Back in 2002 as a doctor

Page 908

Xiao Kai was startled, and stared at Deng Ming with wide eyes.

"Later, when the doctor arrived in the United States, he had no hands to grab food and began to eat with a knife and fork. He cut off the source of supplements, so he developed symptoms of vitamin B1 deficiency."

"This is a small problem, just add a little vitamin B1."

Xiao Kai didn't know what to say.

Unfortunately, Shen Lang is not here.If that guy was here, he would have to hold Deng Ming and ask him all night.

"The old lady just now has the same disease. She mainly eats vegetarian food, drinks a lot of alcohol, and has heart failure caused by vitamin B1 deficiency. Supplementing vitamin B1 will make the situation much better."

After finishing speaking, Deng Ming held the thermos cup and smiled slightly, "Actually, you should go to the hospital for an examination before you can draw a conclusion, but the old man refuses to say anything, and no one can do anything about it."

"Dean Deng, amazing." Xiao Kai praised sincerely.

In the past, under the guidance of Mr. Huang and Zhou Congwen, Deng Ming seemed to have become a little transparent, but Xiao Kai knew that he was the chief director of 912, with rich clinical experience, and he was definitely not as good as him.

For example, Deng Ming was very sure about the diagnosis of vitamin B1 deficiency, but Xiao Kai did not doubt it.

But he just changed his mind, and asked with a slightly puzzled look, "Dean Deng, what do you mean by Caishikou and cotton covers? Why didn't I understand it?"

Holding the thermos cup, Deng Ming took a deep look at Xiao Kai.

His gaze was deep, as if he had penetrated Xiao Kai's skin and directly saw the deepest part of his heart.

Chapter 1560 alma mater, principal

Xiao Kai was half-truthy and half-fake, but actually he wasn't as interested as he appeared to be. Deng Ming could see it clearly.

However, it is really difficult to make things like Xiao Kai difficult to distinguish between true and false.

He was just right about the heat of the flattery, and he was able to scratch the itch, and asked directly what Deng Ming was most proud of.

Deng Ming was a little envious of Zhou Congwen. Zhou Congwen was young and young, but he was lucky. Not to mention the favor of the boss, his own level is excellent, even the characters around him are so good!

It sounds like flattering is similar to flattering, but the gap between people is still the word of heat.

Xiao Kai's fire is just right, and Deng Ming can't help but admire this skill.

"Wernicke's encephalopathy is a metabolic disease of the central nervous system caused by thiamine deficiency, which is common in chronic alcoholism. Symptoms include external ophthalmoplegia, mental abnormalities, and ataxia."

"I have seen similar patients." Xiao Kai nodded, continuing his great cause of being popular.

You can praise Zhou Congwen's ascetic master, let alone Deng Ming, Xiao Kai has no problem.

"The Montreal Cognitive Assessment Scale, do you have an impression?" Deng Ming asked.

"Yes." Xiao Kai said. At this time, he had already thought clearly, and the expressions of surprise and admiration were not all faked, "The neurosurgery center in Montreal, Canada, is the top three neurosurgery bases in the world. I know a little about the estimation scale."

Xiao Kai said, looking at Deng Ming suspiciously, "Dean Deng, are you trying to rule out chronic alcoholic encephalopathy?"

"Yeah." Deng Ming said, "But even if Montreal's neurosurgery base is among the top three in the world, we have to look at what it offers."

"I've seen that rating scale, which was designed by foreigners. Although it was translated into Chinese, words such as 'church' and 'velvet' and English letters in it made me very uncomfortable, and it was not suitable for ordinary people."

"So you turned the church into a vegetable market?" Xiao Kai asked.

"Yes, you can know the patient's state of consciousness by asking just a few questions." Deng Ming said with a smile, "So, I think it's Wernicke's encephalopathy, and combined with symptom analysis, the diagnosis is cardiovascular disease caused by beriberi."

Xiao Kai's expression was a little stiff, he thought about it for ten seconds, and then praised, "That's right!"

"What's wrong?" Deng Ming asked while holding a thermos cup.

"Vitamin B1 deficiency, also known as thiamine deficiency, beriberi, can manifest as cognitive impairment, such as Wernicke's encephalopathy, peripheral neuropathy, such as dry beriberi, heart failure, cardiovascular beriberi, or wet Beriberi."

Xiao Kai already wanted to understand everything, and he said with admiration, "Dean Deng, you are still old. A few sentences, ordinary people can't understand, but every sentence is on the point. I didn't ask too many things, immediately Know the patient's condition right to the point."

Deng Ming looked at Xiao Kai with a smile, but didn't speak.

"You rule out alcoholic encephalopathy first, thinking it is Wernicke's encephalopathy, and then cardiovascular beriberi is about to emerge."

