Big Doctor Live Room
Chapter 1103 Left Vertebral Artery Occlusion
Chapter 1103 Left Vertebral Artery Occlusion
"Okay, old man, the last step, stick out your tongue!"
The old man stuck out his tongue, tilted it to one side, and made a face at Chen Qun winkingly.
Chen Qun's eyes suddenly became serious, and he flicked his finger slightly, signaling in the air.
"Old man, can you stop making funny faces and put your tongue straight first!"
"It's so troublesome, my tongue is straight, what do you mean by letting me put it straight?"
Chen Qun immediately picked up the tablet on the doctor's desk next to him, called out the mirror function, and placed it in front of him.
"Old man, look for yourself. Your tongue is crooked, but it's not straight. Is it true that your tongue has been like this since you were a child? Later, because you were afraid of being laughed at, you changed to making a grimace to make this expression, and finally It becomes a habit, and you forget about it yourself."
"How do you know? I thought this was a bad habit I had when I was a child. I corrected it later. I just got used to it, so I can't change it."
"Okay, old man, your results are out. As I just said, it's a minor stroke. You need to inject tissue plasminogen activator intravenously to see if there is a way to ablate your blood vessels." Thrombus in it.”
The doctor next to me couldn't help but remind me.
"Doctor Chen, don't you want to do an angiogram to prove the location of the thrombus?"
Chen Qun said calmly.
"It has been confirmed just now. His tongue is tilted to the left, indicating that the left vertebral artery is occluded. But from what he said, the thrombosis may have been occluded for decades. After I finish injecting the medicine here, you take him to do it. A cervical spine angiography usually requires surgery, and a minimally invasive surgery can solve this problem.”
Chen Qun gave the final diagnosis, turned around and left. When he came outside the diagnosis room, he found that the eldest lady was communicating with the micro-robot and seemed to be uploading some files.
"Hey, you are playing with our hospital's property during non-working hours. You are in violation of the regulations and your wages will be deducted."
"Wait a minute, you haven't given me a cent of my salary. If you want to deduct it, I will deduct it from you. I am your fiancée anyway. It is natural for me to deduct your wallet. This is called leading by example!"
Chen Qun had no choice but to face it with a bitter face, and quickly changed the subject.
"Why are you not interested in seeing a doctor today? Don't you always like to criticize?"
"Tch, you are just my test number one. You can treat thirty people a day at most, which is the best. If I let a small broom diagnose, I can diagnose countless people in a day. As long as the success rate goes up, it will be better than others." You are countless times more powerful. Just obediently be a good teacher and teach computers to treat doctors!"
When Chen Qun heard what the eldest lady said, he immediately raised his hands in surrender.
"Why do you always make me speechless?!"
"This is strength! You are at best a medical researcher, but I am a master of overall logic. Isn't it clear who is in charge of whom and who is the leader?"
"It seems that in Guda, Fu Gang is depressed. You have violated the seven rules and will be divorced by a letter of divorce!"
"Okay, now that I haven't gotten married, I have become Mrs. Niu since I was a child. I will divorce you with a letter of divorce first!"
The eldest lady rushed forward with all her teeth and claws, and the two of them fought all the way to Huang Haitao's medical office.As soon as he entered the door, he saw Huang Haitao staring at a set of MRI photos in a daze.Chen Qun took a quick glance, and he saw the specific problem, and also guessed the reason why Huang Shiren asked him to come here.
"The aneurysm is compressing the liver. This should be a condition that occurred after the operation. How is it possible? Is this tumor a genetic susceptibility, or is it a sequela after the operation?"
Huang Haitao turned around and said to Chen Qun with a smile.
"If it was hereditary, the patient would not be sent to me. Welcome to the last line of defense of Xiangyun Hospital, the surgical correction team in the hospital. I thought that the job of wiping buttocks would be replaced by a different place. It seems that I still You are too young, once you start this job, you will not be able to retreat. Now, this big responsibility has fallen on your head, so please do it!"
The eldest lady was amused and immediately retorted.
"This is your job, not ours, so don't try to squeeze us!"
Huang Haitao looked at her with an expression that looked like a deep idiot, and told a cruel truth with a smile.
“Ms. Operations that cannot be completed or symptoms that cannot be treated are sent here. To put it mildly, they are specially responsible for wiping butts."
The eldest lady will not argue with this Huang Shiren. The choice of the research center is in her own hands. She will be admitted to the hospital only if she is willing to accept patients.If you don't want to, then step aside.Huang Haitao deliberately confused this difference in order to manipulate Chen Qun.
Chen Qun understood it as soon as he heard it. He looked at the surgical marks just now, and he could hardly find anything to be picky about. There were still abnormalities. This is actually a postoperative complication, which is very normal, and no one can escape this kind of problem. abnormal condition.The reason is also very simple, the same operation, the same operation, it is very likely that the patient's physique is different, and eventually lead to death, even if there is no mistake, this can only be a pity.
