Suddenly, Li Huaming said that he wanted to transfer the patient to the Department of Respiratory Medicine. Qian Zhixun thought about it and agreed. After all, the patient's dizziness had improved significantly, and now the main problem was cough, so he should transfer it to his own department. . wWW!QuanBen-XiaoShuo!COm immediately planned to nod.
Seeing that Qian Zhixun seemed to be planning to agree to the neurology department's transfer of the patient to the respiratory medicine department. Xu Ze was a little anxious now. If he really turned around, the patient would be dead, and the Department of Respiratory Medicine would also get into trouble.
At the moment, he couldn't care less and quickly interrupted: "Director Qian, Director Li, I still have some questions about this patient and want to confirm. "Don't transfer to another department urgently."
"Huh?" Hearing Xu Ze's sudden words to stop him, Qian Zhixun was a little unhappy. Our two directors were talking to make decisions. Why did you, Xu Ze, interrupt at this time
At this time, not only Qian Zhixun frowned, but the other two doctors also showed very displeased looks on their faces. They stared at Xu Ze and secretly thought that this kid is really arrogant. The two directors were talking to discuss the matter. , you kid, why are you so ignorant and dare to interrupt and question randomly
The three of them were all very displeased, but Li Huaming showed no surprise on his face. He had learned about Xu Ze's temperament last time. Xu Ze dared to stand up to Director Zhang, let alone wait for him. He's a human; but this kid generally doesn't talk nonsense and say things. There is usually some truth to it, so Li Hua Ming was speechless, waiting to see Qian Zhixun's reaction.
Qian Zhixun frowned and turned to look at Xu Ze, looking at him with a worried look on his face. He was a little surprised and thought to himself: "This Xu Ze doesn't seem to be an ignorant person. Why did he stop the transfer at this time?"
Let's listen to him and see what his plans are. After this thought, Qian Zhixun put away his blame, looked at Xu Ze, and said slowly: "Xu Ze, what's your problem?"
Qian Zhixun motioned for him to speak. Xu Ze no longer hesitated at that moment. He naturally knew that he was just a trainee. Although Qian Zhixun and Li Huaming should not really regard themselves as trainees, if they didn't come up with something. I'm afraid they won't be convinced.
"Director Qian. Director Li, I think this patient may not have a single lung infection." Xu Ze thought for a moment. He said bluntly.
Hearing Xu Ze's words, Qian Zhixun frowned and said to himself: "This kid really doesn't know the importance of things, and he can overturn his own opinions so easily.
Xu Ze knew that Qian Zhixun would definitely be displeased if he said this, but it was about human lives. But I have to say that I paused for a moment. Then he continued: "This patient, I think his cough is probably a central nervous system problem."
"Central nervous system?" Qian Zhixun was stunned and cursed in his heart: "This kid just denied a patient with central nervous system cough in our department a few days ago, and now he comes here to sell this theory again. "
But I am depressed, but for Xu Ze's opinion. Because Qian Zhixun had learned this lesson, he did not dare to take it lightly. He frowned slightly and looked at Xu Ze, waiting for him to continue to explain his reasons.
Li Huaming was stunned for a moment when he heard Xu Ze's words. He frowned and thought deeply. As the director of the Department of Neurology, he naturally had a very deep knowledge of neurovascular science. When he heard Xu Ze's conclusion, his heart skipped a beat and he felt that he might have missed something.
As for the two doctors next to them, when they saw that Xu Ze dared to overturn their director's diagnosis so clearly, they opened their mouths in shock and stared at Xu Ze, secretly thinking that this kid really didn't understand the importance of the matter and dared to speak like this. In order to save the face of their director, don't you want to work in the Department of Respiratory Medicine
But there was a doctor among them. But he was very dissatisfied with such a guy who looked like an intern talking nonsense here, and immediately retorted in a cold voice: "This patient obviously has a lung infection, how could it be a central nervous system problem? When the patient came in, he had already been treated The head was removed, and there was no problem; and the patient’s chest X-ray and blood routine showed pulmonary infection.”
