Liu Maqiao met Dean Pi when he came out of the intensive care unit.
"There is a patient, please help me." Dean Pi does this every time. Instead of making phone calls, he goes downstairs to see Liu Muqiao in person.
"Gao Jian's relative?"
"A relative of Vice President Gao."
"It makes sense. He called me just now."
"You refused."
"Yes, the rules cannot be broken."
"Well, he makes an exception."
"What you sent is not an exception. Let him enter the hospital. There may be no beds."
Zhao Yi happened to come over and said: "Bed 33 will be discharged tomorrow. Let's hang up the bed today. We will stay for one day tomorrow and be discharged the day after tomorrow."
"Okay, Lao Zhao, did you have a conflict with Gao Jian?" Dean Pi said.
"It's not a conflict, it's just a disagreement," Zhao Yilin said.
"Be patient, I'm new here and not familiar with the hospital."
"Okay, but this guy is a bit arrogant, his words are unpleasant, and he uses his power to oppress others."
Dean Pi smiled bitterly and said, "Understood, long live understanding."
Dean Pi could only smile bitterly.
Recently, there are signs that the two new vice-presidents are threatening to force the throne, and they are likely to make trouble at some point.
The key is that there are only three members in the hospital team, which is very abnormal.
Even Dean Pi, who has worked in leadership positions for more than ten years, cannot figure out the reason for this.
Antai has been developing very rapidly recently. It stands to reason that there will be a lot of people squeezing in.
However, why is Antai’s leadership team only equipped with one principal and two deputy directors?
This is not normal.
Dean Pi asked several times from the side, but there was no clear answer.
He really wanted Hu Bolong and Zeng Xuefei to come up, but after the recommendation, there was no sound at all.
Based on past experience, it is speculated that this information is very bad. It means that my recommendation is not effective, which means that one day in the future, he will no longer be the legal representative of this hospital.
Liu Miqiao didn't chat too much with Dean Pi. Firstly, he didn't want to get involved in conflicts among the hospital team, and secondly, there was a patient in the pediatric department who needed consultation.
……
After more than half a year of construction, the number of rare diseases and intractable diseases has gradually increased. The number of beds has increased from 50 in the past to 80. Usually, extra beds are added, and most of the time the number is 110.
The tighter the bed space, the more patients are arriving in droves.
Still following the old rules, Liu Miqiao's ward rounds were arranged twice a week, both in the afternoon. Sometimes the surgery would be postponed to the evening if there was surgery.
Yuan Shan is very cooperative. Even if it is a ward round at night, many of her people will come to participate.
Today is an additional ward round consultation. A 7-year-old girl has fainted and convulsed repeatedly. She has been seen in several hospitals, but there is no clear diagnosis.
Liu Miqiao brought the doctor to the bedside. He first asked the patient to talk about her illness, and then asked her mother to talk about the development history of the disease and the diagnosis and treatment process.
After listening to the story, I asked a few more questions, and then asked A Ling to do a physical examination.
A Ling is a little nervous.
A few months ago, Liu Miqiao was her student.
Who knows, now he is the teacher and senior doctor of the entire pediatrician, and when he is called upon to do a physical examination, it is like an exam, for fear of making mistakes.
Recently, Liu Muqiao often calls names like this.
Yuan Shan likes this very much. Everyone is under pressure and has to study hard, and progress is much faster than in the past.
Especially in the diagnosis and treatment of difficult diseases, everyone will consciously check the information before asking Liu Muqiao for consultation and be ready for Liu Muqiao to ask questions at any time.
Everyone has made a lot of preparations for this patient today.
A Ling's physical examination was generally good. Although there were some flaws, Liu Maqiao didn't mention them in particular and just smiled.
With this smile, everyone's nervous mood immediately relaxed.
Next, return to the office and have a formal discussion.
Today, we still follow the old rules, follow the regular teaching ward rounds, and report the medical records first.
Name, gender and other general information, chief complaint, current history, past history, physical examination, laboratory tests, auxiliary examinations, admission diagnosis and treatment principles.
After saying this, speak from bottom to top.
When she arrived at Yuan Shan's place, she didn't need to worry about it. She should ask Liu Muqiao for instructions.
Liu Muqiao reviewed everyone's analysis and said with a smile: "Everyone's analysis was very comprehensive and in-depth, and they made rapid progress. I am very happy."
If these words had come out of his mouth a few months ago, many people would have slapped him in the mouth.
But now, no one feels uncomfortable listening to it, and everyone feels that it is very useful, because Liu Muqiao praised everyone.
He rarely speaks polite words insincerely. What he says is very real. One is one and the other is two.
This patient's main complaint was convulsions, and there were only 7 or 8 types of diseases involved. Based on the medical history and examination, several more were denied. In the end, there were only three diseases that needed to be differentially diagnosed.
Calcium deficiency.
Yes, this child has low blood calcium.
Epilepsy.
It's the same, and the EEG shows epileptic waves, which is irrefutable evidence.
Of course, some people say it is hysteria.
The analysis is all good.
After further analysis, hypocalcemia can be denied. Mild hypocalcemia is often transient or may be an experimental error. The key is that the family members describe it differently.
During convulsions, there is no obstetrical hand.
It’s not like epilepsy. Epileptic waves are not a golden indicator. There is never any trauma on the patient’s body and he is conscious during the convulsions.
Hysteria?
Too young, 7 years old.
Generally, hysteria only occurs after puberty, and the most common ones are adolescents and middle-aged women.
But how could a 7-year-old child suffer from hysteria?
Finally, it was Liu Muqiao’s turn to make a concluding speech.
"I searched the literature and found that the minimum age for hysteria is 4 and a half years old..."
As soon as this statement came out, everyone "oohed" and exclaimed.
The consultation can be concluded.
The reason for the consultation is that we have never seen a hysterical patient at such a young age and can't make up our mind.
This is the role and value of a subject leader. With such a knowledgeable person, it is difficult not to improve your level.
Liu Miqiao continued: "Everyone must firmly believe that using the information you have to comprehensively judge the conclusion that this patient has hysteria when other diseases can be ruled out. As for age, that is secondary. Of course.
It is difficult to diagnose the first case. In the future, everyone should still read more literature, which is an important way to improve our level..."
Just as we were getting to the key point, the phone rang.
"I am Director Gao Jian. You will come to the Burn Surgery Department within 5 minutes for emergency consultation."
When Liu Muqiao heard this, he was a little harsh. How could anyone reveal his position at the beginning? Besides, you are qualified. No matter what, will you get a stomachache if you have one more word "please"?
Liu Muqiao still patiently asked: "I'm not an expert on burns. What aspect of the consultation is involved?"
"Why are you asking so many questions? Didn't you already know it when you came here? Could it be that I, a business dean, still tell you not to move?"
Liu Muqiao smiled bitterly and shook his head.
Yuan Shan said: "What a two hundred and five!"
This chapter has been completed!