My medical skills add experience

Chapter 250 The phenomenon of symbiosis, the sense of accomplishment of studying medicine is full

It's hard to imagine such a long worm parasitic in the human head.

The head circumference of an adult is only about 54cm, and the body of this spargan can make a full circle around the head.

It's hard to imagine that it has been drilling around in the patient's head all these years, but it only caused the patient to vomit.This is also a blessing in misfortune.

"I'm just wondering, such a long parasite grows in his head, why did he come to the hospital for treatment after being so sick?"

Wu Baihe looked at the sparganum on the plate with a calm expression.

As the most powerful chief physician in neurosurgery, he has performed countless surgeries.There must have been many cases of surgery to remove parasites from the brain.

The more I see it, the more calm it will be.

"It's not that he didn't get treatment, but that he was diagnosed and treated in many hospitals and no problem was found. It was Zhou Can who discovered the problem, and later made a CT scan of the brain. It took a long time to find the parasite. When it comes to diagnosing patients, we should not be too superstitious about CT, otherwise it is easy to fall into qualitative thinking and eventually fall into the blind spot of diagnosis.”

Director Shang said quite emotionally.

"Here, this is a CT scan of the patient's brain that was taken in another hospital before, and there is no abnormality at all."

Wu Baihe took the CT film and examined it carefully.

"Hey, I really can't see any obvious problems. There is only a little abnormality in this part of the angiography. But it is easy to be ignored."

Talking about this matter, Wu Baihe also opened up the conversation.

"Don't say that CT films cannot be superstitious, and even MRI cannot be completely trusted. I made several mistakes because of my superstitious belief in MRI. Later, I felt that the diagnostic significance of color ultrasound was higher than that of MRI. So much so that I now During the consultation, patients are often asked to take a color Doppler ultrasound. Family members and patients sometimes have difficulty understanding this, and they will tell me that we have already had an MRI examination, so do we still need to take a color Doppler ultrasound? "

The more experienced the old doctor, the more he likes the simplest examination method.

Ultrasound examination and X-ray examination have always been the most mainstream examination in medicine.

Later, nuclear magnetic resonance was developed and led the medical trend. In addition, Chinese people were very unconfident during that period. In order to increase their popularity, many hospitals spent a lot of money on the introduction of nuclear magnetic resonance examination equipment.

Because this equipment is extremely expensive, in order to quickly recover the cost, the hospital encourages doctors to do as many checks in this area as possible.

Especially some patients who are suspected of having tumors, or the cause of which cannot be found out, are not spared.

As long as they enter a large hospital, MRI has become a must-do inspection item for them.

The cheapest MRI is several hundred, and the one with the highest resolution can even cost two to three thousand yuan.

There is definitely a diagnostic significance, but there are a lot of patients who have not been able to find out the cause after the MRI.

"I also deeply agree with what Director Wu said. If it weren't for the huge interests involved, I would have set a check limit in the department. Don't just prescribe MRI checks for patients, no one's money is worth it." It was blown by a strong wind. To talk about the advantages of MRI, I think there are only two. One is high resolution, which can detect deep lesions. The other is that there is no radiation, which will not cause harm to the operating doctor or the patient. Radiation damage."

NMR is different from the imaging inspection method that uses radiation for inspection. It uses an external magnetic field to scan the human body and is a relatively safe inspection method.

For some special groups, MRI examination has indeed brought good news.

Such as CT, X-ray, their radiation is quite powerful.

Director Shang's medical ethics are absolutely excellent.

It can be seen from some of his usual behaviors towards patients.

For example, this patient with brain parasites did not meet the admission requirements.Unable to withstand the pleas of the family members, Director Shang finally greeted the inpatient department in person and added a temporary bed.

Also, in order to perform surgery on the patient as soon as possible, even though he was pissed off by the nurses of Shenwai, he called the doctor of Shenwai to coordinate the surgery the next day.

These are all manifestations of his wholehearted consideration for patients.

The heart of a doctor's parents is by no means as simple as talking about it.

In practice, there will be many difficulties.For example, you have to save face, for example, you may be thankless, be punished by the hospital, and so on.

"We didn't waste sleep because of choking, we just need to tell the doctors in the department not to overdo the medical treatment."

Wu Baihe gave his own point of view.

Because of this common topic, the relationship between the two chief physicians unexpectedly became much closer.

It can be regarded as a surprise harvest!
After Zhou Can took out the sparganosis, he has been cleaning the patient's wound, stopping the bleeding, and checking for other parasites.

"Both directors, the found sparganosis has been taken out, and it is not clear whether there are eggs or larvae in the patient's body. You see, the next step is to suture the wound or what to do?"

