Ererxun carefully and carefully questioned the entire patient, and it turned out that just as Xu Ze said, this patient did have a long history of exposure to industrial dust. Www!QuAnBen-XIaoShuo! cOM
Furthermore, according to the patient's current symptoms, if he has an irritating dry cough, it is quite consistent with the early symptoms of silicosis.
Thinking of this, Qian Zhixun's face began to darken. First of all, he did not think of this possibility. After all, he had already asked that this person's occupation was not the kind of occupation that would be exposed to industrial dust. In addition, chest X-rays No problems were found with the lungs and lungs, so I didn't take this into consideration.
But now it seems that the diagnosis of simple central nervous system cough is indeed worthy of consideration. If it is as Xu Ze thinks, although the possibility of silicosis is not very high, it still cannot be ruled out. I and others must first confirm It's too careless.
Therefore, after Qian Zhixun checked it carefully, thought for a moment, and then said in a deep voice to Li Moling, who was already looking gloomy next to him: "Give the patient another enhanced nuclear resonance and draw blood at the same time. Silica content determination”
I could hear Qian Zhixun’s words. Li Moling's expression suddenly changed. These two examinations showed that Director Qian had agreed with the possibility of silicosis mentioned by Xu Ze, and now he was very embarrassed.
In front of so many trainees and patients, I first said that silicosis was absolutely impossible. He also said that Xu Ze was damaging the reputation of the hospital. But now Director Qian is actually considering this aspect,
Li Moling's face turned red and blue, and he felt that he was a little disgraced now that he was scratched by a trainee. However, since Director Qian gave the order, Li Moling still felt aggrieved and hurriedly opened the test and inspection form. Gone, he was just secretly hoping in his heart. Just don't find any problems with these two inspections.
If there is no problem, then it means that what you said is right, and that damn trainee is just talking nonsense, so that you can save your face. Otherwise, it will be worn out. If you were taught by a trainee, you would be really embarrassed.
Compare. , ten thousand
It seems that Director Qian actually asked Li Moling to check the patient for silicosis. Students from Xu Ze’s group. Now everyone was extremely shocked. Director Qian actually agreed with what Xu Ze said. Doesn't that mean that Xu Ze can be more powerful than so many doctors in the attached 1st hospital
Everyone looked at Xu Ze, their eyes full of surprise and envy. Xu Ze was indeed completely different from himself and others. He had always been at the top of his peers.
Director Qian was sitting in the office, looking at the handsome young man across from him who still looked calm and confident, without any hint of pride, and couldn't help but sigh. He really didn't know that this was obviously just a senior. Why is his knowledge so broad and his mind so flexible? He can grasp even such a subtle issue, and he dares to challenge the teacher just by relying on this little doubt.
He really didn't know that he was saying that this boy was too arrogant. It's still too honest; but that's what being a doctor means. Only by being careful and bold, not letting go of any doubts, and not being easily influenced by others can you truly become a good and competent doctor.
The results came out quickly. Li Moling took the test results and walked into the director's office with a dark face.
Seeing Li Moling's embarrassed expression, Qian Zhixun's heart skipped a beat. Could it be that this result was really silicosis
Take a breath now. After taking the report form from Li Moling, I saw that the silica displayed on it clearly exceeded the standard. Moreover, the enhanced MRI showed subtle nodular changes in the lungs, which did not rule out the possibility of silicosis. However, he sighed again.
Not only was Li Moling embarrassed now, the diagnosis of central nervous system cough was made only after consultation by the general department. Now it turned out to be a misdiagnosis. As a result, he was reminded by a trainee. The face of the Department of Respiratory Medicine is now... What a shame.
"Mo Ling. You tell the patient the results, and then give him Kesipine to treat silicosis, intramuscular injection and atomized inhalation together; then take tetrandrine orally to improve his lung condition as soon as possible." Qian Zhixun explained to Li Moling with a calm face.
After listening to Qian Zhixun's words, Li Moling nodded gloomily. Now that the results were out, he would naturally tell the patient himself. Although it was a bit embarrassing, he couldn't let the director go; he just felt secretly annoyed in his heart, why should he? Fight with this Xu Ze, otherwise if you had listened to his prompts and gone for a checkup immediately, and not insisted on your own diagnosis, you wouldn't have been so embarrassed.
After Li Moling went out, Qian Zhixun looked at Xu Ze with admiration and helplessness and smiled: "Xu Bu, are you really a senior?"
