There is no need to be too normal to be a doctor.
Chapter 98 Opportunity is here!
Chapter 98 Opportunity is here!
The next day.
7 am in the morning.
There is no need for an alarm clock to prompt him. Qin Xuehai's biological clock has been engraved into his bones.
Qin Xuehai's dormitory is very messy. Information, books, and models are everywhere. Outsiders will feel disgusted when they come in.
But he enjoyed it very much because he could find every file clearly.
Sitting on the bed, Qin Xuehai meditated for a quarter of an hour, which was a necessary part of his day.
Wake up every morning and clear your mind.
Then sort out recent things and arrange today's work.
For him, these 15 minutes are extremely precious, even equivalent to his daily schedule.
He brought the old socks up to his nose, smelled them, put them on his feet, and put on some decent clothes.
Qin Xuehai stood up and prepared to walk towards the cafeteria.
By the way...I'm going home today to pack a change of clothes.
I have to say that it is really great that Qin Xuehai's wife can accept this.
After all, this husband has been going home several times a week over the years and after going to school. When he comes back, he has to change out of his old clothes, shoes and socks.
However, Qin Xuehai's wife is very considerate of him and knows that her husband never has so much time to clean up, so she always prepares things decently.
Putting aside the aura of a professor, Qin Xuehai is not much different from most middle-aged men.
If your socks are torn, you will make do with them; if your clothes are dirty, cover them with a white coat and wear them for another day...
Chinese doctors have never been the epitome of respectability. Under the white coat, no one knows how many days they have been wearing it.
……
Qin Xuehai enjoys the feeling of school very much. He eats in the cafeteria, sleeps in the dormitory, and does experiments in the laboratory. It is also close to the hospital and he does not need to drive. Everything is very convenient.
but……
After buying breakfast, Qin Xuehai was about to go to work when he suddenly remembered that he had not had time to watch the case discussion last night.
Forget it, let’s talk about it after we go to the hospital!
There is a difficult case to discuss today.
After he got it back last night, he analyzed it according to the model, but the result was not very good.
Later, he was called by Yang Guangye to chat for a while. This chat wasted a lot of time and he lost two drinks.
So, I fell asleep when I came back to the dormitory...
Qin Xuehai sighed helplessly, he could no longer drink with this old guy.
While talking, Qin Xuehai arrived in the laboratory, packed his things and was about to leave, when he suddenly saw the door of the lounge swinging open.
He was stunned for a moment, and when he looked closer, he realized that Chen Gong was sleeping.
This kid...is doing experiments again?
It looked like he was busy until late.
After taking a look at the sleeping Chen Gong, Qin Xuehai was extremely satisfied.
To be honest, there are too few children who are so talented and willing to work so hard.
Qin Xuehai smiled and put the buns and soy milk he just bought on the table for Chen Gong.
This kid didn't know what time it was when he woke up. The cafeteria was probably closed.
Young people are growing up, so they can't do without breakfast.
Then, he took the materials and left the laboratory, flipping through them as he walked, thinking hard about the patient's situation.
Discussion of difficult cases is a common part of clinical departments.
Although this woman's disease does not seem serious, a buttock pain looks like nothing.
but……
Difficult cases are not just for complex and difficult diseases. In many cases, these are rarely seen clinically.
What is really common is the disease that does not seem serious, but cannot be accurately diagnosed and treated accurately.
Therefore, it would be very interesting to brainstorm, find breakthrough points, and then draw parallels.
While talking, Qin Xuehai had already arrived at the hospital, and happened to bump into Zeng Hui on the way, walking over with a cup of cake and a cup of soy milk in his hand.
"Morning, Director!"
Zeng Hui greeted Qin Xuehai with a smile.
"By the way, have you had breakfast?"
Qin Xuehai smiled when he heard the sound: "Oh, I haven't eaten yet."
Zeng Hui's face suddenly froze, good guy... I'm really just being polite.
Are you making things difficult for me like this?
Zeng Hui suddenly looked embarrassed. After a moment, he quickly said: "This is for you, Director, I'm not hungry!"
"I bought too much this morning."
Although he said this, Zeng Hui never improved the food by half.
When Qin Xuehai heard this, he immediately laughed heartily and patted Zeng Hui on the shoulder:
"This is too coincidental, isn't it?"
"Then you're welcome. I have surgery this morning. It's really uncomfortable to be hungry!"
While talking, Qin Xuehai took the cake from Zeng Hui's hand.
"Drink the soy milk."
"I'll just eat some."
"Ha ha……"
"Eat quickly, don't be shy."
Zeng Hui was completely dumbfounded, good guy...you don't understand the world at all, right?
Can't you see that I'm just being polite?
This...this...you really dare to take it!
Zeng Hui wanted to cry but had no tears.
He discovered that Director Qin had changed...
That's right!
Director Qin was not like this in the past. He was gentle, courteous and respectful...
How did that happen?
For some reason, Zeng Hui suddenly thought of someone...Chen Gong!
Yes, this kid has an abnormal aura all over his body.
He felt that Director Qin must have been infected by Chen Gong, otherwise...he would never be able to do such a thing as grabbing breakfast.
woo woo woo...
This is a luxurious cake with tenderloin, king of kings, and shredded potatoes that cost [-] yuan and [-] cents!
Just...just like that, it was snatched away.
After the two arrived at the office, Zeng Hui stopped pretending.
He drank soy milk, took out a box of biscuits from the drawer, and started eating without covering up.
He wanted to show Director Qin that he hadn't eaten either.
pity……
Qin Xuehai didn't look at his cookies at all.
Instead, he said: "Hey, my blood pressure has been a little unstable recently. Your sister-in-law won't let me eat something so salty. Why did you add so many things to it?"
"That's it, that's all, just eat it!"
Zeng Hui's mouth twitched, brother, just be a human being...
After dinner, it’s 07:30.
Both Zeng Hui and Qin Xuehai remained silent about breakfast.
This is cooperation, complementing each other, and a tacit understanding.
Zeng Hui then opened the difficult cases to discuss patient information. Last night, he checked information and consulted colleagues, and now he has a certain idea.
However, these ideas are still imperfect and require discussion.
"Director, what do you think of this case?" Zeng Hui couldn't help but ask.
Qin Xuehai was stunned for a moment...
To be honest, he actually planned to see it last night, but he didn't have time. On the way to the hospital this morning, he only took a rough look at it.
He didn't have a clear concept of the specific idea in his mind. He originally thought about it for a while and waited for everyone to discuss it, then he would think about it carefully.
Unexpectedly, Zeng Hui asked first.
Qin Xuehai thought for a moment and said seriously: "A very interesting case!"
"We have to start from a multidisciplinary perspective and seek a multi-faceted thinking on this disease."
"You can't limit your thinking to orthopedics..."
When Zeng Hui heard Qin Xuehai's words, he couldn't help but smile a little more in his eyes.
good guy...
The official cliches are here!
Is this okay?
As Qin Xuehai's old subordinate, Zeng Hui is very familiar with this leader.
When he said these words, he knew that the leader had not had time to see them.
Qin Xuehai noticed Zeng Hui's strange behavior, rolled his eyes at the other party, coughed, and was about to speak.
Suddenly the phone rang. After Qin Xuehai picked it up, he frowned: "Okay!"
"Oh……"
"Okay, I see, I'll go right away."
After hanging up the phone, Qin Xuehai said solemnly: "I won't be attending today's case discussion."
"A patient with a car accident came to the emergency department. He was very serious and needed surgery immediately."
"I have to go there."
Zeng Hui heard the sound and realized the seriousness of the matter, and nodded quickly: "Well, don't worry."
"I will be responsible for the case discussion."
Seeing Qin Xuehai quickly get up and leave, Zeng Hui picked up the notebook and medical records placed on the table, got up and walked towards the doctor's office.
The morning shift has not yet started, but the family members of patient Zhao Qiaoxian are already waiting at the door.
"Director Zeng, my wife...what happened to her?"
