Since taking on Leng Chengye's challenge, Yuntian has been stationed in the department almost 24 hours a day like Dr. Huang.

With Director Lin and Director Shi Zhang Luo, the number of patients admitted to the hospital has increased significantly in the past few days.

It's just that the coordination of doctors and nurses is not yet in place. After all, doctors and nurses have to coordinate from other departments, and they can't be in place in a day or two.

Dr. Huang has been wishing that he will be able to do the doppelganger surgery for the past two days, and he feels that his three heads and six arms are not enough.

In order to leave Yuntian to help him, Dr. Huang took the initiative to give up the neat and clean doctor's duty room.

Just kidding, you can sleep in 26 beds, and the duty room is just a little more comfortable.

If Yuntian didn't help himself, so many patients would be so tired that they would die suddenly!

"Doctor Xiaoyun, take in the patient. "Dr. Huang had just finished receiving a patient and was taking advantage of the time to write a case to catch his breath, when the nurse's desk heard the shout of accepting the patient again.

Dr. Huang has no idea of competing with Yun Tian for status at all, and is as tired as a dog at this time, and just wants to take a good rest.

Yun Tian glanced at Dr. Huang, who quickly waved his hand and signaled that he was not going.

Yun Tiancai picked up the guy and went to the ward.

This kid, who has been working no less than himself in the past few days, feels that he is about to die suddenly, this kid is actually full of energy all day without any fatigue! The key is that he can get up early and go for a morning run every day!

It's better not to compare people with people.

The patient, a 32-year-old male, had repeated lacunar infarctions.

This time, he was admitted to the hospital with headache and mild movement disorder of the left limb for 1 day.

"I've paid a lot of attention, there is no high blood pressure and no hyperlipidemia, why do I keep having a cavity infarction, basically once a year, there is no other way?" the patient pulled his hair and looked very anxious.

At the age of 32, the hair on the top of the patient's head is already very thin, and the Mediterranean pattern on the top of the head is almost complete.

At this time, he pulled a few strands of hair on the top edge, which made Yun Tian look worried.

"My husband has not been in a good mood lately, and his temper is relatively fast, and he has been very anxious about this disease. "The patient's family is a woman in her thirties, dressed in professional attire, and looks quite shrewd and capable.

Yun Tian carefully inquired about the patient's past medical history, and was also taken aback.

Since 2016, the patient has had at least one cerebral infarction every year, and this year is the second time he has been admitted to the hospital.

At first, it was only a routine physical examination and a cerebral infarction was found, and there were almost no clinical symptoms.

In the 17th year, a new cerebral infarction lesion was found during the examination of cervical spondylosis.

At 18 years, he developed numbness in his limbs, and when he went to the hospital for examination, he found that it was caused by cerebral infarction.

Mild limb movement impairment occurred in the first half of this year. It is also led by cerebral infarction.

Each time the patient was treated, his condition improved, but he kept recurring.

Seeing the case, Yun Tian felt a little strange.

Cerebral infarction is more common in the elderly, and the incidence of young people is low, and there are no other diseases such as hypertension and hyperlipidemia.

Why do I keep having recurrent cerebral infarctions?

The patient's medical history was carefully examined and registered.

Yun Tian carefully did another physical examination.

Apart from the loss of muscle strength in the left lower limb, no other problems were noted.

The outpatient clinic has done an MRI examination, and the results suggest that bilateral mesothermic white matter lesions with multiple lacunar cerebral infarction foci.

Imaging findings confirmed, coupled with clinical manifestations, are indeed multiple lacunar cerebral infarctions.

After checking on the patient, Yuntian returned to the office and began to fill out the doctor's order.

But in my heart, the anxious appearance of the man always lingers in front of me.

I don't have chronic diseases, and I am so young, why do I keep having recurrent infarctions?

"What's wrong with Xiaoyun? Is there a problem with the patient's condition? Do you want to report it to Director Shi?" Dr. Huang saw that Yun Tian came back and sat in front of the computer and didn't do anything, this has never happened before.

Some time ago, when there were not many patients, this kid could always find a loophole and deal with the doctor's order in an instant.

Could it be that the patient's condition is more tricky?

"Look at it. Yun Tian handed Dr. Huang the admission record he had just written.

"Once a year, it's a thunderbolt!" Dr. Huang joked.

"Only 32 years old, he has repeated cerebral infarctions, Xiaoyun, according to your theory of traditional Chinese medicine, is this patient considered a child with kidney deficiency?" Dr. Huang looked through the cases, and it was very strange that the patient had cerebral infarctions at such a high frequency at such a young age.

"The patient's condition is stable, and the effect of each treatment is not bad, so let's treat it first. The day after tomorrow, Director Shi will come over to make rounds, and then tell Director Shi in person. ”

Since Yuntian took over Leng Chengye's challenge, Director Shi has been very attentive to the treatment of cavity infarction.

In the past two days, he not only mobilized his own network to find patients for Yuntian, but also came to the department to talk to Yuntian once, and had a comprehensive understanding of the diagnosis and treatment of Yuntian's cavity infarction.

And told Yuntian that he would come to the Chinese medicine department every Wednesday in the future.

Today is Monday, and there are still two days left for Director Shi's ward rounds, and Yuntian wants to talk to Director Shi about this person's case when the time comes.

After giving the doctor's order in the usual way, Yun Tian thought about it and called the patient's family to the doctor's office.

"Your husband has had cerebral infarction many times, and I suggest that he do some tests for hereditary metabolic diseases, and first rule out hereditary metabolic diseases to see if the cause can be found. For this patient's situation, Yuntian always feels a little uneasy.

With the consent of the family, several additional tests were given to the patient.

"By the way, doctor, my husband was still saying that his back hurt badly, it seems that he has cervical spondylosis again, can you prescribe some medicine for him to take first, otherwise he will always sleep badly night after night." Seeing that Yuntian had no other problems, the woman prepared to leave.

As soon as he walked to the door, he turned back and said.

"Back pain?" seemed to have some thought flashing in his mind, but Yun Tian didn't catch it, so he subconsciously repeated.

"Yes, I have checked it before, and I did an MRI, and it is said that there is a herniated disc in the neck, which compresses the nerves and often causes back pain, so it is good to take some painkillers. The woman explained.

"Back pain?" Yun Tian always felt that some key information had been omitted by himself.

"Doctor Yun, Doctor Yun?" Yun Tian kept repeating the back pain, and the woman realized that Yun Tian was not asking herself, as if she was talking to herself.

"Huh?" the woman shouted a few words before she woke Yun Tian out of her contemplation.

"Can you prescribe some painkillers for my husband? He has a terrible back pain. The woman reluctantly repeated again, how can this doctor look so unreliable?

And he came to the neurology department of Xihua Hospital, and the neurology department of Xihua Hospital is the leading leader in Kunnan Province. But when he arrived at the hospital, he was told that the lacunar brain department was in the Chinese medicine department.

I have been in the hospital for so long, and I have only seen two doctors who are so young.

No matter how you look at it, it's a bit unreliable.

Should I consider transferring to another hospital?

Looking for a reliable hospital to take a good look at?

The woman's doubts and distrust gradually rose in her heart, but Yun Tian didn't feel it at all.

"Back pain, hair loss, multiple infarctions, white matter lesions! I know!" Yun Tian chattered, and suddenly his heart was blessed, and he shouted.