My medical skills add experience

Chapter 619 The germs that took advantage of the void, major events followed one after another
There is no doubt about Tuya's test results. The child must have been infected with tuberculosis, and it was a spinal cord infection.

Only in this way, his cause of disease is somewhat difficult to determine.

According to the results of the somatosensory evoked potential test, it was thought that the first pair of spinal and cervical nerves was injured, resulting in high paraplegia of the sick child.Now that mycobacterium tuberculosis infection has been found in the spinal cord, the etiology must be reconsidered.

Zhou Can thinks that it is very likely that the injury is just a fuse.

After the cervical spine is injured, the resistance of the spinal cord is further reduced, which allows tuberculosis bacteria to multiply and invade the entire spinal cord of the sick child in one fell swoop.

At that time, a hematoma occurred due to the fall of the cervical spine, resulting in high paraplegia on the spot.

Not crying, not being able to move, this is the best proof.

After treatment, the hematoma in the cervical spine gradually subsided, and the compressed cervical nerves gradually recovered.It was only at this time that the tuberculosis bacteria broke out and began to destroy the nerve conduction function of the spinal cord.

This can also explain why the motor nerve function of the sick child is almost completely lost, but the pain nerve still exists.

Moreover, his pain-sensing nerves start from the medulla oblongata at the upper end of the neck, and continue to weaken and weaken downwards. This is also a good proof that the infection of Mycobacterium tuberculosis probably started from the tailbone or the section closer to the pelvic and abdominal cavity.

Bacterial infection has a process.

Because the various tissues and organs of the body are closely connected and independent of each other, like cities.

After germs or viruses conquer a city, they must find a breakthrough point if they want to conquer the next city, which takes time.

Some organs even have super strong defense capabilities, making it extremely difficult for germs to infect them.

After Zhou Can gradually cleared up his thoughts, the diagnosis gradually became clear.

"This child has a problem with the first pair of spinal and cervical nerve conduction, which should not be closely related to tuberculosis infection."

This is his first diagnosis idea after summarizing.

Because tuberculosis is raging in the spinal cord, it should attack from the tailbone to the midbrain step by step, from bottom to top.

It doesn't make sense that the other spinal nerves have no problem in the potential conduction. On the contrary, the first pair of spinal and cervical nerves farthest from the tail vertebrae were taken down by tuberculosis, which is a bit unscientific.

Of course, there are many examples of crossing the enemy's defense line on the battlefield and directly taking the enemy's rear fortress.

The germs are pervasive and extremely cunning, and it is possible to take advantage of the first pair of spine and neck nerves being injured and in a weak state, and then capture it in one fell swoop.

"In the beginning, it must have been caused by the compression of the hematoma and the injury of the cervical spine, leading to high paraplegia. But now the hematoma has disappeared long ago, and the injured cervical spine should have recovered. Under normal circumstances, the symptoms of high paraplegia in the sick child will at least be relieved. Slowly recovering. But so far, it seems that there is no sign of recovery at all. There are only two possibilities."

Zhou Can deliberated carefully and finally identified two possible causes.

The first type is that the damage to the cervical spine is too severe, and the hematoma still cannot recover by itself after the hematoma is eliminated.Partial spinal nerve transection and rupture occurred.This possibility exists, but is relatively small.

Because lower-level central conduction is unobstructed, sensory nerve conduction is also not completely interrupted.

If there is a nerve rupture, the sensory nerve cannot be gradually attenuated downward, but directly interrupted and disappeared.

The second and most likely one.Mycobacterium tuberculosis took advantage of the injury to the first pair of spinal and cervical nerves to enter.Its infection leads to attenuating conduction disturbances in the spinal and cervical nerves.

However, there are some doubts about this argument.

When the book is used, he hates it. At this moment, he feels that his knowledge is not enough, and his experience is also not rich enough.

Since it was caused by a spinal nerve injury, this time I'm afraid I'll have to seek advice from Director Wu Baihe, the pinnacle of neurosurgery.

It's also good to move around a bit.

Some of the friendships with these chief physicians are not stable.

Unless it is Director Liu of General Surgery, Director Xueyan of Cardiothoracic Surgery, Director Tang Fei of Pediatrics, Director Tan of Internal Medicine...these chief physicians have a certain emotional foundation, so they don't need to bother too much to maintain them.

Even if we don't contact each other for a year or so, we are still old friends.

The relationship with Wu Baihe is also the friendship of a gentleman.

As the saying goes, the friendship between gentlemen is as light as water, if you don't communicate often, you will lose contact slowly.