"I have been hospitalized for a week, and the situation has not improved at all, but has even worsened!"
"What's going on?"
"By the way, I saw Director Qin going out just now? Didn't he say that he wanted to organize experts to discuss my wife's situation?"
"what happened?"
Zhao Qiaoxian's husband is about 1.7 meters tall, but very thin, weighing over [-] pounds at most.
Standing together with Zhao Qiaoxian, it can be said that he and Zhao Qiaoxian formed a sharp contrast.
Zeng Hui saw that the man was obviously a little anxious and quickly explained:
"do not worry!"
"We will definitely deal with your wife's problem seriously and responsibly. You don't have to worry about this."
"As for Director Qin, there is an emergency operation that needs to be handled."
"We will also discuss your wife's case as scheduled."
Zeng Hui's patient explanation did not alleviate the other party's doubts much.
"Is this...this...ok?"
"Hey……"
Zeng Hui couldn't help but sigh when he saw the other person's eyes and appearance. In fact, he didn't blame the patient for his distrust of them.
It's just because they didn't do it well!
But, then again, there are all kinds of diseases in clinical practice, and doctors are not omnipotent!
Unfortunately, patients won’t listen to your explanation.
Zeng Hui looked at the other party and said seriously: "Let's do this, we will have a detailed discussion on your wife's problem."
"If we are not sure, or we still can't find the reason."
"We will let you know. If you have other ideas, you can also communicate with us, okay?"
When the man heard the sound, he couldn't help but sigh, shook his head, stood up and left.
……
Zeng Hui looked at the other person's back, couldn't help but sigh, shook his head, and entered the doctor's office, ready to start handover.
Everyone seemed to be in a bad mood when they saw Director Zeng, and they were also a little worried.
Zeng Hui does have some doubts. Zeng Hui is good at surgery, bone and joint surgery, and he can be said to be the best in the hospital.
Joint replacement surgery can be said to be the top level in the province.
Even Qin Xuehai felt ashamed.
However, when it comes to diagnosis, he admits that he is by no means the best.
Therefore, he was also a little worried about Zhao Qiaoxian's condition, because he had examined this patient many times and formulated several treatment plans.
But as a week passed, there was still no positive feedback.
How is this good?
The shift was handed over as usual, and Zeng Hui remained silent. He was still thinking about Zhao Qiaoxian's situation.
At this time, the doctor on duty suddenly said:
"Last night, Zhao Qiaoxian in bed 67 had a breakdown. The pain in his buttocks worsened last night. He couldn't sleep and was anxious."
"After consulting the pain department, we did not get an effective plan. After a short period of pain relief treatment, the effect was average, ruling out the possibility of neuralgia."
"Last night, I also verbally abused the nurse on duty..."
The words of the doctor on duty made Zeng Hui frown slightly.
He nodded: "Well, okay, let's end the shift change here!"
"Everyone is now ready to discuss Zhao Qiaoxian's case."
"Everyone expresses his or her own opinion, and every doctor puts forward his or her own ideas."
After hearing Zeng Hui's words, the nurses left the office one after another, leaving all the doctors, the doctor on duty and several doctors or directors who had been in charge of Zhao Qiaoxian in shifts, shaking their heads and sighing slightly.
Soon, the discussion began.
"I think gynecological diseases can be properly considered."
"I recently checked and found that pain in the lumbosacral and buttock areas can be related to scar adhesions and pelvic congestion caused by chronic pelvic inflammation.
The occurrence and development of this disease can cause lower abdominal distension, pain and lumbosacral soreness.It is often aggravated after fatigue, sexual intercourse and before and after menstruation. "
"So, I suggest inviting a gynecologist to investigate this possibility."
The first person to speak was the team leader of the joint department and chief physician Chen Min.
His idea is very constructive.
Because the patient did have a history of gynecological diseases before.
At this time, the doctor on duty last night shook his head:
"I think chronic pelvic inflammatory disease is unlikely, although chronic pelvic inflammatory disease can indeed cause lower abdominal distension, pain and lumbosacral soreness."
“However, the systemic symptoms of chronic pelvic inflammatory disease are sometimes low-grade fever and susceptibility to fatigue.
Moreover, chronic inflammation leads to pelvic congestion, menorrhagia, and menstrual irregularities when ovarian function is damaged. "
"It doesn't seem like patients are noticing this recently."
"Before hospitalization, the patient also underwent gynecological diagnosis and treatment because of a chocolate cyst, and no abnormalities were found."
"I think gynecology has certain authority in the diagnosis and treatment of chronic pelvic inflammatory disease."
After the doctor on duty said what he said, Zeng Hui nodded: "Well, we can take it into consideration. What else do you think?"
After Zeng Hui finished speaking, he continued to open the medical records and notes, trying to find some special clues.
But...it seems that there is no good harvest.
At this time, he suddenly saw Qin Xuehai's notes, and after some hesitation...
Qin Xuehai did not flip through it, but opened the medical record in Director Qin's hand.
Right now!
The discussion in the ward was in full swing and even reached a fever pitch.
Zeng Hui sat aside and remained silent.
Because...at this time, he didn't have a clear idea in his heart.
If he were from Director Qin's perspective, how would he diagnose this patient?
Zeng Hui admired Qin Xuehai very much.
In Zeng Hui's eyes, Director Qin is definitely a typical hexagonal warrior.
Scientific research, clinical practice, experiments, skills, diagnosis, surgery...
Everything is fine!
So, who is Director Qin, how will he diagnose?
Zeng Hui tried to calm down and kept his mind as clear as possible.
He continued to look through the case records.
suddenly……
As he continued to look through the cases, Zeng Hui was quickly attracted by the last few drawings.
At the end of the case, there is a huge human figure drawn.
I can see...
"Director Qin" probably wanted to draw the patient's body structure, but... the drawing was also very vivid.
He continued to look down...
"Hip hurts!"
"Analyze by location..."
"It is mainly characterized by pain in the lumbosacral or lower waist on the affected side, and is accompanied by swelling and discomfort in the popliteal fossa."
At this time, there is an extra line in the picture, connecting from the popliteal fossa to the lumbosacral area.
However, it does not extend around the lumbosacral nerves...
This picture gave Zeng Hui some more ideas, and he suddenly had certain ideas in his mind.
read on...
"Pain characteristics: mostly swelling, soreness and dull pain."
Seeing this, Zeng Hui was able to think independently. In this way, could he eliminate symptoms such as lightning pain, labor pain... etc.
"an examination……"
Imaging examination should be able to rule out lesions in the bone and sacroiliac joint areas, and there should be no changes in the intervertebral disc...
So where should you think about it?
At this moment……
He suddenly saw something and thought of something, and quickly turned the medical records forward.
Sure enough, at this time, Zeng Hui suddenly saw the patient's physical examination.
“Swelled lymph nodes are palpable deep in the subcutaneous tissue of the sacroiliac region!”
This sentence was drawn over and over again four or five times.
Could it be related to this?
at this time……
Zeng Hui quickly turned back the page, and suddenly...
The scene in front of him almost made him stand up in excitement.
This is a diagram of the organization and structure of the hip region of the sacroiliac joint.
The tissue structure of the patient's buttocks is clearly drawn above, including bones, nerves, joints, muscles...
But, most importantly, there is a scene where the fascia is destroyed and a mass of material gets stuck between the sacroiliac fascia.
This is……
Suddenly, Zeng Hui saw a line of words...
“Sacroiliac fascia fat hernia!”
It turned out to be this!
Zeng Hui looked at the results and called him an expert!
The popliteal fossa is swollen, venous return is affected, and varicose veins of the lower limbs are possible!
This results in mechanical limitation of knee extension and knee flexion, mild pain, and obvious tension and swelling.
It is mainly characterized by pain in the lumbosacral or lower waist on the affected side, mostly distended, sore and dull pain, which is generally not serious but affects walking.
It is also accompanied by significant lymph nodes in the lumbosacral region.
……
Clues one by one, directly list the patient's situation, with reasonable evidence!
