crazy scalpel

Xie Ke took out the consultation list and re-summarized it.

In addition to arm pain, Zhong Liangquan also suffered from headache, neck pain, and shoulder pain.

Feeling shaky, unsteady when walking or standing.Insomnia, often waking up in the middle of the night even when falling asleep.Sweat easily, and sometimes feel the heart beating violently when there is nothing to do.Dry eyes, uncontrollable tears, especially sensitive to light.Also, often diarrhea.

These symptoms seem to be nothing, but they are tired and often happen when people are tired.

But when they happened together, Shek figured something must be wrong.

In fact, Xie Ke's doubts began when he performed the electromyography examination for Zhong Liangquan.

Electromyography is a method of recording motor unit potentials.

When humans did not know the specific reason, the Italian anatomist Luigi Galvani discovered in the 18th century that the nervous system can transmit signals through electricity. The nerves of the frogs touch each other, causing a violent contraction of the frog's legs.It is also because of such discoveries that modern people realize that nerves function by generating electrical impulses.

In fact, it is very simple. The smallest unit of a biological body is a molecule, and the molecule contains electrons. When these molecules are dissolved in the cell fluid, they become ions.Ions are positively or negatively charged.

There is a liquid rich in various ions inside and outside the cell, and if the ionic composition contained in the intracellular and extracellular fluid is different, the number of positive and negative charges on the inner and outer sides of the cell membrane will be different, that is, a potential difference will be generated.

Once there is a potential difference, it can cause the movement of charges, so the potential changes on both sides of the cell membrane can be recorded and observed through instruments.

Whether it is Li Shiguang's neuroelectric stimulator like a space capsule, or the electromyography recorder used by Shayk for inspection, they are all modern precision instruments invented based on this principle.

Based on the analysis of the EMG signal—Xie Ke personally monitored it—the bell beams are all neurological diseases rather than myogenic.

That's why, at the beginning, Xie Ke characterized his illness as a strong rib.

Nerve compression due to congenital deformity is indeed easy to misunderstand.

But what if the congenital deformity had nothing to do with nerve compression?

Zhong Liangquan was indeed congenitally deformed, and his nerve was indeed compressed, but what if it wasn't the protruding rib?

Xie Ke stood up from his seat at once!

He almost made a super horrible mistake!

If a cat and a canned fish that were eaten were placed in the same picture, no matter who it was, everyone would think that the contents of that can were eaten by the cat.

Mindsets are such stubborn and scary things that often blind us to other possibilities.

So you must always question yourself.

If I ask you again seriously, must this can be eaten by cats?

Normal people will answer, not necessarily.

Xie Ke clenched his right fist and struck the palm of his left hand.

He kept asking himself, if it wasn't that protrusion, then what exactly was pressing on the nerve?

Xie Ke picked up the questionnaire and read it again. He felt as if he had thought of something, and an answer was about to come out, but he couldn't grasp it.Heartbeat, blood pressure, eyes... pupils!Diarrhea... stomach!

Misty Grass, he knows!

Xie Ke accidentally waved his hand and knocked down the water glass.However, he didn't have time to care about the table that hadn't been put on any information. He held the questionnaire and Zhong Liangquan's medical history and medical records in his hand, and excitedly took out his mobile phone from his pocket, wanting to call Zhong Liangquan.

Before dialing the phone, he remembered that Zhong Liangquan lived next door, so he checked the time, and it was almost time for rounds, anyway, he had to go to the ward anyway, so it would not affect the patient's rest.He excitedly ran to the door of the ward, and then stopped to straighten his clothes and adjust his facial expression.

In places like neurosurgery, most of the patients are suffering, whether terminally ill or not, so it's best not to be too happy.In Wang Lei's words, it is enough to be expressionless.

After making sure that he looked very calm, he walked in slowly, and said to Zhong Liangquan, "Uncle Zhong, I can confirm that you don't need to perform neck muscle decompression surgery."

Zhong Liangquan: "Are you sure, I have a bone protruding?"

Xie Ke nodded, "Yes. I discovered that the real culprit that oppresses your nerves is not this deformed bone, but your muscles!"

Zhong Liangquan frowned, "Muscle?"

Sheik: "That's right!"

Zhong Liangquan couldn't help disbelieving when he saw the presence of his old god, but, "Didn't you plan to cut off part of the muscle? Besides, if I don't cut off the protruding bone, it doesn't matter if I leave it there? "

Shayk: "No, what I told you last time was that if the middle scalene is pinching the brachial plexus, it needs to be removed to relieve the compression. But I've now discovered that, no, I'm sure, your nerve It’s not the protruding ribs that are being compressed, so it grows as long as it grows, and it doesn’t affect your health. However, the culprit that really makes you uncomfortable and painful is actually the neck muscles.”

