Chapter 220: You're the Hot Potato
Erbei Li Huaming said that he wanted to transfer the crying patient to the respiratory medicine department, Qian Zhixun thought about it and agreed to it, after all, the dizziness of this patient has improved significantly, and now it is mainly cough, so it should be transferred to his own department. I was going to nod my head right now.
Seeing that Qian Zhixun seemed to have agreed to the neurology department to transfer the patient to the respiratory medicine department. Xu Ze is a little anxious now, if he really wants to turn around, then this patient will die, and the respiratory medicine department is afraid that he will also have to get into trouble.
At the moment, he didn't care about anything, and hurriedly interjected: "Director Qian, Director Li, I still have some questions about this patient, and I want to confirm that "I don't need to transfer to another department in a hurry."
"Huh?" Hearing Xu Ze's sudden words, Qian Zhixun was a little displeased, our two directors are talking and making decisions, what are you Xu Ze interjecting at this time?
At this time, not only Qian Zhixun frowned, but the other two doctors also showed a very displeased look on their faces, the two glared at Xu Ze, and secretly said This kid is really arrogant enough, the two directors are talking to discuss things, why do you kid not understand the level so much, dare to interject and question
These three people were very displeased, but Li Huaming on the side had no surprise on his face, he had learned Xu Ze's temperament last time, Xu Ze this kid even dared to top Director Zhang, let alone himself and others; But this kid usually doesn't talk nonsense, what comes out. Generally, there will be a certain amount of truth, so Li Huaming was speechless, waiting to see Qian Zhixun's reaction.
Qian Zhixun frowned and turned his head to look at Xu Ze, looking at him with an anxious look. was a little surprised, and secretly wondered: "This Xu Ze doesn't seem to be a person who doesn't know the severity, why did he speak out at this time to prevent the transfer?" ”
Let's listen to him, what is his idea? As soon as this thought turned, Qian Zhixun put away the look of blame, looked at Xu Ze, and said slowly: "Xu Ze, what's your problem?" ”
Seeing Qian Zhixun, he motioned for himself to speak. Xu Ze didn't hesitate anymore at the moment, he naturally knew that he was just a trainee, although this Qian Zhixun and Li Huaming shouldn't really see themselves as trainees, but if they didn't take out something. I'm afraid they won't be convinced.
"Director Qian. Director Li, I don't think this patient is a single lung infection," Xu Ze thought for a moment. He said bluntly.
Hearing Xu Ze's words, Qian Zhixun frowned, and said secretly: "This kid really doesn't know the severity, and he easily overturns his opinions like this."
Xu Ze knew that if he said this, Qian Zhixun would definitely be displeased, but it was a matter of human life. But I have to say that there was a slight pause at the moment. He continued: "This patient, I think his cough should be a problem with the central nervous system."
"Central nervous system?" Qian Zhixun was stunned, and scolded in his heart: "This kid, just a few days ago, he denied a patient with central nervous cough in our department, but now he is here to sell this theory again,"
But depressed is depressed, but for Xu Ze's opinion. Because Qian Zhixun had this experience, he didn't dare to despise it, and looked at Xu Ze with a frown, waiting for him to continue to explain his reasons.
And Li Huaming heard Xu Ze's words, but he was stunned. Frowning and thinking deeply, as the director of the Department of Neurology, he naturally has a very deep knowledge of neurovascularity, but when he heard Xu Ze's assertion, his heart jumped, and he felt that he might have missed something.
As for the two doctors next to him, seeing that Xu Ze dared to overturn their director's diagnosis so clearly, they both opened their mouths in shock, glared at Xu Ze, and secretly wondered that this kid really didn't know the severity, and dared to say such a thing, and beat their director's face like this, didn't he want to be mixed up in the Department of Respiratory Medicine?
