Rebirth of Medicine Practices the World

"Three of you, please introduce yourselves first, starting with Dr. Zhang Xing." Ding Feng began to demonstrate her on-site control capabilities.

"My name is Zhang Xing. I graduated from Xijiang Medical University with a Ph.D. and now work in the Neurology Department of Xijiang Provincial People's Hospital." Zhang Xing kept talking, talking about the topics he has done, the SCI-level articles he has published, and the achievements he has obtained.

The scientific research funding was discussed in great detail, but there was no description of the clinical work.

Ding Feng may not understand, but Dong Huayu still understands scientific research. In Dong Huayu's view, many of what Zhang Xing said are false and of little value. The so-called sci papers also have low scores.

It’s worth it, but no one paid attention to it, let alone quoted articles.

As soon as Zhang Xing finished speaking, Ye Xiu walked in. Although Ye Xiu was wearing a white coat, her beautiful face and good figure had been deeply engraved in Huang Rui's mind.

Seeing Ye Xiu, Huang Rui opened his mouth wide and was speechless for a long time. What a coincidence, how could he meet her here?

Zhang Xing did not recognize Ye Xiu. At that time, he was teasing the tour guide vigorously. Who could care about Ye Xiu and Lin Lin? After receiving a beating from Lin Lin, they were already scared. Lin Lin's car had just left.

, they fled away.

"Let me introduce, this is Ye Xiu, the deputy director of our hospital, deputy director Ye." Dong Huayu introduced Ye Xiu to the three people.

"Uh... I would like to ask Dean Ye, is your dean also an expert in neurology?" Huang Rui has already seen the clues.

"Yes, he is a recognized authority in the field of neurology in Nanjiang Province. Originally, he wanted to come over because he was too busy with work, so he asked me to come over and have a look." Ye Xiu also recognized them and gave them a compliment.

lie.

Dong Huayu briefly reported the situation to Ye Xiu. Ye Xiu nodded and said, "Go on."

"My name is Deng Min. I also graduated from Xijiang Medical University and have been working in clinical practice for three years. I'm really sorry. I thought I was okay at first. When I got the test paper, I realized that my level was still very poor. To all the leaders and

The teacher is causing trouble." Deng Min is very self-aware.

"I admire Dr. Deng's attitude very much. If you don't understand, you don't understand. Don't pretend to understand. This is what our President Lin often says. This is what President Lin usually asks of us."

"I would like to ask Dr. Deng, have you participated in the rotation of the internal medicine system in the hospital?" Ding Feng's question has her purpose.

"Yes, I participated in the rotation for one year, and I have been to all internal medicine systems."

"How much do you think your hospital attaches importance to this kind of rotation? Do all doctors participate?"

"The hospital attaches great importance to it. After rotating through each department, you must take an exam before leaving the department. Only after passing the exam can you leave the department. However, this is only for our undergraduates and master's students. For doctoral students, rotation is not required.

."

"Dean Ye, do you have anything to ask?" Dong Huayu asked Ye Xiu.

"No, I represent Dean Lin. Come here and listen. You can continue." Ye Xiu decided not to participate in the assessment process.

"Dr. Zhang, please talk about the diagnosis of the patient you just saw, including local diagnosis, qualitative diagnosis, the examinations you think need to be done, and the treatment plan to be used. Please leave the department temporarily and do the same.

Get ready." Dong Huayu stopped talking and went straight to the core content.

"This patient is very young, only 42 years old. He underwent a painless gastrointestinal endoscopy. After the anesthesia expired and he woke up, he found that his right limb was weak and his speech was unclear."

"The patient has no history of hypertension or diabetes. According to the patient, his gastrointestinal endoscopy results were normal."

"After the onset of the disease, the patient's condition improved rapidly after treatment. From being unable to move his right limb when he was found to be paralyzed, to now he can drag and walk. The treatment effect is very ideal."

"The physical examination revealed that the patient had central facial and tongue paralysis on the right side and paresis of the limbs, and positive pathological signs on the right side. No abnormalities were found in the cardiopulmonary examination."

"My localization diagnosis of this patient is 'damage to the left basal ganglia', and the qualitative diagnosis is 'cerebral embolism'. The cause of cerebral embolism should be related to the heart, such as embolism caused by atrial fibrillation causing the embolus to break off."

"For the next step of examination, I think it is necessary to dynamically monitor the patient's electrocardiogram changes. For treatment, it is best to use anticoagulants."

Zhang Xing's analysis seems reasonable and reasonable. It seems that they are all well prepared and are not freeloaders. If it weren't for his bad conduct, maybe Lin Lin would keep him and train him well.

"What do you think you need to pay attention to if you want to use anticoagulant treatment? What is the course of treatment?" Ding Feng asked.

"When performing anticoagulation therapy, four items of coagulation must be closely monitored, with special attention being paid to the inr data, and try to keep it at 1.5 to 2 times the normal value."

"If it is determined to be atrial fibrillation, long-term medication should be taken for treatment." Zhang Xing seemed to be specially prepared for this.

"If I tell you that we checked the 24-hour dynamic electrocardiogram twice, the results showed normal. What do you think of this result? Do you still insist on such treatment?"

"Atrial fibrillation may not occur frequently. Perhaps gastrointestinal endoscopy is an inducement. If so, anticoagulation therapy can be stopped and observed closely."

"Aren't you worried that if the medication is stopped, the patient will suddenly relapse?"

"This is an unexpected incident, and there is no point in worrying about it."

"Well, okay, please go and ask Dr. Deng Min to come in." Ding Feng didn't want to ask anymore.

Deng Min's analysis is not far different from Zhang Xing's, and there is nothing new. However, this at least shows that his basic skills are still good.

Huang Rui has his own unique opinion. After explaining the patient's medical history, physical signs, treatment response characteristics and local diagnosis, Huang Rui said: "The patient became ill after general anesthesia. After the onset of the disease, after timely treatment by the teachers,

The treatment was very effective.”

"The key thing is that the patient did not have any discomfort before the gastrointestinal endoscopy, and there was no abnormality in the preoperative examination. The patient had never had a history of precordial discomfort. During the physical examination, I listened to it for nearly two minutes.

The patient's heartbeat is normal and there is no arrhythmia."

"So, I believe that the patient's qualitative diagnosis should be related to general anesthesia. It is the decrease in the patient's blood pressure caused by anesthesia, which leads to the patient's watershed infarction."

"If discovered in time, blood pressure can be raised quickly, blood volume can be increased, and blood supply can be improved, the patient's condition can be restored quickly."

"What would you do if Dr. Huang came into contact with this patient for the first time?" Ding Feng was very interested in Huang Rui.