My medical skills are a billion points

Xiao Chu smiled.

"Because of this disease, symptomatic treatment will be good."

"Ah, how did this happen? Then Director Xiao, what kind of disease is this?"

Several people looked at Xiao Chu eagerly, waiting for his answer.

"Actually, this disease is indeed very rare."

Xiao Chu smiled and said, "I don't know if you have watched Emergency Doctor, this medical TV series?"

Li Xiang and the trainee doctor all shook their heads.

Doctors in tertiary hospitals are so busy that they don't have time to watch TV.

Li Xiang has never seen an emergency doctor, and it is normal.

Among them, only Wang Li nodded.

"Mr. Xiao, I have watched this TV series."

Xiao Chu looked at Wang Li and asked: "Then, in this TV series, there is also an episode where a female patient suffers from a stomachache. The doctor in the episode finally diagnoses a very rare disease for this female patient. Do you still have any memory?"

Wang Li shook her head.

She has watched this TV series for several years, and she has long forgotten the plot, so how can she still remember it.

Xiao Chu said again: "The female patient in the TV series suffered from acute intermittent porphyria. Coincidentally, this female patient is also suffering from this disease today."

Acute intermittent porphyria?

What the hell?

What kind of disease is this?

Never heard of it!

As soon as Xiao Chu mentioned the disease.

The trainee doctor, Liu Qing and Wang Li were immediately stunned.

Only Li Xiang looked thoughtful and seemed to know something about this disease.

And this disease is not in the textbook.

It can only be found in some relevant information guides.

And Li Xiang only had a slight impression of this disease after reading an article by chance.

After all, this is the first time he has seen this disease, so it is normal that it cannot be diagnosed.

"Acute intermittent porphyria? What kind of disease is this? Teacher Xiao!"

The trainee doctor looked thirsty for knowledge.

He is just a doctor from the county-level city below.

This rare disease has never been seen before.

Before Xiao Chu answered, Li Xiang spoke.

"This disease is more common and the most serious among porphyrias. The main clinical symptoms are abdominal cramps, intractable constipation, and mental symptoms."

"But with routine inspections, you still can't find out the cause. And the most serious type of porphyria is called vampirism."

"Ah?! Vampire disease?! Is it true? How can there be such a disease in the world!"

Liu Qing's eyes widened in surprise.

Xiao Chu took over the conversation.

"As the protagonist of "Emergency Doctor" explained, in the most serious form of the disease, once the skin is exposed to the sun, it will blister, cause pain and burning sensation, and the mouth and gums are bloody, just like a vampire. "

"This is too scary!"

The two girls shivered in fright.

They really don't know that there are such terrible diseases in this world.

Fortunately, today's female patient is not as scary as a vampire as Xiao Chu said.

"After a while, take some urine from that patient, put it in the sun, and it will turn pink! This is the proof."

Xiao Chu said again.

"If you still don't understand, you can check the information and it will be clear.

After a while, test the patient for uroporphyrin and hematoporphyrin, and the diagnosis can be confirmed. "

"This is an autosomal dominant genetic disease. There is no cure for this disease."

Hearing what Xiao Chu said, Wang Li hurried out.

It looks like he's urinating for a patient.

Only one or two ten minutes later, Wang Li ran back with half a bottle of pink liquid.

She said happily: "Mr. Xiao, the patient's urine has really turned pink! You are amazing!"

Chapter 225

Xiao Chu smiled and said: "This genetic disease is very uncommon, even in our provincial hospitals, it is difficult to see it.

But we can make a courseware and study it in the department to increase our clinical experience. "

Li Xiang nodded tacitly.

"This kind of disease is really rare. I have been working for several years, and this is the first time I have seen it.

I guess in our department, Director Chen may have encountered this case, and other people are also terrified. It is good for other people in our department to learn from it. "

Then Xiao Chu handed over the task of making the courseware to Wang Li.

After all, she is more concerned about this disease.

Due to Xiao Chu's earnest teaching to the interns and doctor trainees, many interns and doctor trainees would study with Xiao Chu in their free time.

After all, Xiao Chu explained in detail and has rich clinical experience.

