Chapter 40 Four-department consultation

At this time, the door of the emergency room was pushed open, and doctors from the three top departments finally came over.
Zhou Can turned around and couldn't help but exclaimed, "This lineup is really luxurious. Director Tan of the Department of Internal Medicine arrived with three doctors. One of them is the top ace of neurology - Yin Hua, chief physician of neurology, who has published many important papers in core journals. He is known as the gold medal expert in neurology and plays a pivotal role in the field of neurology in China."
I was even able to sit down and discuss with famous neurologists from the Imperial Capital Renhe Hospital.
Even Director Tan of the Internal Medicine Department had to show some respect to him.
The other two were a neurologist in his 37s or 38s, a chief physician. He had an elegant temperament and a graceful demeanor in his every move. The other was Gao Jian, who was only 27 or 28 years old.
It has to be said that having outstanding academic qualifications is popular.
Gao Jian was selected into the internal medicine department, and the next day he was taken by Director Tan to the emergency department to attend an important consultation.
This undoubtedly sends an important signal to everyone that the Department of Internal Medicine is ready to focus on cultivating high-level experts .
This kind of treatment is truly enviable.
As soon as Gao Jian entered the emergency room, he glanced at everyone and his eyes naturally fell on Zhou Can.
Others don't know Zhou Can's strength, but Gao Jian regards him as his lifelong rival.
After Director Tan came in with three doctors from the internal medicine department, Director Xie from the surgery department also came in with two doctors.
The short and sturdy old man, although he is not good-looking, is the mountain-level leader of neurosurgery - Wu Baihe. Known as the top scalpel walking on nerves, he has been in charge of neurosurgery for many years and dominates the field of neurosurgery in China.
It is no exaggeration to say that most of the achievements of the neurosurgery department of Tuya Hospital were made by him.
He has personally cured no less than a hundred extremely difficult cases.
Patients from megacities such as the Imperial Capital and the Magic Capital flock to seek medical treatment.
Following behind Wu Baihe was the overseas returnee doctor Du Leng.
Tuya's entire surgery department has not made much progress in the academic field, which has always been a pain point for the department. As soon as Du Leng was recruited, Wu Baihe was asked to teach him personally. It seems that they are preparing to make Du Leng a banner of the department.
At least it can make surgery look less 'vulgar'.
Following the surgery department came Zhang Bihua and Yang Chan from the obstetrics and gynecology department.
Although there were only two people in the obstetrics and gynecology department, and one was just to make up the numbers, Director Zhang Bihua's ability was enough to replace several chief physicians. She was one of the few chief physicians who had made achievements in both medical skills and academics.
As her apprentice, Yang Chan also attracted much attention because of her own superb looks.
"Director Lou, please introduce the patient's condition to everyone!"
Director Xie said bluntly.
Sometimes a department is like a country. Whoever is stronger has more say.
The emergency department is weak, has poor ability to attract money, and has poor academic achievements, so it is naturally looked down upon by other departments.
This contempt will be directly reflected in unequal dialogue.
For example, Director Xie used this semi-commanding tone to ask Director Lou to make an introduction in front of everyone.
Even the word "please" was omitted.
If it were Director Tan from the Department of Internal Medicine, would he dare to be so rude?
"I am the first doctor who treated this patient. Let me introduce the situation to you all!"
Deputy Director Han took the initiative to step forward at this critical moment.
He will make the introduction on behalf of Director Lou.
This will also maintain the reputation of the department.
What does it look like when the top leader is ordered around by other department heads?
The emergency department showed particular unity when facing bullying from other departments.
"The pregnant woman is 36 years old and this is her first pregnancy..."
Deputy Director Han gave a brief introduction to the pregnant woman's condition.
Some of the important information was supplemented by Zhou Can through in-depth conversations with the family members.
"You have been seeing patients for some time now, and you have no substantive diagnostic suggestions?"
Director Yin of the Department of Neurology in the Department of Internal Medicine speaks very directly.
This statement actually hurts the self-esteem of the emergency department.
“Well… at present, we have only discovered that the fetus is in a very dangerous situation, and we suspect that the cause of the pregnant woman’s fainting is hypertensive encephalopathy.” Deputy Director Han felt very ashamed and didn’t dare to look at anyone.
They are both chief physicians, and the gap between him and Yin Hua is not small.
“It can’t be hypertensive encephalopathy.”
After hearing this, Yin Hua directly rejected Deputy Director Han's diagnosis.
Didn't even bother to explain the reason for the veto.
"The patient has had high blood pressure for more than 15 years, and it is inevitable that the body will have some pathological changes. For example, left ventricular thickening, ventricular dilatation, atherosclerosis, etc. Among them, atherosclerosis is the most fatal. From the results of the head CT scan, I personally tend to believe that the fainting was caused by intracranial vascular malformation."
Yin Hua’s work efficiency is really high.
His level is obviously far higher than that of "Chief Physician of Water Department" like Deputy Director Han.
"The fetal heart rate is only 100, which is 10 lower than the minimum international normal value. This situation indicates that the fetus is lacking oxygen. We must take decisive measures. Otherwise, even if the fetus survives, it may become a mentally retarded baby."
After making a quick diagnosis of the pregnant woman, Zhang Bihua immediately gave accurate advice on how to preserve the fetus.
There is really no comparison to tell the level.
The situation improved immediately as these top experts from Tuya arrived.
It's much more useful than the random guesses of those guys in the emergency department.
Only by aiming at the right target can you hit the target every time.
The same principle applies to treating illnesses.
Only the right medicine and symptomatic treatment will be effective.
The obstetrics and gynecology department and the internal medicine department gave their diagnosis and treatment opinions one after another. In particular, Director Zhang Bihua of the obstetrics and gynecology department had already started to protect the fetus with Yang Chan.
Director Xie of the Department of Surgery is a very face-conscious person. He brought three people here with him. He can't just sit there and eat for nothing, right?
However, diagnosing this kind of disease where the lesion cannot be seen is not his strong point.
Speaking nonsense will only slap yourself in the face.
Du Leng behind him seemed to notice Director Xie's embarrassment. After reading the patient's information, he said confidently, "It's probably not a vascular malformation, but an arterial aneurysm. And this aneurysm is in the brainstem area."
This is tantamount to overturning Director Yin Shennei's diagnosis.
And he is just a resident doctor.
The whole audience was shocked.
All eyes were focused on his face.
The department heads all had the same idea: this is a returned overseas doctor, and his reputation is well-deserved. He has only been working for two days, and he can challenge Director Yin, the top neurology doctor.
"Hemangioma is also a type of vascular abnormality! Doctor Du, can you tell us the basis for the diagnosis? The patient's condition should not be delayed for too long, and a specific and feasible diagnosis and treatment plan must be put forward as soon as possible."
Director Tan spoke up to help Director Yin resolve the embarrassment.
However, Director Yin and Du Leng's diagnosis conclusions both point to the intracranial blood vessels, so they should not be wrong.
After all, one is a chief neurologist with extremely rich diagnostic experience, and the other is a super academic with extensive medical knowledge.
"Haha, great minds think alike. Du Leng and Director Yin have similar opinions, but Du Leng's diagnosis is more accurate. Overseas medicine is really advanced! Du Leng, please explain it to the directors!"
The trainees brought by Director Xie are so outstanding that I feel so proud.
Surgery has never had such a glorious moment in multi-departmental joint diagnosis.
Director Xie felt that choosing Du Leng first to join the surgery department was the right choice.
He believed that none of the trainees of the same period could compare with Du Leng.
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