At three o'clock in the afternoon, as the diagnosis time ended, the students walked out of the ward one after another.
Then, Zhou Yang asked each team leader to collect their diagnostic reports!
However, Zhou Yang did not judge on the spot, but asked: "I will read your report later. I have something to tell you now. One of these patients is not a Keshan disease patient. You Who discovered it?"
After hearing this, these students immediately started whispering and arguing!
"Aren't they all Keshan patients? How could there be other patients?"
"Did you notice it? I didn't!"
"I think their symptoms are similar. Could it be that this little teacher is lying to us..."
When everyone was noisy, Zhou Yang immediately signaled everyone to be quiet, and then asked: "Stop arguing, has the group found any problems?"
"have!"
Then a group of elders, Wei Xiong, loudly said: "A student in our group had doubts about the patient's illness, so he wrote his doubts on the diagnosis certificate!"
Zhou Yang nodded and said, "Not bad! What about the second group?"
"No in the second group!"
Then Zhou Yang asked: "Where are the three groups?"
"Not even three groups!"
"Where's the fourth group?"
"Report, a comrade in the fourth group also discovered an abnormality. He believed that the patient he diagnosed was not Keshan disease, but myocarditis!"
After listening to the reports of the four team leaders, Zhou Yang's eyes instantly became sharp.
"It's not bad. At least two students raised questions!"
However, Zhou Yang changed his voice immediately and continued: "But do you know that among these 110 patients, there are as many as 33 patients with non-Keshan disease. Among them, 11 are patients with myocarditis, 9 patients with coronary heart disease, and 13 patients with angina pectoris. Bit!"
Hearing this, everyone present was completely stunned.
There were 33 non-Keshan disease patients, and only two of them were diagnosed, which means that 31 patients were misdiagnosed!
At this time, all the students lowered their heads in shame.
No wonder they didn't even read their medical records. It turned out that they were not optimistic about them from the beginning.
Fortunately they were just left to diagnose and not perform actual treatment.
If the treatment is really carried out according to their method, the consequences will be serious, and people may actually die.
Just when everyone was preparing to welcome Zhou Yang's ridicule, they saw him saying in a deep voice: "Now everyone is lining up. I will personally take you to examine these patients and let you see with your own eyes how to judge the disease." Mountain disease!”
After saying that, Zhou Yang turned around and walked into the inpatient ward!
The students were stunned for a moment, and then followed.
They originally thought that Zhou Yang would take this opportunity to insult them, and then take revenge for the morning's "revenge", but they never thought that Zhou Yang would never mention this matter again, and they were completely convinced by his ambition.
In addition, after these students were hit, they no longer had the arrogance they had before.
One by one, like primary school students, they lined up and followed Zhou Yang back to the inpatient ward!
The first patient Zhou Yang received was an old man in his sixties. Zhou Yang first asked about his basic situation and symptoms of the disease, and then asked where the man was from.
After learning that he was from the Northeast, Zhou Yang said to the students behind him: "Keshan disease mainly manifests as acute and chronic cardiac insufficiency, heart enlargement, arrhythmia, and embolism of the brain, lungs, kidneys and other organs. Clinically, It can easily be confused with many diseases!"
"For example, the acute type should be very similar to acute myocarditis, acute myocardial infarction, acute gastritis, and biliary ascariasis. The slow type should be closely related to dilated cardiomyopathy, peripartum cardiomyopathy, coronary heart disease, chronic pericarditis, There are similarities in rheumatic valvular heart disease!”
"Subacute type is similar to chronic glomerulonephritis or nephropathy, bronchopneumonia, endocardial fibroelastosis, etc. Therefore, when encountering this situation, clinical and epidemiological, pathological data and life changes should be linked, Conduct a comprehensive analysis.”
"Teacher Zhou...Teacher Zhou, how should we conduct a comprehensive analysis?" someone asked in a low voice.
"First of all, you need to understand what Keshan disease is, what are the clinical manifestations and epidemiological characteristics of Keshan disease!"
Then Zhou Yang continued: "Keshan disease has obvious epidemic areas and epidemic seasons. We will talk about these in detail later in the teaching, but we won't talk about it now!"
"Take this uncle's case. His clinical symptoms include chronic heart failure, cardiac enlargement, arrhythmia, etc. These are typical manifestations of Keshan disease. In addition, he lives in the Northeast and Northwest, which have In areas where Kashin-Beck disease and endemic goiter are common, if a patient has symptoms similar to dilated cardiomyopathy at the same time, chronic Keshan disease should be considered..."
As soon as he finished speaking, the students inside and outside the ward started discussing again.
It's just that this time everyone's focus has changed, and the strange words have obviously disappeared:
"It turns out that this is how Keshan disease is distinguished from other heart diseases. I really learned this this time!"
"This Teacher Zhou is not very old, but he knows a lot. We made a mistake!"
"Who says it's not the case? I hope he won't argue with us..."
It can be said that Zhou Yang completely conquered these people by just using a small means.
And for the whole afternoon, Zhou Yang and these students stayed in the inpatient department.
It took more than three hours for Zhou Yang to diagnose more than 100 patients one by one. Those who had Keshan disease were kept, and those who did not were transferred to other wards.
After this consultation, all students' views on Zhou Yang have fundamentally changed.
The previous dissatisfaction disappeared, and most students were shocked and admired by Zhou Yang's profound knowledge.
So, when everyone came out of the affiliated hospital, everyone called Zhou Yang "Teacher Zhou!"
And this matter also spread throughout the entire Beijing Medical College in a very short period of time. Both Liu Jimin and Wang Yuanhua were impressed by Zhou Yang's methods.
In fact, the most indispensable thing in schools is students who have troubles. Most schools have similar approaches to these troubles.
Either corporal punishment, or asking parents, or slowly educating and influencing them, or completely giving up and letting them fend for themselves.
But people like Zhou Yang immediately dug a hole for these students and severely dampened their morale.
Then use knowledge to shock them, be fast, accurate and ruthless, and the effect is very good!
The most important thing is that there is no delay in teaching!
And that so-called competition is actually more like on-site teaching.
After this afternoon's understanding, the students all have a clear understanding of the conditions of patients with Keshan disease, which will be of great benefit to their subsequent studies.
To be honest, Liu Jimin, Wang Yuanhua and others felt that even if they were to do this, they probably wouldn't be able to do it as well as Zhou Yang.
For a time, Zhou Yang's name once again spread throughout the Capital Medical College.
However, Zhou Yang himself didn't care about this matter.
These students may seem a little unruly, but in fact, as long as you understand their psychology, you can solve the problem very well.
You know, the reason why they embarrass him is not because they hate the teacher, nor are they resistant to this training, but because they think young people like Zhou Yang are not worthy of teaching them.
In fact, these people are eager to learn and progress in their hearts.
That's why Zhou Yang used this method to first destroy their arrogance and then let them see his ability and knowledge.
It can be said that this is a real solution to the problem.
And the results are obvious!
I believe that after today's scene, they will be very cooperative in the future.
