Chapter 312: Who is the professional here? Who is the amateur?
Ye Liangyu even doubted life at this time...
To be more precise, I doubt what I have learned all my life. Is it really the world's leading research in the neurological field?
As the director of neurology, Ye Liangyu considers himself a progressive person.
Moreover, over the years, his salary has been high, but most of his expenses have been in the medical field, such as purchasing experimental drugs, purchasing the latest papers, participating in certain clinical research at his own expense... and so on!
Ye Liangyu is only 41 years old this year. He is the youngest department director of China-Japan Friendship Hospital and a future cutting-edge talent in the neurological field of China-Japan Friendship Hospital.
but……
This paper was only officially published in the journal yesterday, and he read it immediately. The result of the reading... was exactly the same as what Chen Nan said!
Ye Liangyu felt a little dazed for a moment, and even... found it difficult to accept it!
A professor from the University of Plymouth, with the help of so many trust funds, took so long to develop a theory, you... blurted it out without any basis, this kind of impact is no less than thunder on the ground
!
Ye Liangyu suddenly thought of something... Could it be... is this a hypothesis?
After all, before any experiment begins, there will be assumptions.
Thinking of this, Ye Liangyu quickly asked: "Is your statement a hypothesis or speculation?"
Chen Nan shook his head: "No, this is not speculation, this is syndrome differentiation and treatment!"
"Speculations or hypotheses cannot be used as a clinical dialectical basis to treat patients."
"However, syndrome differentiation and treatment are different. This is a diagnosis based on the patient's symptoms, plus visual inspection, smelling, asking and persuading, and the diagnostic results are given through the guidance of traditional Chinese medicine theory!"
"There is an essential difference between the two."
Chen Nan's words were decisive and decisive, without any pause.
If you say this is an assumption, it is equivalent to denying everything about traditional Chinese medicine diagnosis and treatment.
What are the assumptions?
It is a conjecture with certain basis.
And obviously, this is not speculation.
This is called dialectics!
Two words, two completely different concepts and positions.
After Chen Nan finished speaking, everyone around him couldn't help but feel a little moved.
This is the ward of integrated traditional Chinese and Western medicine. The Spleen and Gastroenterology Department is a department of integrated traditional Chinese and Western medicine. Basically, everyone is a doctor with a rich foundation in traditional Chinese medicine.
Chen Nan's firmness and calmness made everyone seem to feel a belief in traditional Chinese medicine.
In fact... in clinical practice, especially in the integrated traditional Chinese and Western medicine wards, it is not uncommon to question traditional Chinese medicine.
And this kind of doubt is not afraid of other people's doubts, but the kind of doubts caused by one's own inner instability...
Traditional Chinese medicine is relatively slow to enter the profession. It is difficult to get started, difficult to master, and even more difficult to keep improving!
In contrast, modern medicine is easier to learn.
As a result, many people will inevitably have the idea of valuing the West over the Chinese.
Chen Nan's words really moved everyone.
But...when everyone looked towards the person at the door, they were stunned for a moment.
Then he said: "Hello, Director Ye!"
Shao Zizhen also looked at Ye Liangyu, nodded and thanked: "Director Ye, you are here."
"Sorry for the trouble."
Ye Liangyu smiled perfunctorily and said hastily: "Well, hello, Director Shao."
After he finished speaking, he stared at Chen Nan meticulously, as if he wanted to see what was inside his mind.
"This is..."
Shao Zizhen heard the sound, laughed, and said quickly:
"Director Ye, let me introduce you, this is Chen Nan."
"The new deputy director of our Integrated Traditional Chinese and Western Medicine Ward."
"No... I've only been here a few days and I don't know much about the situation."
"Director Ye is an expert in this field. Director Chen, let me introduce you. This is Director Ye Liangyu, director of the Department of Neurology of the Western Medicine Ward."
"Director Ye is also young and promising. At only 40 years old, he is already quite accomplished in the field of neurology. He even published an article in The Lancet, which is very impressive!"
"By the way, Director Ye, please give me a diagnosis."
"After all, you are a professional!"
Shao Zizhen was very polite to Ye Liangyu.
But... Ye Liangyu suddenly laughed when he heard the sound. He looked at Chen Nan: "Director Chen, are you a Chinese medicine doctor?"
Chen Nan nodded: "Well, I majored in integrated traditional Chinese and Western medicine as my undergraduate degree, and I have been engaged in traditional Chinese medicine since then."
Ye Liangyu heard the sound and nodded: "Yes!"
"Director Shao, let me take a look at the medical records."
Shao Zizhen nodded, and the doctor in charge quickly handed over the medical record.
