Chapter 220 You are the hot potato
Chapter 220: You are the hot potato
After hearing Li Huaming's statement that he would transfer the patient to the respiratory department, Qian Zhixun thought about it and agreed. After all, the patient's dizziness has improved significantly. Now it is mainly because of cough, so it is necessary to transfer to his own department. He planned to nod.
Seeing that Qian Zhixun seemed to have planned to agree to the Department of Neurology to transfer the patient to the Department of Respiratory Medicine, Xu Ze was a little anxious now. If he really wanted to transfer the patient, the patient would be dead, and the Department of Respiratory Medicine would probably have to get into trouble.
But I didn't care about anything at the moment and quickly snuck up, "Director Qian, Director Li, I still have some questions about this patient. I want to confirm... Don't get transferred to the department quickly..."
"Hmm?" Qian Zhixun was a little displeased when he heard Xu Ze's sudden words to stop him. We two directors made a decision. What did you Xu Ze do at this time?
At this time, not only Qian Zhixun frowned, but the other two doctors also showed a very unhappy look on their faces. They stared at Xu Ze and thought to themselves that this kid was really arrogant. The two directors talked and discussed things. Why are you so ignorant of your kid, and you dare to interfere in random questioning...
The three of them were very unhappy, but there was no surprise on Li Huaming's face. He had learned about Xu Ze's temperament last time. Xu Ze dared to resist Director Zhang, let alone wait for others. However, this kid generally would not talk nonsense, and what he said generally had some truth, so Li Huaming had no words and was waiting to see Qian Zhixun's reaction.
Qian Zhixun frowned and turned to look at Xu Ze. Looking at his anxious look, he was a little surprised and thought to himself: "This Xu Ze does not seem to be a person who doesn't know the importance of the matter. Why did he say something at this time to stop the transfer from the department?"
Let's listen to him and see what he was thinking? After this thought changed, Qian Zhixun put away his blame, looked at Xu Ze, and said slowly: "Xu Ze, what's your problem?"
Seeing Qian Zhixun signaling him to speak, Xu Ze no longer hesitated. He naturally knew that he was just an intern. Although Qian Zhixun and Li Huaming should not really regard him as an intern, if they didn't take out the things, they would be afraid that they would not believe it.
"Director Qian, Director Li... I think this patient may not be a problem with single lung infection..." Xu Ze thought for a moment and said bluntly.
Hearing Xu Ze's words, Qian Zhixun's brows rose and said to himself: "This kid really doesn't know the importance of it. He can easily overturn his opinions..."
Xu Ze knew that Qian Zhixun would definitely be unhappy when he said this, but it was related to human life, but he had to say it. After a moment of pause, he continued: "This patient, I think his cough should be a central nervous system problem..."
"Central nerve?" Qian Zhixun was stunned and cursed in his heart: "This kid, who just denied a patient with central nervous cough in our department a few days ago, now he has come here to sell this theory again..."
However, no matter how depressed he was, Qian Zhixun dared not underestimate Xu Ze's opinions because of this lesson. He frowned and looked at Xu Ze, waiting for him to continue to tell his reasons.
When Li Huaming heard Xu Ze's words, he frowned and thought deeply. As the director of the Department of Neurology, he naturally had a very deep attainment in neurovascular science. When he heard Xu Ze's statement, his heart was shocked and he felt that he might have missed something.
As for the two doctors next to him, they all opened their mouths in shock when they saw Xu Ze dared to overturn their director's diagnosis so clearly, stared at Xu Ze, thinking that this kid really didn't know the importance of it, and dared to speak like this and try to save their director's face. Don't you want to be in the respiratory department?
However, one of the doctors was very dissatisfied with a guy who looked like an intern here, and immediately retorted coldly: "This patient is obviously a lung infection, so how could it be a central nervous system problem? When the patient came in, he had already had a head CT, so there was no problem; and the patient's chest radiograph and blood routine showed lung infection..."
Speaking of this, he paused and continued to snort coldly: "Hmph... these are obviously confirmed. Do you not even understand this common sense?"
Xu Ze chuckled and didn't care about it when he was sarcastic by the doctor. The doctor was right, but his thoughts were limited by these test results, but he didn't expect anything else. When he finished speaking, he would definitely know why...
Xu Ze ignored the doctor and continued to analyze: "This patient came in due to cerebral arteriosclerosis, and after dilated blood vessel treatment, his condition had improved significantly; but he had a cough... At that time, according to the chest radiograph and blood routine, it was indeed a lung infection..."
"But after a few days of anti-infection treatment, everyone has seen that the situation has improved significantly..." Xu Ze turned confidently and looked at several people around him, and then continued: "But... since the infection is well controlled, why has the cough not improved, and there is even an aggravation?"
"It makes sense for Director Qian to consider Mycoplasma infection... But we cannot forget another possibility... that is, the patient's cerebral blood vessels have been sclerated. Although there is no problem with the examination when he was hospitalized, it can also occur in these days, sudden vascular abnormalities, such as hemangiomas... Their sudden appearance can also compress certain nerves, and this severe dry cough occurs..."
Speaking of this, Xu Ze emphasized, "Director Qian, Director Li... You don't realize the situation of the patient in front of you. Does this seem more reasonable if this explanation?"
"How is this possible? It's impossible to be such a coincidence..." The doctor who first refuted Xu Ze, heard Xu Ze's analysis, retorted indignation.
"This is a coincidence. The probability of occurrence is relatively small, but we cannot ignore it just because the probability is small. If it is this possibility..." Xu Ze said in a deep voice: "If it is this reason, then the patient is very likely to be in a very dangerous state... As a doctor, you must be responsible for the patient's life; therefore, I suggest not transferring the subject for the time being, and immediately check the head CT or MRI..."
