Chapter 415: Diseases of the Encephalopathy Department
【Ding!Successfully ordered by the doctor, gain experience points for clinical skills in encephalopathy +10.】
【Ding!Case writing is completed, and the clinical skills of the encephalopathy department are +10.】
【Ding!Complete communication with the patient, gain clinical skills in the Department of Encephalopathy +10.】
[Ding!The patient's headache symptoms were relieved, and he was well received, and the clinical skills of the encephalopathy department were +50.]
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Bai Ye spends every day in a variety of system prompts, because he has experience in managing patients in other departments, and when he first returned to the encephalopathy department, he didn't feel that overwhelmed.
Although there is a big difference between internal medicine and surgery, Bai Ye is still very experienced in the management of patients.
However, the diseases of the Department of Encephalology are relatively unique, and they are quite different from the diseases of other departments.
Because for example, in surgery, where the pain is treated, there is basically nothing wrong with it, and where the fracture is treated, this is very intuitive, but the encephalopathy department is not like this.
Surgery, the most important thing is the means of treatment, that is, the surgical skill.
But in internal medicine, the most important thing is diagnosis!
In particular, if you want to treat a disease, the first and most important thing is to understand what kind of disease it is.
Neurological diseases are the most difficult to diagnose, a headache may be divided into dozens of causes, and the treatment for any one cause is different.
In terms of symptoms, the main diseases of the general encephalopathy department include: headache, dizziness, numbness, movement disorders, speech expressions, dementia, madness, etc.
It's not nice to say, but if you don't know why you get this disease, you will think about it in your head.
Because encephalopathy is really a complex disease.
It's not an exaggeration that you can damage a nerve and it can lead to respiratory and cardiac arrest.
In terms of pathogenesis, encephalopathy is mostly divided into: cerebrovascular disease (including cerebral infarction, cerebral hemorrhage), epilepsy, central nervous system infectious diseases (that is, meningitis, bacterial meningitis, tuberculous meningitis, parasitic infection, etc.), demyelination changes of the central nervous system (such mainly include multiple sclerosis, neuromyelitis optica, etc.), Peripheral neuropathy (the most important of this is Guillain-Barré syndrome), movement disorders (everyone knows about this, such as Parkinson's, Huntington's disease, chorea, etc.), neuromuscular junction diseases (this is also common, such as myasthenia gravis, peripheral paralysis, etc.), and dementia and cognitive impairment.
Diseases in the Department of Encephalopathy are, to put it simply, diseases that occur in the brain.
From ancient times to the present, the study of the brain has never stopped, as the most mysterious organ of living beings, it has always been a place that human beings want to seek and break through, but it has never really discovered its essence.
The human body is a magical whole, with the development of modern medicine, the human anatomy structure continues to deepen and clarify, especially the discovery of microscopes and other electronic instruments, so that the study of the human body continues to deepen, from organs to muscle organs and tissues to the cell level, from macro to micro, people's physiological and biochemical research continues to deepen.
However, people have never figured out the etiology and pathogenesis of most diseases, as if the truth is always like people playing hide and seek.
Encephalopathy, on the other hand, is the most difficult, slowest and most complex of all organs.
Because most of the nerves in the human body are innervated by the center, the body temperature regulation center, the respiratory center, and the heartbeat...... Wait, anything you think of, find the answer in your head.
It has even been said that the evolutionary history of all animals is nothing more than the evolutionary history of the brain.
Therefore, the diseases of encephalopathy are complex, the diagnosis is troublesome, and the treatment is even more troublesome, and it can even be said that many diseases cannot be treated at all.
The Encephalopathy Department of Puze Hospital has a total of three floors, the 14th, 15th, and 16th floors, but the diseases treated on the three floors are different.
The 14th floor mainly treats cerebrovascular diseases, that is, cerebral ischemia, cerebral infarction, and cerebral hemorrhage, which are the most common diseases in the encephalopathy department and the most affected people.
The fifteenth floor is the mental health system diseases, mainly including dementia, anxiety, depression, insomnia, madness and other diseases, this kind of disease is more troublesome, originally the fifteenth floor is also for the treatment of cerebrovascular diseases, but with the increasing pressure of modern life, there are more and more patients with this kind of disease, so that this layer is used alone to treat this type of disease.
The sixteenth layer is more complicated, there are all kinds of patients, and there are many nervous systems, such as multiple system atrophy, myasthenia gravis, Parkinson's and the like.
It can be said that the first floor is more complicated than the first floor, and the first floor is more difficult than the first floor!
But fortunately, Bai Ye came to the fourteenth floor, which is a relatively single floor.
Cerebrovascular disease!
Bai Ye's fame in Puze is no longer comparable to ordinary people, although he is only a graduate student, but the treatment cannot be compared to that of an ordinary graduate student.
When you go to the department, everyone has to call Director Bai, because Bai Ye is now the director of the Puze Hospital Magazine, although this director is very incompetent.
But no one will mind this, because as long as Bai Ye is still in the one-day magazine and is the director of the one-day magazine, there will be no shortage of high-quality manuscripts in this hospital, because what does Bai Ye represent?
It is the authority of emergency medicine in China, the pioneer of a new field in the field of anorectal in China, the authority of orthopedics in China, and the authority in the field of laboratory animal medicine.
Now the impact factor of Puze Hospital's hospital newspaper is also gradually rising, and occasionally Bai Ye will post a few articles on it.
Everyone's respect for Bai Ye is not fake, as long as the relationship with Bai Ye is good, what kind of big deal is it to post an article on it?
What's more, Bai Ye's current identity and status, how many people in Puze can be higher than Bai Ye?
Therefore, when Bai Ye returned to the department, even if he didn't know anything, there would be a group of people vying to teach Bai Ye.
Those nurses had to actively cooperate with Bai Ye.
Now Bai Ye only has two patients, both of whom have cerebral infarctions, but they are not in the acute stage, but in the chronic stage for recovery.
After all, just in case, the most ordinary rehabilitation treatment is given.
Both patients are elderly people in their seventies, and when Bai Ye chooses a treatment plan, he has to go through the director's review before giving a doctor's order.
Bai Ye got started quickly, and in just two weeks, he could already master the common diseases of the fifteenth layer, especially for the treatment of cerebral infarction.
So the director let Bai Ye manage the patients by himself, and he also made weekly rounds to see what was going on.
Only when there is one person can the problem be discovered, and Bai Ye has been looking forward to this for a long time.
However, what I never expected was that on the first day, I met a strange patient.