Ye Liangyu looked at it very seriously. The more he looked at it, the more strange he felt.
Is this... a gastrointestinal reaction?
Poor appetite, diarrhea, and the presence of irritable bowel syndrome.
Moreover, after long-term treatment in the digestive field, the effect is average.
Also, I suddenly developed aphasia this morning.
Brain abscess can indeed cause aphasia.
But... the situation of brain abscess is more complicated, and there are many classifications of aphasia, but the cause is basically in the dominant hemisphere area.
The auditory area of the temporal lobe of the dominant hemisphere is related to speech understanding, auditory analysis and other functions. Auditory agnosia occurs when it is damaged.
The parietal lobe is the cortical area responsible for cognitive activities and the conceptual basis of behavior. When damaged, tactile agnosia and body image loss occur.
For cerebrovascular diseases and brain tumors, the occipital lobe and temporal lobe are mainly supplied with blood by the middle cerebral artery, posterior cerebral artery and their branches.
But...brain abscesses most commonly occur in the frontal and parietal lobes of isi and nsi.
This happens to be the cause of the patient's aphasia.
If you want to identify it, you need to start from the test results.
Aphasia is nothing more than a few possibilities.
Cerebral infarction and brain tumors will all have related symptoms and signs.
This is especially true for brain abscesses.
Brain abscesses will show changes in inflammatory indicators.
Although, in the early stage of the disease, there will be no imaging changes, but... the surrounding blood granulocytes and proteins will increase.
Of course, although an article reported that it is not easy to detect in the early stage of brain CT, there are still some clues...
Unfortunately, because patients with brain abscesses are not that common, no matter how knowledgeable Ye Liangyu is, he cannot remember them all.
He quickly asked: "Didn't the patient undergo a head CT scan when he was admitted to hospital?"
"No." The doctor in charge nodded and said.
"When will the physical and chemical test results from our department come out?"
"Around ten o'clock in the morning."
Hearing this, Ye Liangyu said quickly: "Let's take the patient for an emergency head CT first."
"Then wait for the results."
Although the patient has aphasia,... there is no problem with his understanding, and his hearing is not affected. However, when speaking, there is a problem with the information processing center, resulting in what he says and what he wants to express.
It's just that the lips are not in line with the horse's mouth.
The patient has been sent away and the ward rounds have to continue.
However, this time, everyone was still thinking about the aphasic patient just now.
And Ye Liangyu didn't want to leave even more. He had a very important question that he wanted to ask Chen Nan.
He wanted to know whether Chen Nan could find common ground between the modernization research in that paper from the perspective of traditional Chinese medicine.
Just like...
Whether the patient's damaged area is located in the temporal lobe or the parietal lobe, this is actually... also a test and trial for Ye Liangyu.
Of course, he did not have the level to prove whether the patient was in the temporal lobe or the parietal lobe.
But he... was a little curious, did Chen Nan have such an ability?
"Director Chen, where do you think the patient's damaged area will be?"
After asking this question, he even regretted it!
because……
Not everyone knows the nervous system well. As the most difficult type of anatomy, the nervous system is the most difficult!
Moreover... Ye Liangyu didn't know what kind of psychological impact it would have on Chen Nan if he gave the correct answer!
But he still wanted to ask!
Because this may be related to a focus of Ye Liangyu's future development.
After Shao Zizhen heard the question, he walked forward by himself, pretending not to hear...
After all, there are all his soldiers around here, so it would be a bit embarrassing if he couldn't answer.
However, he was also a little curious, could Chen Nan give an answer?
After Chen Nan heard this question, he was also a little thoughtful.
There is not much research on the brain in Chinese medicine, but there is quite a lot.
Then, Chen Nan said with a smile: "Director Ye, I'm just doing my best."
"To be honest, Chinese medicine does not have very deep research on the anatomical structure of brain tissue, but... Chinese medicine habitually links the functional structure and brain tissue to each other."
"Therefore, we can also get some clues from the meridians and organs."
"So, for precise and detailed research, traditional Chinese medicine may not be as specific as modern technological research."
"Since Director Ye asked, let me briefly explain."
"The patient's main symptoms are undoubtedly gastrointestinal manifestations, but...the reason is that the spleen and stomach Yang Qi has not been too damaged."
"The brain is the sea of qi, which governs the qi of the whole body and governs balance. Balance will lead to health, and imbalance will lead to disease."
"It is said in "Medicine Primitives": The five sense organs are located on the body and are the tools for perception. The ears, eyes, mouth and nose are gathered at the head, which is the highest and is convenient for receiving objects. The ears, eyes, mouth and nose guide people, and they are closest to the brain, so the brain must be the first to receive them.