Zhou Can asked.

The scientific name of Sparganum mansoni is Sparganum mansoni.

Its adults parasitize in the intestines of cats and dogs, and occasionally in the intestines of humans.

After the eggs are excreted with the feces, the larvae hatch in the water. After being eaten by Cyclops, the larvae continue to develop into protocercariae.

Protocercariae parasitize in the body of wild animals such as frogs and snakes.

It can be seen from here that it needs the intermediate host Cyclops to eat its larvae in order to develop into protocercariae.

There must be no Cyclops in the human body.

Theoretically speaking, sparganosis generally does not cause large-scale reproduction in the human body.

It's just that medicine has never been absolute, and no one can tell this kind of thing.

"I have checked the adult worm that was taken out, and the head and tail are intact, indicating that the worm body has not been pulled off."

With the help of a magnifying glass, Wu Baihe carefully inspected the adult worms that were taken out.

In terms of diagnosis and treatment, you still need an experienced old doctor!

Zhou Can's diagnosis and treatment experience in this area is obviously not as good as Wu Baihe's.

However, if he encountered a similar case in the future, he knew that after taking out the adult worm, he had to piece together the body of the adult worm and check whether it was complete.

Fortunately, this bug was taken out by him at one time.

and did not pull off.

It saves a lot of trouble.

With the help of a magnifying glass, Wu Baihe carefully inspected the wound.

"No worm eggs have been found for the time being, so let's suture the wound first! Even if there are worm eggs in the cranial cavity, we can wait until the patient's body recovers and can withstand the craniotomy before performing the craniotomy to remove the worms. If after this operation , the patient is normal in all aspects, even if it is found that there are larvae in the brain, there is no need to rush to surgery. Just let the patient observe. Our human body is actually a huge biological kingdom, which contains countless bacteria, viruses, and even Parasites will accompany us for life."

Humans and animals are actually the same.

There are parasites, bacteria, viruses, etc. in the body, and it is not necessary to eliminate them.

It is also possible for both sides to co-exist without affecting each other.

"Okay, then I'll suture the wound!"

Zhou Can nodded and quickly sutured the patient's wound.

"Director Wu, thank you and Director Wen very much today. And you three surgical nurses, thank you very much for working overtime for our patients in the Department of Gastroenterology. You see, it's already past dinner time, if you don't mind , I invite everyone to have a bento."

Director Shang saw that the patient's operation was successfully completed, and the stone hanging in his heart fell to the ground.

When he thought about complaining to the neurosurgery department in the afternoon, he felt even more sorry.

"Hmm... order some meals for the nurses! I have to go to another operation quickly, and I definitely can't take care of dinner now. It's okay, I'm used to working overtime, and I have biscuits and other snacks in the office. Take a few bites, and when the surgery is done, I'll have supper and dinner together."

Wu Baihe explained a few words and took off his mask.

Before leaving, he said to Zhou Can, "Xiao Zhou, you can come to Shenwai often when you have time. Director Wen and I like you very much. It would be even better if you could come and help me."

Wu Baihe is usually a very lonely person, so he wouldn't say these words easily.

It's also because I value Zhou Can and appreciate his ability and character that I like him so much.

"Yes, I will!"

Zhou Can was sewing, but he didn't dare to be distracted.

He replied without raising his head.

But he didn't know that Wu Baihe valued and loved him so much that the three graduate students were so envious.

This is the neurosurgery department, the pinnacle department of surgery, a department of great importance that many graduate students want to enter.

Look at the meaning of Director Wu's words, as long as Zhou Can wants to enter neurosurgery, he will warmly welcome him with his hands up.

After Wu Baihe left, Director Shang's powerful aura returned.

He immediately ordered dinner for everyone.

After Zhou Can's operation was completed, not only the three miraculous surgical nurses were called, but even the official doctor from the anesthesiology department was called to get a lunch box.

Doctors and nurses, in general, are still very hard.

I usually don't pay much attention to food and clothing.

Being able to eat hot meals on time is sometimes a luxury.

"Zhou Can, if I had known that you were so familiar with the chief physicians of Shenwai, I wouldn't have to bother. In the future, if we have patients in the Department of Gastroenterology who need the assistance of Shenwai, you will coordinate and contact them."

Director Shang directly assigned a task to Zhou Can.

"This... Occasionally trouble the chief physicians once or twice, it's okay. Trouble them often, I'm afraid they will take a detour when they see me in the future!"

Zhou Can replied half-jokingly.

After hearing this, the others all snickered.

Qiu Chengyu almost spit out his rice from laughing, choking and coughing non-stop.