After Zeng Hui read it, he was very excited!
Sure enough, it had to be Director Qin.
The gap between me and Director Qin is still so big.
He had no idea how many specialized skills it would take to master this level of diagnosis.
However, he knew very well that his current level alone was definitely not enough.
Director Qin's ability to achieve such results is absolutely due to the accumulation of rich basic anatomical knowledge, rich clinical experience, and unique diagnosis and treatment ideas and characteristics.
It's really amazing!
At this time, the office had reached a stalemate.
Several groups expressed their own opinions, and it was difficult to get a unified answer.
At this moment……
Zeng Hui knew that it was his turn!
Zeng Hui coughed, cleared his throat, and signaled to everyone: I'm going to start showing off!
Sure enough, as Zeng Hui's voice sounded, everyone fell silent.
Everyone looked at Zeng Hui, a little curious, wondering what Director Zeng would think?
In fact, not everyone has expectations for Zeng Hui.
Because Zeng Hui became the director of the Department of Orthopedics and Joints when he was only in his early 40s, many senior people naturally had some opinions.
They are all directors with extensive clinical experience and now serve as team leaders.
It is undeniable that Zeng Hui's surgery was absolutely flawless.
However, because of his youth, Zeng Hui's diagnostic skills were obviously not as good as those of some of the experts among them.
They also wanted to see what Zeng Hui thought.Zeng Hui was full of confidence at this time!
After getting Director Qin's "answer", he said: "After listening to everyone's opinions and thoughts just now, I think... it is very meaningful."
“It’s good not to stick to orthopedic diagnosis and treatment ideas, but to combine multidisciplinary judgment methods.”
"I also have an idea here that you can refer to."
Although Zeng Hui felt that the probability of his diagnosis being successful was very high.
but……
But he still chose a humble way of speaking.
He knew very well that many old directors in the department did not trust him enough.
The operation of the department cannot be separated from the support of these veteran experts. Zeng Hui will choose an appropriate method for the healthy operation of the department.
A department or a hospital does not only have the director, but also the chief physician and deputy chief physician who are the backbone.
Their existence is the reservoir of the hospital.
In fact, this is also the reason why medical bugs can never be thorough.
Because the country and the people cannot lack these people.
Choosing to take action against pharmaceutical companies will make those medical tigers afraid.
But for those ordinary chief physicians, deputy chief physicians, attending physicians, and chief surgeons, there are some difficulties.
Because we can’t live without it!
This is a helpless situation.
……
Zeng Hui continued:
"As for Zhao Qiaoxian's condition, I think it is a surgical disease."
"Lumbosacral fat hernia!"
"First of all, the patient has the predisposition factors for this disease, which is that he is overweight, has a high fat content, and is sedentary for a long time."
"Secondly, it is characterized by pain in the lumbosacral or lower waist on the affected side, which is mostly swelling, soreness and dull pain. It is generally not serious but affects walking."
"The popliteal fossa of the lower limbs is swollen, and there are early symptoms of varicose veins..."
“These all fit the bill.”
"On top of that, there was what looked like a swollen lymph node in the lumbosacral area."
"I suggest you do a color ultrasound to check the situation first, and then invite a surgeon for consultation."
"Director Yang, Director Li, what do you think?"
After Zeng Hui finished speaking, he specifically asked the two old directors for their opinions.
When the two heard the sound, their expressions suddenly became serious.
They were also shocked by Zeng Hui's idea and answer.
They thought quickly in their minds, and after a moment, the two looked at each other:
"I think what Director Zeng said makes sense!"
"Indeed, I support this decision."
Zeng Hui heard the sound, nodded and said: "Okay!"
"Then it's decided."
"Xiao Yang, go and perform a color ultrasound on the patient and invite a surgical consultation."
After hearing this, the doctor in charge nodded quickly and began to get busy.
And everyone looked at Zeng Hui with a little more certainty in their eyes.
It is not easy to be a good department director. Zeng Hui is still at the stage of convincing the public.
Not only in terms of surgery, but also in terms of comprehensive ability and professional ability, everyone must be recognized.
It's hard!
However, this is also the way a director should be promoted.
At least, you don't get to the top just by relying on connections.
……
……
Soon, Zhao Qiaoxian’s color ultrasound results came out.
The patient indeed had a lumbosacral fat hernia!
The fat tissue in the lumbosacral region has been embedded in the sacroiliac fascia.
Under normal circumstances, the contents of the hernia can enter the hernia sac through the hernia ring under the action of internal pressure, and can be returned to their original position by themselves (or through external force).
When various reasons (such as friction, adhesion, etc.) make the contents of a reducible hernia suddenly unable to be returned and the local mass increases, it indicates that it is complicated by incarceration. This is called an incarcerated hernia. In severe cases, it can lead to incarceration. Blood necrosis.
And Zhao Qiaoxian’s weight is too big!
The daily pressure makes the patient's embedding more obvious, and even seriously hinders venous return, causing swelling.
If allowed to develop like this, it may actually lead to ischemic necrosis of the tissue.
When the surgical consultant saw this case, he was shocked!
"Dr. Yang, this situation is really rare!"
"Sacroiliac fascia fat hernia caused by adipose tissue is really rare clinically."
"We in the surgery department may not be able to encounter one, but you have found it, and the key is that it can be diagnosed."
"Really amazing!"
Dr. Xiao Yang naturally did not dare to take credit and quickly explained: "This is what our Director Zeng diagnosed."
As he spoke, Xiao Yang felt his face light up.
We can diagnose diseases that your surgery cannot diagnose, isn’t it amazing!
After Zhao Qiaoxian's family learned the specific cause of the disease, they were excited to find Zeng Hui and were extremely grateful.
Zeng Hui blushed when he saw everyone's performance.
to be frank……
He doesn’t dare to take credit!
But... I have to say, this feels really good.
These are all the work of Director Qin.
Wait until after ten o'clock in the morning.
Qin Xuehai came back tiredly. He glanced at Zeng Hui and asked quickly:
"How's it going? Have you finished discussing the case?"
"what's the situation?"
Zeng Hui smiled and quickly asked Director Qin to sit down, and took the initiative to pour a glass of hot water: "Director, this...hehe, thank you so much."
"You helped me gain a foothold today!"
When Qin Xuehai heard this, he frowned: "Ah? What do you mean?"
Seeing this, Zeng Hui smiled: "Okay, stop pretending, I've seen it all!"
"Moreover, Zhao Qiaoxian's situation is exactly the same as what you said!"
"It's really amazing."
"I never thought it was a fat hernia."
"Hey, with so many clinical diseases, this is the first time I've seen this rare fat hernia."
"By the way, Director Qin, how did you come up with this idea?"
Qin Xuehai was fooled by Zeng Hui's words!
"what?"
"Sacroiliac fascia fat hernia?"
"It is indeed a very rare disease. I have never encountered it in so many years."
"Hey...otherwise, as doctors, we can never be complacent, because there are so many types of diseases, many of which you may have never heard of or seen in your life."
"As a doctor, you should always have the heart of an apprentice!"
"Hey!"
"No, no... wait!"
"What do I mean by my diagnosis?"
"what happened?"
When Zeng Hui saw Qin Xuehai like this, he was obviously stunned: "Huh?"
"What do you mean?"
"Director, please stop teasing me. I saw this from your medical record."
"Didn't you draw it?"
Qin Xuehai heard the sound and quickly took his notebook and medical records.
After looking through it, I was stunned!
The drawing on the back and the diagnostic ideas...
He didn't do any of this!
who did it?
Qin Xuehai thought about it carefully and suddenly his eyes widened. Could it be...that it was Xiao Chen? !
After all, apart from him, no one has the chance to come into contact with him, right?
The more he thought about it, the more Qin Xuehai felt that it was more likely.
He quickly took out his mobile phone and dialed Chen Gong:
"Xiao Chen, let me ask you a question. Answer it seriously."
"Did you touch my medical records and notebooks?"
"Oh...I'm not blaming you!"