It’s like feeling it, sending it, and preserving it.”
"However, I just checked his pulse and found that the spleen and stomach are only superficial symptoms, and the real root cause of the disease is not in these internal organs."
"The head is the meeting place of all the yangs, and the three yang meridians of the hands and feet all rise above the head and face."
"The evil that blinds the light orifices is poison. If it is a Yang-heat poison, it must have the intensity of fire."
"The momentum of development is very fast, but... it is not the case. The patient's body has Yang deficiency, which is caused by the corruption of his own poison."
"In this way, the total Yang meridian of the body is involved, which is the Du meridian!"
"When patrolling the Du Vein, one must go to the top of the mountain."
"According to modern anatomical theory, this top belongs to the parietal lobe, and the parietal lobe is the cortical area responsible for cognitive activities and the conceptual basis of behavior. When injured, tactile agnosia and body image disease will occur.
Feeling lacking."
"So, I feel that the patient's lesion should be in the parietal lobe."
"And not in the temporal lobe!"
Listening to Chen Nan's analysis, Ye Liangyu felt a little regretful.
Because... I basically listened to what he said.
Director Ye, who had almost no research on traditional Chinese medicine, only knew Chen Nan's answer at this time.
Right in the parietal lobe!
Now……
He can't wait for the patient's imaging data.
Time passed in this unhurried and slow manner.
finally!
A doctor hurried back to the ward with the patient, holding the CT report in his hand, and said breathlessly: "The film... the film is back!"
Shao Zizhen pretended to walk, staggered half his position, and glared at the doctor who came running.
When the other party saw this, he quickly expressed his understanding and then handed it over to Ye Liangyu.
Ye Liangyu couldn't wait to catch the film and read it carefully.
Looking at the patient's head CT scan, Ye Liangyu's eyebrows suddenly tightened.
At this time, all the doctors around were focusing on this 35x43 CT film.
Everyone is very curious, Chen Nan, Director Chen, can you answer it correctly?
If this is really successful...this would be amazing!
Neurology and surgery are dominated by the hegemony of Western medicine, and Chinese medicine for encephalopathy has now been reduced to the treatment of insomnia, anxiety and depression.
This is also the reason why when the Integrated Traditional Chinese and Western Medicine Ward was first planned to be established, the Department of Integrated Traditional Chinese and Western Medicine for Encephalology was not developed.
After all...how can I study if I'm not good at it?
If Chen Nan can really study it, this... would be amazing...
Time, at this moment, has become extremely anxious.
Even Shao Zizhen, who originally wanted to rush through the ward rounds, calmed down at this time and quietly waited for the results.
He wanted Chen Nan to give the wrong answer and lose the momentum of the deputy director of the ward.
But... I also want Chen Nan to answer the question correctly and show the prestige of traditional Chinese medicine!
Shao Zi is really not a bad person, at most he is a little smart.
And time passed by minute by minute.
Ye Liangyu suddenly sighed: "I feel like... I can't see anything in the film."
As soon as these words came out, everyone around him was dumbfounded.
What?
Isn’t CT the gold standard?
Could it be that...the patient doesn't have a brain abscess?
All guessed wrong?
What is that?
"And...there are no intracranial tumors or signs of cerebral infarction!"
"That's weird!"
"What's going on with this aphasia?"
Ye Liangyu was a little disappointed, but Chen Nan spoke at this time: "How about, Director Ye, let me watch the movie?"
Chen Nan has professional-level CT reading experience and is definitely much better than Ye Liangyu.
One is an amateur and the other is a professional. How can this be compared?
However, there was something strange in the way everyone looked at Chen Nan.
After all... Director Ye is an expert in the field of neurology, Director Chen... aren't you a Chinese medicine practitioner?
And, so young...
Are you sure you want to compare your own hobbies with other people's majors?
Ye Liangyu also glanced at Chen Nan curiously, a little strange, but...he still handed it to Chen Nan.
But at this time, he had a doubt in his mind: How does Chinese medicine watch movies?
Could it be that... with metal, wood, water, fire, and earth, those who are about to fight are all arrayed in front?
Or is it the eight gates of Xiu, Sheng, Shang, Du, Death, Jing, Jing, Kai...?
Ye Liangyu shook his head and laughed at himself.
At this time, Chen Nan took the film and read it carefully.
The more he looked, the more solemn he became.
Suddenly, Chen Nan pointed to an area and said to Ye Liangyu on the side:
"Director Ye, look here."
"Here, there is a slightly low-density abscess wall, can you feel it?"
