Chapter 345: Neuropsychological Examination
The so-called neuropsychology is neither neurophysiology, which simply describes the physiological activities of the normal brain itself, nor is it purely a science that studies mental activities like psychology, and its existence is to study psychological problems from the perspective of neuroscience.
In the future, or the application of neuropsychology in the diagnosis and treatment of neurosurgical diseases, it is actually to determine which part of the brain has a problem through people's behavioral and psychological changes, so as to assist doctors in diagnosis.
Just like epilepsy, in fact, the earliest way to determine the location of a patient's epileptic lesion was neuropsychology, but later with the application of various physical examination methods, such as CT, MRI, and even now video EEG and cortical EEG and other advanced technologies, neuropsychology was silent for a period of time, and then slowly became valued by doctors again. Because many times the physical inspection method has its limitations, it is not necessarily able to give a completely accurate judgment.
"Therefore, there is no doubt about the importance of neuropsychology, which is why Mr. Tian attaches great importance to this point and sets up a special person."
Facing Zhao Fei, who was anxiously waiting outside the door, Song Chenyang, who rushed to hear the news, patiently explained.
"But ......"
Zhao Fei frowned and said, "Didn't you also check Xiaoyu at that time?" Why does Director Tian want to check again? Could it be that there is any difference in the method of this examination? ”
After hesitating for a moment, Song Chenyang shook his head and said, "The essential method should be no different, but Mr. Tian's understanding of neuropsychology is much stronger than mine, so it is not strange to say that he has other ideas." ”
"Aren't you a Ph.D. in neuropsychology by specialty? Why is he better than you? ”
Zhao Fei blinked her eyes and asked with some confusion.
"Uh......"
First opened his mouth a little embarrassed, Song Chenyang immediately relaxed, and said with a calm smile: "Yes, my major is neuropsychology, but this level is still far worse than Teacher Tian, so I am still in the stage of studying hard." ”
When he had just returned to China, Song Chenyang received an invitation from Tian Lu, but he came to Kyoto with the mentality of showing off his strength. He joined the Department of Neurosurgery of the Second Affiliated Hospital, but after only two months, his mind to show off his strength quickly turned into studying hard!
Whether it is the mastery of theoretical knowledge or the application in practice, Tian Lu has shown unparalleled strength!
Song Chenyang even deliberately compared Tian Lu with his mentor in the United States, and then found it very shockingly. Even if his mentor is compared to Tian Lu. I'm afraid it's far inferior!
As he spent more and more time in the epilepsy treatment team in the neurosurgery department and more and more contact with Tian Lu, Song Chenyang gradually faded his other thoughts. I put all my jīng energy and time into learning from Tian Lu. What could be more appealing to a professional than learning more expertise?
So when it came to answering Zhao Fei's question, Song Chenyang was very calm.
These rìzi accompany their son in the neurosurgery department, and Zhao Fei has heard a lot of similar arguments, so he is not very surprised. It's just that he has more confidence in the young director in the door, and his anxious mood has been alleviated a lot in an instant.
Time passed slowly......
I don't know how long it took, but when the sky was already getting dark, the door creaked open from the inside.
Zhao Fei, who was sitting on a chair and closing her eyes to recuperate, was overjoyed, and immediately looked up, only to see a pretty little nurse pushing her tired son out of the way. Hurriedly greeted him distressedly, Zhao Fei asked softly, "Xiaoyu, are you tired?" Hard or not? ”
The time is already nearly seven o'clock, from Liu Yu to now. It's been a full five hours!
Zhao Fei is very distressed at the moment!
Liu Yu didn't say anything, but Li Nian on the side spoke first, and said with a gentle smile: "The inspection time is relatively long, Xiao Yu is probably a little tired, Ms. Zhao." Let's send him back to his room first. ”
Originally, I wanted to stay and ask what the specific results of Tian Lu's inspection were, but seeing Liu Yu's tired face that could not be concealed, and that somewhat pale face, Zhao Fei couldn't help it anymore. hurriedly sent his son back to the ward with Li Nian. After helping Liu Yu to bed, Zhao Fei had to be busy wiping his body and preparing dinner for him. For a while, I was busy and forgot about asking about Tian Lu.
Zhao Fei forgot, but Song Chenyang didn't forget.
"Teacher Tian, is there anything wrong with the inspection I did for Liu Yu earlier?"
