Chapter 689: Lack of Taste!

Intra-hospital consultations often occur.

As the head of the department, one of the important tasks of the day is to participate in the consultation, or arrange for someone to participate in the consultation.

In order to avoid being involved, most doctors will immediately apply for joint consultation once they encounter a specialist disease.

There is a high probability that the emergency department will apply for multi-department linkage, so it is often seen that the department director has returned to his residence, lying on the bed and preparing to play poker with his daughter-in-law, and after receiving a phone call, he hurriedly dresses and runs towards the hospital.

There is no way, patients from other departments encounter emergencies and apply for linkage consultation, but the specialist doctor on duty can't handle it, so they can only report to the director.

If the director does not come forward, it is the director's problem.

So the higher the position, the greater the responsibility.

There are pros and cons to the consultation system.

The advantage is that professionals do professional things.

For example, there are patients in the anorectal department who have urinary retention, and the prostate is swollen and leads to failure of urinary catheterization. The attending physician will not give the cystostomy directly, but will refer it to the urologist to deal with it.

For example, if a patient in the respiratory department has an abnormality in the heart, the doctor will not easily use cardiac drugs, and will generally consult a cardiologist for advice.

The downside is that this leads to doctors being in charge of only one acre and three points of land.

Most doctors will learn any course in medical school, and they have stayed in any department during the training period, so they have some understanding of the diseases in most departments.

As a result, after the division was fixed, he became a pile tool man on the medical production line.

Consultation is still very important in a big hospital like Tianhua.

Why others recognize Tianhua is because the consultation system here is sound, and the doctors who consult are generally experienced.

In the consultation of small hospitals, the nominal experts are all experts, but in fact they are all going through the motions, and those who can be treated can be treated can say a few words casually, and those who cannot be treated are directly persuaded to transfer to the hospital.

But when I arrived in Tianhua, it was already the top floor of the Guangdong Provincial Hospital.

If you still say that it can't be treated, it is not only your own face that you will lose, but also the signboard of Tianhua Hospital.

Many people think that doctors are on par with money and have no professionalism, but in fact, at the level of Tianhua Hospital, especially the director of the department, they really have ideals and feelings in their hearts.

The cost of consultation like this, that is, dozens of yuan, the key is to enter the department, not into the private pocket, sacrificing personal time, who wants to earn this money?

So most doctors do things by feeling.

Feelings are a great thing.

In the Battle of Laoshan, many soldiers knew that many people would die in the decisive battle and that they would be sacrificed, but they still charged without hesitation.

At that time, there was no bonus incentive, and if it was said that one was sacrificed and 100,000 yuan was rewarded, it is estimated that no one would be willing.

However, those fighters did not hesitate to take the initiative to become dead soldiers, believing in the future of the motherland and compatriots behind them.

Zhao Yuan and Liu Sha came to the emergency surgery.

A scantily clad girl is lying on the bed with a mobile phone and is taking pictures.

The girl was young, about twenty years old, wearing very short denim shorts, with rose-shaped tattoos on her legs, and the disinfectant in the ward could not hide the pungent smell of alcohol and perfume.

Next to the girl stood a girl of about the same age, with a tattoo of words on her neck.

The two talked and laughed, looking quite relaxed.

If it weren't for the thick gauze on the girl's head, she would have thought she was in the wrong place.

Zhao Yuan nodded to Deng Yunlun and said softly, "The patient's condition looks good." ”

Deng Yunlun said softly, "I drank too much wine, and when I went downstairs, I rolled more than ten meters, my forearm and leg bones were fractured in many places, and I had traumatic injuries to my head. ”

Zhao Yuan secretly thought that Deng Yunlun had a lot of experience.

Injuries like this caused by an accident, where they look serious on the outside, are not fatal.

Zhao Yuan said softly, "I'll go and examine the patient." ”

Waiting for Zhao Yuan to walk over, Deng Yunlun introduced, "This is an expert in neurosurgery, and I will give you an examination." ”

The girl glanced at Zhao Yuan, but she didn't expect the doctor to be so young and quite handsome.

"Actually, I'm fine, I used to have similar symptoms."

While palpating the girl, Zhao Yuan patiently explained, "There are many reasons for the loss of taste, such as damage to the taste conduction system, and after the glossopharyngeal nerve is damaged, it will cause the taste conduction system to dysfunction and the symptoms of loss of taste." Another example is cerebral infarction, cerebral hemorrhage or brain tumor, which affects the taste nerve. ”

The girl was taken aback instantly, "It's not that serious, it's probably because I drank too much, so it had an impact." ”

Zhao Yuan bowed slightly, "Long-term and frequent drinking will indeed affect the taste nerves. But you fell and got brain damage, so now you have to find the real cause. ”

Zhao Yuan picked up the stethoscope, listened carefully on the girl's chest for a long time, and glanced at Deng Yunlun, "Pay attention to the eight examinations." ”

Deng Yunlun immediately understood, and Zhao Yuan thought that the girl had a highly contagious virus.

There are many reasons for the loss of taste, and from the results of the physical examination, it is likely to be a problem with the brain, not caused by trauma, but a tumor in the brain.

Zhao Yuan is not good at saying the results directly for the time being, and he will not know until the CT comes out.

In addition, during the physical examination, Zhao Yuan found that the girl had herpes-like particles on her body.

Although it is particularly hidden, there is still a lot of suspicion.

You must know that when Zhao Yuan was rotating in the dermatology department, he knew that this field was his own shortcoming, and he knew that he could recognize the common skin diseases at a glance day and night.

A series of test results are finally in.

There are many opinions about the difficulties of medical treatment, and there is a view that the difficulty of medical treatment lies in diagnosis.

The unknown is the hardest.

When a disease first appears, it is the most terrifying.

But when you know the pathogenic principle of the disease, and then use various drugs to test the effect, and wait for the research to be successful, the disease will not be difficult.

Taking AIDS as an example, when it was first discovered, it sounded particularly terrifying, and even European and American countries began to advocate abstinence for a few years.

Now that AIDS has been studied for many years, although I still don't know how to completely cure it, there is a strategy for treatment.

Deng Yunlun had been in contact with Zhao Yuan for a long time and knew that Zhao Yuan had a skill that was covered up by powerful surgical techniques.

That's his diagnostic ability.

Zhao Yuan not only has a 100% success rate of surgery, but also has never made a mistake in diagnosis.

Zhao Yuan and Deng Yunlun came to the consultation room and began to discuss the cause of the patient in detail.

Deng Yunlun said with a smile, "There are many reasons for the loss of taste, how can you be sure that it is a brain tumor?" Could it be a torn taste nerve?"

Zhao Yuan shook his head, "The location of the brain injury is a certain distance from the taste nerve. ”

"Could it be a meningioma, metastases, or invasive tumor of the anterior fovea artery or frontal lobe, compressing the olfactory bulb and olfactory tract, causing taste impairment?" Deng Yunlun asked again.

Zhao Yuan took the film and glanced at it, "This possibility is ten percent." ”

"Or is it a loss of taste caused by excessive alcohol consumption and viral infections?"

Zhao Yuan added: "When I was examined just now, her limbs had slight twitches. ”

Deng Yunlun was slightly stunned, and when he checked his body, he ignored this important detail.