MTL - My Medical Skills Give Me Experiences-Chapter 43 Director Tan is sour

Director Yin of Shennei also took the film and looked at it, nodded slightly and said, "It is indeed a cerebral artery aneurysm, not big, but it happened to invade the brainstem area."

After speaking, he showed Director Tan the color Doppler ultrasound image for review.

"Director Tan, what's your opinion?"

"I support your diagnostic conclusion. It's just that how to remove this brain aneurysm, I'm afraid I have to ask the surgeon to discuss the treatment plan."

Director Tan looked at Director Xie of the surgery department.

Only by joining forces with medicine and surgery can we be invincible and overcome powerful diseases.

When the two major departments were discussing the operation plan, Zhou Can felt that he could not wait any longer.

The brainstem area is the nerve center of the human body and is called the restricted area of ​​life.

Surgery in this area is extremely risky.

Even the extremely experienced chief physician of brain surgery was terrified. A little carelessness, even a small mistake, is enough to undo.

If the patient really took the wrong medicine, causing blood pressure to go out of control, as long as the symptomatic treatment is given and the blood pressure drops, the 'arterial hemangioma' may disappear automatically.

At least Zhou Can thinks so.

He had seen similar cases in medical books.

The pregnant woman's intracranial pressure was much higher than normal, making it more likely that she would have a 'temporary aneurysm'. This is closely related to a history of hypertension over fifteen years.

Because of long-term hypertension, it will lead to atherosclerotic lesions.

"Director Lou, can you give the patient a supplementary blood test and urine test?"

Zhou Can mustered up his courage and asked.

"Haven't the diagnosis results already come out? Don't worry about it, cherish this learning opportunity and watch from the side."

Director Lou rejected Zhou Can's proposal.

The emergency department is so soft-spoken that it is shameful enough to fail to diagnose the cause of a pregnant woman.

Now that the two departments of internal medicine and surgery have unified their diagnostic opinions and started to discuss the operation plan, what the emergency department has to do is to fully cooperate. Instead of making trouble for them.

There can be competition among hospital departments, but they cannot compete with each other and must take the overall situation into consideration.

Zhou Can looked at the unconscious pregnant woman and sighed secretly.

He is just a training doctor. In this level of consultation, allowing him to watch and learn is already very good. No one would take his diagnostic opinion seriously.

After discussing with several directors of internal medicine and surgery, they decided to perform craniotomy on the patient.

It's just that because of the special location of the lesion, the risk of surgery is extremely high, even Wu Baihe's 'Peak Scalpel' is not very sure.

If it doesn't work out, it will kill two people.

Seeing the 'Peak Scalpel' frowning, he admitted that the success rate of the operation was less than 50%.

Zhou Can decided to give it another go.

"Doctor Xu, I think the brain aneurysm of the pregnant woman may be just a false image. It is too dangerous to operate on her. The child in her womb is the only flesh and blood left in the world by a dead drug police officer. I asked for a specialist blood test for the pregnant woman to see if she was taking any medications that would raise blood pressure."

no solution anymore.

Zhou Can could only bite the bullet and find Dr. Xu.

If Dr. Xu still disagrees, the pregnant woman can only resign herself to fate.

After all, his position was too lowly, and the superior doctor didn't listen to him, so there was really nothing he could do.

"this…"

Dr. Xu was also in a difficult situation.

In this consultation, his status was not much higher than Zhou Can's.

"Director Xie, Director Tan, can you request a specialized blood test for pregnant women?" Facing Zhou Can's eager eyes, Dr. Xu finally put on an old face and made a request to the two chief physicians who were consulting.

"Old Xu, old Xu, Zhou Can is messing around, why are you messing around too? The blood has already been tested, so there is no need for another test. The most important thing now is to arrange the operation immediately."

Director Xie flatly refused.

Director Tan didn't say a word, basically acquiescing to Director Xie's opinion.

Dr. Xu was scolded, looked helplessly at Zhou Can, and stopped talking.

Yang Chan saw all this in her eyes.

"Teacher, I have been with Zhou Can for five years, and I have never seen him so anxious. If he is not sure, he will definitely not ask for a specialist blood test for pregnant women twice in a row. Just help him, okay?"

She actually pleaded with Director Zhang Bihua in a coquettish and cute way at this time.

There are only a few people who have the right to speak at the scene.

As long as Zhang Bihua nodded, Director Xie and Director Tan would no longer object.

Zhou Can's shattered hope was rekindled again.

At the critical moment, the old classmates still talk about friendship and are willing to help.

"Xiao Zhou, tell me about your diagnostic thinking!"

Zhang Bihua looked at Zhou Can.