"Just tell me if you are right."
"Yes?!"
"Good good!"
"awesome!"
"I'm telling you, your diagnosis is absolutely correct!"
"Good good!"
"Not bad, well done!"
"From now on, you can look through the things in my office at will. Well, my notes? You can read and even change the notes. If you feel that something is wrong or have other opinions, I will let you change it!"
"Laboratory, you have enough autonomy. You can use my seal to sign. I can directly authorize you to do this!"
"By the way, Xiao Chen, let me tell you something."
"You have recently been preparing for clinical practice. I think your training cannot just be on campus, you need to participate in clinical practice!"
"Also, there is an anatomy knowledge and skills competition right now. You happen to be in surgery during this time, so go around and participate in this competition!"
……
After Qin Xuehai hung up the phone, his heart was pounding and he couldn't calm down for a long time.
Looking at Zeng Hui with a smile:
"Hehehe!"
"Did you hear everything?"
"Xiao Chen, this guy Xiao Chen did it!"
"I went to the laboratory yesterday. I was originally going to consider Zhao Qiaoxian's situation, but I was called by Dean Yang to chat."
"This guy Xiao Chen went to the lab last night and wrote it out for me."
"Hehehe... This kid is really making me more and more confused!"
"He doesn't belong at school."
"Special talents require special training methods."
"People who have absolute physical sense cannot waste their talents."
"I now feel that maybe he can really participate in this anatomy knowledge and skills competition and win a prize!"
"Absolute body feeling, this is an absolute body feeling!"
"Tsk tsk..."
The more Qin Xuehai thought about it, the more excited he became, and the more he thought about it, the happier he became.
And Zeng Hui stood there, equally shocked.
Chen Gong!
He really didn't expect that Chen Gong could give an accurate diagnosis of Zhao Qiaoxian.
To know……
Chen Gong only had access to medical records.
Can you think of sacroiliac fascial fat hernia simply by relying on medical records?
This is simply shocking and unheard of!
so amazing……
It's so awesome!
Zeng Hui smiled bitterly: "I...I'm not as good as Xiao Chen!"
"Really are……"
"Hey!"
Zeng Hui couldn't help but shook his head, feeling a little bit more ashamed.
Qin Xuehai heard this and rolled his eyes at Zeng Hui: "How can you compare with Absolute Body Feeling?"
"This thing is all about talent!"
"Haven't you been seen by a good doctor?"
"I think this kid is a little worse than Chen Gong."
Zeng Hui frowned: "What's the difference?"
Qin Xuehai narrowed his eyes and smiled: "Chen Gong is even more abnormal than him!"
……
……
And this time!
Shanhe Medical University.
There are several banners hanging outside the building of the Basic Medical College.
“We warmly welcome project review experts to our school for guidance.”
“Warmly welcome Professor Xu Tong to our school for academic exchanges.”
"A warm welcome..."
Red banners were swaying in the air, as if today was a festive day.
Almost all the staff of the Biochemistry Teaching and Research Section were devoted to this work.
Students in the Student Union act as etiquette and tour guides.
Crowded!
Compared to the excitement and celebration outside.
But at this time, there was silence in the large conference room.
Yang Guangye stood in front, with "Exploration of Biochemical Indicators of Atherosclerosis through the Principle of Tricarboxyl Cycle" playing on the big screen behind him.
In the middle of the classroom, in the first row is the provincial expert review team headed by Xu Tong.
In the second row are some leaders of schools and colleges.
After all, Yang Guangye naturally became a star figure in the school after getting this subject.
The school leaders also attach great importance to this topic!
Behind them are the members of this project, as well as some experts and professors from the school and affiliated hospitals.
Everyone came to observe this meeting.
quickly!
Yang Guangye smiled and nodded slightly and bowed to everyone:
"Experts and professors, this concludes my report."
"We welcome your comments."
As soon as he finished speaking, the audience burst into applause, but it quickly became quiet. Everyone knew that today's protagonist was Xu Tong.
Although I just went through the final process politely.
but……
But it cannot be omitted.
At this time, Xu Tong glanced at Liu Rong beside him and said with a smile: "Professor Liu, will you come first?"
Liu Rong nodded. He is the deputy director of the Shanhe Provincial Institute of Biochemistry and the director of the laboratory department of the affiliated hospital.
He is also the director of the General Teaching and Research Office of Laboratory Medicine at the affiliated hospital.
It plays an important role in hospital biochemical testing and internal medicine diagnosis.
Liu Rong's status in the province is very high.
This time, I was naturally invited to participate in the final review of the project.
Liu Rong nodded, picked up the draft she had prepared, and said seriously:
"I have a simple question here."
"That's the innovative nature of the subject."
"In my opinion, this subject is suspected of cheating, because your experiment still involves the study of lipid metabolism on atherosclerosis."
"Lipid metabolism, low-density lipoprotein, these are related to atherosclerosis, but not enough!"
"I would like to ask Professor Yang to answer, what is your in-depth research?"
"Simple lipid metabolism cannot be regarded as the tricarboxyl cycle, right?"
"It would be somewhat disappointing if that were the case."
As expected, Liu Rong's question directly made the atmosphere on the scene soar.
Yang Guangye nodded: "I know exactly what Professor Liu means."
"We obviously did not simply analyze lipid metabolism, but also conducted a deeper study that included some other products in the tricarboxylic cycle."
"There is some relevant information in the basic information that can answer this..."
……
Liu Rong's question is neither difficult nor easy, and very appropriate.
This made the progress of the meeting advance a lot.
The other review experts who followed asked more or less questions and nodded one after another to express their congratulations and praise to Yang Guangye.
I have to say that this topic is indeed an excellent topic.
Yang Guangye is also very happy!
Now, it’s time to reach the final core figure, Professor Xu Tong.
Yang Guangye didn't care. After all, Xu Tong was a participant in the project, so he shouldn't ask too difficult questions or let the project get stuck.
At this moment, Xu Tong cleared his throat and said:
"I happen to have a problem here!"
"The basic knowledge and supporting materials are lacking!"
"I would like to ask, in your ongoing work, you have discovered mechanisms such as foam cell formation, lipid deposition, and inflammatory response, which can be used as new detection indicators to evaluate the risk of AS."
"However, I have not discovered the value of foam cells in the tricarboxyl cycle?"
"The formation of foam cells is the key point of this topic."
"How do you prove that there is a relationship between foam cells and the tricarboxyl cycle? Do you have any papers to support it?"
"And, where is the key point for foam cell formation?"
"How the mechanism occurs."
"This is your indicator. I don't think the level of proof is enough."
"Who can add to this statement?"
"So, I still have some concerns about this subject."
"I am also a participant in the project, but I cannot convince myself that it is indeed possible without foam cells, but it is not perfect."
"So, before this argument comes up, I think everyone needs to sit down and discuss it."
"Professor Yang, please explain this question."
As soon as these words came out, the scene immediately fell silent.
And the same!
Yang Guangye also looked serious.
He really didn't expect that Xu Tong would ask such a question at this juncture!
How is this going?
Xu Tong continued: "Of course, I discovered this problem temporarily."
"But, I think, it needs to be addressed."
"So I brought it up."
"If this issue cannot be resolved satisfactorily, I think the rating of this issue will be re-evaluated."
As soon as these words came out, the scene immediately fell silent.
Everyone knows the meaning of re-evaluation, which will lower the rating and reduce funding...
Xu Tong continued: "Actually, Professor Yang does not need to answer my question alone."
"Everyone in the research team, I want to hear your answers."
"Can we start now?"
……
ps: Thank you to the alliance leader "Wang Yihan" for your generous 10000 reward. Thank you.
Thanks to Brother "Military Blade" for the 5000 reward.
thank you all.
I have to be busy with bed these days, and I come back very late every day. Alas... I am also very tired.
But the good news is that my mother-in-law is here and I can take a break. I have been feeling a little uncomfortable with my heart these past few days.
Please forgive me.
