The most difficult days are finally over.
Three days later, the Department of Neurology was once again in need of beds, and Zhao Yilin had to notify the hospitals below to suspend the transportation of patients to Antai Hospital.
Liu Muqiao also rarely has the opportunity to relax.
Pediatrics, he has to take a look around. There is no need to come here every day, but once every two or three days, to wander around and check on the new patients and the old patients with poor curative effects. Generally speaking, there is always something to gain.
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In the past two months, the reputation of pediatrics has been rising, and some rare and difficult diseases have gradually increased. This is all because of word-of-mouth transmission from patients.
Today, he received another patient.
This child has been seen in many hospitals and suffers from cough, weight loss, and sometimes fever.
It has been two days since the child came in, and the consultation could not find the reason. Yuan Shan waited for Liu Miqiao to come and see him.
Liu Muqiao first examined the patient. He was 5 and a half years old, stunted, had typical rickets, and had a small amount of rales in his lungs.
I saw the patient, asked about the medical history, and returned to the office to carefully examine the chest CT film.
I watched it very carefully and it lasted more than ten minutes.
"I need an MRI of my chest."
As soon as these words came out, many people looked at Liu Miqiao in surprise.
Chest, do you do MRI?
MRI of the chest is generally rarely done because there are a lot of alveoli and air, making it difficult to see the tissue you want to see clearly.
"Don't doubt it, you heard it right, I do need an MRI of my chest."
"Okay, Aling, you take the patient to do it yourself and explain it to the people in the radiology department." Yuan Shan instructed.
A Ling stood up.
She accepted this patient, and she didn't want to miss this opportunity. Common diseases are easy to talk about and can be seen every day, but rare diseases are rare. Every one you see is one, and it will be your experience in the future.
To put it bluntly, no matter how much we see common diseases and frequently-occurring diseases, we cannot improve the level of medical technology at all. To improve the level, the key is to see more rare diseases and rare diseases.
It would take a long time to do the MRI. Yuan Shan quickly seized this time and asked Liu Miqiao to give a small lecture on the diagnosis and treatment of atypical pneumonia in children.
Liu Miqiao thought for a minute and came up with three cases, namely lobular pneumonia caused by rotavirus, suppurative pneumonia caused by Staphylococcus epidermidis, and pneumonia caused by rare bacteria in air conditioners.
These are rare case reports in the world.
Just finished speaking, A Ling is back.
"The radiologist said that they will no longer issue reports, you can read it yourself."
Liu Muqiao picked up the film, plugged it into the reading lamp, and watched it for another ten minutes.
Yuan Shan looked at it for a long time, but didn't see anything interesting. Some others simply didn't look at it. MRI of the lungs is really rare, and they usually look at CT films.
"Yeah."
Liu Muqiao was very satisfied, looking very happy and intoxicated.
"Is there a diagnosis?"
"Yes, there is a small piece of melon seed shell in the second segment of the lower lobe of the right lung."
Everyone rushed over and gathered around the reading lamp to watch.
"Where?"
"Where?"
"Here?"
"No, it should be here?"
"Not really."
……
Liu Miqiao looked back at the crowd of heads. Can you see it? Then there is no need to go to six or seven hospitals for medical treatment. Even the radiologist did not send a report. It is not something you can see clearly at all.
This is when master-level abilities show up.
"It's about one-sixth of a melon seed shell." Liu Maqiao walked over and pointed to a shadow, "Here."
Only then did everyone wake up.
"We looked at the wrong place!"
"What is here? I thought this was a melon seed shell."
"This is a blood vessel shadow." Liu Maqiao said.
"Forget it, forget about being a quack doctor in this life. I'll wait until next life to learn your level." Someone sighed.
Yuan Shan said: "The next step is to do bronchial fiberoscopy?"
"Yes, there is no better way. If you don't want to do it, maybe there is a possibility of self-healing by the age of seventeen or eighteen, just wait until the melon seed shells melt. However, there is another consequence, which is to cause bronchiectasis.
.So, the best way is to undergo bronchial fiberscope surgery as soon as possible.”
Yuan Shan said to A Ling, "Go and call the parents over."
Soon, the parents came over.
Father, mother, grandfather, and grandmother.
Yuan Shan said: "We have confirmed that the child ate melon seeds a few years ago and a small piece of melon seed shell got stuck in the trachea and could not come out."
"Ah, yes, when I was three years old, we were eating melon seeds that day, and he wanted to eat them too, so I gave him a few. Suddenly he cried violently. It was probably that time." Grandma looked annoyed.
.
"You have the nerve to say that! It's all your fault." Grandpa, who was tall and tall, shouted at his mother-in-law.
There was anger in the daughter-in-law's eyes.
Yuan Shan quickly said: "Where can you take such thorough care of your children? We have received many strange patients, and you don't have to blame anyone. Now for further treatment, we recommend that you go to the respiratory department of the affiliated hospital."
"Can't you do it here? You are the best. We have been to seven hospitals, including three major hospitals in Beijing, but we still can't diagnose it clearly. You are still very good. It only took three days to figure it out.
We are willing to treat you here." said the child's mother.
Yuan Shan said: "We do not have this equipment, and we have no experience in bronchial fiberscope in children."
"To be honest," the child's mother said, "we have been admitted to the affiliated hospital twice. I have no confidence in them."
At this time, Liu Muqiao was searching, is there any other way for such a patient?
Having a bronchial fiberscope at the age of 5 is really cruel.
Even for adults, bronchoscopy is like dying once, which is very uncomfortable. Of course, as a doctor, I have also seen patients who are not afraid of death. They have done it five times in a month. People asked him, is it uncomfortable? He said
How to answer, "It's okay."
There seems to be no other way.
Liu Muqiao thought for a while, if I learn how to do it, will it be as magical as piercing?
When doing bronchial fiberscope, knowing how to do it does not mean that it is done well. A good job should mean that the patient suffers the least pain and dares to do it a second time after doing it once.
After thinking about it, he had no choice but to shake his head.
I don’t have the ability.
"Ding!"
There was a sound in Liu Muqiao's head, and he screamed in his heart, "You're not going to give me another task, are you? You want me to do a fiberscope, I really don't want to!
It looks scary.
"Are you really willing to give up this technology?"
"Give up! Give up! Give up!"
What Liu Miqiao means is that the task you gave me for hematoma puncture is too difficult. It’s another skill and I have to complete the task. I’m so busy.
The system in my brain went silent.
Well, are you really not going to give me bronchoscopy technology?
Liu Muqiao asked silently.
The system said: "Yes, if you give up, this technology will no longer be available to you."
"I changed my mind again."
"Each technology only has three chances."
"Okay, I still have two chances. I take back what I just said and give me bronchoscopy technology."
"No, you have given up three times."
"Ah? Does this count?" Liu Maqiao wanted to cry. Indeed, he was so willful just now that he said give up three times in a row.
The system did not answer.
Liu Muqiao asked again: "Is there still a chance?"
This chapter has been completed!