"Yuan Zhang, this is the phone number from Dean Xin of the School of Clinical Medicine at Suzhou University!"
Zhang Fan in the operating room was curious, Lao Xin dared to call him.
Ever since Chasu poached the doctoral program, Su University has been very cautious, fearing that Zhang Fan might do something wrong again. However, as Chasu Hospital became more and more impressive, after Chasu poached the biochemistry group, that is, There is no such thing as severing diplomatic relations between universities, but Su Da, who used to be quite enthusiastic, has never been in contact with Cha Su again.
Zhang Fan didn't take the initiative to contact him, not that he was embarrassed, mainly because Su Da had nothing 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 had an old-fashioned tone when he came up, and Zhang Fan understood immediately that there must be someone around this guy, and he wanted to show off.
Zhang Fan was 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. I started with trivial things when I got up in the morning and have been busy until midnight. I still can't figure it out. Teacher, are you still in good health?" All right!"
As soon as he said this, there was a trace of trembling in his tone.
"Hey, it's better to be busy. Being young and strong is the time to make achievements. Well, I have a special patient here. I was wondering if I could transfer to your hospital. I asked several hospitals in other surrounding provinces. They It’s really this kind of equipment.”
Upon hearing this, Zhang Fan immediately asked: "What is the specific situation?"
"Hey, it's so sad to talk about it! The patient is the grandson of an old professor who helped build Northwest China. He got sick and has been undergoing treatment. However, it has not improved for several years. Instead, the child is getting fatter and fatter. Now he weighs more than 300 kilograms. One month ago, I suddenly felt weak in my right leg and was a little lame when walking. After treatment in the hospital, it gradually improved, but at the same time I developed numbness and weakness in my left lower limb.
It gradually worsened within a month. Now I can no longer walk and have difficulty urinating. The orthopedic consultation completed the corresponding examination and said that there was no problem with the spine. Now I have no choice, you have to pay attention to me. "
"Transfer to the hospital, don't worry here, I will arrange it, and you can let the patient find a way to come to Chasu Hospital." After a phone call in the morning, the patient had arrived at Chasu Hospital in the evening.
The patient was thirty-three years old and extremely fat. When he was moving from 120 to the flat car, more than a dozen nurses in the entire emergency center did not move. In the end, the head nurse of the emergency center had to pull the security guard over. Help, seven or eight young men and a dozen young nurses lifted the person off the 120.
Zhang Fan can be considered a somewhat knowledgeable person, but this is the first time he has seen such a fat person. He can't describe it. It feels like Xue Fei is lying next to the patient, and he is probably not as thick as one of his legs.
Zhang Fan took the medical records and took a look. There was no MRI report.
There is a weight limit for MRI examinations. The maximum weight that a standard MRI bed can bear is generally 159kg, and the standard machine aperture is only 6. Most people feel depressing when entering, as if they were entering a coffin.
And this fat man couldn't fit it in at all. Even if he stuffed it in, such a fat body would directly cause countless artifacts to appear in the machine.
"No wonder!" Zhang Fan sighed inwardly. When he answered the phone in the morning, he was still wondering, no matter how bad Su Da was, the diagnosis could still be given. It turned out that he had encountered patients who couldn't be examined.
Now the patient was sent to Cha Su Lai, and Cha Su did not have such special equipment. This time, Lao Xin was tricked.
However, Zhang Fan still couldn't explain why he was a student of Suzhou University and why he poached many professors from Suzhou University.
Seeing the Roshan-like patients, the neurology department of the hospital directly started a conference of experts in the hospital.
It started overnight, because the patient's symptoms were already obvious, and the patient was not in good spirits after traveling a long distance.
In the neurology office, the hospital experts came very neatly.
Because it is already off work time, it is easy for experts to gather together at this time.
Wang Hong and Xiao Chen from the medical office quickly distributed copied medical records to everyone. In the consultation room, rows of doctors and masters stood behind their respective tutors, and groups of doctors in training followed their teachers.
.
Zhang Fan felt a little proud, finally looking like a big hospital.
The director of Shinuchi spoke first: The patient and his family reported that the patient's condition had worsened in recent days and he had difficulty breathing. Physical examination showed that the muscle strength of both upper limbs was level 5, the muscle strength of the left lower limb was level 1, the muscle strength of the right lower limb was level 3, and the reflexes of the limbs were weak. Bilateral Bartholin sign was positive, and there was decreased deep and superficial sensation below the umbilicus.
Zhang Fan gave the experts about ten minutes, and then everyone began to speak. Now Chasu Hospital is really qualified to be proud.
There are a group of golden retriever experts in adult orthopedics, academicians in pediatric orthopedics, a few second-generation general ancestral ancestry sitting right there, a bunch of academicians, the director of breast surgery at Breast Anderson, and the entire team of Mizuki Shingai.
Looking at it together, it can be said that the stars are shining brightly.