Huang Haitao pointed to the image and explained to Chen Qun.
"This is an operation performed by Professor Nan from the Hepatobiliary Department. After removing an artery tumor, the pressure above the patient's artery increased, causing the disease, and then it was transferred here for further treatment. Just now I was thinking of using an abdominal stent Implantation to solve this situation, can you do it? This is also the specific reason why I came to you."
Chen Qun thought about it and gave a practical answer.
"The anatomy of this part of the artery is too complicated. Even if it can be done, it will cost a lot of money. It needs computer simulation imaging to give the specific situation. It will take about a week to complete the operation in your mouth. Whether it can be done or not is another matter."
"Well, this method should be considered as the last backup plan. What else do you have to do?"
"Maybe it can be solved by using abdominal aortic circulation, but it is very likely that new aneurysms appear above the artery. As a result, the more operations are performed, the more patients tend to die."
"Yes, no matter which choice we make, the patient may die on the operating table, so I need you to come over and take a look. The patient is in ward 709, wait for you to go over and take a look, taking advantage of your rest these two days Time, give me a better plan. Otherwise I can only try my luck."
The eldest lady looked at the two big men with their heads deep in thought, and said directly.
"Perhaps, I can consult Little Broom to see what his most radical plan is. Are there any successful cases that I can refer to?"
Chen Qun immediately made a request to ask the eldest lady to continue her cloud diagnosis.Even if it doesn't work, it can provide a better idea.
In a blink of an eye, the electronic sound of the broom robot sounded from the screen.
"We can resect more of the proximal aorta and extend the graft to reconstruct the celiac trunk. The material of choice is Dacron for the construction of the new artery."
Chen Qun looked at the eldest lady typing quickly and knew that the computer was using its simple data to express possibilities. The eldest lady's typing was actually acting as a temporary computer translator, turning the data into words that people could understand.Maybe the eldest lady never thought that this translation process is actually a technology that artificial intelligence must solve.
"No, the branch is too complicated."
Huang Haitao directly denied it.
"The Lancet just published an article using polymer materials to replace blood vessels."
"The cost is too expensive, and there is no established technology."
Chen Qun then denied the eldest lady's whimsical ideas, and directly gave his thoughts.
"Maybe, we can autologous transplant!"
(End of this chapter)
"Okay, old man, the last step, stick out your tongue!"
The old man stuck out his tongue, tilted it to one side, and made a face at Chen Qun winkingly.
Chen Qun's eyes suddenly became serious, and he flicked his finger slightly, signaling in the air.
"Old man, can you stop making funny faces and put your tongue straight first!"
"It's so troublesome, my tongue is straight, what do you mean by letting me put it straight?"
Chen Qun immediately picked up the tablet on the doctor's desk next to him, called out the mirror function, and placed it in front of him.
"Old man, look for yourself. Your tongue is crooked, but it's not straight. Is it true that your tongue has been like this since you were a child? Later, because you were afraid of being laughed at, you changed to making a grimace to make this expression, and finally It becomes a habit, and you forget about it yourself."
"How do you know? I thought this was a bad habit I had when I was a child. I corrected it later. I just got used to it, so I can't change it."
"Okay, old man, your results are out. As I just said, it's a minor stroke. You need to inject tissue plasminogen activator intravenously to see if there is a way to ablate your blood vessels." Thrombus in it.”
The doctor next to me couldn't help but remind me.
"Doctor Chen, don't you want to do an angiogram to prove the location of the thrombus?"
Chen Qun said calmly.
"It has been confirmed just now. His tongue is tilted to the left, indicating that the left vertebral artery is occluded. But from what he said, the thrombosis may have been occluded for decades. After I finish injecting the medicine here, you take him to do it. A cervical spine angiography usually requires surgery, and a minimally invasive surgery can solve this problem.”
Chen Qun gave the final diagnosis, turned around and left. When he came outside the diagnosis room, he found that the eldest lady was communicating with the micro-robot and seemed to be uploading some files.
"Hey, you are playing with our hospital's property during non-working hours. You are in violation of the regulations and your wages will be deducted."
"Wait a minute, you haven't given me a cent of my salary. If you want to deduct it, I will deduct it from you. I am your fiancée anyway. It is natural for me to deduct your wallet. This is called leading by example!"
Chen Qun had no choice but to face it with a bitter face, and quickly changed the subject.
"Why are you not interested in seeing a doctor today? Don't you always like to criticize?"
"Tch, you are just my test number one. You can treat thirty people a day at most, which is the best. If I let a small broom diagnose, I can diagnose countless people in a day. As long as the success rate goes up, it will be better than others." You are countless times more powerful. Just obediently be a good teacher and teach computers to treat doctors!"
