Chapter 1205: trust

   Chapter 1205 Trust
"Patient, female, 22 years old, conscientious... Stunted growth and poor nutrition. On February 14, she presented to the Department of Obstetrics and Gynecology of our hospital with nausea, vomiting, abdominal pain, and abdominal distension. The Department of Obstetrics and Gynecology improved relevant examinations and various physical examinations. No obvious abnormalities were seen afterwards, so the Gastroenterology Department of our hospital was invited for consultation.
After consultation with the chief physician of the Department of Gastroenterology in our hospital, the patient's symptoms improved after antispasmodic and gastrointestinal motility drugs were given to the patient. However, on February 16th, the patient's above symptoms worsened and the patient was given antispasmodic and gastrointestinal motility drugs again. No obvious improvement.
  Therefore, after the patient was transferred to the gastroenterology department, he underwent colonoscopy and gastroscopy. Colonoscopy showed that there was obvious purulent mucus in the patient's intestines. Intestinal infection should be considered. After the administration of anti-infective drugs on the same day, the patient did not see any significant improvement.
  Therefore, after tertiary diagnosis and treatment, the Gastroenterology Department decided to apply for consultation in the whole hospital. After reporting to the dean, the dean agreed and the approving person was Dean Zhang Fan! "
  Once Old Chen picked up the microphone, he began to talk about the patient’s main complaint, as well as the diagnosis and treatment process, and the experts at the scene already had copies of the medical records and examinations in their hands.
  But with the examinations and medical records in everyone's hands, the experts have already begun to think about the diagnosis in their own minds according to their own disciplines.
  Ouyang looked at the report in her hand and put it down. In the past few years, the old lady has not been thinking about the personnel structure of the hospital, or fighting with the contractors on the construction site. The professional, especially the cross-professional cases can no longer keep up.
  "Have you seen this kind of case? Have you communicated with you before?"
   "No!" Zhang Fan said softly while looking at the case.
  Ouyang took a breath, his teeth creaked. "You are too careless. If you don't come to Taiwan today, you might be ashamed to be thrown to the capital!"
  Ouyang that worried. After reading the case, Zhang Fan smiled at Ouyang, "It's okay!"
  After that, I looked at the experts in the conference, and put down the cases in their hands. "Everyone has seen the case, ok, now everyone talks about it. Since it was first collected from the obstetrics and gynecology department, let me talk about it first."
  Zhang Fan nodded to several experts in obstetrics and gynecology.
The director of the Obstetrics and Gynecology Department said a little to Lu Shuyan, and Lu Shuyan stood up.
"After the patient was admitted to the hospital, our department first determined that the patient was in a non-pregnant period." Many people were particularly curious when they were examined in the hospital. Girls were admitted to the hospital at the age of childbearing, whether they were greasy general surgeons or stout orthopedic doctors. Anyway, after asking where you are uncomfortable, you will be asked whether you are married or not, and your menstruation is normal and abnormal.
  It seems like a parent who urges marriage during the Chinese New Year. In fact, this is a medical regulation. Women of school age must ask if they are pregnant, because many examinations and drugs are definitely not allowed during pregnancy.
  
Although the patient’s menstruation is intermittent at present, various data show that the patient’s irregular menstruation is not the direct cause of abdominal pain and bloating and nausea, but the patient’s abdominal pain and bloating affects the patient’s gynecological system..."
  Lu Shuyan can be considered as a practice, and the physical signs of each patient are explained in great detail. The head of the gynecology department nodded in satisfaction.
  If Zhang Fan is Ouyang’s heart, then Lu Shuyan is now the prince of gynecology. At present, Lu Shuyan is an assistant to the director. Although he does not have the title of deputy director, the current scheduling, business learning, and emergency surgery of the department are all in charge of others.
   "This elder sister is so handsome and cold!" A few single dogs among the interns secretly thought.
  After the introduction of gynecology, the introduction of gastroenterology.