Zhong Liang didn't understand at all, so Xie Ke said what he said, and he only cared: "Do you want to remove the muscles?"

Shayk: "No, it's too much to remove. The neck muscles are very important. They're just not right. What we have to do is find a way to make them work for me."

Zhong Liangquan: "Oh, it's fine if you don't cut it. I always feel a little flustered when I see a knife being used. So, do you take medicine?"

"No, medicine is useless. It can only temporarily relieve pain, but it brings greater hidden dangers." Xie Ke spared no effort to start despising drug treatment like a surgeon, "You know, the only medicines that can cure diseases are some antibiotics and other medicines. There are very few types. Most drugs treat the symptoms but not the root cause, and they also have side effects. Like the steroids you have used before, they can cause mental illness, high blood pressure, osteoporosis, memory loss, frigidity, etc. side effects of..."

Seeing that Zhong Liangquan's face was getting darker and darker, he realized that he had slipped up when he spoke, so he slapped him, "Of course it's fine if you don't take too much dose."

A steroid is something that mimics the effects of adrenaline.Adrenaline is the most powerful regulator of the body's basal metabolism, and sometimes only a few injections can bring a patient back to life.

So when steroids were invented, they immediately became another great advancement in the history of medicine after antibiotics.

This thing is really useful in emergencies and when people are dying.But there is a problem now that it is often used for some minor ailments.For almost all infections and allergic reactions such as asthma, arthritis, back pain, and colic, even for babies, as soon as there is an infection, many doctors will immediately think of using steroids.

But in fact, it is definitely not a "cure all diseases" medicine, but a "no cure" medicine.Its real role is to inhibit the body's normal ability to respond.

The human body will heal itself.In the past, people believed that the only thing that could not heal itself was the brain, but now, the scientific and medical circles have discovered neuroplasticity from different aspects.

Steroids, give the body a chance to heal itself.But more often, it indirectly causes permanent damage.

So if you don't have to use it, it's best not to use it.

Because medicine develops too fast, when a drug is found to be very useful, it will first be used to save people instead of continuing to study possible side effects.And follow-up studies are often lengthy or simply ignored.

The safe dosage of steroids has not been clearly stated so far.

Unlike antibiotics, steroids are also broad-spectrum drugs.

When doctors choose antibiotics, they generally try to choose narrow-spectrum drugs, because the human body will develop drug resistance.This is the reason why antibiotics become more expensive as they are used, because the stronger the drug resistance, the stronger the drug resistance must be.

Suppose you have a disease that requires anti-a bacteria, but the medicine you use is resistant to abcde bacteria, then it will be more troublesome for you to resist other bacteria in the future.

This is the case with steroids, which affect not only the area being treated, but all cells in the body: the central nervous system, bone cells, smooth muscle, blood, liver, and other organs.

In addition, there is something even more frightening, because it can replace the role of adrenaline, so it may stop the patient's pituitary gland from secreting adrenocorticotropic hormone, and in this way, the human body will be completely dependent on it, and it is difficult to quit.

Zhong Liangquan was injected with cortisone epidurally by Zhao Hua after the pain caused by herniated disc.At that time, Zhong Liangquan felt better soon, so he thought the medicine was really useful.

Was Zhao Hua's approach wrong?That's right.Because he did it according to the method taught in the textbook.

The people who compiled the book, the professors in the school, and the seniors who took him after he entered the hospital all told him so.In recent years, there have been more and more doubts about these drugs, and more and more cautious use of drugs. However, due to the disconnection between the medical community and the scientific community, as well as the disconnection between frontline doctors and researchers in the medical community, some habits and cognitions are inconsistent. It's not that easy to change.

Xie Ke is very sensitive to these things because he usually does research and papers, and he gnaws on more and more complicated things.

But he couldn't just say it like that, it would cause an uproar and a backlash.He has to slowly influence the people around him.

Zhong Liangquan knew that he could save one type of operation, so he was a little relieved, but, neither surgery nor medicine was needed, "What are you going to do to me?"

Xie Ke rubbed his nose. Recently, he has always been teased by his senior brother, so he has also developed this bad habit, and he will also tease others unconsciously.Fortunately, Uncle Zhong is an acquaintance, so he wouldn't argue with him. If he had a bad temper, he would have been anxious to death.

Xie Ke said slowly: "We can try, rehabilitation therapy."