Great doctor starts with adding points

Most units, especially hospitals, attach great importance to academic qualifications. In fact, it is not just because highly educated talents have a higher average level of ability than those with relatively lower educational backgrounds.

Another point is that compared with a master's degree and an ordinary undergraduate student, the reserve resources possessed by the two people are completely different.

At present, the training mechanism for postgraduates in China is the tutor system.

As a master tutor, even if you don’t have your own division, there is also a division where the master is. This is a potential peer resource. As long as you don’t get too mixed up during your studies, you can have such a resource.

It is relatively easy for you to get advice or counseling, whether it is transferring patients to the top or encountering intractable diseases.

When Wu Xie encountered a problem, he would naturally not say that he would not communicate with his teacher and his brothers because of face. On the contrary, Wu Xie would communicate more diligently, ask more questions, and get more.

However, after Lin Hua moved in, Wu Xie just sent the corresponding case information to his teacher, and it seemed that it was not his teacher who replied to him!

Wu Xie didn't think about anything else, and opened the reply to this email first: "Hello, Doctor Wu, according to the case information you provided, it can be roughly summarized as follows: the patient has signs of hemiplegia after stroke, muscle atrophy of the right limb, limited mobility, Limb asymmetry."

"The muscle strength of the right upper and lower limbs was significantly weakened, unable to resist the doctor's resistance. The muscle tension on the right side increased, showing mild spasticity. The range of motion of the right upper and lower limbs was significantly limited, and normal activities could not be completed."

"According to your muscle strength test results, it shows: deltoid muscle strength level one, subscapularis muscle, supraspinatus muscle, teres minor muscle strength level one, right biceps muscle strength level two, triceps muscle strength two class.

"The muscle strength test results of the right lower extremity muscles are: rectus femoris muscle strength level two, quadriceps muscle strength level two, tibialis anterior muscle, long gastrocnemius muscle, short gastrocnemius muscle, gastrocnemius muscle, and Achilles tendon muscle strength test results are level two. "

"At present, the diagnosis that can be considered is spastic hemiplegia symptoms after stroke, and the symptoms of right upper limb paralysis are more serious. Combined with the head MRI scan you sent and the MRA results at the time of onset, it shows that the current recovery of the patient after stroke is relatively poor. Satisfactory situation."

"It is difficult to judge the follow-up prognosis and give a more detailed diagnosis and treatment plan based on the medical records alone. If it is convenient for you, we can communicate at any time, and we can learn from each other and improve the patient's rehabilitation and medication plan."

"Liu Xuezong-Department of Neurology. Wechat ID XXXXXX"

Wu Xie knew that this email was probably due to his teacher asking the professor of neurology through his own relationship, and then the other party replied directly to me.

After Wu Xie finished reading, he first sent a message to his teacher: Thank you, Master, Professor Liu has already replied to me, thank you for your hard work.

After this, Wu Xie chose to add Professor Liu Xuezong's WeChat account, and made a note at the same time.

The current time point is exactly in the afternoon and the weekend, so it is time to rest, so Wu Xie's request to add friends was approved.

Wu Xie hurriedly said hello first: "Hello, Professor Liu, I'm Wu Xie. Thank you Professor Liu for your reply. I may have to bother you more in the future."

Liu Xuezong, Wu Xie just knew it, but he was not familiar with it. He should have heard such a name during his previous internship.

Liu Xuezong was not very familiar with Wu Xie either, so he said: "Xiao Wu, you sent your teacher's case, and he directly forwarded it to me, and asked me to help you think of a way, but in fact, rehabilitation after stroke In such a state, it is very troublesome and difficult to improve muscle strength or symptoms.”

"I also heard from Professor Duan that you are currently in a township hospital. If this is the only condition, I would like to give you a sincere suggestion that you transfer the patient directly to a prefecture-level city, because only prefecture-level city hospitals have More professional equipment."

"It is also more conducive to the recovery of patients."

Liu Xuezong's speech is still relatively straightforward. He sent a voice message. Wu Xie listened to it one by one and listened to it again. After he didn't find any mistakes or omissions, he typed and replied: "Professor Liu, this patient was transferred from a higher-level hospital. He came back, probably for palliative treatment."

"Now living in our department, our director is worried that the patient's condition will worsen, and even emergencies such as recurrent cerebral infarction, myocardial infarction, etc., so I asked my teacher to see if there is a better way."

"I never thought of disturbing you, Professor Liu. I'm really sorry."

After Liu Xuezong read it, he said: "The chance of a stroke after a stroke is unavoidable no matter how much you use the medicine. But if the patient and family members are ready, transfer from the higher-level hospital to your hospital!"

"Then you just need to do some basic things well. If this kind of condition is rescued and actively treated in a prefecture-level city hospital from the beginning, then there is very little possibility of improvement."

"In terms of recurrence prevention, I can give you some advice. The main thing is that you should make regular adjustments to your medication based on the results of the reexamination blood draw, so as to avoid recurrence of cerebral infarction or excessive anticoagulation, and further cerebral hemorrhage... ..." After Liu Xuezong finished speaking, he sent Wu Xie an electronic version of the diagnosis and treatment plan in detail.

"This diagnosis and treatment plan is my own summary. Some preventive medication plans in clinical work, I hope it can be of some help to your diagnosis and treatment work." Liu Xuezong's reply was relatively formal.

After reading it, Wu Xie replied, "Thank you, Professor Liu."

However, after saying this, Wu Xie hesitated for a moment before asking again: "Professor Liu, is it really impossible for such a patient with hemiplegia after stroke to recover his muscle strength?"

"In fact, this is the case. This patient is currently receiving traditional Chinese medicine treatment. The old Chinese medicine doctor in our town said that he is quite sure that he can improve the patient's current muscle strength symptoms."

"I just want to know if there is such a precedent for students to communicate with patients and their families."

After Wu Xie said this, he found that the words "the other party is typing" kept flickering and disappearing on the chat page with Liu Xuezong.

After flickering for a while, three or four minutes passed: "Chinese medicine sometimes does have miraculous effects in the treatment of stroke sequelae, but it requires a deep knowledge of Chinese medicine, and then it is compatible with some modern medicine. It’s a very popular and reliable treatment.”

"Really? It's very difficult to meet such a Chinese medicine doctor now."

"Why would the patients in your department think of receiving Chinese medicine treatment?"

"If he wants to receive Chinese medicine treatment, he should go to the Chinese medicine department or a Chinese medicine clinic. You go to the consultation and cooperate?" Liu Xuezong's tone was obviously very embarrassing, and it was relatively cryptic.

"The thing is like this, Professor Liu, this is a person from our town, this old Chinese doctor Xiong Yao..."

Wu Xie sent Liu Xuezong the diagnosis and treatment of the patient Lin Hua and Lin Hua's special situation now.

However, Wu Xie just typed a line, and before the description of the second paragraph came out, Liu Xuezong called directly: "You just typed Dr. Xiong Yao! Are you sure you typed it correctly?"

"Go to Baidu and see if it's the first one there?" Liu Xuezong's voice was a little hurried.

"Huh? Professor Liu, what do you mean?" Wu Xie didn't really understand.

Just chatting, why do you need Baidu?

"Doctor Wu. Go to Baidu first, and see if the person in Baidu matches the person you know."

"Because if I remember correctly, when I had a meeting with my teacher, there was a Chinese medicine practitioner named Xiong Yao, who was one of the authors of the guidelines for the clinical diagnosis and treatment of stroke." The memory is relatively deep.