I really want to update more. After all, the new book period is a period of growth. Alas... I have no choice! (No charge after ps)
(End of this chapter)
The next day.
7 am in the morning.
There is no need for an alarm clock to prompt him. Qin Xuehai's biological clock has been engraved into his bones.
Qin Xuehai's dormitory is very messy. Information, books, and models are everywhere. Outsiders will feel disgusted when they come in.
But he enjoyed it very much because he could find every file clearly.
Sitting on the bed, Qin Xuehai meditated for a quarter of an hour, which was a necessary part of his day.
Wake up every morning and clear your mind.
Then sort out recent things and arrange today's work.
For him, these 15 minutes are extremely precious, even equivalent to his daily schedule.
He brought the old socks up to his nose, smelled them, put them on his feet, and put on some decent clothes.
Qin Xuehai stood up and prepared to walk towards the cafeteria.
By the way...I'm going home today to pack a change of clothes.
I have to say that it is really great that Qin Xuehai's wife can accept this.
After all, this husband has been going home several times a week over the years and after going to school. When he comes back, he has to change out of his old clothes, shoes and socks.
However, Qin Xuehai's wife is very considerate of him and knows that her husband never has so much time to clean up, so she always prepares things decently.
Putting aside the aura of a professor, Qin Xuehai is not much different from most middle-aged men.
If your socks are torn, you will make do with them; if your clothes are dirty, cover them with a white coat and wear them for another day...
Chinese doctors have never been the epitome of respectability. Under the white coat, no one knows how many days they have been wearing it.
……
Qin Xuehai enjoys the feeling of school very much. He eats in the cafeteria, sleeps in the dormitory, and does experiments in the laboratory. It is also close to the hospital and he does not need to drive. Everything is very convenient.
but……
After buying breakfast, Qin Xuehai was about to go to work when he suddenly remembered that he had not had time to watch the case discussion last night.
Forget it, let’s talk about it after we go to the hospital!
There is a difficult case to discuss today.
After he got it back last night, he analyzed it according to the model, but the result was not very good.
Later, he was called by Yang Guangye to chat for a while. This chat wasted a lot of time and he lost two drinks.
So, I fell asleep when I came back to the dormitory...
Qin Xuehai sighed helplessly, he could no longer drink with this old guy.
While talking, Qin Xuehai arrived in the laboratory, packed his things and was about to leave, when he suddenly saw the door of the lounge swinging open.
He was stunned for a moment, and when he looked closer, he realized that Chen Gong was sleeping.
This kid...is doing experiments again?
It looked like he was busy until late.
After taking a look at the sleeping Chen Gong, Qin Xuehai was extremely satisfied.
To be honest, there are too few children who are so talented and willing to work so hard.
Qin Xuehai smiled and put the buns and soy milk he just bought on the table for Chen Gong.
This kid didn't know what time it was when he woke up. The cafeteria was probably closed.
Young people are growing up, so they can't do without breakfast.
Then, he took the materials and left the laboratory, flipping through them as he walked, thinking hard about the patient's situation.
Discussion of difficult cases is a common part of clinical departments.
Although this woman's disease does not seem serious, a buttock pain looks like nothing.
but……
Difficult cases are not just for complex and difficult diseases. In many cases, these are rarely seen clinically.
What is really common is the disease that does not seem serious, but cannot be accurately diagnosed and treated accurately.
Therefore, it would be very interesting to brainstorm, find breakthrough points, and then draw parallels.
While talking, Qin Xuehai had already arrived at the hospital, and happened to bump into Zeng Hui on the way, walking over with a cup of cake and a cup of soy milk in his hand.
"Morning, Director!"
Zeng Hui greeted Qin Xuehai with a smile.
"By the way, have you had breakfast?"
Qin Xuehai smiled when he heard the sound: "Oh, I haven't eaten yet."
Zeng Hui's face suddenly froze, good guy... I'm really just being polite.
Are you making things difficult for me like this?
Zeng Hui suddenly looked embarrassed. After a moment, he quickly said: "This is for you, Director, I'm not hungry!"
"I bought too much this morning."
Although he said this, Zeng Hui never improved the food by half.
When Qin Xuehai heard this, he immediately laughed heartily and patted Zeng Hui on the shoulder:
"This is too coincidental, isn't it?"
"Then you're welcome. I have surgery this morning. It's really uncomfortable to be hungry!"
While talking, Qin Xuehai took the cake from Zeng Hui's hand.
"Drink the soy milk."
"I'll just eat some."
"Ha ha……"
"Eat quickly, don't be shy."
Zeng Hui was completely dumbfounded, good guy...you don't understand the world at all, right?
Can't you see that I'm just being polite?
This...this...you really dare to take it!
Zeng Hui wanted to cry but had no tears.
He discovered that Director Qin had changed...
That's right!
Director Qin was not like this in the past. He was gentle, courteous and respectful...
How did that happen?
For some reason, Zeng Hui suddenly thought of someone...Chen Gong!
Yes, this kid has an abnormal aura all over his body.
He felt that Director Qin must have been infected by Chen Gong, otherwise...he would never be able to do such a thing as grabbing breakfast.
woo woo woo...
This is a luxurious cake with tenderloin, king of kings, and shredded potatoes that cost [-] yuan and [-] cents!
Just...just like that, it was snatched away.
After the two arrived at the office, Zeng Hui stopped pretending.
He drank soy milk, took out a box of biscuits from the drawer, and started eating without covering up.
He wanted to show Director Qin that he hadn't eaten either.
pity……
Qin Xuehai didn't look at his cookies at all.
Instead, he said: "Hey, my blood pressure has been a little unstable recently. Your sister-in-law won't let me eat something so salty. Why did you add so many things to it?"
"That's it, that's all, just eat it!"
Zeng Hui's mouth twitched, brother, just be a human being...
After dinner, it’s 07:30.
Both Zeng Hui and Qin Xuehai remained silent about breakfast.
This is cooperation, complementing each other, and a tacit understanding.
Zeng Hui then opened the difficult cases to discuss patient information. Last night, he checked information and consulted colleagues, and now he has a certain idea.
However, these ideas are still imperfect and require discussion.
"Director, what do you think of this case?" Zeng Hui couldn't help but ask.
Qin Xuehai was stunned for a moment...
To be honest, he actually planned to see it last night, but he didn't have time. On the way to the hospital this morning, he only took a rough look at it.
He didn't have a clear concept of the specific idea in his mind. He originally thought about it for a while and waited for everyone to discuss it, then he would think about it carefully.
Unexpectedly, Zeng Hui asked first.
Qin Xuehai thought for a moment and said seriously: "A very interesting case!"
"We have to start from a multidisciplinary perspective and seek a multi-faceted thinking on this disease."
"You can't limit your thinking to orthopedics..."
When Zeng Hui heard Qin Xuehai's words, he couldn't help but smile a little more in his eyes.
good guy...
The official cliches are here!
Is this okay?
As Qin Xuehai's old subordinate, Zeng Hui is very familiar with this leader.
When he said these words, he knew that the leader had not had time to see them.
Qin Xuehai noticed Zeng Hui's strange behavior, rolled his eyes at the other party, coughed, and was about to speak.
Suddenly the phone rang. After Qin Xuehai picked it up, he frowned: "Okay!"
"Oh……"
"Okay, I see, I'll go right away."
After hanging up the phone, Qin Xuehai said solemnly: "I won't be attending today's case discussion."
"A patient with a car accident came to the emergency department. He was very serious and needed surgery immediately."
"I have to go there."
Zeng Hui heard the sound and realized the seriousness of the matter, and nodded quickly: "Well, don't worry."
"I will be responsible for the case discussion."
Seeing Qin Xuehai quickly get up and leave, Zeng Hui picked up the notebook and medical records placed on the table, got up and walked towards the doctor's office.
The morning shift has not yet started, but the family members of patient Zhao Qiaoxian are already waiting at the door.
"Director Zeng, my wife...what happened to her?"
"I have been hospitalized for a week, and the situation has not improved at all, but has even worsened!"