Xu Ze understood what Qian Zhixun meant, shook his head lightly and chuckled: "Since I'm here for an internship, I'm naturally a senior student." Otherwise, do you think I'm willing to hang around behind a bunch of people every day and learn something I already know? Incredible, and again
Hearing Xu Ze's words, Qian Zhixun's eyes lit up, but he said with great confusion: "But why are you so experienced? You know you are only a senior."
Xu Ze shrugged and smiled: "My family has abandoned clinics since I was a child, and then I worked part-time in a clinic from my freshman to my junior year. The old doctor in that clinic retired from a big hospital in the city and was very experienced; the last one I stayed here in the emergency department for more than a month during the summer vacation, so I also learned a lot.”
"Ah. After hearing Xu Ze's experience, Qian Zhixun was as surprised as everyone else, but he still didn't believe it. Even with so many years of experience, Xu Ze was too young. Why? It is possible to achieve this kind of Chenghuo,
But with the facts in front of him, Qian Zhixun could only believe this. After all, there are still some geniuses who are different from ordinary people. The kid in front of him probably also belongs to this type.
"Forget it, Director Zhang also told me at the beginning that if you are a trainee, you can see the patients or not. Since you have so much experience, don't follow them to join in the fun. Just stay with me from now on." Qian Zhi Xun looked at Xu Ze and sighed helplessly, this time, other doctors in the department will naturally know about it. It's like letting this kid follow them behind them and stare at them every day to teach them. I'm afraid they won't be used to it." Let this kid follow you and see what abilities he has, and it doesn't go against Director Zhang's wishes.
Xu Ze was also satisfied with Qian Zhixun's arrangement. Anyway, now he had to come to the hospital for internship every one or two days. It was really boring for him to follow behind every day. Moreover, it also annoyed the teaching teachers, so he followed Qian instead. Zhixun is probably much more relaxed; and the director still has to see some special patients most of the time, so he can follow them and train himself.
From now on. Attached to the Department of Respiratory Medicine. Every afternoon, there is one more person. Many doctors looked at the handsome young man following Qian Zhixun with curiosity. This boy was obviously a trainee, but it was really strange that he was taken care of by the director himself.
However, Xu Ze didn't take it seriously when facing the curious eyes of everyone. As long as he went to Annex 1, he would follow Qian Zhixun around. It was quite leisurely to follow the patients and look at their treatment medicines.
In the past few days, the patient who was diagnosed with silicosis by Xu Ze, after several days of medication for silicosis, his cough was obviously much better than before. Every time he saw Xu Ze, he was very grateful. The patient knew that without Xu Ze, his disease would have been difficult to cure.
Xu Ze watched the patient's condition improve day by day, and naturally felt very comfortable. The happiest thing about being a doctor is to be able to watch his patient improve day by day. This feeling is really wonderful, although This patient was not his, but Xu Ze was still extremely happy.
Compare. Thousands of corpses
Zhang Lid, director of the Department of Internal Medicine, gradually learned about Xu Ze's current situation from Qian Zhixun. He heard that Xu Ze corrected a misdiagnosis on behalf of the Department of Respiratory Medicine. Naturally, he was very familiar with it. Despite Xu Ze's ability, he didn't expect that Xu Ze could detect anomalies with just a small doubt in such a situation.
At the moment, he could only sigh extremely and said to himself: "This Xu Ze is really amazing. When I fell into his hands, it was not just luck. He did have some real abilities."
Zhang Lid is naturally concerned about young talents. It's just that Xu Ze is only a senior now. Otherwise, Xu Ze would have been admitted to his internal medicine department.
However, he had already made a plan in his heart. Anyway, in a year, Xu Ze will officially start his internship. At that time, he will be firmly dragged into the Department of Internal Medicine. When he graduates, he will go directly to the Medical Department to greet this guy. The boy was recruited, and he had to finish the matter before Zhai Zhiyuan could react. If you see it, you have to start a fight with that old guy again, which is really embarrassing.
However, Zhang Lid had this plan. He was thinking very far-term, but he had never thought about whether Xu Ze had this intention. However, when he thought about it, the first affiliated school of Xing University was naturally the goal of all clinical medical students, and Xu Ze was no exception.
At that time, as long as the hospital shows its willingness to recruit Xu Ze, Xu Ze will definitely not refuse."
But what would Xu Ze himself think? Xu Ze himself didn't even know this. There are still two years left. Xu Ze himself doesn’t know what level Xu Ze will be in two years, but he knows better. By then, it will definitely make him extremely confident. As for the future path, he himself has not really thought about it. Where will you look for yourself