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The next day, the fact that the director of the Department of Internal Medicine, Zhang Lid, brought a trainee, quickly spread throughout the entire Department of Internal Medicine, and even other departments had heard about it. Many people were surprised by this incident, and some Many people are extremely skeptical about this matter.
Because trainees usually only have an attending doctor to teach them at most, and it can be said that it is very rare for a deputy chief physician to teach.
As for the situation where the department director brings interns, as mentioned in Appendix 1, this has never happened before, let alone a major department director. So after this news came out, many people didn't believe it; however, several doctors on duty in the Department of Internal Medicine yesterday all swore that Director Zhang did indeed bring a trainee to the department to see the patient.
And it's not ward rounds, it's simply taking the trainees to see the patients.
Moreover, these doctors all said mysteriously: "This trainee's reputation is also very famous in the attached 1st school recently. He is the one who performs tracheostomy on patients by himself."
What the doctors said was so vivid, and there were doctors from several departments who said it, so of course no one believed it.
Therefore, the doctors and nurses in the attached area were also curious about who Xu Ze was. It is really curious that Zhang Lid, the director of the Department of Internal Medicine, who has always had a higher vision, can teach him.
However, most of the people who know the true situation of Xu Ze are the directors of various departments in the Department of Internal Medicine. The impact of the original competition for the subject is still there today. It is related to the face of this internal medicine department. Naturally, they will not take Xu Ze's situation into account. revealed.
However, Director Cheng and a few doctors in the emergency department are the only ones who know Xu Ze's true condition besides the internal medicine department. However, Xu Ze was working in the emergency department under the label of a rotation doctor; but now Xu Ze His identity is that he is a trainee from Xingda University who has not yet graduated.
Who dares to reveal the details of Xu Ze, otherwise it would be revealed that the emergency department actually let an ungraduated student be labeled as a gynecologist. I'm afraid even Director Que will be in trouble.
Therefore, Xu Ze, a student in the First Affiliated School of Xingda University, is now extremely famous among the medical staff. Many people want to see who this boy named Xu is. He can be so awesome, even Zhang Lid, the director of the Department of Internal Medicine, could be so favored.
Even on the Xingda University campus, the news was spread among the students who saw Xu Ze following Zhang Lid one-on-one.
This incident also caused quite a stir in the School of Clinical Medicine of Xingda University, especially these senior students who were also on probation. Naturally, they knew that they were being taught by the chief of internal medicine at Xingda University. What kind of treatment, I couldn't help but admire Xu Ze even more now.
This person who is at the top of the charts is indeed extraordinary. He is an extremely noticeable person no matter where he goes.
And classmate Xu Ze is at the center of the storm. Naturally, he was not too clear about it, because at this time, he was following Zhang Lid in the internal medicine clinic in the outpatient building.
As the director of the Department of Internal Medicine in the First Affiliated School of Star University, Zhang Lid is naturally very famous in the Star City area. He is a specialist in cardiovascular medicine and attends the outpatient clinic two afternoons every week. At this time, there would be a long queue at the door of his clinic, with hundreds of patients waiting for his treatment or follow-up consultation every day.
Student Xu Ze was sitting next to expert Comrade Zhang Lid, helping to treat patients. Of course, sitting there is not just a helper, taking blood pressure or something. Each of these nurses has his own door. Everything had been checked, and all he had to do was to go through the medical records, wait for Zhang Reid to read them over to the patient, and then he could continue. The beautiful name is: learning,
Xu Ze was also extremely confused at first about Zhang Lid being able to see more than a hundred patients every afternoon, but he soon understood why Zhang Lid was able to see such a speed.
one comes. After the patient, Zhang Lid briefly asked about the situation, then listened carefully for about ten seconds at most, and then issued the relevant laboratory test sheet to the patient and asked the patient to complete the examination. He went on to see the next patient. Such efficiency was naturally extremely high.
However, since Xu Ze came to study in name, he would naturally still take it seriously. Whenever a patient had an examination and got the results, Zhang Lid was examining another patient. Xu Ze would smoke first.
At this time, Xu Ze was holding a patient's examination report and frowning. This patient had chest pain. He had had chest pain for two days, and the chest pain was very severe when it occurred.
Zhang Lid had already prescribed electrocardiogram and chest X-ray examinations for the patient. The patient's examination reports showed that the electrocardiogram showed signs of myocardial ischemia and was considered to have coronary heart disease; the chest X-ray showed no abnormalities.
But when Xu Ze looked at the patient's condition, he always felt that something was wrong. Although the patient had chest pain, which was very similar to angina pectoris caused by cardiac ischemia, this patient's chest pain was always coming in waves, sometimes light and sometimes severe, and not always. It’s not like a simple myocardial deficiency※
I looked at the patient's blood pressure that was just measured and it seemed to be normal.
