Chapter 220: You are the hot potato
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Super Doctor
- 叶天南
- 2341 characters
- 2021-03-03 02:47:25
He heard Li Huaming say he would transfer this patient to the Department of Respiratory Medicine. Qian Zhixun thought about it, but agreed. After all, the dizziness of this patient has obviously improved, and now it is mainly cough-based, so it should be transferred to his own department. Now I plan to nod.
Seeing that Qian Zhixun seemed to have agreed to transfer the patient to the Department of Respiratory Medicine in the Department of Neurology, Xu Ze was a little anxious. If he really wanted to transfer it, the patient would be dead, and the Department of Respiratory Medicine might just be annoying. The last trouble.
But now I can't take care of anything, and quickly said: "Director Qian, Director Li, I still have some questions about this patient. I want to confirm... I don't want to transfer to the department first..."
"Huh?" Hearing Xu Ze's sudden words to stop, Qian Zhixun was a little displeased. Our two directors spoke to make a decision. What was your Xu Ze's mouth at this time?
At this time, not only Qian Zhixun frowned, but also the other two doctors showed very unpleasant colors on their faces. They stared at Xu Ze, secretly saying that this kid was really arrogant enough. The two directors talked to discuss things, why did you kid not understand the height so much, dare to intervene indiscriminately to question...
The three were very displeased, but there was no surprise on Li Huaming's face. He had learned Xu Ze's temperament last time. Xu Ze, the kid, even dared to take the lead, let alone wait for himself. It's human; but this kid usually doesn't speak indiscriminately, and the things he says generally have some truth, so Li Huaming has no words, waiting to see Qian Zhixun's reaction.
Qian Zhixun frowned and turned to look at Xu Ze, looking at him with a focus on his face, but it was a little surprised, secretly: "This Xu Ze does not seem to be a person who doesn't know the weight, why did he say something to stop at this time? Transfer?"
And listen to what he said, what idea did he play? When this thought changed, Qian Zhixun put away the blame, looked at Xu Ze, and said slowly, "Xu Ze, what's your problem?"
When Qian Zhixun signaled himself to speak, Xu Ze no longer hesitated at the moment. He naturally knew that he was just an intern, although Qian Zhixun and Li Huaming should not really consider themselves as intern, but if they don’t take it out Things come, I'm afraid they won't be convinced.
"Director Qian, Director Li...I think this patient may not be the problem of a single lung infection..." Xu Ze thought for a moment, then said bluntly.
Hear Xu Ze's words. Qian Zhixun raised his eyebrows and secretly said: "This kid really doesn't know the importance, even so easily overturn his opinion..."
Xu Ze knew that he said that Qian Zhixun would certainly be unhappy, but it was a matter of human life, but he had to say that he paused a moment and then continued: "This patient, I think his cough is like this. It should be a central nervous system..."
"Central nervous system?" Qian Zhixun was stunned and said inwardly: "This kid, just denied a patient with a central nervous cough in our department a few days ago, but now he is running here again to sell this theory... "
But depressed was depressed, but with regard to Xu Ze's opinion, Qian Zhixun did not dare to despise because of this lesson, and frowned frowningly at Xu Ze, waiting for him to continue to explain his reasons.
But Li Huaming heard Xu Ze's words, but he was frowning and thinking deeply. As the director of neurology, he naturally had a deep knowledge of neurovascular science. When I heard Xu Ze's conclusion, I felt a jump in my heart, and I thought I might have missed something.
As for the two doctors next to me, Xu Zegan overturned their director's diagnosis so clearly, they all opened their mouths in amazement, glared at Xu Ze, and secretly this kid really didn't know the importance, how dare he say such words, this Beat their director's face, don't you want to get confused in respiratory medicine?
It’s just that there is a doctor among them, but he is very dissatisfied with a guy like this intern here. He now refuted coldly and retorted: "This patient is obviously a lung infection. How can it be a central nervous system problem; the patient comes in At the time, I had done a head CT, no problem; and the patient's chest radiograph and blood routine showed lung infection..."