"awesome!!"

Seeing that Deng Ming didn't speak, Xiao Kai told all the things he knew in detail, and praised him sincerely.

Holding the thermos cup in his hand, Deng Ming squinted his eyes at Xiao Kai, looked him up and down, and made no secret of his admiration for Xiao Kai.

His eyes were too direct, making Xiao Kai a little scared.

"Principal Xiao, I heard from the boss that your opinion on the Nursing Department is really deep in my heart." Deng Ming directly stated the words, "I have a suggestion for you to take a look at."

"Ah?" Xiao Kai didn't expect Deng Ming to be so direct.

"Dean Xiao is a talent. He was buried in Baishui City. In fact, we don't have many opportunities to display it in our 912 ward." Deng Mingdao, "I may mention the dean in the next year. If I'm lucky, no one will Make trouble, after I go up, you will be the director of the office for me."

"!!!" Xiao Kai was stunned.

"If you come, I'll go talk to Zhou Congwen, I want an academician."

Xiao Kai was taken aback, he suddenly felt that his brain was not enough.Why did they "rob" academicians away by poaching people from Professor Zhou?

Is this too much deception, or something else?

Xiao Kai was very unfamiliar with such a high-end matter, and he couldn't figure out what Deng Ming meant.

Seeing Xiao Kai's confused face, Deng Ming smiled slightly, "Dean Xiao, I want to ask you something."

"Dean Deng, you are too polite, you say what you say."

"We are engaged in medical treatment, which step is considered a head?"

"In the Ministry?"

Deng Ming shook his head, then stared at Xiao Kai, "It's the president of Xiehe."

Xiao Kai was completely stunned, he never thought that Deng Ming's ambition would be so big.

"Xiehe, how many eyes are staring at you. I just thought about it. If you are determined to go, you must be an academician, and you must have the full support of the boss." Deng Mingdao, "Don't worry, I will persuade Zhou Congwen's."

"Dean Deng, I'm just an old clinician who is dying." Xiao Kai told the truth, even adding the bad word "dying" to himself.

"You really don't know the usefulness of a hospital director?" Deng Ming looked at Xiao Kai with a smile.

Xiao Kai scratched his head, "I know, but I don't know how effective it is."

Deng Ming didn't talk about it anymore, just as the food was served and he didn't drink, Deng Ming picked up the rice and began to pull it into his mouth.

"Don't worry." Deng Ming said vaguely with food in his mouth, "It's still early, think slowly."

Xiao Kai was absent-mindedly eating, and a strange idea suddenly appeared in his mind - if Deng Ming went to Xiehe as the dean as he wished, would he be the vice-president?

The teachers, seniors, and juniors back then have all become doctors under him...

This idea was too bizarre, and a large amount of adrenaline was released in Xiao Kai's mind, causing Xiao Kai's blood pressure to suddenly rise.

Go back to your alma mater to be the dean, and even serve as the deputy dean of Union Medical College.

Alma mater, principal!

Xiao Kai's pupils were flooded with blood, and the adrenaline in his body began to secrete in a large amount, even Deng Ming who was opposite could smell it.

Deng Ming smiled slightly, but didn't say much.

Xiao Kai's behavior was normal, and few people could calm down when faced with such a thing.

Deng Ming didn't mention it after he finished talking about it. He ate very quickly, which is indeed the habit of surgeons. He started to wipe his mouth after eating in less than 5 minutes.

Xiao Kai was still in a state of bewilderment, and he didn't react until he returned home.

Deng Ming accurately hit Xiao Kai's weakness with a heavy punch. He never thought that he would have such a "big" hope when he gave up his position as the director of Baishui Central Hospital.

Chapter 1561 An Octopus-like Heart

After several days of research, Zhou Congwen finally accompanied his boss to study clearly that Coca-Cola can solve some of the problems of toilet clogging.

Then I understood the reason why Coke can solve persimmon stone disease.

"What you said is only a small probability event." Mr. Huang was a little dissatisfied with the solution. "There is still a small amount of persimmon stone disease that can be solved with cola. There are always some prerequisites, and there is no way to use it in clinical practice on a large scale."

Zhou Congwen couldn't laugh or cry, he coaxed his boss, "Boss, I'm just talking about a special case, look at you, why do you take it seriously."

"It's also a way of thinking." Huang Lao smiled.

"There are too many ideas. If you want to thoroughly research and understand, you need the participation of a professional team." Zhou Congwen couldn't laugh or cry, "Boss, do you think it should be equipped with a biochemical team?"

Huang Lao took a long look at Zhou Congwen.

Zhou Congwen pretended that he didn't say anything, and smiled.

"I once met a patient with long-term constipation, which was habitual, and no matter how it was treated, it didn't improve." Huang Lao said.

