"Although there are only more than ten more monthly votes, Tiannan has already coded it. WWw.QUAbEn-XIAoShUo.CoM I waited very late and updated it in advance. Regardless of whether I have collected thirty votes or not, thank you all." Thinking of being Xu Ze made himself criticized, and Qian Xuecheng's eyes showed a trace of resentment. However, Qian Xuebin, who had always been gloomy, did not show any of it. Instead, he suppressed the resentment in his heart, calmed down, and carefully Analyze your current situation.
"I seem to have never heard of Guillain-Barré syndrome. What's wrong with this physical examination? I don't know. Now Director Huo asked me to rewrite and recheck, just in case there is something wrong somewhere. Omission, the impression in Director Zhai's eyes would have plummeted. "Thinking of this," Qian Xuebin, who had always been extremely conceited, became a little anxious.
However, he soon thought that since Xu Ze could find the problem, he naturally knew that I had not found it. It seemed that he could only start from him.
Thinking of this, Qian Xuebin's originally gloomy expression suddenly turned into a warm and friendly smile, and he walked towards Xu Ze who was standing aside.
At this time, Xu Zewang listened to Director Zhai's criticism of Qian Xuebin and secretly thought that Qian Xuebin was not stupid. He would soon think that this matter had something to do with him. Since he was not kind to him in the first place, this This time I'm afraid I'm going to hate myself.
Suddenly, he saw Qian Xuebin walking over with a friendly smile on his face. At that moment, he couldn't help but be stunned, wondering whether Qian Xuebin didn't know that this matter was related to him
In Xu Ze's astonishment, Qian Xuebin came forward, sat down next to Xu Ze very affectionately, looked at Xu Ze with a smile and said: "Xu Ze, Director Zhai just took you to see my patient, right?"
After hearing Qian Xuebin's question, Xu Ze didn't know what he meant, but he still smiled and nodded: "Yes, Director Huo and I went to see it,"
"Oh, I wonder what special abnormalities Director Zhai found during his examination?" Qian Xuebin looked at Xu Ze affectionately and smiled: "I have never heard of Guillain-Barré syndrome before. You and I Tell me what Director Zhai said."
Xu Ze took a breath and finally understood why Qian Xuebin was so enthusiastic about him. He couldn't help but secretly thought: "This Qian Xuebin is really powerful. He can hold back his resentment towards himself. In turn, he got close to him, inquired about information, and... It's not simple
However, Xu Ze didn't take it seriously. Anyway, if he didn't tell him now, Director Huo would tell him later. Since Qian Xuebin asked him warmly and intimately, he didn't hide anything and said with a smile: "Director Zhai mainly thinks that the patient There is mild superficial sensory impairment in the lower limbs, and the patient's medical history includes a history of past infection several weeks before the onset of the disease, and the patient has a history of pain in the entire limbs and neck and back a few days before the onset of the disease. These points are Guillain-Barré syndrome. characteristic thing,"
After hearing what Xu Ze said, Qian Xuebin snorted secretly in his heart. Two of these points were asked by Xu Ze when he was seeing patients. Sure enough, he told Director Zhai directly and let himself suffer this. criticize.
However, Qian Xuebin, who had always been gloomy, remained calm at all. He smiled and thanked, and then took the stethoscope, percussion hammer and other examination instruments to re-examine the patient.
Looking at Qian Xuebin's hurried away figure, Xu Ze chuckled lightly, and then buried his head to read his medical records.
Director Zhai quickly dug out the issue that had just been published a few days ago and forwarded it to an authoritative foreign medical journal with information on Guillain-Barre syndrome. After careful re-analysis, he discovered that several of the above mentioned The characteristic signs and medical history are very consistent with this patient, and the protein cell separation in the cerebrospinal fluid test is indeed mentioned above. It is only a preliminary diagnostic criterion, but it is not mentioned above as a characteristic diagnostic sign.
Director Que frowned and thought for a moment, and felt that the diagnosis of Guillain-Barre syndrome was still very likely. As long as the cerebrospinal fluid test was done and there was indeed protein and cell separation, then this diagnosis should be possible.
Immediately, he came out with the magazine, walked back to the internal medicine office, waved Xu Ze over, handed the magazine in his hand over, and said with a smile: "Xu Ze, did you see it from above too?"
Xu Ze looked at the magazine with confusion, and then looked at the information on Guillain-Barré syndrome, and couldn't help but shake his head. His information was taken from the research materials of various top professional medical institutions in the world. This magazine is not that comprehensive.
At that moment, he smiled and shook his head and said, "I came here from. It's the latest research information on Guillain-Barré syndrome."
"Oh? Is there any new progress?" Director Zhai suppressed his excitement and asked curiously.
Xu Ze chuckled and nodded, and then said with a smile: "There is just one more item, that is the separation of protein cells in cerebrospinal fluid, which has been identified as a characteristic diagnosis sign!"
Hearing Xu Ze's words, Director Huo said excitedly: "Is it true? This examination has been determined to be a characteristic diagnosis sign? Is there any progress in treatment?"
