第二百一十四章 争辩
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徐泽小组的同学,原本见得徐泽竟然真检查出了什么病,都感到兴奋不已,不过这时徐泽竟然说呼吸内科搞错了,这下可都惊诧了起来,以为徐泽真是突然一下脑袋发晕了,否则怎可能说出这样的话来。
星大附一可是在全国都排名前几的医院,而且呼吸内科这么多主任医生一起会诊得出来的结论,怎么会是错的,就算是错的,徐泽你再怎么厉害,也不可能比这么多主任还有医生都厉害吧?
想到这里,这下众人都一个个都担心地看着徐泽,希望徐泽可不要再在这个问题上纠缠了,毕竟已经检查出了这个什么中枢神经性咳嗽,就不算输了…
只是徐泽可是不愿这般轻易罢休,他第一个是实在看这个黎莫岭不惯,而第二既然附一他们已经误诊了,那么这样治疗下去,使用一些中枢性镇咳药,或许暂时会有一定的效果,但是对于患者以后,可没有什么好处,而且随着时间的过去,患者的病可能会越来越严重,到时候,就算是再发现出是矽肺的话,用药治疗的效果,也不会太好了。
面对黎莫岭的耻笑,徐泽轻笑了一声,倒是懒得理会他,然后继续对病人进行一些问诊,来明确自己的这个矽肺诊断,是否有更多的依据。
这时这病人却是也听的两人的言语,见的徐泽似乎说得很自信,虽然觉得这个小医生不太靠谱,但是却也有些担心了起来,毕竟自己治了许久,确实效果不是很好,所以徐泽问诊的时候,倒是极为的配合。
很快,徐泽便问出了自己想要的东西,病人家的附近,有一家大型的石灰矿,虽然他没有在石灰矿中工作,但是经常还是会有许多灰尘笼罩在家的附近。
既然有工业粉尘的接触史,徐泽这下也就越发地能够肯定了,当下便朝着黎莫岭笑道:“听到没有,病人有工业粉尘的接触史,所以很有可能是矽肺,我建议你还是再请钱主任会下诊,否则,要是这样用药下去,只怕效果不会很好!”
看得徐泽一副教训自己的模样,黎莫岭却是怒了,这个病人明明地已经确诊了是中枢神经性咳嗽,这个小子却愣是要在这里,胡搅蛮缠,还一副教导自己模样,他当他自己是谁。
当下便怒笑道:“好啊…你一个见习生,倒是教导起我来了…难道我们这么多主任还有医生,还会比你一个见习生差?”
黎莫岭正待继续教训徐泽,这旁边越发有些担心的病人却是插口道:“黎医生,既然这个小医生这样认为,你就跟钱主任说说,看看要不再排除排除…也好让这个小医生明白一下…”
听的病人这般隐晦的担心言语,黎莫岭只觉得是血往脸上冲,他今儿真是被徐泽这个小子给气晕了,连病人都被他哄信了,当下便冷声怒笑道:“好…既然你坚持,那我就请钱主任来看看!我告诉你徐泽…要是钱主任说你这个没有依据,那你一个见习生就是扰乱我们医院的医疗秩序,还有毁坏我们医院的声誉,我倒是要看看你担不担得起这个责任!”
“好吧…请钱主任来看一下…这样也是对病人负责…”徐泽淡笑了一声,无所谓的道;他可是巴不得钱主任来看一下,只有他来看了,把他说服之后,才有可能替这个病人确诊,而且这样也才能将这黎莫岭的气焰压得下来。
黎莫岭跑去主任办公室,添油加醋地将这事说了一番,说徐泽毁坏医院的声誉,钱主任过来的时候脸色,倒是不很好看。这徐泽实在是太会惹事了…
不过既然病人要求,他自然还是要仔细给病人检查一番,排除病人的疑虑;
进来之后,虽然脸色不太好看,但是他还是询问了一下徐泽为什么会怀疑这个诊断,毕竟这个徐泽跟自己的顶头上司大内科主任章里德,十分相熟,而且章里德也交代徐泽可以任意地看病人,所以他还是给了徐泽些许的面子,否则要是其他人,只怕他早已经是带到办公室一阵训了。
面对钱志勋,徐泽倒是也丝毫没有任何的畏惧之色,将自己刚才问诊的情况说了出来,当然他不能说自己已经发现了患者的肺间质中,已经有少量的二氧化硅,也就是矽尘存在。
他只是提醒道:“病人有工业灰尘的长期接触史,而且为刺激性的干咳,我觉得还是要考虑这个方面的原因…矽肺早期的细微改变,好像有时候x线,和ct也无法明显的发现…”
钱志勋听得徐泽的言语,脸上的神色倒是也有些严肃了起来,徐泽所说的一些东西,倒是也勾起了他的一丝担心,当时他在会诊时诊断为中枢神经性咳嗽,也是因为确实各项检查都没有发现异常地方,所以才只能下这个诊断。
但是如果徐泽所说,那么这个矽肺的可能性,也并非是没有…
当下对着徐泽脸色倒是稍稍地缓和了一些下来,然后便对病人再次地进行了详细的询问,而且主要是针对矽肺方面。
而一旁的黎莫岭,见得钱主任被自己那般言语都没有直接教训这个见习生,而且还对这个见习生这般客气地询问,甚至似乎还认真地考虑这个见习生的意见,且有些意动的模样,这黎莫岭这下却是越发地郁闷了起来。.
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