  ……
After the various departments finished speaking, the experts began: "Although I did not see the patient number, I think we can continue to observe. The three rounds a day can be divided into two-hour rounds, and they will always meet before she becomes ill. The clues were found after the onset of illness."
Experts from   Maruko Country gave their opinions. In Maruko Country, the number of doctor tubes is small. Therefore, they are more focused on clinical observation.
  "Infectious white pus was found in the intestine. Although the specific cause of the infection cannot be determined at present, we can confirm the diagnosis by laparotomy."
  Zhao Jingjin zooms in.
   "No, the patient's current nutritional status obviously does not support surgery. Moreover, at present, the patient's focus is not on the small amount of infectious fluid secreted from the intestines, but on what caused her obvious nausea and vomiting."
   Yan Xiaoyu opposes exploratory laparotomy.
  This is the biggest difference between internal medicine and surgery. Surgery is simple and rough. Internal medicine pays attention to mechanism and principle.
  Internal medicine cannot convince surgery, and surgery cannot convince internal medicine.
   "Well, based on your current suggestions, my opinion is that we will conduct a systematic physical examination again."
   "Okay, I agree!"
"I agree!"
  ……
   "Hey, there is still no one who has the final word. If this disease is in our affiliated hospital, it is estimated that the head of the gastroenterology department can see it at a glance."
"I don't think it's necessary. I saw this disease number yesterday, and I didn't have any clues, that is, occasionally nausea and vomiting irregularly. My first reaction was pregnancy. After excluding pregnancy, I never thought she had any disease. All inspections are normal!"
  A few students got together and were discussing.
  Comprehensive therapy is now becoming more and more popular in the world. However, the cost is too high. Some hospitals in China have also established outpatient clinics and wards as comprehensive departments, but the effect is really nonsense.
  If the comprehensive diagnosis and treatment are combined occasionally, the effect is quite powerful. But once it becomes a normal department, it's troublesome. Either a group of general doctors in their disciplines hang out together, or a group of big quarrels every day.
  Currently, comprehensive diagnosis and treatment is relatively good, which means that it is slightly better in pediatrics, and the development of comprehensive diagnosis and treatment in other disciplines is just like that.
  "Okay, the general direction has been determined at present, that is, the gastrointestinal motility is insufficient. Then we will come to a consultation in various departments. Dean Chen, you will arrange a teaching classroom to explain to the patient's family, and we will ask the experts on the spot for physical examination."
   "It's ready, and the family has agreed." Old Chen was ready for a long time. With this kind of work attitude, people can become tens of thousands of young people. There is definitely a way for them.
  In the large teaching classroom, the patient is lying on the diagnosis and treatment bed accompanied by a nurse.
   Although the girl is in her early twenties, her height, weight, and development seem to be a teenage child.
  The girl was scared at first, but now she is watching dozens of people around her, and there are also a group of young guys who look so young, which makes the girl both scared and shy.
  To be honest, the patients in Huaguo are really good. If this is abroad, the patients will ask that I have privacy and cannot let so many doctors come.
  And this little girl, although shy and a little scared, she still took off her gown very strongly, revealing her white abdomen and chest.
  Zhang Fan looked at the girl's body, and was deeply moved in his heart. It is estimated that this disease has tortured the girl for a long time.
  Because this girl is a little more delicate, she looks obviously like a baby, and her are not as developed as some fat people.
  The physical examination begins.
  "Let me come, everyone!" Zhang Fan originally wanted to show all the experts to the interns, but when he saw the patient shivering and shivering where he was hiding, he suddenly said something.
   "Don't be afraid, we are all doctors. We will find the cause of your disease and make you healthy." Zhang Fan said softly.
  The girl seemed to be particularly believing, biting her lip and nodding gently, her tight muscles also relaxed.
   "Okay, curl up your legs, yes, that's it!"
  Physical examination begins...
  (End of this chapter)