“…”
As Xu Ze's solemn voice fell, the doctor who had been refuting also fell silent. It is undeniable that what this kid said had some truths and was also labeled as a professional ethics, but he couldn't refute it anymore.
Qian Zhixun also showed a serious look on his face as he listened to Xu Ze's analysis. Although he felt that this possibility was relatively small, what Xu Ze said was still very reasonable. If it were... but he transferred the patient to his department... the consequence...
"Okay... Immediately send the patient to undergo MRI..." Everyone was thinking about Xu Ze's words. As the director of the Department of Neurology, Li Huaming knew that what Xu Ze said was reasonable. Thinking of the consequences of that situation, he immediately explained to his doctor in a deep voice: "Take the patient to undergo an examination with a cart, so that the people in the MRI room can speed up the results... As soon as possible..."
The two doctors were stunned, but seeing their director's serious appearance, they naturally did not dare to hesitate anymore. They quickly got up and prepared to push the cart to take the patient to undergo a head MRI.
After two doctors left, Li Huaming looked at Xu Ze, who was already calm and quiet when he was sitting opposite him, and sighed lightly.
Li Huaming really doesn't know how to evaluate the boy in front of him who is about 20 years younger than him. This boy is only a senior now, but he can analyze through some details that he has not even expected...
No matter what the result of the head MRI this time is, is it the central nervous factor like Xu Ze said, but Xu Ze can think of situations that he can't even imagine, which can already make him pay enough attention to him.
This is not something that can be thought of by a little cleverness, but requires rich experience. This kind of experience requires years, decades or even decades of accumulation to reach this level. He really doesn't understand how the other party can do this at the age of only 20...
Qian Zhixun's expression was similar at this time. Although he was not as profound as Li Huaming's experience in neurovascular science, as the director of internal medicine at the First Affiliated University of Star University, his knowledge was naturally very broad. He quickly understood what Xu Ze said, and naturally understood that what Xu Ze said was not horrifying, but also the exact basis.
He sighed and finally understood why his boss, Director Zhang, commented on this kid as a monster...
It is really unbelievable that a senior student can think deeply than him and Li Huaming, two senior doctors with more than 20 years of medical experience. A young boy can reach this level...
In this industry that can reach its peak by accumulating experience, Xu Ze’s current performance and age, and genius can no longer describe his abilities. The word monster is perhaps the only appropriate one...
These two doctors are here, and I sighed in one breath, but Xu Ze was sitting there, no longer the arrogant and confident spirit he had just now, and he pretended to look through the patient's medical records with a modest and low-key look...
The results of the MRI on the head quickly came out at the urging of two doctors. Looking at the diagnosis report of the hemangioma on the report sheet, the two doctors were stunned. The two looked at each other, their eyes full of horror. They really couldn't figure out why the boy who was not dry had a hit... Even such a possibility could be diagnosed... It's so unbelievable...
The two of them were shocked, but they did not dare to delay at all. They naturally knew that in the past few days, such a hemangioma appeared in the patient's skull cavity, which meant...
In other words, this hemangioma is a time bomb that has been activated and may explode at any time. This time is today, tomorrow, or even five minutes later, but it is absolutely impossible for a long time...
Once the hemangioma of this large blood vessel bursts, it means that the patient may be in danger of life at any time and may die suddenly...
The next doctor quickly called Li Huaming, the director of the department, and the other doctor began to contact the neurosurgery department and asked them to prepare for surgery... The craniotomy must be performed immediately to remove the hemangioma...
Listening to the doctor on the phone's return, Li Huaming's face quickly became solemn. After glanced at Xu Ze, who was still calm, and immediately ordered: "Contact Shenwai and ask them to prepare for the operation immediately..."
"Already contacted...the director...we will send him to neurosurgery right now?"
"Well... I'll send it here soon, and the surgery will be performed as soon as possible..." Li Huaming responded in a deep voice.
Seeing Li Huaming's solemn expression and his rushing tone, Qian Zhixun also understood what was going on... He turned to look at Xu Ze beside him, nodded with sighs, his mind full of complicated thoughts: "Is this kid... really still in his senior year... Could it be that any vascular nerve expert was pretending..."
Xu Ze's performance this time was once again in the Internal Medicine Department of the First Affiliated University of Star University... Although several doctors in the Department of Neurology and Qian Zhixun subconsciously did not publicize this matter, Zhang Reed, the Director of the Department of Internal Medicine, and others still need to inform him. After all, Xu Ze was personally approved by Director Zhang to come to the internship.
And now he is very concerned about this kid, so Li Huaming and the others dare not hide it at all and reported it to Zhang Reed...
After hearing the whole process of this incident, Zhang Reed still looked at his two subordinates with some doubts, but seeing that they looked very bad, he knew that this was indeed true...
The straight body he was originally made was leaning down towards the leather backrest behind him. After a long time, he finally let out a sigh of relief, sat up straight again, and said to the two of them: "Let this Xu Ze follow me directly in the future..."
The two directors were stunned when they heard this, and then looked at each other, but nodded. The director of the Department of Internal Medicine led the intern... I am afraid that if this is spread, I don't know how many people will be shocked and dropped...
Not to mention trainees, even rotary doctors don’t take them... let alone the director of the internal medicine department... Today, Director Zhang said he would take Xu Ze personally, and these two directors were not surprised. After all, they knew that with the ability of this monster-level trainee... With the situation of the two of them, they really have no face to take them...
And I really don’t dare to take it. If such a strong intern will always perform better than the teacher in the future, who dares to take it?
Chapter completed!