"What about acupuncture? You can try it." Zhou Congwen said, "Actually, I think acupuncture is more reliable. But just like surgery, it is very difficult to find a good TCM acupuncture doctor."

"More than a year later, I met that patient in the outpatient clinic because of other diseases." Mr. Huang ignored Zhou Congwen's statement and continued, "I asked a question, and he said that the intractable constipation was cured. !"

"Oh?" Zhou Congwen was also interested. He thought about it for a long time, and finally shook his head.

Scientific research on the human body itself is not thorough. Zhou Congwen feels that physics should first make progress in many things, and then the transmission chain can finally be passed on to human body science.

As for obstinate constipation, a disease that "cannot be solved at all", Zhou Congwen has no idea.

Seeing Zhou Congwen shaking his head, Mr. Huang continued, "The patient heard someone tell me a folk prescription, using wind oil essence to smear around the navel, and then cured the disease."

"Sesame oil, camphor, menthol, and eucalyptus oil can stimulate the peristalsis of the gastrointestinal tract through the skin? No way." Zhou Congwen asked in surprise.

He didn't question the patients his boss met clinically, but started to follow his boss's train of thought.

"I don't know either. I have consulted many doctors for this, but no one knows. I tried it a few times in the clinic, but it was useless. It is probably a special case." Huang Lao sighed, "When will basic science be available?" What about progress?"

"Hahaha." Zhou Congwen said with a smile, "Boss, you are overthinking. Physics usually makes a leap every 200 years, and it has just been 100 years now. It's time for you to catch up."

Huang Lao didn't speak, and closed his eyes slightly, as if he was still thinking about the intractable constipation.

The landline on the table rang. Although Zhou Congwen had been back for more than 2 years, he was still not used to the existence of the landline.

"Hello." Mr. Huang picked up the receiver.

As the person on the other side of the phone kept talking, Elder Huang's expression became serious.Zhou Congwen listened with his ears up, and vaguely heard words like octopus.

"I'll take a look, wait a minute." Elder Huang put down the phone.

"Boss, what's the matter?" Zhou Congwen asked curiously.

"The Department of Circulation received a patient with exertional chest pain, weakness in the left upper limb, and dizziness." Huang Lao said, "do an angiogram, and the patient's heart looks like an octopus."

Zhou Congwen was taken aback.

The image of an octopus comes to mind, but an octopus has nothing to do with the heart anyway.

The patient's heart angiography looks like an octopus, what the hell is that.

"Let's go." Huang Lao straightened his body and walked out of the office quickly.

Zhou Congwen knew that his boss was in a hurry to check the situation. From a certain point of view, the boss at this moment was a bit like Shen Lang.

Accompanying the boss to the circulation internal medicine department, the director of circulation is already waiting at the door.

"Old Huang, I'm sorry to trouble you." Director Zhang of the Department of Circulatory Internal Medicine said politely.

"What about the film?"

"CTA done, in my office."

Huang Lao didn't wait for Director Zhang, and strode directly to her office.

While walking, Director Zhang introduced, "The patient is a 46-year-old female patient who has been seeing a doctor for more than a year because of weight loss, fatigue and exertional chest pain, accompanied by left upper limb weakness and intermittent vertigo."

"Laboratory examination showed high-sensitivity C-reactive protein 14.05 mg/L, erythrocyte sedimentation rate 43 mm/h; troponin and autoimmune antibodies were negative. Electrocardiogram showed extensive ST segment depression and T wave changes."

"Symptoms and electrocardiographic findings suggest chronic and extensive myocardial ischemia and possible systemic hypoperfusion. Elevated erythrocyte sedimentation rate and CRP suggest that the cause may be related to inflammation. The low level of myocardial injury markers temporarily excludes myocardial injury or infarction."

Director Zhang's introduction is very simple, only talking about the positive value.Mr. Huang was noncommittal and didn't say a word.

When I arrived at the office, a film was inserted into the film reader, and the light of the film viewer shone through the film. The "octopus" seemed to be hung on the film viewer, which was weird and terrifying.

Zhou Congwen frowned, the film is not difficult, at first glance, if it is not mixed with professional knowledge and theory, the patient's heart is indeed like an octopus, a strong and powerful octopus.

In fact, octopus is just a description.

The patient's CTA showed multiple aneurysms in the left main artery, left anterior descending artery, circumflex artery, and right coronary artery with stenosis, dilation of the ascending aorta, and aneurysm formation between the left and right coronary sinuses.

The diagnosis was clear—CTA suggested multiple coronary aneurysms.

The three branches of the ascending aorta and the coronary arteries all showed irregular expansion, just like an octopus dormant on the patient's heart, and its muscles are very developed.