There is no need to be too normal to be a doctor

After listening to Zeng Hui's words, Zhang Juan stood there, her mind running wildly.

She began to connect patients' symptoms and signs, as well as some specific clinical manifestations.

Think about this!

Zhang Juan suddenly felt that the ideas in her mind suddenly became clear!

yes……

In this way, all the problems are explained.

Cerebral infarction will indeed cause some facial manifestations, such as drooling at the corners of the mouth and difficulty speaking.

but……

Cerebral infarction is extremely rare in this kind of manifestation that mainly focuses on facial and oral symptoms.

The patient had a past history of cerebral infarction, and a head CT scan showed that there were indeed infarction lesions.

It is generally difficult to determine the length of infarction with CT.

This point may be seen relatively clearly with cranial magnetic resonance imaging (MRI), and can be used to determine if there is an acute cerebral infarction within 24-48 hours.

But when he was admitted to the hospital for examination, it had already exceeded 48 hours, so everyone habitually made the patient's diagnosis as cerebral infarction.

And because of long-term hypertension, cerebral infarction, and Alzheimer's disease in the past, the patient's perception ability is very poor.

This leads to a kind of inertial thinking when doctors diagnose diseases.

Inertial thinking is a very scary thing.

In addition, temporomandibular joint dislocation is extremely rare. Even if it occurs, patients will have subjective symptoms.

But unfortunately, all kinds of coincidences in clinical practice make people make mistakes without charge.

Patients with this kind of temporomandibular joint dislocation have poor perception and are not very clear about it themselves.

This directly leads to everyone neglecting such a link in the diagnosis and treatment process.

After all, if you ask a cerebrovascular doctor to look at temporomandibular joint dislocation, you will undoubtedly embarrass them.

It's like you let a group of rough guys carrying swords, guns, sticks, drills, and drills act like steel bars to do neurosurgery.

Isn’t this embarrassing?

You can't really treat the head like a bone, right?

Zhang Juan looked at Zeng Hui excitedly: "Director Zeng, you are really amazing!"

"It's very possible!"

"This consultation is really worth it."

Zeng Hui waved his hand, smiled, pulled Chen Gong and said:

"You're thanking the wrong person."

"It was Xiao Chen who discovered something strange on the patient's face and then conducted an examination."

"To be honest, I didn't notice the features or changes in the patient's face at all."

Zeng Hui's words made Zhang Juan look at Chen Gong.

The old man’s daughter also came over quickly and said:

"That's right!"

"I prove it."

"It was this little doctor who noticed something was wrong on my father's face."

"Then check it out."

Zhang Juan looked at Chen Gong and said with some surprise: "This is really a coincidence!"

"To be honest, if I hadn't found this, I wouldn't have thought it was a dislocation of the meshing joint."

"Thank you."

Chen Gong nodded lightly: "Let's get checked first."

"verify."

Zhang Juan heard the sound and came back to her senses: "Okay!"

"Um... please wait a moment, Director Zeng. We will come back after the inspection."

"Let's see what we do in this situation."

Chen Gong heard the sound and said calmly: "It should be a dislocation of the mandibular joint. The contact surface of the temporomandibular joint is flat and smooth. There is a depression in front of the tragus, and the dislocated condyle can be palpated under the zygomatic arch."

"This should be a recurring symptom."

"It means that the old man must have been dislocated before, but because he recovered in time, it did not attract attention."

"This situation is not serious, but it cannot be ignored. I suggest you use sclerotherapy injection to protect it."

Chen Gong's words made Zhang Juan look curiously again.

"Recurrent temporomandibular joint dislocation?!"

"It's never happened before..."

Zeng Hui pulled Chen Gong over and said, "Let's go check it out first. We'll talk about the specific situation when we come back."

Zhang Juan nodded, pulled the patient and family members to get up and walked towards the imaging department.

…

Zeng Hui pulled Chen Gong and said seriously:

"You...don't be in a hurry to say some things."

“What if it’s wrong?”

"Perhaps you won't care about it, but you must remember that in clinical work, you must be cautious in your words and deeds, and be rigorous in what you say and do, because... the more you talk, the more mistakes you make."

"Now that we have imaging data to support it, we can just wait for the results to come out."

Chen Gong nodded and smiled: "I understand."

"Thank you, Teacher Zeng."

"But...I think I can't be wrong."

Zeng Hui rolled his eyes: "What do you think?"

"I don't want your feelings, I want imaging feelings."

"You kid...don't be proud!"

"I haven't hit you these past few days. What's wrong? Do you really think of yourself as Director Chen?"

Chen Gong chuckled and said nothing.

But wrong?

He didn't think about it.

It is not easy to make a mistake. To make a mistake, you need to find the wrong clues and a theoretical basis.