It was because of Yang Chan's begging that she was willing to give Zhou Can a chance. After all, it takes time and seconds to save patients, and there is no time to waste.

"Thank you Director Zhang for giving me this opportunity. Please look at the eyebrows of the pregnant woman."

Zhou Can grabbed the last straw.

Everyone is puzzled, what is the relationship between the illness of pregnant women and eyebrows?

"Oh, the patient's eyebrows are messed up, and the ends of the eyebrows are also crooked." Nurse Ye Tingting exclaimed.

The doctors stepped forward to take a closer look, hey, it really is.

"Hypertension during pregnancy may cause fundus lesions, blurred vision, and even blindness in the parturient. Obviously, the pregnant woman has already developed symptoms of blurred vision. She was going to her parents' home to visit her parents, so she must be particularly concerned about her appearance. Pay attention. The eyebrows are painted like this but she didn’t notice it, which means she doesn’t know that her eyesight has become blurred.”

Zhou Can revealed his diagnosis.

After Zhang Bihua listened, he nodded slightly, with an approving expression on his face, "Go ahead."

Other doctors began to pay attention to Zhou Can's opinion.

Even Director Yin, who had just criticized Zhou Can, listened carefully, and his gaze towards Zhou Can also changed quietly.

From contempt at the beginning to attention.

"We know that long-term hypertensive patients need to take antihypertensive drugs every day. When she goes to visit her parents, she will not go out for a short time. She may stay at her parents' house for a meal and spend more time with her parents. Then she will definitely take antihypertensive drugs before going out. Blood pressure medicine. At this time, because of blurred vision, it is possible to take the wrong medicine and take it as an antihypertensive medicine. From the time she went out to the onset of the disease, this time point is also very consistent with taking the wrong medicine, which led to a sudden increase in blood pressure and passed out in a taxi superior."

Zhang Bihua nodded again, there is indeed such a possibility.

"I once saw a similar case recorded by a famous surgeon in a medical book. The patient also had a long-term history of hypertension, because his blood pressure rose sharply after arguing with others, and finally passed out. After being sent to the doctor, the internal cerebral artery was checked. The hemangioma compressed the nerves and fell into a coma. Due to the difficulty of the operation, the hospital did not dare to operate rashly, and the family members’ opinions were also very conservative. In the end, they chose to use drugs to lower blood pressure. Unexpectedly, after the blood pressure dropped, the intracerebral artery hemangioma It just disappeared little by little.”

Zhou Can shared the cases he had read in the book.

"I have seen the similar cases mentioned by Dr. Zhou in surgical books. This kind of sudden arterial aneurysm is more like a 'balloon'. They usually appear in patients with a history of hypertension for more than ten years. When When the patient's blood pressure rises to an extremely high level, the diseased part of the blood vessel will expand like a balloon, forming a temporary aneurysm."

Director Yin's ability to become an expert in the gods was not given for nothing. He has even read a lot of books on surgery.

"Immediately give the pregnant woman a specialized blood test, and do not need surgery for the time being. Although the pregnant woman is in critical condition, after Director Zhang takes effective measures to protect her pregnancy, she should not be in too much danger for the time being. UU Reading www.uukanshu.com"

Director Yin's address to Zhou Can changed from "superficial young man" to Doctor Zhou.

This is the respect that Zhou Can has won with his strength.

It was Zhou Can's persistence that avoided a possible misdiagnosis.

It can be regarded as saving the reputation of all the doctors present.

"I agree with all my hands. It is best to avoid surgery, because the risk of surgery is too great. To be honest, I am not even 50% sure that surgery is really necessary."

Wu Baihe knew the identity of this pregnant woman very well.

If he really wanted to die at his hands, even if the family members signed the surgical risk consent form, I am afraid they would not let him go easily.

It is not easy to go from an intern doctor to today's "peak scalpel" status step by step.

Many chief physicians have agreed to do a specialized blood test first, and the rest is simple.

Blood was drawn for emergency testing.

While waiting for the results of the blood test, the attitude of these superior doctors towards Zhou Can has changed drastically.

"Director Lou, you were the most discerning when selecting people yesterday." Director Tan said a little sourly.

"Haha, the person you selected is also very good! Xiao Zhou is indeed very talented in medicine, and our emergency department also needs such a successor." While Director Lou laughed happily, he was even more afraid of the two powerful departments. The director dug his wall.

After praising Zhou Can, I did not forget to emphasize the importance of Zhou Can to the emergency department.

On the other hand, Du Leng, a foreign doctor, is really embarrassed at the moment.

There is a high probability that he will be slapped in the face by Zhou Can.

In order to hide the embarrassment in his heart, he could only pick up the patient's information and stare at it carefully. I can't wait to catch a few bugs out of it.