“。。。。。。 Based on the results of the examination, considering the symptoms of migraine and multiple strokes, as well as the white matter lesions detected on MRI, I believe that neurosarcoma and CADASIL are the most likely, but further diagnosis is needed. ”

The long speech made Dr. Wells's mouth feel dry, and after the last sentence, his throat squirmed up and down visibly once, and then he nodded to Professor Smith, who was presiding over the case analysis meeting, and then sat down triumphantly.

He did have reason to be satisfied with his analysis, and at least half of the physicians in the room agreed with his conclusion, nodding their heads involuntarily, and even Professor Smith's gaze showed a look of approval.

"So, who else would you like to add?"

Professor Smith asked loudly as he looked around the room.

Except for one radiologist, who was contemplating, the other doctors shook their heads. Professor Smith nodded, and was about to announce the start of the next case analysis, when his wandering gaze suddenly froze, and his brow couldn't help but furrow.

"Tian, what do you think of Dr. Wells' analysis?"

Putting down the materials in his hand heavily, Professor Smith asked with some dissatisfaction. At the case analysis meeting, everyone was engrossed, either looking at the information at hand, or listening carefully to the spokesman's analysis.

"Huh?"

Under the reminder of a doctor next to him, Tian Lu raised his head a little dazedly and asked, "What?" ”

"I'm asking you, what do you think of Dr. Wells' analysis?" Professor Smith's tone was already visibly displeased, and the intensity was much heavier. As a dedicated physician, although Smith admires Tian Lu, this does not mean that his laziness can be tolerated, especially in such a case analysis meeting, and his behavior is obviously disrespectful to others.

Tian Lu also heard Professor Smith's dissatisfaction, and couldn't help but secretly complain. In the past few days, he has just learned about Professor Smith's research, and it is when he is enthusiastic and contemplating it, and he has already lost his mind at diagnostic and academic conferences many times.

But......

"Professor Smith, I do have some different opinions!"

After just being stunned for a moment, Tian Lu immediately stood up and replied loudly. Although he was distracted just now, after getting the case data, the clinical diagnosis support system gave the judgment result as soon as possible, so Tian Lu was not afraid of Professor Smith's trouble.

"Oh? Tell us about it. ”

Professor Smith was also slightly stunned, as if he didn't expect Tian Lu to really have other opinions, and hurriedly waved his hand. In any case, Professor Smith has always been rigorous in his approach to academic issues, and if he has a different opinion, he must listen to it.

Tian Lu secretly breathed a sigh of relief, and continued: "I agree with Dr. Wells's other analysis, but I have some different opinions on the results of the patient's imaging examination. See, CT results have less obvious stripes and empty triangles, while MRI results have ,。。。。。 ”

“。。。。。。 Therefore, although stroke is relatively rare, less than 1%, I think it is still necessary to consider the possibility of CVT (intracranial venous thrombosis)! ”

CVT？

Everyone was stunned, and then they all picked up the imaging examination film and watched it seriously.

Professor Smith's brow furrowed, and his eyes drifted to Dr. Anthony, who had been pondering. As a professional radiologist, he has the most say in the conference room.

As if sensing Professor Smith's gaze, Dr. Anthony hesitated for a moment, frowned and nodded, "Yes, I have been thinking about this just now. Although the signs are not particularly typical, I think there is a good chance that there is. ”

"I recommend MRV or DSA for the patient."

After a while, Tian Lu added, "In addition, I think it is necessary to perform a full-body tumor examination on the patient. ”

"Do you suspect it's a tumor?" Professor Smith asked with a frown, looking at the case data in his hand.

Tian Lu nodded and replied seriously: "Yes sir, at least there is this possibility!" ”

"I agree with Tian's opinion!"

Dr. Anthony nodded and affirmed Tian Lu's thoughts: "I also think that the possibility of a tumor cannot be ruled out. ”

With Dr. Anthony's support, Tian Lu's idea seemed to be more acceptable, so after only a little consideration, Professor Smith came to a direct conclusion: "Okay, then do a DSA, and then do a whole body tumor examination!" And with that, let's move on to the next case。。。。。。 ”

。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。

"Alright, that's all for today, let's adjourn."

