Today, Liu Muqiao went to the Department of Comprehensive Neurology for ward rounds.
The neurology patients treated here are relatively complex. Except for stroke and Parkinson's disease, which are admitted in the prescribed departments, they treat all other diseases here. Therefore, relatively speaking, there are more patients who need consultation.
The director of this department is the newly recruited Professor Deng, who is quite experienced in neurology. He is young, only 46 years old. He graduated from Peking University School of Medicine in his early years.
He also learned about Liu Muqiao from professional magazines. If a young man can achieve such great achievements, it would not be wrong to follow him.
He turned out to be a neurologist at Jincheng No. 2 Hospital, and he had three more senior colleagues. If he didn't jump out, he would never have a chance to turn around in his life.
He just came here after the department director.
Liu Muqiao interviewed in person.
His neurology knowledge is close to Professor Hao's level, and is obviously better than Zhao Yilin's.
Liu Muqiao is basically satisfied.
Besides, he doesn't expect all of their abilities to be master-level. This is unrealistic. He can lead them for two or three years, and their level will improve.
Next, he plans to introduce visiting scholars, which is also one of the ways to improve his level.
Next month, top experts from three countries will visit Antai Hospital. Liu Maqiao attaches great importance to this matter and is ready to show his skills in front of them.
The medical standards of these three countries are among the best in the world.
There are 54 patients to see today.
There are 13 patients in focus.
Behind, follows a long queue.
There are newly recruited masters, doctors, newly recruited directors, deputy chief physicians, and some attending doctors and resident doctors.
Available at all levels.
Two chief physicians.
Director Deng and Deputy Director Li.
There are three deputy chief physicians, each of whom leads a team.
There are also 3 attending doctors and 6 resident doctors, all with master's or doctoral degrees.
In addition, there are also trainees and interns, totaling 15 people.
There were a total of 30 people doing ward rounds, which was a huge crowd.
Liu Muqiao not only does rounds on the ward, he also takes this opportunity to teach, which is expected to last two hours.
Arriving at the bedside of a dizzy patient.
The patient is a 45-year-old woman who developed tinnitus, dizziness, dizziness, and nausea and vomiting 10 days ago. She was admitted to the hospital yesterday.
The attending doctor introduced the condition.
"What disease are you considering?" Liu Miqiao asked back.
"Consider Meniere's sign. It must be differentiated from insufficient blood supply to the vertebral artery." The attending doctor said.
"What are the key points in identifying these two diseases?" Liu Miqiao asked.
"For the former, there is tinnitus. For the latter, it is mainly related to the head position." said the attending doctor.
"It's too rough." Liu Muqiao said, "There are as many as 7 or 8 points in their identification. From now on, when I do ward rounds, you must be more prepared. At least, you must answer all theoretical things fluently."
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"Okay." There was a chorus of responses, including Director Deng and Director Li.
Teaching is best at the bedside.
Before rounds, review all the diseases of the patients under your care, and your memory will be deep. In this way, the overall level of the department will quickly improve.
"Are there any different opinions on this patient's diagnosis?" Liu Miqiao asked.
"No."
"No, right? Let me tell you, this patient does not have Meniere's syndrome or insufficient blood supply from the vertebral artery, but herpes zoster." Liu Miqiao said.
Shingles?
A sudden realization.
Director Deng's expression immediately changed.
Yes, there are two ulcerated areas behind the patient's ears, typical of herpes zoster.
Herpes zoster usually occurs on the lower back and chest, and less commonly on the head and face.
"Tell me about the pathogenesis of herpes zoster." Liu Maqiao pointed at a resident doctor and said.
“Herpes zoster is caused by chickenpox, the herpes zoster virus. After getting chickenpox as a child, the virus is hidden in the sensory ganglia. When triggered by fever, fatigue, cold, etc., the virus will stick to the skin along the nerve fibers.
Reproduction, ulceration." The resident doctor quickly replied.
So nervous.
Liu Muqiao's power has a strong sense of oppression.
"Well, that's a good answer. Let me ask you, what is the difference between herpes zoster and other skin diseases?" He pointed to another resident doctor and said.
"Pain and rash distribution. Herpes zoster rash is distributed along the nerves, and pain is one of its main symptoms." The resident doctor answered nervously.
Although there are some grammar problems, I understand the meaning.
Liu Muqiao is quite satisfied.
The overall level is still a level higher than that of the original Department of Neurology. It should be said that within one year, it can reach the level of affiliated hospitals.
"Well, that's good. As for the treatment, don't you want me to say more?" Liu Muqiao said.
"Professor Liu, I heard that your Chinese medicine is very powerful. Can you give her a Chinese medicine prescription?" Director Deng said quickly.
For neurological diseases, the most commonly used Western medicines are three elements - hormones, vitamins, and antibiotics. If Chinese and Western medicine can be combined, the effect will probably be better.
Liu Muqiao pondered for a moment and said: "Okay, wait a minute, I will give you a dozen prescriptions. Although you don't know how to differentiate and treat syndromes, but according to the diagnosis of Western medicine, using the prescriptions I gave you will generally not be wrong.
."
Just after he finished speaking, Liu Miqiao thought of a question.
"Oh, by the way, from now on, don't call me Professor Liu. This title is very unfamiliar to me. You can call me Liu Miqiao, or you can call me Dr. Liu."
Calling him Professor, it was a bit embarrassing to agree.
Come to 45’s bedside.
The patient stared at Liu Miqiao, who was being admired by all the stars.
"Are you the legendary Liu Miqiao, Dr. Liu, and Professor Liu?"
Liu Muqiao smiled and said: "It's not legendary, it's reality."
"You are more legendary than a legend. I am from Jiangbei Province. It took me more than ten hours of train ride to get here. Several patients in our area were cured by you."
"Oh, where are you feeling uncomfortable?"
"I can't sleep well, I have a nervous problem."
"Tell me about the specific areas where you feel uncomfortable."
"I have too many discomforts. My head often hurts, and it hurts on one side. Others say I have a migraine. I have taken a lot of medicine, including two packets of headache powder, and it still hurts. My shoulders and neck are uncomfortable.
When I shook my head, there was a clicking sound. I had a dream at night and it didn’t stop all night long.”
"Well, how many hours can I sleep?"
"I can sleep for 7 or 8 hours, but it means I haven't slept at all. I keep dreaming."
Liu Muqiao smiled slightly.
"Is there any cure? Dr. Liu, is it cancer?"
Liu Muqiao turned around and asked whose patient it was.
"Mine."
"What tests have been done?"
"I did an MRI, cerebrospinal fluid, biochemical routine and blood routine, and no abnormalities were found."
Liu Miqiao checked the patient's nervous system and now said: "Your disease is not a serious problem, and it is not cancer. Your main problem is that you take too many painkillers. I will give you a suggestion. From now on, you must not take painkillers."
.You call this a drug-induced headache."
This chapter has been completed!