Chapter 362 The most difficult patient in history! Xu Qiu is helpless!
Otherwise, even if you give him ten thousand courages, he would not dare to rely on this rare and incurable disease.
"Idol, do you see what's wrong?"
Yang Yuen assisted Xu Qiu in positioning the patient and cooperated with the examination, and couldn't help but ask.
Xu Qiu shook his head.
This patient is completely different from Professor Yan.
Although in the eyes of laymen, they all came in in wheelchairs and looked groggy and dying, in the eyes of doctors, these are two completely different states.
From Fan Fuguo, Xu Qiu could not see any symptoms that would help the diagnosis.
Not even a trace could be found.
This is the most difficult patient he has encountered in the outpatient clinic for so long.
I'm afraid there's going to be a fierce battle...
"Xiao Liu, after the large dose of methylprednisolone failed, what follow-up plan did you take?" Xu Qiu asked.
In addition to the patient's symptoms, the patient's recovery after drug treatment is also a key clue to the diagnosis.
Xiao Liu said hurriedly: "We have done almost all the examinations, and finally felt that multiple sclerosis was the most likely. On the basis of methylprednisolone, we used treatment methods for acute attacks of severe multiple sclerosis... …”
Xu Qiu nodded.
That is immunoglobulin + plasma exchange.
Judging from the patient's current state and Xiao Liu's troubled expression, there is a high probability that this plan will not work.
The atmosphere in the conference room was extremely tense.
The only good thing is that the family members did not attend the meeting, and only Fan Fuguo himself, as a case, accepted Xu Qiu's examination.
Otherwise, based on the previous performance of this group of family members, they may have already decided which cemetery they will be placed in.
"It's very much like Creutzfeldt-Jakob disease. Check the 14-3-3 protein, and then draw the cerebrospinal fluid to see if we can confirm the diagnosis." Joseph said at this time to break the silence.
Based on his experience with four patients with Creutzfeldt-Jakob disease, the person in front of him already fits the bill perfectly.
"It's not necessary." Xu Qiu shook her head decisively.
"How is it unnecessary? The diagnostic and treatment standards for Creutzfeldt-Jakob disease refer to a document, and I happened to participate in the writing of this document - the three markers of Creutzfeldt-Jakob disease are 14-3-3 protein, Tau protein and S-100 protein levels!”
The former is more susceptible to Creutzfeldt-Jakob disease.
The latter two mark the level of damage to nerve cells, which can be detected by doing cerebrospinal fluid biochemistry.
All three indicators are positive. What else could it be if it wasn't Creutzfeldt-Jakob disease?
Kakaka——
At this moment, an unexpected situation occurred.
Fan Fuguo suddenly began to twitch in the wheelchair. Xu Qiu and Yang Yuen, who were approaching, quickly supported him.
However, the moment he met the other person, Xu Qiu felt the muscles on the patient's body that were almost turning into stone.
Myotonia, seizures, myotonia? !
Xu Qiu frowned, showing symptoms of viral encephalitis again...
Waiting to death yielded no results, and the suspected diseases had been ruled out by the county hospital, Linhai International Hospital, etc. Obviously, the diagnosis had reached a dead end.
No one knew where the next clue would be, or what exactly to check.
"Let's do a big siege and check them all. I still don't believe they can't be found." Joseph said with a headache.
To be honest, if this patient is given to him, cerebrospinal fluid +14-3-3 is enough to diagnose Creutzfeldt-Jakob disease, so there is no need to be so complicated.
Isn't Fan Fuguo's situation obvious enough? Although the current epileptic seizure seems to be a manifestation of viral encephalitis, is it not a symptom that can be caused by Creutzfeldt-Jakob disease?
"A comprehensive inspection first." Xu Qiu nodded.
The information Fan Fuguo has given out now is too little, and there is no other way except to comprehensively investigate this big killer weapon that casts a wide net.
After the patient's epilepsy ended, Xu Qiu returned to his seat and read through the medical records again.
Still found nothing.
Diagnosing this old man is much more difficult than Professor Yan...
…
On the same day, under Xu Qiu's arrangement, Fan Fuguo was admitted to a single ward.
In the evening, Director Zheng performed a McCovey artificial blood vessel replacement on Luo Siling, which was also a great success.
Generally speaking, it is basically impossible for hospitals, especially departments other than emergency departments, to arrange surgeries.
However, the Cardiac Surgery Department of Linhai No. 1 Hospital is in the critical period of its rise. Linhai small vessel replacements need to be performed during the day, and at the same time, beds and surgical volume for regular patients must be guaranteed. Therefore, many surgeries are scheduled to the evening.
Although I am very tired, the salary in the cardiac surgery department is also rising steadily.
People in Daxia are very simple, and as long as they are given money, they will work to death.
996 is not terrible.
Even for doctors, 996 is already a luxury.
007 is the norm in the hospital.
However, if the daily meal subsidy is 200, the overtime subsidy is 500, and a performance bonus is added, who wouldn't want to be 007 every day?
…
A few days later, Xu Qiu also came to the cardiac surgery department. After relieving a patient's nervousness, he was sent to the operating table.
This patient has more high-risk factors, and the difficulty of the operation is much higher than that of Yang Chenxi's 31-bed surgery and Director Zheng's Luo Siling, and even more dangerous than that of Yan Ziqiang.
It is not an exaggeration to say that it is the world's top cardiovascular replacement surgery.
This is also the most anticipated and valuable surgery since my training!
Therefore, Joseph, famous foreign doctors, and a group of training doctors all rushed to the scene.
However, the space in the operating room was limited, and only more than 30 people were able to observe in person. The remaining hundreds sat in the auditorium and watched the live broadcast of the operation.
At 10 a.m., the operation began.
It took one hour and twenty minutes, and this coronary artery seaward small blood vessel replacement, which was the most difficult so far, was successfully completed!
When he came out of the operating room, Joseph and a group of foreign famous doctors were all stunned.
This is a surgery that humans can do?
Under the microscope, the hand did not move at all, more robotic than a robot.
At this moment, Joseph finally understood why Xu Qiu was able to save him from the brink of death...
With this skill, let alone him, even if the heart was rotten like a man's worn underwear for ten years, he could fill up the holes one by one!
"Idol, idol, idol..."
After coming out of the operating room, Yang Yuen's eyes were full of stars, and only the two words Xu Qiu were left in her mind.
Although she was obsessed with flowers every day, in fact, she was the fastest learner among the interns.
Although his current surgical skills are not as good as those of Director Zheng and Yang Chenxi, he can already complete an operation independently.
After two weeks of study, he can master a new operation. This kind of talent is unique!
After all, he is a genius that even the master of cardiac surgery Joseph wants to keep. He is not only good at it, but also full of skills.
It's a pity...
His mind is full of Xu Qiu!
"Is being handsome useful? It's superficial!" Joseph sighed deeply.
Thinking back to the past...
Forget it, he didn't seem to be handsome back then.
Dinglingling——
After leaving the operating room, Joseph was about to ask Xu Qiu about a few problems that bothered him during the operation, when the phone rang suddenly.
When he saw the caller, he was stunned and very surprised.