Xu Ze smiled and then said: "Basically there are no big changes, that is, as mentioned in this document, plasma exchange and gamma globulin anti-immune treatment
Hearing what Xu Ze said, Director Zhai felt relieved and nodded: "Oh, that's good. Otherwise, if this patient is diagnosed, we will still have to find a new treatment plan that can be authoritatively confirmed. That would be more difficult." Trouble”
At this time, Qian Xuebin also came back from the ward. It seemed that the consultation and physical examination had been carried out again, but on his face. Suan Er felt that this was a bit unsightly. It seemed that he was a little embarrassed by reexamining the patient just now.
Seeing Qian Xuebin come out, Director Zhai handed the magazine to Qian Xuebin and said: "This is information about Guillain-Barre syndrome. Analyze it carefully, and then rewrite the medical record for me to sign!"
Hearing that Director Que wanted to review the signature, Qian Xuebin's face darkened again, but he still took it respectfully, sat down at his desk, and read it carefully.
Qian Xuebin looked at the issue number of this magazine. It was the current issue. He couldn't help but feel annoyed that he didn't go to the library to read it. If he had read it, he might have had a certain impression. It is possible that he can avoid his own embarrassment this time and not be beaten.
However, he also knew that relying on this information alone, he might not be able to associate it with his patient. After all, he had some medical history and subtle changes in physical signs that he had not noticed.
Therefore, Qian Xuebin turned his anger on Xu Ze. If this kid hadn't disrupted the situation, how could Director Que have thought of such a diagnosis? Didn't he find out about it during his ward rounds today? Anyway, our emergency department didn’t see this information and no one could say anything.
The current treatment has barely controlled the progression of the disease. Everything was fine originally, but it's all this kid's fault.
But now, even the patient and his family members no longer have the same enthusiasm and respect for him as before, causing his prestige to be greatly lost. Thinking of this, Qian Xuebin was filled with shame and anger, and said to himself: "I just hope that when the cerebrospinal fluid test results come out, there will be no problems. I cannot confirm the diagnosis of Guillain-Barré syndrome. Otherwise, how can I have authority in front of the patient?" "
However, Qian Xuebin was destined to be disappointed. Under the urging of Director Zhai, the results of the cerebrospinal fluid test were quickly sent over.
It is clearly shown above that there is Mingyan's protein-cell separation in the cerebrospinal fluid.
Director Zhai took the test results with joy on his face and said in his heart: "Although this information has been published in an authoritative national medical journal, in just a few days, the number of clinically diagnosed cases in China is probably not "More, I am the first affiliated student of the university. I am afraid that I have another advantage today. I can apply for a research project to the hospital!"
"And if we can get the results out first, we can even apply to the ministry and publish two more national-level papers. Although it may lag behind the international level, it is also an extremely honorable thing to be able to stand at the top of the domestic level.
Thinking of this, Director Zhai became excited. For a series expert like him, nothing could attract him more than these. For them, some ordinary material wealth no longer constitutes any temptation for them. These are the only things that can make a name for themselves and give them great reputation. can make them excited,
I remembered that Xu Ze had just confirmed that the separation of protein cells in cerebrospinal fluid was the characteristic diagnosis sign of Guillain-Barré syndrome. At that moment, Director Zhai did not hesitate at all and said excitedly to Xu Ze: "Xu Ze, are you really sure that's what the information said?"
Regarding Director Zhai's question, Xu Ze knew the meaning of his question. He had already known about the progress of Guillain-Barré syndrome in future technologies, so he naturally knew that it was 100% correct. He nodded affirmatively and said: "Director, I'm sure!"
"Well, we will carry out the treatment according to this treatment plan and strive to get a result within a few days!" Director Que said with excitement: "We must closely observe the progress of the disease and record any changes at all times. If successful, We can then apply to the hospital or even the ministry for a special research project, which will be the biggest medical achievement and breakthrough of our emergency department affiliated with Xingda University this year."
Hearing Director Que's excited words, Zhang Can and Qian Xuebin, who were originally gloomy, became excited. If there is such a ministerial-level or even national-level issue, the Emergency Department of the First Affiliated to Xingda University will be ranked among the national rankings. If you advance a few steps, you can also receive a large amount of financial support from the hospital and even the country, plus the national-level monographs that can be published by then, then everyone in the emergency medicine department can get great benefits and glory!
Seeing the two doctors under him showing expressions of ecstasy and excitement, Director Zhai couldn't help but glance at Xu Ze next to him gratefully. He was able to encounter this opportunity this time only because of Xu Ze in front of him. ,
First of all, I thought that the young man arranged by Mr. Tang would make me extremely hard in the past two months, but little did I know that not only did he have rich clinical experience, he would not have to worry about it at all, but he also brought me such a good luck,
Bi: Congratulations on the creation of this book’s first book lover: Thank you for his support of Super Doctor, and thank you everyone for your support! Although Super Doctor cannot be compared with other people's books, Tiannan is still very excited when the first hall leader appears, haha
Another note: All pros and cons are not counted in words. Xingyue Yimeng and I Ailuge, two book friends who seem to be colleagues, proposed that Guillain-Barré syndrome is a disease that has already appeared. It is indeed true. Tiannan had already seen this disease during his internship, but because Tiannan didn’t want to make up some inexplicable things and confuse everyone’s understanding, he set its appearance as a new disease! Thank you two classmates for your support, thank you!
There are also some suggestions from book friends. Tiannan has seen them all and will try his best to improve this book. Thank you.
Asking for monthly ticket
monthly pass