When Chen Qun heard what the eldest lady said, he immediately raised his hands in surrender.
"Why do you always make me speechless?!"
"This is strength! You are at best a medical researcher, but I am a master of overall logic. Isn't it clear who is in charge of whom and who is the leader?"
"It seems that in Guda, Fu Gang is depressed. You have violated the seven rules and will be divorced by a letter of divorce!"
"Okay, now that I haven't gotten married, I have become Mrs. Niu since I was a child. I will divorce you with a letter of divorce first!"
The eldest lady rushed forward with all her teeth and claws, and the two of them fought all the way to Huang Haitao's medical office.As soon as he entered the door, he saw Huang Haitao staring at a set of MRI photos in a daze.Chen Qun took a quick glance, and he saw the specific problem, and also guessed the reason why Huang Shiren asked him to come here.
"The aneurysm is compressing the liver. This should be a condition that occurred after the operation. How is it possible? Is this tumor a genetic susceptibility, or is it a sequela after the operation?"
Huang Haitao turned around and said to Chen Qun with a smile.
"If it was hereditary, the patient would not be sent to me. Welcome to the last line of defense of Xiangyun Hospital, the surgical correction team in the hospital. I thought that the job of wiping buttocks would be replaced by a different place. It seems that I still You are too young, once you start this job, you will not be able to retreat. Now, this big responsibility has fallen on your head, so please do it!"
The eldest lady was amused and immediately retorted.
"This is your job, not ours, so don't try to squeeze us!"
Huang Haitao looked at her with an expression that looked like a deep idiot, and told a cruel truth with a smile.
“Ms. Operations that cannot be completed or symptoms that cannot be treated are sent here. To put it mildly, they are specially responsible for wiping butts."
The eldest lady will not argue with this Huang Shiren. The choice of the research center is in her own hands. She will be admitted to the hospital only if she is willing to accept patients.If you don't want to, then step aside.Huang Haitao deliberately confused this difference in order to manipulate Chen Qun.
Chen Qun understood it as soon as he heard it. He looked at the surgical marks just now, and he could hardly find anything to be picky about. There were still abnormalities. This is actually a postoperative complication, which is very normal, and no one can escape this kind of problem. abnormal condition.The reason is also very simple, the same operation, the same operation, it is very likely that the patient's physique is different, and eventually lead to death, even if there is no mistake, this can only be a pity.
Huang Haitao pointed to the image and explained to Chen Qun.
"This is an operation performed by Professor Nan from the Hepatobiliary Department. After removing an artery tumor, the pressure above the patient's artery increased, causing the disease, and then it was transferred here for further treatment. Just now I was thinking of using an abdominal stent Implantation to solve this situation, can you do it? This is also the specific reason why I came to you."
Chen Qun thought about it and gave a practical answer.
"The anatomy of this part of the artery is too complicated. Even if it can be done, it will cost a lot of money. It needs computer simulation imaging to give the specific situation. It will take about a week to complete the operation in your mouth. Whether it can be done or not is another matter."
"Well, this method should be considered as the last backup plan. What else do you have to do?"
"Maybe it can be solved by using abdominal aortic circulation, but it is very likely that new aneurysms appear above the artery. As a result, the more operations are performed, the more patients tend to die."
"Yes, no matter which choice we make, the patient may die on the operating table, so I need you to come over and take a look. The patient is in ward 709, wait for you to go over and take a look, taking advantage of your rest these two days Time, give me a better plan. Otherwise I can only try my luck."
The eldest lady looked at the two big men with their heads deep in thought, and said directly.
"Perhaps, I can consult Little Broom to see what his most radical plan is. Are there any successful cases that I can refer to?"
Chen Qun immediately made a request to ask the eldest lady to continue her cloud diagnosis.Even if it doesn't work, it can provide a better idea.
In a blink of an eye, the electronic sound of the broom robot sounded from the screen.
"We can resect more of the proximal aorta and extend the graft to reconstruct the celiac trunk. The material of choice is Dacron for the construction of the new artery."
Chen Qun looked at the eldest lady typing quickly and knew that the computer was using its simple data to express possibilities. The eldest lady's typing was actually acting as a temporary computer translator, turning the data into words that people could understand.Maybe the eldest lady never thought that this translation process is actually a technology that artificial intelligence must solve.
"No, the branch is too complicated."
Huang Haitao directly denied it.
"The Lancet just published an article using polymer materials to replace blood vessels."
"The cost is too expensive, and there is no established technology."
Chen Qun then denied the eldest lady's whimsical ideas, and directly gave his thoughts.
"Maybe, we can autologous transplant!"
(End of this chapter)
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