crazy scalpel

Xie Ke, who returned to Gu Yi after the exam, was still doing his job, but he seemed like an outsider.

He has decided to leave here after registering in the department. As for where he will go, he has not yet contacted, but in short this time he will definitely go to neurosurgery.

This matter is not a secret, and his colleagues were not surprised after hearing what he said, and they inevitably felt a little "oh, I'm leaving at last" while expressing their reluctance.Even if Shayk brought them glory and benefits they never thought they could get.

However, on this day, an unexpected patient came.

Shayk didn't recognize him at first.

The patient's name is Zhong Liangquan, and he is Zhao Hua's patient.More than a year ago, he underwent spinal surgery performed by Zhao Hua in the No. [-] City Hospital. At that time, Xie Ke had not come to work here, and the resident doctor in charge of him at that time was Lao Youjun.

But this time, it was Xie Ke who received him.

In fact, Shayk shouldn't have been seeing new patients at this time.But Zhao Hua, Xie Ke's superior doctor, asked him to be a shield.

This patient has already had two surgeries in a city hospital.

The first time was two years ago, when he often lost his balance when walking and felt like he was stepping on cotton.Although disc herniation occurs in the neck is a relatively rare case, but because the results of imaging examination support the symptom that his spinal cord is compressed by the herniated disc, Zhao Hua decided to perform a discectomy for him after consideration.

After the operation, his condition did improve a little.But soon after he came to the hospital again.But this time, it was because of head and neck pain and arm pain, and the diagnosis was nerve root type intervertebral disc herniation.So Zhao Hua performed another discectomy on him, removing a second disc from his spine.

After that, Zhong Liangquan came to the city hospital many times to seek medical treatment.

Because he has been suffering from neck pain, and the pain in his arms is getting worse.To make matters worse, with two discs removed, his spine is limited in motion and often slips due to the instability of the vertebrae, which is more painful than it would have been without the surgery.

But subsequent inspections did not find anything that could be resolved with surgery.

Apart from the two discs that were removed, there appeared to be no degenerative changes elsewhere.But the patient still said it was very painful, very painful.

So, it becomes an incurable disease.

Unless he is willing to go to internal medicine and receive medical treatment.But everyone knows that taking medicine for spinal disease is basically useless.There are only two kinds of drug therapy, either take analgesics, but the curative effect is very short and cannot cure;

Another method is massage and acupuncture.These physical therapies can indeed relieve pain to a certain extent, and reduce the burden on the compressed spinal cord and nerve roots.However, compared with the time and money spent and the curative effect, it is far from satisfying the patients.

In fact, all surgeons can realize from this situation that this is the so-called "spine surgery failure syndrome".

This is a phenomenon that patients do not improve or even get worse after undergoing spinal surgery.

This is why Zhao Hua dragged Xie Ke to use him as a shield.

It is indeed difficult to face a patient who has failed treatment after his own operation and is likely to be incurable in the future.

Zhao Hua couldn't give him a satisfactory answer to his question about "why it wasn't cured" or his expectation of "what to do next".

Shayk asked the patient to bring out his medical history and medical records.

Because Zhong Liangquan often went to the hospital, he was very familiar with these procedures. He brought all the things and handed them over to Xie Ke.

While Xie Ke was thinking about what Zhao Hua had told him, he was looking at the various records and checklists in his hand.

Zhong Liangquan stared at him without hesitation, leaving him speechless.

Xie Ke smiled at him, continued to look down at the medical records, and asked him, "Why, do you think I'm too young? Can't see you well?"

Zhong Liangquan hurriedly said, "No, no. I think you look familiar. Your surname is Xie? Did you live in Jiefang University?"

Xie Ke raised his head, and then he looked at the other party seriously.He nodded slightly: "Yes, does Uncle Zhong also live there? So we may have been old neighbors before."

Zhong Liang's neck was uncomfortable, and he wanted to move but dared not move: "Really, is your name Xie Ke? Is your father's name Xie Zhenhua?"

Hearing what he said, Xie Ke became serious and asked, "Yes, you know my father?"

Zhong Liangquan said happily: "Oh, you have grown so big." He stretched out his hand to compare the height of the table, "Your father and I are colleagues, and you used to come to my house with your father to play Well. When I saw you for the first time, you were about the height of this table. When you were a child, you were a skinny guy, jumping up and down, climbing up and down, climbing up and down, and drilling into every hole. Hahaha, I didn’t expect to grow so big in a blink of an eye , and also became a doctor. You look good, so handsome, like a movie star. But it’s still the same as before, it hasn’t changed much, you used to look good when you were young, and some people want you to be a child star, Remember? It’s mature, I didn’t dare to admit it just now. Okay, okay, you are promising, and your parents can feel at ease.”

