Chapter 415: Diseases of the Department of Encephalopathy
[Ding! Successfully placed the doctor's order, and gained +10 encephalopathy clinical skill experience points.]
[Ding! The case writing is completed, and the clinical skills of the encephalology department are obtained +10.]
[Ding! Complete the communication with the patient and gain +10 clinical skills in the encephalology department.]
[Ding! The patient’s headache symptoms were relieved, he received good reviews, and he gained +50 clinical skills in the encephalology department.]
…………
Bai Ye spends his days surrounded by various system notifications. Because he has experience in managing patients in other departments, he did not feel overwhelmed when he first returned to the encephalology department.
Although there is a big difference between internal medicine and surgery, Bai Ye is still very experienced in patient management.
However, the diseases in the encephalology department are quite unique and are quite different from diseases in other departments.
Because for example, in surgery, there is basically nothing wrong with treating the pain wherever it hurts. It is very intuitive to treat the fracture where it hurts. However, this is not the case in the encephalology department.
In surgery, the most important thing is the treatment method, that is, surgical skills.
But in internal medicine, the most important thing is diagnosis!
Especially in the encephalology department, if you want to treat a disease, the first and most important thing is to understand what kind of disease it is.
The most difficult thing about neurological diseases is diagnosis. A headache may have dozens of causes, and the treatment methods for any cause are different.
In terms of symptoms, general encephalology diseases mainly include: headache, dizziness, numbness, movement disorders, speech and expression difficulties, dementia, madness, etc.
To put it bluntly, if you can't figure out why you get this disease, you will always think about it in your head.
Because encephalopathy is really a complex disease.
You may damage a nerve, which may lead to respiratory and cardiac arrest. This is not an exaggeration at all.
In terms of pathogenesis, encephalology departments are mostly divided into: cerebrovascular diseases (including cerebral infarction, cerebral hemorrhage), epilepsy, central nervous system infectious diseases (that is, meningitis, bacterial meningitis, tuberculous meningitis, parasitic infection
etc.), demyelinating changes in the central nervous system (mainly multiple sclerosis, neuromyelitis optica, etc.), peripheral neuropathy (the most important one is Guillain-Barré syndrome), movement disorders (this is what everyone
We all know about it, such as Parkinson's disease, Huntington's disease, etc.), neuromuscular junction diseases (which are also common, such as myasthenia gravis, peripheral paralysis, etc.), and diseases such as dementia and cognitive impairment.
Diseases in the encephalology department, to put it simply, are diseases that occur in the brain.
From ancient times to the present, research on the brain has never stopped. As the most mysterious organ of living things, it has always been a place that humans want to seek and make breakthroughs. However, its essence has never been truly discovered.
The human body is a magical whole. With the development of modern medicine, the continuous deepening and clarification of human anatomy, especially the discovery of electronic instruments such as microscopes, has led to the continuous in-depth study of the human body, from organs to muscles, organs and tissues to
At the cellular level, from macro to micro, people's physiological and biochemical research continues to deepen.
However, people have never figured out the etiology and pathogenesis of most diseases, as if the truth is always hiding and seeking.
Encephalopathy is the most difficult, the slowest to research, and the most complex of all organs.
Because most of the nerves in the human body are controlled by the center, the temperature regulation center, the respiratory center, the heartbeat...etc., whatever you think of, you can find the answer in your head.
Some people even say that the evolutionary history of all animals is just the evolutionary history of the brain.
Therefore, encephalology diseases are complex, difficult to diagnose, and even more troublesome to treat. It can even be said that many diseases cannot be treated at all.
The encephalology department of Puze Hospital has three floors in total, the 14th, 15th, and 16th floors, but the diseases treated on the three floors are different.
The fourteenth floor mainly treats cerebrovascular diseases, that is, cerebral ischemia, cerebral infarction, and cerebral hemorrhage. These are the most common diseases in the encephalology department and the largest number of patients.
The fifteenth floor is for mental health system diseases, which mainly include diseases such as dementia, anxiety, depression, insomnia, and madness. These diseases are more troublesome. Originally, the fifteenth floor was also used to treat cerebrovascular diseases. However, with the pressure of modern life,
It is getting bigger and bigger, and there are more and more patients with this type of disease, so that this layer is used solely to treat this type of disease.
The sixteenth level is more complicated. There are all kinds of patients, with more neurological patients, such as multiple system atrophy, myasthenia gravis, and Parkinson's disease.
It can be said that the first floor is more complicated than the first floor, and the first floor is more difficult than the first floor!
Fortunately, Bai Ye came to the fourteenth floor, a floor where diseases are relatively common.
Cerebrovascular disease!
Bai Ye's reputation in Puze is no longer comparable to that of ordinary people. Although he is only a graduate student, his salary cannot be compared to that of ordinary graduate students.
When walking to the department, everyone has to call Director Bai, because Bai Ye is now the director of the magazine of Puze Hospital, although this director is very incompetent.
But no one will mind this, because as long as Bai Ye is still at Yitian Magazine and serves as the director of Yitian Magazine, there will be no shortage of high-quality articles in this hospital, because what does Bai Ye represent?
He is an authority in emergency medicine in China, a pioneer in the new field of anorectal medicine in China, an authority in orthopedics in China, and an authority in the field of experimental animal medicine.
Now the impact factor of Puze Hospital's hospital journal is also gradually rising, and occasionally Bai Ye will publish a few articles on it.
Everyone's respect for Bai Ye is not false. As long as the relationship with Bai Ye is established, what big deal is it to post an article on it?
What's more, with Bai Ye's current identity and status, how many people in Puze can be higher than Bai Ye?
Therefore, when Bai Ye returned to the department, even if he didn't know anything, there would be a group of people vying to teach Bai Ye.
Those nurses had to actively cooperate with Bai Ye.
Now Bai Ye only has two patients, both suffering from cerebral infarction, but they are not in the acute phase, but in the chronic phase for recovery.
After all, just in case, the most common rehabilitation treatment is given.
Both patients are in their seventies. When Bai Ye chooses a treatment plan, it must be reviewed by the director before giving medical advice.
Bai Ye got started quickly. In just two weeks, he was able to master the common diseases on the 15th floor, especially the treatment of cerebral infarction.
So the director let Bai Ye manage the patients by himself, just to see if anything happened during ward rounds every week.
Only when you are alone can you discover problems, and Bai Ye has been looking forward to this for a long time.
However, what I never expected was that on the first day, I encountered a strange patient.