Director Wu Baihe is quite a decent person, but he is a little arrogant and withdrawn. When dealing with him, he is naturally less cordial and more restrained.

Of course, this is also because Zhou Can has no deep friendship with him.

In fact, Director Xueyan and Director Tang Fei are also very lonely.Zhou Can was able to establish a close friendship with them because they had important interests intersected or some things happened.

For example, with Director Xueyan, both of them are apprentices of Director Hu Kan, and they have a friendship from the same school.

Later, Zhou Can reached out to her when she was most difficult and helpless, and helped her get out of the predicament step by step.In the end, the two fell in love with siblings, and their relationship was unbreakable.

Even though it happened that her ex-husband hired a murderer to kill Zhou Can, it still didn't cause a gap between the two.

The friendship between him and Director Tang Fei is based on the binding of interests.

The Department of Pediatrics needs a competent person like Zhou Can.

It's that simple.

After Zhou Can finished his meal, he looked at the surgeries in the afternoon and couldn't help sighing secretly that he was a hard worker.

In the afternoon, there are still three third-level operations, and two second-level complex operations require him to preside over them.

I'm afraid I can only go to Wu Baihe for advice after get off work.

Out of politeness, he decided to make an appointment with Wu Baihe first.

The main reason is that the relationship between the two is not so familiar that they can meet whenever they want.

If it is Director Yin Hua of the Department of Neurology, there is no need to make an appointment, and Zhou Can will go there directly if necessary.

"Director Wu, I have a difficult case here and I want to ask you for advice. Is it convenient to come to you after get off work?"

He sent a WeChat text message.

As long as he is not so busy that he doesn't even have time to type, when he sends messages with these seniors and superior doctors, he will give priority to text messages.

It's a respect.

If the conversation is more complicated, then call or WeChat voice.

"OK!"

Wu Baihe just sent him back a simple emoji.

It would be great to be able to reply to Zhou Can's message in seconds, and promise Zhou Can to go to him for advice.

Many people wanted to ask Wu Baihe for advice or make friends with him, but they were frustrated.

And this is not an exception.

Zhou Can heard that no less than ten doctors had enjoyed this treatment.Doctors who dare to seek advice from Wu Baihe must at least be at the attending level.

Except for a monster like Zhou Can, the average resident doctor should not have that confidence.

To put it bluntly, when the resident doctor stood in front of Wu Baihe, he was oppressed by the opponent's strong aura, and it was very likely that the two sides would fight.In that state, you must be extremely nervous, and you may not even be able to speak completely.

So no one will look for this uncomfortable.

"Thank you!"

Zhou Can replied with a thank you emoji.

He was also full of expectations, that the cause of the sick child might be revealed today.As long as the cause is found out, it can be treated symptomatically.

In order to get off work early, he worked hard on the operation, so he didn't mention it.

Qiao Yu is going to study abroad soon, and Zhou Can cherishes the few remaining opportunities for cooperation.

To be honest, after his royal equipment nurse is gone, it may not be easy to find another one he likes.

At present, the trustee is starting to look for it.

His surgical team has already begun to take shape, and the queen anesthesiologist is Qu Zi.Surgical nurse and senior nutritionist, nurse, Jiang Wei.Then there are two medical assistants under him, namely Pu Dingdong and Yang Zhi.

Luo Shishen is about to graduate from the regular training, and he has already greeted Zhou Can early and asked Zhou Can to save him a seat.

Three medical assistants are the limit that Zhou Can's current team can bear.

After all, the cost of employment must be considered.

The advantage of the self-cultivated medical assistant is that the loyalty is high enough and the tacit understanding is also very good.Everyone knows the basics and knows what is on their shoulders.

The disadvantage is that the cultivation period is a bit long.

Although both Pu Dingdong and Yang Zhi have a certain surgical foundation, especially Yang Zhi, when he was cast under Zhou Can, his surgical ability was already quite good.Now, after Zhou Can's careful training, there are enough training opportunities, and the guidance is also taught by precept and example.

The growth performance of both of them is very good.

As for Luo Shishen, Zhou Can didn't hold out much hope.

On the one hand, Luo Shishen's foundation is weaker than these two, on the other hand, in terms of understanding, talent, and character, Luo Shishen is more suitable for doing odd jobs.It's okay to be an assistant, but Zhou Can really didn't dare to let him be the chief surgeon.

……

Working until [-]:[-] in the evening, Zhou Can dragged his tired body out of the operating room.