It's just that there's a doctor in it. But he was very dissatisfied with such an intern-looking guy making nonsense here, and immediately retorted coldly: "This patient is obviously a lung infection, how can it be a problem of the central nervous system; When the patient came in, he had already had his head done and there was no problem; And the patient's chest x-ray and blood routine showed a lung infection"
Speaking of which. But he paused, and continued to hum coldly: "Hmph, these have been obviously confirmed, don't you even understand this bit of common sense?" ”
was so sneered at by this doctor. Xu Ze chuckled, but he didn't care about this, what the doctor said was right, but his mind was limited by these test results, but he didn't think of anything else. Wait until you're done. He'll know why,
At that moment, Xu Ze ignored the doctor and continued to analyze: "This patient came in because of cerebral arteriosclerosis, and after the treatment of dilating blood vessels, his condition has improved significantly; But when I had a cough, I was shown by a chest X-ray and a blood count. It is indeed certain that there is a lung infection".
"But this lung infection, after a few days of anti-infection treatment, everyone has seen it, and the situation has improved significantly." Xu Ze confidently turned his head to look at the few people around him, and then continued: "However, since the infection is well controlled, why is the cough not getting better and even worsening? ”
"Director Qian considers mycoplasma infection, which is very reasonable, but we must not forget another possibility, that is, the patient's cerebral blood vessels themselves have hardened, although there is no problem with the examination when he was first hospitalized, but in these days, sudden vascular abnormalities, such as hemangiomas, etc., their sudden appearance can also compress some nerves, and this violent dry cough occurs,"
Speaking of this, Xu Ze said in an accentuated tone: "Director Qian, Director Li" Don't you think that the situation of the patient in front of you, if this explanation seems more reasonable? "How is this possible? It could not be such a coincidence that the doctor who first refuted Xu Ze. Listening to Xu Ze's analysis, he retorted angrily.
"This is a very coincidence, the probability of occurrence is comparative, but we can't ignore it because of the probability, if it is this possibility" Xu Ze said in a deep voice: "If it is this reason, then the patient is very likely to be in a very dangerous state" as a doctor. Be responsible for the patient's life; Therefore, I recommend not to change departments for the time being. Immediate head review, or MRI.
As Xu Ze's solemn voice fell, the doctor who had been refuting it also fell silent, it is undeniable that there is some truth in what the book says. And he also put on a big hat of work ethics, but he is not easy to refute.
And Qian Zhixun listened to Xu Ze's analysis, but his face also showed a hint of pan, and he felt that the possibility of crying was more likely, but what Xu Ze said was reasonable, if it was, but he transferred this patient to his own department, "Then the consequences."
"Horn immediately send the patient for MRI" Everyone was thinking about Xu Ze's words, Li Huaming, as the director of the Department of Neurology, knew that what Xu Ze said was reasonable, and remembered the consequences if it was really that situation. Immediately, he immediately explained to the doctors under his command in a deep voice: "Use a cart to send the patient for examination, so that the people in the MRI room can speed up the results "as soon as possible"
The two doctors were stunned, but looking at the serious appearance of their director, they naturally didn't dare to hesitate anymore and quickly got up. I went to prepare a cart to take the patient to the head MRI.
After the two doctors went, Li Huaming looked at Xu Ze, who was sitting opposite with a calm and calm face, and sighed lightly.
Li Huaming really doesn't know what to say about the kid in front of him who is more than twenty years younger than himself now. This kid is only a senior now, but he can get through some of the details. Analyze the situation that you didn't even think of"
No matter what the results of this head MRI are, whether it is a central nervous factor as Xu Ze said, but Xu Ze can think of a situation that he can't even imagine, which has allowed him to pay enough attention to him.
This is not something that can be thought of by a little cleverness, but must rely on rich experience, and this kind of experience needs to be accumulated for several years, more than ten years, or even decades, to reach this level.
He really didn't understand, with the other party only twenty years old, how to take advantage of this step,
Qian Zhixun's expression was similar at this time, although he did not have as much knowledge of neurovascular disease as Li Huaming. However, as the head of the Department of Internal Medicine of the University of Singapore University. His knowledge is naturally very wide, and he quickly figured out what Xu Ze said. Naturally, I also understand that what Xu Ze said is not appalling, but it is based on the exact basis.
