Chapter 67 The Horror of Cosmetic Surgery
【Smooth medical road】 【】
"Yuan Zhang, Dean Xin's phone number from Suda Clinical Medical College!"
Zhang Fan in the operating room was curious, and Lao Xin dared to call himself.
Ever since Chasu poached the doctorate, Su University has been very careful, fearing that Zhang Fan would mess around again. There is no such thing as breaking off diplomatic relations between colleges and universities, but Suda, who was quite enthusiastic before, has never contacted Cha Su again.
Zhang Fan didn't take the initiative to contact him either, so he wasn't embarrassed, mainly because Su University didn't have anything to worry about.
"Zhang Fan, are you busy? I haven't called your teacher to say hello for a long time. How did you become a student!"
He came up with an old-fashioned tone, and Zhang Fan understood as soon as he heard it, there must be someone around this guy, and he wanted to show off.
Zhang Fan is very cooperative, "Teacher, you are right. It is rude to be a student. The main reason is that there are too many things in the hospital recently. From the trivial things when I wake up in the morning, I have been busy until midnight, and I still don't understand. Teacher, you are still in good health. Ok!"
As soon as he said this, there was a slight tremor in his tone.
"Hey, it's better to be busy. It's time to make contributions when you are young and strong. That's it. I have a special patient here. I wonder if I can be transferred to your Chasu. I have asked several hospitals in other surrounding provinces. They It’s such a device.”
Upon hearing this, Zhang Fan immediately asked, "What's the specific situation?"
"Hey, it's sad to say it! The patient is the grandson of an old professor who aided in the construction of the Great Northwest. He got sick and has been receiving treatment, but it hasn't improved for a few years. Instead, the child is getting fatter and fatter. Now he is more than 300 kilograms. One month ago, I suddenly felt weakness in my right leg, and I was a little limping when I walked. After treatment in the hospital, it gradually improved, but at the same time, I experienced numbness and weakness in my left lower extremity.
It gradually worsened within a month, and now I can no longer walk, and I have difficulty urinating. The orthopedic consultation completed the corresponding examination and said that there is no problem with the spine. Now I have nothing to do, you have to give me attention. "
"Transfer, don't worry here, I'll arrange, you let the patient find a way to come to Chasu." The phone call in the morning, and in the evening, the patient had already arrived at Chasu Hospital.
The patient is thirty-three years old, and he is surprisingly fat. When moving from 120 to the flat car, more than a dozen nurses in the emergency center did not move. In the end, the head nurse of the emergency center had to pull the guard brother over. Help, seven or eight young men and a dozen little nurses lifted the man off the 120.
Zhang Fan could be regarded as a knowledgeable person, but this was the first time he saw such a fat person, and he couldn't describe it. He felt that Xue Fei was lying next to the patient, probably not as thick as his leg.
Zhang Fan first took the medical records and looked at them, but there was no MRI report.
There is a limit to the weight of MRI examination. The standard MRI examination bed generally bears a maximum weight of 159kg, and the standard machine aperture is only 6. Most people feel oppressed when entering this thing, just like entering a coffin.
And this fat man couldn't fit it in at all, even if it was stuffed in, such a fat body would directly cause countless artifacts to appear on the machine.
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【Smooth medical road】 【】
"No wonder!" Zhang Fan sighed in his heart. When he answered the phone in the morning, he was still wondering, no matter how bad Suda is, the diagnosis can still be given. It turned out that he encountered a patient who could not be tested.
Now the patient is sent to Cha Su Lai, and Cha Su does not have such a special instrument. This time, Lao Xin was tricked.
But Zhang Fan still can't say, who made him a student of Suda, and who made him poach many professors of Suda.
Looking at patients like Roshan, the neurology department of the hospital directly started a general consultation with experts in the hospital.
It started overnight, because the patient's symptoms were already obvious, and he had traveled a long distance, and the patient's spirit was not very good.
In the neurology department's office, the experts from the hospital came very neatly.
Because it was already off-duty time, it was easy for the experts to gather at this time.
Wang Hong and Xiao Chen from the medical office quickly distributed the photocopied medical records to everyone. In the consultation room, rows of doctors and masters stood behind their tutors, and groups of advanced doctors followed their teachers.
.
Zhang Fan felt a little proud in his heart, and finally looked like a big hospital.
The director of Shennei spoke first: the patient and his family reported that the patient’s condition had worsened in recent days, and he felt a little difficulty in breathing. Physical examination: the muscle strength of both upper limbs was grade 5, the muscle strength of the left lower limb was grade 1, the muscle strength of the right lower limb was grade 3, and the reflexes of the limbs were weak. Bilateral Papanicolaou signs were positive, and the deep and shallow sensation below the umbilical cord was decreased.
Zhang Fan gave the experts about ten minutes, and then everyone started to speak. Now Cha Su Hospital is really qualified to be proud.
Orthopedics has a group of golden retriever experts for adults, and academicians for pediatric orthopedics. The second generation of the ancestral general family sits there, and there are a bunch of academicians, the former director of breast surgery at Anderson, and the entire team of Shenwai Mizuki.
Looking at it in unison, it can be said that the stars are really shining.
