"Okay, this method is good. Let's discuss it as soon as possible. wWw、QuANbEn-XiAoShUo、Com comes to decide who this patient belongs to." Hearing Zhang Lid's suggestion, Dean Ou next to him also frowned, secretly thinking that this was a good move, and the loser would naturally have nothing to say, saving himself a lot of trouble, and he couldn't help but smile with relief. He nodded in agreement.
Vice President Qian and Director Sun next to them couldn't help but sigh in their hearts when they heard what President Ou said. It seemed that they had decided like this. I was afraid that the emergency department was almost certain to lose this time. They sighed secretly: "Lao Cheng, it's not that we won't help you. We can only go so far. If you lose, there will be nothing you can do.
Seeing Zhang Lid's proud look, Director Huo also sighed. Since the matter has come to this, there is no need to say more. Let the debate be debated. It seems that we can only do our best. If something goes wrong, we will do it. Only if you admit it,
Thinking of this, he turned around and looked at his subordinates behind him. Seeing that they also had gloomy faces, he couldn't help but smile and encouraged Wu Heng, Xu Ze and the others: "Since Director Zhang proposes a debate, then every time Although our emergency department does not have as many staff and strong qualifications as the internal medicine department, we can only respond. Everyone, please keep your spirits up and learn from our seniors."
Hearing that Director Que was clearly encouraging his subordinates, but was actually sarcastic about himself and others, Zhang Reed and the directors of internal medicine couldn't help but blush. They coughed twice to cover up their embarrassment. ,
Vice President Qian and Minister Sun next to them also showed disdain at this time. Indeed, four old guys at the chief physician level, and one chief physician, two attending physicians, plus two ordinary doctors, oh, also A rotten doctor who doesn’t even have a certificate is arguing. It’s a shame they have the nerve to say it. It’s obvious that they are bullying others.”
However, Zhang Lid was able to get along with the director of the Department of Internal Medicine, so he was naturally thick-skinned. He didn't want to let Director Zhai continue to sarcastically, so he coughed dryly and said: "Okay, since everyone has no objection, let's start now. !”
After that, he looked at Director Zhai who looked very unhappy, and smiled and said: "Director Zhai. Since you have been taking care of this patient with Guillain-Barré syndrome and are the first to diagnose this disease, you must We are very clear about this disease, so let's ask first, can you explain it? Then we can do the other way around, debate and debate, everyone can show their strengths and decide the winner. How about it
Director Cheng was already prepared to lose. Hearing Zhang Lid's words, he snorted coldly: "It doesn't matter. I don't care how you came here. How many people in our emergency department are there?" then"
"Okay, then let's raise a polemical question." Zhang Lid was ridiculed. At this time, his face was slightly red. After he started talking, he turned to Li Huaming, the director of neurology, who was sitting not far behind him and nodded.
"Everyone knows that Guillain-Barre syndrome is caused by infection, so are there any other causes of it? Is there a season when it is prone to occur? What are its main pathologies?" Li Huaming asked with a chuckle.
Hearing Li Huaming's question, everyone in the emergency department couldn't help but frown. This question was indeed a bit difficult. Guillain-Barre syndrome had just appeared in a national medical journal. The specific information was not very detailed, and the emergency department also It has only been two days since I came into contact with the first case. How could I analyze it so clearly
However, as an experienced chief physician, Director Zhai was a little annoyed when he heard this question, but he was still not afraid. After all, he had been carefully analyzing this case for two days and had also checked a lot of information in the past two days. , under the combination of two sides, I have also figured out something, but there is no solid basis, but I have not come up with it.
After pondering for a moment, he said in a deep voice: "Guillain-Barré syndrome is a newly discovered disease. The current main cause is considered to be a delayed allergic reaction caused by a history of non-specific infection before the onset of the disease. The main disease of weight-loss diseases is extensive inflammation of peripheral nerves. Most of them are caused by a history of upper respiratory tract infection in the weeks before the onset of illness. According to this situation, generally speaking, the disease can occur in all seasons; and the country has only recently discovered the disease. Explanation There must be more cases of this disease in the near future to show some specificity to determine the emergence of this new disease, so I think it should be more common in summer and autumn."
Hearing Director Que's analysis, everyone nodded frequently, thinking that the analysis was reasonable. However, Wu Zhuang and others also breathed a sigh of relief and said to themselves: "The director is the director." Sure enough, he has more experience than us. can be analyzed”
At this time, Xu Ze nodded secretly from behind, admiring Director Zhai very much. The things he analyzed were not far from the conceptual knowledge he learned from Xiaodao, only one or two items were missing.
At this time, Li Huaming's eyes flashed with admiration, but he continued to smile: "Do Director Que and colleagues in the emergency department have anything to add to this issue?"
Director Huo frowned, thought about it carefully, and finally shook his head and said, "No more. Based on the current data, I can only analyze this."
Wu Lou and others also shook their heads one after another. Director Zhai had analyzed it in such detail. Didn't he and others have any new opinions? However, Xu Ze behind him remained calm at this time, looking at it with a faint smile and saying nothing.
"Well, Director Que is really experienced and can analyze so much." Seeing everyone shaking their heads, Li Huaming chuckled, but then he smiled complacently and said: "For this, I have some strength."