"It's not always necessary to invite the chief physician for joint diagnosis and treatment. Sometimes it's the same with the attending physician outside of God. In short, I can see that you are very familiar with people outside of God, and it is much easier to deal with us. At least During the two or three months of your training in the Department of Gastroenterology, you have to undertake this liaison task."

Director Shang was really frightened by the miraculous nurses and doctors.

To put it bluntly, I want to hand over this task to Zhou Can.

Perhaps worried that Zhou Can would feel dissatisfied, he added, "Don't worry, I won't ask you to work in vain. I will guide you more carefully in the future, including various diagnoses and treatments in pharmacology and gastroenterology."

Although he didn't say it clearly, the meaning of these words is basically to tell Zhou Can that he will teach Zhou Can all his money and train him with all his strength.

After Zhou Can heard this, he was immediately happy.

He rushed to say happily, "If a gentleman says a word, it's hard to chase a horse, so it's settled."

When he entered internal medicine, what he most wanted to learn was the knowledge of pathology and pharmacology.

Many of the treatment skills and experience summed up in clinical practice cannot be learned from books.

Director Shang taught him unreservedly, Zhou Can naturally rushed to agree to such a good thing.

"Uh... You kid promised so happily, didn't you plan it a long time ago?"

Director Shang scolded with a smile.

"Hey, you are the director of the Department of Gastroenterology and the professor of the school. You can set an example, and you can't regret it." Zhou Can can feel that through this time, you have shown super surgical ability outside the gods, and you have a good relationship with neurosurgery. Thanks to the deep friendship of the chief physicians, his status in Director Shang's mind has been significantly elevated by a large margin.

Sometimes, the chief physicians are quite realistic.

Seeing that Zhou Can's influence is strong and his potential is extremely strong, the rewards he can reap from his vigorous cultivation will be very good.

"Dr. Zhou is really popular in our neurosurgery department! Not only the chief physicians like him, but also our nursing department has a good impression of him. It's a pity that Director Wu, Director Wen and others tried their best to keep him working outside the department. Still can't keep it."

A young surgical nurse chimed in with a smile.

Judging by her expression, she seemed to regret Zhou Can's reluctance to stay and work outside of God.

"Dr. Zhou is so popular, there must be many young female nurses in your neurosurgery department. Female doctors have a crush on him, right?"

Xie Lin's big mouth can really say whatever comes to mind.

The nurse who had just spoken had two blushes on her face, she seemed to be caught by what Xie Lin said.

"Hehe, there are indeed quite a lot of girls who have a crush on Dr. Zhou. It's a pity that he is already famous, and it makes our young nurses and female doctors who are out of their minds all feel sad in secret!"

An older nurse replied with a smile.

"Oh! It's a pity. I originally wanted to chat with Dr. Zhou about life and see if there could be sparks. It's a pity that I have no chance. But in the future, if you have medical questions, you can ask Dr. Zhou for advice. You can't hide from me. .”

Xie Lin blinked her big eyes at Zhou Can and said.

"Cough cough cough... As long as I know the knowledge, Dr. Xie can communicate anytime."

How could Zhou Can have thought that he would be teased by these female nurses and doctors every time he ate a meal!
Although he was very popular with unmarried female doctors and nurses, he was not yet confident enough to be a heartthrob.This point, he is very self-aware.

Sometimes, just listen to the flattery of the girls.

Never take it seriously.

After dinner, he asked Director Shang to mention the venography examination of the patient with liver cirrhosis.

This time, Director Shang did not expect to agree directly.

It really surprised him.

But now it's long past the off-duty time, so I can only apply for an inspection tomorrow.

……

The next day, as soon as Zhou Can went to the hospital for rounds, there was good news.

The patient with brain parasites in bed 11 has tried to drink some rice porridge this morning after undergoing surgery, and he is in good condition, and has no vomiting symptoms anymore.

And the spirit of the whole person has obviously improved a lot.

It's just that the patient is malnourished for a long time, coupled with the inability to eat normally, there is no way to eat and drink suddenly.Can only recover slowly.

The wound on the patient's head is not large. Judging from the situation, he can be discharged from the hospital tomorrow at the latest.

Zhou Can felt very happy and had a sense of accomplishment when a patient with intractable diseases was cured in this way.

This patient is almost the whole process of diagnosis and treatment completed by him.

The next step was the splenic venography of the female lawyer.

Hope to be able to detect the lesion.

In addition, the gastric cancer patient managed by Zhou Can also arranged for interventional surgery today.

It was just this morning, and it was Director Shang's first operation.

This poor female patient is not entrusted with human beings. I hope the operation will go smoothly and she will recover soon.

　Thank you book friends, Blossoms from the Other Shore for your support!

　　
　
(End of this chapter)