114 Doctor Huan was stunned
Although Dr. Huan is less than 30 years old, he is the doctor with the highest degree in radiology, and he originally had the opportunity to stay in a first-tier city.
But his parents were old, and he was the only son in the family, so he had to give up the favorable conditions of the first-tier cities and return to Yuncheng, a second-tier provincial capital.
But Dr. Huan has always had the arrogance of a big city hospital.
Although he is polite and polite in receiving people and things, the faint arrogance on his body always comes out intentionally or unintentionally, making people aware of his difference.
Because the patient was pushed down for examination, the family members of the county hospital did not carry the film with them.
Hearing that Dr. Huan wanted to see the old film from the county hospital, the two family members who accompanied him separated one person and ran back to the Chinese medicine department to get the film.
"Your friend's father doesn't have a big problem, right?"
Others, such as the X-ray room, have other doctors operating, and Dr. Huan has no patients at the moment, so he asked about Yuntian Zhao Lei's father with a little concern.
"I went to the ICU ward in God. The person has not woken up yet, but it is only a multiple cavity infarction, so it should not be a big problem. Yun Tian replied.
The family members were obviously running back and running, and before Yun Tian and Dr. Huan could talk a few words, the family members had already come back out of breath with the film.
The film is rolled into a cylinder and tied up with a rubber band, so it is indeed much easier to preserve the film.
"In the future, don't put the film like this, put it on the side with a lower temperature, just put it flat, roll it for a long time, and the film will not be able to see clearly. Dr. Huan untied the rubber band and explained to the patient's family.
Dr. Huan took the film and put it on the reader.
After all, it was only a film shot five days ago, and although it was not preserved in the right way, it has not yet had a substantial impact on the film.
The film on the reader is still legible.
The film is well-shot and not bad, and the layered position is also very reasonable, and I can't find anything wrong.
Dr. Huan habitually first makes a rough estimate of the level of the doctor who took the film.
Then it's time to watch the film.
Dr. Huan carefully watched the films taken by the county hospital several times, multiple lacunar cerebral infarction disease, but they were all old, and the occurrence time was at least three months.
Turned out the examination report of the county hospital, and the results were consistent with the results of my own inspection, multiple old lacunar cerebral infarction.
It seems that the patient's left limb disorder should not be caused by cerebral infarction!
Maybe it's hysteria, or not.
Dr. Huan guessed that the film was normal, after all, in the eyes of radiologists, old luminal infarction was not a big problem.
If there is no lesion in the brain, it may be a unilateral limb movement disorder caused by other problems, and Dr. Huan is not a clinical discipline, and the first thing that comes to mind is the most common hysteria.
Many elderly people may have unilateral limb movement disorder due to some suggestion or something.
"The film I just took five days ago, there is no major problem, the diagnosis of multiple lacunar cerebral infarction is completely reasonable, is it sure to do another MRI? ”
It takes hundreds of dollars to do an MRI. Judging from the dress of the patients and their families, they are not rich and noble.
The old man's film from five days ago did not have any progressive developmental lesions, and the film from five days ago is still valid. Diseases caused by organic lesions of the brain can be ruled out.
Therefore, Dr. Huan kindly mentioned that Yuntian should consider other diseases such as hysteria and other diseases.
"Can I do without an MRI?" the patient's family asked anxiously when they heard Dr. Huan's words.
Originally, he was reluctant to give up the money, but Yuntian insisted on doing it, thinking that since he had come to Xihua Hospital, he would grit his teeth and do it again.
But at this time, hearing Dr. Huan's words, the patient's family felt hope in their hearts, and it was better to save a little.
"There were no progressive lesions in the film from five days ago, so we can continue to observe again. Dr. Huan didn't say anything, after all, he was not a clinician.
"No, I'm going to have to do it again. The county hospital has been treated according to the luminal infarction for five days, and the patient's condition has not shown any signs of improvement. "Yuntian Dao.
"Dr. Liu, who filmed in this county hospital, just came to our hospital some time ago for further study, and the film was shot quite well. "Young doctors don't have enough experience and insight, so the diagnosis is not clear enough, and this happens occasionally.
If you can't find a diagnostic idea, you will suspect that there is a problem with the examination of the auxiliary department, and you will be asked to do the same type of examination repeatedly.
Although this Xiaoyun doctor has a good reputation in the hospital, he is still only an intern after all, and it is understandable that such a situation has occurred.
Thinking of this, Dr. Huan politely said that although it was an examination done by a lower-level hospital, there should be no problem with the film.
Seeing that Yuntian was deep in thought about the film, Dr. Huan kindly reminded again:
"Could it be unilateral limb movement disorder caused by other causes such as hysteria?"
After all, Dr. Xiaoyun is too young and inexperienced, and he should still be properly mentioned as a senior. Dr. Huan thought to himself, and he was very satisfied with his actions of caring for his colleagues and understanding his patients.
"There's a problem here. Yun Tian stretched out his hand and pointed to the position of the left epidural.
"Here, epidural, I don't feel ......," Dr. Huan suddenly paused in the middle of his words.
There is a faint band of fluid under the dura, which is very small and easy to ignore without looking closely.
Even if you look closely, it is difficult to diagnose.
The amount is too small, and the signs are too indistinct.
"Older people may have a small amount of subdural effusion, which is almost negligible. It is also impossible to cause such a severe left limb movement disorder. Dr. Huan admits that Yun Tian's eyesight is indeed good, and a small amount of epidural fluid can be found.
However, the young man is still too young to control the degree, and it is impossible for such a small amount of epidural effusion to cause the corresponding clinical symptoms.
"This is a film from five days ago. Yun Tian reminded.
"Yes, although most of the examination results are valid within three days as required, the head CT can still be used as a reference if there will be no big change in five days. Dr. Huan replied.
"What if it's a chronic subdural hematoma?" Yun Tian put his hands around his chest, put one hand to his lips, and tore the dry skin of his mouth for a while, and said faintly.
It's getting colder and drier.
Winters in Cloud City are dry and cold, and they are always prone to fire.
"Chronic subdural hematoma?" Dr. Huan was stunned!