Chapter 147: Controversy

Ok, this method is good... let’s argue, to determine the attribution of this patient and the subject!" Hearing Zhang Reid’s proposal, the Dean Ou next to him was also frowned. Naturally there is nothing to say, saving a lot of troubles in my own house, and now I can't help but smile and nod and agree. The Vice President Qian and Minister Sun next to me heard the words of President Ou and couldn't help but sigh. So, it seemed that the decision was made in this way. I was afraid that the emergency department was almost defeated this time. I sighed: "Lao Qu, this is not because we don’t help you. It really can only come to this point. If you are If you lose, you can’t do anything. "Looking at Zhang Reed's complacent appearance, Director Qu sighed. Since the matter is here, then there is no need to say more. Debate on the debate." It seems that we can only do our best if everything is wrong, We can only admit it... Thinking of this, I turned around and looked at the people behind me, looking at them as a haze, and could not help but smiled, and they encouraged Wu Yue Xu Ze: "Since Zhang The director proposed a debate, so although our emergency department is not as strong as the internal medicine department, it has a lot of staff and strong qualifications, but we can only do it...Everyone fights hard and learns and learns from the seniors..." Hearing that Qu is so right. Encouragement, but insinuating himself and others to bully the young, Zhang Reid and the Director of Internal Medicine couldn't help but blush old, and coughed twice, concealing the embarrassment of his heart, Vice President Qian and Minister Sun, at this time, it was also disdainful, indeed... four old doctor-level old guys, and one chief physician, two attending physicians, plus two general doctors, oh... there is also a round without a license The doctors debated... It’s really because of their good intentions that the obvious battle bully... But Zhang Reid can be mixed with the director of large internal medicine, naturally he has a thick face, and he is willing to continue to let Qu continue to sarcasm, and he coughed now. Tao: "Well...Since no one is against it, let's start now!"
A round doctor who didn’t even have a certificate... It’s really because of their good intentions that the obvious battle is deceiving... But Zhang Reid can be mixed with the director of large internal medicine, naturally he has a thick face and a hard face. Where can he continue to let Qu continue to satire Then, he coughed and said: "Okay...Since no one is against it, let's start now!" After all, he looked at Director Qu who had a bad look, and smiled and said, "Director Qu, since You have been in charge of this patient with Guillain-Barre syndrome, and it was the first one diagnosed with this disease. It must be very clear about this disease, so let’s ask first, do you explain? Then we can do the reverse. Everyone has their own strengths and weaknesses. How about it?" Director Qu is now ready to lose. Hearing Zhang Reid's words, he grumbled: " It doesn't matter, anyway, no matter how you come, our old and young people in the emergency department will continue...\""Okay... Then we will raise a debate issue!" Zhang Reid was ridiculed, but his face was also Slightly reddened, and after saying the beginning, he turned his head and nodded to Li Huaming, the director of neurology who was not far behind him. "Everyone knows that Guillain-Barre syndrome is caused by infection, so is there any other cause of it? Is there a prone season! Its pathology-what is it?" Li Huaming asked with a chuckle. Hearing Li Huaming’s question, everyone in the emergency department frowned. This problem is indeed a bit difficult. This kind of Guillain-Barre syndrome has just appeared in the National Medical Journal. The specific information is not very detailed, and the emergency department is also very detailed. Only two days after the first case, it was so clear where the boat was enough to analyze.
However, Director Qu, as an experienced chief physician, heard this question. Although he was a little angry, he was not afraid. After all, he had carefully analyzed the case for two days, and he also checked a lot of information in these two days. Under the combination of hatchbacks, some things were found, but there was no real basis, but they did not come up with it. After a moment of deep meditation, he said with a deep voice: "Guillain-Barre syndrome is a newly discovered disease. At present, the main cause is the delayed allergic reaction caused by a history of non-specific infection before the onset. Immune diseases, the main lesion is extensive inflammation of the peripheral nerves. Most of them are history of upper respiratory tract infection 1 to 4 weeks before the onset of disease. According to this situation, generally the disease can occur in all seasons; and country A has only recently discovered the disease, It means that there must be more cases of the disease in the near future to show a certain specificity to determine the emergence of this new disease, so I think it should be more in summer and autumn. Hearing the analysis of Director Qu, everyone listened He nodded frequently, thinking that the analysis was reasonable, but Wu Yue and others were also relieved, saying: "The director is the director... Sure enough, we have more experience than us, so we can analyze it. "Xu Ze nodded secretly at the moment, admiring Director Qu very much, and what he analyzed was not far from the conceptual knowledge he had learned from the knife... It was only one or two difference.