Li Huaming said so proudly, Director Que's eyes flashed, and he had been in the closet for a few months! Cook, An Daowen Internal Medicine is indeed prepared. Change into a bear and a bamboo will in the world,
"As Director Huo said, Guillain-Barré Syndrome is a delayed allergic disease. In addition to non-specific infections, there is another obvious possibility, which is vaccination. ,"
"Vaccination of thin vaccine?" I heard this. Director Zhai was stunned for a moment, then he smiled bitterly. He had analyzed so much, but he had forgotten this one item. Oh, what a pity.
But Xu Ze was stunned for a moment, and then sighed. The First Affiliated Hospital of Xinghua University was indeed one of the top five hospitals in the country. Sure enough, he was so surprised that he could even analyze this. Wu Ti and others were stunned when they heard this, and their expressions darkened. This question. But it was only a little bit close, and we still lost in the end.
At this time, Dean Ou heard that the doctors under him were all reasonable in their analysis. Each one was better than the other. He was also very happy. He nodded and said: "Okay, the internal medicine department won the first question. The next question will be asked by the emergency department."
Having just lost a question, this question must not be lost. Director Zhai took a deep breath, thought about it for a moment, and secretly said that the current patient with Guillain-Barre syndrome is the first case in our hospital, and only our emergency department I have been exposed to people from the Department of Internal Medicine, so internal medicine is always a little unclear about certain subtle changes in physical signs.
An immediately smiled and said: "Since we have just talked about the cause and principle, let's talk about the symptoms and signs of Guillain-Barre syndrome now,"
Hearing Director Zhai's question, Li Huaming and Zhang Lid looked at each other, a proud smile flashed in their eyes, and then nodded towards Li Qijiang, director of general internal medicine next to them.
Li Qijiang smiled and nodded towards Director Que and said, "Since Director Zhai has asked a question, I will answer it. I also ask Director Huo to recommend me!"
Seeing Li Qijiang's confident and casual look, Director Que felt a thump in his heart and thought to himself: Could it be that they even figured this out in detail
"The clinical characteristics of Guillain-Barre syndrome include sudden onset of severe nerve root pain, mostly in the neck, shoulders, waist and lower limbs, in the aftermath of infectious diseases, acute progressive symmetrical limb paralysis, subjective sensory impairment, and weakened tendon reflexes. Or disappear as the main symptom.”
"The specific manifestation is movement disorder: paralysis of limbs and trunk muscles is the main symptom of this disease. It usually starts from the lower limbs and gradually affects the trunk muscles, upper limbs and cranial nerves, from one side to the other. Paralysis is generally proximal. It is more severe at the distal end and has low muscle tone. If breathing, swallowing and pronunciation are affected, it can cause spontaneous respiratory paralysis, swallowing and pronunciation difficulties and be life-threatening. Sensory disorders: generally mild, mostly mild superficial sensory disorders. Reflex disorders: Tendon reflexes in the limbs are often symmetrically weakened or disappeared."
Having said this, Li Qijiang looked at Director Zhai with a chuckle and said with a smile: "Director Zhai, do you have anything else to add?"
After listening to Li Qijiang's words, Director Zhai's face was so gloomy that he could shed tears, because what Li Qijiang said is all the stuff that the emergency department has figured out in the past two days, and it's not bad at all."
It seems that as expected, they have figured out all the cards in their hands. No wonder they are so confident to stab themselves. Our emergency department is really in trouble this time.
Seeing the gloomy expression on Director Que's face and the dejected looks of the emergency doctors behind him, everyone in the internal medicine department understood at this moment that the emergency department was completely helpless under the long-awaited attack from them and others. The power of resistance. I'm afraid they will give in soon this time.
Everyone looked at Director Zhai and others proudly, and then Li Qijiang also smiled proudly at Director Zhai and asked, "Does Director Zhai have anything to add?"
Director Huo raised his head, looked at the internal medicine staff, and shook his head expressionlessly.
Seeing Director Que shaking his head, Li Qijiang secretly rejoiced, secretly thinking that we have already won two games, and the emergency department will not be able to turn around now, right
At that moment, he symbolically asked Wu Pao and others again. After seeing the four Kuang students shaking their heads in despair, they couldn't help laughing and said: "Director Que, if you don't have anything to add, then the emergency department has already lost." There are only two questions, so there’s no need to continue this debate!”
Director Que sighed softly, knowing that there was no hope of turning around today, but he looked at the roof and said nothing.
Seeing Director Zhai's helpless look, Zhang Lid laughed loudly and said: "Since Director Zhai didn't add anything, then our Internal Medicine Department will win. According to the pre-arranged agreement, this patient and subject will belong to our Internal Medicine Department!"
At this time, Dean Qian and Minister Sun looked at each other, and then sighed. These veterans in the Department of Internal Medicine are really awesome. The emergency department really lost.
At this time, Dean Ou also thought that the overall situation had been decided, so he planned to speak. Unexpectedly, a clear voice came from behind the emergency department doctors: "I'm sorry, can I add a few points?"
Bi finally got out of this chapter before two o'clock. Although he has surpassed the 16th place, the monthly votes behind him are very fierce. Please vote for more monthly votes. As long as you are not particularly busy, Tiannan will definitely get better today. Even!
Of course, the premise is that the number of tickets cannot be less than yesterday. If the monthly tickets are particularly large, Tiannan will go out of his way to fight for it, and more will be added depending on the situation!
Give Tiannan a little encouragement and a little pressure on himself
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