The afternoon consultation was beyond Liu Muqiao’s expectations, and the specifications were far higher than the last time.
In addition to Zhao Yilin, our hospital also has Sun Tao, the business dean.
There are Professor Hao and Professor Sima Linyi in the outer hospital. They can be regarded as the two giants of neurology in this province. They came for consultation at the invitation of the patient's family.
Generally speaking, hospitals are open to consultations with professors from outside hospitals.
Because, first, there is a need, and patient-centeredness is not an empty talk. If patients have questions about their condition, they can ask doctors from outside hospitals for consultation.
Second, it is conducive to hospital communication and progress.
As a subject, especially within the same province, it is important to learn from each other.
The Affiliated Hospital and the Provincial Hospital are the leaders in the province. Even if Zhao Yilin doesn't like Sima Linyi, there is nothing he can do. He can come and go freely, and you must obey the instructions he gives.
Today, in addition to neurology, there are also experts from outside the neurology department participating in the consultation.
Liu Muqiao sat in the corner, not conspicuous at all.
The consultation meeting was hosted by Sun Tao. He started by welcoming Professor Hao and Professor Sima, and then entered the topic.
Liu Jianxin is responsible for reporting medical records.
A 45-year-old male was admitted to the hospital with hallucinations, anxiety, and convulsions. The preliminary diagnosis was viral encephalitis.
Of course, there is a lot of information, and various inspections and tests have been reported.
Liu Muqiao only remembers a rough idea.
He is very knowledgeable in neurology diagnosis.
This is normal. In fact, he has only been practicing in the neurology department for a day or two, and he basically spent it in the intensive care unit.
He is too lazy to remember.
Various laboratory tests support viral encephalitis, what else is there to discuss?
However, Liu Muqiao was wrong.
All the neurosurgeons were listening carefully to the report and thinking carefully. Even Professor Hao and Sima Linyi also listened very carefully.
After the report, the CT films and MRI films were passed to Professor Hao and Professor Sima, who looked at them under the reading light for about ten minutes.
Very carefully.
Unlike many doctors, they actually watch the films instead of just going through the motions.
Yeah, yeah.
From time to time, he made some sounds from his mouth, but he never expressed his stance.
This is not the time for them to express their stance.
A consultation is a hierarchical occasion, serious and solemn, and there are rules about when to speak and when not to speak.
It is similar to officialdom, but not similar.
Similarity is the level, dissimilarity is the scientific emphasis here.
You can argue, but it must be based on the information you have, not who has a louder voice or a higher position.
Therefore, Professor Hao and Sima Linyi will not speak until the end. Once they speak, the conclusion is basically determined.
This is foreplay.
Next comes the topic - examining the patient.
Come to bed 34.
Family members and patients are ready.
First, ask about the medical history.
Sima Linyi asked personally.
Very standard.
Because they believe that a visit to Antai Hospital is not just to see one or two patients, but to teach them a lesson.
This is the value of their arrival.
Therefore, Sima Lin Yi asked a very standard question.
Next is the physical examination.
"Antai Hospital, which one of you will do the examination?" Sima Linyi said arrogantly, "Professor Hao and I want to see how well you master your examination skills?"
Who will do it?
Zhao Yilin can't lose this face. According to his qualifications, he graduated from university no later than Professor Hao and Professor Sima. Therefore, it is impossible for him to do it himself.
Logically speaking, the previous treatment is the best. It doesn’t matter if you are wrong. There is still room for growth.
However, Zhao Yilin took a look around and found that none of the attending doctors were good. The best doctor, Dr. Zou, had already been embarrassed last time. It would be too cruel to let him go again this time.
Besides, it will also make Antai Hospital look ugly.
"Liu Muqiao!"
Zhao Yilin shouted loudly.
There are so many people, and someone of Liu Maqiao's level can only stand in the corridor.
"Come over and do a physical examination on the patient, please ask Professor Sima for advice."