Zhong Liangquan said a lot in one breath, and Xie Ke's eyes felt a little hot when he heard it.He didn't expect to run into his father's former colleagues at this time and this place.

However, Xie Ke only had a distant and vague impression of these things he said, and he didn't even remember Zhong Liangquan very much.

But after this recollection, he seemed to remember a little bit again, and when he looked at Zhong Liangquan again, he also felt that his face was a little familiar.

"Uncle Zhong," Xie Ke licked his dry lips, "Since this is the case, then Uncle Zhong, I won't be sloppy with you anymore. Your illness is quite troublesome."

Zhong Liangquan was taken aback when he heard this, and then blushed and said, "Why, is there nothing I can do? I'm really in pain now, it's so uncomfortable, I can't do anything! And my wife is also annoyed by me No, we fight all day long."

Xie Ke pressed his hands down to calm him down: "Don't be impatient, I'll tell you slowly, what might be going on, and then we can figure out a solution together. But you have to promise me, don't worry about it. Don't get excited and angry. It's useless to be noisy, what we need is calmness and confidence, okay?"

Zhong Liangquan's cervical spine is bad, so he couldn't nod his head vigorously, but he said in a heavy tone: "Okay, I will listen to you."

Xie Ke saw that his emotions were well controlled, so he explained the cause of the disease to him: "From the CT scan and MRI examination you have done before, first of all, I must say that Dr. Zhao Hua's diagnosis is not wrong. It is indeed a problem of herniated intervertebral disc, look at this one." Xie Ke pointed to an image sandwiched between the two spinal columns on the film, "Here, it is obviously protruding a little more than other places ,Can you see it?"

People say that a long illness makes a doctor, this sentence is not false.

Zhong Liangquan is very familiar with the few pictures he took, and he also knows what things are called.He even has a good understanding of the anatomy of the spinal system because of two surgeries.There are not only the knowledge he learned from reading books, but also some things that the doctors patiently explained to him, and he is particularly concerned about these aspects when he usually reads newspapers and TV, so he doesn’t need Xie Ke to explain. After a glance, I understood what Xie Ke was referring to: "Yes."

Xie Ke nodded and continued: "This is a herniated intervertebral disc, which is a degenerative disease of the spine. This degeneration is mainly due to the loss of water. As for the reason for the loss of water, it may be genetics, work intensity, insufficient nutrition, etc. We will not discuss it due to various conditions. What I want to tell you is that the degree of this lesion is normal, degenerated, protruding, prolapsed, height-reduced, and finally degenerated with calcification."

Xie Ke took out a book from the table, and turned to a picture of the lesion process to show him, "The normal one is this thick, and it is completely in the middle of the two spines. If there is degeneration, it can be seen from the color in some places." It will become deeper, and it is actually hollow." He pointed to Zhong Liangquan's film, "Your intervertebral disc between c5 and c6 is degenerated."

Zhong Liangquan compared his intervertebral disc with the normal one, "Oh yes, it looks like it has been wiped off."

Xie Ke continued to show him the picture of the disease process, "After the degeneration, there is a protrusion. The protrusion is a part of the intervertebral disc extending to the place where the two vertebrae are perpendicular to the spinal canal. The reason is also very simple, it is caused by degeneration. The hollowness makes the intervertebral discs that fit the upper and lower spine more flexible. You can see that the hollow space is the spinal canal. The spinal canal is where the spinal cord is, and the nerve root is where the transverse process and the vertebral body are. Whichever one is compressed will cause you pain and discomfort. And here, the intervertebral disc between c4 and c5 is a little protruded."

Zhong Liangquan agreed: "So the doctor cut it off for me."

Xie Ke did not answer this question, but continued: "Prolapse is more serious than herniation. Looking at the picture of the lesion, more parts of the intervertebral disc protrude, so that almost all the space for the spinal canal is given up. It’s squeezed. Look at your own film, and it’s not diseased to this extent.”

Zhong Liangquan looked at the pictures and his video, thoughtful.

Xie Ke: "For degenerative diseases, the more serious symptoms are the thinning of intervertebral discs and even calcification. Calcification is almost equal to the disappearance of cartilage ring fibrous tissue. Let's not talk about this for now. Your problem is that your degenerative diseases actually progress. It has reached the two stages of degeneration and prominence."

Zhong Liangquan's expression changed, "You mean, my illness is not particularly serious, right?"

Shayk sighed and said, "Yes."