Speaking of which. But he paused and continued to snort coldly: "Humph, these are obviously confirmed. Don't you even understand this bit of common sense?"
Being ridiculed by this doctor. Xu Ze chuckled lightly, but he didn't think much of it. What the doctor said was right, but his mind was restricted by these test results, but he didn't think of anything else. Wait until you finish. He will definitely know why,
At that moment, Xu Ze ignored the doctor and continued to analyze: "This patient came in because of cerebral arteriosclerosis, and after treatment with blood vessel dilation, his condition has improved significantly; but when he walked out, he coughed. According to the chest X-ray and blood tests, Routine findings. Definitely a lung infection."
"But this lung infection, after a few days of anti-infective treatment, everyone has seen that the situation has improved significantly." Xu Ze confidently turned his head and looked at the people around him, and then continued: "But, since the infection control is good, why does the cough not get better and even get worse?"
"It makes sense for Director Qian to consider mycoplasma infection, but we must not forget another possibility, which is that the patient's cerebral blood vessels themselves have hardened. Although there was no problem during the examination when he was first hospitalized, it may also occur suddenly in the past few days. Abnormalities in blood vessels, such as hemangioma, etc., and their sudden appearance can also compress certain nerves, resulting in this severe dry cough,"
At this point, Xu Ze said in a more serious tone: "Director Qian, Director Li." Don't you realize that this explanation of the patient's condition in front of you seems more reasonable? ""How can this be? It was impossible for the doctor to be the first to refute Xu Ze by such a coincidence. After hearing Xu Ze's analysis, he retorted angrily.
"This is a coincidence. The probability of occurrence is relatively high, but we cannot ignore it just because of the probability. If this is the case," Xu Ze said solemnly: "If this is the reason, then this patient is very likely to be in a very serious condition." Dangerous state” as a doctor. You must be responsible for the patient's life; therefore, I suggest not to transfer to another department for the time being. Immediately review the head, or MRI.
As Xu Ze's solemn voice fell, the doctor who had been rebutting also fell silent. It was undeniable that what Shu Buzi said made some sense. Moreover, it was also covered with a big label of professional ethics, but it was difficult for him to refute it.
When Qian Zhixun listened to Xu Ze's analysis, his face showed a trace of sadness. He felt that it was more likely to cry, but what Xu Ze said about the WTO wages was reasonable. If so, and But he transferred the patient to his own department, "The consequences will be
"Immediately send the patient for MRI." Everyone was thinking about Xu Ze's words. As the director of the Department of Neurology, Li Huaming knew that Xu Ze's words were reasonable and thought of the consequences if that were the case. Immediately, he said in a deep voice to the doctor under his command: "Send the patient on a trolley for examination, and let the people in the MRI room speed up the results." "As soon as possible."
The two doctors were stunned for a moment, but seeing the serious look of their director, they naturally did not dare to hesitate any more and stood up quickly. I went to prepare a trolley to send the patient for a head MRI.
After the two doctors left, Li Huaming looked at Xu Ze, who was sitting opposite with a calm expression, with complicated eyes, and sighed softly.
Li Huaming really didn't know how to evaluate the boy in front of him who was about twenty years younger than him. This kid is only a senior now, but he can pass some details. Analyze situations that you didn’t even think of.”
No matter what the result of this head MRI is, whether it is the central nervous system factors as Xu Ze said, Xu Ze can think of situations that he can't even think of, which allows him to give him enough treatment. of attention.
This is not something that can be thought of with a little cleverness, but must rely on rich experience, and this kind of experience needs to be accumulated over several years, ten years or even decades to reach this level.
He really didn't understand how the other party managed to take advantage of this step when he was only twenty years old.
Qian Zhixun's expression was similar at this time, although he was not as knowledgeable in neurovascular disease as Li Huaming. But as the director of internal medicine in the First Affiliated University of Star University. His knowledge is naturally very broad, and he quickly figured out what Xu Ze said. Naturally, I also understand that what Xu Ze said is not shocking, but is based on exact basis.
