Zhou Can was a little puzzled, the diagnosis of this case is not very difficult, why did he invite experts from the two hospitals to discuss this case?

Even at his half-hung level, he could easily diagnose that the patient's disease was likely to be venous embolism, and he didn't believe that the experts at Xinxiang Women's and Children's Hospital would be so good.

"Director Zhang, what do you think is the cause of this patient?" Professor Hu Wanjun asked.

"Uh...... This patient's condition seems to be related to blood vessels, and he has a specialization in surgery, which I am not very good at. Zhang Bihua said unclearly, and then turned his head to look at a male doctor in the expert team. Director Shentu, you are an expert in cardiovascular medicine, and you should be good at this kind of disease. Don't know if there are any good suggestions? ”

Zhou Can obviously felt that the atmosphere at the scene was a little weird.

Whether it is Professor Hu Wanjun or Director Zhang Bihua, they will definitely be able to diagnose the cause of this patient at a glance.

But both of them are doing Tai Chi here.

Zhou Can is a rich second generation, and his knowledge and mind are much more mature than ordinary people.

After noticing that the atmosphere was abnormal, he just looked at his nose and nose, and never spoke indiscriminately.

The drama of Xinxiang Women's and Children's Hospital has always been very full.

That day, he directly sent Section Chief Tang to dig him up in the emergency room, and you can see what kind of style this hospital is.

If a doctor can only see patients, it is difficult to make a big difference, no matter how big his ability is.

It may not even be able to mix in this industry.

In addition to dealing with complex interpersonal relationships, the ability to deal with various situations is equally important.

For example, during the treatment of the patient, the doctor did not prick the veins and blood vessels with a needle. At this time, a second injection is definitely needed, and how to explain it to the patient or family members tactfully will test the doctor's ability to adapt.

After explaining, the patient smiled generously, and even thought that he had a special constitution.

For example, some patients are too fat and the fat layer is too thick, and it is indeed difficult to find veins.

Other patients are born with small blood vessels, which are not easy to find.

If the doctor does not prick the middle vein with a needle, and then does not explain to the patient, and directly comes with another injection, the patient will definitely scold his mother in his heart instead of scolding his mother.

If the doctor has low emotional intelligence and poor adaptability, he blindly emphasized, "I have been injected for so many years, and I have never seen a patient like you, and even a blood vessel cannot grow well." ”

It is estimated that after the patient listened, he immediately had to jump up and preach to the doctor with his old fist.

At present, Xinxiang Women's and Children's Hospital has invited these experts to participate in the consultation, but the case is not difficult. The atmosphere is still so weird, whoever talks nonsense is afraid that whoever will be unlucky.

Director Shentu came to the clinic on behalf of the Department of Cardiovascular Medicine of Tuya Hospital.

He is in his fifties, wears black-rimmed glasses, and is a more serious person. When treating patients, they are also very serious. Zhou Can secretly observed that Director Shentu never smiled when he diagnosed patients.

No matter what kind of patient he is, he frowns and speaks with a straight face.

"Then I'll throw bricks and lead the way and talk about my personal opinions!"

Director Shentu did not refuse.

Shentu is actually a compound surname, and his full name is Shentu Leopard. Those who don't know still think that he is the younger brother of the ancient god Shen Gongbao.

"The patient's initial symptom was pain in the left lower extremity, which later progressed to pain in both lower extremities. Pain in the extremities can be caused by lesions in the skin, muscles, nerves, blood vessels, joints, and bones. I've even seen patients with severe pain in their limbs after their kidneys have gone into decompensation. Malignant tumors are also particularly prone to cause unexplained pain in various parts of the body. ”

Director Shentu's explanations are as meticulous as his personality.

