Patient: Description of condition (main symptoms, onset) Occasional distension or discomfort around the umbilicus, irregular stools and low fever for about five years, during which time he had a perianal abscess and an anal fistula. He went to Xiangya Annex III for painless gastroscopy and was diagnosed with Crohn’s disease, and was hospitalized there for 50 days in early July. Before admission, he had a high fever that would not go away and a very strong distension and pain in the right lower abdomen. After many examinations, it was found that there were pus and masses in the right lower abdomen, and later, through abdominal puncture and drainage, iodine reverse flow imaging, it was found that an enterocutaneous fistula had formed in the right lower abdomen. After 50 days of anti-inflammatory, antibacterial, parenteral nutrition and oral treatment with Mesalachin and Azathioprine, the condition was basically controlled and he was discharged with a tube, and on August 31, he went to Xiangya Annex I to have the tube removed. After returning home, he has been taking oral medication and his condition is getting better day by day. However, he had a low fever when he got a bit of wind and cold, and it went down after three to five days of anti-inflammatory injections. Recently, the fever has become more frequent, and once the fever was 40 degrees, and there was discomfort in the right lower abdomen, and the person had no energy. Professor: Is it effective to continue this treatment? Why do I get fever every few days? I would like to come to your hospital to see you in person, what documents do I need to bring and when is the best time to come? I’ve had regular blood tests, but they are basically normal, and my liver and kidneys are normal. General surgery Zhu Weiming: You should come to Nanjing to show me, in addition to the laboratory results, it is better to bring the film and abdominal CT. If the fistula never grows, surgery should be considered. Patient: Professor Zhu: Hello! I was scheduled to see your specialist on November 10, and you had something. Are you sure you will be available next Tuesday? Also, I have a fever that I can’t control, and I was on my way to your hospital for more than 20 hours, can I use any medicine to control it? If I don’t do anything, it could reach 40 degrees. Zhu Weiming, General Surgery: I will be here next Tuesday (the 17th), but I will not be here on the following Tuesday (the 24th). You can control the temperature with prednisone on the way here. Since the condition is so serious, bring more money, it is estimated to be about 50,000 Patients: Professor Zhu: Hello! My loved one has taken a ride to Nanjing. I heard that there are only 5 numbers for you on Tuesday, so I’m very nervous. What if I can’t get in? I have to wait for another half month? His body can’t take it! I’m begging you, he’s traveled more than 20 hours to come here, you must make time for my love to see you! I beg you! Patient: Dr. Zhu: I waited for a few days in Nanjing, but never got any news about a bed. I went home. In the past ten days, the condition has worsened, and after taking an ultrasound, a mass has formed again on the right side of the lumbar muscle, and there is an obvious protrusion on the surface of the abdomen, which is getting bigger every day, red, soft to the touch, and filled with pus. Repeated fever. The situation is urgent, please help Professor Zhu, when you have a bed there, how to find your student Dr. Xie ah? She remembered my phone number last time and said she would notify me if there was a bed available, but no news so far, Professor Zhu, please, tell me how! Patient: Because of the critical condition, I went to the provincial hospital, and the hospital said to open the abdomen first to drain the pus, and then open the abdomen to cut the diseased intestine after the pus is drained and the infection is controlled. I think you have a better way, do you have to open the abdomen twice? Urgent! Urgent! I am waiting for your reply so that I can make a decision. If you have a better solution, I will transfer to your hospital immediately. Patient: Dear Professor Zhu: Hello! I had a consultation in Nanjing on November 17, and you gave me great confidence in overcoming my disease, thank you very much! I look forward to getting rid of my disease under your treatment. I am very grateful for your kindness in my life! Kneel down to salute! Patient: Dear Professor Zhu: Hello! During my last consultation in Nanjing, I left my phone number with Dr. Xie due to my negligence and I did not leave Dr. Xie’s phone number. So far there is no news of an empty bed for hospitalization. My condition is serious and I am now hospitalized in Xiangya Hospital for surgery to drain the pus. Some hospital professors said that you are the top expert in Crohn’s disease treatment in China and some patients were transferred to Nanjing and recovered after your treatment. My cousin’s supervisor in the graduate school of China Pharmaceutical University, Professor Fang Huisheng, said you are a famous scholar and a first-class surgeon with great strength. Professor Fang’s mentor, Director Rui Jianzhong (a pharmacist in the Clinical Pharmacology Department of the Nanjing Military General Hospital), introduced you as the hospital’s first knife in surgery. It seems that I am saved! Professor Zhu, every time I see you on the Internet, you write back to patients from all over the country at midnight, you work too hard and are too kind. As the old saying goes, “If you’re not a good doctor, you’re a good doctor.” You are the one who made me understand the true meaning of it! I am a key teacher in the school, has been on leave for more than half a year, the school and students want me to return to school early, how I also look forward to return to my beloved three-foot podium! Hey, Chinese people have a foreign disease. But I firmly believe that Chinese people will be able to overcome it. Here’s to good fortune and peace! I’m really sorry, I’ve been busy lately, I didn’t read your reply in time, how about this, you come to see me directly in Ward 37, I will arrange for you to stay. Patient: Dear Director Zhu: First of all, let me salute you and all the medical staff in Ward 37! Since I was discharged from the Southern General Hospital on the 11th of last month, my health condition has been improving day by day and I am now relaxed physically and mentally. It is you, Dr. Huang and Dr. Xie who have made me feel the happiness of enjoying the “miracle hand”, and it is your exquisite medical skills that made me regenerate from the ground up! As the new year is coming, I would like to wish you and Dr. Huang and Dr. Xie an early New Year: I wish you all the best in the new year, and I hope you will have a successful career and a happy family!