"The patient''s condition is relatively clear. The patient''s pulmonary arteriovenous malformation is very small, so interventional surgery can''t be done. But there is also a benefit, which is the reason why his ischemic stroke is relatively mild." Wu Mian said, "on the whole, that''s it. With the diagnosis, next..."
Then he glanced at Song Yabin, "please consult the respiratory department. How about the strength of the respiratory department of the second hospital?"
The first sentence was with song Yabin, and the second sentence was with Matthew.
"The level of respiratory medicine is good," Matthew gave a responsible evaluation.
"OK, because there is upper gastrointestinal bleeding, in principle, it is recommended that patients stop clopidogrel and add lansoprazole 30mg once a day and simvastatin 40mg once a day. The specific matters should be solved by the professional team of respiratory medicine. Patients should follow up and repeatedly emphasize the medication without carelessness."
Wu Mian said it casually, but there was a strong force that could not be violated.
"Miss Wu, can''t the patient really do the operation?" Song Yabin asked with some regret.
"Both lungs have arteriovenous malformations, which are scattered and cannot be removed." Wu Mian said, "intervention... There is not such a good embolization equipment. If you really want to do it, you can try, but the iodine oil floating out may tie the blood supply artery of the spinal cord, lead to high paraplegia, and even embolism the brain stem. The risk is relatively high."
"Therefore, I suggest that it is better to have a regular return visit by a professional team in respiratory medicine. Recently, Germany is developing a miniature spring coil. Director Song, please give the contact information of the patient to the horse hospital. If there are eyebrows on that side, I can try experimental surgery." Wu Mian said.
Han Guangyun glanced at Matthew and thought, is this the president of jianxie hospital or the Secretary of Wu Mian.
He despised it in his heart. It''s better not to be the dean.
When the mobile phone rang, Han Guangyun picked it up and saw that it was president Li Haihua. He immediately stood up, leaned slightly, apologized politely to Wu Mian, pointed to his mobile phone, and then turned and left.
Out of the office, Han Guangyun breathed a sigh.
Training doctors themselves is a fox pretending to be a tiger, borrowing the aura of President Li Haihua to forcibly suppress the dissatisfaction of doctors.
At ordinary meetings, Han Guangyun can feel that the directors don''t care no matter how fierce they scold. Only a few people who are willing to flatter are serious, and some even take notes with notebooks.
But Han Guangyun knew that they were just performing. Only they knew what to write.
Moreover, the technical level of these people is very general. It is embarrassing to use Han Guangyun''s own words. People with a really high level simply ignore themselves.
But Wu Mian is different.
He sat there talking, and then he was about to leave. He refused to waste a second. Director Song and the doctor looked at his expression like college students listening to an old professor, or facing an old professor with high prestige and rich knowledge.
Han Guangyun clearly saw that the admiration in the eyes of director Song Yabin and the doctors around him would overflow.
His mood was a little strange, but President Li Haihua''s phone was more important. At this moment, he had forgotten that he had just despised Matthew as Wu Mian''s secretary and selectively forgotten this matter.
Han Guangyun found a quiet corner to connect the phone, "Dean Haihua, you have instructions."
Speaking of President Haihua''s four words, Han Guangyun''s waist bent down involuntarily, and a clever and docile smile appeared on his face. Even his tone became mild, with a trace of flattery, hidden well, but could be perceived by the person opposite the phone.
"There''s something wrong with my stool," said President Li Haihua directly. "You can find the relevant doctor to come to my office."
Han Guangyun was stunned. Is there a problem with his stool? Bloody stool?!
"Dean Haihua, is it blood... Is it hemorrhoids?" Han Guangyun said lightly.
"No." Li Haihua''s voice was erratic and hesitated for a few seconds. He continued, "silver, have you seen it."
Han Guangyun nodded to his mobile phone.
"My stool is silver."
"...." Han Guangyun was slightly stunned. Has President Haihua changed? But she just eats and never pulls out.
Although Han Guangyun is not engaged in medical treatment, he still knows the minimum common sense when he studies in medical school and works in hospital.
Fecal color and characteristics can provide important diagnostic basis for judging the functional status or pathophysiological status of digestive system.
The normal stool color should be dark brown.
This is because bilirubin from red blood cells is broken down by bacteria in the intestine and turns it brown.
Human feces usually have light brown to dark brown, which is mainly produced by the combination of bile composed of bilirubin and bilirubin derivatives of urobilin. It is usually semi-solid and has a mucus coating.
Yellow stool may have some problems, but it is generally not big, and it will not be paid much attention in clinic. After all, there are many people who look back after defecating... But most people don''t squat in front of the toilet to see whether their feces are brown or yellow.
Giardia lamblia infection can cause yellow stool. Han Guangyun knows that he vaguely remembers that other diseases can induce yellow stool.
But he couldn''t tell the details. Not only Han Guangyun, but also doctors who are not majoring in gastroenterology do not say in detail.
Pale or gray stool also has problems, and clinical attention is not enough.
In the process of clinical diagnosis and treatment, red and black stools are seen most.
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, which many ordinary people understand.
But silver stool... What is this? Han Guangyun stared at his mobile phone.
As usual, Han Guangyun certainly won''t try to solve this problem by himself. He can''t find experts in gastroenterology. It''s OK to contact the top experts in imperial capital through gastroenterology experts for remote consultation.
But Wu Mian just sat in the doctor''s office of Neurology and scolded Fang Qiu. What he said was clear. Han Guangyun was vaguely envious, and even evolved to the degree of jealousy.
If you have that ability, you can certainly train the clinical director like a dog at the regular meeting of department directors and on-site office. They can''t say anything, so they can only bow their heads and admit their mistakes.
It''s not like now. Although they don''t speak on the surface, they don''t know how many sentences are waiting for themselves.
"Director Han." Li Haihua''s voice was a little harsh.
Han Guangyun suddenly thought out of his mind. He quickly said, "President Haihua, wait a minute. I''ll find an expert in gastroenterology to your office."