"After discussions with experts, our current diagnosis and treatment opinion for the patient is: Because the patient cannot undergo relevant examinations, we must first determine the localization analysis to clarify the cause of weakness in both lower limbs. Head lesions must first be ruled out because paracentral lobules cause The contralateral lower limb is weak and numb, but it is impossible to have a sensory plane on the body, and the peripheral nerves are excluded...
Spinal cord: paraplegia, sensory plane, urinary disorder, and the patient obviously has symptoms of dyspnea. Moreover, although the patient's main sensory plane is at the level of the navel, the objective acupuncture and cotton swab touch interface should be vaguely above and below the vagina. , the patient feels less sensitive when touching the interface to the patient’s navel.
To sum up, the collective opinion of experts from our hospital is that the patient’s lesion is located in the spinal cord above C4 (cervical vertebra). "
In less than half an hour, the tea element expert group had already given a clear direction, which Zhang Fan would not have dared to think about before.
Originally, he was not that good at diagnosis.
Diagnosis, to be honest, this thing requires accumulation, talent, and the basic skills of a doctor.
For example, if a surgeon is not good at tying knots, he can wear a black silk thread all day long. When he has nothing to do, he can keep winding the silk thread around and around, and he can receive targeted training.
Just like Zhang Fan, in the system, if the targeted training doesn't work once, just do it ten times, and if it doesn't work ten times, do it a hundred times, and you will always get scratched. This kind of comprehensive training is more difficult.
This thing is like, one girl is a bit interested in you, and the other girl is simply not interested in anyone.
The first one can be taken down with a little effort, but there is nothing you can do about the second one.
Examinations cannot be done, and treatment and treatment have gone through many hospitals and different methods. Often, the diagnosis of such patients will be buried in the undercover. Not to mention ordinary doctors, there are only a few experts who discuss it together, and even the experts may not be able to explain it. ***Find the answer.
The diagnostic direction is available, but how to determine it?
What should I do if the patient cannot do MRI and cannot see the spinal cord? Treatment nowadays is increasingly based on objective evidence.
"CT, adjust the exposure to the maximum. The CT of Chasu is specially made by another manufacturer. The quality is good in all aspects. You can give it a try!"
Dozens of people carried the patient into the CT room like ants carrying an elephant.
At this time, Xue Fei's phone rang in the emergency center. Xue Fei was now considered an expert and he also spoke during the consultation.
"What's wrong?"
He acted like an expert and his hands were as neat as his wife checking the post, but her tone must be calm and unhurried!
"Director, a patient has arrived. She is a young woman who is dying. However, all monitoring instruments are normal. The heart rate is 120 beats/n, the blood oxygen is 100%, the blood pressure is 100/60Hg, her breathing is shallow and slow, but her legs are normal. The pupils are unequal, 5 on the right and 6 on the right, and the light reflex has disappeared."
As soon as he said this, Xue Fei ran towards the emergency center like a rabbit. As he ran, he turned back and shouted: Zhang Yuan, there is another critical patient in the emergency center. He is no longer alive.
When Zhang Fan heard this, he frowned, said something to the director of the Department of Neurology, and then went to the emergency center with a few people.
The closer to the holidays, the more strange diseases appear.
Like this, check all the instruments
A patient who has a normal body but is about to die is either suffering from hysteria or has a really fatal disease.
Moreover, it is extremely difficult to diagnose this disease. Often, by the time the doctor figures it out, the person is already cold.
When entering the emergency center, Zhang Fan saw several people in white coats who were not from his own hospital.
The white coats are different in each hospital. Outsiders can't tell, but people in this hospital can recognize them at a glance.
When I walked forward, I saw that the young and slender patient was unable to wake up, and his beautiful and charming face showed patches of edema. It's like having your face run over by a wheel without being crushed.
"What's going on?" Zhang Fan asked, staring at a few outsiders in white coats.
These people were already scared to death, but Zhang Fan's shout brought them back to their senses.
It turned out that these people were staff of a 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 developed bilateral mydriasis. The patient was quickly sent to Chasu Hospital.
"Contact the family!" Zhang Fan said as he walked forward for a physical examination.
The patient's eyes were as swollen as peaches, and the gauze-wrapped eyes were as swollen as the third brother's. Moreover, his limbs were as cold as a dead person, with no warmth at all. "Anesthesia accident?" was the first diagnosis that popped into Zhang Fan's mind.
However, Zhang Fan did not give a diagnosis arbitrarily and continued the physical examination.
He found something was wrong. There was a wound on the patient's inner thigh, which was covered in bruises. "Call the guard over!" Zhang Fan raised his head and said to the head nurse. Within a few seconds, several guards came running with guns in hand.
Only then did Zhang Fan raise his head and ask the people in the outer courtyard: "Tell me the truth, what else did you do?"
Nima and the others were already at a loss. When they saw it again, they saw that they were all carrying guns. They were so frightened that they paralyzed one of them. "I didn't do anything. I didn't do anything. I just gave him a lipofilling surgery on his face. The thighs are here." The bruises are caused by liposuction, we didn’t do anything.”
"Fat embolism?" Zhang Fan calmed down.