"Nerve pain should be consistent with the distribution of the nerve and is often spontaneous in nature, with sharp, pinprick pain, burning or stretching pain, and may even be nerve tenderness on examination. At the same time, it will also be accompanied by symptoms such as numbness and weakness of the limbs. Some of the pain symptoms in this patient are consistent with nerve pain. ”

However, the patient complains of muscle pain. In medical practice, myalgia is often located in the muscle membrane, which is non-localized and spontaneous, and the pain is mostly dull in nature and aggravated during exercise. At the same time, muscle tenderness, muscle weakness, and even muscle atrophy may occur. The patient's pain is not dull, and the relationship between pain and movement is unclear. She was sitting or squatting for too long and suddenly had severe pain when she stood up. ”

In addition, after the patient was admitted to the hospital for observation, the latest CK, electromyography, and muscle biopsy results showed no typical signs of muscle damage. Therefore, common causes of muscle pain, cramps, myositis, leptospirosis, dermatomyositis, polymyalgia rheumatica, and fibromyalgia syndrome can be ruled out. ”

Every doctor's approach to diagnosis is different.

Director Shentu's diagnosis is as rigorous and meticulous as his personality. Exclusion is used for each etiology.

In clinical practice, this method of diagnosis is time-consuming and laborious, but the probability of error is small.

According to the patient's symptoms, as well as the results of B-ultrasound, as well as his own clinical experience, the patient can be directly diagnosed with vascular lesions. And it can be locked into venous embolism.

In terms of efficiency, it must be that Zhou Can's diagnosis method is more efficient.

And Zhou Can's diagnosis is not fast, so it will definitely go wrong. So far, he has not been misdiagnosed.

As for missed diagnosis, due to the lack of personal medical knowledge and clinical experience, missed diagnosis is inevitable.

Director Shentu's diagnosis method has a lower probability of missing a diagnosis, but there is still a possibility of missing a diagnosis.

As long as he encounters a patient with multiple lesions, he is guaranteed to have to pick and pull the rope for most of the day, one head, two big.

Therefore, there is no such thing as a good method and a poor diagnosis.

It doesn't matter if it's a black cat or a white cat, it's a good cat if it catches mice.

"Based on the results of the patient's ancillary examinations, especially ultrasound, the likelihood of deep vein thrombosis is extremely high. Therefore, the pain caused by vascular lesions is considered. This category of diseases includes acute arterial occlusion, arterial stenosis due to atherosclerosis, thrombophlebitis, deep vein thrombosis, Buerger's disease, Raynaud's syndrome, and many more. ”

"In the case of arterial disease, there will be intermittent claudication of the affected limb, which will progress to rest pain. In the case of acute complete occlusion of the artery, the affected limb will be severely painful, the skin will be whitish, the temperature of the skin on the body surface will be low, and the pain will be persistent, and there is no possibility of relief. And there will be gangrene of the limbs......"

Director Shentu can really say that a venous embolism is over, and he was stunned and said a lot.

And they are all kinds of symptoms and diseases related to the condition.

Some people like the elimination method, but Zhou Can feels very tired.

However, it also shows Director Shentu's profound medical knowledge and rich clinical diagnosis experience.

People who don't have a little dry goods in their stomachs really can't analyze the condition like him.

At least Zhou Can asked himself, he would never be able to do it.

may accumulate for another ten or twenty years, and he will be able to investigate the causes one by one like Director Shentu. But he certainly wouldn't do that, he was too tired. I really don't have to do that.

"Deep vein thrombosis of the lower extremities can cause pain and edema in the limbs, sometimes without any symptoms. Intermittent pain may occur. Symptoms in this patient are consistent with deep vein thrombosis, but the diagnosis is not definitive. I think it is necessary to further improve the examination, first of all, add a vascular color ultrasound to confirm whether there are arterior and venous lesions. ”

After Director Shentu ruled out a bunch of them, although the possibility of deep vein thrombosis was very high, he still did not make a conclusion easily.

Instead, it is required to do further tests.

Let the patient do a color ultrasound, Zhou Can is also very supportive.

B-ultrasound and color ultrasound are both ultrasonography, but their roles are not the same.

Many patients do not understand the principle of the examination, and think that the doctor is making black money, so they first prescribe a B-ultrasound for him, and then a color ultrasound. Isn't this a clear indication that patients have a lot of money?

Not really.

B-ultrasound is a two-dimensional sonographic examination method, which has a very good examination effect for the detection of tumors, organ and tissue displacement, atrophy, etc. It can accurately display the size, shape, and location of tissues and organs.

Color ultrasound is based on a two-dimensional acoustic image, using color to display the direction of blood flow and the relative velocity of blood flow in real time. It has a very good diagnostic support for doctors to observe the blood flow of human diseased tissues and the speed and direction of tissue movement.