Looking at the patient's pale face, Xu Ze frowned. After thinking about it, he still felt uneasy. Then he took another blood pressure monitor and measured the patient's blood pressure.
The blood pressure of the patient's left arm was basically consistent with the blood pressure recorded by the nurse on the medical record. Both were normal; but after the measurement. Xu Ze always felt that something was wrong, and then with a thought, he asked the patient to stretch his right arm up and measure it again.
The patient was always looking at Zhang Lid at this time, waiting for Zhang Lid to treat him, but he was extremely impatient with Xu Ze checking here. However, Zhang Lid only had one on hand. The patient hadn't finished reading yet, and it wasn't his turn yet, so he just patiently let Xu Ze check it out.
Help the impatient patient push up his sleeves. Then he checked it carefully again. When he heard the blood pressure he measured this time, Xu Ze couldn't help but raised his eyebrows. Sure enough, it was wrong. The blood pressure of this patient's right arm was actually very different from that of his left arm. The blood pressure of his right arm was only, pulse pressure difference
Thinking of this pulse pressure difference, Xu Ze had an idea in his mind. He seemed to think that there was a big problem in the middle, but he couldn't think of any disease that had this symptom. It just seems to be light and heavy. He's not sure
At this time, Zhang Lid just happened to finish treating the patient on hand, and the patient Xu Ze was seeing had been impatient for a long time. Seeing that Zhang Lid had already finished treating the patient, he was shocked and took his turn. When he arrived, he quickly grabbed the medical records and examination results from Xu Ze's hand and sat down with Zhang Lid. He said enthusiastically: "Director Zhang, my results have come out, please help me take a look..."
Xu Ze looked at the patient sitting next to Zhang Lid. He hesitated to speak, because although he felt there was a problem, he didn't know what the problem was with this patient. So I had to watch Zhang Lid examine the patient to see if he could see any problems.
Zhang Lid took the patient's medical record and test results, flipped through them, and then listened to the patient again, nodded and said: "You should have coronary heart disease, myocardial ischemia, and you still have chest pain occasionally. So I recommend you to be hospitalized"
"It's really coronary heart disease." The patient was stunned for a moment. After thinking about it, he said to Zhang Lid: "Director Zhang," it's really inconvenient for you to live here. I wonder if you could prescribe some medicine for me. Medicine, I’m going back to our local area for treatment, is that okay?”
Zhang Lid was not surprised at all by the patient's request. After all, many patients from other places and several subordinate counties came to the First Affiliated Hospital of Xingda University for medical treatment. Nearly 50% to 60% of patients do not want to be treated in Annex 1 after their disease is confirmed, but want to go back to the local area.
Zhang Lid was very experienced. He nodded immediately and said: "Your disease is quite serious. It is best to be treated in our hospital. You will also need to do some related examinations and return to your local area for treatment. Then it will be better." Yes, but relatively speaking. Of course it's not that safe." The patient thought for a moment and continued to insist: "Director Zhang, I still want to go back to our place for treatment. The People's Hospital near us is more convenient. As long as the diagnosis is clear Yes, go there for treatment. I think it won’t be a big problem,”
"Okay, this. It's up to you." Naturally, Zhang Lid would not force such a patient. He immediately wrote down a few entries in the medical record, then handed it over to the patient and asked him to leave. Go and have a good look at the next patient.
The patient took over the case again, thanked Zhang Lid a few times, and planned to leave. At this time, Xu Ze thought for a long time, but finally remembered that this patient's situation was somewhat consistent with some extremely extreme situation. Signs of serious illness. Zhang Lid just looked at the blood pressure measured by the nurse on the medical record, and probably didn't notice that there was such a difference in pulse pressure between the patient's arms.
Thinking of this, Xu Ze immediately said anxiously to the patient who stood up and was about to leave, "Just wait a moment."
The patient was stunned when he heard Xu Ze's cry. He was first examined by Xu Ze for a long time, but he had already been impatient with Xu Ze, and now he was stopped by this kid again, but he looked at Xu Ze impatiently and said: "Doctor Zhang, do you have anything else to do? "
Seeing that the patient had stopped, Xu Ze hurriedly approached Zhang Lid's ear and said, "Director Zhang. This patient has a pulse pressure difference between his hands and the blood pressure in his right arm is only C. I think he can
"A difference of twenty?" Zhang Lid frowned, but then smiled and said: "Some people with coronary heart disease will have a slight difference in pulse pressure. This is normal."
"But" Zhang Li's words could be heard. Xu Ze felt a little relieved. Such a situation did exist, but he was still a little uneasy. After thinking about it, he quickly looked at the heart of the patient standing in front of him. , and at the same time commanded the automatic response system: "Start color ultrasound. Carry out cardiac color ultrasound examination..."