Sleepless Doctor
Chapter 829: Fist stones
"Teacher Wu, do you see anything else to add?" Zhang Zimo asked.
"No." Wu Mian nodded, "I don't feel relieved either. I came back and took a look. It's supposed to be a minor problem."
"Monitoring again in 2 hours, it is estimated that tomorrow will be fine." Zhang Zi smiled silently. He was confident about this. "It's a coincidence today. I just wanted to ask you for leave."
"Is there something at home?" Wu Mian asked.
"It's not at home, but the Urology Department of the Second Hospital is giving a lecture to the students today." Zhang Zi said with a silent smile.
"Huh?" Wu Mian was startled slightly. The Second Hospital is an affiliated hospital of the Medical University, and teaching work is a must.
But if you give lectures to students, how can an old guy like Zhang Zimo at the director level be interested? Besides, it is the urology department. It is not that he is seriously ill. The person who lectures is still the director of the same level.
"That's it, Teacher Wu." Zhang Zi smiled silently, "Director Wang Guiping of Urology Department is willing to collect some weird things, do you think people who engage in urinary medicine are like this?"
"Foreign body in the urethra?" Wu Mian suddenly wondered why.
"No, it's a stone."
"..." Wu Mian was startled, this kind of weird thinking, even Wu Mian didn't immediately think of it.
"It is said that Director Wang has been in the doctor for more than 20 years and has accumulated more than 300 stones of various shapes." Zhang Zi said with a silent smile, "To be honest, I have only seen a few common ones. Isn't this a good letter? I want to see it. The treasure that Director Wang saved."
"Director Wang is not bad, I have the intention." Wu Mian smiled, "This is a water mill job, with a careful mind. And so many specimens, it really takes a lot of trouble to save it."
"I know Wang Guiping very well. I heard him say it before and always wanted to watch it. That guy was too stingy and said he would only show it to patients and their families." Zhang Zi smiled silently, "Teacher Wu, how come this person is like this."
"It is to allow patients and their families to see bladder stones in an intuitive way, so that patients pay more attention to urinary tract stones and better understand how to treat and prevent them?"
"Yes." Zhang Zi said silently. "It's better to take a look at it than to say a hundred sentences. Moreover, some special-shaped stones are not even patients or their family members. There is no such thing as an old guy like me who has done ICU for decades. I've seen it."
"Just ask, let Director Wang send photos." Wu Mian was also curious.
Zhang Zimo took out his cell phone and started contacting Director Wang Guiping.
Wu Mian walked to the bed and comforted Xue Chunhe's lover, and made it clear to her that the hospital had sent two groups of nurses to take care of him, so don't worry about that, just get well.
Next, I told her about Xue Chunhe's situation to prevent her from getting angry in a hurry.
Obviously, the successive blows made Xue Chunhe's lover a little dazed and couldn't slow down. Wu Mian didn't try to persuade him, he just explained the actual situation, waited 2 hours for the review result, and sent it to Xue Chunhe.
In fact, the hardest part of this matter is Matthew De, he has to run on both sides.
However, the illness of Dean Xue and his wife should get better within 3 days, and Wu Mian is sure of leaving the hospital to go home.
"Teacher Wu, you have to use your banner." Zhang Zi smiled silently, "Wang Guiping sent a photo here."
"Pull a group, the three of us..."
"I want to watch too!" Chu Zhixi said behind Wu Mian.
"Let's take a look at the four of us to see how many stones Director Wang has accumulated over the years." Wu Mian changed his words.
"Okay." Seeing Teacher Wu's interest, Zhang Zimo happily pulled a group.
Wang Guiping had a polite sentence with Wu Mian first, and immediately posted the first photo.
It was a stone with a big fist. Wang Guiping put on sterile gloves and supported the stone on his hand. Just looking at the size, Zhang Zimo was taken aback.
The stones are pale yellow, as if rolled from rice bran, and are rough and uneven. It occupies 2/3 the size of Wang Guiping's palm and looks quite scary.
"I'm going to... such a big stone..." Zhang Zi was surprised, "Teacher Wu, how many times should this thing be broken if it is a broken stone?"
"It's difficult." Wu Mian said, "The best way is to cut and take out. Minimally invasive is not possible. It is not completely impossible. If you do minimally invasive, you have to be careful of several rare cases. I think it is better to operate directly."
"Tsk tusk." Zhang Zimo was quite emotional. When he thought of a rock as big as a fist swaying back and forth in his bladder, he faintly felt his stomach hurt.
Then a line appeared—the stone was 12.2cm long and came from a 22-year-old male patient.
This number is shocking, and if it hadn't been seen "with his own eyes", it would be hard for Zhang Zimo to believe that there would be such a large stone.
"Ms. Wu, how come you grew up like this? The patient is still so young."
"I think it may be a rupture of the urethra caused by trauma and the stent was removed. However, due to various reasons, the patient did not return to the hospital as soon as the doctor ordered to get out the stent, resulting in changes in the dynamics of the urine...Hydrodynamics Do you study it?" Wu Mian asked.
Zhang Zimo shook his head blankly.
"That's not much to say, I have seen a report that said a similar situation." Wu Mian said, "It is not uncommon for the ureteral stent to be taken out for a long time, resulting in huge stones in the bladder, but it is indeed such a big one. Rare. Director Zhang, would you like to ask Director Wang if you are interested in posting an SCI."
"..." Zhang Zi was silent.
Is this worth an SCI? !
""New England", although I don't like their editor-in-chief, "New England" is particularly interested in strange cases." Wu Miandao.
"I'll find him after get off work." Zhang Zimo said cautiously.
Although Teacher Wu just said casually, he doesn't care about sci anymore, but he cares, I want to come to Wang Guiping to know this is crazy!
An academic article published in "New England" is quite worthy of taking it out.
It is estimated that with this ~www.wuxiaspot.com~ Wang Guiping can be evaluated as an academic committee member of urology in the province.
And obviously, Wang Guiping's age is a bit older, he is very slow typing, and he is used to typing all of them, checking them and then sending them back.
Wu Mian and Zhang Zi talked silently for a few minutes before the patient's medical records were sent.
As Wu Mian guessed, the patient suffered a rupture of the ureter in a car accident five years ago and was stented. But afterwards, it was not taken out, and this shockingly huge stone appeared.
Wang Guiping also explained in the group that minimally invasive surgery had been carried out in the department, but because the stones were huge, the whole hospital had a consultation and invited experts from the Imperial Capital to conduct a remote consultation, and finally decided to take it out.
"Director Wang is not bad, he is very careful." Wu Mian praised again.
"Yes, I can keep more than 300 stones for patients and their families to see. I can intuitively understand what is in the bladder and kidneys. It saves a lot of things and makes communication easier." Zhang Zimo said.
After introducing the condition, the next photo was sent.
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