Many doctors even think that color ultrasound is more effective than expensive MRI and CT imaging.

However, the examination of some deep arterial vessels still relies on angiography, which is a shortcoming of color ultrasound.

In short, in clinical diagnosis, doctors prescribe B-ultrasound and color ultrasound examinations at the same time, which has a certain meaning.

As long as the doctor has a little medical ethics, he is not making black money, but really wants to diagnose the patient's lesions in a relatively cheap way.

It is sometimes quite difficult for doctors to ensure the accuracy of the diagnosis results without misdiagnosis and missed diagnosis, and to find ways to reduce the cost of examination for patients as much as possible.

Sometimes, patients and their families do not understand, abuse and even beat doctors.

In Zhou Can's view, people who choose to engage in the profession of doctors and nurses have great love in their hearts.

Don't believe it, look at the sassy and heroic posture of thousands of angels in white retrograde when the pandemic came. They abandoned their small families and rushed to the forefront in order to stop the spread and ravages of the disease.

If so, whose life is not precious?

Who doesn't want to stay at home with their wife and children and enjoy the warmth of family?

When the motherland is in need and the people are in need, many of them spontaneously take the initiative to sign up. This kind of spirit of great love is really not something that ordinary people can have.

"Ask the medical technology department to work overtime and do a color ultrasound on that patient immediately."

Professor Hu Wanjun gave the order.

Regarding Director Shentu's diagnosis, she seemed very calm, as if she had known that this was the result.

Zhou Can took everything in and was even more sure that Xinxiang Women's and Children's Hospital was fully capable of diagnosing this patient's disease.

If you have the ability to diagnose the cause of this patient, why bring Tuya's experts over for consultation? Asking for the help of a doctor in an outer hospital is not a glorious thing in itself.

What are they doing this for?

Zhou Can quietly waited for the other party to show his fox tail.

He was silent, and Director Zhang Bihua, who was sitting next to him, was even more still.

It was Du Leng, who was usually high-profile and ostentatious, and he also noticed a trace of weirdness at this moment, lowered his head, and fiddled with his woman-like slender ten fingers and long nails.

Du Leng's IQ and EQ are actually not low.

It is because it has been smooth sailing since childhood, smooth sailing on the road to study, and has achieved academic achievements that are difficult for ordinary people to achieve in a lifetime at a young age. So his heart was extremely proud.

Pride regresses people, and sometimes it makes people do things that are too good to be intellectual.

In addition, he has been beaten by Zhou Can, and he feels aggrieved in his heart and wants to raise his eyebrows. So-for-tat with Zhou Can has become a normal thing.

In addition, Yang Chan maintains a very close relationship with Zhou Can, but she has always maintained a politeness to Du Leng who is thousands of miles away, which also makes Du Leng very uncomfortable.

How could a genius like him ever be suppressed like this?

What's more, the opponent who suppressed him was an undergraduate student with a much lower education than him.

Also, people who can study abroad for a few years generally do not have a bad family background.

Because tuition fees and living expenses abroad are a lot of expenses.

The tuition fee of hundreds of thousands of years is really not something that ordinary families can afford.

A rich child, whose academic achievements have reached the pinnacle of his life, is even more arrogant than an ordinary genius.

The duel between him and Zhou Can will definitely happen.

After many setbacks, he should sum up his lessons and find ways to build on his strengths and avoid weaknesses, instead of continuing to fight with Zhou Can in some areas that he is not very good at.

"Director Zhang, this patient with soreness in the lower limbs has basically been diagnosed with the help of Director Shentu of your hospital. The experts of Tuya Hospital are indeed worthy of their reputation! ”

Professor Hu Wanjun smiled and praised Tuya's experts.

"You've won a prize! The doctors at Xinxiang Women's and Children's Hospital are also not bad, but they have their own strengths. ”

Director Zhang Bihua coped carefully.

"It will take a while for the results of the patient's color ultrasound to come out. We happen to have a few difficult cases here, can you also take this opportunity to ask the experts in your hospital to help diagnose and diagnose together? ”

Professor Hu Wanjun finally showed his fox tail.

The previous case should have been just a bait for the experts from Tuya Hospital to come over, and the later cases were the ones who really needed help.

can understand their half-concealed way of operating.