"Huh? You?" Professor Hao met Liu Miqiao for the second time.
Professor Sima also said "Hmm". He is so young and has just graduated, right?
He glanced at Zhao Yilin, Okay, I made a note of it, you use a resident doctor to deal with me, Okay, I'll see where you put your face later!
"Do it." Professor Sima said to Liu Miqiao.
Liu Muqiao smiled and said hello. Next, while checking and dictating, he reported both positive and negative signs.
From the head, eyebrows, eyes, all the way to the joints of the limbs, various reflexes were checked. Except for a few private parts, everything else was checked.
Fifteen minutes in total.
A standard physical examination demonstration.
It flows smoothly without any sloppiness.
"Professor Sima please criticize and correct me." Zhao Yilin said loudly and happily.
Sima Lin Yi's neck turned red. He knew that this was Zhao Yilin's demonstration.
Well, I understand. He is prepared. He must have practiced hard for several days.
"Pa bang..."
Professor Hao didn't pay attention to their odor of gunpowder, he took the lead in applauding.
"It's so beautiful, so standard. Even our diagnostic teachers may not be so standard! This classmate is not bad, not bad."
"Classmate?" Professor Sima asked doubtfully.
"Yes, he is an intern." Professor Hao said, "This intern is not simple, he is a genius!"
"Hmph."
Professor Sima snorted coldly.
Okay, you Zhao Yilin used an intern to humiliate me. I made a note of it.
Back to the consultation room, the formal consultation began.
Liu Muqiao was sitting in the corner again. In this kind of consultation, it was not the interns' turn to speak. Even the attending doctors, only the attending doctors in their own group had the opportunity to speak.
One of Liu Jianxin's attending doctors spoke. He listed the main symptoms, the positive results of the laboratory tests, the positive results of the physical examination, and finally the CT and MRI reports.
"I think the diagnosis of viral encephalitis is established."
Next, level by level, people take the initiative to speak, and generally speaking, they all tend to have viral encephalitis.
However, when it was Zhao Yilin's turn to speak, he proposed another diagnosis, "Demyelinating encephalopathy cannot be ruled out."
When everyone heard this, they were slightly shocked.
This chapter is not over yet, please click on the next page to continue reading!
Yes, how can we rule out demyelinating encephalopathy?
Next, Sima Lin Yi should speak.
He coughed a few times, nodded confidently, and said, "I would like to hear the opinion of classmate Liu Maqiao."
The revenge just now must be avenged.
"Me?" Liu Muqiao was already distracted. Suddenly when his name was called, he had to stand up and said: "I...I'm not expert in neurology. I can't tell you why. What they just said seemed like
It all makes sense."
Sima Linyi laughed and asked, "You said you are not good at neurology?"
"Yes, I am not expert at all. I have only been an intern for two days."
"What, did I hear correctly? You have only been an intern for two days?"
"Yes."
"Then how do you explain the physical examination you just performed at the neurology department?"
……
"This guy is showing off again." Dr. Zou hid behind and couldn't help laughing.
"Be serious!" Sun Tao shouted lightly.
"Are you really not familiar with neurology?" Sima Linyi said sharply.
"Yes."
"Okay, I won't embarrass you." Sima Linyi quickly returned to the professor's style, "I will put forward my opinion, and I will ask Professor Hao to make a conclusion later."
I coughed twice, and my voice suddenly rose an octave higher.
"This patient was obviously misdiagnosed. There are several points that completely negate the diagnosis of viral encephalitis. Director Zhao Yilin just said that demyelinating encephalopathy cannot be ruled out. It's not that it is not ruled out, but that he has demyelinating encephalopathy."
p>
As soon as these words came out, everyone was shocked.
Is this too strong a statement?
Is this diagnosis too arbitrary?
How could Zhao Yilin bear it?
Everyone looked at Zhao Yilin, but who knew that Zhao Yilin had no expression on his face, he seemed calm.
This chapter has been completed!