665 Out-of-hospital consultations
Xue Chunhe smiled bitterly.
They all left the Second Hospital and came to the Sword Association Hospital, but if there was any urgency there, they still habitually called Ma Xiude.
When the director of medical affairs reaches this level, it can also be said that he is very good, and he can't accept it.
I don't know what's going on here.
......
......
Zhou Guohui has been very happy in Jianxie Hospital recently.
Blessings and misfortunes depend on each other, the old saying is really true, sometimes Zhou Guohui can't help but think so.
If it weren't for the online consultation, I am afraid that I would not be able to leave the imperial capital for the rest of my life. I didn't expect to come to a place like Bajingzi, there was a hole in the sky, and my life turned a new page.
Recently, the medical malpractice judgment is still going through the procedure, and the child is okay This is the main premise, calm down, Zhou Guohui also knows that if the health company refuses to help him bear part of the responsibility, he will have to take out hundreds of thousands of dollars to lose money.
However, the revocation of the doctor's license is a bit of a nonsense, and this matter did not delay the diagnosis and treatment of the patient, and it is also thanks to his usual caution, otherwise once it is delayed for a few days, the consequences will be unimaginable.
If a child has organ failure, the severity of the matter is different from what it is now.
The affairs of the family are handed over to the buddies in the medical department to help with it, and Zhou Guohui studies the diagnosis and treatment of Alzheimer's disease every day in Jianxie Hospital, and has a lot of experience.
Zhou Guohui himself is a first-class neurology expert in China, with more than 20 years of medical experience, rich experience, and level, but he is not old enough, and he is the most golden time for a doctor.
It's really lucky to be able to meet Wu Mian at such a time, Zhou Guohui thinks so.
Everyone is very busy, and the business composition of Jianxie Hospital is different from that of ordinary hospitals.
The Department of Cardiology and the Department of Cardiothoracic Surgery were merged into a single treatment unit, which is mainly used for minimally invasive treatment of diseases such as the mitral valve.
Zhou Guohui watched from a distance, and knew in his heart that it was now the main mitral valve, and he would definitely have to open tricuspid valve, aortic valve, pulmonary valve, and even other unexpected heart surgeries in the near future.
Who knows what Wu Mian will think.
Another large treatment unit is the neurology department.
Wu Mian did not stick to the domestic medical model, merging neurology and neurosurgery into a single ward, mainly treating Alzheimer's disease.
The progress on this side is relatively slow, mainly because Zhou Guohui has not been exposed to it before. He could not completely master a brand-new and improved surgical technique after a few days and nights of surgical training like Li Zhong and Gao Baixiang.
But it doesn't matter, Zhou Guohui basically mastered this technique after a period of study.
After all, with Wu Mian by his side, if there is anything he doesn't understand, just run to him and ask him.
Wu Mian's answer is simple to understand, and he can always solve Zhou Guohui's doubts in the simplest way.
The days just go by day by day? It's mid-October.
Originally planned to come to the Sword Association Hospital to relax? I took paid personal leave, but I didn't expect it to become this job.
After a while? Under the mediation of the relevant lawyers of the medical department of the Imperial Capital Hospital? The issue of compensation has been decided, and the patient will be compensated 750,000 yuan.
Zhou Guohui didn't even have time to feel sorry for the money? He also forgot that he had to go back, and went through the training procedures directly and stayed in the Sword Association Hospital.
The daily busyness makes Zhou Guohui forget the troubles of trivial matters? He seems to have become a young doctor who has just entered the clinic? Desperately absorbing everything he doesn't know.
Recently, Mr. Wu had to undergo a cerebral cortextomy, and even the neurology doctor was interested in such a big operation. Zhou Guohui was discussing the complications of the operation with his friends in the imperial capital when his mobile phone rang. glanced at it, it was Wu Mian calling.
"Teacher Wu? Hello. Zhou Guohui picked up the phone.
"Director Zhou? The Second Hospital of the Medical University requested an out-of-hospital consultation. Wu Mian said calmly, "Are you busy here?"
"I'm looking at a patient. Zhou Guohui said, "I'll rush over immediately." Mr. Wu, who should I contact?"
He is a native of the imperial capital, and his eyes are basically black on the side of the provincial capital? I don't know anyone.
"The horse yard will take you there. Wu Mian said, "I have something at hand?" Rushed over a few hours later. ”
"You're busy, right, Mr. Wu? What patient?" asked Zhou Guohui.
"It is said to be a 21-year-old ischemic stroke patient, and I didn't understand that side in the end. Is the patient younger? The second court does not dare to delay? Ask experts in the province to consult together. ”
Wu Mian said it is relatively simple? Zhou Guohui had a headache.
After hanging up the phone, he thought about it carefully, 21 years old, just this age is already very speechless.
The younger the stroke, the more difficult it is, this is Zhou Guohui's work experience. It's like a tumor, the younger you are, the heavier it gets.
At the age of 21, when the body is at its best, why did he have an ischemic stroke.
Ischemic stroke is a general term for necrosis of brain tissue due to narrowing or occlusion of the arteries supplying the brain, such as the carotid artery and vertebral artery, and insufficient blood supply to the brain.
There are four subtypes of the disease, transient ischemic attack, reversible neurological deficits, progressive stroke, and complete stroke.
Except for the first type, all others may be accompanied by the presence of cerebral infarction.
Zhou Guohui does not think that ischemia is caused by simple carotid artery and vertebral artery stenosis. After all, no matter how remote Montenegro is, it is also a province, and the level of doctors in the provincial capital cannot be so low that they do not check the neck B ultrasound when they are even suffering from cerebral ischemia.
21 years old...... This age once again made Zhou Guohui feel a little headache.
While searching for similar cases from his own decades of experience, he contacted Dean Matthew.
After getting into the car 15 minutes later, Zhou Guohui asked, "Ma Hospital, do you have any information about the patient?"
"Director Zhou, I asked for it. "But it seems that the other side is busy rescuing, and the medical records have not been sent." ”
"......" Zhou Guohui can only guess for the time being.
"At that time, when Director Song Yabin contacted me, he told me a brief medical history, and the patient suddenly had dysarthria, mild left limb weakness and ataxia, and the patient was admitted to the hospital with a NIHSS score of 6. Matthew tried to say what he knew.
"Hmm. Zhou Guohui nodded.
"Director Zhou, this patient is too young. What do you think?" asked Matthewd.
"Is dysarthria?" Zhou Guohui asked.
"The patient has improved after a period of treatment. Matthew said, "I went through the discharge procedures today, and it is said that I fainted during the settlement and is being rescued." ”
"......" Zhou Guohui was speechless.
In general, patients with dysarthria have a complete stroke.
Patients develop a sudden onset of moderate or higher localized neurologic deficits, which peak within 6 hours, after which neurological deficits persist for a long time and rarely recover.
The main manifestations include hemiplegia, hemianopia, aphasia, sensory impairment, and often impaired consciousness.
If you have dysarthria, you can still get better, and you don't have to think much about what it means. However, when they were discharged from the hospital, there was an accident again, which proved that the treatment in the second hospital of the medical university was ineffective, and they did not find out the real cause of the disease at all.