The patient from Jianzhou was sent there very quickly, arriving in the afternoon after I hung up the phone.
This is the first out-of-hospital referral patient of Yuezhou People's Hospital, and he was transferred from other regional hospitals. President Gu and Vice President Xu attached great importance to it.
There is a face issue here. General hospitals will never refer patients to hospitals of the same level, because if your hospital does this, it means that you are inferior to others and have admitted defeat.
Therefore, even if you know that some sister units of the same level have some special departments and are very strong, if you want a hospital referral, you will definitely send the patient to a higher-level hospital. If the provincial level is not available, then Shanghai or the capital will be used.
Since Jianzhou District Hospital was willing to swallow its pride and send the patient to Yuezhou People's Hospital this time, it might be because they were under pressure from the patient, or they might just be angry at the arrogance of the Provincial First Hospital.
In short, President Gu and Vice President Xu made up their minds to make a clear diagnosis of this patient and even send the treatment to Yuezhou People's Hospital. This is a great opportunity to become famous.
If Yuezhou People's Hospital can diagnose diseases that other hospitals cannot cure, it will also be an advertising opportunity, which will be beneficial to them in every way.
A few decades later, the entrance of the CT room will be like a vegetable market, and the line of people who want to be examined will stretch all the way to the door. At this time, the machines and doctors will run around the clock and cannot stop at all. Of course, the money they make will be considerable.
But in 1983, a CT scan cost 15 yuan, which was unaffordable for most patients, and the machine could not generate any profit if it was idle.
Dean Gu had already made up his mind and decided to promote it throughout the province. Since the Provincial First Hospital alone couldn't handle the business, Yuezhou Hospital could always get some help.
But now seeing Chen Xia's performance, he felt that perhaps Yuezhou People's Hospital could also make a living.
Look, when I feel sleepy, someone brings me a pillow, and immediately a patient is transferred here from outside the area. It cannot be overemphasized how much attention we pay to it.
A clear diagnosis and successful treatment will be a living advertisement, and patients from different regions will naturally come to your door.
But if this first shot cannot be launched throughout the province, it will greatly affect the reputation of Yuezhou People's Hospital, and it will be ridiculed by those who cannot get the grapes as a hopeless person. If you have no ability, what's the use of giving you a sword?
Therefore, Yuezhou Hospital immediately organized an expert group. Since the patient was suffering from headache, he was sent to the cardiovascular department, and the relevant departments such as the third surgery department and the imaging department cooperated.
Also, the General Affairs Department... also needs to cooperate...
However, in order to save face, President Gu and Vice President Xu did not include the General Affairs Department in the notice, otherwise other hospitals would be laughing their heads off if they knew about it.
When someone comes to see a doctor for a headache, you add the General Affairs Department to the expert panel? What's going on? Do you want the old lady who sweeps the floor to prescribe medicine, or the old man who fixes the light bulb to perform surgery?
Is it true that there are no generals in Shu and only cleaning ladies can make up the Yuezhou People's Hospital?
There was no elevator in the inpatient department at that time, so after the patient was delivered, everyone hurriedly carried him to the ward.
The doctors at Jianzhou People's Hospital have already reported the patient's condition to Director Hua Chenan and handed over the medical records. They are also cautious and have asked an attending physician to stay in Yuezhou to see the level of Yuezhou Hospital.
All the relevant experts are already sitting in the doctor's office waiting,
President Gu, Vice President Xu, Chief of Medical Department Qian Jun, Director of Cardiovascular Department Hua Chenan, Director of Neurology Department Shen Yunfu, Director of Department 3 of Surgery Tan Zhigui, and Chief of Imaging Department and Director of CT Room Luo Wei.
There is also Chen Xia, the head of the General Affairs Department, ahem, he is just here to make bystander appearances.
The doctor on board from Jianzhou People's Hospital immediately reported the patient's condition to everyone.
"Yan Zhiping, male, 51 years old, had intermittent headaches for half a year and was admitted to the hospital with sudden convulsions and aphasia for 6 days.
According to the patient's family, the patient had a sudden convulsion six days ago without any apparent cause. The seizure lasted for about three minutes before resolving on its own. At the time, the patient was experiencing generalized rigidity and loss of consciousness. He also suffered from aphasia, occasionally speaking single, discontinuous words.
The patient also experienced involuntary teeth grinding, no coughing when drinking water, dysphagia, or limb movement disorders. The night before her visit to our hospital, she had a psychotic episode, manifesting as knocking on her son's door several times between 2 and 3 a.m., shouting that it was daybreak.
Physical examination revealed a soft neck, pupils of equal size and roundness, good light reflex, free movement of both eyes, no nystagmus, tongue protrusion centered, and a present gag reflex.
The neck was soft, the muscle strength of the limbs was grade V, the muscle tone was normal, the tendon reflexes of the limbs were (++), the gross sensory test on both sides was normal, the bilateral pathological signs (-), Kerrigan's sign (-), Brudin's sign (-), the bilateral finger-to-nose test was accurate, and the bilateral heel-knee-shin test was coordinated.
Auxiliary examinations showed no specific positive results."
Hua Chenan asked, "What was your hospital's initial diagnosis at the time?"
"The main suspicion is that it's a brain disease, such as cerebral infarction or a brain mass, but the clinical manifestations are somewhat inconsistent, so we want to do a CT scan to confirm the diagnosis."
Everyone nodded. There was no point in discussing it now anyway. Only an immediate examination would give the final answer.
Luo Wei immediately stood up and said, "Please wait a moment, everyone. I'm going to do a CT scan right away. I'll have the report later and we can continue our discussion."
Today, we are not planning to do anything else but to take care of this referred patient. It is definitely a multi-disciplinary consultation and super VIP treatment. Even the General Affairs Department has been dispatched. This treatment is amazing.
About an hour later, Director Luo came back with the CT scan.
After inserting the film into the film reader, everyone gathered together and then gasped.
“Hiss~~~~”
Because this film is so corny, at first glance, the head CT scan shows multiple diffuse nodular shadows in the brain.
How can I describe it? The film is filled with white dots of varying sizes, so many of them, like a starry sky, that anyone with trypophobia would faint.
This stumped several senior directors in the office, as they didn't know how to read CT scans. Even Luo Wei was dumbfounded, as she had never encountered such a case during her training.
No one said anything, everyone was thinking about how to ease the awkwardness of the scene, only Dean Gu reacted the fastest.
"Chen Xia, come over here and take a look, ahem, and then tell me what you think."
So the doctor in Jianzhou saw an extremely young doctor who slowly stood up and walked to the film reader with a reluctant look on his face. He took a look and then became serious.
"Director Luo, look at the white spots on this film. They have low signals on T1, high signals on T2, low signals on FLAIR and DWI, and a central dot-like low signal on T2 for the cystic lesion. This is called a black target sign, but..."
After saying that, Chen Xia paused, and everyone's eyes were focused on him.
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