Chapter 765: Anti-NMDA receptor encephalitis
"Fang Han is worthy of being Fang Han, Gao Huaiming miscalculated. Xian Fen also smiled.
"What does Dr. Sin mean?" Li Junxian also didn't quite understand.
Xian Fen explained two sentences to Li Junxian in a low voice, and Li Junxian suddenly realized.
Fang Han looked at Gao Huaiming and said slowly: "Since what I said is right, and Doctor Gao knows the meaning, why do you deliberately mess with me?"
Gao Huaiming opened his mouth, not knowing what to say.
Fang Han said again: "If Director Gao doesn't know what it means, then I said that Director Gao doesn't learn and has no skills, is it wrong to say that he is indiscriminate?"
Gao Huaiming: "......"
What does the word "heart" mean, this is not what Fang Han said, nor did he Gao Huaiming say, but the official definition, which has been handed down from ancient times to the present, and is a text invented by the ancestors.
What is the meaning, how to understand it, it has been thousands of years, and it is not something that Fang Han and Gao Huaiming can change casually.
As the chief physician, if you don't know the meaning of this word, it's really not wrong to say that you don't learn and don't have skills, and you can't fill up the numbers.
But since you know, secretly changing the concept, it is deliberately difficult.
The heart has two meanings, one refers to the heart, the human organs, and the other refers to the human mind and mind, to be precise, one is in a narrow sense, and the other is in a broad sense.
There is nothing wrong with either of these, is it appropriate to use a narrow sense to target a broad sense?
"We're talking about patients now, we're talking about patients, it's medical things, and it's not a big beat, isn't it the heart for the disease?"
After being silent for two minutes, Gao Huaiming spoke again, but this time everyone could hear that he was already lacking in confidence and was a little strong.
Fang Han was still calm.
"Since Dr. Gao said it, let me ask Dr. Gao a few more questions. ”
Gao Huaiming looked at Fang Han, didn't mention his mood, and asked questions again.
He was speechless when he asked Fang Han two questions just now, and now he asks again, this Nima, he is completely planted this time.
You ask. Gao Huaiming squeezed out a word.
"Dare to ask Doctor Gao, how many years has the Chinese civilization and Chinese writing developed?"
"Five thousand years. Gao Huaiming said.
"So how many years has Western civilization developed?"
Gao Huaiming was stunned, and then said, "It's hard to say this." ”
"Then I'll ask you specifically, when did English come about?"
Gao Huaiming pondered for a moment and said, "It's probably more than 400 years AD, more than 1,100 years ago. ”
"Did the English appear to refer to our text?" Fang Han asked again.
"How is it possible to refer to our words, it is people's own civilization. Gao Huaiming snorted.
"Then the question is, our Chinese word 'heart' is not the same as the English word 'heart' before, but the original translator naturally felt that it should be translated like this, so it was translated like this, am I right?" Fang Han asked.
"Isn't that right?" Gao Huaiming was stunned.
"You can't say it's wrong, and you can't say it's all right. ”
Fang Han said: "The history of the birth of Chinese writing is about 5,000 years, and the history of the birth of traditional Chinese medicine is almost before the text, even if it is synchronized with the text, it has a history of 5,000 years, and this 'heart' word, before the English language appeared, Chinese medicine has been used for at least two or three thousand years, right?"
Gao Huaiming was silent.
Fang Han is not wrong to say this, the words heart, liver, and lungs have indeed been used in traditional Chinese medicine, and according to history, they are indeed earlier than Western civilization.
"So just now Dr. Gao questioned me, can I understand it this way, Dr. Gao, you are using a latecomer with a history of only more than 1,100 years to question the 'heart' of Chinese medicine is not right, you can't use it like this, this thing is scientific, you are not scientific, do you think it is appropriate?"
"Poof!"
Some of the residents outside the window couldn't help but laugh.
"Dr. Fang's words were so sharp that Director Gao couldn't say a word. ”
"Yes, how many years of Chinese medicine, how many years of Western medicine, not to mention anything else, it is always bad for you to question the theories of Chinese medicine casually. ”
"The Chinese language is broad and profound, and it has a lot of meanings, and Director Gao planted it this time. ”
"Yes, don't say this 'heart', you translate the rest. ”
"My girlfriend called, you are waiting for me at the stop sign, if I don't arrive and you arrive, you wait for me, if I arrive and you don't arrive, you wait for me, come, translate. ”
"Dr. Fang actually said very reasonable, "The Yellow Emperor's Neijing" has Chinese medicine on the 'heart' and 'liver' statements and explanations, how many years, Dr. Gao is now using the heart to question, isn't this nonsense, the 'heart' of Chinese medicine refers not to the heart, you can't apply the heart of Western medicine to Chinese medicine because they are all doctors. “
"Yes, although I don't understand Chinese medicine, I know this. "Look at the lively doctors gossiping.
Gao Huaiming remained silent.
Fang Han didn't stop, and continued: "Doctor Gao, you don't know about Chinese medicine, I don't blame you, everyone has their own field and their own strengths, but do you think it's appropriate to use what you're good at to question what you don't understand at all?"
Gao Huaiming's face has completely turned the color of pig liver.
"Fang Han, don't say a word. ”
Qian Xiaolin saw that Gao Huaiming's face was wrong, and hurriedly scolded him, he couldn't let it go on.
Now that Fang Han has the upper hand, let this matter pass.
Who would have thought that as soon as Qian Xiaolin's words came out, Gao Huaiming became more and more unable to hang up, and said, "No need." ”
Saying that, Gao Huaiming walked outside with a step, walked to the door and turned around, looked at Fang Han and said: "Fang Han, you are right, I have nothing to say, although I was wrong, but I Gao Huaiming has backbone, I will do what I say, I will leave Yanjing Hospital from today on." ”
After that, Gao Huaiming turned his head and left, not stopping a step.
