Neurology ward.

Today is Monday, and it’s the neurology department’s turn for the dean’s ward rounds.

Chen Qi was wearing a white coat, holding a small hammer in his hand, tapping the palm of his hand gently with one hammer after another. Under the leadership of Director Xia himself, he checked wards one by one.

The dean's ward rounds were carried out in a very formal manner. The dean was walking in the middle, surrounded by a large group of white coats beside and behind him.

Behind the dean are the directors of the medical department and the director of the hospital office, followed by the directors of the clinical departments and deputy directors, followed by doctors above the senior and deputy senior positions, doctors at the attending level, ordinary resident doctors, and finally, training doctors and intern doctors.

It is very normal for 2 to 30 doctors to go out during one ward round.

Often at this time, you can see the ecological chain of the hospital. Whoever is closest to the president is often the person with the highest status in the hospital.

Of course there are exceptions. There are always some doctors who want to show off in front of the dean, so they will try their best to get around the dean.

Some people want to make progress, and there are also many Buddhist doctors. These doctors often walk at the back when the director makes rounds. Sometimes the ward is crowded, and they would rather stand outside the door to get some fresh air.

Of course, it's also possible that these doctors are afraid of being asked questions. If they can't answer the questions then, it will be a social death scene, which will also leave a bad impression on the director.

Generally, deans like to ask some questions during ward rounds in order to demonstrate their authority, and they often like to ask questions of doctors who are active.

With this kind of question and answer, the process is simple and the scene looks very harmonious.

But as the second general dean, Chen Qi especially likes to "embarrass" those Buddhist doctors.

Aren't you afraid of being asked by the dean? Aren't you hiding behind on purpose? The more you fear, the more I'll give you. It won't scare you to death!

Chen Qi had just finished a physical examination on a patient and looked around.

The smarter doctor knew that the dean was about to ask a question, so he quickly puffed out his chest. Chen Qi rolled his eyes at these flatterers silently, and then looked towards the end:

"Come on, the little girl with eyes and ponytail, come here."

The little doctor almost cried, thinking that I had already hid outside the door, so why did he come to call me?

But the director had already called for someone, and it would be impossible not to go, so he showed a smile that was uglier than crying and came to the bedside, quickly nodded and bowed:

"Hello, Dean, I am an intern at Haidong Medical University. My name is Ye Fen'e."

Chen Qi smiled and nodded, and said in a very 6 1 manner:

"Attention, Mr. Ye, I'm going to give you a question. Since you are a student, let me give you a basic question. What is a stroke?"

The female student was so nervous that she trembled when she spoke:

"Well, the fundamental cause of hemorrhagic stroke is intracerebral hemorrhage, such as hypertensive cerebral hemorrhage, subarachnoid hemorrhage, etc. What ordinary people call stroke is cerebral stroke."

The more nervous you are, the more Chen Qi wants to tease her, deliberately pretending to ask serious questions:

"Well, just one hemorrhagic stroke?"

"Oh, there is also ischemic stroke, which is a typical example of cerebral infarction."

"What are the signs of a stroke?"

"There are too many of these, including recurring severe headaches at a fixed location that last for a long time and may be accompanied by vomiting; sudden and persistent unilateral eyelid drooping and double vision; recurring inflexibility and weakness in limb movements.

, unclear speech; recurring dizziness, visual rotation; recurring transient blackening of one eye, etc."

“What is arteriosclerosis?”

"Arteriosclerosis refers to the deposition of lipids on the arterial wall, which not only forms large and small plaques on the arterial wall, causing stenosis or even occlusion of the arterial lumen; it can also damage the normal structure and elasticity of the arterial wall, leading to

Blood vessel rupture and bleeding.”

“What is cerebral artery stenosis?”

The more Chen Qi asked, the more he became addicted. The dean couldn't even answer a student's question. Doesn't that mean that the dean is incompetent? So each question became more difficult than the last.

The female student was about to cry: "Dean, Dean, you can't just keep asking me alone. You can also ask others."

Hahaha~~~ Many doctors in the ward chuckled.

Chen Qi stopped teasing her and said with a smile:

"Don't be nervous. You answered very well. Why are you hiding behind me? Am I, the dean, so scary? My little classmate, please follow the handsome guy closely."

Hahaha~~~The laughter became one again.

This female classmate smiled on her face, but she was scolding her in her heart: Do you think you are funny and handsome?

Dean Chen, who thought he was very approachable, walked into a new ward with the support of a group of flatterers.

As soon as he entered, before Chen Qi could say a few humorous words, the little boy on the hospital bed threw the bottle on the table to the ground and cursed:

"Stupid pigs, a bunch of fools, fools."