Well, the poorer you are, the more inferior you are.

Xinxiang Women's and Children's Hospital has suffered a series of accidents and explosions, and its reputation has plummeted, and the reputation it has built up for decades has also plummeted.

At this time, Xinxiang Women's and Children's Hospital, from top to bottom, had a deep inferiority complex.

Doctors are the core of a hospital, and to put it bluntly, doctors are the equivalent of technicians in a large factory.

Those who are engaged in technology must be full of pride in their own research field.

Let a big guy like Hu Wanjun get straight to the point and take out a lot of difficult cases to ask the doctors of Xinxiang Women's and Children's Hospital for help, she can't erase this face. However, President Tian and the hospital management put pressure on them to take this opportunity to solve the backlog of difficult cases.

In this way, we can improve the quality of diagnosis and treatment and enhance our reputation.

They couldn't help it, and ended up thinking of a way that they thought was less humiliating.

Zhang Bihua had a smile in her eyes, "It's okay, we're just sitting here anyway and waiting, and it's good to have a consultation with other cases." ”

is worthy of being at the helm of the Department of Obstetrics and Gynecology of Tuya Hospital, and Director Zhang's bearing and demeanor are all admired by Zhou Can.

knew some of the other party's tricks, but did not debunk them, but tried to maintain the other party's face as much as possible.

This is true maturity.

Some people don't understand the world and help others, but they don't show mercy to each other, and even expose their shortcomings in person, which is a big taboo.

And when the other party has something to ask, it is also very unwise to take advantage of the danger of others to put forward conditions.

Either don't help with this, or be generous.

Just look at the ancient Han Xin, just how miserable the end was.

At that time, Liu Bang and Xiang Yu faced off against each other, but Liu Bang couldn't beat Xiang Yu, and he was in danger of being wiped out. He asked Han Xin for help, but Han Xin took the opportunity to put forward conditions, to divide the land and rule, and to be crowned king.

At that time, Liu Bang was almost so angry that he flipped the table, slapped his palm on the table, and was about to greet Han Xin's ancestors for the eighteenth generation. Xiao He, the strategist next to him, kicked Liu Bang at the moment of emergency, and looked at Liu Bang wildly.

In the end, Liu Bang couldn't bear it, and he had the wit to deal with it, and the table had been slapped and couldn't be recovered.

What to do?

He laughed a few times and told Han Xin that these conditions were too cold. You have helped me so much, and you want such a little benefit, don't you look down on me Liu?

Liu Bang promised Han Xin a bigger fief and reward on the spot.

Later, with the help of Han Xin, Xiang Yu was defeated, and Liu Bang gradually cleared away obstacles and hostile forces and sat firmly on the throne. At this time, it was his turn to settle accounts with Han Xin.

The world only knows that Han Xin was killed by Liu Bang's wife Lu Hou, but they don't know that the real reason is that Liu Bang and Xiang Yu entered the critical moment of the ultimate showdown.

In modern times, the competition is actually more fierce than in ancient times.

People who can sit in a certain high position will not be far behind in terms of open-mindedness, emotional intelligence and IQ.

Director Zhang Bihua gave the doctors of Xinxiang Women's and Children's Hospital a full face, which is the truest portrayal.

"Director Zhang, as well as Tuya's experts and doctors, please see, this pregnant woman's respiratory tract infection is particularly serious, and after being admitted to the hospital, she was treated with anti-inflammatory drugs. This is a test sheet for a pregnant woman, who is currently having a weakened fetal heartbeat. ”

When Professor Hu Wanjun introduced the patient's situation, his expression was serious and his tone was solemn.

Very different from discussing the previous patient's situation.

As soon as Zhou Can heard it, he knew that the situation of this pregnant woman must be very serious, and it was particularly tricky.

"She's 37 weeks pregnant! With such a large fetus, the mother has a serious respiratory infection and is very prone to danger! Zhang Bihua took the information and looked at it, but her brows were furrowed more and more.

"No, it's only been two days since she was admitted to the hospital, and her fetal heart rate has been weakening. We are very afraid of stillbirth. Do you think there's any good way? ”

Professor Hu Wanjun humbly asked for advice.

(End of chapter)