Seeing that Tian Lu was also a little tired and walked out, Song Chenyang hurriedly greeted him and asked very respectfully.
"Not really!"
Tian Lu shook his head and laughed dumbly: "You have done a good job, but some places are not perfect enough, so I need to make further confirmations." ”
"Not perfect? What is lacking? ”
Hearing this, Song Chenyang hurriedly asked impatiently.
was stunned for a moment, then slapped his head suddenly, and Tian Lu laughed: "Oh, this is my mistake!" Hehe, some time ago, I had some experience in neuropsychology, but because the evidence is not very sufficient, I did not convey it to you in time. Well, let's do it, I'm really tired today, if you're interested, let's sit down and have a good chat, how about it? ”
To put it mildly, Tian Lu perfunctory the "knowledge points" he had just borrowed from the system with his "experience".
Song Chenyang naturally did not doubt him, and nodded again and again with great joy: "Thank you, Director, as long as there are no patients here, I will definitely be free, you can call me at any time!" ”
Now the doctors and even the nurses in the department have understood one thing, if Tian Lu tells you that you need to have a good chat and exchange ideas, then congratulations, great benefits are already beckoning to you! Perhaps it is this inadvertent little "experience" that can easily solve the confusion you encounter in your work, and even more, a clinical topic that may not be big, but is quite valuable will be clearly displayed in front of you!
Everyone knows that the director of his department is not interested in those "small" topics, which are of considerable value to ordinary doctors or nurses!
However, limited to personal strength and vision, no one in neurosurgery has noticed that Tian Lu has hinted at these topics either explicitly or implicitly, either closely following the clinical needs, or cooperating with the development of clinical work in the near future, and what is even more amazing is that the difficulty of these topics is just right for the level everyone is at now, which will not make everyone feel easy, nor will you lose the confidence to go on at a glance!
This level of control is not only something that can be done with a future system, for the development of neurosurgery, Tian Lu's usual thoughts are far from what others see......
……
An afternoon of inspection can exhaust Liu Yu, a child.
Equally hard, there is also Tian Lu.
The future neuropsychological system is far more complex than now, of course, the examination items will be much more detailed, especially Liu Yu's current situation is more complicated, physical examination methods can not clarify the location of all lesions, so the neuropsychological examination is even more comprehensive, subtle.
However, Tian Lu will not teach all these things, and it is impossible to teach them all to Song Chenyang.
If you want to talk about it seriously, the scope of future neuropsychology and modern neuropsychology is very different, especially the future physicians' understanding of the human brain and the entire nervous system has reached a very amazing level, which is reflected in the neuropsychological system, which makes this discipline clinically important even more than some physical and chemical examination methods!
In the future, lesions in the human nervous system can be manifested one by one through neuropsychological examinations!
To put it simply, the human brain, although extremely complex, has structures and functions that humans will not discover in the future, but in essence, each part has its own unique role. For example, parts of the cerebral cortex are responsible for receiving, processing, and storing information, while parts plan, regulate, and control complex human mental activities. Even small areas specific to these parts can be further divided in detail, for example, some parts are responsible for hearing, some parts are responsible for vision, and some parts are responsible for somatosensory.
And once there is a problem with these parts, there is a lesion, then it will manifest itself in the human outward.
Of course, this kind of external manifestations may be very clear and easy to see, just like some brain tumors can cause decreased vision in both eyes, or cause vomiting, sudden syncope, etc., but there are also some external manifestations that are hidden and cannot be directly detected.
These hidden manifestations must be discovered through extremely detailed and rigorous neuropsychological examinations!
These extremely clever neuropsychological examination methods must be based on a deep understanding of the human brain, that is, only after you truly understand the effect of this part of the brain tissue on the human body, can you design the corresponding neuropsychological examination methods for xìng!
There is a cause and an effect, and it is precisely because of this that it is impossible for Tian Lu to teach Song Chenyang all the content in one go, but only to pick out some content related to Liu Yu or what can be deduced from some existing knowledge to him.
As for how much he can comprehend, he can only rely on his own ability.
But anyway, after a busy afternoon, Tian Lu was already very tired, and handed over the rest of the work to Diao Quan, who was on duty today, and Tian Lu went home directly.
I just returned to China last night, and I still have a lot of things to do at home......