This doctor has a system

Chapter 581 644. Interview
He Xiaolei, who suffers from repeated fainting, is only 26 years old. This age is the best stage of life. If the cause of the disease cannot be found, he will be in trouble.

Father Lao He is still looking forward to having a grandson, but it is impossible for him to find a partner like this.

What if you suddenly faint while playing poker? That would be pretty scary.

"But what disease could such a young patient have?" Gao Feng asked curiously.

"The current environment is not good, so it's not surprising to get any disease." Li Xinyao at the side continued, "Last week, Aunt Wu from our floor above passed away."

"What?" Gao Feng was a little surprised. "Is it Aunt Wu who pushes her granddaughter around the community downstairs all day long?"

"Yes, it's her." Li Xinyao said, "I haven't seen her come downstairs in the past few days. My mother went to ask about her and found out that she died suddenly at home."

"When I found him in the morning, his body was cold."

"This may be due to a heart problem..." Gao Feng couldn't help but sigh. He often met Aunt Wu, who seemed to be in good health. He didn't expect her to die so suddenly.

"You should take our parents to have regular checkups." He said to his wife, "Especially my dad. I always feel that he won't live long."

Li Xinyao: "How can you talk like that?!"

Gao Feng sorted out the diseases that could cause fainting in the system space.

In general, the causes of syncope include reflex syncope, sympathetic nerve control disorder, cardiac syncope, cerebral syncope, etc.

Reflex syncope refers to the dysfunction of the reflex arc due to the regulation of blood pressure and heart rate. The most common one is the vasovagal reflex. It is often induced by factors such as physical weakness in young women, excessive fatigue, staying up late, and mental stress. The loss of consciousness is transient and recovers quickly.

Generally there are no symptoms or signs.

Sympathetic innervation disorders are sudden inhibition or loss of vascular sympathetic tone, resulting in a vasopressor effect, accompanied by vagal hyperactivity and bradycardia, leading to orthostatic hypotension.

This doesn't fit He Xiaolei's case. His blood pressure was fine when he fainted, and it wasn't obviously low.

Cardiogenic syncope is also relatively common and is caused by various heart diseases, the most common of which are myocardial infarction, aortic dissection and other cardiac and large vessel diseases.

At this time, due to the decrease in cardiac output, the brain is not supplied with enough blood, which in turn causes fainting.

He Xiaolei can basically rule out this situation. In his age group, organic heart diseases rarely occur, and his electrocardiogram and cardiac ultrasound are both normal.

The last category is cerebral syncope, which is caused by various brain diseases and brainstem diseases, such as severe cerebral circulation disorders, severe cerebral vascular obstruction and injury, etc. Common ones include cerebral infarction and cerebral hemorrhage.

The plain MRI scan of He Xiaolei's brain did not reveal any obvious problems, and Gao Feng felt that the probability of cerebral vertigo was very small.

So, we still have to consider reflex syncope?
After thinking for a long time, Gao Feng felt a headache and decided to stop thinking and go wash up and go to bed early.

"Wait a minute, I'm taking a shower." Li Xinyao said.

"That's great, let's take a shower together." Gao Feng became interested. The bathroom was so spacious that it would definitely be no problem accommodating two people.

Gao Feng was very happy washing, some of the things were big and white, and very elastic when you hold them. If you apply a little force, they can change into various shapes, very elastic.

An hour later, the room became quiet.

Two days passed quickly, and Gao Feng dressed a little more formally that morning.

Today was the day for interviews, and he was going to select a few junior doctors for the Department of Rare Disease Medicine.

In fact, we need 2-3 senior doctors, but no one is willing to come. The reason is simple: there is not enough benefit.

Today's public hospitals have lost their public attributes. Only a small part of the funds to maintain hospital operations comes from allocations from above. Most of the funds still have to be raised by the hospitals themselves and earned by the medical staff themselves.

The name of the Rare Disease Medical Center sounds very impressive, but the number of patients admitted is definitely not comparable to that of regular departments.

Without so many patients, you will earn less money. If you earn less, the hospital certainly cannot pay you too much.

Gao Feng had previously thought about adding a few more departments, such as geriatrics, chronic disease medicine, etc., and they were open to admitting patients.

But after some thought, I felt that it was not appropriate. Diagnosing and treating rare diseases requires a lot of energy. If a doctor is in charge of many patients, the quality of medical care cannot be too high.

It doesn’t matter for ordinary patients, they can be treated on an assembly line basis.

This obviously does not work for patients with rare diseases. The attending physician needs to expend enormous energy to analyze and find the cause of the disease. Since there are no ready-made guidelines to follow, he may also need to read a lot of domestic and foreign literature in the hope of exploring a successful and effective treatment plan.

Gao Feng believes that at this stage it is still necessary to strictly grasp the admission indications to the Rare Disease Medical Center and first ensure the quality of medical care.

Those who participated in the interview today included Director Wang from the Medical Department, Director Zhao from the Respiratory Department, the head of the Human Resources Department, and President Guo.

Dean Guo just came to go through the motions and show his importance, and he left before the interview even started.

The first person to come in was a little girl. She was very pretty but looked very fragile.

"How much do you weigh?" Gao Feng asked.

"88 pounds."

"Have you always been this thin?" Gao Feng asked with a frown. He had already sentenced the interviewer to death in his heart.

How can you be a cow or a horse when you are so skinny? You are not even a mule.

"Yes." The little girl replied weakly.

"Do you have any special expertise in medicine?" Director Zhao asked. "I see on your resume that all you see are awards for hosting competitions and speech contests."

The little girl had a grim expression when she went out. I guess she knew that her hope was slim.

The second interviewee was a boy. He was tall and strong and caught everyone's attention.

Strong males are popular in hospitals, which means he can work the most tiring night shifts, push beds with broken steering wheels, and carry fat patients weighing 200 pounds.

You can also take advantage of the big pie drawn by the department director.

"Does the young man have a girlfriend?" Director Zhao asked.

"Not yet." The boy was a little shy.

"Oh, this is a good thing." Director Wang of the Medical Education Department said with a smile. The hospital is in great need of single males of this age group. If this boy can be hired, someone may come to inquire about his basic information on the first day he enters the department.

"I noticed that you published a lot of articles when you were in graduate school." Gao Feng asked, "Why are you looking for a job now? What were you doing before?"

"I'm working in the ICU of the city center hospital now." The boy said with a bitter face, "It's... um... different from what I expected. I want to change places."

I understand. He can’t stay in the City Center Hospital anymore. He wants to run away.

(End of this chapter)