As the director of the department, one of the important tasks every day is to participate in consultations or arrange for people to participate in consultations.
In order to avoid being involved in liability, most doctors will immediately apply for joint consultation once they encounter a specialist disease.
The probability of applying for multi-department linkage in the emergency department is very high, so you can often see the department director returning to his residence, lying on the bed, preparing to play poker with his wife, and after receiving a phone call, he quickly gets dressed and runs to the hospital.
There is no other way. Patients in other departments encounter emergencies and apply for joint consultation. The specialist on-duty doctor cannot handle it and can only report it to the director.
If the director doesn't come forward, it's the director's problem.
So the higher the position, the greater the responsibility.
The consultation system has advantages and disadvantages.
The advantage is that professionals do professional things.
For example, there is a patient in the anorectal department who has urinary retention and prostate swelling, which leads to the failure of urinary catheterization. The attending doctor will not directly perform a fistula on the bladder, but will hand it over to the urologist for treatment.
For another example, if a patient in the respiratory department has a heart abnormality, the doctor will not easily use cardiac drugs and will usually seek consultation from a cardiologist for advice.
The disadvantage is that this results in doctors only managing one-third of an acre.
Most doctors have learned all the courses in medical school and have worked in all departments during their training, so they have an understanding of the diseases in most departments.
As a result, after being divided into different disciplines and assigned positions, he became a tool man on the medical production line.
Consultation is still very important in a large hospital like Tianhua.
Why others recognize Tianhua is because the consultation system here is sound and the doctors who consult generally have rich experience.
The consultations in small hospitals are all experts in name, but in fact they are just a formality. Those who can be cured will be given a few words, and those who cannot be cured will be directly persuaded to transfer to another hospital.
But when I arrived at Tianhua, it was already on the top floor of the Guangdong Provincial Hospital.
If you still say it cannot be cured, you will not only lose your own face, but also the brand name of Tianhua Hospital.
Many people think that doctors only care about money and have no professionalism. In fact, at the level of Tianhua Hospital, especially the department directors, they really have ideals and feelings in their hearts.
The cost of a consultation like this is only a few tens of dollars. The key is to enter the department instead of going into private pockets and sacrificing personal time. Who is willing to make this money?
So most doctors work based on emotion.
Feelings are a great thing.
In the Battle of Laoshan, many soldiers knew that many people would die in the decisive battle and they would sacrifice themselves, but they still charged without hesitation.
There was no bonus incentive at that time. If one person was sacrificed for a reward of 100,000 yuan, no one would be willing to do so.
However, those soldiers took the initiative to become dead soldiers without hesitation, and their faith came from the future of their motherland and compatriots behind them.
Zhao Yuan and Liu Sha came to the emergency surgery department.
A scantily clad girl was lying on the bed holding a mobile phone and taking pictures.
The girl was young, about 20 years old, wearing very short denim shorts and a rose-shaped tattoo on her leg. The disinfectant in the ward could not hide the pungent smell of alcohol and perfume.
Next to the girl stood a girl of about the same age with a string of text tattoos on her neck.
The two were talking and laughing, looking quite relaxed.
If it weren't for the thick gauze bandage on the girl's head, she would have thought she had gone to the wrong place.
Zhao Yuan and Deng Yunlun nodded and said softly, "The patient's condition looks good."
Deng Yunlun said softly, "I drank too much. When I went downstairs, I rolled for more than ten meters. My forearm and leg bones were broken in many places, and my head was traumatized. I just kept saying that I had no taste in my mouth. I have already had a brain CT report."
It’s not out yet.”
Zhao Yuan secretly thought that Deng Yunlun had a lot of experience.
Injuries caused by accidents like this may look serious on the outside, but are actually not fatal.
Zhao Yuan said softly, "I'm going to examine the patient."
When Zhao Yuan walked over, Deng Yunlun introduced, "This is a neurosurgery expert who will conduct an examination on you."
The girl glanced at Zhao Yuan and didn't expect the doctor to be so young and quite handsome.
"Actually, nothing is wrong with me. I often had similar symptoms before."
Zhao Yuan patiently explained while palpating the girl, "There are many reasons for the loss of taste, such as damage to the taste conduction system. Damage to the glossopharyngeal nerve will cause dysfunction of the taste conduction system and symptoms of loss of taste. Another example is
, cerebral infarction, cerebral hemorrhage or brain tumor, affecting the taste nerve."
The girl was instantly startled, "It's not that serious, right? It's probably because she drank too much alcohol that it had an impact."
Zhao Yuan nodded slightly, "Long-term and frequent drinking will indeed affect the taste nerve. But you fell down and suffered brain damage, so you have to find the real reason now."
Zhao Yuan picked up the stethoscope, put it on the girl's chest, listened carefully for a long time, and glanced at Deng Yunlun, "You should pay attention to eight inspections."
Deng Yunlun immediately understood. Zhao Yuan believed that the girl had a highly contagious virus.
There are many reasons for the loss of taste. Judging from the physical examination results, it is most likely a brain problem, not caused by trauma, but a tumor in the brain.
Zhao Yuan is not yet able to tell the results directly. He will not know until the CT scan comes out.
In addition, during the physical examination, Zhao Yuan discovered that the girl had herpes-like particles on her body.
Although it is particularly hidden, there is still a lot of suspicion.
You must know that when Zhao Yuan was rotating in the dermatology department, he knew that this field was his shortcoming and studied day and night. Basically, he could recognize common skin diseases at a glance.
A series of inspection results finally came out.
There are different opinions on the difficulty of medical treatment. There is a view that the difficulty of medical treatment lies in diagnosis.
The unknown is the hardest.
A disease is most terrifying when it first appears.
But when you know the causative principle of the disease, and then use various drugs to test the effects, and once the research is complete, the disease will not be difficult.
Take AIDS as an example. When it was first discovered, it sounded extremely scary, and even European and American countries began to advocate anti-love policies for a few years.
AIDS has been studied for many years now. Although we still don’t know how to completely cure it, there are finally strategies for treatment.
Deng Yunlun had been in contact with Zhao Yuan for a long time and knew that Zhao Yuan had a skill that was masked by powerful surgical techniques.
That's his diagnostic ability.
Zhao Yuan not only has a 100% success rate in surgery, but also has never made any mistakes in diagnosis.
Zhao Yuan and Deng Yunlun came to the consultation room and began to discuss the patient's cause of illness in detail.
Deng Yunlun said with a smile, "There are many reasons for loss of taste. How do you determine if it is a brain tumor? Could it be a torn taste nerve?"
Zhao Yuan shook his head, "The location of the brain damage is a certain distance from the taste nerve."
"Could it be a meningioma, metastasis, or infiltrative tumor of the anterior foveal artery or frontal lobe, compressing the olfactory bulb and olfactory tract, causing taste damage?" Deng Yunlun asked again.
Zhao Yuan took the film and took a look at it, "The possibility is ten percent."
"Or is it a loss of taste caused by excessive drinking and viral infection?"
Zhao Yuan added: "When I checked her body just now, her limbs were slightly twitching."
Deng Yunlun was slightly startled. During his own physical examination, he ignored this important detail.
