"I learned during my internship that Senior Brother Cao is in charge of the third group of patients, those in beds 21 to 32."
Huang Zhilei was very pleased to hear that she had returned the day before but still remembered her previous internship clearly. He adjusted his glasses and said: This means that the junior sister's return to neurosurgery is like returning to her mother's home.
Turning around to look at Senior Brother Cao, he saw his eyes narrowed into lines due to smiling.
Speaking of the head nurse's patient list, it is a table that is mainly used to facilitate nurses to do ward patient statistics work. It lists the patient's name, bed number, admission date and diagnosis.
Because it is a statistical form, each patient's information is concentrated on a small card. There is only one or two centimeters of writing space for the diagnosis name. It is impossible to write down all the diagnoses on the doctor's medical record. Only the most important diagnosis will be written.
Dr. Jin was talking about the two diagnoses of hydrocephalus and cerebral arteriovenous malformation. Unless the patient's two diagnoses are written on the summary card, they cannot be seen.
Xie Wanying explained further, "There was only one new patient admitted yesterday, in bed 23, and he was listed as having hydrocephalus. Professor Jin, you said that he was your friend and that you took him very seriously. You came to visit the patient in person and was anxious to find the attending physician to discuss his condition. I guess he was transferred to this department yesterday."
Who says that only Holmes Pan can solve the case?
When Pan Shihua received questioning looks from two other classmates, he replied: In medicine, I have always crossed the river by feeling the way forward with classmate Xie.
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"You are very dedicated to your work. No wonder so many teachers like you." Dr. Jin praised you generously.
This is the point. This matter actually has nothing to do with the ability to solve cases.
If a doctor is responsible for his work, the first thing he will do when he returns to work is to understand the condition of the patients under his jurisdiction.
On this point, Xie Wanying said honestly: "I learned it from clinical teachers."
The great teachers she had followed, such as Teacher Tan, Senior Brother Tao, Teacher Xin, and Teacher Du, all did the same thing. Even the immortal brother, after taking a lunch break, would go to the nurses' station with a thermos cup in hand to ask about the patients in his group.
As Xie said, if you have hydrocephalus, you need to treat the hydrocephalus first.
Because of the brain arteriovenous malformation of "Ma Tuan", if it is not very serious and prone to bursting blood vessels, you can choose elective surgery. On the contrary, for hydrocephalus, conservative medical treatment is ineffective, and it is time to seek surgery.
You may ask, if you knew this, why didn’t you send the hydrocephalus patient to the neurosurgery department first?
Unlike cerebral arteriovenous malformations, hydrocephalus is best treated with medical rather than surgical means.
When we talked about diseases in other departments before, we said that there are some places in the human body that contain "water". This "water" is healthy as long as it is not excessive. Remember? Ascites.
The same "water" is found in the brain. The scientific name for the "water" in the brain is cerebrospinal fluid.
What is the function of cerebrospinal fluid? As you can imagine, it is like lubricating oil, protecting organs and acting as a buffer. It also contains some other substances to nourish brain tissue and regulate internal and external pressure.
The normal cerebrospinal fluid of an adult is between 90 and 150 ml, and about 500 ml of cerebrospinal fluid is produced every day. This means that a large part of the cerebrospinal fluid needs to be absorbed by the human body itself, and a healthy internal circulation is needed to meet the needs of a normal human body.
Healthy internal circulation depends on channels for production, absorption, and intermediate circulation.
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