Chapter 139 Excited Emergency Medicine
"Although there are only a dozen more monthly tickets, since Tiannan has coded it out. I waited very late at home and changed it in advance. Regardless of whether you have collected 30 tickets or not, thank you everyone." Thinking of being criticized by Xu Ze , there was a trace of resentment in Qian Xuecheng's eyes, but Qian Xuebin, who has always been gloomy, didn't show it. Instead, he suppressed the resentment in his heart, calmed down, and carefully analyzed his current situation . "What is Guillain-Barre Syndrome? I don't seem to have heard of it. What's wrong with this physical examination? I don't know. Now Director Huo asks me to rewrite and recheck, in case there is something wrong with it." Omission, it's just that the impression in Director Zhai's eyes will plummet. "Thinking of this", Qian Xuebin, who has always been extremely conceited, became a little anxious.
However, he quickly thought that since Xu Ze was able to find out the problem, he naturally knew that I hadn't found it. It seems that he can only start from him.
Thinking of this, Qian Xuebin's originally gloomy face suddenly burst into a warm and friendly smile, and walked towards Xu Ze who was at the side.
At this time, Director Zhai, who was listening to Xu Zewang's criticism of Qian Xuebin, secretly thought that Qian Xuebin was not a fool, and he would soon realize that this matter had something to do with him. This time I'm afraid I'm going to hate myself.
Suddenly, Qian Xuebin came over with a friendly face and a smile on his face, but he couldn't help being stunned at the moment, wondering if it's possible that Qian Xuebin didn't know that this matter was related to him?
In Xu Ze's astonishment, Qian Xuebin stepped forward, sat down beside Xu Ze very affectionately, looked at Xu Ze with a smile and said, "Did Director Zhai take you to see my patient just now?"
Listening to Qian Xuebin's question, Xu Ze didn't know what he meant, but he still nodded with a smile and said, "Yes, Director Huo and I went to see it."
"Oh, I don't know what special abnormalities Director Zhai found during his inspection?" Qian Xuebin looked at Xu Ze affectionately, and said with a smile: "I haven't heard of this Guillain-Barre Syndrome before. You and I Tell me what Director Zhai said."
Xu Ze took a breath, and finally understood why Qian Xuebin was so enthusiastic about him, and he couldn't help but secretly said: "This Qian Xuebin is really powerful, and Huan Ran can hold back his resentment towards him. On the other hand, he can get close to him, inquire about the news, and return It's not easy
But Xu Ze didn't take it seriously. Anyway, if you don't tell him now, Director Huo will say later that since Qian Xuebin asked enthusiastically, he didn't hide it. He said with a smile: "Director Zhai mainly thinks that patients The lower extremities of the patient have mild and shallow sensory disturbance, and the patient's medical history has a history of previous infection for several weeks before the illness, and the patient has a history of pain in the whole body, limbs, neck and back a few days before the illness, these points are Guillain-Barre syndrome characteristic of
After hearing what Xu Ze said, Qian Xuebin snorted inwardly. There are two points that Xu Ze asked him when he was seeing patients.
Sure enough, he told Director Zhai directly to let himself suffer from this round of criticism.
However, Qian Xuebin, who has always been gloomy, remained calm, thanked him with a light smile, and then took the stethoscope and percussion hammer and other examination equipment to re-examine the patient.
Seeing the back of Qian Xuebin leaving in a hurry, Xu Ze smiled lightly, then buried his head to look at his medical records.
Director Zhai quickly found out that issue, which had only been published for a few days, and reposted the national authoritative medical journal with information about Guillain-Barré Syndrome abroad. After careful re-reading and analysis, he found several The characteristic signs and medical history are very consistent with this patient, and the protein cell separation of the cerebrospinal fluid test is indeed mentioned above, and it is only a preliminary diagnostic criterion, but it is not mentioned above as a characteristic diagnostic sign.
Director Que frowned and thought for a while, thinking that the diagnosis of Guillain-Barré Syndrome is still very possible. As long as the cerebrospinal fluid test is done and there is indeed protein cell separation, then this diagnosis should be possible.
Immediately, he came out with the magazine, walked back to the internal medicine office, beckoned Xu Ze over, handed the magazine over to Ranwen Novel.com, and said with a smile: "Xu Ze, did you see it from this too? .
Xu Ze looked at the magazine suspiciously, and then shook his head after looking at the information on Guillain-Barré Syndrome. His information was extracted from the research materials of various top professional medical institutions in the world. This magazine is not that comprehensive.
He shook his head with a smile and said, "I read it from the Internet. It is the latest research information on Guillain-Barre Syndrome."
"Oh? Is there any new progress?" Director Zhai suppressed his excitement and asked curiously.
Xu Ze nodded with a light smile, and then said with a smile: "It's just one more thing, and that is the separation of protein cells in cerebrospinal fluid, which has been confirmed as a characteristic diagnostic sign!"
Hearing Xu Ze's words, Director Huo said excitedly: "Really? This test has been confirmed as a characteristic diagnostic sign? Is there any progress in treatment?"
