Chapter 12 Paralyzed patient, tumor on the spine
The resident doctor looked over and found that the director of neurosurgery was leading a group of doctors to make rounds.
He quickly stepped aside.
After the rounds, the director did not leave, but found him alone.
The director: "Have you heard about Dr. Xu in the emergency department?"
The resident doctor lowered his head: "Hmm..."
"Don't be discouraged.
You have two SCI second-author papers in your undergraduate studies, and you went to Johns Hopkins School of Medicine for further studies. You have higher potential than him!
Our neurosurgeons can do the work of the emergency department. Can his emergency department come to our neurosurgery? If he cuts it, he will smash all the brain nerves!"
The resident doctor felt a little comforted.
His confidence returned.
Indeed!
Aren't the emergency and orthopedic departments doing rough work?
Especially orthopedics.
There are saws, hammers, nails, and everything in the operating room, clanking.
If you don't know, you might think it's a construction site.
Neurosurgery is a high-tech department. It is a dancer dancing in the patient's mind. Even if Xu Qiu comes, he can't compare with him.
"Well, Director, I will continue to change the dressing!" The resident doctor was full of energy.
The Director nodded and said, "I have an operation in the afternoon. Come with me to see the world."
"Okay! Thank you for your cultivation!"
...
...
At the same time, in the emergency department, Chen Qiao, who had an appendectomy, was also discharged.
She specially found the doctor's office.
"Doctor Xu, I'm here to handle the discharge!"
Chen Qiao was carrying a bulging schoolbag and was very lively. She didn't look like someone who had undergone surgery.
Xu Qiu was dealing with the patient's medical records in the past few days. Without turning his head, he said, "Just go to the nurse's station. I have signed the discharge certificate."
"I came here to tell you... Doctor Xu, look!"
Xu Qiu heard the voice and looked back.
He saw Chen Qiao standing behind him and secretly lifted a corner of his shirt.
The exposed skin was white and flat, with a faintly visible waistline.
That was the wound from Chen Qiao's appendectomy.
At this moment, there was only a shallow mark left on it, which would probably disappear completely in a short time without leaving any scars.
Chen Qiao smiled and said, "Dr. Xu, thank you. My wound has been itchy and painful these two days, but thinking of you, I can hold on!"
In the office, many doctors pricked up their ears.
Hearing this, men were silent and women cried.
It is true that patients are easy to like what doctors say.
However,
they like handsome and cool male doctors, or beautiful and gentle female doctors.
As for the ugly bitch... even if they are rescued for days and nights, the patient will only say "You are a good person" at the end...
On the other side, Chen Qiao babbled a lot of girlish thoughts.
For example, writing a fragrant diary.
And this year's postgraduate entrance examination, she plans to apply for emergency medicine at Linhai First Hospital and become Xu Qiu's junior sister.
Wait...
Just when she laid the groundwork for a few minutes and was about to ask Xu Qiu for WeChat, Wang Fan rushed in from outside and slapped a checklist on the table.
"Everyone, here comes a difficult patient, come and help me!"
Everyone's attention was drawn to it.
There were several imaging films on the table, including X-ray and CT.
The above is a very typical manifestation of intervertebral disc herniation:
The lateral film shows calcification of the posterior disc, which may be accompanied by calcification of the posterior longitudinal ligament and narrowing of the intervertebral space of the corresponding segment.
A doctor joked: "Wang Fan, you can't see the intervertebral disc herniation? The more you learn, the more backward you are?"
"Yes, just transfer to the spine surgery department, it's not an emergency." Someone said.
Wang Fan said a little urgently: "The patient is only 21 years old, it's too early for the intervertebral disc to herniate, and... his lower limbs are almost paralyzed!"
"What?"
After hearing this situation, everyone looked at these films seriously.
After Xu Qiu added Chen Qiao's WeChat, he also came over to take a look.
He subconsciously said, "The patient is too young. There must be other reasons for the herniated disc. He should have a history of spinal trauma, right?"
Wang Fan slapped his thigh, "Yes! He said that he was racing seven or eight years ago and had a motorcycle accident. He broke two cervical vertebrae at that time!"
Xu Qiu glanced at the film.
He did not see the cervical vertebrae that had been operated on.
He shook his head and said, "The position of the film is too low. It needs to be higher to scan the entire cervical vertebrae..."
If I guess correctly, the paralysis of the lower limbs should be related to those cervical vertebrae.
Moreover,
He has won several rewards in the past three or four days of signing in.
For example, expert-level nasal hemangioma removal.
Master-level intestinal fistula bypass surgery.
In addition, he also won a master-level spinal cord tumor resection through the experience point lottery.
If it is really a spinal cord problem, then the patient's life has been saved halfway.
The other half depends on whether it is a tumor.
"Okay, I'll check it out!"
After Xu Qiu instructed, Wang Fan immediately agreed.
Now in the emergency department, Xu Qiu is the best person under He Hai.
In a sense, his words have symbolized professionalism and authority!
More than an hour later.
Wang Fan came back with a new examination report.
He looked excited and said excitedly: "It's amazing, it's amazing! Doctor Xu, the film was just one vertebra short of being able to capture the lesion, but it happened to be missed!"
The doctors in the office gathered around to take a look.
The CT film showed that the injured part from neck 4 to neck 6 of the patient had healed, but a tumor appeared here!
The doctors all looked at Xu Qiu with admiration.
None of the patients were seen,
With just one X-ray, it was directly determined that the patient had spinal trauma, and the cervical spine segment was even located...
What a terrifying clinical intuition this is!
Boom, boom, boom!
At this moment, there was a sudden knock on the office door.
A somewhat haggard middle-aged woman walked in pushing a wheelchair.
In the wheelchair was a man in his twenties, with tattoo marks on his neck that could not be washed away.
Before everyone can figure out the situation,
The middle-aged woman made a thump, knelt down in front of Wang Fan, and begged:
"Doctor Wang, does my son have a tumor? Please save him. He is the only son in our family!"
Wang Fan quickly helped the person up, turned around and said to Xu Qiu: "Doctor Xu, this is the patient, his name is Yue Hongliang, he is twenty-one years old."
The middle-aged woman is also a shrewd person.
She immediately judged that Xu Qiu was the backbone, broke free from Wang Fan's hand, fluttered and knelt down in front of Xu Qiu.
"Doctor Xu, please save this single seedling in my family!"
Wang Fan shook his head and sighed lightly.
This kind of patient with a tumor on the spine is something that spine surgery and neurosurgery specialize in, and doctors in the emergency department cannot handle it.
You can ask Xu Qiu for help, but...he will definitely be helpless to remove the tumor on the spine!