Very much loved by these interns and students.

And Xiao Chu also tried his best to teach these doctors.

As long as Xiao Chu goes to work, he will be accompanied by a large group of interns and fellows from time to time.

On this day, as soon as Xiao Chu went to work, he saw a patient in his sixties.

The patient's symptoms are mainly severe chest tightness, and it is sudden chest tightness.

After questioning, the patient had a medical history of emphysema and bullae.

Xiao Chu auscultated him and found that the breathing sound on the right side had completely disappeared.

And percussion was a drum sound, which is a typical pneumothorax performance.

An X-ray was taken of the patient, which showed that the right lung was completely compressed and there was pleural effusion.

Apparently, this patient had a spontaneous hydropneumothorax.

The diagnosis is clear, so the treatment is also very simple.

Just do a closed chest drainage to draw out the fluid and gas in the chest cavity, and it will be fine.

At this time, the patient's condition is already very clear.

Xiao Chu looked at the trainee doctors and interns who surrounded him, and asked:

"Who will tell me about this patient, what's the condition? Then how to treat it?"

A trainee doctor named Wang Panpan checked the patient and checked the checklist, and said to Xiao Chu: "Mr. Xiao, this patient has a hydropneumothorax. It is considered to be spontaneous and needs closed chest drainage."

Xiao Chu waved his hand: "It is necessary to do closed chest drainage, then you should do it."

Closed chest drainage is the most basic operation for every doctor.

Xiao Chu felt that this trainee doctor should also be able to do it.

After all, she is not an intern and has been working for several years.

However, he still overestimated Wang Panpan's ability.

Wang Panpan is a doctor who came to the emergency department of the provincial hospital from a county-level hospital for advanced training.

Not very old, only 26 or seven years old.

Although this female doctor is also very diligent and capable, sometimes her clinical experience and hands-on ability are still lacking.

Hearing that he was asked to undergo closed chest drainage, Wang Panpan's face turned dark all of a sudden.

I only heard Wang Panpan hesitantly say: "Mr. Xiao, I haven't performed closed chest drainage yet."

Xiao Chu's face darkened.

You are a trainee doctor, and you can't even do the most basic closed chest drainage?

why are you here

However, Wang Panpan studied under Zhao Fangshu.

Xiao Chu would not get angry at her either.

He was about to switch operations.

At this time, Zhao Fangshu came over.

Zhao Fangshu said directly: "Closed thoracic drainage is the most basic operation for a doctor. Panpan, you don't even know how to do this. How can you do emergency treatment when you go back?"

"You have to learn this operation as soon as possible, and get started as soon as possible!"

Zhao Fangshu suddenly looked at Xiao Chu.

"Director Xiao, it seems that most of our trainee doctors still don't know how to do this operation!

How about you become a teacher today and show them the operation of closed chest drainage? "

"Yes, Teacher Xiao, just show us a demonstration!"

A group of interns and fellow doctors also echoed.

These people in the emergency department already knew how powerful Xiao Chu was.

In private communication, they also want to learn from Xiao Chu.

But I just don't know how Xiao Chu's temper is.

Are you like other teachers who lose your temper and curse at every turn? !

The other teachers who teach have a bad temper, but they don't have such patience.

These interns who just came out of medical school, except for a little better theoretical knowledge, know nothing else, and careless handling is easy to cause mistakes.

Therefore, ordinary doctors are not willing to teach interns.

Because these interns are too late.

Doctors in training are better.

Because after all, they come from the county hospital, they are much better than the interns who don't know anything.

However, most of the time, the level of trainee doctors is also limited.

Therefore, these doctors with teaching tasks usually do not have full patience during clinical teaching.

Just say a few words, do his own work well, and it's over.

This has caused the interns to practice in each department for a period of time, but they will not know anything.

Originally, the rotation time for each of their departments was short, and with the teachers not paying attention, one can imagine how much they could learn.

And some interns don't even bother to study, they just come to the hospital for a formality.

Not to mention, learn something.

Although trainee doctors start at a higher level than interns, their level is also mixed.

Some trainee doctors are relatively young and know how to learn more.