However, Zeng Hui still glanced at Chen Gong curiously at this time.

"By the way, how did you find out about the patient's condition just now?"

Chen Gong said matter-of-factly: "Just follow the diagnosis process!"

"During this period, wasn't I learning about the diagnosis and treatment of joint diseases?"

"What I'm looking at is the "Diagnostic Guide to Human Arthropathy" in your office."

Zeng Hui heard the sound and looked at Chen Gong suspiciously:

"Stop bluffing me!"

"I've read this book, why haven't I been diagnosed?"

Chen Gong helplessly shrugged and waved his hands: "I have already said that medical knowledge alone is not enough."

“If medicine wants to make a clear diagnosis, it needs to incorporate various disciplines.”

"Among them, human tissue structure, human body aesthetics...a series of disciplines."

After Zeng Hui heard this, he glanced at Chen Gong unconvinced: "You're talking nonsense!"

"Impossible, absolutely impossible!"

"Medicine is medicine."

"Aesthetics is aesthetics!"

"How can two fields come together?"

Chen Gong looked at Zeng Hui who was acting like a fool, and explained with a smile:

"This is what is said in "Human Aesthetics", human body aesthetics is a discipline that studies related theories of human body beauty.

The beauty of the human body refers to the beauty of the human body as an aesthetic object.

It includes many indicators such as shape, appearance, structure, proportion, etc.

What matters is the morphological characteristics of the person! "

"Just like people who study art, they have a very good grasp of details. Why? Because they have studied angles, proportions, etc."

"In fact, the same is true for orthopedics. If you want to perform precise manual reduction, you must have an understanding of the integrity of the bone structure and the healthy shape of the joint cavity."

"In this way, we can make a better diagnosis."

"I just saw that the other party's temporomandibular junction seemed a little weird today. After I took a closer look, I found something strange."

After listening to Chen Gong's words, Zeng Hui froze on the spot.

He thought about it for a while and seemed to think it made sense!

But……

How can this person who studies medicine and study art...this...

No, no!

This is a fucking crooked way!

Can't learn!

But, to be honest, Zeng Hui could only use these comforting words to convince himself.

After all, you can’t really study art, right?

"Here's nonsense..."

Zeng Hui muttered and washed his hands unconvinced.

The small building behind him witnessed the whole scene, and when he saw Director Zeng walking away, he covered his mouth and started laughing.

Chen Gong couldn't help but smile.

"Director Xiao Chen, do you think Director Zeng is shameless?!"

"Director Zeng is so arrogant."

"Hahaha……"

When Chen Gong watched Zeng Hui wash his hands, he couldn't help but look bad, and even...sneered at himself in the mirror.

Chen Gong rolled his eyes, childish! Still arrogant...boring!

"childish!"

"boring……"

…

Not long after, Zhang Juan took the patients and their families to finish filming.

Looking at the results, the doctor on duty in the imaging department couldn't help but sigh and said:

"Oh, this temporomandibular joint dislocation is so hidden!"

"Most people can't find it at all."

"Otherwise people would say that Director Zeng is great."

"This can all be diagnosed!"

"Look, this dislocation of the mandibular joint has a slight overlap in the images under the zygomatic arch and the convex condyle, so it is not obvious..."

"It's very easy to misdiagnose!"

"Moreover, the patient should be suffering from recurrence, not the first time..."

"This is obviously not the first time for the old man. Look here... there are already signs of recurrent temporomandibular joint dislocation!"

"Treat as soon as possible."

After Zhang Juan heard this, she glanced at the woman. The two looked at each other, both a little surprised.

because……

The results on this film and the words of the imaging doctor are exactly the same as what the little doctor said before he came!

This kid...

Is it so powerful?

Isn’t that just a student?

Obviously, Zhang Juan was a little unbelievable.

…

Not long after!

Zhang Juan and others came back.

Holding inspection results and reports in hand.

"Director Zeng, the results are out, it is the result of temporomandibular joint dislocation." Zhang Juan handed the results directly to Zeng Hui.

Zeng Hui smiled slightly: "Well, just find out."

While talking, Zeng Hui took out the film and started comparing with a smile.

"Xiao Chen, come here and take a look, watch this film... look at this... huh?"

Zeng Hui looked at the film and report, and his eyes widened suddenly.

because……

He found that the result was similar to what Chen Gong had predicted!

No, to be precise...it's exactly the same!

"Huh?!" Zeng Hui couldn't help but make a surprised sound.

Chen Gong smiled slightly and nodded affirmatively: "Yes!"

Zeng Hui:? ? ?

…

ps: Huhu, please support me, it’s the last few days, fellow veterans, it will be available on the shelves at noon on Tuesday, let’s hold on a little longer.

There is a recharge activity recently. If you are interested, you can top up a little. After all, it is affordable.