"The condition is relatively clear, and the patient's pulmonary arteriovenous malformation is very small, and interventional surgery cannot be done. But there is also a benefit, which is why his ischemic stroke is relatively mild. Wu Mian said, "On the whole, this is the case, the diagnosis is there, and the next ......"

As he spoke, he glanced at Song Yabin, "Please consult the respiratory department, how is the strength of the respiratory medicine department of the second hospital?"

The first sentence was said to Song Yabin, and the second sentence was said to Ma Xiude.

"The level of respiratory medicine is good. Matthew gave a responsible assessment.

"Yes, because there is upper gastrointestinal bleeding, it is recommended in principle that the patient discontinue clopidogrel and add lansoprazole 30 mg once a day and simvastatin 40 mg once a day. Specific matters are solved by the professional team of respiratory medicine. Patients should be followed-up, repeatedly emphasizing the use of medication, and not careless. ”

Wu Mian said it very casually, but there was a strong force that could not be disobeyed.

"Teacher Wu, can't the patient's surgery really be done?" Song Yabin asked with some regret.

"Both lungs have arteriovenous malformations, which are scattered and cannot be removed. Wu Mian said, "Intervene...... There is not such a good embolization equipment, if you really want to do it, you can try it, but the iodine oil floating out may tie the spinal cord blood supply artery, resulting in high paraplegia, and even embolization of the brain stem, which is more risky. ”

"So I recommend that it be treated by a team of respiratory medicine professionals, and it is better to have regular follow-up visits. Recently, Germany is developing miniature spring coils, Director Song would like to ask you to give the patient's contact information to the Horse Hospital. Wu Mian said.

Han Guangyun glanced at Ma Xiude, thinking to himself whether this was the director of the Sword Association Hospital or Wu Mian's secretary.

He despised it in his heart, and it was better to be inappropriate than this dean.

The mobile phone rang, and Han Guangyun picked it up and saw that it was Dean Li Haihua. He immediately stood up, bowed slightly, politely apologized to Wu Mian, pointed to his phone, and then turned to leave.

Walking out of the office, Han Guangyun breathed a sigh of relief.

Training doctors by themselves, is it a fox and a fake tiger? borrowed the aura of President Li Haihua to forcibly suppress the dissatisfaction of the doctors.

No matter how fierce the scolding is when you usually have a meeting? Han Guangyun could feel that the directors didn't care. Only a few people who are willing to pat themselves on the back are very serious, and some even have notebooks to record them.

But Han Guangyun knew that they were just doing a show? What exactly is written? Only they understand.

And the technical level of these people is very average, is it embarrassing to use Han Guangyun's own words? People who are really high in the level simply ignore themselves.

But Wu Mian is different.

He sat there and talked, and was he going to leave? Not a second is wasted. And Director Song and the doctor looked at him like a college student listening to an old professor's lecture? is still facing the kind of old professor with high prestige and rich learning.

Han Guangyun clearly saw that the admiration in the eyes of Director Song Yabin and the surrounding doctors was about to overflow.

The mood in his heart was a little weird, but Dean Li Haihua's phone call was more important. At this moment, he had forgotten that he had just despised Ma Xiude as Wu Mian's secretary? Selectively forgot about it.

Han Guangyun found a corner that was not very noisy and connected to the phone? "Dean Haihua, you instruct. ”

When he said the four words Dean Haihua, Han Guangyun's waist bent down involuntarily, and a well-behaved and docile smile appeared on his face. Even his tone became a few gentle, with a hint of flattery? It's well hidden, but it's noticeable to the person on the other side of the phone.

"I have a problem with my stool. Dean Li Haihua said directly? " You get the relevant doctor to come to my office. ”

Han Guangyun was stunned, there was a problem with the stool? !

"Dean Haihua? It's blood...... Is it hemorrhoids?" Han Guangyun said lightly.

"It's not. Li Haihua's voice was erratic, and he hesitated for a few seconds? He continued? "Silver? You've seen it. ”

Han Guangyun nodded at the phone.

"My poop is silver. ”

"......" Han Guangyun was slightly stunned, Dean Haihua, has this become Pixiu? But Pixiu just eats, and definitely doesn't pull out.

Although Han Guangyun is not engaged in medical treatment, after all, he studied in medical school and worked in a hospital, so he still knows at least common sense.

The color and character of stool can provide an important diagnostic basis for judging the functional status or pathophysiological status of the digestive tract system.

The normal color of the stool should be dark brown.

This is caused by bilirubin from red blood cells being broken down by bacteria in the intestines, turning it brown.

Human feces are usually light to dark brown in color and are mainly produced by a combination of bilirubin derivatives of bile and urobililin composed of dead red blood cells converted into bilirubin. It is usually semi-solid with a mucus coating.

Yellow feces may have some problems, but they are generally not large, and they will not be taken seriously clinically. After all, the person who looks back after pooping...... There are still a lot, but the vast majority of people don't squat in front of the toilet to see if their feces are brown or yellow.

Infection with Giardia lamblia can cause yellow stools, and Han Guangyun knows that he vaguely remembers other diseases that can induce yellow stools.

But in detail, he can't say. Not only Han Guangyun, but also doctors who are not specialized in gastroenterology are not detailed.

Pale or gray stools are also problematic and not clinically important.

In the process of clinical diagnosis and treatment, the most common stools seen are red and black.

Melena is usually due to upper gastrointestinal bleeding, such as a hemorrhagic peptic ulcer. Black or dark brown stools may indicate upper GI bleeding, and red stools may indicate lower GI or rectal bleeding.

This is the simplest common sense, and many ordinary people understand it.

But the silver stool ...... What the hell is this?Han Guangyun looked at his phone in a daze.

If it were usual, Han Guangyun would definitely not try to solve this problem on his own, and he would have found an expert in gastroenterology, but it was really not possible to contact the top experts in the imperial capital through a gastroenterology expert for remote consultation.

But just now Wu Mian sat in the doctor's office in the neurology department and scolded Fang Xuan, one, two, three, four, five said it clearly, Han Guangyun was vaguely envious in his heart, and even evolved to the point of jealousy.

If they have that ability, they will definitely be able to train the clinical director like a dog at the regular meeting of the department director and in the on-site office, and they can't say anything, so they can only bow their heads and admit their mistakes.

It's not like now, saying a word by themselves, although they don't speak on the surface, they don't know how many sentences are waiting for them in their hearts.

"Director Han. Li Haihua's voice was a little stern.

Han Guangyun suddenly thought about it, and he hurriedly said, "Dean Haihua, wait a minute, I'll find a gastroenterology expert to go to your office." ”