Back in 2002 as a doctor

Page 928

"Professor Xiao Zhou, what about your team?" Zhang You asked.

"Stay in the 912 part, and I will take the part to the United States." Zhou Congwen said, "It hasn't been a few years. After a while, everyone will take turns and feel the atmosphere and level of the world's top hospitals."

Zhang You lamented the foreign academicians of the Chinese Academy of Sciences and the Royal Academy of Sciences, feeling a little dazed.He didn't understand what these titles meant at all, but this thing sounded very tall, and he knew it was very powerful just by listening to it.

Zhou Congwen walked farther and faster than he imagined, and his speed even exceeded the range of his vision.

Foreign academicians of the two academies?This thing does not exist in Zhang You's consciousness at all.

For him, an academician of the Academy of Engineering is already the top figure.

When they came to the ward, Zhou Congwen and Dean Chen explained the situation with Chen Hao, and then exchanged views and treatment plans with the directors of the Department of Neurology.

After work, it was too late.

"Professor Zhou, let's go out to have a meal. I haven't had a good chat with you since I tossed you back." Director Han walked to Zhou Congwen and said.

"Okay." Zhou Congwen smiled slightly.

Coming back this time is an emergency, but if there is no emergency, Zhou Congwen is also planning to come back soon to see his parents, Chen Houkun and the others.

"But let's talk about it first, I'll treat you." Zhou Congwen said.

"Professor Zhou, no." Director Han said decisively, "How can I let you treat me to dinner after running all the way back for consultation?"

"You're welcome, please ask Director Han to take care of our cardiothoracic surgery department." Zhou Congwen smiled.

Director Han knew what Zhou Congwen meant, but he was still polite.

There is never too much politeness, and this is the reason for the so-called courtesy.

When they came to the hotel, Chen Houkun and Yuan Qingyao had already arrived.Zhou Congwen greeted the two of them warmly and cordially.

"Qingyao, how many operations have you done recently?" Zhou Congwen asked.

"Fifty-two cases of valve replacement operations have been performed, and the follow-up data are also complete, but the time is too short, so I didn't tell Brother Zhou." Yuan Qingyao wore a mask, which seemed strange to others, but to Zhou Congwen Quite pleasing to the eye.

A handsome young boy full of futuristic style, Zhou Congwen felt that he was kind to Yuan Qingyao when he and Yuan Qingyao met for the first time, which may have something to do with the mask.

Everyone sat down, Director Han set up a few words, Zhou Congwen didn't hide anything, explaining that he was going abroad in the near future.

Director Han, who was not expressive, asked a few more words, his face changed again and again, but he calmed down quickly.

"Professor Zhou, congratulations." Director Han raised his glass, "You will come back often when you have time. The Second Hospital of the Medical University is home, so go home and have a look."

Zhou Congwen was not interested in such congratulations.

Director Han also knew what Zhou Congwen thought, so he just took this as a topic, raised a glass of wine, and said with a smile, "Professor Zhou, a few days ago, an old man in my friend's house was possessed by an evil spirit, and he is going to find someone to break it." , was stopped by me."

"Ha." Zhou Congwen laughed, "Director Han is amazing!"

"We don't listen to the strange power and chaos. Although we can't say that we don't believe it, we should keep it at a distance." Director Han said, "I learned this from you, Professor Zhou."

Zhou Congwen shrugged his shoulders and smiled slightly, expressing that he would not take the blame.

"What's the patient's condition?" Zhou Congwen asked.

Director Han continued to gossip, "The patient is at home, and all the children suddenly don't think that anyone is going to hurt him."

"Some people say it's taking away the house, some say it's changing shape, some say it's being upper body." Director Han said, "The family members were also scared enough. I used to have friends in the Jianghu, so I found me to go Break it."

"When I was a child, there were Tianlingling and Dilingling stickers on the poles, and there was a crying Yelang in my family." Zhou Congwen added with a smile.

"There's really nothing to talk about these things." Director Han said, "Professor Zhou, this time I'll test you on what's going on."

"There are no test results. I guess you can say that you just gave the correct answer." Zhou Congwen laughed, "Hurry up and stop guessing."

"I see you and Mr. Huang are having fun playing this kind of game," Director Han said.

"Accompanying the boss to relieve boredom, I don't like it very much, it's just to coax the boss." Zhou Congwen said with a smile, "For example, this kind of situation happened suddenly, and Alzheimer's disease is not considered."

Director Han looked at Zhou Congwen.

The patient's situation was quite special. At that time Director Han knew that Professor Zhou must be interested.But I didn't expect that Zhou Congwen didn't even think about taking it out now, it's so boring.