"What's going on?"
"By the way, I saw Director Qin going out just now? Didn't he say that he wanted to organize experts to discuss my wife's situation?"
"what happened?"
Zhao Qiaoxian's husband is about 1.7 meters tall, but very thin, weighing over [-] pounds at most.
Standing together with Zhao Qiaoxian, it can be said that he and Zhao Qiaoxian formed a sharp contrast.
Zeng Hui saw that the man was obviously a little anxious and quickly explained:
"do not worry!"
"We will definitely deal with your wife's problem seriously and responsibly. You don't have to worry about this."
"As for Director Qin, there is an emergency operation that needs to be handled."
"We will also discuss your wife's case as scheduled."
Zeng Hui's patient explanation did not alleviate the other party's doubts much.
"Is this...this...ok?"
"Hey……"
Zeng Hui couldn't help but sigh when he saw the other person's eyes and appearance. In fact, he didn't blame the patient for his distrust of them.
It's just because they didn't do it well!
But, then again, there are all kinds of diseases in clinical practice, and doctors are not omnipotent!
Unfortunately, patients won’t listen to your explanation.
Zeng Hui looked at the other party and said seriously: "Let's do this, we will have a detailed discussion on your wife's problem."
"If we are not sure, or we still can't find the reason."
"We will let you know. If you have other ideas, you can also communicate with us, okay?"
When the man heard the sound, he couldn't help but sigh, shook his head, stood up and left.
……
Zeng Hui looked at the other person's back, couldn't help but sigh, shook his head, and entered the doctor's office, ready to start handover.
Everyone seemed to be in a bad mood when they saw Director Zeng, and they were also a little worried.
Zeng Hui does have some doubts. Zeng Hui is good at surgery, bone and joint surgery, and he can be said to be the best in the hospital.
Joint replacement surgery can be said to be the top level in the province.
Even Qin Xuehai felt ashamed.
However, when it comes to diagnosis, he admits that he is by no means the best.
Therefore, he was also a little worried about Zhao Qiaoxian's condition, because he had examined this patient many times and formulated several treatment plans.
But as a week passed, there was still no positive feedback.
How is this good?
The shift was handed over as usual, and Zeng Hui remained silent. He was still thinking about Zhao Qiaoxian's situation.
At this time, the doctor on duty suddenly said:
"Last night, Zhao Qiaoxian in bed 67 had a breakdown. The pain in his buttocks worsened last night. He couldn't sleep and was anxious."
"After consulting the pain department, we did not get an effective plan. After a short period of pain relief treatment, the effect was average, ruling out the possibility of neuralgia."
"Last night, I also verbally abused the nurse on duty..."
The words of the doctor on duty made Zeng Hui frown slightly.
He nodded: "Well, okay, let's end the shift change here!"
"Everyone is now ready to discuss Zhao Qiaoxian's case."
"Everyone expresses his or her own opinion, and every doctor puts forward his or her own ideas."
After hearing Zeng Hui's words, the nurses left the office one after another, leaving all the doctors, the doctor on duty and several doctors or directors who had been in charge of Zhao Qiaoxian in shifts, shaking their heads and sighing slightly.
Soon, the discussion began.
"I think gynecological diseases can be properly considered."
"I recently checked and found that pain in the lumbosacral and buttock areas can be related to scar adhesions and pelvic congestion caused by chronic pelvic inflammation.
The occurrence and development of this disease can cause lower abdominal distension, pain and lumbosacral soreness.It is often aggravated after fatigue, sexual intercourse and before and after menstruation. "
"So, I suggest inviting a gynecologist to investigate this possibility."
The first person to speak was the team leader of the joint department and chief physician Chen Min.
His idea is very constructive.
Because the patient did have a history of gynecological diseases before.
At this time, the doctor on duty last night shook his head:
"I think chronic pelvic inflammatory disease is unlikely, although chronic pelvic inflammatory disease can indeed cause lower abdominal distension, pain and lumbosacral soreness."
“However, the systemic symptoms of chronic pelvic inflammatory disease are sometimes low-grade fever and susceptibility to fatigue.
Moreover, chronic inflammation leads to pelvic congestion, menorrhagia, and menstrual irregularities when ovarian function is damaged. "
"It doesn't seem like patients are noticing this recently."
"Before hospitalization, the patient also underwent gynecological diagnosis and treatment because of a chocolate cyst, and no abnormalities were found."
"I think gynecology has certain authority in the diagnosis and treatment of chronic pelvic inflammatory disease."
After the doctor on duty said what he said, Zeng Hui nodded: "Well, we can take it into consideration. What else do you think?"
After Zeng Hui finished speaking, he continued to open the medical records and notes, trying to find some special clues.
But...it seems that there is no good harvest.
At this time, he suddenly saw Qin Xuehai's notes, and after some hesitation...
Qin Xuehai did not flip through it, but opened the medical record in Director Qin's hand.
Right now!
The discussion in the ward was in full swing and even reached a fever pitch.
Zeng Hui sat aside and remained silent.
Because...at this time, he didn't have a clear idea in his heart.
If he were from Director Qin's perspective, how would he diagnose this patient?
Zeng Hui admired Qin Xuehai very much.
In Zeng Hui's eyes, Director Qin is definitely a typical hexagonal warrior.
Scientific research, clinical practice, experiments, skills, diagnosis, surgery...
Everything is fine!
So, who is Director Qin, how will he diagnose?
Zeng Hui tried to calm down and kept his mind as clear as possible.
He continued to look through the case records.
suddenly……
As he continued to look through the cases, Zeng Hui was quickly attracted by the last few drawings.
At the end of the case, there is a huge human figure drawn.
I can see...
"Director Qin" probably wanted to draw the patient's body structure, but... the drawing was also very vivid.
He continued to look down...
"Hip hurts!"
"Analyze by location..."
"It is mainly characterized by pain in the lumbosacral or lower waist on the affected side, and is accompanied by swelling and discomfort in the popliteal fossa."
At this time, there is an extra line in the picture, connecting from the popliteal fossa to the lumbosacral area.
However, it does not extend around the lumbosacral nerves...
This picture gave Zeng Hui some more ideas, and he suddenly had certain ideas in his mind.
read on...
"Pain characteristics: mostly swelling, soreness and dull pain."
Seeing this, Zeng Hui was able to think independently. In this way, could he eliminate symptoms such as lightning pain, labor pain... etc.
"an examination……"
Imaging examination should be able to rule out lesions in the bone and sacroiliac joint areas, and there should be no changes in the intervertebral disc...
So where should you think about it?
At this moment……
He suddenly saw something and thought of something, and quickly turned the medical records forward.
Sure enough, at this time, Zeng Hui suddenly saw the patient's physical examination.
“Swelled lymph nodes are palpable deep in the subcutaneous tissue of the sacroiliac region!”
This sentence was drawn over and over again four or five times.
Could it be related to this?
at this time……
Zeng Hui quickly turned back the page, and suddenly...
The scene in front of him almost made him stand up in excitement.
This is a diagram of the organization and structure of the hip region of the sacroiliac joint.
The tissue structure of the patient's buttocks is clearly drawn above, including bones, nerves, joints, muscles...
But, most importantly, there is a scene where the fascia is destroyed and a mass of material gets stuck between the sacroiliac fascia.
This is……
Suddenly, Zeng Hui saw a line of words...
“Sacroiliac fascia fat hernia!”
It turned out to be this!
Zeng Hui looked at the results and called him an expert!
The popliteal fossa is swollen, venous return is affected, and varicose veins of the lower limbs are possible!
This results in mechanical limitation of knee extension and knee flexion, mild pain, and obvious tension and swelling.
It is mainly characterized by pain in the lumbosacral or lower waist on the affected side, mostly distended, sore and dull pain, which is generally not serious but affects walking.
It is also accompanied by significant lymph nodes in the lumbosacral region.
……
Clues one by one, directly list the patient's situation, with reasonable evidence!
After Zeng Hui read it, he was very excited!
Sure enough, it had to be Director Qin.
