"...To sum up, based on the examination results, and considering the patient's migraine and multiple stroke symptoms, as well as the white matter lesions detected by MRI, I think neurosarcoma and cadasil are the most likely, but it needs to be

Further diagnosis.”

The long speech obviously made Dr. Wells feel dry in the mouth. After finishing the last sentence, his throat moved up and down obviously. Then he nodded to Professor Smith, who was presiding over the case analysis meeting, and then said:

He sat down proudly.

He did have reason to be satisfied with his analysis. At least half of the doctors in the conference room agreed with his conclusion and nodded involuntarily. Even Professor Smith's eyes showed approval.

"So, does anyone else have anything to add?"

Professor Smith looked around the conference room and asked loudly.

Except for one radiologist who was contemplating, the other doctors all shook their heads. Professor Smith nodded and was about to announce the start of analyzing the next case when his wandering eyes suddenly froze and he couldn't help but frown.

Wrinkled.

"Tian, ​​what do you think of Dr. Wells' analysis?"

Putting down the information in his hands, Professor Smith asked with some dissatisfaction. At the case analysis meeting, everyone was concentrating on it, either looking at the information in hand or listening carefully to the speaker's analysis. Only Tian Lu held the

He was looking at the information, but it was obvious that his eyes had not fallen on it at all and he had long been distracted.

"ah?"

At the reminder of a doctor next to him, Tian Lu raised his head in confusion and asked: "What?"

"I'm asking you, what do you think of Dr. Wells's analysis?" Professor Smith's tone was obviously displeased, and his intensity became much stronger. As a dedicated doctor, although Smith admired Tian Lu very much,

This does not mean that his laziness can be tolerated, especially in such a case analysis meeting. His behavior is obviously disrespectful to others.

Tian Lu also heard Professor Smith's dissatisfaction, and couldn't help but secretly complain. In the past few days, he had just learned about Professor Smith's research, and when he was very enthusiastic and devoted himself to thinking about it, he had already been distracted many times in diagnosis and academic conferences.

.

but......

"Professor Smith, I do have some different opinions!"

After being stunned for a moment, Tian Lu immediately stood up and answered loudly. Although he was distracted just now, after getting the case information, the clinical diagnosis support system gave the judgment result immediately, so Tian Lu was not afraid.

Professor Smith took offense.

"Oh? Then please talk to me."

Professor Smith was also slightly startled. He didn't seem to expect that Tian Lu really had other opinions. He quickly waved his hands and said. In any case, Professor Smith has always been rigorous about academic issues. Since he has different opinions, he must listen to them.

Listen.

Tian Lu secretly breathed a sigh of relief, and then said: "I quite agree with Dr. Wells's other analysis, but I have some different views on the patient's imaging results. Please take a look, are there any differences in the CT results?

The stripe sign and empty triangle sign are too obvious, and the MRI results,..."

"...Therefore, although the resulting stroke is relatively rare, less than 1%, I think the possibility of cvt (intracranial venous thrombosis) still needs to be considered!"

cvt?

Everyone was stunned for a moment, and then they all picked up the imaging films and looked at them carefully.

Professor Smith also frowned, and his eyes drifted towards Dr. Anthony, who had been deep in thought. As a professional radiologist, he has the most say in the conference room.

As if feeling Professor Smith's gaze, Dr. Anthony hesitated for a moment, frowned and nodded: "Yes, I have been thinking about this issue just now. Although the signs are not particularly typical, I think it is indeed very possible."

"I would recommend an MRV or DSA test for the patient."

After a while, Tian Lu added: "In addition, I think it is necessary to conduct a full-body tumor examination on the patient."

"Do you suspect that CVT is caused by tumors?" Professor Smith looked at the case information in his hand and asked with a frown.

Tian Lu nodded and replied seriously: "Yes sir, at least it is possible!"

"I agree with Tian's opinion!"

Dr. Anthony nodded and confirmed Tian Lu's idea: "I also think that the possibility of tumors cannot be ruled out."

With Dr. Anthony's support, Tian Lu's idea seemed to be more acceptable, so after just a little thought, Professor Smith directly concluded: "Okay, let's do a DSA and then conduct a full-body tumor examination.

!That’s it, let’s start discussing the next case...”

....................................................

"Okay, let's end the meeting here today."

