend at that time." Chen Jin was still crying innocently at this moment.

Thinking about it now, no wonder I suffer from depression, it is really possible.

If you encounter such a thing, it is strange if you are not depressed.

Zhou Yewu looked at Yu Shiya. Yu Shiya opened her big eyes, like a hungry lamb, waiting for someone to explain to her why Chen Jin's HIV test was negative in the first few months.

If we calculate based on the time provided by Chen Jin to have sex with her girlfriend, it is logical that the hospital's HIV should be measured positive!

Chen Riyuan frowned, worried and seemed to be thinking about other things, but he didn't answer Yu Shiya's question for a while.

And Ma Dabo has always had a grudge against Yu Shiya, how could he teach?

Luo Bing said that she was powerless, and she was quite curious about this issue.

"Xiaowu, what do you think?" Luo Bing looked at Zhou Yewu at this moment.

Zhou Yewu thought for a while, and then expressed his guess: "The patient's first two HIV screenings were negative, and he didn't respond until the screening was 1 month ago. Here we may have to talk about the "window period" of HIV, which is the time before HIV infection in the human body and HIV antibodies, antigens or nucleic acids and other infection markers can be detected in the serum of the infected person."

"The window period given in clinical practice is 14-21 days. The latest national HIV diagnosis standard guidelines in 2019 show that the existing diagnostic technology detects HIV antibodies, antigens, and nucleic acids in about 3 weeks, 2 weeks, and 1 week respectively. According to the current testing methods, 6 weeks are basically excluded, and 3 months are almost completely excluded. Therefore, Chen Jin said that he was 1 year ago and online... the authenticity of the high-risk sexual behavior is questionable."

Zhou Yewu explained that if he explained this, it would indeed explain why the first two HIV screenings were negative.

But it cannot explain why Linping Hospital's latest HIV test is also negative...

Big head...

"Xiaowu, actually what you said is almost the same. We may have had a laboratory error again." Chen Riyuan came back to his senses and suddenly spoke.

His kind face and warm voice poured into the air like a spring breeze. Everyone felt refreshed after listening.

Yes, everyone in the entire department likes to listen to Chen Riyuan.
Chapter completed!