"Dr. Fang, Dr. Xian."

Fang Han and Xian Fen were joking, and Wang Haobo also walked over with a plate.

"Mr. Wang." Xian Fen greeted with a smile.

"Dr. Xian, don't joke about me. What am I Mr. Wang?" Wang Haobo said with a smile. They and Xian Fen have known each other for a long time, and they usually call Xian Fen Dr. Xian.

"Mr. Wang is the chief inpatient physician of the emergency department, so of course he is Mr. Wang." Fang Han also said with a smile.

"Doctor Fang, you are laughing at me too."

As he spoke, Wang Haobo sat next to him. After a while, Li Junxian also came with a plate. The four of them ate and chatted. With Wang Haobo and Li Junxian, Fang Han and Xian Fen were not joking.

Halfway through the meal, Wang Haobo's phone rang. Fang Haobo answered the phone and said a few words, then hurriedly stood up: "Doctor Fang, Dr. Xian, came to an emergency room. I'll go and see first. You can eat it slowly."

"Since you've come to the emergency room, let's go together." Fang Han also hurriedly put down his chopsticks and stood up and said.

"No need, I'll go and have a look by myself. Dr. Fang, please come after you finish the meal."

"I've finished it." Fang Han took a few more bites. He was already eating quickly. He originally planned to add some rice, but now he is not in the mood. When the patient comes, Fang Han naturally has no intention of sitting and eating quietly.

"I've finished eating too, let's take a look together." Xian Fen also stood up and said,

Li Junxian looked at his plate. He delayed his visit to the bathroom. He came at the latest and hadn't eaten a few bites.

"Doctor Li will take it first, let's go and have a look." Fang Han patted Li Junxian on the shoulder, and then hurried to the department with Wang Haobo.

Wang Haobo and Fang Han and Xian Fen arrived at the emergency room, and a resident doctor hurriedly came up: "Doctor Fang, Dr. Xian, Mr. Wang."

"What's the patient's condition?" Wang Haobo asked hurriedly.

"The patient is 23 years old and a junior student from a nearby university and was transferred from a district hospital."

"What about the specific situation?" Wang Haobo first stepped forward to give the patient a test, and then asked.

"The patient has no special past medical history. Due to fever and mental behavior abnormalities for two weeks, the patient had a dysfunction due to no obvious cause. He was in the school infirmary for treatment. He was considered to be an upper respiratory tract infection and was treated with oral cold medicine. The next night the patient suddenly had abnormal mental behavior, which was yelling and talking nonsense. He told himself that he heard a little ghost calling his name in his stomach and his limbs were involuntarily moving, which lasted for an hour."

"At the same time, it was accompanied by headache, swelling and pain in both eyes, the symptoms were paroxysmal attacks, five nausea and vomiting... When I was sent to the district hospital for treatment, the nonsense did not improve significantly during the hospitalization, and it still occurred repeatedly, with more frequent frequency than before, and there was still repeated fever. The diagnosis was considered encephalitis... An hour ago the patient suffered from loss of consciousness, repeated convulsions, accompanied by incontinence and weak breathing. He was intubated and sent to our hospital's emergency room."

The inpatient explained the situation in detail.

When the resident doctor told the patient's medical history, Fang Han carefully examined the patient.

At this time, the patient was still intubated with the tracheal intubation. The respiratory tract of both lungs was thick, and a small amount of phlegm could be heard. Just now, Wang Haobo reached out to touch the patient's abdomen, but there was no mass, and his limbs were not edema. The patient's consciousness was still blurred and he had no response to the outside world. His pupils were wide and wide. The barrier responded to light and there was involuntary movement of his lips and jaw.

Fang Han also checked the patient's upper limbs, and the patient was raising his arms and grasping them.

"Do you have another auxiliary examination and invite the internal medicine and neurology department to come for consultation and notify the director." Wang Haobo issued an order.

The patient is an emergency department transferred from the district hospital and intubation state. This situation is a first-level patient, and Wang Haobo's level is still somewhat insufficient.

There are emergency patients in the emergency department. This is the routine for first notifying the hospitalized officer. Then the hospitalized officer coordinates according to the situation, whether to notify other departments for consultation, whether to notify superior doctors, etc.

After giving the order, Wang Haobo looked at Fang Han: "Doctor Fang, have you noticed anything?"

This patient reminded Wang Haobo of the patient last night. The patient last night also said hell. Today's female patient also said that there was a little ghost in her belly calling her name.

There are similarities in this point.

"It's hard to say for the time being, wait for the other departments to consult together."

The patient is intubated and is still having a drip at this time. In this case, the pulse is inaccurate. Fang Han can only make some judgments through consultation, diagnosis and the description of the medical history just now, so he is not in a hurry to draw conclusions.

After a while, Qian Xiaolin and a deputy director of the emergency department arrived. Later, people from the internal medicine department and Shennei also came. The one who came to Shennei was Han Jinwei, the director of the department.

"Director Han." Fang Han said politely. The person who came to the internal medicine department was an associate chief physician, an associate chief physician who was not in his position. Fang Han had never seen him before.

Several people conducted some examinations on the patient and then went into the consultation room together.

In the consultation room, Wang Haobo repeated the previous situation and copied and printed the patient's previous test form and treatment situation in the district hospital, and placed it in front of all the experts.

