Facing Director Tang's surprise, Director Shi smiled calmly, and his gentle and elegant bearing was naturally revealed.

"Assessing the patient's location from the patient's symptoms and signs is an essential skill of a neurologist. Although Director Shi said it lightly, the pride in his eyes couldn't be hidden.

Basic training?

In today's world where various auxiliary checks are used as vouchers, which one is not dependent on auxiliary checks?

How many doctors can practice the basics?

Nervous system localization diagnosis, can achieve the level of Dr. Xiaoyun, I am afraid that my neurology department will not be able to find a second one.

If Director Shi is modest, Director Tang, who has a seven-trick exquisite heart, will naturally not take it seriously.

If such technology is really basic, where does the hospital need so much expensive examination equipment!

"Doctor Xiaoyun is so young, his medical skills are so good! What a hero is a young man, Tang Mou's eyesight is not good!" Director Tang praised Yun Tian with a smile, and by the way, he blacked himself out, which can be regarded as an explanation for his previous misconduct to Yun Tian, and he grasped the proportions just right.

The outreach director of the Provincial Literature and Art Group is naturally a long-sleeved person who is good at dancing, and it is naturally not a problem to resolve the current embarrassment.

"Doctor Xiaoyun, how long will it take for Le Lao to recover? We are rehearsing several large-scale shows, and we will report on the performance in a month, and Le Lao is the backbone. Director Tang's smile narrowed slightly, and he instantly transitioned to a serious and slightly worried face, and the change between the front and back of the table made people not feel the slightest abruptness.

"The overall effective rate of treatment for geriatric sudden deafness is only about 40%, and Le Lao is also accompanied by lacunar cerebral infarction, which can be regarded as the most troublesome one in geriatric sudden deafness. The treatment is less effective, so we can only try as best we can. Before Yun Tian could think of how to answer, Director Shi first said the difficulty.

Listening to Director Tianshi's answer, Director Tang frowned slightly.

"I still have to trouble Director Shi!" Although Director Tang was not satisfied with Director Shi's answer, he also understood in his heart that doctors are like this, and they always put bad results first.

Therefore, Director Tang's face was fine-tuned again, with a bit of respect, and he pulled Director Shi and said.

Director Shi naturally promised cautiously and would do his best.

The superb and decent means of entertainment of the two directors were a little boring to watch.

Yun Tian didn't quite understand why people spent so much time, energy, and such things.

However, fortunately, I don't have such social problems at the moment, and I just need to manage my patients well.

Because the TCM department did not have hearing examination equipment, Le Lao was sent to the ENT department for a detailed hearing examination.

The ENT doctor was the first department to cooperate with the TCM Department in the treatment of allergic rhinitis, so Director Lin arranged for Dr. Yu Qiluo, who sat in the TCM outpatient clinic, to take Le Lao over.

Because Le Lao had to go over for an examination, a large number of people in the ward finally dispersed, leaving only Le Lao's granddaughter, a little girl about 20 years old, and Director Tang to accompany her.

"Any ideas?" asked Director Shi as everyone dispersed and Yun Tian and Director Shi returned to the doctor's office together.

"There are several main factors that lead to sudden deafness: viral infection, microcirculation disorder, autoimmunity, and rupture of membrane confusion. Judging from the condition of Le Lao, there is a history of hypertension, hyperlipidemia, diabetes, and microcirculation disorders. ”

"I would like to try the treatment with long cetine and batrienzyme combined with ginkgo biloba extract. Le Lao has high blood pressure, high blood lipids and high blood sugar, and cannot use glucocorticoids, so I am a little unsure about the efficacy. "Yuntian is still thinking about it, so I'm still a little unsure.

The effect of dexamethasone on the treatment of sudden deafness in the elderly is certain, but Le Lao has a history of three highs, and if dexamethasone is used, it will have a certain impact on the three highs, so Yuntian wants to avoid using it.

Batraase is a snake venom extract, which is an anticoagulant, and Changxetine is a high-efficacy vasodilator drug, combined with ginkgo biloba extract, the combination of three drugs can compete for most of the causes of sudden deafness.

This is what Yuntian can think of, and at present, he is striving for the most definite treatment for sudden deafness.

"Ginkgo biloba extract?" Director Shi subconsciously repeated. Director Shi knew about the program of batrienzyme combined with long oxetine for the treatment of sudden deafness, but on such a basis, Director Shi had not heard of it in combination with ginkgo biloba extract.

However, ginkgo biloba extract has a good effect on improving microcirculation and improving self-immunity, and it is a commonly used drug to improve blood circulation in the brain, and it has no effect on coagulation function.

Yun Tian took advantage of Director Shi's thinking moment and entered the system training room.

The test subject was ready, Yun Tian checked the test subject's information, and it was very similar to Le Lao's condition, but all the auxiliary examinations had been completed.

"Long xetine oral, 20mg/time, 2 times/day, intravenous batriplase ......" Yuntian began to report his own treatment plan.

Unexpectedly, the completion rate of treatment was only 83%!

The completion rate of 83% is actually much higher than the effective rate of about 40%.

But Yuntian will certainly not be satisfied with 83% completion.

Recently, Yuntian's acupuncture skills have greatly improved, so Yuntian's first reaction is to cooperate with acupuncture treatment.

"Take ......" Yuntian used a set of acupuncture positions, but the completion rate only reached 84%, which was only an increase of 1%.

It seems that acupuncture has very limited therapeutic effect on sudden deafness.

Indeed, the main cause of sudden deafness is related to microcirculation disorders, and acupuncture is effective for nerve stimulation, but the improvement effect on microcirculation is very limited.

Could it be that the selection of ginkgo biloba is unreasonable?

Yun Tian wondered what was wrong with him.

The test subjects kept changing, and Yuntian tried several traditional Chinese medicine anticoagulants, but the effect was not as good as Ginkgo biloba extract. Even when using hirudin in combination, there was a trace of cerebral hemorrhage!

It seems that the absence of dexamethasone glucocorticoids has a certain impact on the treatment of sudden deafness in the elderly.

But think of the glucocorticoid phase

Off the side effects, Yuntian is still reluctant to use.

Regarding the treatment of sudden deafness, Yun Tian only saw the relevant treatment plan in the literature, but he always felt that something was missing, Yun Tian thought about it, and spent 100 experience points in the system mall to buy a skill fruit.

With the skill, Yuntian has a deeper understanding of sudden deafness in old age.

Sure enough, there is still no reason to use dexamethasone!

However, hypertension, hyperlipidemia, and diabetes are contraindications to glucocorticoid therapy.

Glucocorticoids naturally cannot be used!