This Doctor is Great

Next,

Indication Zhouquan began to perform a physical examination on the patient.

Liver surgery naturally has liver surgery examination methods, but Zhou Mo is not that professional.

It took more than 4 minutes in total to attend to the comprehensive treatment, and I was more careful.

"Show me liver function, B-ultrasound, CT..."

Zhou Mo handed it over...

"Why is there no B-ultrasound? Why is there only CT?" Zhou Quan asked a little dissatisfied. If his students were so sloppy, he would scold him directly.

"I did the B-ultrasound, but I don't have a certificate, so I can't get the diagnosis result..." Zhou Mo said.

"Ah? Do you know B-ultrasound?"

Now, attending Zhou Quan couldn't help but look back at Zhou Mo, his face full of surprise.

B-ultrasound is very practical, but it is not necessarily how many doctors in each department know it, which shows its difficulty.

Now,

Attending Zhou Quan looked at Zhou Mo's eyes, not so contemptuous anymore.

In the profession of a doctor, regardless of age, strong strength can always win respect.

Teacher Zhou Quan carefully read the CT results, and finally nodded: "It's true that the gallbladder stone is right, it should be removed..."

In one sentence, 'one size fits all'!

Zhou Mo frowned.

Is it so sloppy?

Without evaluating the function of the gallbladder, should we consider protecting the gallbladder or not?

Could it be that this Doctor Zhou Quan belongs to the 'one size fits all' genre?

The attending doctor Zhou Quan said to Zhou Mo, "This patient should be transferred to hepatobiliary surgery..."

Zhou Mo thought for a while and said, "I'll contact the superior doctor now."

Indication Zhouquan nodded: "Then I'll go back to the department first. After you complete the formalities, call me and let me know, and I'll come up to pick up the patient..."

Zhou Mo nodded: "Okay."

Indication Zhouquan thought for a while: "Forget it, I'm here to help..."

Zhou Mo was surprised: "Ah?"

I feel that this teacher Zhou Quan seems to be a little too enthusiastic.

Why?

What Zhou Mo didn't know was that attending Zhouquan also had his own thoughts. He felt that today was a lucky day. Cases such as "gall-heart syndrome" were still rare, so he could write a paper.

Once it is cut out, the patient is cured, the case is complete, and the paper comes out.

He is now the principal and will be promoted to deputy director soon, but he still lacks papers.

No, here comes the thesis.

As for whether to bring Zhou Mo?

Then definitely don't bring your own papers, and you have to share them with others?

To be exclusive!

……

at this time,

On the other hand, Huang Yiming has already started to look through the hospital's case database, looking for the cases of gallbladder syndrome, and wrote the beginning of the thesis "Clinical Diagnosis and Treatment Thinking of Biliary Heart Syndrome", but because he is not familiar enough, he wrote it one by one. .

……

soon,

Zhou Mo came to Mr. Huang Li and explained the situation of the 36-bed patient.

Mr. Huang Li gave the patient a physical examination, then read the cardiac examinations such as myocardial enzymes, electrocardiogram, dynamic electrocardiogram, B-ultrasound report, etc., and finally nodded.

"I can't see any problem with the heart at the moment, so let's first treat it according to "gallbladder syndrome"... Let's go to hepatobiliary surgery..."

"Okay, I'll go through the transfer procedures."

The hospital has a complete transfer system.

After confirming that the department needs to be transferred, Zhou Mo will issue a doctor's order for the patient to be transferred, and improve the housing in the undergraduate room.

Hospital medical records.

At the same time, it is necessary to explain the purpose and significance of the transfer to the patient or family member, and obtain the patient and family members.

The family's consent.

As for other procedures, nurses handle it.

Mr. Huang Li glanced at Mr. Zhou Quan who was standing next to him: "Doctor Zhou, you can go back. After the formalities are completed, the patient will be sent out."

Zhou Quan smiled: "No hurry, anyway, I'm idle now, I'll just take the patient down."

How talented Mr. Huang Li is, he understands in seconds.

Doctor Who is not busy?

Are you still idle or idle?

Ha ha,

See if I believe it or not.

It must be profitable to stay here this week.

Huang Li understood that Zhou Quan wanted to write a thesis this week, and did not want this special patient to be taken away by other doctors in the hepatobiliary surgery.

Teacher Huang Li smiled: "Then you are busy first..."

Leaving the clinic.

Zhou Mo was beside him, secretly observing this 'confrontation', as if he had realized something.

"No wonder, Teacher Zhou Quan is going to stay here this week. At first I thought he was caring about the patient, but now it seems..."

