"The three of you, let's introduce ourselves first, starting with Dr. Zhang Xing." Ding Feng began to show her on-site control ability.

"My name is Zhang Xing, I graduated from Xijiang Medical University with a doctorate, and now I am working in the Department of Neurology of Xijiang Provincial People's Hospital." Zhang Xing gushed endlessly, and talked in great detail about the topics he had done, the SCI level articles he had published, and the scientific research funds he had obtained, but he did not describe the clinical work at all.

Ding Feng may not understand, but Dong Huayu still understands scientific research. In Dong Huayu's view, many of what Zhang Xing said are virtual things that have little value. The so-called SCI papers are also low scores, and no one pays attention to them, let alone the cited articles.

As soon as Zhang Xing finished speaking, Ye Xiu walked in. Although Ye Xiu was wearing a white coat, her beautiful face and beautiful figure had been deeply engraved in Huang Rui's mind.

Seeing Ye Xiu, Huang Rui opened his mouth wide and was speechless for a long time. It's too much of a coincidence, how did you meet her here?

Zhang Xing didn't recognize Ye Xiu, at that time, he was vigorously teasing the tour guide, and he could control Ye Xiu and Lin Lin. After being beaten by Lin Lin, they were already scared, and as soon as Lin Lin and their car left, a few of them slipped away.

"Let me introduce, this is the vice president of our hospital, Ye Xiu, vice president Ye." Dong Huayu introduced Ye Xiu to three people.

"Uh...... May I ask Dean Ye, is your dean also an expert in neurology? Huang Rui has already seen the clues.

"Yes, he is a recognized authority in our Nam Giang neurology community. Originally, he also wanted to come over, because he was too busy with work, so he asked me to come over and have a look. Ye Xiu also recognized them and lied to them.

Dong Huayu briefly reported the situation to Ye Xiu, Ye Xiu nodded and said, "Go on." ”

"My name is Deng Min, and I also graduated from Xijiang Medical University and have been working in clinical practice for three years. I'm really sorry, I started to think that I was okay, but when I got the test paper, I realized that my level was still very poor, and I caused trouble to the leaders and teachers. "Deng Min is very self-aware.

"I really appreciate Dr. Tang's attitude. If you don't understand, you don't understand, don't pretend to understand, this is a sentence that Dean Lin often says, and Dean Lin usually asks us to do so. ”

"I would like to ask Dr. Deng, have you participated in the rotation of the hospital's internal medicine system in the hospital?" Ding Feng's question has her purpose.

"Yes, I've been on a one-year rotation, and I've been to all the internal medicine systems."

"How much do you think your hospital attaches importance to this kind of rotation? Are all doctors participating? ”

"The hospital attaches great importance to the fact that after the rotation of each department, before leaving the department, you have to take the exam, and you can only leave the department if you pass the exam. However, this is only for our undergraduate and master's students, and for doctoral students, there is no requirement for rotation. ”

"Dean Ye, do you have anything to ask?" Dong Huayu asked Ye Xiu.

"No, I'm representing Dean Lin, come and listen, you can continue." Ye Xiu decided not to participate in the assessment process.

"Tell us a little bit about the diagnosis of the patient you just saw, including the localized diagnosis, the qualitative diagnosis, the tests you think need to be done, and the treatment options you are going to use. The other two are asked to leave the department for the time being and be prepared to do the same. Dong Huayu was no longer verbose and went straight to the core content.

"This patient is very young, only 42 years old, and after he had a painless gastrointestinal endoscopy, he woke up after the anesthetic failed, and found that his right limb was weak and his speech was poor."

"The patient has no previous history of hypertension and diabetes, and according to the patient, his gastrointestinal endoscopy results are normal."

"After the onset of the disease, after treatment, the patient's condition improved quickly, from the right limb when he was found to be paralyzed, he can now drag and walk, and the treatment effect is very ideal."

"The physical examination revealed that the patient had central facial tongue paralysis and limb paresis on the right side, and the pathological signs on the right side were positive. Cardiopulmonary examination was unremarkable. ”

"My diagnosis of this patient was 'damage to the left basal ganglia', and the qualitative diagnosis was 'cerebral embolism', and the cause of cerebral embolism should be related to the heart, such as embolism caused by atrial fibrillation causing the embolus to fall off."

"The next step in the examination, I think, is to dynamically monitor the patient's ECG changes. Anticoagulants are preferably used for treatment. ”

Zhang Xing's analysis seems reasonable. It seems that they are all prepared, and they are not wine bags and rice bags. If it weren't for his bad conduct, maybe Lin Lin would have kept him and cultivated him well.

"What do you think you need to pay attention to if you want to use anticoagulation? What is the duration of treatment? Ding Feng asked.

"For anticoagulation, it is necessary to closely monitor the four coagulation items, pay special attention to the INR data, and try to keep it at 1.5 to 2 times the normal value."

"If it is determined to be atrial fibrillation, it should be treated with long-term medication." Zhang Xing seems to have special preparations for this.

"What if I told you, we checked the 24-hour Holter twice and the results were normal. What do you think of this result, and do you still adhere to this treatment? ”

"Atrial fibrillation may not happen often, perhaps, gastrointestinal endoscopy, is a trigger. If so, anticoagulation can be discontinued and closely observed. ”

"Aren't you worried that if you stop taking the drug, the patient will suddenly relapse?"

"It's an accident, and there's no use worrying."

"Well, okay, please go and call Dr. Deng Min in." Ding Feng didn't want to ask anymore.

Deng Min's analysis is not far from Zhang Xing's, and there is nothing new. However, this at least shows that his basic skills are still good.

Huang Rui has his own unique view, after talking about the patient's medical history characteristics, physical characteristics, treatment response characteristics and positioning diagnosis, Huang Rui said: "The patient developed the disease after general anesthesia, and after the onset of the disease, after the timely treatment of the teachers, the effect is very ideal. ”

"The key thing is that the patient did not have any discomfort before the gastrointestinal endoscopy, and there was no abnormality in the preoperative examination, and the patient never had a history of discomfort in the precordial area.

"Therefore, I think that the qualitative diagnosis of the patient, which should be related to general anesthesia, is the drop in the patient's blood pressure caused by anesthesia, which leads to the patient's watershed infarction."

"If detected in time, the blood pressure can be quickly raised, the blood volume will be increased, and the blood supply will be improved, and the patient's condition can be recovered quickly."

"If Dr. Huang had come into contact with this patient for the first time, what would you have done?" Ding Feng was very interested in Huang Rui.