This Friday is another routine discussion of critical and difficult cases. This time, the leaders of two groups each took a case to discuss. Everyone believes that, as usual, these cases are patients they feel very difficult and need Shi Yuanteng to make a decision.

Yang Xiuying privately told Shi Yuanteng that one of the patients was in charge of Guo Hua, with a clear diagnosis and effective treatment. According to Yang Xiuying's guess, Guo Hua took out this case simply to show off his knowledge.

Yang Xiuying also told Shi Yuanteng that a nurse told her that Guo Hua asked the retired director to see the patient the day before yesterday, accompanied him throughout the process, and took detailed notes. He probably wanted to make a name for himself at the case discussion meeting.

Yang Xiuying's words reminded Shi Yuanteng that a few afternoons before Friday, Shi Yuanteng returned to the ward to carefully check the diagnosis and treatment process of these two patients, and had already understood some of the situation.

Of course, Shi Yuanteng didn't know what medicine Guo Hua wanted to sell in his gourd. Shi Yuanteng believed that with Guo Hua's practice that did not even have "half a bucket of water", even if he asked the old director to see it, he would not be able to digest it and naturally he would not be able to make any big waves.

On Friday morning, as usual, doctors prescribed medical orders as quickly as possible, and then sat in the classroom to report on the information of the patients they needed to discuss.

Reporting is generally completed by the intern in charge. If there are any omissions, it will be supplemented by the middle and senior doctors in the same group. According to Guo Hua's intention, one report will be viewed after one. In this way, the time spent will increase exponentially, and Shi Yuanteng immediately denied it.

During Shi Yuanteng's administration, Shi Yuanteng had the final say in such an occasion. Now, in such a very professional field and moment, Shi Yuanteng had the final say, and Guo Hua did not dare to object.

What makes many people curious and admire is how Shi Yuanteng remembers so much medical history, information, test and examination results, and medication. Because every round, the doctors in charge are at a loss but convinced by Shi Yuanteng.

After listening to the report, Shi Yuanteng took the general practitioners, including undergraduates and graduate students who were interns, further studies and rotators, flocked to the ward where the patient was located.

The first patient was collected from the "large-area cerebral infarction and stage 3 extremely high-risk group for hypertension". When the cerebral infarction and hypertension were stable, the patient began to develop fever, cough, and sputum.

The supervisory doctor uses targeted medication based on the results of sputum culture and drug sensitivity tests, but fever does not subside. He must use antipyretic drugs or physical cooling every day.

Before the professor in charge suggested taking the patient out for the general examination, they had used all the antibiotics purchased by the hospital and the other hospitals in full. They also invited various relevant departments of the hospital to consult and handled them according to the consultation opinions, but the patient's fever still did not return. In other words, they were helpless.

The second patient was relatively simple. This patient was hospitalized with intracranial sinus thrombosis. Epilepsy seizures occurred during the hospitalization. After being discharged from the hospital, the frequent epilepsy seizures were frequent. After the treatment was adjusted, the epilepsy seizures were controlled, and the patient was generally in good condition.

Originally, such a patient could be discharged from the hospital. Perhaps, Yang Xiuying's idea was correct. Guo Hua had no capital to show off, and wanted to use a simple case for successful diagnosis and treatment to show off himself.

But Guo Hua obviously ignored his former teacher, Shi Yuanteng's strength, who had very strict requirements on majors and was very rigorous in academic research. Will Shi Yuanteng let Guo Hua succeed with such a little thought? Will Guo Hua make a fool of himself in this process? Except for Yang Xiuying, who would think of these, I guess no doctor in the department would think of that Guo Hua was shooting himself in the foot.

After checking the patient, everyone returned to the classroom to sit down.

"Let's start with complex cases. Now let's discuss patients with cerebral infarction who have not subsided fever." Shi Yuanteng controlled the rhythm of the discussion.

According to the practice of discussing critical and difficult cases, all doctors participating in the discussion need to speak. Generally, starting from interns, to doctors at all levels in non-supervised beds, then to doctors at all levels in supervisors, and finally Shi Yuanteng made a summary speech.

All the doctors who spoke, including the supervisor, all the doctors who spoke all identified the cause of fever as infection. As for the source of the infection, some said it was a special type of bacterial infection that our hospital could not cultivate. Some doctors also believed that fungal infections caused by long-term use of such powerful antibiotics.

Although Song Ming was weak, he was very willing to improve his professional level. Every time he talked, he spoke enthusiastically. This time, he had no choice but to agree with everyone's opinions. Of course, he himself knew that such a result meant that the patient would die in fever.

Guo Hua chose to lower his head and say nothing. When Shi Yuanteng was the director, he could have chosen to study with Shi Yuanteng seriously, but his mind was focused on how to obtain an official position and money. He placed his own interests above the interests of the department. Shi Yuanteng once reminded him to tell him the importance of a major to a doctor, but he ignored it.

Shi Yuanteng was too lazy to pay attention to Guo Hua. Shi Yuanteng had no other way to guard against such a repetitive villain.

"Everyone's speech just now was very interesting and his views were surprisingly consistent. I would like to ask everyone to think about several questions. First, why from the beginning, we have followed the sputum culture and blood culture results in a very standardized manner, but there is no effect at all?"

"Secondly, everyone has seen the patient's body temperature curve. In addition to using cooling drugs and physical cooling measures, the patient's body temperature basically shows a kind of retention heat. In other words, the patient's body temperature did not change in a positive direction during the entire medication period."

"Third, I would like to praise the doctors in charge here. They invited relevant departments and considered the possibility of double infection, taking into account both the test and treatment. The result we are seeing now is that no fungi were found, including the examination of the respiratory and digestive tracts, and no results were found. The drugs used are targeted for fungal infections, but they are still ineffective."

"I raised these questions in question. After listening to everyone's speeches, reading the medical records and medication process, I have some thoughts for your reference." Shi Yuanteng never dared to say all the words for such patients.

"Actually, my answer to this patient has been reflected in the previous question. I will expand on it and explain my point of view."

"First of all, I have seen all the tests of the patient from admission to the present. Only when he is admitted to the hospital, blood sugar and white blood cells increase slightly. At other times, even when he is fever, white blood cells are normal. Everyone, who can give me a possible answer?" Shi Yuanteng was used to asking questions on such occasions.
Chapter completed!