Speaking of this, he paused and continued humming coldly: "Huh... these are obviously confirmed, don't you even understand this common sense?"
Being so ridiculed by this doctor, Xu Ze smiled lightly, but he didn't take it seriously. This doctor was right, but his thoughts were limited by these examination results, but he didn't think of other things. When he finishes talking, he will surely know why...
Now Xu Ze ignored the doctor and continued to analyze: "This patient came in because of cerebral arteriosclerosis, and after dilation of blood vessels, the condition has obviously improved; but there is a cough... according to chest radiography and blood routine Shows that it is indeed definitely a lung infection..."
"But this lung infection, after a few days of anti-infection treatment. Everyone has seen it, and the situation is obviously better..." Xu Ze turned confidently to look at the few people around him, and then continued: "But... The infection is well controlled, but why is the cough not getting better, and even worsening?"
"Director Qian considers mycoplasma infection, it makes sense...but we can't forget another possibility...that is, the patient's cerebrovascular itself has been hardened. Although it was no problem to have the examination when he was hospitalized, it can also be in these days , Sudden vascular abnormalities, such as hemangiomas, etc....the sudden appearance can also compress certain nerves, and this severe dry cough appears..."
Speaking of which, Xu Ze emphasized the tone: "Director Qian, Director Li... You don't know the situation of the patient in front of you, if this explanation seems more reasonable?"
"How is this possible? It's impossible to be such a coincidence..." The doctor who first rebutted Xu Ze heard Xu Ze's analysis, but he retorted indignantly.
"This is a coincidence, the probability of occurrence is relatively small, but we cannot ignore it because of the small probability, if this is the case..." Xu Zesheng said: "If this is the reason, then this patient It is very likely to be in a very dangerous state...as a doctor, it is responsible for the patient’s life; therefore, I recommend not to be transferred to the department. Review the head CT or MRI immediately..."
"..."
As Xu Ze's dignified voice fell, the doctor who had been refuting was also silent. It is undeniable that the kid said something reasonable, and he also put on a big professional ethical hat, but he It is not good to refute again.
Qian Zhixun listened to Xu Ze's analysis, but his face also showed a dignified color. Although he felt that this possibility was relatively small, what Xu Ze said was still very reasonable. If in case it was...and the patient was transferred to his own department...the consequences...
"Okay...Send the patient for MRI..." Everyone was thinking about Xu Ze's words. As the director of the Department of Neurology, Li Huaming knew that Xu Ze was right, remembering if it was the consequence of that situation, he would immediately sink The voice told the doctor under his command: "Take the patient to be examined by a cart, so that the person in the MRI room can speed up the results...Be as soon as possible..."
The two doctors were stunned, but looking at the seriousness of their directors, naturally they did not dare to have any hesitation. They quickly got up and prepared the cart to send the patient to the head for MRI.
When the two doctors were gone, Li Huaming looked at Xu Ze, who was sitting opposite the other, had a quiet look, and sighed.
Li Huaming really doesn't know how to evaluate the kid in his early twenties who is 20 years younger than him. This kid is only a senior, but he can analyze some situations that he didn't even think of through some details...
Regardless of the results of the head MRI this time, it is not the central neurological factor as Xu Ze said, but Xu Ze can think of things that he can't think of, which has allowed him to give him enough Attached importance.
This is not something that can be imagined with a little cleverness, but must rely on rich experience, and this kind of experience needs to be accumulated through several years or even decades to reach this level. He really doesn't understand, how can he do this step when he is only 20 years old...
Qian Zhixun’s expression was similar at this time. Although he was not as good as Li Huaming’s attainment in neurovascular disease, as the director of internal medicine at Xingda University, his knowledge was naturally very broad, and he quickly thought After understanding what Xu Ze said, naturally he understood that what Xu Ze said was not an appalling thing, but a precise basis.