After finishing the discussion on the last case, Professor Smith announced the end of the meeting on the stage, and then walked directly to Tian Lu: "Tian, ​​please wait a moment, I have something to talk to you about."

"Yes, sir."

Although he had some doubts in his heart, Tian Lu nodded immediately and did not follow everyone out of the conference room.

After everyone had finished walking, Professor Smith waved his hand, motioning Tian Lu to sit down, and then frowned and said, "Tian, ​​I want to know, what were you thinking about when everyone was analyzing the cases?"

"ah?"

Tian Lu was slightly startled.

"Please don't make up reasons at will. I know you are not analyzing the data, because your eyes and ears are not focused on the cases!" Before Tian Lu could react, Professor Smith continued rudely.

Seeing Professor Smith's very serious expression, Tian Lu smiled bitterly in his heart, nodded helplessly and said: "Yes, sir, I am indeed not analyzing the case. In fact, I was just analyzing your research topic."

What Tian Lu said was absolutely true. After a preliminary understanding of Professor Smith's research, combined with the newly launched scientific research support system and medical record support system, he suddenly had a very feasible idea, and he basically focused all his energy on it in the past two days.

Up here.

"My research topic?"

Professor Smith's brows knitted together: "Tian, ​​I think I have told you beforehand that although you can understand my research and even participate in it, the premise is that you cannot affect the normal work!"

"The problem is, I haven't affected my daily work!"

Tian Lu hurriedly straightened his body and argued forcefully: "You have also seen that my analysis does make some sense, and it has been approved by you!"

"These are two different things!"

Professor Smith waved his hand vigorously and said decisively.

This sentence seemed to consume a lot of energy from Professor Smith. After taking a deep breath, he said seriously: "Tian, ​​I think that as a physician, or in other words, as a resident physician, you still have

Didn’t adapt to the change in his role!”

Before Tian Lu, whose expression changed, could speak, Professor Smith waved his hand and continued: "Yes, you may have made the right judgment, but so what? You did not seriously participate in the discussion, nor did you take the initiative to make the judgment.

I will tell you the result, but you waited until I asked the question, didn't you? Then, can I think this: you didn't really pay attention to this patient's condition?"

"Of course not! I just..."

Professor Smith's words were a bit harsh. Tian Lu suddenly felt anxious and quickly opened his mouth to refute. However, as soon as he finished speaking, he was stunned again.

Yes, no matter what the reason is, his thoughts just now were indeed not focused on the patient’s information!

"Tian, ​​it's not just this time. In fact, you have been coming to the Department of Neurology for a week. I find that many times you are not focused enough! Not only at academic meetings, but also during ward rounds, your attention is often

It’s also not placed on the patient!”

"Although we don't have much contact, I admit that you are very talented. I can even say that you are one of the most talented young people I have ever seen. Your performance in general surgery and ICU is also sufficient.

This illustrates this point. Perhaps your future is limitless and may even far exceed my achievements. However, what I want to tell you is that as a qualified doctor, you need more than top academic level and

Superb medical skills, but more importantly, your attitude!"

"Your compassion for patients, your concern for their condition, this is the key to being a good doctor! If you can't do this, I don't think you can be a good doctor!"

Smith's series of words, which were like a storm, immediately made Tian Lu's head feel a little dizzy.

Since he got this system, hasn't he worked so hard to become a good doctor?

What are the criteria for a good doctor?

Isn’t it medical?

Didn’t he make academic contributions?

In an instant, the joy of having the system fully opened in the past few days, as well as the various ambitions for the future, gradually became illusory in Professor Smith's words.

Seeing Tian Lu's confused look, Professor Smith's expression gradually softened a lot.

The resident doctor in front of him was still too young after all, and it seemed that the words he just said had touched him, so Professor Smith was not willing to be too harsh.

Sighing softly, Professor Smith tried his best to soften his tone and said seriously: "Tian, ​​you should think about it carefully and understand what you want to do and what you can do. Leave your nerves behind.

Before entering internal medicine, I hope to see your transformation, otherwise, no matter how outstanding your work is, I won’t give you too high a rating."

After saying that, Professor Smith nodded, stood up and left.

Tian Lu was the only one left in the huge conference room, staring blankly at the thick pile of case information at his hand, falling into confusion...

.............................

I can't find anyone to help with the cover for the time being. Haha, thank you to those who gave me some advice, but there's really no way I can do it.
Chapter completed!