006 Go to the emergency department first
Yuntian followed the voice.
In the middle of the line, a tall boy occupies the intern's best position, holding a large stack of case books. The boy has very white skin and wears a pair of rimless glasses, which is probably a little worse than Yuntian.
At this time, the boy had just the right puzzled expression on his face, but his eyes were slightly revealing schadenfreude.
"Yes, motionless, expressionless, and shouting, how can it be sober!"
"The patient's eyes were still broken open just when they were about to do the pupillary reflex, and the patient did not resist, so it really didn't look like he was awake. ”
After listening to Director Shi and the tall man's words, all the interns came to their senses and began to express their opinions and doubts.
It's just that for some reason, all the teachers at the front of the line are silent and don't say a word.
"As you have just seen, the patient's eyes can move with his fingers after hearing my words, which is enough to prove that the patient can hear us, has no barriers to language comprehension, and has normal oculomotor and trochlear nerve functions. Yun Tian insisted on his judgment and then concluded.
"The fact that the eyeballs can move doesn't prove that they are conscious, right? Could it be a coincidence caused by nystagmus?" Director Shi continued to question.
"Just because the eyes can move doesn't mean that the patient has no problem understanding of language? The tall boy also seized on Yuntian's language loophole.
"We can try again. Yun Tian did not directly answer the questions of the two, but only offered to try again.
"Uncle, if you can hear what I say, please roll your eyes three times. Yun Tian leaned down and whispered in the patient's ear.
As soon as Yun Tian's words fell, the uncle's eyes slowly turned. Although the speed is not fast, and the position of the rotation is not standard, it turns three times accurately, and then stops.
"I can really move!"
"Just three laps around!"
"What's going on? Is the patient really awake?"
"I think you're awake, right? I haven't seen anyone whose eyes can still turn in circles when they're unconscious!"
The patient's eyes turned three times accurately and then stopped, which was enough to prove that the previous judgment was not a coincidence, and the interns began to feel that Yun Tian's judgment was more correct.
"The patient suffers from damage to the base of the pontine and bilateral cortical brainstem tracts and corticospinal tracts, resulting in loss of abducens nerve function, all manifestations of inability to speak, facial paralysis, and quadriplegia. ”
"Pontine base damage?What's that?!"
"Bilateral cortical brainstem tracts?
"Isn't our textbook different?"
Yun Tian made a preliminary location of the patient's brain lesion, although it has not been affirmed by the director, but everyone is obviously more inclined to believe Yun Tian's judgment.
The tall boy opened his mouth a few times, but in the end he didn't say anything, and this time he didn't seem to know how to refute it.
"Although the patient is conscious, it is easy to be mistaken for loss of consciousness because of multiple neurological losses. ”
"So, this is a case of locked-in syndrome. ”
Yun Tian did not care about the influence of his classmates, and finished his analysis in one go.
"Locked-in syndrome? Have we learned?" began to talk again in the ranks of interns.
"Very good! Classmates from Kun Medical College, what's your name?" Director Shi's loving smile revealed appreciation, and this time it didn't seem weird.
"Cloudy sky. Yun Tian replied.
"Okay, let's get here today, and everyone will go back to the doctor's office first. "Before the situation of a patient was understood, Director Shi actually stopped the ward rounds and arranged for everyone to go back to the doctor's office.
"Didn't you say that you were doing rounds? Why didn't you check again?"
"Is there something to announce?"
The operation in the morning made the interns directly dumbfounded, and they were puzzled as the large army began to retreat to the doctor's office.
"Xiaoyun, come, stand beside me. Director Shi occupied the absolute C position in the office and beckoned to Yuntian.
Yun Tian calmly walked to Director Shi and stood still in the envious eyes of everyone.
"Today's rounds and physical examinations are specially arranged to welcome everyone. Director Shi had a smile on his face, and his eyes swept over everyone's faces one by one.
The interns suddenly realized, then looked at each other and lowered their heads in embarrassment.
"Every year, the Department of Neurology is defined by interns as the least difficult department to learn. It's a fact!" After a pause, Director Shi looked around before continuing.
"Because neurology is the most complex and unintuitive of all disciplines. The reason why I took you to the ward rounds today, took everyone to see the patients, and gave the patients a physical examination is to let everyone know clearly where they are wrong!"
"Only when you understand what you are missing can you know which direction you should work from. ”
"I hope that this year, after everyone goes out from the gods, no one will talk to anyone anymore, I have been doing an internship in the gods and patronizing the patients to do CT scans, and I have not learned anything. Director Shi paused for a moment and then continued:
"In addition, I can tell you that our Xihua Hospital is short of people, very short, and Director Li of the emergency department is already stationed in the hospital 24 hours a day!"
"Our department is a little better, but it's not much different! Every one of your teachers is overloaded. ”
"Every year, the hospital reserves a place for everyone present, and our neurology department naturally has it. And the standard of stay in our god is the lowest in the whole hospital!"
Director Shi's words instantly ignited the desire in everyone's eyes!
"If someone can complete all the examinations of the neurology localization diagnosis before leaving the department, they can stay. ”
While Director Shi incited people's hearts, he didn't forget to nod towards Yuntian!
This is a clear implication,
It is an incentive for all interns,
It is also an encouragement to the clouds.
"Knock, knock, knock. As soon as Director Shi's words fell, there was a knock on the door.
"Director Shi, I'm sorry to interrupt. "The one who knocked on the door was actually Director Zhou Pingtao of the Medical Education Department.
"What's the matter with Director Zhou?" asked Director Shi unhappily. Although both are directors, it is clear that the administrative post has a slightly lower status than the medical post.
"I'm sorry, a classmate's rotation table is wrong, who is Yuntian, please come out!" Zhou Pingtao explained to Director Shi and shouted Yuntian's name to everyone.
"What do you mean?" Yun Tian was about to follow Director Zhou out, but was pulled back by Director Shi.
"That's right, Yuntian's first rotation department is the emergency department, and I made a mistake here. "Should I go to the emergency department? Wrong arrangement? Yun Tian felt that something seemed wrong.
Director Zhou Pingtao seemed to be too nervous, and after saying two sentences, beads of sweat appeared on his forehead.
"Then change the time with the emergency department, and Xiaoyun will be in God first. Director Shi motioned for Yuntian to stay put, and replied in a cold voice.
"This ...... The difference in rotation time between the two sides is a week, maybe it's not good?" Director Zhou Pingtao seemed to have some difficulties, and even Yuntian felt it at this time.
"It's Li Lishan, that guy asked you to ask for someone, right? Tell him that you want someone to come by yourself!" Director Shi replied, walked back to the C position again, and ignored Director Zhou Pingtao.
Director Li Lishan?
Li Lishan, an authority in the emergency industry in Yuncheng?
Going to the emergency department on your own?
But you don't know him, huh?