"Hypoglycemia, pulmonary encephalopathy, hepatic encephalopathy, drug poisoning, acute stroke, carotid artery dissection, carbon monoxide poisoning, lupus encephalopathy, you say dozens of diseases may cause sudden neurological symptoms, let me Where to guess."

Zhou Congwen talked about a lot of strange diseases in one breath, and Director Han's hands were a little numb.

Although none of them are right, it proves that Professor Zhou knows it well.

Director Han didn't show off, and said directly, "At that time, I went to see the old man at home, and I felt something was wrong. I could drink with his old man and we were very familiar. family property."

"It's because I'm familiar with my buddy, otherwise it would be embarrassing. When I saw something was wrong, I asked someone to take the old man directly to the emergency department of our hospital, and ordered a head CT and MRI to see if it was neurological symptoms. "

Zhou Congwen listened with great interest.

"I went to accompany him to do the examination and pay the money, and the old man was lying in the emergency room. At this time, it was a coincidence. A little intern doctor was addicted to doing ECG, which is the kind of bedside ECG in the emergency department."

Being addicted to doing ECG, Zhou Congwen smiled.Indeed, when I first learned how to do an electrocardiogram in my last life, I also guarded the electrocardiogram, catching one and doing it one by one.

"He made one for the old man, and everyone was shocked when the electrocardiogram came out."

"Oh? Cerebral ischemia caused by myocardial infarction, accompanied by neurological symptoms?" Zhou Congwen asked.

Director Han raised his hand and gave a thumbs up, "Professor Zhou, amazing."

"Continue talking." Zhou Congwen was even more interested.

The cases mentioned by Director Han are very rare, at least in Zhou Congwen's memory, there are not many myocardial infarctions with neurological symptoms as the first symptom.

Patients in this formal attire are basically misdiagnosed.

What Director Han said focused on the intern doctor who was addicted to doing electrocardiograms.

Zhou Congwen also had a similar time. At that time, he was an intern at the affiliated hospital of the Medical University. He went to the hospital an hour early every day in the circulatory department to help nurses measure the blood pressure of patients.

You can be happy just by measuring your blood pressure, the interns are really easy to fool, Zhou Congwen thought to himself.

My ears hurt from wearing a stethoscope at the time, but looking back on that time, I was really happy.

Chapter 1597 No matter what the symptom is, it may be a myocardial infarction

"When they saw the electrocardiogram, the doctor in the emergency department gave the intern a lesson."

"I remember that the cost of electrocardiograms in the emergency department of our hospital is very low, so there's no need to teach people because of a bedside electrocardiogram." Zhou Congwen said.

"It doesn't cost anything. It's just a reference." Director Han said. Abnormal electrocardiogram, what the fuck is going on with this?"

This kind of situation is indeed embarrassing, and it is not right to deal with it, nor is it not to deal with it, Zhou Congwen knows it well.

And the result was a myocardial infarction, which had to be dealt with.

In the eyes of a layman, there is no doubt about this matter, and he can do what he should do; but in the eyes of an experienced clinician, it is another matter.

"I took a look and didn't feel anything at the time, so I asked him to make an electrocardiogram report and go to the electrocardiogram room for an examination to rule out errors."

"As a result, the electrocardiogram clearly showed that the ST segments of leads V1, V2, V3, and V4 had been arched and elevated!" Director Han recalled.

His tone was a little calm, but the expression on his face was weird, as if he was feeling something in his heart.

"I was a little confused at the time, so I asked Director Teng to take a look. Director Teng pondered for a long time before confirming that the patient might have neurological symptoms caused by a reduction in cerebral blood supply due to myocardial infarction."

"What happened later?" Zhou Congwen asked.

This case is full of twists and turns. If it weren't for that "problematic" intern, I'm afraid I would never be able to get a correct diagnosis for the rest of my life.

And the patient will die soon because the myocardial infarction is not found.

If you make a mistake, this is life.

"I checked myocardium enzymes and determined it was a myocardial infarction. Director Teng performed an emergency operation. After the operation, the old man woke up after a short sleep." Director Han said, "Professor Zhou, you have been with me for more than a year." , the level of cardiac intervention in our hospital can be said to be the first in the province."

First, Zhou Congwen is not interested in this. He thought about this case carefully and said with a smile, "Patients with myocardial infarction causing gastrointestinal symptoms are more common, and neurological symptoms are relatively rare."

"Patients with gastrointestinal symptoms?!" Director Han was surprised.

"Of course, patients with atypical myocardial infarction are the most difficult." Zhou Congwen sighed, "I recall now that no matter what disease or symptom it is, it seems that it can be related to myocardial infarction."

"Hahaha."

Everyone laughed.

