Chapter 469 Can Dr. Xu save me? No!

It’s still the same problem as before. The international community does not have a unified guideline for the treatment of neurogenic bladder.

There are a lot of surgical procedures in clinical practice.

For example, “bladder enlargement”, “urethral sling” and “artificial urethral sphincter implantation” to reconstruct urine storage function;

Surgery to reconstruct urination function, and combined procedures that take into account both urine storage and urination dysfunction.

But the problem is that these surgeries are very difficult, and there is no evidence of efficacy in evidence-based medicine. They are only performed in a few countries and a few patients, and there is no strict data support.

The most commonly used procedure in China is actually urethral diversion. Simply put, it is to create a fistula in the bladder above the pubic bone, and then discharge urine through this catheter in the abdomen.

“Then… I might as well die!” Xun Yu looked ashen.

For a girl in her twenties, she would have to insert a tube in her abdomen for the rest of her life, with a urine bag at the other end… She dared not imagine this scene. What is the difference between this and not being treated and having urinary incontinence at any time?

"Let's try the treatment first, maybe taking medicine will help?" Xun's father spoke, and Xun's mother hugged her daughter and comforted her softly.

Outside the screen, laughter came from another bed. They had recovered after a week of treatment, and today was the day to be discharged from the hospital.

When Xu Qiu walked out of the screen and was about to leave the hospital, the sharp-eyed patient recognized Xu Qiu and immediately chased him happily: "Doctor Xu, Doctor Xu!"

Xu Qiu stopped at the door.

This patient was sent by Wang Fan. This is an "effective request for help", which is indeed a difficult disease to diagnose.

The other party was admitted to the hospital with chest tightness, fatigue, and occasional throat discomfort. Chest CT found mixed ground glass nodules in the left lower lung.

Several previous hospitals have given "follow-up" suggestions.

Many doctors believe that the "chest tightness and shortness of breath" reported by patients is a psychological effect.

After all, although the mixed ground glass nodules with a diameter of 12×9mm are relatively large, the risk level is still below medium risk, and there is no point in treating them. It may be a small infection that will heal itself after a period of time.

The subsequent referral hospital gave amoxicillin clavulanate potassium tablets, cefaclor capsules, etc., but the patient's symptoms did not improve, and even had "difficulty breathing".

After that, the patient came to the clinical doctor.

Considering that the anti-inflammatory treatment of the other party's lung nodules was ineffective, Xu Qiu performed a CT reexamination, and the results this time were different.

Imaging diagnosis: mixed density ground glass nodules near the pleura in the dorsal segment of the left lower lobe, the CT average value is about -429Hu, of which the solid component CT value is about -355Hu, and two drainage vessels can be seen.

The first time Xu Qiu saw this imaging opinion, early lung cancer, microinvasive adenocarcinoma to invasive adenocarcinoma, came to his mind, and he immediately decided to undergo surgery.

The postoperative pathological analysis gave the diagnosis of mucinous adenoma.

But after reading the report, Xu Qiu overturned this conclusion and determined that it was a BA tumor.

This tumor is easily confused with malignant tumors such as mucinous adenoma and alveolar adenocarcinoma. In the end, Xu Qiu's diagnosis was confirmed to be correct by the continuous p63, p40, and CK5/6 positive basal cell layer...

This tortuous disease caused by the inconspicuous "chest tightness" has finally come to an end.

The patient was jubilant: "Doctor Xu, you are a miracle doctor. I have been to no less than ten hospitals in Baiyun Province for this disease. I was completely cured after a week of treatment here. I must send you a big banner when I go back!"

Xu Qiu pulled himself out of the depression of diagnosing Xun Yu, and a smile appeared on his face: "Congratulations on your recovery. Come back for a checkup in a month. If there is no problem, the probability of recurrence is very small."

"Ah, I am not afraid of recurrence. With you, Doctor Xu, I will kill it even if it recurs!"

Xu Qiu was not good at taking such jokes. He shook his head seriously: "Recurrence of the disease is never a good thing. You must take medicine on time."

With Xu Qiu's departure, the ward became quiet again. The family quickly packed up their things and left with laughter.

Inside the screen, Xun Yu sobbed softly, and soon her tears wet Xun's mother's arms.

"Is Doctor Xu really so amazing?" Xun's mother was sad, but listening to the words of the patient who had just left, she couldn't help but feel a little hopeful.

Father Xun sighed and shook his head. He had just checked the information carefully and confirmed that neurogenic bladder is indeed incurable.

The mainstream practice at home and abroad is to create a fistula on the pubic bone and make an external urethra.

Faced with this disease without a definite treatment plan, even Xu Qiu should be powerless.

...

The next morning.

Linyi was crowded with people. In addition to patients, there were also a large number of fellow doctors, media reporters, etc.

The entire hospital was replaced with new promotional posters. The words "Xu Qiu" and "palm and finger regeneration" were everywhere. Everyone who came here was shocked. Even laymen finally realized the status of this operation in hand surgery.

It is not an exaggeration to describe it as "a major earthquake in the field of broken hand replantation"!

"The training class is finally open!"

"This afternoon, "Linhai Da Yi" will also be released simultaneously, but it is said that only trainees can get the first-hand tutorial of palm and finger regeneration, and it will be slowly released in "Linhai Da Yi" later!"

"I am looking forward to it..."

"In the past, metacarpal fractures and distal phalangeal severance were the difficulties of our hand surgery. Clinically, few doctors dared to do it, and no one was willing to do it. Perhaps the palm-finger regeneration surgery will bring many differences!"

"This surgery contains too many techniques. If you can learn it, it will also feed back to many hand surgery surgeries. After you graduate, you can directly become a hand surgery expert!"

The doctor colleagues were very excited at this moment.

The training courses for craniocerebral separation and Linhai small blood vessel replacement are still vivid in my mind. Those who successfully graduated were entrusted with important tasks after returning to the department and could take charge of their own work. Many people even led a team to develop the surgeries that came from the training.

The status is close to that of chief physician!

Under such temptation, the training course of Linyi is more like a ladder to heaven. As long as you enter, you can become a hot commodity in the industry after you come out!

Soon, people gathered in the auditorium of Linyi.

The reporters picked the best camera position and aimed at the podium.

The doctors were eagerly waiting. They had seen the magic of palm and finger regeneration in the previous news, and Xu Qiu was even more famous. They were looking forward to this operation that would cause a great upheaval in the entire hand surgery field!

Buzz buzz buzz --

The speakers made a noisy electric current sound, and the venue immediately became quiet. Everyone calmed down and stared at the door nervously and eagerly.

However, it was not Xu Qiu who came in!

He held the microphone in his hand, and knocked on the microphone several times with his left hand, and the speaker instantly made a bang bang bang sound.

"Who is this?" Everyone looked puzzled.