42. Teacher Xia, it's not good!

Seeing Gao Xiaohong, the middle-aged man was very anxious, and vividly described Xia Yiwei's inaction and bad attitude.

How do you know that Gao Xiaohong didn't react, but said lightly that the internal medicine department is now in charge of Xia Yiwei, I can help you ask.

The middle-aged man is full of incredulity, how can this be? I thought I could find someone to support me, but I didn't want the attitude of the person to come was more humble than himself.

Who is not embarrassed by whom.

In the past two months, Qingtian Health Center has been thriving under the leadership of Xia Yiwei, and the number of outpatients, hospitalizations, and surgical patients is several times higher than that of her previous time.

No one was unconvinced, including her Gao Xiaohong, she didn't dare to accept patients with slightly more serious conditions such as heart failure, AECOPD, upper gastrointestinal bleeding, etc., but Xia Yiwei not only accepted them but also controlled their condition, and no one in the internal medicine department was transferred, and all of them were discharged from the hospital.

Not only that, but the surgical business of surgery is also carried out impressively, and the millions of benefits alone are worthy of admiration.

Cultivating both inside and outside, and being able to endure hardships, in the face of such an opponent, Gao Xiaohong knew that she was invincible.

The heart gradually calmed down, and began to reflect on her past, inaction is the biggest problem, and the biggest reason for inaction is the lack of strength, so she calmed down to read and study.

"Teacher Gao?" Xia Yiwei sat in the outpatient room, and when he saw Gao Xiaohong come in, he stood up politely, and his mouth opened and closed.

He wanted to ask why you came, but he was afraid that Gao Xiaohong would misunderstand, and he was afraid that she would think this was a provocation. are all under the same roof, there is no need to expand the contradictions, and Xia Yiwei has already shifted his focus to surgery.

He made such a decision because after seeing Uncle Wu, the number of patients in the world who need to change their livers, kidneys, hearts, and other organs is increasing year by year, and it is really shameful that he has this condition to waste.

"The patient is my nephew and daughter-in-law, I went to the examination room just now to see her, I can't see what kind of disease she has, I don't know what you think?"

Gao Xiaohong's tone was not as strong as before, which made Xia Yiwei feel a little strange.

That voice of Yiwei brought Xia Yiwei's heart closer, Gao Xiaohong is an old doctor and an elder, calling Yiwei is more cordial than calling Doctor Xia, this is more like sending a message, you force me to admit defeat.

"According to the medical history described by Brother Gao, plus the physical examination, I consider hysteria, and now I will wait for the electrolyte results to see if there is a possibility of low potassium and low calcium. Xia Yiwei poured a glass of water for Gao Xiaohong as he spoke.

"Hysteria!" Gao Xiaohong's eyes lit up, she took the water cup and didn't drink it, "It's a bit similar, but hysteria is an exclusive diagnosis, and organic lesions need to be ruled out, our hospital can't do electromyography, CT and MRI, or even lumbar puncture, do you want to send it to a higher-level hospital to see?"

"Patients with weakness of the limbs, muscle tone grade 0, and aphasia in the development of the disease need to be alert to intracranial and spinal cord lesions. ”

Xia Yiwei nodded, thought about it and said: "However, the patient is only forty years old, has no chronic history of hypertension, diabetes, etc., and the pathological signs are negative.

"Qualitative positioning?" Gao Xiaohong couldn't help blushing, because she found that she didn't know what Xia Yiwei's qualitative positioning meant, and this was on the premise that she had worked hard recently.

Qualitative and positioning are commonly used terms by neurological surgeons, and how can a township doctor like Gao Xiaohong, who has graduated for twenty or thirty years, know that the most important thing is that she is not a specialist in neurology.

Quality!

Qualitative refers to the cause, for example, a patient who has a sudden stroke can know whether it is bleeding or infarction after CT or MRI.

As for the localization, location, location of the lesion. Different parts of the brain tissue and nerves have different functions, and auxiliary examinations can assist doctors to find the location of the lesion.

Before the examination, the neurologist will first locate the qualitative according to the patient's symptoms and signs, and wait for the results of the auxiliary examination to come out, and compare the two, and the anastomosis indicates that the diagnosis is clear, otherwise you have to continue to think.

Xia Yiwei did not despise Gao Xiaohong, because the township doctor is a general practitioner, knowledgeable but not sophisticated, I don't know understandable.

After briefly explaining the definition to Gao Xiaohong, Xia Yiwei rubbed his temples, and it was sad that he didn't have a system and relied on memory.

"Acute onset, quickly reaching a peak, we consider vascular lesions, inflammation, trauma and poisoning, among which cerebrovascular accidents are the most common, and regardless of whether the patient does not have underlying diseases such as hypertension, it is not consistent to say that it is a ruptured cerebral aneurysm and hemorrhage. ”

"Isn't there quadriplegia, aphasia, and paralysis of respiratory muscles?" After saying that, Gao Xiaohong wanted to retract what she said, her breathing was steady, her finger pulse oxygen was normal, and there was no paralysis of respiratory muscles.

"Quadriplegia localizes high cervical spinal cord lesions and brainstem-bilateral cerebral hemispheres. High neck spinal cord lesions, which are more common in patients with head-to-ground trauma, are not considered because the patient has no clear history of trauma;

As for the brainstem-bilateral cerebral hemispheres, it is impossible to say that the person who has accumulated the brainstem and bilateral cerebral hemispheres does not have a disorder of consciousness. ”

Before Xia Yi finished speaking, Gao Xiaohong's face turned even redder, and she asked, "What about polio?"

Polio is also known as polio.

It is said that it is a child, but how can adults see it often.

Xia Yi didn't want to cry, but he didn't show a trace of speechlessness, and said calmly: "Teacher Gao, have you forgotten that the onset of polio is relatively slow, it has a prodromal period, a pre-paralysis period, and a paralysis period......

"It's that I forgot, it's a lot of children. Xia Yiwei's body seemed to have become extremely majestic, and Gao Xiaohong nodded shamefully.

As an old doctor, her knowledge is not as good as that of a young doctor who has not been out for a long time, she knows that Xia Yiwei can not speak so smoothly and easily, and she is lost and ashamed in her heart.

An Ran, who had stood at the door for a long time, had a in his eyes.

She sees her jumping ship to Qingtian Health Center as the most correct decision she has made in her life.

Not one of them.

She walked in happily, "Teacher Xiaoxia, the electrolyte is out, potassium is 4.0mmol/L, and there is nothing abnormal in the rest." “

"Oh, this is the director of the internal medicine department of our hospital," Xia Yiwei introduced, "Teacher Gao, this is our new colleague, An Ran." ”

"Yiwei, I'm ......" Gao Xiaohong's eyes were full of emotion, and in this case, she also told the new doctor that she was the director, and she also called herself a teacher, this kind of generosity made her embarrassed and moved.

Sensible, worthy of the person I fancied!

An Ran looked at Xia Yiwei with his afterglow, and smiled at Gao Xiaohong: "Teacher Gao is good." ”

"Hello, Enron, I have to learn from Yiwei in the future, I'm old. Gao Xiaohong looked at the energetic An Ran and sighed that she was really old.

"What's the matter, Teacher Gao is still like a flower. ”

"Teacher Xia, it's not good, the patient is starting to have convulsions. Zeng Feng appeared at the door with an anxious face.