The gap between me and Director Qin is still so big.
He had no idea how many specialized skills it would take to master this level of diagnosis.
However, he knew very well that his current level alone was definitely not enough.
Director Qin's ability to achieve such results is absolutely due to the accumulation of rich basic anatomical knowledge, rich clinical experience, and unique diagnosis and treatment ideas and characteristics.
It's really amazing!
At this time, the office had reached a stalemate.
Several groups expressed their own opinions, and it was difficult to get a unified answer.
At this moment……
Zeng Hui knew that it was his turn!
Zeng Hui coughed, cleared his throat, and signaled to everyone: I'm going to start showing off!
Sure enough, as Zeng Hui's voice sounded, everyone fell silent.
Everyone looked at Zeng Hui, a little curious, wondering what Director Zeng would think?
In fact, not everyone has expectations for Zeng Hui.
Because Zeng Hui became the director of the Department of Orthopedics and Joints when he was only in his early 40s, many senior people naturally had some opinions.
They are all directors with extensive clinical experience and now serve as team leaders.
It is undeniable that Zeng Hui's surgery was absolutely flawless.
However, because of his youth, Zeng Hui's diagnostic skills were obviously not as good as those of some of the experts among them.
They also wanted to see what Zeng Hui thought.Zeng Hui was full of confidence at this time!
After getting Director Qin's "answer", he said: "After listening to everyone's opinions and thoughts just now, I think... it is very meaningful."
“It’s good not to stick to orthopedic diagnosis and treatment ideas, but to combine multidisciplinary judgment methods.”
"I also have an idea here that you can refer to."
Although Zeng Hui felt that the probability of his diagnosis being successful was very high.
but……
But he still chose a humble way of speaking.
He knew very well that many old directors in the department did not trust him enough.
The operation of the department cannot be separated from the support of these veteran experts. Zeng Hui will choose an appropriate method for the healthy operation of the department.
A department or a hospital does not only have the director, but also the chief physician and deputy chief physician who are the backbone.
Their existence is the reservoir of the hospital.
In fact, this is also the reason why medical bugs can never be thorough.
Because the country and the people cannot lack these people.
Choosing to take action against pharmaceutical companies will make those medical tigers afraid.
But for those ordinary chief physicians, deputy chief physicians, attending physicians, and chief surgeons, there are some difficulties.
Because we can’t live without it!
This is a helpless situation.
……
Zeng Hui continued:
"As for Zhao Qiaoxian's condition, I think it is a surgical disease."
"Lumbosacral fat hernia!"
"First of all, the patient has the predisposition factors for this disease, which is that he is overweight, has a high fat content, and is sedentary for a long time."
"Secondly, it is characterized by pain in the lumbosacral or lower waist on the affected side, which is mostly swelling, soreness and dull pain. It is generally not serious but affects walking."
"The popliteal fossa of the lower limbs is swollen, and there are early symptoms of varicose veins..."
“These all fit the bill.”
"On top of that, there was what looked like a swollen lymph node in the lumbosacral area."
"I suggest you do a color ultrasound to check the situation first, and then invite a surgeon for consultation."
"Director Yang, Director Li, what do you think?"
After Zeng Hui finished speaking, he specifically asked the two old directors for their opinions.
When the two heard the sound, their expressions suddenly became serious.
They were also shocked by Zeng Hui's idea and answer.
They thought quickly in their minds, and after a moment, the two looked at each other:
"I think what Director Zeng said makes sense!"
"Indeed, I support this decision."
Zeng Hui heard the sound, nodded and said: "Okay!"
"Then it's decided."
"Xiao Yang, go and perform a color ultrasound on the patient and invite a surgical consultation."
After hearing this, the doctor in charge nodded quickly and began to get busy.
And everyone looked at Zeng Hui with a little more certainty in their eyes.
It is not easy to be a good department director. Zeng Hui is still at the stage of convincing the public.
Not only in terms of surgery, but also in terms of comprehensive ability and professional ability, everyone must be recognized.
It's hard!
However, this is also the way a director should be promoted.
At least, you don't get to the top just by relying on connections.
……
……
Soon, Zhao Qiaoxian’s color ultrasound results came out.
The patient indeed had a lumbosacral fat hernia!
The fat tissue in the lumbosacral region has been embedded in the sacroiliac fascia.
Under normal circumstances, the contents of the hernia can enter the hernia sac through the hernia ring under the action of internal pressure, and can be returned to their original position by themselves (or through external force).
When various reasons (such as friction, adhesion, etc.) make the contents of a reducible hernia suddenly unable to be returned and the local mass increases, it indicates that it is complicated by incarceration. This is called an incarcerated hernia. In severe cases, it can lead to incarceration. Blood necrosis.
And Zhao Qiaoxian’s weight is too big!
The daily pressure makes the patient's embedding more obvious, and even seriously hinders venous return, causing swelling.
If allowed to develop like this, it may actually lead to ischemic necrosis of the tissue.
When the surgical consultant saw this case, he was shocked!
"Dr. Yang, this situation is really rare!"
"Sacroiliac fascia fat hernia caused by adipose tissue is really rare clinically."
"We in the surgery department may not be able to encounter one, but you have found it, and the key is that it can be diagnosed."
"Really amazing!"
Dr. Xiao Yang naturally did not dare to take credit and quickly explained: "This is what our Director Zeng diagnosed."
As he spoke, Xiao Yang felt his face light up.
We can diagnose diseases that your surgery cannot diagnose, isn’t it amazing!
After Zhao Qiaoxian's family learned the specific cause of the disease, they were excited to find Zeng Hui and were extremely grateful.
Zeng Hui blushed when he saw everyone's performance.
to be frank……
He doesn’t dare to take credit!
But... I have to say, this feels really good.
These are all the work of Director Qin.
Wait until after ten o'clock in the morning.
Qin Xuehai came back tiredly. He glanced at Zeng Hui and asked quickly:
"How's it going? Have you finished discussing the case?"
"what's the situation?"
Zeng Hui smiled and quickly asked Director Qin to sit down, and took the initiative to pour a glass of hot water: "Director, this...hehe, thank you so much."
"You helped me gain a foothold today!"
When Qin Xuehai heard this, he frowned: "Ah? What do you mean?"
Seeing this, Zeng Hui smiled: "Okay, stop pretending, I've seen it all!"
"Moreover, Zhao Qiaoxian's situation is exactly the same as what you said!"
"It's really amazing."
"I never thought it was a fat hernia."
"Hey, with so many clinical diseases, this is the first time I've seen this rare fat hernia."
"By the way, Director Qin, how did you come up with this idea?"
Qin Xuehai was fooled by Zeng Hui's words!
"what?"
"Sacroiliac fascia fat hernia?"
"It is indeed a very rare disease. I have never encountered it in so many years."
"Hey...otherwise, as doctors, we can never be complacent, because there are so many types of diseases, many of which you may have never heard of or seen in your life."
"As a doctor, you should always have the heart of an apprentice!"
"Hey!"
"No, no... wait!"
"What do I mean by my diagnosis?"
"what happened?"
When Zeng Hui saw Qin Xuehai like this, he was obviously stunned: "Huh?"
"What do you mean?"
"Director, please stop teasing me. I saw this from your medical record."
"Didn't you draw it?"
Qin Xuehai heard the sound and quickly took his notebook and medical records.
After looking through it, I was stunned!
The drawing on the back and the diagnostic ideas...
He didn't do any of this!
who did it?
Qin Xuehai thought about it carefully and suddenly his eyes widened. Could it be...that it was Xiao Chen? !
After all, apart from him, no one has the chance to come into contact with him, right?
The more he thought about it, the more Qin Xuehai felt that it was more likely.
He quickly took out his mobile phone and dialed Chen Gong:
"Xiao Chen, let me ask you a question. Answer it seriously."
"Did you touch my medical records and notebooks?"
"Oh...I'm not blaming you!"
"Just tell me if you are right."
"Yes?!"
"Good good!"