After Ye Liangyu heard Chen Nan's words, his eyebrows suddenly tightened and he began to observe carefully.
The more he looked, the more familiar he felt...
It seemed that... Chen Nan's words evoked his impression of that paper.
Ye Liangyu was suddenly shocked like a river surging into the sky.
this……
Does Chen Nan really understand CT imaging?
Ye Liangyu couldn't help but ask: "Director Chen, do you have any research on...imaging?"
Chen Nan smiled: "Well, in the past, I was a general practitioner of Chinese medicine in the department. It was impossible not to make films, so I studied it and got a basic understanding of it!"
"Back to business."
"To be honest, the CT image characteristics of brain abscess are judged according to the development stage of the disease. Different stages have different manifestations!
But... you see here, in the stage of capsule formation, although under normal circumstances, there is not much performance.
But I concluded that there are very few patients, about 5% of patients, who can see the abscess wall during the low-density edema stage!
However, this symptom is not obvious, because the symptoms seen are complete, well-defined, and uniform in thickness, with no obvious features. The real symptoms require injection of drugs, and ring enhancement appears. "
"However, the patient's symptoms are now appearing, but the imaging data is lagging behind and has not been shown."
"But it can be judged by this ring-shaped low-density dot that looks like an artifact!"
"Director Ye, what do you think?"
"Director Ye...Director Ye?"
Before Chen Nan could finish his words, Ye Liangyu beside him was already going crazy.
After he heard Chen Nan say "low-density ring shadow" and "ring enhancement", he directly recalled the paper he had read!
That damn is the Imaging Journal of the American Institute of Neurosurgery, with an impact factor of 7.9!
This is very famous in the field of imaging!
But Chen Nan...how did Chen Nan know?
This was an article that was quoted a lot at the time...
For a moment, Ye Liangyu felt that his brain was shutting down, and he even looked at Chen Nan like a monster...
This guy...
Is it a pervert?
Ye Liangyu tried to calm down, but... it was too difficult.
Who are the experts in the neurological field?
Who is a Chinese medicine practitioner?
This...this situation gave Ye Liangyu a feeling of role reversal...
No, no, even if this is reversed, I still don’t understand so much?
What should we do?
At this time, Ye Liangyu heard Chen Nan's words. He quickly got excited, smiled awkwardly and said:
"Sorry, Director Chen... what you said is too professional, I was distracted, I'm really sorry!"
"By the way, I seem to have seen the imaging performance you just mentioned in the paper. Please wait a moment!"
"I'll look for it now. I remember I downloaded it."
While talking, Ye Liangyu quickly started searching.
But... everyone on the side felt a little confused when they heard these words...
this?
What's going on?
Director Ye Liangyu actually called Chen Nan professional?
Is this a joke?
But looking at the other person's serious look, it doesn't look like he's joking?
For a moment, the doctors around looked at Chen Nan, a little surprised and a little shocked.
This... this Director Chen is a bit fierce!
Not long after, Ye Liangyu suddenly spoke excitedly:
"That's right, that's right!"
"Director Chen, what you said is exactly the same as what this paper said."
"Should I watch the movie again?"
While talking, Ye Liangyu quickly approached Chen Nan and looked at the patient's films carefully.
At this sight, he felt his skull trembling with excitement.
"Look, this is the artifact mentioned in the paper, the low-density regular ring shadow. This is the abscess wall!"
"Director Chen, you are so awesome!"
"I didn't expect that your imaging skills are even better than the doctors on duty!"
“So professional!”
"Sure enough, it's in the parietal area!"
"Director Shao, please quickly give the doctor's orders to inject the medicine."
"It is expected that the enhanced ring image will be visible soon."
Ye Liangyu's excitement actually made Chen Nan a little embarrassed.
He smiled awkwardly: "Well, yes!"
At this moment, everyone around him looked at Chen Nan with a little more awe.
Everyone respects the strong.
Shao Zizhen is no exception!
When Chen Nan came to be the deputy director of the Integrated Traditional Chinese and Western Medicine Ward, he originally thought he was a related party, but now it seems... this level is very impressive!
Moreover, being able to convince this professional to lose is something that ordinary people can do?
Thinking of this, Shao Zizhen couldn't help but sigh.
A little disappointed, but...but also a little more hopeful.
He hopes that Chen Nan can truly shoulder the important responsibility of deputy director of the Integrated Traditional Chinese and Western Medicine Ward!
In the following time, Chen Nan continued to follow Shao Zizhen on ward rounds, and this time, Shao Zizhen was very cooperative and respected Chen Nan's opinions.
It’s past ten in the morning!
The patient's imaging data has finally come out, and this time, all the physiological and biochemical tests have come out.