After finishing the discussion of the last case, Professor Smith announced the adjournment of the meeting on the stage, and then walked directly to Tian Lu's side: "Tian, you wait a minute, I have something to talk to you about." ”

"Yes, sir."

Although there were some doubts in his heart, Tian Lu nodded immediately and did not follow everyone out of the conference room.

When everyone was done, Professor Smith waved his hand, motioned for Tian Lu to sit down, and then frowned and said, "Tian, I want to know, what were you thinking when everyone was analyzing the case just now?" ”

"Huh?"

Tian Lu was slightly stunned.

"Please don't make up random reasons, I know you're not analyzing the data, because your eyes and ears are not on the case!" Before Tian Lu could react, Professor Smith continued very unceremoniously.

Seeing Professor Smith's very serious expression, Tian Lu smiled bitterly in his heart, nodded helplessly, and said, "Yes sir, I am indeed not analyzing the case, in fact, I was analyzing your research topic just now." ”

Tian Lu is absolutely telling the truth. After a preliminary understanding of Professor Smith's research, combined with the scientific research support system and medical record support system that had just been opened, he suddenly had a very feasible idea, and basically focused on it in the past two days.

"What is my research topic?"

Professor Smith's brows furrowed: "Tian, I think I have already told you in advance, although you can understand my research and even participate in it, but the premise is that you can't affect your normal work!" ”

"The problem is, I don't affect my daily work!"

Tian Lu hurriedly straightened up and argued forcefully: "You have also seen that my analysis does have a certain amount of truth, and it has also been agreed by you!" ”

"These are two different things!"

Professor Smith waved his hand vigorously and said categorically.

This sentence seemed to take a lot of effort from Professor Smith, and after taking a deep breath, he said solemnly: "Tian, I think that as a physician, or rather, as a resident, you have not yet adapted to the change in your role!" ”

Before Tian Lu, whose face changed, could speak, Professor Smith waved his hand and continued, "Yes, you may have made the right judgment, but so what? You didn't seriously participate in the discussion, and you didn't take the initiative to tell everyone the results of your judgment, but waited until I asked, didn't you? So, can I think that you are not really paying attention to this patient's condition? ”

"Of course not! I was just...... ”

Professor Smith's words were a bit heavy, and Tian Lu's heart suddenly became anxious, and he hurriedly opened his mouth to refute. It's just that he was just halfway through the sentence, and he was immediately stunned again.

Yes, no matter what the reason, his mind just now really didn't focus on the patient's information!

"Tian, not just this time, in fact, you have been in the neurology department for a week, and I have found that many times your energy is not enough to concentrate! Not only in academic conferences, but also during regular ward rounds, your attention is often not focused on the patient! ”

"We didn't have a lot of contact, but I admit that you are very talented, and I would even say that you are one of the most talented young people I have ever met, and your performance in the General Surgery and ICU speaks volumes. Perhaps, your future is limitless, and even far more than my achievements, but what I want to tell you is that to be a qualified physician, you need not only top academic standards and superb medical skills, but more importantly, your attitude! ”

"Your compassion for your patients, your concern for their condition, that's what makes you a good doctor! If you can't do that, I don't think you can be a good doctor! ”

Smith's series of words like a storm suddenly made Tian Lu's head a little foggy.

Hasn't he worked so hard since he got this system to become a good doctor?

What is the standard of a good doctor?

Isn't it medicine?

Isn't it his academic contribution?

In an instant, the joy of turning on the system for several days, and the ambitions for the future, gradually became illusory in Professor Smith's words.

Seeing Tian Lu's overwhelmed look, Professor Smith's face gradually softened a lot.

The resident in front of him, after all, was still too young, and it seemed that Fang Cai's words had touched him a little, and Professor Smith was not willing to be too harsh.

Sighing softly, Professor Smith tried his best to soften his tone, and said earnestly: "Tian, you should think about it carefully, understand what you want to do, and what you can do. Before I leave neurology, I want to see your transformation, otherwise, no matter how good your work is, I'm afraid I won't give you too high a high rating. ”

With that, Professor Smith nodded and got up to leave.

In the huge conference room, Tian Lu was the only one left, staring blankly at the thick stack of case data in his hand, and fell into a state of confusion。。。。。

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Cover this thing,I can't find anyone to help make it for the time being.,Hehe,Thank you for your opinions.,But there's really no way.,I won't do it.。