It is quite strange that patients with ischemic stroke have symptoms of upper gastrointestinal bleeding when they are about to be discharged from the hospital, but Mr. Wu and director Zhou have to check 64 row CT of the patients'' lungs.


    Song Yabin is an old director of Neurology, but he has never had a similar examination.


    Instinctively, song Yabin thought it was unreliable, but she didn''t say anything, but asked respectfully, "director Zhou, what do you think?"


    "Director Song, I heard that you need the approval of the medical department for expensive examinations?" Zhou Guohui didn''t say the diagnosis, but asked an irrelevant question.


    Song Yabin was stunned. Is it so far?!


    "Mr. Wu will arrive in an hour. It''s best to take the film when he comes." Zhou Guohui said, "I just estimate the specific diagnosis - considering that the patient has arteriovenous malformations in the lungs. The two plain films can''t see anything. At most, I doubt it. It still needs 64 rows to be finalized."


    Song Yabin thought for a moment and said with a bitter smile, "director Zhou, we really need the consultation of relevant departments for 64 row scanning, and then the medical office..."


    "The patient has upper gastrointestinal bleeding, which is an emergency," Zhou Guohui said.


    After all, they are all old doctors. No one wants to fool anyone. Zhou Guohui is well aware of the invisible splints and shackles in clinical practice. Dancing in chains, who isn''t.


    There are many such things, not only in the medical industry. But the patient needs to find a reason to do emergency first aid. That''s the reason.


    As for whether song Yabin needs to take some "risks", Zhou Guohui can''t control it, and he doesn''t want to control it.


    "Director Song, hurry up." Matthew said, "the reason is that you think you should hurry up the application from the medical department. By the way, has director Han gone to work?"


    "I went to work." Song Yabin said, "I stayed in the ICU for three days last time. Fortunately, director Li of the emergency department found it in time, it didn''t cause the condition to continue to worsen. Because it was found in time, I recovered quickly."


    "Well, that''s good," Matthew nodded. "Hold on to this side. I''m sure Han Chu can understand."


    Director Song nodded and went to deal with all kinds of trivial things.


    In fact, these things have no essential connection with medical treatment. They feel greasy when you think about them. But all walks of life, which is not inextricably linked, which is not so.


    It can reduce internal friction, even if it is a very powerful leader. As for Han Guangyun... It is estimated that he can''t do it, director Song thought to himself.


    "Director Zhou, it''s hard. Go to the director''s office and have a rest first," Matthew said.


    Zhou Guohui nodded, "the patient has seen it. Take a break."


    In fact, he is not tired. He just sits in the doctor''s office. Others will be very restrained, and his work efficiency will be greatly affected.


    Song Yabin first sent Matthew and Zhou Guohui to his office, briefly said two polite words, then closed the door, walked all the way and went to the medical office to go through the application procedures.


    Now it is electronic office, and the application is submitted. There is a special person in the medical department responsible for examination and approval. Song Yabin didn''t need to run in person.


    However, regulations are regulations, and processes are processes. If you follow the processes, you still need consultation from all departments. At this point, the thoracic surgery has been operated on. The respiratory department is in a large ward round. If you ask someone for consultation, it will take at least half an hour.


    Although the patient''s condition is stable, Mr. Wu will arrive in an hour... Director Zhou Guohui and Mr. Wu are right. Mr. Wu comes to see the patient and the film in person. It''s unreasonable to let others wait for a few hours.


    If so, there will be no need to deal with in the future. Song Yabin knows it.


    Run yourself, or what else.


    At least if you go by yourself, the small staff of the medical department have to give some thin noodles. Even if you meet director Han and explain the reasons clearly, it is much more likely that things will be done.


    Pulmonary arteriovenous malformation... It may lead to ischemic stroke. Song Yabin thought about going to the medical office, and then returned to the disease diagnosis.


    As she thought, she came to the medical office.


    "Xiao Liu." Director Song went directly into the big office of the medical office and greeted the staff.


    "Director Song, why are you here?"


    "I have an emergency patient at hand who is diagnosed with ischemic stroke, upper gastrointestinal bleeding and suspected pulmonary arteriovenous malformation. I need to do a 64 row CT of the chest. The patient has just vomited blood and has no time for consultation. I want to do an examination first." Song Yabin briefly introduced the situation.


    The little clerk of the medical office was a little embarrassed. He scratched his head and winked at Song Yabin.


    "What?" Song Yabin helped his glasses and didn''t see it.


    "Director Song." the small clerk of the medical office made a mouth shape, his eyes almost flew out, and glanced hard at the opposite office.


    "Do you have a needle eye? Are you uncomfortable?" Song Yabin still wondered how pulmonary arteriovenous malformations led to the evolution of ischemic stroke. He didn''t notice the expression of the small staff of the medical office.


    The little staff member of the medical office was very helpless, so he had to stand up and gather around Song Yabin and whispered, "we have regulations. It''s the limit for neurology department to check lung CT, row 64... I really have to consult. I''m not going to do it for you. I''m in a dilemma."


    Song Yabin frowned.


    "Director Song, don''t be difficult for me, a small section member. You know the management of Han office is strict." the small section member of the medical office doesn''t dare to say too many bad words, and vaguely said, "why don''t you go to the side of Han office to explain? If Han office agrees, I''ll transfer the interface out. As long as you stand at the door and say it, it will be solved immediately!"


    "..." Director Song was speechless. She looked at the little clerk of the medical office and didn''t know what to say. After hesitating for a few seconds, he had to turn around and go to Han Guangyun''s office.


    "Dong Dong Dong ~ ~ ~" Director Song knocked at the door.


    "Please come in."


    Song Yabin pushes the door in and sees Han Guangyun sitting at his desk, busy with something.


    His face was a little bad, still pale and bloodless. Some time ago, I went to the ICU for hospitalization and was infected with toxic shock, which was a great blow to people''s body.


    Han Chu is also bent on his work. Director Song thought of it in his heart. But the result of a layman''s dedication to his work is... Forget it, he''s just a director and can''t manage so much.


    "Director Song, what can I do for you?" Han Guangyun asked.


    "Han Chu, I have one..." Song Yabin explained the relevant situation.


    "Do you mean that the lung is the problem in patients with ischemic stroke?" Han Guangyun asked suspiciously after hearing song Yabin''s meaning.


    Director Song can feel that Han Guangyun''s tone has been bad, but he can only harden his head and say, "yes."


    For a moment, song Yabin felt Han Chu''s eyes fall on him like a knife.