Sleepless Doctor

"The patient's condition is relatively clear. The patient's pulmonary arteriovenous malformations are very small, and interventional surgery cannot be performed. But there is also a benefit. This is also the reason why his ischemic stroke is relatively mild." Wu Mian said, "On the whole, this is the diagnosis. Yes, next..."

After that, he glanced at Song Yabin, "Please consult the respiratory department, how is the strength of the respiratory medicine department of the second hospital?"

The first sentence was with Song Yabin, and the second sentence was with Matthew De.

"The level of respiratory medicine is good." Matthew De gave a responsible evaluation.

"Yes, because there is upper gastrointestinal bleeding, in principle, it is recommended that patients stop clopidogrel, add lansoprazole 30 mg once a day, and simvastatin 40 mg once a day. Specific matters will be solved by the professional team of respiratory medicine. Patients. It must be followed up, repeated emphasis on medication, and not careless."

Wu Mian said very casually, but there is a kind of strength that cannot be violated.

"Ms. Wu, is the patient's surgery really impossible?" Song Yabin asked with some regret.

"There are arteriovenous malformations in both lungs, and they are scattered and cannot be removed." Wu Mian said, "Intervention...the embolization device is not that good. If you really want to do it, you can try it, but the lipiodol may tether the spinal cord if it floats out. The blood supply arteries can cause high paraplegia, or even block the brainstem, and the risk is relatively high."

"So I suggest that it be treated by a professional team of respiratory medicine, and it is better to pay regular visits. Recently, Germany is developing miniature coils. Director Song, please give the patient's contact information to the Mayuan. If that side has an eye, I can experiment Try the method of surgery." Wu Mian said.

Han Guangyun glanced at Matthew De, thinking this is the dean of Jianxie Hospital or Wu Mian's secretary.

He especially despised that the dean was not as good as improper.

When the phone rang, Han Guangyun picked it up and saw that it was Dean Li Haihua. He immediately stood up, leaned slightly, apologized to Wu Mian politely, pointed to the phone, and then turned and left.

Han Guangyun let out a sigh of relief when he walked out of the office.

Training the doctor by himself is a fake tiger, and he uses the aura of Dean Li Haihua to forcefully suppress the dissatisfaction of the doctors.

No matter how fierce the scolding is in usual meetings, Han Guangyun can feel that the directors don't care. Only a few people who were willing to flatter were serious, and some even took notes in their notebooks.

But Han Guangyun knew that they were just performing, and only they knew what they wrote.

Moreover, the technical level of these people is very average. It is embarrassing to use Han Guangyun's own statement. People with high levels simply ignore themselves.

But Wu Mian is different.

He sat there and talked, and he was going to leave after speaking, and he didn't want to waste a second. Director Song and the doctor looked at him like a college student listening to an old professor's lecture, or facing the kind of old professor with high prestige and rich learning.

Han Guangyun clearly saw the admiration in the eyes of Director Song Yabin and the surrounding doctors overflowing.

The emotions in his heart are a bit weird, but Dean Li Haihua's call is more important. At this moment, he had forgotten that he had just despised Matthew De as Wu Mian's secretary, and had selectively forgotten this matter.

Han Guangyun found a corner that was not very noisy and put on the phone, "Dean Haihua, your instructions."

When talking about the words of Dean Haihua, Han Guangyun's waist was bent involuntarily, and a well-behaved, docile smile appeared on his face. Even his tone has become gentler, with a slight flattery, which is well hidden, but can be noticed by the person on the other side of the phone.

"I have a problem with my stool." Dean Li Haihua said directly, "You find the relevant doctor to come to my office."

Han Guangyun stunned, have stool problems? Blood in the stool? !

"Dean Haihua, it's blood...Is it hemorrhoids?" Han Guangyun said lightly first.

"No." Li Haihua's voice was erratic. After hesitating for a few seconds, he continued, "Yinzi, have you seen it."

Han Guangyun nodded to the phone.

"My stool is silver."

"..." Han Guangyun stunned slightly, is Dean Haihua changing into a brave? But Pi Xiu just eats, never pull it out.

Although Han Guangyun is not a medical practitioner, he still knows the basics of common sense after studying in medical school and working in a hospital.

The color and character of feces can provide an important diagnostic basis for judging the functional status or pathophysiological status of the digestive tract system.

The normal color of stool should be dark brown.

This is because bilirubin from red blood cells is broken down by bacteria in the intestine, turning it brown.

Human feces are usually light brown to dark brown, mainly produced by the combination of dead red blood cells converted into bile composed of bilirubin and a bilirubin derivative of urobilin. Usually semi-solid, with a slime coating.

Yellow stool may cause some problems, but it is generally not serious and will not be paid much attention to clinically. After all, there are a lot of people who look back after they have a bowel movement. But most people don’t squat in front of the toilet to check whether their feces are brown or yellow~www.readwn.com~ Giardia lamblia infection It can cause yellow stool, Han Guangyun knows, he vaguely remembers that there are other diseases that can cause yellow stool.

But in detail, he couldn't tell. Not only Han Guangyun, but also non-gastroenterology doctors did not say in detail.

Pale or gray stools are also problematic, and clinical attention is not enough.

In the course of clinical diagnosis and treatment, red and black stools are seen most often.

Black stool is usually due to upper gastrointestinal bleeding, such as hemorrhagic peptic ulcer. Black or dark brown stool may indicate upper gastrointestinal bleeding, and red stool may indicate lower gastrointestinal or rectal bleeding.

This is the simplest common sense, and many ordinary people understand it.

But silver shit...what kind of thing is this? Han Guangyun looked at the phone blankly.

If usual, Han Guangyun would definitely not try to solve this problem on his own. It would be impossible to find an expert in gastroenterology. It is really impossible to contact the top experts of Imperial Capital for remote consultation through an expert in gastroenterology.

But just now, Wu Mian was sitting in the neurology doctor's office and slammed Fang Yao. One, two, three, four and five said clearly, Han Guangyun was a little bit envious in his heart, and even had evolved to the point of jealousy.

If you have that ability, you can definitely train the clinical director like a dog in the regular meeting of the department director and in the on-site office. They can't say anything, so they can only bow their heads and admit their mistakes.

It's not like now, say one sentence by yourself. Although they don't speak on the surface, they don't know how many sentences are waiting for them in their hearts.

"Director Han." Li Haihua's voice was a little harsh.

Han Guangyun suddenly thought about it, he said quickly, "Dean Haihua, wait a minute, I will find a gastroenterologist to come to your office."

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