"Doctor Gao, Xiao Gao, Gao Huaiming......"
Qian Xiaolin hurriedly chased after him and shouted in the back, but Gao Huaiming didn't look back, and his back quickly disappeared from Qian Xiaolin's sight.
The resident doctors, who were originally watching the excitement at the door and window of the consultation room, saw Qian Xiaolin come out and dispersed in an instant.
"What is going on? ”
Qian Xiaolin returned to the consultation room, his face was also quite ugly, a consultation, it turned out to be like this, it was a joke to spread it.
If Zhu Yaoren knew about this, he would still think that he had done to the doctors in their department.
"If you make a mistake, why don't you love it. Han Jinwei snorted.
After all, Han Jinwei is a god, unlike Qian Xiaolin, who has dealt with some doctors in other departments a lot, and Gao Huaiming and Qian Xiaolin have seen it a few times before.
But Han Jinwei is not familiar with Gao Huaiming at all.
Han Jinwei couldn't stand Gao Huaiming's appearance just now, if such a person was from their department, he would have driven him away, and it would be an eyesore to look at.
"Director Qian, the patient's examination report is out. The resident doctor who was in charge of the patient at the beginning hurriedly walked in with the examination report.
"Director Han, let's take a look at the results of the examination first, and then talk about other things later, Xiao Fang will also take a look. ”
Qian Xiaolin got the examination report from the resident doctor and walked to Han Jinwei's side, and Fang Han also walked away when he heard this.
Han Jinwei first took the cranial + abdominal MIR examination.
"It is a slightly longer T1 and slightly longer T2 signals on the medial side of the temporal lobes on both sides, and there is no obvious hyperintensity in the DWI sequence, and there is no obvious enhancement ...... enhancement"
Then Han Jinwei checked the cerebrospinal fluid examination again, and the NMDA-R-Ab was positive (+)
After reading all the examination reports, Han Jinwei said to Qian Xiaolin: "Basically, it can be diagnosed, anti-NMDA receptor encephalitis." ”
Qian Xiaolin nodded and said: "Now it seems that it can be diagnosed, anti-NMDA receptor encephalitis is a more classic type of autoimmune encephalitis, and the clinical manifestations of patients are mainly cognitive dysfunction, manifested as a decrease in memory function, calculation function, executive function, etc., and some psychiatric symptoms, such as gibberish, beating and scolding, hallucination and other abnormal behaviors, and the symptoms are also consistent." "Fortunately, there are no teratomas, some patients have teratomas, especially young women, and some patients have tumors elsewhere. Han Jinwei nodded.
Fang Han had heard of this encephalitis for the first time, and he didn't know much about the Western medicine of this disease, so he didn't speak.
Instead, Xian Fen, who had been in charge of registration, said: "I know this disease, the medical university hospital has had a similar treatment, at that time, the combination of traditional Chinese and Western medicine was used, and the person involved in the treatment was Director Peng Chaokaipeng. ”
"Xiao Xian, do you remember Director Peng's therapy?" asked Qian Xiaolin.
Peng Chaokai is Peng Qianyuan's eldest son, an expert in traditional Chinese medicine at Yanjing Medical University Hospital, Peng Qianyuan is a great power player on the same level as Guo Wenyuan and others, and Peng Chaokai's status and influence in Xinglin are above Tan Guangping.
"I'll check, I have a record here. ”
As he spoke, Xian Fen took out his laptop from the backpack he was carrying.
Every time Xian Fen comes to the hospital, as long as it is a normal investigation, he carries his bag, a notebook in his hand, and a computer notebook behind his back.
Turning on the computer, Xian Fen quickly found the medical record he was talking about.
"I found it, there is a record on it, Director Peng's diagnosis is - warm evil reverse transmission pericardium, and the treatment idea adopted is - clearing heat and detoxifying, dissolving turbidity and opening the body......"
Han Jinwei and Qian Xiaolin glanced at each other, and they both saw the surprise in each other's eyes.
Peng Chaokai's diagnosis and treatment ideas were exactly the same as what Fang Han just said.
Li Junxian, who was standing next to Xian Fen, and Wang Haobo, who was standing next to Qian Xiaolin, were also dumbfounded.
Peng Chaokai's diagnosis is authoritative, and the case that Xian Fen took out is a case that has been treated, which shows that people's methods have been practiced.
Xian Fen continued: "According to the several cases I investigated, after the recovery of anti-HMDA receptor encephalitis, patients will have varying degrees of memory loss. ”
"Fortunately, Gao Huaiming is gone. ”
After being stunned for a while, Qian Xiaolin said such a sentence with a wry smile.
"yes, it's good to go. Han Jinwei snorted.
If you don't leave, it's a double crit at this point.
Fang Han's diagnosis and views are not only consistent with Peng Chaokai, but the most important thing is that the prognosis of this treatment is relatively good.
When this result came out, if Gao Huaiming was present, it would be tantamount to being slapped in the face.
"Old Han, don't laugh, since you have been diagnosed, let's plan a treatment plan together, Xiao Xian, you take the medical record and refer to it together. Qian Xiaolin smiled bitterly and shook his head.
Gao Huaiming is gone, but this matter is not over...... (Note: Remind me that the medical records in the book are all real medical cases, and I should understand them when I write them and then write them into stories, but because I am not a doctor, sometimes my understanding is not necessarily accurate, and we should not be too serious.
: Three more, add more for Linyuan He Xianyu!