"I knew from my internship before that Senior Brother Cao is in charge of the third group of patients, patients with 21 beds to 32 beds."
Hearing that she came back the day before but clearly remembered the past internship, Huang Zhilei was very relieved, and adjusted his glasses: it means that the junior sister returns to the neurosurgery department like returning to her mother's home.
Turning his head to look at Senior Brother Cao again, Senior Brother Cao's eyes narrowed into lines with a smile.
When it comes to the head nurse patient list, it is a table that is mainly convenient for nurses to do patient statistics in the ward. It lists the patient's name, bed number, admission date, and diagnosis name.
Since it is a statistical form, each patient's information is concentrated on a small card, and the writing space for the diagnosis name is only one or two centimeters. It is impossible to write all the diagnoses in the doctor's medical record, only the most important one. diagnosis.
Dr. Jin mentioned the two diagnoses of hydrocephalus and cerebral arteriovenous malformation. Unless the patient's two diagnosis names are written on the overview card, it will not be obvious.
Xie Wanying explained again: "Yesterday, only one of the twenty-three new patients was admitted, and they wrote hydrocephalus. Teacher Jin, you said that you are your friend, and you pay more attention to it. I came to visit the patient in person and was anxious to discuss the condition with the attending doctor. I guess it might be possible. Just transferred to this department yesterday."
Who said that only Sherlock Holmes Pan can solve the case.
When Pan Shihua received questioning looks from two other classmates, he replied: In medicine, I have always crossed the river by touching Xie's head.
"You really care about your work. No wonder a lot of teachers like you." Dr. Jin boasted without hesitation.
It's the point. This fact has nothing to do with the ability to solve the case.
If a doctor is responsible for his work, he will definitely understand the conditions of the patients under his jurisdiction as soon as he returns to work.
On this point, Xie Wanying said honestly: "I learned from the clinical teachers."
The Daniel teachers she has worked with, such as Teacher Tan, Brother Tao, Teacher Xin, and Teacher Du, all do this. Even if it is a fairy brother who is in a fairy state, after taking a break at noon and coming out of the office with a thermos, he will first go to the nurse's station to ask about the conditions of the patients in his group.
As classmate Xie said, if you have hydrocephalus, you need to deal with the hydrocephalus first.
Because of the brain arteriovenous malformation of "Ma Tuan", if the blood vessels are not prone to bursting and are very serious, elective surgery can be chosen. On the contrary, for hydrocephalus, conservative medical treatment is not enough, and it is time to seek surgery.
You may ask, if you knew this, why didn't you send patients with hydrocephalus to neurosurgery first
Hydrocephalus is different from cerebral arteriovenous malformation, and its best treatment method is internal medicine rather than surgery.
When we talked about diseases in other departments before, we said that there is "water" in some places in the human body, and this "water" is healthy as long as it is not excessive. remember? ascites.
Put the same "water" in the brain. The academic name of the "water" in the brain is cerebrospinal fluid.
What does cerebrospinal fluid do? You know, like lubricating oil, it protects the organs and acts as a buffer, and it contains something to moisturize and nourish the lower brain tissue and regulate the internal and external pressure.
Normal adult cerebrospinal fluid is 90 to 150 ml, and the cerebrospinal fluid produced every day is about 500 ml. It is equivalent to saying that a large part of cerebrospinal fluid needs to be absorbed by the body itself, and a healthy internal circulation is needed to meet the needs of a normal human body.
Healthy internal circulation relies on channels of production, absorption, and intermediate circulation.