medical road high rise

Chapter 440 Rhabdomyosarcoma

Chapter 442 Rhabdomyosarcoma

After waiting for Qin Feng to leave the office, Zhao Guoping took two deep puffs of his cigarette.

In fact, there were many big medical doctors who wanted to send their juniors to Ruijin Hospital to be Qin Feng's interns, and they were taught by Qin Feng.

But Qin Feng never mentioned this matter, and Qin Feng was too young, so Zhao Guoping didn't think about it.

Today Qin Feng proposed that although there are only two people, the position of these two people will definitely cause a bloody storm.

What does it mean to follow Qin Feng?Means you can learn more.

Whether it is emergency surgery, cardiac surgery, or tumor intervention, at present, there is no Qin Feng who can't do it. As long as he is not a fool, he can learn something.

Zhao Guoping hurriedly called the dean, and even because of Qin Feng's teaching incident, the leadership will have a separate meeting tomorrow.

The people below are too good, and the boss is also in pain and happiness.

Early the next morning, Qin Feng returned to his outpatient clinic after taking Li Xuewen's interns to check the room.

These are all Qin Feng asked to help Li Xuewen, mainly to experience the feeling of teaching in advance.

At the same time, Qin Feng took Wang Xiong with him and asked him to watch him during the consultation.

This made the other interns envious, and their eyeballs almost flowed out.

"Have you ever gone to a clinic with Dr. Li before?" Qin Feng poured Wang Xiong a cup of tea.

"Twice."

"Just twice?" Qin Feng was a little surprised.

"Because there are too many people, each person's one-month schedule is almost full in two days, and then Teacher Li only visits once a week." Wang Xiong said.

Qin Feng nodded, like Li Xuewen and others, they all had operations, operations, outpatient visits, meetings, operations, and a week passed. Unlike Qin Feng, operations can take turns with consultations.

A middle-aged man pushed the door in and sat down.

Qin Feng looked at the case of the middle-aged man, and at the same time listened to the middle-aged man's narration. After the middle-aged man finished speaking, Qin Feng nodded.

The illness of the middle-aged man is a bit strange. He has had this illness for many years, and his symptoms are somewhat similar to angina pectoris. However, he went to the hospital for a detailed examination before, but there was nothing wrong with it. It was completely unrelated to angina pectoris.

In the last month, the symptoms became more and more obvious. He also went to Xiehe to see the old professor, but the old professor also said that he just thought he was sick, but he was not sick.

"I'll take a look at the inspection report."

Qin Feng glanced at the data on the examination report, which showed that the patient's symptoms were crush pain and colic symptoms caused by increased fatigue.

According to the report above, the patient was indeed a typical symptom of angina pectoris, but the patient brought three big bags of information. These were the examinations he had done together over the past few years, and those all showed that the patient did not have angina pectoris.

Qin Feng had no choice but to arrange for the patient to have another electrocardiogram, and found that there was no problem with the electrocardiogram. After an arteriography, the patient's coronary artery system was also good, and there was no blockage.

You must know that these inspection materials are all from tertiary hospitals, and the inspection items are also very complete. All aspects have been considered, but no problems have been found.

Even Qin Feng can only prescribe these inspections, and they haven't even considered them comprehensively.

Qin Feng discovered the data of electrocardiogram and coronary angiography again, and found a problem, that is, the patient's heartbeat was 6, which meant that the coronary blood flow of the patient was too slow.

Under normal circumstances, even for patients with severe cardiovascular stenosis, the time it takes for the contrast agent to go from beginning to end during angiography generally does not exceed two heartbeats, and the longest is three heartbeat cycles.

Six heartbeats, totally slow.

If the blood flow is too slow, it is related to the problem of the capillaries of the patient's heart, which is why the patient has angina pectoris.

Because the blood cannot be transported effectively for a long time, and the nutrients needed by the myocardium cannot be obtained in time, it will lead to myocardial ischemia, and there will be a feeling of dull pain.

This disease has an individual name, called microvascular angina pectoris, and its typical symptoms are normal coronary angiography and positive exercise test, but there is no other evidence of heart disease, and there is no angina pectoris with organic coronary stenosis.

Qin Feng's diagnosis result was told to the patient, and the patient was also very happy, and finally found the reason.

"Have you ever eaten nitroglycerin?" Qin Feng asked.

"Well, but it didn't work."

Qin Feng nodded his head. The most typical feature of microvascular angina is that nitroglycerin has little effect.

A few more checkups were arranged for the patient. Although Qin Feng was diagnosed, he still needs to keep up with the checkups. If there is any problem at that time, when he is on a business trip, the doctors in other hospitals can also know what's going on.

After working for about two hours, the patient came back again and was diagnosed with microvascular angina pectoris. The patient clutched the checklist, feeling extremely complicated.

"Thank you, Doctor Qin." The patient said gratefully.

In the past few years, he has been suspected by doctors and family members. No one is willing to believe him, and he is also very uncomfortable.

Now, finally with the result, he can breathe a sigh of relief.

This kind does not require surgery, just take the medicine on time. Qin Feng prescribed the medicine, and the patient took it and left.

Waiting for the last patient today was a young woman holding a little boy about four years old in her arms.

The young woman looked at Qin Feng, and slowly told about her child's illness.

When his son was four years old, he suddenly became weak and had nosebleeds.

At that time, I went to the surrounding community hospital for an examination, and only said that I was on fire, but after taking the medicine, it became more serious.

They went to the local city hospital again. The doctors at the city hospital found something was wrong. They found that the patient's son's eyes were asymmetrical and his tongue couldn't be centered. This is a typical problem with the brain being compressed.

After doing brain CT, it was diagnosed as rhabdomyosarcoma, which grew in the nasopharyngeal base of the skull.

It's just that even their hospitals in provincial capitals can't treat this disease. They suggested going to the top three hospitals in Kyoto or Modu.

Coupled with the recent popularity of Qin Feng and the medical records of cancer patients, they came to find Qin Feng.

It's just that Qin Feng's account is really hard to get. They spent 500 yuan to get Qin Feng's ticket from scalpers.

"Is your son rhabdomyosarcoma or nasopharynx?" Qin Feng looked at the patient's mother.

The patient's mother nodded. Qin Feng picked up the flashlight and shone the patient's nostrils. He could clearly see a black object blocking the inside of the patient's nostrils.

"How big is the tumor now?" Qin Feng asked.

"A week ago, it was 4.2cm in our provincial hospital."

Qin Feng flipped through the patient's case files and films, and then the patient's mother looked at Qin Feng nervously.

The main reason is that after they were watched by the doctors of the provincial capital hospital, the look of direct rejection still reverberated in front of them.

That doctor is also a first-class oncologist, but after seeing the patient, he just shook his head and said that the patient's tumor grew at the base of the skull, which was full of nerves and blood vessels. In addition, the child was too young, so it was too difficult and risky to remove the tumor. high.

Qin Feng put down the information and looked at the patient's parents.

"Patients can be operated on."

(End of this chapter)