I sighed at the moment, and finally understood why the director of the head boss Zhang evaluated this kid as a monster...
A senior student can even think more deeply than he and Li Huaming, two senior physicians with more than 20 years of medical experience, which are really unbelievable; such a young kid can achieve this level …
In this industry, which can only reach its peak by accumulation of experience, Xu Ze's current performance and age. Geniuses are no longer able to describe his abilities. The word monster may be really the only thing that fits...
These two doctors are here in your breath, and I sigh in a sigh of relief, but Xu Ze is sitting there, there is no longer the confidence of the person who is just like Ling Cai, and he looks at the patient's medical record in a modest and low-key manner. …
The results of the head MRI quickly came out under the urging of the two doctors. Looking at the diagnosis report of the hemangioma on the report, the two doctors were stupid sideways. The two looked at each other, and their eyes were full. It’s horrified, they really can’t figure out why the baby is so stinky, why can it be said in one sentence...even such a possibility can be diagnosed... It’s unbelievable...
The two were amazed, but they did not dare to delay. They naturally knew what it meant to have such a hemangioma in the skull of the patient in the past few days...
In other words, this hemangioma is a time bomb that has been activated and may burst at any time, but this time may be today, it may be tomorrow, and it may even be five minutes and ten minutes later, but it is absolutely impossible long time…
Once this large blood vessel hemangioma bursts, it means that the patient may be in danger of life at any time, and sudden death may occur...
The next doctor quickly called Li Huaming, the director of the report department, and another doctor began to contact neurosurgery, asking them to prepare for the operation... Craniotomy must be performed immediately to remove this hemangioma...
Hearing the doctor's return on the phone, Li Huaming's complexion quickly became dignified. After glancing at Xu Ze, who was still indifferent, he immediately ordered: "Contact God and ask them to prepare for surgery..."
"Already in contact...Director... shall we send him to neurosurgery now?"
"Well...send it right away and have surgery as soon as possible..." Li Huaming responded with a deep voice.
Seeing Li Huaming's dignified expression and that quick tone, Qian Zhixun also understood what was going on at the moment... Now he turned his head to look at Xu Ze beside him, nodded sighfully, and his head was full of complexity 'S thought: "This kid... is he still in his senior year...wouldn't it be pretended by any vascular neurologist..."
Xu Ze’s performance this time was once again in the Department of Internal Medicine of Xingda University, and there was a storm... Although several doctors in the Department of Neurology and Qian Zhixun did not subconsciously promote this matter, Zhang Li, director of the Department of Internal Medicine Germany, they still have to report, after all, this Xu Ze was personally approved by Director Zhang to come to the trainee.
And now he is very concerned about this kid, so Li Huaming and the two still reported this matter to Zhang Reed without any concealment...
Hearing the whole process of this incident, Zhang Reed still looked at his two subordinates with some doubts~EbookFREE.me~ But the two of them looked very unsightly, and knew that this matter was indeed true...
Now the original straight body was leaning towards the leather backrest chair behind him. After a long time, he finally breathed lightly and sat up straight again, set his face to the two of them: "Let this Xu Ze will follow me directly..."
The two directors were stunned for a moment, and then glanced at each other, but nodded. The director of the Department of Internal Medicine took the trainee... I am afraid that if this is passed on, I don’t know how many people will be shocked to drop their chin...
General directors don’t talk about trainees, even if they are doctors, they don’t bring them... let alone the chief of internal medicine... Director Zhang Er said that he would bring Xu Ze himself, and these two directors are not surprised. The color, after all, they know that with the ability of this monster-level trainee...In the case of the two of them, there is really no face to bring...
And it’s true that I dare not bring it. If this kind of tough trainee is going to perform better than the teacher, who would dare to bring it…
Since Director Zhang wants to take over... Qian Zhixun is naturally undesirable...
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