Sleepless Doctor
Chapter 665: Out-of-hospital consultation
Xue Chunhe smiled bitterly.
They all left the Second Hospital and came to Jianxie Hospital, but there was a habit of calling Matthew De if there was any emergency.
When the director of medical affairs reaches this level, it can also be said that he is so powerful that he can't accept it.
I don't know what happened again.
...
...
Zhou Guohui had a very happy life in Jianxie Hospital recently.
Fortune and misfortune depend on each other. The old saying is true. Sometimes Zhou Guohui can't help thinking like this.
If it weren't for the online consultation, I was afraid that I would never leave the imperial capital for the rest of my life. Unexpectedly, coming to a place like Bajingzi, there is no cave in the sky, turning a new page in life.
Recently, the medical malpractice judgment is still going through procedures. This is the main premise that the child is fine. When he calms down, Zhou Guohui also knows that if the Health Company is not willing to help him bear part of the responsibility, he is certain to spend hundreds of thousands of dollars to lose money.
But the revocation of the doctor’s license is a bit of a joke. This incident itself did not delay the diagnosis and treatment of the patient. Thanks to my usual care, otherwise, if I delay for a few days, the consequences will be disastrous.
If a child has organ failure, the severity of the matter and the present are two concepts.
The family affairs are handed over to the buddies in the medical office. Zhou Guohui studies the diagnosis and treatment of Alzheimer's disease every day at Jianxie Hospital and has quite experience.
Zhou Guohui himself is a first-class neurology expert in China. He has been in medicine for more than 20 years. He has rich experience and level, and he is not old enough. It is the golden time for a doctor.
It was really lucky to meet Wu Mian at this time, Zhou Guohui thought so.
Everyone is very busy. The business structure of Jianxie Hospital is different from that of ordinary hospitals.
The Department of Circulatory Medicine and Cardiothoracic Surgery merge into one treatment unit, mainly for minimally invasive treatment of diseases such as the mitral valve.
Zhou Guohui looked at it from a distance, and he knew in his heart that the mitral valve is now the main focus. In the near future, he must perform tricuspid valve, aortic valve, pulmonary valve, and even other unexpected heart operations.
Who knows what Wu Mian would think.
Another large treatment unit is neurology.
Wu Mian also did not stick to the domestic medical model. He merged neurology and neurosurgery into one ward, mainly treating Alzheimer's disease.
The progress in this area is relatively slow, mainly because Zhou Guohui has not come into contact with it before. He couldn't master a new and improved surgical procedure like Li Zhong and Gao Boxiang did after days and nights of surgical training.
But it doesn't matter, Zhou Guohui has basically mastered this technique after a period of study.
After all, with Wu Mian by his side, just ran to him and asked him if he didn't understand.
Wu Mian's answers are profound and simple, and can always solve Zhou Guohui's doubts in the simplest way.
The days passed day by day, and it was already mid-October.
Originally planned to come to Jianxie Hospital to relax and take a paid personal leave, but did not expect to come here to work.
After a period of time, with the mediation of the relevant lawyers from the Medical Department of the Imperial Capital Hospital, the issue of compensation has been decided, and 750,000 patients will be compensated.
Zhou Guohui didn't even have time to feel sorry for the money. He also forgot to go back. He went through the formalities for further training and stayed at Jianxie Hospital.
Every day's busy schedule made Zhou Guohui forget the troubles of trivial matters. He seemed to have become a little doctor who just entered the clinic, desperately absorbing all the knowledge he didn't understand.
Recently, Mr. Wu is undergoing a cortical resection. Even neurologists are interested in such a large operation. Zhou Guohui was discussing the complications of the operation with friends in the imperial capital, and his mobile phone rang. After a glance, it was Wu Mian calling.
"Hello, Teacher Wu." Zhou Guohui answered the phone.
"Director Zhou, the Second Hospital of Medical University requested an out-of-hospital consultation." Wu Mian said calmly, "Are you busy with this?"
"I am seeing a patient." Zhou Guohui said, "I will rush over immediately. Teacher Wu, who should I contact?"
He was from the imperial capital, and his eyes on the provincial capital were basically blackened, and he didn't know anyone.
"The Horse Academy will take you there." Wu Mian said, "I have something to do. I will rush over in a few hours."
"You are busy with you, by the way, Teacher Wu, what patient?" Zhou Guohui asked.
"It is said that it was a 21-year-old patient with ischemic stroke. I didn't understand it at the end. The patient was relatively young and the second hospital did not dare to delay. Please consult with experts from the province."
What Wu Mian said was relatively simple, but Zhou Guohui had a headache.
After hanging up the phone, he thought about it carefully. He was 21 years old, and he was speechless at this age alone.
The younger the stroke is, the more difficult it is. This is Zhou Guohui's work experience. Just like a tumor, the younger you get, the heavier you are.
I was 21 years old, when my body was at its best, how could I have an ischemic stroke?
Ischemic stroke is the general term for brain tissue necrosis caused by the stenosis or occlusion of the blood supply arteries of the brain, such as carotid and vertebral arteries, and insufficient blood supply to the brain.
This disease is divided into four subtypes, transient ischemic attack; reversible neurological dysfunction; progressive stroke; and complete stroke.
Except for the first type, others may be accompanied by the presence of cerebral infarction.
Zhou Guohui does not think that ischemia caused by simple carotid and vertebral artery stenosis. After all, no matter how remote Montenegro is, it is also a province. The level of doctors in the provincial capital cannot be so low that even cerebral ischemia does not check the neck B ultrasound~www.wuxiaspot.com~years old...This age again makes Zhou Guohui feel a little bit. Headache.
While searching for similar cases from his decades of experience, he contacted Dean Matthew De.
After getting in the car 15 minutes later, Zhou Guohui asked, "Ma Yuan, do you have the patient's information?"
"Director Zhou, I asked which side I wanted." Matthew De said, "but that side seems to be busy with rescue, and the medical records have not been sent."
"..." Zhou Guohui can only rely on guessing temporarily.
“At that time, Director Song Yabin told me a simple medical history. The patient presented with sudden dysarthria, mild left limb weakness, and ataxia. The patient’s NIHSS score was 6 when he was admitted to the hospital.” Matthew De tried his best. Tell what you know.
"Yeah." Zhou Guohui nodded.
"Director Zhou, this patient is too young. How do you think about it?" Matthew De asked.
"Is the dysarthria okay?" Zhou Guohui asked.
"After a period of treatment, the patient's condition has improved." Matthew De said, "I went through the discharge procedure today. It is said that he fainted during the settlement and is undergoing rescue."
"..." Zhou Guohui was speechless.
Generally speaking, patients with dysarthria are classified as complete strokes.
The patient suddenly developed moderate or above localized neurological dysfunction, and the development of the disease reached a peak within 6 hours. Later, the neurological dysfunction will exist for a long time and rarely recover.
The main manifestations are hemiplegia, hemianopia, aphasia, sensory disturbance, and often consciousness disturbance.
If you have dysarthria, you can get better, which means you don’t have to think about what it means. However, an accident happened when he was discharged from the hospital, which proved that the treatment of the Second Hospital of Medical University was ineffective, and they did not find the real cause of the disease at all.
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