"I'm naive!"

Zhou Mo felt himself rise again.

Next, Zhou Mo communicated with the patient Liu Mo first, talking about the transfer to the department, and the patient Liu Tao quickly agreed.

Before leaving, Liu Tao couldn't help but feel uneasy and asked Zhou Mo:

"Dr. Zhou... I think you are a good person. I want to ask a question..."

"What's wrong?"

"Do I have to have my gallbladder removed for this disease?" Liu Tao said with a little embarrassment.

Zhou Mo was stunned for a moment.

He didn't know a straight answer to this question for a while.

Cutting the gallbladder is not a trivial matter. After all, the gallbladder is not an organ that is useless after adulthood. The gallbladder still plays a big role.

What are the consequences of not having a gallbladder organ?

After the gallbladder is removed, there is no place to store bile, so it is impossible to regularly discharge bile after eating food, and food cannot be digested by bile, which can easily cause indigestion!

By extension, that is, try not to eat greasy, cold, spicy, indigestible food...

Otherwise, it is easy to have diarrhea!

These are not all side effects. The gallbladder is an important immune organ and cannot be replaced.

Anyway,

Try not to cut it if you can!

Guarding the gallbladder is very important!

However, the problem of the patient's gallbladder syndrome must be solved. Because I am afraid of heart disease in the long run, it will be more troublesome than cutting the gallbladder.

"Doctor Zhou?"

"Ok……"

Zhou Mo looked at the anxious patient Liu Mo in front of him, and couldn't help but feel sympathy overflowing in his heart.

He glanced at Dr. Zhou Quan at the nurse's station, several meters away.

Zhou Mo said to Liu Mo: "Otherwise, I will report the situation to the director and see the director's arrangement..."

Zhou Mo only said half of it, but didn't say the other half - MDT.

Multidisciplinary diagnosis and treatment model.

In the case of patient Liu Mo,

Doctor Zhou Quan of the Hepatobiliary Surgery, based on Zhou Mo's understanding of him just now, would most likely cut the patient's gallbladder directly. It was simple and straightforward, and he could even dominate the patient and write papers.

But from the point of view of gastroenterology, the patient's gallbladder is not too painful, maybe it is not serious, maybe it can be treated conservatively with medical drugs.

Or the 'Ball-Protecting Sect' would also support gallbladder-protecting and taking stones, rather than one-size-fits-all.

Then from the perspective of cardiology, if the gallbladder is not repaired, it will cause certain damage to the heart.

Perhaps the best way is to conduct three consultations in the Department of Hepatobiliary Surgery, Department of Gastroenterology, and Department of Cardiology, analyze the pros and cons, and finally let the patient decide whether it is necessary or not.

Only then did Zhou Mo realize that it seemed a bit hasty to invite the hepatobiliary surgery department for consultation.

I should ask the gastroenterology department for consultation first~www.readwn.com~ I have a headache!

"Thank you Doctor Zhou!!" The patient Liu Mo didn't know what Zhou Mo was thinking, but he still thanked Zhou Mo for his help!

"Well, I'm calling now..."

Zhou Mo returned to the duty room, found a corner, picked up his mobile phone and called Teacher Niu.

Connect.

"Xiao Mo, what's wrong?"

"Teacher, it's like this, there is something I want to ask your opinion..."

Zhou Mo explained the situation of Liu Mo, the patient.

Director Niu was silent for a while, and finally asked: "Do you think it is possible that the patient does not need to have the gallbladder removed?"

Zhou Mo: "I don't know, after all, I'm not very familiar with gastroenterology... But the patient's symptoms of gallstones are not very obvious, maybe it's not the stage of gallbladder removal..."

Director Niu said with a hearty smile: "I'm very happy that you can think so much about the patient... Since you think the three-disciplinary consultation is best, then I will call the MDT working group and ask them to take the lead... You submit the information first. Give it to me, I'll get it... You don't need to say about the patient, because even if you have to do surgery, you have to fast on an empty stomach during the perioperative period, and the operation is not so fast, at least tomorrow..."

"Teacher, will this make it difficult for hepatobiliary surgery to step down?"

"Don't be afraid, we don't need to take action on this matter. Several young deputy directors of the Department of Gastroenterology have always opposed the 'one-size-fits-all' approach to the gallbladder. The faction is in dispute...they are fighting, what does it have to do with us..." Director Niu chuckled.

Zhou Mo was madly sweating.

Unexpectedly, the teacher is also an old yin... No, he is both intelligent and brave! !

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