MTL - Path of Medicine With a System-v2 Chapter 1922 scary cosmetic surgery
"Yuan Zhang, the phone number of Dean Xin of 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, so he wasn't embarrassed, mainly because Su University 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 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.”
As soon as Zhang Fan heard it, he 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 to another hospital, don't worry here, I'll arrange for you to 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 can be regarded as a knowledgeable person, but this is the first time he has seen such a fat person, and he can't describe it. He feels that Xue Fei is 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 he did, such a fat body would directly cause countless artifacts to appear on the machine.
"No wonder!" Zhang Fan sighed in his heart. When he answered the phone in the morning, he was 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 being sent to Chasu, and Chasu doesn’t have such a special instrument. This time, Lao Xin was tricked.
However, Zhang Fan still has no way to say, who made him a student of Suda, 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 the patient's spirit was not very good after traveling a long distance.
In the neurology office, the experts from the hospital came very neatly.
Because it is already off-duty time, it is easy for 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, 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 there are academicians for pediatric orthopedics. A few second generations of the ancestry of general surgery are sitting there, and there are a bunch of academicians, the former director of breast surgery at Anderson, and a whole team of Shenwai Mizuki.
Looking over 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 contralateral lower extremity, but no sensory plane possible, peripheral nerves 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.
In summary, experts from our hospital gave a collective opinion: the patient's lesion was located above 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, this thing relies on accumulation, talent, and the basic skills of doctors.
For example, a surgeon who is not good at tying knots can wear a black silk thread every day, and when he is free, he can keep winding and winding the silk thread, which can be used for targeted training.
It’s like Zhang Fan. In the system, targeted training is great. If you fail once, you will come ten times, and if you fail ten times, you will come a hundred times. There will always be times when the skin is broken. And this kind of comprehensive training is more difficult.
This thing is like, one is a girl who is interested in you, and the other is directly 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 solved 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.
Diagnostic direction is available, but how to determine it?
Patients can’t do MRI and can’t see 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 CT of tea element 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 and elephants.
At this moment, the phone of Xue Fei from the emergency center rang. Xue Fei is considered an expert now, and he also made a speech during the consultation.
"What's wrong?"
Put on the appearance of an expert, with sharp hands like his wife Cha Gang, but you have to be calm in 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 as he ran: Yuan Zhang, another critical patient came to the emergency center, and he was already dying.
Upon hearing this, Zhang Fan frowned, said something to the director of neurology, and then took several people to the emergency center.
The more holidays come, the more strange diseases will appear.
Like this, all inspection instruments
Patients whose body is normal but who cannot function immediately, either have hysteria, or are really fatal diseases.
Moreover, the diagnosis of this disease is extremely difficult, and it is often when the doctor has cleared his mind that the person is already cold.
When entering the emergency center, Zhang Fan saw several white coats that were not from his own hospital.
White coats are different in each hospital, outsiders can't tell, but people in this hospital can recognize them at a glance.
Going forward, he saw that the young and slender patient was unable to wake up, and there were patches of swelling on his beautiful and charming face. 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 people were so frightened that they lost their minds, and Zhang Fan's shout 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 had bilateral mydriasis. 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 wrapped in gauze 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.
He found something wrong, the patient had trauma 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.