At the moment, Li Huaming's eyes flashed with admiration, but he continued to laugh and said, "On this question, does Qu Director and colleagues in the emergency department have anything to add?" Qu Director frowned and carefully. After thinking for a while, I finally shook my head and said, "No, according to the current data, I can only analyze these..." And Wu Yue and others also shook their heads in succession. Director Qu has analyzed so detailedly. If there is any new opinion, Xu Ze is still indifferent at the moment, looking at it with a light smile. "Well, Director Qu is really experienced and able to analyze so many..." Seeing everyone shook their heads, Li Huaming laughed, but then laughed complacently: "For this, I have some supplements..." Li Huaming said so complacently , Director Qu’s eyes flickered, and there was a hint of haze on his face. The internal medicine really had a buzz ÷, and there were supplements... "As Director Qu said, Guillain-Barre syndrome is a kind of For late-onset allergic immune diseases, in addition to non-specific infections, there is also a very obvious possibility, that is, vaccination...""Vaccination?" Hearing this, Director Qu was surprised, and then But he smiled bitterly. I analyzed so much, but I forgot this item. Hey... It's a pity... And Xu Ze was stunned at this time, and then he sighed. This star is attached to the top of the national ranking. Five hospitals, as they lie in the tiger and hide the dragon, he even analyzed this point. Wu Yue and others, after hearing this, were all stunned, and their faces looked dull. But it was only a little bit, and the result was still lost... Dean Ou heard the doctors under his own at this time. The analysis was an umbrella, and one was stronger than the other. It was also happy and nodded. "Okay, the first question Internal medicine wins, the next question is from the emergency department..."I just lost a question, but this question can’t be lost. Director Qu took a deep breath and thought about it a little bit. The patient is the first case in our hospital, only the people in our emergency department have contacted, then some minor physical changes, this internal medicine is always a bit unclear'''
Then he smiled and said: "Since we have already talked about the etiology and principle just now, let's talk about the symptoms and signs of Guillain-Barre syndrome... Hear Director Qu's question, Li Huaming and Zhang Li The Germans glanced at each other with a smug smile, and then nodded to Li Qijiang, the general medical director next to him. Li Qijiang smiled and nodded toward Director Qu, saying: "Since Director Qu is asking questions, then I Just come and answer, and ask Director Qu for advice!" Seeing Li Qijiang's self-confident and casual appearance, Director Qu's heart was a "chuck". Could it be that they even figured out this in great detail? "Green Barry The clinical characteristics of the syndrome are infectious diseases (three weeks of sudden severe nerve root pain, mostly neck, shoulder, waist and lower extremities), acute progressive symmetric limb paralysis, subjective sensory dysfunction, weakened or disappeared tendon reflex Main symptoms. "The specific manifestation is dyskinesia: limbs and trunk muscular paralysis is the main symptom of this disease." Generally starting from the lower limbs, it gradually spreads to the trunk muscles, upper limbs and cranial nerves, which can be from one side to the other. Paralysis is generally heavier at the proximal end than at the distal end, and muscle tone is low. Such as breathing, swallowing and pronunciation are involved, it can cause spontaneous respiratory paralysis, difficulty swallowing and pronunciation and life-threatening. 2) Sensory disturbance: It is generally lighter, mostly with slight superficial sensory disturbance. 3) Reflex disorder: The tendon reflex in the extremities mostly weakens or disappears. "At this point, Li Qijiang looked at Director Qu with a light smile, and said with a smile: "Director Qu, do you see any supplements? "I heard Li Qijiang finished. Director Qu was somber and dripping at this time, because what Li Qijiang said was all groped out by the emergency department in the past two days, and it was exactly the same...it seemed like it was first imagined In that way, they really have already figured out the cards in their hands. No wonder they are so confident that they stab themselves with this knife... Our emergency department is really planted this time. The gloomy expression, and the appearance of the emergency doctors behind him were down, but everyone in the internal medicine department now understood that the emergency department really had no resistance to this long-term blow by themselves and others. This time I'm afraid they will admit defeat soon. When I look at the director Qu and others with pride~EbookFREE.me~ then Li Qijiang also smiled at the director Qu and asked, "Is there any supplement to Director Qu?" ?
Director Qu raised his head, looked at the internal medicine people, and shook his head expressionlessly. Seeing that Director Qu shook his head, Li Qijiang secretly rejoiced, secretly saying that we have already won two, and the emergency department has no power to turn over now? Symbolically, I asked Wu Yue and others, and after seeing the four doctors shook their heads, they couldn't help laughing, and said, "Director Qu, if you don't add anything, then the emergency department will already be Two questions, this debate does not need to continue anymore!" Director Qu sighed softly, knowing that today he was only afraid of turning over and hopeless, but he was looking at the roof, but he didn't speak. Seeing the helplessness of Director Qu, Zhang Lid laughed: "Since Director Qu hasn't added anything, then our internal medicine will be the winner...According to the pre-determination, this patient and subject belong to our internal medicine!" The dean and Minister Sun glanced at each other, but then they sighed too. The old fritters from the internal medicine department were so powerful that the emergency department really lost. Dean Ou also thought that the overall situation had been decided, and he planned to speak. Who knew that behind the doctors in the emergency department, there was a clear voice: "Sorry, can I add a few points?" PS: Finally at two points I went out to this chapter, although I have already surpassed the 16th place, but the monthly tickets behind are very fierce. Please vote for more monthly tickets, as long as you are not particularly busy, Tiannan must have more today! Of course, the premise is that No less than Zhang yesterday. \"If there are a lot of monthly tickets, Tian Nan ah. I’m also out of the fight, add as needed! Give Tian Nan some encouragement and give yourself a little pressure-thank you\"