After taking the order and leaving, Lin Yuan felt uneasy.
Where do the small thrombi in the blood vessels come from? There are many possible locations. The most common is the detachment of carotid artery plaque.
But the problem arises here. The patient is so young, where did the arterial plaque come from
The probability is there, but it is too small to be considered for the time being.
Lin Yuan recalled the medical records written by the resident doctor named Zhong Min in Haicheng, and thought a lot about the medical records written by sister Chang Yueyue. As he walked, he thought about Boss Zheng's true intentions.
This is a test for yourself! The real test.
In the end, Lin Yuan was still confused and could only blame everything on Boss Zheng testing himself.
Dr. Mehar of Sweden performed the surgery, and Professor Rudolf Wagner wanted to accompany him back to Europe to start the long work before the Nobel Prize.
With a surgeon gone, is Boss Zheng going to pass a test and then let himself be the surgeon
Thinking of this, Lin Yuan was a little excited.
But then she immediately overturned her idea—that was impossible!
Whether the surgery was done well or not has nothing to do with the writing of medical records. Sister Yue has good medical records and has never had surgery.
Full of suspicion, Lin Yuan came to the Department of Neurology and looked through several wards for a long time before he found the ward where Yang Lixin was located.
But he had already been sent for surgery, and Lin Yuan was a little worried.
What if we go back like this and fail to complete the tasks assigned by Boss Zheng
Although it has not been long since he came to the medical team, Lin Yuan has already become a little afraid of Boss Zheng.
This is caused by crushing at the technical level and has nothing to do with other things. So much so that Lin Yuan felt uneasy, wondering if he could escape by meowing at Boss Zheng twice.
But Boss Zheng was not his old man, so it was probably unlikely. Lin Yuan still made a clear judgment.
She stood at the door of the ward and thought for a long time, and finally made up her mind to ask the patient's family about the situation first.
When she arrived at the Neurological Interventional Operating Room, she was unfamiliar with this area and needed to ask for directions. Lin Yuan felt that he was too homely and didn't even know the basic locations of each department in 912.
However, Lin Yuan was adventurous by nature, but he was not afraid of difficulties and went directly to the door of the interventional operating room.
How to ask the patient's family, she already has a plan.
"Yang Lixin's family!" Lin Yuan, wearing white clothes, shouted confidently in front of the patients' families waiting for the operation.
"Doctor, what do you want from me?" A 24- or 5-year-old girl stood up timidly, looking a little scared.
Patients are most afraid of the doctor shouting during surgery, but anyone with a little common sense knows this. The doctor called the family members, it must be that the operation did not go well and they were in trouble.
Lin Yuan smiled and said, "I'm scared. I'm a doctor in the emergency department. I'm here to understand the medical history so that I can write down the medical records when I go back."
Hearing what Lin Yuan said, the girl calmed down a little.
She and two of Yang Lixin's colleagues followed Lin Yuan to a relatively secluded location. Lin Yuan asked directly: "Tell me about your illness this time."
The girl glanced at Yang Lixin's colleagues and did not speak immediately.
"Doctor, that's it. I went to the bathroom today and heard a bang before I entered the door. When I went in, I saw Xiao Yang falling to the ground." Yang Lixin's colleague said: "He couldn't speak clearly and scared me. If it’s broken, call 120 immediately and send him to the hospital. The doctor said that if the delivery is delayed for a while, the person may be disabled.”
What is this? Lin Yuan expressed dissatisfaction with this. There is almost nothing of value.
Lin Yuan asked about when he got sick and how he was sent to the hospital, but he still didn't get any particularly valuable information.
"Has the patient had any illnesses before?" Lin Yuan asked.
"One time, the corner of his mouth was a little crooked. It happened a few months ago." Yang Lixin's girlfriend immediately said, "But Lixin didn't go to the hospital. He thought it was facial paralysis. He took some medicine and it would be fine in a few days. "
oh? There have been attacks before, but this is a point. Lin Yuan wrote this point down.
The patient does not smoke or drink, but he often stays up late. However, I am usually in good health and rarely get sick.
There was no history of hypertension, coronary heart disease, or diabetes, no clear family history, no history of infectious diseases, and no history of surgical trauma. Lin Yuan also asked about these.
That's it... Lin Yuan was a little helpless. She was really afraid that if she went back like this, she would be scolded by Boss Zheng.
Although Boss Zheng is very kind, it is different when he is on stage.
When the hemostatic forceps tap the radial styloid process, it hurts. The key is to be familiar with the anatomy, so that others can't break it.
This time it involved a patient who needed emergency surgery. If he went back after hastily asking for some medical history, would he be beaten to death
Sigh... Lin Yuan was a little sad.
She looked at the patient's family and asked, "Except for the crooked corner of his eye, does he have any other problems?"
Yang Lixin's girlfriend is new to the world and doesn't think anything of it. But the two male colleagues thought Lin Yuan was a bit strange, and she seemed to have something else in mind.
"Doctor, are Xiao Yang okay?" a colleague said with a grimace, "You are so young, what if you become disabled?"
"Uh..." Lin Yuan was stunned for a moment. She didn't dare to say that it was okay, nor could she say that something was wrong. There was no answer for such a thing.
Seeing her stunned, several family members became even more panicked.
Yang Lixin's girlfriend's eyes flickered, and she was obviously very frightened. She asked timidly: "Doctor, is Lixin not paralyzed?"
"..." Lin Yuan really felt that he had little clinical experience this time.
She sighed and said: "I am a doctor in the emergency department. I am here to ask about the medical history so that I can write down the medical records when I go back. If you want to know about the operation, you have to wait until the operation is completed and ask the neurologist."
The eyes of several family members were mixed with disappointment and hope, which was extremely complicated.
"Is there anything else? Do you usually take any medicine?" Lin Yuan was ready to leave. She knew that she had not completed this test well, and she didn't know whether Boss Zheng would curse.
Probably not. Maybe the next surgery will be more painful when the hemostatic forceps are used.
"Well... Lixin occasionally takes some painkillers." Yang Lixin's girlfriend said, "He often suffers from migraines."
Migraine... Lin Yuan noted this down blankly.
This disease is divided into 6 major categories and 15 subcategories, which can be mild or severe; it can be migraine induced by general neurological symptoms, it can be a precursor to epilepsy, or it can be... In short, it has no meaning for cerebral infarction.
Many patients have had migraines since childhood but never know where they came from.
But this is still meaningless, Lin Yuan thought. Looking at it now, the most likely headache is caused by frequent attacks of small cavity infarcts.
She finally said goodbye to the patient's family politely, and returned to the interventional department anxiously.