He sighed at that moment, and finally understood why his immediate boss, Director Zhang, commented that this boy was a coward.
A senior student can actually think more deeply than himself and Li Huaming, two senior doctors with more than 20 years of medical experience. It’s unbelievable; such a young boy. To reach this point...
In this industry that relies entirely on the accumulation of experience to reach the top, Xu Ze's current performance and age, genius can no longer describe his ability. The word "monster" may be the only appropriate one.
These two doctors are here for you. I sighed in one breath, but Xu Ze was sitting there, no longer as confident as he was just now. Looking through the patient's medical records in a low-key manner, he pretended to be humble and low-key.
The results of the head MRI came out quickly at the urging of the two doctors. Looking at the diagnosis report of hemangioma on the report sheet, the two doctors were stunned. They looked at each other, their eyes filled with confusion. It was a look of horror. They really couldn't figure out why that young kid could hit the nail on the head with "It's unbelievable that such a possibility can be diagnosed."
The two were shocked, but they did not dare to delay at all. They naturally knew that there would be only a few days. What does it mean to have such a hemangioma in the patient's skull?"
In other words, this hemangioma is a time bomb that has been activated and may explode at any time, and this time may be today, tomorrow, or even five minutes and ten minutes later. But it definitely won’t last long.”
Once the hemangioma of this large blood vessel bursts, it means that the patient's life may be in danger at any time, and sudden death may occur."
When the next doctor quickly called the department director Li Huaming, another doctor began to contact the neurosurgery department and asked them to prepare for the operation. They must perform craniotomy immediately to remove the hemangioma."
After hearing the doctor's report on the phone, Li Huaming's face quickly became serious. He glanced at Xu Ze who still had a calm expression, and then immediately ordered: "Contact Shenwai and ask them to prepare for the operation immediately."
"Already in contact" Director, we will send him to neurosurgery immediately? "
"Yes, send it over right away. The surgery needs to be performed as soon as possible," Li Huaming responded in a deep voice.
Seeing Li Huaming's solemn expression and hurried tone, Qian Zhixun also understood what was going on. He turned to look at Xu Ze beside him, sighed and nodded, his mind full of complicated things. Thoughts: "Is this kid really still in his senior year of college?" He couldn't be a vascular neurologist pretending to be a doctor, right?"
Xu Ze's performance this time once again caused a stir in the Department of Internal Medicine of the University Affiliated University. Although several doctors in the Department of Neurology and Qian Zhixun did not subconsciously publicize this matter, Zhang Li, the director of the Department of Internal Medicine, De and the others still had to report it. After all, this Xu Ze was personally approved by Director Zhang to come as an intern.
And now they were very concerned about this boy, so Li Huaming and the others did not dare to hide anything and reported the matter to Zhang Lid.
After hearing the whole process of this incident, Zhang Lid still looked at his two subordinates with some doubts, but when he saw that their faces were very ugly, he knew that this incident was indeed true.
At that moment, his body that was originally upright leaned towards the leather chair behind him. After a long time, he finally let out a breath, sat up straight again, and said firmly to the two of them: "Let this Xu Ze will follow me directly from now on."
The two directors were stunned for a moment, then looked at each other and nodded. The director of the Department of Internal Medicine and the trainees were afraid that if word got out, how many people would be shocked.
Ordinary department directors, not to mention trainees, even rotation doctors, let alone chiefs of internal medicine departments, would not take care of them. Today, Director Zhang said that he would take care of Xu Ze personally, and the two directors were not surprised at all. After all, they know that with the ability of this monster-level trainee and the situation of the two of them, there is really no face left to show.
And it is true that some are afraid to teach. If this happens in the future, such strong trainees will always perform better than the teachers. Who dares to take it
Since Director Zhang wanted to take over the leadership, Qian Zhixun naturally wanted to do it and quickly got rid of it...
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