At that moment, he also sighed, and finally learned why his boss, Director Zhang, commented that this kid was slow
A senior college student can think more deeply than himself and Li Huaming, two senior doctors with more than 20 years of medical experience. It's unbelievable; Such a young boy. To get to this point...
In this industry that can only reach the peak by accumulation of experience, Xu Ze's current performance and age, genius can no longer describe his ability, and the word monster may really be the only appropriate.
These two doctors are here for you to breathe. I sighed in one breath, but Xu Ze was sitting there, and he no longer had the domineering confidence of Fang Cai. With a humble and low-key face, he pretended to look at the patient's medical records,
The results of the head MRI quickly came out at the urging of the two doctors, looking at the diagnosis report of the hemangioma on the report sheet, the two doctors were dumbfounded, and the two looked at each other, their eyes full of horror. They really couldn't figure out why that milky kid could be able to say "It's unbelievable that even such a possibility can be diagnosed"
The two of them were stunned, but they didn't dare to delay at all, they naturally knew that these few days. What does it mean that the patient has such a hemangioma in his cranial cavity?"
In other words, this hemangioma is a time bomb that has been activated, and it may explode at any time, and this time can be today, or tomorrow, or even five minutes or ten minutes later. But it definitely won't be for long."
Once the hemangioma of this large blood vessel bursts, it means that the patient's life may be in danger at any time, and sudden death may occur."
The next doctor immediately called and reported to the head of the department, Li Huaming, and the other doctor began to contact the neurosurgeon, asking them to prepare for surgery, and they must immediately perform a craniotomy to remove the hemangioma."
Hearing the doctor's report on the phone, Li Huaming's face quickly became solemn, and after glancing at Xu Ze, who was still indifferent, he immediately ordered: "Contact Shenwai and ask them to prepare for surgery immediately."
"Already in contact" Director, we will send him to the neurosurgery department right now? ”
"Well, send it over immediately, and the operation must be carried out as soon as possible," Li Huaming replied in a deep voice.
Seeing Li Huaming's solemn expression and the hurried tone, Qian Zhixun also understood what was going on at this time, and immediately turned his head to look at Xu Ze beside him, and nodded with a sigh, his mind was full of complicated thoughts: "This kid, is he really still in his senior year?"
Xu Ze's performance this time, once again in the internal medicine department of the University of Xingda, there was a storm, although several doctors in the neurology department and Qian Zhixun subconsciously did not publicize this matter, but the director of the internal medicine department Zhang Lide and they still have to report, after all, this Xu Ze was personally approved by Director Zhang to come to the internship.
And now they are very concerned about this kid, so Li Huaming and the others still didn't dare to report this matter to Zhang Lide without concealment.
Hearing the whole process of this incident, Zhang Lide still looked at his two subordinates with some doubts, but seeing that the faces of the two were very unpleasant, he knew that this thing was indeed true.
At the moment, the original straight body leaned down towards the leather back chair behind him, and after a long time, he finally exhaled lightly, sat up straight again, and said to the two of them firmly: "Let this Xu Ze follow me directly in the future."
The two directors were stunned for a moment, and then looked at each other, but nodded, the director of the Department of Internal Medicine took the trainees only afraid that if this spread, I don't know how many people will drop their jaws in shock.
The general department director does not talk about the trainees, even if it is a round doctor, let alone the director of the internal medicine department, today Director Zhang said that he would take Xu Ze in person, and these two directors did not have any surprise, after all, they knew that with the ability of this monster-level trainee, with the situation of the two of them, there is really no face to bring.
And it's true that some don't dare to bring, if this is in the future, such a tough trainee will always perform better than the teacher. Who would dare to bring it,
Since Director Zhang wanted to take over, Qian Zhixun naturally couldn't ask for it, so he quickly got rid of it and went to the realm......
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