He quickly understood the content of those heated debates, which were similar to a simplified version of multidisciplinary consultation and case discussion. Someone would bring up a patient he had treated who had a speculative value, regardless of the outcome, good or bad.
It can be discussed.
Experts from various disciplines present explained the views on the cause of the disease from their respective perspectives, evaluated the diagnosis and treatment measures, and summarized the gains and losses.
Since a unified microscopic and macroscopic physiological system has not yet emerged to integrate various scientific disciplines, this kind of debate often tends to develop into different opinions. Brimmer, who was born in the field of humoral research, and Linden, who was born in anatomy, basically cannot reach any agreement.
One insists on proving the disruption of balance from the perspective of humoral theory, using clues such as sputum layering and blood color, and then correcting the balance; while the other firmly believes that most diseases must have solid lesions, and patients can achieve symptom relief or even recovery after removal.
If you can't find it, it means the disease has not progressed to the level of coagulation, or the doctor's medical skills are insufficient.
Klinsmann, a professor of pharmacy, is theoretically inclined to the four-liquid theory, but in practice he is his own school and will propose corresponding treatments for various symptoms. For example, for red fluid deficiency caused by internal diseases or surgery, the proposed drugs
The element supplement recommendations also include suggestions for people with different incomes. Poorer people are advised to grind red iron ore into powder and take it in small amounts, while those from better families can eat more poultry. The ideal situation is expensive blood.
Orange, but few people can afford it.
Maynard, the general lecturer, was handing them the knife. Oh no, he was providing multi-disciplinary arguments and examples, which effectively promoted everyone present to join forces.
As someone with an obvious higher status, Professor Fernand rarely spoke even though he was born in the Department of Internal Medicine. He rarely even supported his student Brimmer, allowing him to be besieged by the cases presented by Linden and Klinsmann.
, at most, a non-positive empirical conclusion can be made at the end of the discussion to evaluate the efficacy.
With a lower limb suddenly feeling cold and pale and pulseless, the emergency discussion ended with amputation and blood replenishment. It was finally the turn of Brimer, who had been at a disadvantage, to present the case.
"This patient is older and has cough symptoms..."
"With all due respect, there are not many of you who have internal medicine who don't cough. This is the third time in the past few days that it has started like this. Can't you get something new?"
"That's better than spending six or seven months of the year facing people you can never cough with again, Lyndon." Although he was interrupted, Brimer didn't mean to be angry because of it, and he continued to talk about his work content.
Linden was programmed, "I hope your brain, which is straighter than a knife, can tell the difference between different coughs."
"What the patient is suffering from is not a common acute cough, it has existed a long time ago."
This chapter is not over yet, please click on the next page to continue reading the exciting content! "How long will it take?" Maynard asked, adding the role-following function in a timely manner.
"The patient can't remember clearly, but at least it's measured in months, or even more than a year. There are good times and bad times, but the general trend is becoming more and more serious." The patient's chief complaint was very vague, and Brimer's
The narrative is very smooth, at least judging from Kraft's experience in case reporting, he is well prepared to report word for word without being interrupted twice.
"From the initial cough, it progressed to a cough with blood in the sputum, and sometimes violent paroxysms of coughing broke out, and obvious blood was coughed up."
Symptomatic treatment is the specialty of the pharmacy professor. Klinsmann made suggestions: "If it is just an irritating cough symptom, my idea is to use honey to treat it. Adding chamomile tea to the mixture will have a better effect. Take it every morning and evening."
One cup.”
"In fact, it has been used for a long time. We also added cumin to strengthen the patient's physical condition and relieve cough, and echinacea to treat sore throat." The implication is that the effect is not very good.
"And licorice?" Klinsmann tentatively added the new drug.
Professor Fernando shook his head slightly, seemingly disapproving of it, and his scrutinizing eyes swept over everyone, pausing for a while longer on the newcomer Kraft.
[The book-chasing app recommended to me by an old book friend who I have known for ten years is the Changyuan app! It is so easy to use. I rely on this to read and listen to books while driving and before going to bed. You can download it here. huanyuanapp ]
The table fell silent, and Kraft wasn't sure whether it was because of the quizzes about the chief complaint, or because the medical history was so brief these days. According to consistent experience, the latter might not be small. He noticed Fellinan's concern, but he still
I don’t want to speak now. In terms of “sinister speculation”, the pre-information for this kind of activity is 80% incomplete.
The old fritters will shut up and wait for others to step on the trap, and gracefully avoid the wrong options by catwalking.
"It may be a lung disease." Lyndon knocked on the table, pressing his fingertips as if pressing against the imaginary patient's ribs. "I have seen similar patients who had hemoptysis for several months and were accompanied by weight loss. Finally, they found something in their lungs.
There are some special organizations.”