After Wang Haobo mentioned the situation, Qian Xiaolin said: "Let's talk about it. The patient was transferred from the district hospital and the situation is not optimistic. We must come up with a treatment plan as soon as possible."

"Have the patient undergoes examination in our hospital?"

Wang Haobo hurriedly said: "I have done it. Based on the previous examination, I have compiled some information. The patient's blood is routinely elevated, mainly neutral particles, and liver damage is visible, myocardial markers and autoantibodies are all negative. The biochemistry of cerebrospinal fluid indicates elevated white blood cells... There is no abnormality in the head MRI..."

"The patient has a fever and mental abnormality. The district hospital first suspects that the idea of ​​toxic encephalopathy and meningitis caused by pulmonary inflammation should be correct. The patient's condition characteristics and various examinations can be combined with the symptoms but the symptoms do not match. Can we consider mental disorders caused by encephalitis caused by Mycoplasma pulmonary inflammation?"

A main attorney who participated in the consultation in the emergency department first expressed his opinion.

"The patient's autoantibodies are all negative, and this generation can be temporarily ruled out." The deputy chief physician of the internal medicine department interjected.

"Where is schizophrenia, hallucinations?"

"Now is not the time to consider this issue. With the current clinical manifestations, patients have very serious physical diseases. First of all, they should consider mental disorders caused by physical diseases. There is no string of factors in the patient, and secondary symptoms can be considered." Han Jinwei interrupted.

Several experts started the discussion one by one.

Xian Fen and Fang Han also participated in the consultation room, but Xian Fen was completely bystander and did not participate in the consultation. When the experts discussed, Xian Fen took his notebook and recorded it seriously.

Han Jinwei said: "The possibility of viral meningitis or tetranuclear immune meningitis should be considered. I suggest a re-examination of the craniocerebral and abdomen MPI examination. This should be told to the patient's family about the risks of MPI examination."

"I think what Director Han said makes sense, so you can review it." The deputy director of the internal medicine department agreed.

"Then do these two checks first."

Qian Xiaolin said to Wang Haobo.

As he said that, Qian Xiaolin saw Fang Han who was very fit and said, "Xiao Fang, please tell me your opinion."

Han Jinwei also said: "Yes, Xiao Fang, you can also tell me your opinion. Traditional Chinese medicine has a relatively advantage over most exogenous diseases."

Fang Han has been thinking about it now. Since Qian Xiaolin and Han Jinwei asked, Fang Han nodded and said, "Then I will also tell you what I think."

"The patient is intubated and is infusion. I have not taken the pulse and cannot check the patient's tongue coating. I can only judge based on the symptoms shown by the patient. The patient is accompanied by mental behavior abnormalities. In traditional Chinese medicine, most of the heat evil invades the heart and the gods are affected by evil. This sudden or even abnormality can be considered as the Yangming abdominal solid evil is forced to heat, or the warm evil is reversely transmitted to the pericardial. I think about the latter more likely."

"What kind of heart?"

After Fang Han finished speaking, Qian Xiaolin had no time to speak, the deputy director who came to the consultation of the internal medicine department spoke: "What a mess? Since the patient is intubated and infusion, he cannot take a pulse or a tongue diagnosis, it means that the diagnosis is insufficient. Since the diagnosis is insufficient, don't express your opinion rashly."

The deputy director of the internal medicine department did not know Fang Han, nor did he know Fang Han. Fang Han is now in Yanjing Hospital and is limited to the Department of Traditional Chinese Medicine, extrahepatic and internal medicine. Some people in the department of surgery also knew that. After all, Fang Han had a liver resection, so the internal medicine department was not very clear at all.

Everyone in the internal medicine directors had met Fang Han, but the deputy chief physician didn't know at all.

Before, Han Jinwei greeted Fang Han, and Qian Xiaolin was also respectful to Fang Han, which made the deputy chief physician feel a little unhappy.

As an associate chief physician, he came to the consultation, but no young man was highly valued.

This deputy chief physician actually has no grudges or grudges with Fang Han, which is just unfamiliar with him.

A young man in his twenties, have Qian Xiaolin and Han Jinwei been a little over the past?

"You said it well, but I was not sure about the diagnosis. I just said my own guess." Fang Han was not angry.

"Doctor Gao, Fang Han is just talking about his inferences. There is nothing wrong with it, right? You have passed it a little." Han Jinwei said.

"Director Han, I have no other intentions, I just talk about the matter." Dr. Gao replied lightly.

He is neither from the emergency department nor from the gods. In consultation with disputes, can Qian Xiaolin and Han Jinwei still take revenge?

Doctor Gao was not stupid either. He also guessed that Fang Han might be of some origin, so he didn't say anything too much. He just didn't think so much, and he was unhappy and said in a normal manner.

Fang Han himself said that he did not take the pulse or have a tongue diagnosis, so the accuracy of this inference would be greatly reduced.

If he changed to the deputy chief physician of the Department of Traditional Chinese Medicine, Dr. Gao would naturally not say that. He didn't understand traditional Chinese medicine either. But what can a young young man know? Even if he has the background, he won't be able to help grow up like this?

Xian Fen was standing by without saying a word.
Chapter completed!