113 signs do not match

At this time, Zhao Lei was suddenly a little depressed.

Today's events made Zhao Lei deeply aware of the gap between himself and Yuntian.

Not only at the professional and technical level, but also in terms of being recognized by the hospital, he and Yuntian have long been not at the same level.

The doctors in the imaging department themselves are not less in contact, after all, what they do as interns is to push patients from various clinical departments to various auxiliary departments for examinations.

But when, when can the teacher in the auxiliary department remember his name and politely ask himself to watch the film?

Not to mention that a phone call can call the director of a key clinical department to personally go out to see his father.

When I could only wait for the doctor's news at the door of the ICU helplessly as a family member, my classmate had already given medical orders to my father in the ICU.

I have been with my classmates in Yuntian University for four years, one class, one dormitory, and I mix together every day, almost to the extent that I wear the same pair of pants.

When arranging the internship, he was also assigned to Xihua Hospital with Yuntian.

Although he is not as hard as Yuntian, Zhao Lei has never felt that there is much gap between himself and Yuntian.

But in just a few months, have you fallen so much?

Since I have chosen to practice medicine, I should work harder.

At least, only if you have enough ability, if you encounter such a thing again, you can have the ability to protect the people you want to protect!

After sitting with Zhao Lei for a while, Yuntian's phone rang.

It was the phone call from the nurse's desk in the Chinese medicine department, urging Yuntian to go back to collect patients.

"If you have something to do, hurry up and get busy, I'll just keep it by myself, thank you today. Zhao Lei said.

"Then you take care of your own rest, don't worry too much. Call me anytime for anything. Yuntian patted Zhao Lei's shoulder and confessed.

The hospital is like this, it is busy, and the patients come in waves, just like they have made an appointment.

The Department of Traditional Chinese Medicine has just come to three patients with luminal infarction, one with aphasia and two with movement disorders.

Dr Wong is treating a patient with aphasia and two more cases of movement disorders are waiting to be treated.

"Let's look at 13 beds first. Yun Tian looked through the outpatient cases of the two patients and selected the older one of the patients.

The patient is 73 years old with a blood pressure of 160/90 mmHg and a heart rate of 108 beats per minute.

Five days ago, the patient suddenly developed a left limb movement disorder and was admitted to a lower level hospital with multiple lacunar cerebral infarction for five days of ineffective treatment.

After the outpatient doctor understood the condition, he sent it directly.

"Why did you choose the uncle first? because the old man is older?" Zhuang Zhuyue slipped over from Dr. Huang after discovering that Yun Tian had returned to the department, and had been following Yun Tian as a little tail.

Seeing that Yun Tian looked through the outpatient medical records of the two patients, and finally chose to check the old man's condition first, he asked suspiciously behind Yun Tian.

“......”

"Seeing a doctor should also follow the old and love the young, so that the choice can effectively avoid patient disputes, right?" Seeing that Yuntian did not answer, Zhuang Zhuyue broke the sand pot and asked to the end.

"It's just that I took the old man's case in my right hand and chose it easily. Yun Tian replied helplessly, and quickly transferred to the ward.

The uncle is 73 years old, lying on the hospital bed, and his spirit is not very good.

Yuntian briefly understood the patient's condition and began to examine the body.

"Your neurology exam is so professional, so smooth, and you look amazing. Does every patient admitted to the hospital have to be examined so carefully?" Zhuang Zhuyue looked at Yun Tian with a heartfelt look at the uncle's posture and asked without stopping.

Sure enough, the man who is still focused is the most handsome, but I didn't expect Dr. Xiaoyun to be not only handsome, but also handsome to check the patient.

Zhuang Zhuyue's stinginess with Yun Tian had long since disappeared after Jiang Qiu softened the matter, and the change in attitude was a bit large, and there was a tendency to become Yun Tian's number one little fan girl.

Yuntian was too lazy to ask Zhuang Zhuyue without nutrition, and continued to carefully examine the uncle.

But with the inspection, Yun Tian gradually felt that something was wrong.

Uncle, this situation doesn't look like it's caused by a cavity infarction.

"Did you bring the old man's film?" Yun Tian asked the family.

"Brought, brought. The family responded as they pulled out a piece from the bedside table.

The film was shot five days ago.

Yun Tian held the film and looked at it carefully in the light.

Yun Tian, who has a perfect level of neuroimaging differential diagnosis in his hand, can see at a glance that there are indeed multiple lacunar cerebral infarctions on the old man's film.

But Yuntian immediately found that none of these lesions seemed to be recent, and they all belonged to old cerebral infarction lesions, which should have existed long before the old man became ill five days ago.

It is an infarct lesion that has no clinical manifestations and has healed spontaneously.

It doesn't match the time when the old man showed signs!

"Have you ever fallen or something like that in the old man recently?" Yun Tian asked.

"No, the old man has been catching a cold for almost a week recently, and he has not been very comfortable, and he usually goes out to yo-yo, and he has not been out of the house this week, and he has been at home, and he has not fallen. The family replied after carefully recalling it.

"Judging from this film, although the old man has many lacunar cerebral infarctions, they all look old and do not match the signs of the old man, so I suggest whether I can do an MRI again. Yuntian patiently explained to the family.

"This CT scan has only been done for five days, do I have to do it again? How much does it cost?" The family members are obviously still resistant to having a new examination.

"It's about six hundred dollars. Yun Tian replied.

"Is it okay not to do it? or do you have to do it?" the family still wants to fight again.

"It's better to make one. You have been treated for lacunar cerebral infarction for five days in the county hospital, and it has not improved, and it is very likely that the old man's condition is not caused by lacunar cerebral infarction. "In the face of patients, Yuntian seems to be much more patient.

Zhuang Zhuyue obviously found out about this, and pouted a little unhappy, but Dr. Xiaoyun's patient communication with patients was also very handsome......

After some consideration, the patient's family finally agreed to do a new MRI of the head.

When the patient was given the examination form, Dr. Huang had already finished dealing with the patient with aphasia, and another patient with movement disorder had already been taken over by Dr. Huang.

"Doctor Xiaoyun likes my imaging department so much today?" Doctor Huan saw Yun Tian pushing the patient over again, joking with Yun Tian.

In one day, I saw Dr. Xiaoyun, a TCM doctor who has been in the limelight recently, push the patient to come for a check-up twice, and the probability is not high.

"The new patient who was just admitted had a CT done at the county hospital five days ago, and it was a lacunar cerebral infarction, but the signs were not correct. Yun Tian truthfully expressed his doubts.

"Oh, did you bring the film from the county hospital? I'll take a look. "Doctor Huan, who had just been hit by Yuntian, instantly came to his senses, and it seemed that it was time to perform the real technique.