"After discussions with experts, we currently give the patient a diagnosis and treatment opinion: because the patient cannot undergo relevant examinations, we must first determine the location and analysis to clarify the cause of the weakness of both lower limbs. Head lesions should be ruled out first, because the paracentral lobule is the cause. Weakness and numbness of the opposite lower extremity, but it is impossible to have a sensory plane on the body, and the peripheral nerves are ruled out. …
Spinal cord: paraplegia, sensory plane, urination disorder, and the patient obviously has symptoms of dyspnea, and although the patient's supervisor's sensory plane is in the middle of the navel, the objective acupuncture and cotton swab tactile interface should be vaguely around the *** , From the interface to the patient's navel, the patient feels less sensitive.
To sum up, the collective opinion of experts in our hospital is: the patient's lesion is in the spinal cord above C4 (cervical vertebrae). "
In less than half an hour, the team of tea experts had already given a clear direction, which Zhang Fan would not have dared to think about before.
Originally, he wasn't that good at diagnosis.
Diagnosis, to be honest, it depends on accumulation, talent, and the basic skills of doctors.
For example, a surgeon who does not tie knots well can take a black silk thread with him every day, and when he is free, he can hold the silk thread and wind it non-stop, which can be used for targeted training.
Just like Zhang Fan, in the system, the targeted training is so great that if it fails once, it will come ten times, and if it fails ten times, it will come a hundred times. And this kind of comprehensive training is more difficult.
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【Smooth medical road】 【】
This thing is like, one is a girl who is interested in you, and the other is a girl who is not interested in anyone.
The first one can be taken down with some effort, and the second one can't be done at all.
Examination and examination cannot be done, and the treatment and treatment have been treated in different ways in many hospitals. Often the diagnosis of such patients will be submerged and hidden in the ***, not to mention ordinary doctors. Few experts discuss together, and experts may not be able to break it apart. *** Find out.
The direction of diagnosis is there, but how to determine it?
The patient cannot do MRI and cannot see the condition of the spinal cord. What should I do? The current treatment is more and more about objective evidence?
"CT, adjust the exposure to the maximum. The tea element CT is specially made by other manufacturers. The quality is good in all aspects. You can try it!"
Dozens of people carried the patient into the CT room like ants carrying an elephant.
At this moment, Xue Fei's phone rang in the emergency center. Xue Fei is considered an expert now, and he also made a speech during the consultation.
"What's wrong?"
Putting on the appearance of an expert, his hands are as sharp as his wife Chagang, but he has to be calm in his tone!
"Director, a patient came here. She is a young woman who is dying, but all monitoring instruments are normal. Heart rate is 120 beats/n, blood oxygen is 100%, blood pressure is 100/60Hg, breathing is shallow and slow, but both Pupils vary in size, 5 on the right side, 6 on the right side, and the light reflex has disappeared.”
As soon as he said this, Xue Fei ran towards the emergency center like a rabbit, and shouted back while running: "Yuan Zhang, another critical patient has come to the emergency center, and he is already dying."
Hearing this, Zhang Fan frowned, said something to the director of the neurology department, and then took a few people to the emergency center.
The more holidays come, the more strange diseases will appear.
Like this, check the instrument
Patients whose body is normal, but who are not able to function immediately, either have hysteria, or are really a fatal disease.
Moreover, the diagnosis of this disease is extremely difficult. Often, by the time the doctor clears his mind, the person is already cold.
When entering the emergency center, Zhang Fan saw several white coats that were not from his own hospital.
The white coats are not the same in each hospital, outsiders can't see it, but people in this hospital can recognize it at a glance.
Walking up to take a look, the young and slender patient was unable to wake up, and his beautiful and charming face showed patches of swelling. It was as if his face had been run over by a wheel without being crushed.
"What's going on?" Zhang Fan asked, staring at the white coats from outside.
These few people were already scared to death, but Zhang Fan's yell brought them back to their senses.
It turned out that these people were the staff of the beauty salon. The patient underwent double eyelid surgery under general anesthesia in the beauty salon. As a result, he could not wake up after the operation, and his pupils were dilated on both sides. The patient was rushed to the Chasu Hospital.
"Contact family members!" Zhang Fan said as he stepped forward for a medical examination.
The patient's eyes were swollen like peaches, and the gauze was wrapped like the third brother. Moreover, the limbs are cold, just like a dead person, with no temperature at all. "Anaesthesia accident?" The diagnosis popped up in Zhang Fan's brain immediately.
However, Zhang Fan did not give a diagnosis arbitrarily, and continued the physical examination.
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【Smooth medical road】 【】
He found something wrong, the patient had a wound on the inner thigh, and there was a lot of bruising. "Call the guard over here!" Zhang Fan raised his head and said to the head nurse. In a few seconds, several guards came running with guns in hand.
At this time, Zhang Fan raised his head and asked a few people in the outer court: "Say, to be honest, what else did you do?"
Nima and the others were already at a loss, but when they looked again, they were all holding guns, and one of them was frightened and paralyzed, "I didn't do anything, I didn't do anything, just give him a facial fat filler. The thigh The bruising was caused by liposuction, we didn’t do anything.”
"Fat embolism?" Zhang Fan calmed down.