"awesome!"
"I'm telling you, your diagnosis is absolutely correct!"
"Good good!"
"Not bad, well done!"
"From now on, you can look through the things in my office at will. Well, my notes? You can read and even change the notes. If you feel that something is wrong or have other opinions, I will let you change it!"
"Laboratory, you have enough autonomy. You can use my seal to sign. I can directly authorize you to do this!"
"By the way, Xiao Chen, let me tell you something."
"You have recently been preparing for clinical practice. I think your training cannot just be on campus, you need to participate in clinical practice!"
"Also, there is an anatomy knowledge and skills competition right now. You happen to be in surgery during this time, so go around and participate in this competition!"
……
After Qin Xuehai hung up the phone, his heart was pounding and he couldn't calm down for a long time.
Looking at Zeng Hui with a smile:
"Hehehe!"
"Did you hear everything?"
"Xiao Chen, this guy Xiao Chen did it!"
"I went to the laboratory yesterday. I was originally going to consider Zhao Qiaoxian's situation, but I was called by Dean Yang to chat."
"This guy Xiao Chen went to the lab last night and wrote it out for me."
"Hehehe... This kid is really making me more and more confused!"
"He doesn't belong at school."
"Special talents require special training methods."
"People who have absolute physical sense cannot waste their talents."
"I now feel that maybe he can really participate in this anatomy knowledge and skills competition and win a prize!"
"Absolute body feeling, this is an absolute body feeling!"
"Tsk tsk..."
The more Qin Xuehai thought about it, the more excited he became, and the more he thought about it, the happier he became.
And Zeng Hui stood there, equally shocked.
Chen Gong!
He really didn't expect that Chen Gong could give an accurate diagnosis of Zhao Qiaoxian.
To know……
Chen Gong only had access to medical records.
Can you think of sacroiliac fascial fat hernia simply by relying on medical records?
This is simply shocking and unheard of!
so amazing……
It's so awesome!
Zeng Hui smiled bitterly: "I...I'm not as good as Xiao Chen!"
"Really are……"
"Hey!"
Zeng Hui couldn't help but shook his head, feeling a little bit more ashamed.
Qin Xuehai heard this and rolled his eyes at Zeng Hui: "How can you compare with Absolute Body Feeling?"
"This thing is all about talent!"
"Haven't you been seen by a good doctor?"
"I think this kid is a little worse than Chen Gong."
Zeng Hui frowned: "What's the difference?"
Qin Xuehai narrowed his eyes and smiled: "Chen Gong is even more abnormal than him!"
……
……
And this time!
Shanhe Medical University.
There are several banners hanging outside the building of the Basic Medical College.
“We warmly welcome project review experts to our school for guidance.”
“Warmly welcome Professor Xu Tong to our school for academic exchanges.”
"A warm welcome..."
Red banners were swaying in the air, as if today was a festive day.
Almost all the staff of the Biochemistry Teaching and Research Section were devoted to this work.
Students in the Student Union act as etiquette and tour guides.
Crowded!
Compared to the excitement and celebration outside.
But at this time, there was silence in the large conference room.
Yang Guangye stood in front, with "Exploration of Biochemical Indicators of Atherosclerosis through the Principle of Tricarboxyl Cycle" playing on the big screen behind him.
In the middle of the classroom, in the first row is the provincial expert review team headed by Xu Tong.
In the second row are some leaders of schools and colleges.
After all, Yang Guangye naturally became a star figure in the school after getting this subject.
The school leaders also attach great importance to this topic!
Behind them are the members of this project, as well as some experts and professors from the school and affiliated hospitals.
Everyone came to observe this meeting.
quickly!
Yang Guangye smiled and nodded slightly and bowed to everyone:
"Experts and professors, this concludes my report."
"We welcome your comments."
As soon as he finished speaking, the audience burst into applause, but it quickly became quiet. Everyone knew that today's protagonist was Xu Tong.
Although I just went through the final process politely.
but……
But it cannot be omitted.
At this time, Xu Tong glanced at Liu Rong beside him and said with a smile: "Professor Liu, will you come first?"
Liu Rong nodded. He is the deputy director of the Shanhe Provincial Institute of Biochemistry and the director of the laboratory department of the affiliated hospital.
He is also the director of the General Teaching and Research Office of Laboratory Medicine at the affiliated hospital.
It plays an important role in hospital biochemical testing and internal medicine diagnosis.
Liu Rong's status in the province is very high.
This time, I was naturally invited to participate in the final review of the project.
Liu Rong nodded, picked up the draft she had prepared, and said seriously:
"I have a simple question here."
"That's the innovative nature of the subject."
"In my opinion, this subject is suspected of cheating, because your experiment still involves the study of lipid metabolism on atherosclerosis."
"Lipid metabolism, low-density lipoprotein, these are related to atherosclerosis, but not enough!"
"I would like to ask Professor Yang to answer, what is your in-depth research?"
"Simple lipid metabolism cannot be regarded as the tricarboxyl cycle, right?"
"It would be somewhat disappointing if that were the case."
As expected, Liu Rong's question directly made the atmosphere on the scene soar.
Yang Guangye nodded: "I know exactly what Professor Liu means."
"We obviously did not simply analyze lipid metabolism, but also conducted a deeper study that included some other products in the tricarboxylic cycle."
"There is some relevant information in the basic information that can answer this..."
……
Liu Rong's question is neither difficult nor easy, and very appropriate.
This made the progress of the meeting advance a lot.
The other review experts who followed asked more or less questions and nodded one after another to express their congratulations and praise to Yang Guangye.
I have to say that this topic is indeed an excellent topic.
Yang Guangye is also very happy!
Now, it’s time to reach the final core figure, Professor Xu Tong.
Yang Guangye didn't care. After all, Xu Tong was a participant in the project, so he shouldn't ask too difficult questions or let the project get stuck.
At this moment, Xu Tong cleared his throat and said:
"I happen to have a problem here!"
"The basic knowledge and supporting materials are lacking!"
"I would like to ask, in your ongoing work, you have discovered mechanisms such as foam cell formation, lipid deposition, and inflammatory response, which can be used as new detection indicators to evaluate the risk of AS."
"However, I have not discovered the value of foam cells in the tricarboxyl cycle?"
"The formation of foam cells is the key point of this topic."
"How do you prove that there is a relationship between foam cells and the tricarboxyl cycle? Do you have any papers to support it?"
"And, where is the key point for foam cell formation?"
"How the mechanism occurs."
"This is your indicator. I don't think the level of proof is enough."
"Who can add to this statement?"
"So, I still have some concerns about this subject."
"I am also a participant in the project, but I cannot convince myself that it is indeed possible without foam cells, but it is not perfect."
"So, before this argument comes up, I think everyone needs to sit down and discuss it."
"Professor Yang, please explain this question."
As soon as these words came out, the scene immediately fell silent.
And the same!
Yang Guangye also looked serious.
He really didn't expect that Xu Tong would ask such a question at this juncture!
How is this going?
Xu Tong continued: "Of course, I discovered this problem temporarily."
"But, I think, it needs to be addressed."
"So I brought it up."
"If this issue cannot be resolved satisfactorily, I think the rating of this issue will be re-evaluated."
As soon as these words came out, the scene immediately fell silent.
Everyone knows the meaning of re-evaluation, which will lower the rating and reduce funding...
Xu Tong continued: "Actually, Professor Yang does not need to answer my question alone."
"Everyone in the research team, I want to hear your answers."
"Can we start now?"
……
ps: Thank you to the alliance leader "Wang Yihan" for your generous 10000 reward. Thank you.
Thanks to Brother "Military Blade" for the 5000 reward.
thank you all.
I have to be busy with bed these days, and I come back very late every day. Alas... I am also very tired.
But the good news is that my mother-in-law is here and I can take a break. I have been feeling a little uncomfortable with my heart these past few days.
Please forgive me.
I really want to update more. After all, the new book period is a period of growth. Alas... I have no choice! (No charge after ps)
(End of this chapter)
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