Although he has accelerated the speed, there is no way to rush the operation.

Safety comes first.

If you make a mistake because of your haste and panic, and eventually cause an accident, then the loss outweighs the gain.

His current comprehension of the fast knife technique and the steady knife technique is stuck at the second level, and there is no sign of a breakthrough at all.This also caused him to become much slower than before when performing surgery.

"Jiang Wei, today's ward round may be very late, why don't you go home from get off work! I have to go to Director Wu first, and I don't know when I will be back."

Zhou Can said to her.

"Okay. Then I won't accompany you on the ward rounds today. I just went to help Qiao Yu prepare some procedures for going abroad."

Jiang Wei readily agreed.

After hearing this, Ma Xiaolan looked at Qiao Yu enviously.

"Oh, sister Qiao Yu, I really envy you. You will be able to study abroad soon. I wish I could go abroad and drink some foreign ink someday! I won't always feel unconfident when facing my family."

She and Qiao Yu didn't even know each other.

On the first day, the two almost broke up.

Later, under Zhou Can's strong pressure, she took the initiative to bow her head, and then slowly repaired her relationship with Qiao Yu.

At present, a deep friendship has been established between the three beautiful nurses.

"What is there to envy! Isn't it easy for you to go abroad? There is a ready-made tutor at home, use it."

Qiao Yu laughed.

"Forget it. When Mr. Du taught me knowledge, it was like Tang Monk chanting scriptures. I wanted to sleep when I heard it. When you return to China, it will be the same when I study with you again."

Ma Xiaolan's words made everyone laugh.

After Zhou Can walked out of the operating room, he cast his eyes on the bench not far away.

Sure enough, Su Qianqian was already waiting for him with an insulated lunch box, regardless of the weather.

This simple waiting has now become what Zhou Can looks forward to the most after get off work every day.

Under the nourishment of love, Su Qianqian became more beautiful and moving.Compared with the innocence before, she now has a touch of extravagance.Like an elegant lady.

With the blessing of her career, her mental outlook is excellent, and her temperament is even more outstanding.

Even a proud girl like Jiang Wei who is capable and educated will be eclipsed in front of her.

"Honey, the National Day holiday is only over a month away, can you and the hospital ask for leave?"

Su Qianqian arranged their wedding properly.

The biggest worry now is that Zhou Can won't be able to ask for leave.

"I have already greeted Director Lou. It is difficult to take a long vacation for a honeymoon. It is no problem to ask for a couple of vacations to get married."

Tuya Hospital is now a top tertiary hospital in the province, full of talented people, and they will continue to transfer after leaving Zhou Can.

At most, some businesses are not doing so well.

"Then I'm relieved. Seeing that you are so busy every day, I am very worried that you will not be able to take time off. For the guests at the wedding banquet, I only invited some good colleagues and a few important leaders. , and some classmates and friends. There is no banquet at my natal family, do you think it is okay?"

Su Qianqian is not actually a house girl.

She just likes to be quiet and stay at home.

In fact, she often goes out to do business, socialize, and gather with some good female friends.

Due to the continuous development and growth of Jinyu Interactive, the entertainment industry in this province has now ranked fifth in the country.

And the upward trend is still vigorous.

The provincial government has also given great support to Jinyu Interactive, after all, it is now a leading enterprise in the entertainment industry in the province.And it has indeed made great contributions to the province's economy, culture and entertainment.

Because of this, many performance department, music department students, and models from the imperial capital began to come to this provincial capital city to develop.

Among them were not Su Qianqian's classmates who were studying at the university in the imperial capital.

Many classmates know that she is doing very well now, and there are not a few who come directly to her.

She also helps if she can.

That's what good girls are, in general.Although they have been treated cruelly by this world, they still believe in the beauty of life and still have a kind heart for others.

However, compared with Su Qianqian's kindness now, it can be regarded as an advanced version of kindness.

If you can help, you can help. If you are beyond your ability, or feel that it is not worth helping, no matter how soft and hard the other party is, she will not agree.

This is also a survival rule that Zhou Can taught her.

She obeyed Zhou Can's words very much.

The two lived together, and she always put Zhou Can in a very high position in her heart.

Maybe it was because Zhou Can rescued her in her darkest days.Let her have a deep dependence and trust in Zhou Can, as well as a trace of admiration.

Beautiful women love heroes, this is an eternal truth since ancient times.

Zhou Can is the unrivaled hero in her mind.

"Your uncle and aunt didn't call to pester you again?" Zhou Can asked with concern.

(End of this chapter)