The Surgeon's Studio
1768 Partial sealing
The Department of Urology invited the whole hospital for a consultation.
He invited all the relevant departments, even the Department of Hepatobiliary and Pancreatic Surgery because of the tenderness in the gallbladder area.
In the office, President Yu reported his medical history, and many professors expressed their opinions.
There were more laboratory tests and examinations, but director Yu did not give any constructive advice.
This kind of difficult - to - treat illness was quite tricky, but it could not be delayed. President Yu knew that the patient was in a lot of pain. This kind of near - Death pain would really make people depressed.
If it was delayed for a few days, even if the diagnosis was clear in the future and the symptoms were alleviated with the correct treatment, the patient would probably be left with a strong psychological shadow and even suffer from depression.
"Then let's do this." The staff from the hospital administration Department who was in charge of hosting the consultation in the hospital said very politely, "I'll have to trouble everyone. "
Everyone knew that their suggestion was just a possibility, a small probability. He wanted to make a clear diagnosis ... But even he himself didn't really believe this diagnosis.
She packed her things and was about to leave when the office door was pushed open and Zheng Ren strode in.
"Boss Zheng?" President Yu was surprised.
"Yes, I have a diagnosis," The smile on Zheng Ren's face was very bright.
"Uh ..." Everyone sat back down.
Everyone was also very curious as to what kind of disease boss Zheng had diagnosed as urinary stones, which was missing a stone. It was a disease that seemed to be out of the world.
"Check a cervical MRI." Zheng Ren said.
"..." President Yu was speechless.
Was he going to do a full body examination?
What was the relationship between a cervical spine MRI and kidney cramps?
"It's like this, I'll say a few words. " Zheng Ren stood in front of the film reader. The film reader behind him was on, and he seemed to be emitting light all over.
Su Yun found it interesting. The shop owner must have thought about where he should stand to be more conspicuous!
This position was simply too cool. It was even more golden than the golden ratio. He would definitely find an opportunity to try it in the future.
"The patient was an athlete when he was young, and he has maintained a considerable amount of exercise over the years." Zheng Ren said.
"Boss Zheng, this has nothing to do with kidney cramps, right?" President Yu asked weakly.
"It's related. " "I'll tell you the diagnosis first," Zheng Ren said with a smile."I've considered that the patient's cervical vertebrae are slightly narrow, which can cause the nerve root to be stimulated and the cervical sympathetic nerve to be excited. "When it weakens, it will reflexively stimulate the vyssal nerve, which will then cause the contraction of the calocecal sphincter and ureter smooth muscle, leading to gallbladder and kidney cramps."
The office was silent.
If it were not for boss Zheng, some people would have become impatient and stood up to leave.
The reason why the professors and directors didn't leave was that boss Zheng's recent diagnoses were legendary. It was especially so when old he performed epidural anesthesia for chief Mao. Even now, people would still occasionally think about it.
Could it be true?
Although it sounded ridiculous, the chief residents and professors from various departments who came for consultation were all dazed when they saw boss Zheng's serious and serious expression.
"But the patient has hemorrhaging." President Yu was still struggling.
"Athletes or healthy people who are training will immediately have hemorrhaging after a large amount of exercise. The degree of hemorrhaging is closely related to the intensity of the exercise load and exercise intensity."
"But ..."
"President Yu, you're trying to say that in most cases of hemorrhaging, the red blood cells in the urine would completely disappear within 24 hours to 3 days after exercise, right?" Zheng Ren said.
President Yu nodded. It seemed that boss Zheng knew what he was doing.
"The patient is in severe pain and has muscle spasms. He is forcing himself into a position, and his activity is higher than normal." "It's understandable that hemorrhaging continues,"Zheng Ren said.
"And then?" Vice President Yu asked as he wrote down the information.
"There's nothing else. It's simple cervical spondylosis, so the patient should be consulted by the orthopedics department. Take some medicine and you'll get better soon. "
"..." President Yu was speechless again.
"Unscientific physical exercise will instead lead to or even accelerate the slow damage of the muscles around the cervical spine." Zheng Ren said,"she moved too much and frequently exercised her cervical spine when she played badminton. That's why she got cervical spondylosis."
"Cervical spondylosis is not a disease that can only be contracted when one is working while sitting down or frequently surfing the internet on their mobile phone."
"It's that simple?" President Yu still refused to believe it.
"Yes, it's that simple." Zheng Ren said,"because of the pain in his kidney area, the patient and we have neglected the slight pain in his right shoulder and the numbness in his right upper limb. After all, compared to kidney cramps, the pain in the shoulder and the slight numbness in the hand are easy to ignore. "
Zheng Ren looked around the office. Seeing that no one was speaking, he smiled and said,""If there are any doubts, we can perform partial closure."
This was an immediate solution. After the local symptoms were relieved, if the kidney cramps were also relieved, it would prove that boss Zheng's diagnosis was correct.
Even though this diagnosis did not sound reliable.
Partial closure was usually a mixture of a certain concentration and amount of strong songlonia injection and lidocaine saline solution into the infected area.
It was used to treat pain and mainly used its anti - inflammatory effect. They could improve the capillary permeability, inhibit inflammatory reactions, and reduce the damage of pathogenic factors to the body.
Partial closure was rarely used for clinical diagnosis. In 912 hospital, it was mostly done in the outpatient department.
The sealing process was very simple. Zheng Ren finished it in two minutes under the watchful eyes of many professors and directors.
The entire process was simple and straightforward.
Everyone's eyes were fixed on the patient. Some were filled with anticipation, while others had various thoughts.
In less than ten minutes, the patient's kidney cramps were obviously relieved. Everyone, including the patient, was puzzled. How could the pain in the stomach stop after a needle was inserted into the neck?
This was a little too unbelievable.
"Yes, the diagnosis is quite clear." Zheng Ren looked at the patient's performance and was very satisfied."President Yu, hurry up and do the MRI scan. Then, look for the orthopedics department for a consultation. It's a very simple question. I don't think it'll be too serious. "
"Oh, oh." President Yu was dumbfounded when he saw that the patient's kidney cramps had also disappeared.
He had considered almost all the problems, but he had never considered the pain in the abdomen caused by the cervical spine.
This thought was too strange and unbelievable.
However, no one retorted. One injection of partial closure immediately relieved the patient's kidney area cramps, which was enough to explain the problem.
The others clicked their tongues in wonder and left one after another. President Yu first received an emergency cervical MRI scan and let the patient do an examination. He then pulled Zheng Ren and Su Yun to his guardroom and interrogated them for a long time.
Although he could understand the logic, he still refused to believe it in the end.
……
……
[Note: last year, I had a case with my Department Director. A senior brother gave me a similar case, so I used it.]
He searched for similar medical cases, but hemorrhaging was not common, so he used a more extreme case.
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