For Yun Heng, the situation at the door of the clinic did not affect his consultation. After watching the previous patient leave, Yun Heng began to call the next patient.
For a guy who feels that chatting with the national medical master Qu Tongwen and the provincial deputy inspector Zhang Bowen will affect his diagnosis, even if there are a few more people talking at the door of the clinic, even if there is a group of people fighting, it may not arouse his much interest.
Of course, if there was a fight, Yun Heng might think about whether there would be a few more patients with external injuries. If the cases were more serious, he might have a chance to practice bone injuries. Of course, if the cases were more serious, they would have to be sent to the emergency department of other hospitals or directly to the crematorium.
The next patient who came in was a woman in her late 40s, accompanied by her husband.
"Sit down!"
Yun Heng greeted her politely. The man helped the woman sit down on a stool. Yun Heng observed her and asked, "Where do you feel uncomfortable?"
"Doctor Yun, this was an examination done at another hospital."
The patient's husband hurriedly handed a bag to Yun Heng. Yun Heng took the bag and took out a thick stack of examination reports and medical records from it.
"epilepsy?"
Yun Heng looked at the hospital's diagnosis results and asked.
"Um."
The woman nodded, somewhat afraid to look at Yun Heng.
In daily life, epilepsy patients are usually classified as mentally ill by most people. Although epilepsy is not a mental illness, the degree of discrimination against epilepsy patients in normal life is even more serious than that of mentally ill patients.
Patients with epilepsy tend to have some inferiority complex, and are the kind of people that ordinary people are generally unwilling to interact with or provoke.
After all, you don’t know when the other person will suddenly fall ill, and if you are blackmailed by them, it will be a big trouble.
The biggest difference between epileptic patients and mental patients is that most epileptic patients are conscious and clear-headed when they are not having an attack, and are no different from normal people. However, precisely because epileptic patients are no different from normal people when they are not having an attack, they have to bear greater psychological pressure than mental patients.
"epilepsy?"
Qin Dajiang took a look at the door of the clinic and was about to leave, but he suddenly heard Yun Heng's questions about the patient.
An epilepsy patient actually came to such a community hospital for treatment?
Epilepsy is a very complicated disease, and modern medicine has not yet fully understood the cause of this disease.
If this kind of disease is encountered in their district hospital, they would generally recommend going to a specialized epilepsy hospital or a specialized epilepsy department in a tertiary hospital for treatment. Qin Dajiang was a little surprised that an epilepsy patient came to the community-level medical and health center.
What surprised Qin Dajiang even more was Yun Heng's attitude.
The young doctor did not immediately recommend the patient to go to a specialized epilepsy hospital or epilepsy department. Instead, he carefully looked at the patient's examination report and medical records again.
Yun Heng graduated with a degree in integrated traditional Chinese and Western medicine. Although he does not have much clinical experience in Western medicine, he can still understand Western medicine examination reports and orders.
According to the medical records, the patient suddenly developed weakness in the right upper limb and autonomic movement disorders two years ago. He recovered quickly, but similar conditions have occurred many times since then.
He was examined at the First Hospital of the city, and an EEG confirmed that he had epilepsy. He took several drugs, including pheniramine, but the effect was not obvious, and the attacks were becoming more frequent. In the past month, he had one or two attacks almost every day. During the attacks, his limbs lost autonomous control and he could not move. He had speech disorders and occasionally had syncope, which would subside on its own after about three minutes.
The examination report also includes an EEG examination conducted at the Municipal Epilepsy Hospital a week ago, which showed "paroxysmal slow waves".
"Still there?"
Xu Bo came back with water from the infusion room opposite, greeted Tian Zengming again with a smile, and without saying much, entered the clinic, placed Yun Heng's water cup opposite Yun Heng, and then sat down in his seat.
"Xiaotian, the one who just went in is your classmate. Where is the one inside?"
Qin Dajiang asked Tian Zengming.
"He is also my classmate, and we had the same supervisor when we were studying for our master's degree," said Tian Zengming.
"You just graduated last year?"
Tang Weifeng glanced at Yun Heng, who was still seriously studying the patient's medical records and examination reports, and said with disdain: "Pretending."
Fresh graduates, do you know what epilepsy is?
Do you know the cause of this disease?
And he was watching it so seriously.
I guess after reading it, they will tell the patient that your condition is quite serious and you should go to a specialized epilepsy hospital.
Tian Zengming smiled and said nothing.
Tang Weifeng will regret his words sooner or later.
"I've seen your report. The most recent one was last week. You were at the Municipal Epilepsy Hospital. Why aren't you continuing treatment?"
After reading the patient's examination report and medical records, Yun Heng put the list aside and asked politely.
"Doctor Yun, we've been seeing him at the city hospital for several months, but his condition has been getting worse. He used to have attacks every two or three days, but now it's only once or twice a day. We heard that you're good at treating various difficult and complicated cases, so we came here specifically."
The patient's husband said hurriedly.
"laugh!"
Tang Weifeng at the door couldn't help but sneer.
You come here because of our reputation, and you have a difficult and complicated disease?
It's so funny.
"Xu Bo, close the clinic door."
Yun Heng glanced at the door and said to Xu Bo.
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