Ye Liangyu found Chen Nan immediately, held Chen Nan's hand excitedly, and said with a smile:
"Director Chen, thank you so much!"
"If it hadn't been for you today, I would have had a hard time finding the cause of the patient's illness in the first place."
"You, the ward director, are really amazing!"
"I'm convinced!"
Seeing the sincere look in Ye Liangyu's eyes, Chen Nan smiled: "You're welcome, I will inevitably trouble Director Ye in the future."
Ye Liangyu waved his hands and said with a smile: "I wish I could have it!"
“Today is really an eye-opener!”
"Traditional Chinese medicine is really profound and profound. I really regretted my treatment of Chinese medicine before."
Ye Liangyu was sincerely convinced by these words.
The medical staff around him also felt happy in their hearts.
It seemed...it was as if Ye Liangyu was praising them.
"By the way, Director Shao, the patient has been transferred to our department."
"Director Chen, I have a heartfelt request. I hope you can help with a consultation and give me a treatment idea."
"My suggestion is conservative medical treatment. I believe you must have a very good plan."
Chen Nan nodded: "Okay, I'll go there after my rounds!"
After Ye Liangyu left, Chen Nan suddenly found that everyone around him was staring at him, which made him feel a little embarrassed.
"This... everyone continues the ward rounds."
Unfortunately, at this time, I don’t know who took the lead, but everyone around started to applaud.
The deafening applause lasts forever!
Everyone seemed to see hope for the future when they looked at Chen Nan.
With such a director here, what should we fear in the future?
[Ding! Congratulations, you have received collective praise from the Department of Spleen and Gastroenterology. Integrated rewards, you have received: Insights on Digestive Tract Tumor Research (Expert Level)]
Chen Nan looked at the system prompts and suddenly felt happy!
What is missing from this...?
This is so refreshing!
However, the words have not yet fallen.
There was another burst of sound.
[Ding! Congratulations, you have received a positive review from Ye Liangyu. The positive review level is: Advanced, and the reward you received is: Nervous System (Professional Level). 】
"Ouch!"
"Such a generous reward?"
Chen Nan couldn't help but feel a little overjoyed.
This ward inspection was fruitful.
…
…
At noon that day, after Chen Nan left the Department of Neurology, he bumped into Yang Fupeng again.
However, at this time, Yang Fupeng was accompanied by a foreigner, who seemed to be communicating something.
After seeing Chen Nan, Yang Fuleng's eyes lit up and he quickly grabbed Chen Nan: "Director Chen, wait a moment!"
Chen Nan stopped and looked at Yang Fuleng curiously: "Director Yang, what's the matter?"
Yang Fupeng winked and whispered to Chen Nan, "Did you see it?"
"A big boss in the field of oncology came to the China-Japan Friendship Hospital for inspection and research. It is said that it is for a research project."
"Do you have time? Let's sit together?"
"By the way, let me introduce to you, Professor Haken, James Haken, the editor-in-chief of the journal "Cancer Discovery" and the leader of the cancer research group at Harvard University in the United States."
"He encountered a problem and came to the China-Japan Friendship Hospital to find some clues in the field of integrated traditional Chinese and Western medicine."
"But... the other party doesn't agree with Yu Jinhua's ideas, and he's ready to leave now."
"If you're not in a hurry, why don't we sit together?"
Listening to Yang Fuleng's words, Chen Nan hesitated: "I...I haven't had lunch here yet."
"If it takes too long, I might not be able to hold on. After all, there are several Haifu surgeries in the afternoon."
"so……"
At this time, James Hacken suddenly came over and looked at Chen Nan: "Professor Yang, this is..."
Yang Fupeng quickly introduced with a smile: "This is Director Chen Nan, the deputy director of the Integrated Traditional Chinese and Western Medicine Ward."
"I think you should have a lot in common."
"Although Director Chen is young, he is...very powerful."
After hearing what Yang Fupeng said, James Hacken actually shook hands: "Hello, Director Chen."
When he spoke this time, he actually used broken Chinese.
Chen Nan smiled and said, "Hello, Professor James. I've seen you for a long time."
"If you have time, we can communicate later. I need to eat something, and then I will have Haifu surgery in the afternoon."
"May I?"
James Hacken heard this and suddenly made a special request:
"Director Chen, can... we have a chat while eating?"
"I don't mind..."
"I know it's rude to interrupt your meal, but... my time is limited and I have to go back to the United States in the afternoon."
"So, I'm sorry."
After Chen Nan thought for a moment, he smiled and said, "Okay!"
"I'm treating you to some Chinese food."
While talking, the group of people walked outside.