But he quickly blocked the treatment: "I'm not sure. There are very few symptoms of this kind, and there is only one case that I have the opportunity to verify... If it is true, I think it cannot be cured unless the lesions are removed.
"
"I agree with Professor Linden, but there is no precedent for removing the lesion, and we still have to rely on traditional therapy. Control it indirectly by changing the amount of red fluid. If the cause is confirmed to be in the lungs, bloodletting should be done from the elbow vein. This is exactly what Professor Brimer said.
What he's good at." Maynard felt like he had found the key, and everything made sense.
"If the medicine is slow to take effect, you can try enema." The pharmacy professor proposed some radical improvements to the method of drug administration.
Kraft felt more and more uncomfortable the more he listened, but fortunately he had found some clues and had something to say.
"I want to know the patient's fever."
"Yes, but it's not serious. Moreover, echinacea has the effect of treating chronic fever. It's very mild compared to cough." Brimer thought about it for a while and finally answered the question.
"I guess the patient felt hot and dry, mostly in the afternoon, and it didn't return to normal until the next morning." Linden's conjecture, which included prolonged coughing, hemoptysis, and low-grade fever, certainly made sense, and also provided information on weight changes, but Kraft
I feel closer to the answer.
A look of surprise appeared on Brimer's face, but he could not answer as smoothly as before. It seemed that he had guessed something, but this person definitely did not understand in detail the "meaningless" slight heat in his eyes.
Kraft thought he was going to admit his negligence, but at this moment, Brimmer looked at his teacher, Professor Fernand, and got some information from an imperceptible nod.
"Yes." He replied, "That's it, you're right."
"Also accompanied by abnormal sweating and feeling tired? I suspect there are people with similar symptoms around the patient."
Before he could catch his breath, more content was thrown in front of him. Brimmer unexpectedly found that he had nothing to say. It was like halfway through reading a riddle when someone recited the second half of the riddle, even better than him.
More clearly.
Professor Fernand's waist, which had been glued to the back of his chair since the beginning, straightened up for the first time and announced that some unruly guy had killed the game.
"What a surprise, Professor Kraft, I always thought you were better at surgery."
【tuberculosis】
Or it should be called "wasting disease" or "white plague" now. People currently don't know enough about it, but such difficulty is still too easy for a person who has been tortured by similar routines for a long time.
"Actually, you are right, because I don't have the means to cure this disease."
"Perhaps we can discuss this idea alone after the meeting." A subtle hint of disappointment flashed behind Fernand's white beard, which was quickly covered up by a satisfied smile for his junior, and he nodded to invite.
A subtle emotion, but it did not escape the attention that came to Brimer when he asked for help silently. Clough found some strange signs in the interaction between the teacher and student.
Compared with Brimer, it is more like a case from Professor Fernandez on the first floor, turned around and placed in a disguised high-level consultation in a special form.
What's the matter? Your student is quite old and has become a professor. Does he still need you to provide him with case discussion materials?
"It's my honor." Kraft accepted the invitation, suppressed the question, and tapped from the side: "Speaking of which, what treatment method was used for this patient in the end?"
There was another moment of silence.
"all."
"all?"
“We gave him oral honey herbal decoction, bloodletting from the median cubital vein, enemas, and laxatives to eliminate toxins.” Brimer explained the treatment methods one by one. “Everything we can do, we can complete what God has given us.”
Mission to save patients.”
"Then what?"
"The patient's condition has undergone changes that are beyond our ability to explain, a long and severe change in fever, and..." He lost the ability to describe, or some body language hint from the instructor stopped him,
This case discussion ended in an unspeakable state.
Kraft wisely gave up the question and let the party move on to the next topic.
.......
Linden, Klinsmann, Brimmer, Maynard, and Professor Fernand didn't seem to want to speak. Seeing that the main figures around the long table were about to turn to him, Kraft suddenly realized
I have not prepared a case suitable for release on this occasion.
It was necessary not to spoil the content of the official academic meeting report, but also to be innovative enough, which was really hard to come up with at first. He instinctively searched around, like a lazy dog who didn't check the information the night before in the PBL class, looking for a shield to buy time.
Thanks to the round of introductions at the banquet, he really found someone who should be in front of him.
"Where's Lecturer Petrie?" Could it be that he didn't prepare any cases and tactfully escaped first?
"Petrie?" Maynard had just finished a case of mercury treatment for syphilis and recovered from the storm of questions from professors. "He just had a drink and became drunk. He is resting in the room in the corridor."
"I have never seen a person with such a bad drinking ability. He didn't react at all when we moved him over." Klinsmann echoed, "But the good news is that he left his seat to Professor Kraft, haha.
"
"Is that so? It would be a pity to miss it. No one wants to find out what kind of research Dunling is doing and hide some academic secrets?" Kraft said jokingly, trying to find an excuse to pull people up. "
Let’s go together and give him some sobering tea?”