1534 To be cheered or to stay for surgery
"Is that right? Sometimes you are too cautious." Su Yun glanced at the patient, then looked at Zheng Ren, and said with a little contempt.
In his opinion, the New Sidemin test must be positive, and there is no need to think about it.
"It is not an exaggeration to treat diseases. No matter what, you must be cautious and walk on thin ice." Zheng Ren said seriously.
Su Yun curled his lips, looking disapproving.
The results of the Neustramine test are there, so you have to be so cautious, nonsense!
"Uh, the time is up." Zheng Ren glanced at the time and said, "I'm going to give a lecture in the afternoon. Director Wei, are you going to help me with the town?"
"Absolutely, the promised thing." Director Wei said, "Jianguo is guarding at home, Xiaocao follows me. Jianguo, if there is any news about the patient, report it immediately."
"Okay, Director." Feng Jianguo agreed immediately.
"But if myasthenia gravis is accompanied by thymoma, this is an absolute surgical testimony." Su Yun suddenly said hesitantly.
"Yes, so what's wrong?" Zheng Ren glanced at Su Yun strangely.
He should say such an extremely simple thing?
"I haven't had a thymoma for a long time." Su Yun looked hesitant and struggled, as if there were two villains fighting in his heart.
He was going to give lectures to the students, and the shadowless light shone, and the audience was struggling between the exclamation of joy and the pleasure of having a thymoma surgery.
A few seconds later, Su Yun's face showed a resolute expression and said, "Boss, you go and give a lecture. I will stay to see the patient and have the surgery."
"Okay, the operation is fine?" Zheng Ren asked habitually.
"It's definitely okay. If you messed up your lecture in the afternoon, my surgery will definitely succeed!" Su Yun was just questioned for a moment, and jumped up like a cat with a stomped on his tail.
Thymoma surgery is considered a moderately difficult surgery in provincial hospitals. However, in local areas, such as Haicheng, few are carried out.
Because in terms of incidence, this is a rare disease. In Haicheng, you may not encounter a patient with thymoma throughout the year.
Such patients go to the provincial capital or imperial capital, otherwise they will not be able to undergo surgical treatment even if the diagnosis is correct in the local area.
Thymus is removed from the treatment of myasthenia gravis. Not many people need surgery, which is one of the retention procedures in high-level large-scale tertiary hospitals.
Su Yun will definitely do it, and he probably did it well. I didn’t say it just now, the operation will be over in thirty minutes.
Zheng Ren looked at Su Yun with a smile and did not argue with him.
A thymusectomy under mediastinoscopy? Do you still need the director of the thoracic department to take a look before the operation?
No matter what, just do thymus ct and everything will be revealed.
As for the operation, it is a restricted area in local hospitals, but in 912, under Su Yun, it should be just a "small" operation.
Zheng Ren smiled and said, "Director Wei, let's go?"
"Okay." Director Wei smiled and said, "Boss Zheng, what surgery are you doing? Just stepped down?"
"Two live surgeries, one was a tumor splitting after interventional embolization, and the other was a splenectomy of Gaucher's disease." Zheng Ren said while walking.
"As soon as I got off, I saw Xiaocao pushing the patient in. I saw that it was very urgent, so I went to take a look."
"Fortunately, you will take care of it." Director Wei said: "This disease is very rare. Without a clear cause, it is really difficult to consider myasthenia gravis. Boss Zheng, how did you find it?"
"I met it in Haicheng." Zheng Ren said expressionlessly.
Director Wei was stunned for a moment.
Haicheng...
It seems to be a small city in fourth-tier and fifth-tier cities.
I seemed to have asked Boss Zheng about a rare disease before, and he also said he had seen it in Haicheng.
Why are small cities in fourth- and fifth-tier cities so weird getting sick?
However, Director Wei then made up his own words and explained to himself.
It’s not that the disease is strange, but that Boss Zheng has a high level of diagnosis and treatment. Many patients have been misdiagnosed from the beginning because of a wrong diagnosis.
For example, a patient whose first symptom is intestinal obstruction is an example.
I was almost misdiagnosed in 912, let alone the small hospital below. After the operation, the patient was in extremely poor condition and the ventilator could not be offline. He kept using the ventilator to assist in breathing. Until he died, the patient and the doctor did not know that it was myasthenia gravis.
Or after consultation in the whole hospital, everyone tried to perform diagnostic treatment, and finally realized that it was a thymoma! It was myasthenia gravis!
There are many similar situations.
Maybe by the time everyone suddenly realizes, the patient can no longer be saved.
Is there a problem with the doctor's level?
Zheng Ren doesn't think so.
I have a big pig's hoof. I just took a look and knew that the big pig's hoof was diagnosed with myasthenia gravis, so of course I was confident to stop the operation.
But what about other doctors? A patient came and did countless related examinations? That was really nonsense. If you miss the opportunity for the operation, who will be responsible?
Director Wei smiled and said, "The children who go to school to listen to classes today are blessed."
"Yes." Quan Xiaocao whispered: "I heard the two undergraduates who were interns say that the school is already in full swing. Brother Yun gave a lecture, this is a big deal.
When I knew the letter, the girls went to the stairs classroom 24 hours in advance to take a seat."
"Then they will be disappointed." Director Wei called out.
But then he realized that the joke seemed to be wrong.
This is not a joke, but a mockery, saying that Boss Zheng is not as good as Dr. Su.
But Zheng Ren didn't seem to realize what Director Wei said, and he was a little distracted.
"Boss Zheng, what are you thinking?" Director Wei asked in a strange way.
"Removing the thymus is effective for some patients with myasthenia gravis. I was wondering how the patient recovered after surgery." Zheng Ren said.
Director Wei sighed.
It seems that I am not as concerned as Boss Zheng, no wonder he is of high level and has high talent while spending all his time on business.
If this is not of high level, it will be called seeing a ghost.
What I just talked about is just the diagnosis and treatment of the disease, but even if the thymus is removed after surgery, only some patients will be relieved.
If there are any symptoms, it would be enough to get myocardial injections from home.
Like diabetes, long-term injection of drugs does not seem to be a big deal.
But some patients will not improve at all.
The symptoms of muscle weakness become worse and worse until they finally die.
"The mechanism of the disease is still unclear." Zheng Ren said with some regret: "I know that both Mayo and Concorde have research groups studying the pathogenesis of myasthenia gravis. Judging from the news a few months ago, this study has not made any breakthrough progress."
"Just wait, there's nothing we can do about it." Director Wei said.
"It is said to affect skeletal muscle, but the first symptoms I encountered today are in the intestinal smooth muscle. Although it is rare,..." Zheng Ren stopped halfway through his speech.
The current medical level is not yet clear, so there are not many diseases to be treated.
Chapter completed!