Xu Ze smiled, and then said: "Basically there are no major changes, that is, plasma exchange and gamma globulin anti-immune therapy as mentioned in this document
Hearing what Xu Ze said, Director Zhai let go of his heart, and then nodded: "Oh, that's good, otherwise, if this patient is diagnosed, we have to find a new treatment plan that can be confirmed by the authority, so it would be better trouble"
At this time, Qian Xuebin also came back from the ward. It seemed that he had undergone a new consultation and physical examination, but his face. Suan Er thought it was a little bit ugly, it seemed that the re-examination of the patient just now made him a little embarrassed,
Seeing that Qian Xuebin had come out, Director Zhai handed the magazine to Qian Xuebin and said, "This is information about Guillain-Barre Syndrome. Please analyze it carefully, and then write a new medical record for me to sign!"
Hearing that Director Que was going to review and sign, Qian Xuebin's face darkened again, but he took it respectfully, sat down at his desk, and began to read it carefully.
Qian Xuebin looked at the issue number of this magazine. It was the latest issue. He couldn't help but feel annoyed that he didn't go to the library to read it. If he did, he might have a certain impression. It might be possible to avoid his embarrassment this time, and he won't be beaten.
However, he also knew that relying on this information alone, he might not be able to associate it with his patient. After all, he had not noticed some medical history and subtle changes in signs.
Therefore, Qian Xuebin transferred his anger to Xu Ze. If it wasn't for this kid messing up the situation, how could Director Que think of such a diagnosis? Didn't he find this in his ward rounds today? Anyway, this is the latest information, our emergency department did not see it and no one can say anything.
The current treatment can barely control the progress of the disease. Everything was fine before, and this kid is all to blame.
But now even the patient and his family members have lost the enthusiasm and respect they used to have for him, which made him lose his prestige. Thinking of this, Qian Xuebin was full of embarrassment and anger, and secretly said: "I just hope that the results of the cerebrospinal fluid test will come out. There is no problem. I can't confirm the diagnosis of Guillain-Barre Syndrome. Otherwise, how can I have prestige in front of patients?" "
However, Qian Xuebin was destined to be disappointed. Under Director Zhai's urging, the results of the cerebrospinal fluid test were sent over quickly.
It is clearly shown above that there is clear protein-cell separation in the cerebrospinal fluid.
Director Zhai held the test results, his face was full of joy, and he secretly said in his heart: "Although this information was republished in the authoritative national medical journal, it was only a few days. Many, I'm a star university attached to one, I'm afraid I have another advantage today, I can report a research project to the hospital!"
"And if you can get the results first, you can even report to the ministry. At that time, you can publish two national papers. Although it may lag behind the international level, it is also an extremely honorable thing to be able to stand at the top of the domestic level.
Thinking of this, Director Zhai became excited. For an expert of his level, nothing can attract him more than these. For them, some ordinary material wealth is no longer a temptation for them. These are the only things that can make a name for themselves and give them a great reputation. to excite them,
After remembering that Xu Ze had just affirmed that the protein cell separation of cerebrospinal fluid is a characteristic diagnostic sign of Guillain-Barré syndrome. Director Zhai didn't hesitate at all, and excitedly said to Xu Ze: "Xu Ze, are you really sure that's what the document says?"
Regarding Director Zhai's question, Xu Ze knew the meaning of his question. He already knew the progress of Guillain-Barre Syndrome in future technology, so he naturally knew that this was 100% correct. He nodded affirmatively and said: "Director, I'm sure!"
"Well, we will follow this treatment plan and try to get a result within a few days!" Director Que said excitedly: "We must closely observe the progress of the disease and keep a record of any changes. If successful, Then we can apply to the hospital or even the Ministry for special research projects, which will be the biggest medical achievement and breakthrough of our emergency department attached to this year."
Hearing Director Que's excited words, Zhang Can beside him and Qian Xuebin, who was originally gloomy, became excited. If there is such a ministerial-level or even national-level project, the Emergency Department of the First Affiliated University of Star University will be ranked in the national ranking again. Advance a few places, and get a large amount of financial support from the hospital and even the country, plus the national-level monographs that will be published at that time, then everyone in the emergency department can share great benefits and glory!
Seeing the expressions of ecstasy and excitement on the two doctors under him, Director Zhai couldn't help but give Xu Ze a grateful glance. This time, he was able to meet this opportunity because of Xu Ze in front of him. ,
At first, I thought that the boy who was still in school arranged by Mr. Tang would make me extremely hard for the past two months, but how could I know that he not only has rich clinical experience, he doesn't need to bother himself at all, and he also brought himself a lot of benefits. such good luck,
Bi: Congratulations to this book for producing the first master-level book friend: Thank you for his support to the first-level doctor, and thank you for your support! Although the super doctor can't compare with other people's books, Tian Nan is still very excited when the first hall master appears, hehe
Another: All prosperity is not counted in words. There are Xingyue Yimeng and I Ailuge, two book friends who seem to be colleagues. They proposed that Guillain-Barre Syndrome is a disease that has already appeared, and it is true. Tian Nan had already seen this disease during his internship, but because Tian Nan didn't want to fabricate some inexplicable things to disturb everyone's cognition, he set its appearance as a new disease! Thanks to the support of the two students, thank you!
There are also some suggestions from book friends, Tiannan has seen it, and will try to improve the book, thank you
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