As he spoke, the little boy twitched a few times, and then quickly hid in his parents' arms, burying his head and refusing to come out.

Chen Qi was a little stunned, wondering whose unlucky child was so ungrateful, but it was impossible for him as an adult to argue with a child.

"What's going on with this child?"

The attending doctor quickly squeezed out of the crowd, holding the medical record in his hand, and began to report the condition.

As the doctor narrated, such a child appeared in everyone's mind:

Children with the disease will make involuntary movements, twitch, blink, purse their lips, make faces, twist their faces, shrug their shoulders, shake their heads, say vulgar, obscene or curse words, suddenly smash things, and even suddenly beat classmates.

Chen Qi suddenly had an idea in his mind.

Just like focusing on keywords during an exam, these keywords can actually rule out many diseases, thus further narrowing the scope of diagnosis.

Chen Qi already had two answers in his mind, but he was not sure which one it was.

The attending doctor continued to introduce: "The child had been treated in seven hospitals, and after ruling out mental illness, he came to our hospital for treatment. The report was completed."

Every doctor present was running through possible diagnoses in their minds.

Director Xia introduced at this time:

"After admission, we first completed various examinations, but both the electroencephalogram and brain CT showed that they were normal. We treated him according to epilepsy, but it seems that the effect is not significant at present."

The child’s father, Zhong Hengyuan, also introduced:

"Hello, Director Chen, since my son became ill, we have taken him to the provincial capital and Shanghai for medical treatment. The most common diagnosis made by those doctors was tics, and some doctors thought it was mental illness, but in the end they could not find out the cause."

Director Xia answered:

"According to the current view, mental illness and epilepsy can be ruled out. If it is just a common tic disorder, epilepsy drugs are also suitable. However, if all drugs are used, the child will continue to have convulsions and other symptoms."

Chen Qi had the answer in his mind, so of course he wanted to remind his colleagues, so he asked:

"It's not just a guess, haven't you noticed? Since we came in, this child has not only made all kinds of ugly looks and twitches, but also cursed people from time to time, and even took pictures of the table and quilt."

Everyone began to think more carefully and observed more carefully the little boy's "attacks" from time to time.

Chen Qi looked at the children's parents again, "About how old was your son when he started to have this condition? What is he like at home and what is he like at school?"

Zhong Hengyuan had already answered the doctor countless times, so he blurted out:

"It was around the first grade of elementary school. At first, I was often complained by my classmates, saying that my son bullied his classmates. Later, it progressed to the point where he would suddenly stand up and speak loudly or throw away his books during class.

Later, I would have cramps from time to time, making myself fussy, just like this."

Xiao Minghao happened to start twitching a few more times at this time, and Chen Qi noticed that the child's consciousness was awake.

Zhong Hengyuan is still complaining:

"Many teachers and classmates thought that the child was naughty, so they isolated my son very much, and some teachers even wanted to punish him corporally. Later, my relatives and neighbors also believed that this made my Xiaohao an unpopular person and was disliked by others.

But our husband and wife firmly believe that my son is not a poor student, he is sick, and he will be cured as long as the disease is cured. Dean Chen, you are a famous miracle doctor in Vietnam and China, better than foreign doctors, please save my child.

."

How pitiful the hearts of parents in the world are.

Chen Qi was very sad after hearing this, and at the same time he felt lucky for this child.

If he hadn't encountered such a considerate and courteous parent, he would have firmly believed that his son was sick.

But if other parents, because the teacher complained, then constantly insulted and beat their children without taking the initiative to seek medical treatment, the consequences can be imagined, and the child's condition will only get worse.

If this parent insists that the child is mentally ill and treats him as a fool, the child's life will be ruined.

So Chen Qi looked at his parents and comforted him:

"Don't worry, we can always think of a solution when we get to Yue Traditional Chinese Medicine Hospital. We first need to find out what kind of disease it is before it can be treated."

Just when everyone was comforting the family members, Xiao Minghao said softly:

"Doctor, I want to go to school..."

Chen Qi also has a pair of 8-year-old twins at home, so when he saw 10-year-old Xiao Minghao looking scared and helpless, he felt compassion in his heart:

"Your name is Zhong Minghao, right?"

"Yes, uncle."

"You just said you wanted to go to school, right?"

"Yes, uncle, I want to go to school and play with my classmates, but they don't welcome me and always call me a bad boy."

Chen Qi knelt down and asked: "So Xiaohao, are you telling me that you are a bad boy? Did you deliberately make trouble in class and beat your classmates?"
To be continued...