After working clinically for a long time, there will definitely be some obsessive-compulsive disorder or psychological disorder. Just like what Zhou Congwen said, no matter what disease looks like, it may be a myocardial infarction.

"Director Han, the patient recovered and was discharged later, without any sequelae."

"Yeah." Director Han nodded, "He's fine, but he left me with some sequelae."

Zhou Congwen looked at Director Han with a smile. One of the reasons why he got along relatively well with Director Han in his last life was that Director Han was a serious person.

Unlike Zhang You, Director Han is more in the center, with a smoky air but always thinking about the clinical rules.

The main thing is that he always remembers what he does.

"I later stipulated that admitted patients and emergency patients must adhere to the electrocardiogram. If they don't check it, they should sign it and write it to death." Director Han said, "It doesn't matter whether the patient or the patient's family understands it or not."

"Do clinicians think it's a bit too much?" Zhou Congwen asked.

"Well, the backlash was huge." Director Han curled his lips, "I don't explain it either. I took people to the department with a big backlash to guide the work. After leaving three departments, the whole hospital was honest."

Zhou Congxue stretched out his hand in the appearance of Director Han, and gave a thumbs up, "Excellent, Director Han."

"I just want to save trouble." Director Han said distressedly, "Professor Zhou, you know that the medical office is a place where you can take responsibility for your responsibility. If you are not careful, the bomb is thrown into the cesspit. If you don't die, you will die." Get covered in shit."

This metaphor is very vulgar, but also very simple and direct. Zhou Congwen smiled and said, "It's hard work for Han Chu."

"Professor Zhou, I really miss you during your sophomore year in our medical university." Director Han said with emotion, "When you were here, I slept a lot more. I didn't feel anything at the time. feel it."

"Hehe, it's not that important." Zhou Congwen said with a smile, "The earth rotates the same without anyone."

Director Han took a deep look at Zhou Congwen and shook his head slightly.

"Professor Zhou, not long after you left, something happened in the ophthalmology department."

Zhou Congwen listened attentively to Director Han's words.

"An old patient, 73 years old, suddenly had diplopia in the left eye." Director Han said, "At that time, he was treated in our hospital for a period of time, but he did not improve."

"The ophthalmology department of our hospital is still of a very high level. After all, there are always Russian experts here."

Zhou Congwen knew that the Second Hospital of Medical University had hired more than a dozen ophthalmologists in Moscow. They had been there at the end of the last century. They supported the ophthalmology system in the provincial capital and fully raised the upper limit to a higher level.

It's a pity that after the doctor's certificate was gradually implemented, some of these experts got in the way and were sent back to Moscow because they couldn't practice medicine because they didn't have domestic doctor qualifications.

This is a very regrettable thing.

However, Zhou Congwen didn't have much time to think about the Russian ophthalmologist. Things in the world are messy, neither good nor bad.

"Later, the patient was not well. The family took him to the imperial capital and was hospitalized in Xiehe. After he recovered, the patient's family complained to our ophthalmology department."

"I didn't see a cure...hahaha." Zhou Congwen said with a smile, "How did you deal with Han Chu?"

"Let's deal with the past." Director Han sighed, "I looked at Xiehe's medical records, and they directly diagnosed it as giant cell arteritis. After a hormone shock, it will be cured in a few days. The level of our ophthalmology department... I have always been I thought it was good, but when it comes to rare diseases, it’s not enough.”

"At that time, I thought, it would be great if you were here, Professor Zhou." Director Han said, "Please consult with the whole hospital. I will let you have a look at all difficult and miscellaneous diseases, and many patients will not be delayed."

Zhou Congwen smiled.

"It's a pity, if you can stay in our second year of medical school, I'm ready to..."

After speaking, Director Han was a little confused and sighed deeply.

I think this kind of thing is good, but how can people with similar abilities be retained by the Second Hospital of Medical University.

Zhou Congwen is great, but if he wants to go to the United States to get a foreign member of the Chinese Academy of Sciences and Chinese Academy of Sciences, such a person cannot afford it himself.

It is a blessing to have short-term trajectories intertwined in life.

"Han Chu, I'm going to the United States. After you stand firm, you can take a look here and find an opportunity to send someone to study. Gold plating is also good."

Chapter 1598 Devil's Eye ([-])

Director Tan of the First Hospital of the Medical University is busy.

But at this time, he is no longer the director of the hospital office, but he has taken half a step forward to make his dream come true.

His formalities came down a little earlier than Director Han, and he had already become the vice president in charge of logistics and equipment.

Now in the first hospital of the medical university, he is in the limelight.

Although he doesn't know how to think about the position of the chief dean, it's useless to think about it, it's not something he, a farm boy, can think about.

However, after decades of hard work and the appreciation of Dean Lin, he finally got a job.